131 NE 101 St (9)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date / /, /9 /99Job Address Q ( ( /1(4: (o / 457 • Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant }( C � r R Davis
Master Permit # (5'Z I /f ar
Owner's Address /0/6 W/(e do St 1 Je 433 ( g/G[/ecg 4 R. Phone 37a.0 . 55i - 7V2,c
Contracting Co. q r E lie`J ;14 g t S 0 G ! / ) 4I Address
Qualifier SS# Phone arc ‘
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company
Mortgagor Address
Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING
WORK DESCRIPTIO Q
�o /e iL"
Square Ft. Estimated Cost (value) /- "
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 AFF IDAVIT: . I certify that all the foregoing information is accurate and that all work 1 be done in c ompliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the wo
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT
ontractor or
C.C.F. NOTARY BOND
APPROVED:
Zoning
Mechanical Plumbing Structural Engineer
Building Electrical
er-Builder
Date
otary as to Con IP tor or Owner - Builder
My Commission Expires:
, Z ' a r,f - 37— off`' O
("T0 ,9. 2- J '1 /9 ,/
TOTAL DUE
lilac (P
Date
a, A TAMP�rNG IN
Q-3 D 943 - 2424 POMPANO BEACy
f ATE COT /BK Purs o pl 48 �a Statutes. 482.2266)
011
PER
PLUMBI
Temporary Toilet
Septic Tank
ELECTRICA
Temporary Service yr
Air Cond.
5 PEC IA
Sidewalks and Clean - Up
i
•
IN iR
v r i f \1
Tie Beam
Framing
? 22
" N it\ - .1
AVP 4
,�,;•.�,, :
Ho gh 'y /, IV) op t and Tub rF
•
9 R ough
d y4
f
Fixture
old
r
0 Final Serv.
Mechanical 6 1/xj,; iw
Yard Spaces
Sheathin
Fixture
Owner . D c\ Q
Contractor
Lot Sorer Sort
Subdivision
Address, ' 3 I ICE el st
NOTICE: All Sub - Contractors Must Obtain
LICENSES and PERMITS Before Work is Started.
tl'A No Work on Sunday
No Work Before 7:30 A.M.
No Night Work.
Foundation
Roofing
Pool — _ loor Slab
Walls
3�V•1 4W1 •
NOTICE TO BUILDER: Protect This Card and Return To Building Department For Certificate of Occupancy
s‘P/— /teL ci re 9s.
Fa f�oo r i t'y S% z c n ou f`' h g epees e9t'CIz 7 7
V i(ce ) r4C `To Re Ctcrnoc`
16V , .15 / iz is y' et?"' ...�j y ,2 le.
N
1'
LOG OF APPROVED INSPECTIONS TO COMPLY WITH SFBC 307.2
PER:1\41774
A/E CONTRACTOR
TYPE OF INSPECTION: FOUNDATION
COMMENTS: bt J r:K. 7 ECd ftd>#4.5
°) OP FevP
APPROVED BY:
TYPE OF INSPECTION: REINFORCING
APPROVED BY: DATE: mi
APPROVED BY:
TYPE OF INSPECTION
WINDOWS AND DOORS
APPROVED BY: DATE:
TYPE OF INSPECTION: AS-BUILT
APPROVED BY: DATE:
APPROVED BY:
TYPE OF INSPECTION: OZigaiSPECITNI
APPROVED BY:
•tt
r •
FEES: PERMI
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date v / /75:7 Job Address ! 3 / /U C � / S �
Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant f/ y .P Y/(
Owner's Address '' q /'
W �' 1� �� 1vC - Ad dress �� /� 7� rl�
Contracting Co. _ e Is
D 4
3 a � J
9 3 ',5"` '7r7
State # c s -C(? /) Municipal # Competency # � Ins. Co.4J0 VG vG / Ty a •
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
Master Permit # (4 7 L 1
Phone /
RADON C.C.F. NOTARY
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ' OOFING PAVING FENCE SIGN
WORK DESCRIPTION _ 3 1 g n e f H; ✓L tr%k. ,eft) - p tt I I 1 . NA
l s %� (l - J — ( S )lops . (2) /n
Square Ft. Estimated Cost (value)' v ( / '
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 construction and zoning. Furthermore, I authorize the above-named contractor to do the work sated.
6(ed,"
Signature of Contractor or Owner - Builder Date
3 Notary as to Contractor or Owner - Builder Date
. / My Commission Expires: OFFICIIt N w:"A ! = ;
.� RA+MO !'. 'PEZ
3 I f y� N OTARY P UBLIC STATE OF FLORIDA
a' �' m; stoN NO. CC750205
my CO N ,� SSION EXP. NNE to,2oo2
$
BOND
TOTAL DUE 1 2/ 2
APPROVED:
Zoning Building Electrical
Mechanical day Plumbing Engineering
ITEM
BATH TLB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
B I CET
LIGHT CURETS
�
CENTRAL HEATING ,l rr__ `'J,
DISHWASHER
RECEPTACLES
A/C (WINO) C
DIAL
SERVICE T E 4 P C R A R Y
A/C (CENTRAL) 7 7 u
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLCCR DRAIN
SERVICE REPAIR/IEiE.R CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE CUTLETS
PROCESS ANO PRESS PIPING
INTERCEPTOR
I RANGE TCP
UNDERGROUND TANKS t
LAVATORY
1 OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
)QTCRS 0- 1 HP
STEAM BOILERS
SHOWER
a
MOTCRS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
SOTCRS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK. RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTCRS OVER 8- 10 HP
ELEEVATORS/ESCALATC S
TE4FCRARY WATER CLOSET
MOTORS OVER 10- 25 }f
FIRE SPRINKLER SYSTEMS
URINAL
MDTCRS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SIPPLY TO:
AIR CONDITIONERS
A/C UNIT
_
STRIP HEATER
FIRE .,P' R I NKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER-REPLACE
GENERATORS TRAl1SFOR1.ERS
LAWN 7RINIKLER =HELL
SPECIAL PURPOSE
S7116h11hG POOL
CUTLETS CCCIAL
WATER SERVICE
,
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -EWER
SIGN TIME CLCCX
UT I L I TY- #LATER
F IXTLRES
SEPTIC TANK
ANTENNA .
RELAY
TELEVISION OUTLETS
ry 4
DRAINFIE.D. 4' TILE/RES.
VIOLATION
V 1
i:?
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT W. FT.
CATCH B.ISIN
01 SC ..ARGE WELL
DOMESTIC WELL
AREA CRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POCL PIPING
LAWN SPRINKLER SYSTEM
GAS RAPS
METER SE: (GAS)
GAS PIPING
(AN APPLICATION FOR BUILDING PERMIT MTJST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT SFAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRES= ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL