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1285 NE 101 St (16)• s PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 0 I : • - Job Address 1 Z$5 ALE. E. 10) _ I r Tax Folio 1) -3205 -022-00)0 Legal Description Lo (1 Z. aLk /p9;f Owner / Lessee / Tenant (2.1-tP MR.s. 1t„ATN Master Permit # LI) A J Phone(3O5) z -08(0.5 Owner's Address )2A 5 A). E. 101 � T2EET Contracting Co. IBEr►?iP3S1T ELE.S.`T'Q1C (1 Address 4:10C) 4 rw Cover, 1AM; Qualifier�pA10?. NIKAW O $ SS# Phone (.30.5) X59 / s State #000b42.5 Municipal #0000132.33 Competency # Ins.Co. Architect /Engineer Ai /A Address Bonding Company A/ /i) Address Mortgagor .t/ /A Address Permit Type(circle one): BUILDING CELECTRICAD PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION KTC14E4 'RF. m oaf,. Square Ft. Estimated Cost(value) 4 ,Z 400, O/') WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signatur Date :7 Notary My Comm ** * APPROVED: Condo President ident * * * * * * Fire Other Zoning Building Electrica Mechanical Plumbing Engineering, Owner-Builder ilder FEES: PERMIT / 5 2- 5-** RADON C.C.F. I. J'O NOTARY TOTAL DUE A, O . ITEM BATH TU8 UNIT FEE ITEM SWITCH CUTLETS UNIT FEE ITEM . "" SPACE HEATERS UNIT Isi la— BIDET LIGHT CUTLETS 22 - ; ` ..CENTRAL HEATING DIS1•IWASHER RECEPTACLES FA A/C (WIND) DISPOSAL SERVICE TE.tiPORARY e' 9- A/C (CE�1TRAL) DRINKING FOUNTAIN -_ SERVICE SIZE I N AMP Efrj& j =anFM DUCT 'WC1 FLOOR GRAIN SERVICE REPAIR/NETER CHANGE Q- 0. REFRIGE:ATION GREASE TRAP APPLIANCE OUTLETS �r_", PROCESS ;NO PRESS PIPING INTERCEPTOR RANGE TOP / 940 UNNERROUNO TANKS • LAVATORY OVEN 2• !; CC ABOVE GROUND TANKS LAUNCRY TRAY I WATER HEATER -OP' 0- U.F. PRESSURE VESSELS CLOTHES WASHER RDTCRS 0- 1 HP 149- & STEAM BOILERS SHOWER ROTORS OVER 1- 3 If q Go. HOT WATER BOILERS SINK. POT /3 camp. • MOTORS OVER 3- 5 FP 41;' A- MECHANICAL VENTILATION SINK. RESIDENCE MOTORS OVER 5- 8 HP MEa TRANSPORTING ASSEMBLIES SINK. SLCP MOTORS OVER 8- 10 FP 1171 0. ELEVATORS /ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP r' -40. FIRE SPRINKLER SYSTEMS URINAL ROTORS OVER 25-100 FP d ® COOLING TOWERS WATER CLOSET MOTORS OVER 100 FP .- ©. VIOLATION INDIRECT WASTES A/C WINDOW - ' _ REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER _ FIRE SPRINKLER GENERATORS TRANSFORMERS A ®- HEATER -NEW INST. GENERATORS TRANSFORMERS .91 $ HEATER - REPLACE GENERATORS TRANSFORMERS 8'i A LAWN SPRINKLER -WELL SPECIAL PURPOSE ®' CEP' SWIMMING POOL r OUTLETS CCM ERCIAL I' r WATER SERVICE SIGN TUBES c7 Ty • SEWER CONNECTIONS SIGN TRANSFORMERS le & UTILITY-SEWER SIGN TIME CLCCX I ®' 4* UTILITY -WATER FIXTURES 222 /9. SEPTIC TANK ANTENNA d RELAY TELEVISION OUTLETS � - ORAINf IELD. 4' TILE/RES. VIOLATION . i. PUMP & ABANDON SEPTIC TANK RE INSPECT ION 9- & SOAKAGE PIT CU. FT. CATCH BASIN 0 I SG4ARGE WELL —61.3137 L .J' 5 DOMESTIC WELL i�E C 1 . 4, 9c7 3 AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) I GAS PIPING I PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BE OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL - ,x / 60.7 5 MECHANICAL 2 .0 "R,F.F, 1.447. 3 ='s8 c,rr ¥> y, /!o I HR3l0 1/z- j(rfr / 7 ) 9 ,R. 3 -fez, /z " G 43 FF r 0 03 c- l o co 0 z � omc o . .� N w n� o - cD 8m or- o n, w cm W "a• ZE fl 0 0-0 3 0-4D J � N V t seALE ..2 ( - iJ e RA E, - 1 t4-rE b 0 7)2491; - -m.!'' • i on.; Ti — Sage —, X pr Sao szt. r. o CST 5 Z , , fl / 1 ^ \1 Q A R - _ y o t-. x-rJ R E (\looki 2,0 P k/ A�i , (F 17 'i'P. J +ZEC c�S� ' AZ zL e e r P CD 0 o o z es o m (D o. 1 w o M = CD W •fir n N O CD N - (7 r z'T 0:CD CST x T5E EZE Ai' w 2 G xi a O i - J � .3c PDX.: '/Z.. ° m - "b a,Tc› 07 2-41 94 v4 .7. m.S •