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187 NE 100 St (11)c. • / PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 'bate 3)19/0 1 Job Address ? ^7 '`/ /00 S r Tax Folio Legal Description Historically Designated: Yes No eh rier/lfiessea /T 7)ekteis JELLE 140 .- t_t S Master Permit # / 7 1 36 1 0 vner's Address / $ 7 10 o ST Ph no e �O $ 3 3 7 Contracting Co. \) f P lr Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address rte Permit Type (circle one) B 1 ILD t G LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION - 1 - 64 ©t.l r 1 S7 c4_ rJ t4 C u %3 cg2%S 1 NI Square Ft. -I- Estimated Cost (value) ' 0 0 0 - © 0 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 stated. FEES: PERMrr " RADON 1qi0 Signature of owner and/or Condo President Date Si i, : e of der or Owner- Builder Date 14 Notary as to Owner and/or Condo President Date otary as to Qswkeete `oi Owner Builder My Commission Expires: My Commission Expires: CATHIE INE ESTES Notor; Public -State of Florida My Co. nrnission E:pires Aug 3, 2031 Crr,1r,! =lion CC6E 7.312 C.C.F. ' U NOTARY - Q -� BOND APPROVED: Zoning Building Mechanical Plumbing Structural Engineer �Jl Z3� r Electrical T1T r- 717 • ,,.. ‘ , ,,, ' \' ,'`, • V . ili / // ,17 // y./... / 7— ••-•-• ' ..... • r if:D L r Note: This drawing Is an artistic interpretation of the general appearance of the floor plan. It Is not meant to be an exact rendition. I HOMEISEPOT 2100A76E willis 187 n.e 100th st. mlami otomo,fi.. v Date ao / Job Address Legal Description Owner/Lessee / Tenant Owner's Address Contra PERMIT APPLICATION FOR MIAMI SHORES VILLAGE WM 5 awle- / /V ) 1 D � Tax Folio Qualifier at l I Rt Mackey) State # %Ct, &) /05g Municipal # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILD LECTRICAL LUMBING MECHANICAL ROOFING WORK DESCRIPTION f?YI ®V q 1 n k l -1' \�' 1(1 G� d d f 1 14A Y\e -f 2. e Cott o owner and/or Condo President Date Signa Notary as to Owner and/or Condo President Date My Commission Expires: Historically Designated: Yes No 'Master Permit # (g6se93) SS# � - Phone -j/2 l7"[ -373 r Competency # Ins. Co. ' Z-14 V Cli Address Address Address Square Ft. Estimated Cost (value) APPROVED: Zoning Building Electrical Mechanical Plumbing Phone � 5 - - -- 7s - 6 - 335 Address 1 Q 3(0 A) E ( g TOTAL DUE PAVING FENCE SIGN 000 ©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 perfonned 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 work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contracto do th ork stated. or Owner-Builder Date Notary • s o ontractor or Owner- Builder Date My , ommission Expires: FEES: PERMIT SOD ' 1 VRADON C.C.F. NOTARY S. 0 f7 BOND ' Structural Engineer ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE' BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES jp y 2 A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/ATER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS � A0.527 PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 FP STEAM BOILERS SHOWER MJTCRS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 hP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 FP 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 HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIM,IING POOL CUTLETS COMMERCIAL WATER SERVICE SIGN TUBES ;EWER CONNECTIONS SIGN TRANSFORMERS ITILITY -SEWER SIGN TIME CLOCK ITILITY -WATER FIXTURES ;EPTIC TANK ANTENNA 'FLAY TELEVISION OUTLETS RAINFIELO, 4' TILE/RES. VIOLATION UMP & ABANDON SEPTIC TANK REINSPECTION OAKAGE PIT CU. FT. ATCH BASIN ISCHARGE WELL OMESTIC WELL REA DRAIN OOF INLET OLAR WATER HEATER IRE STANDPIPE JOL PIPING T� AWN SPRINKLER SYSTEM AS RANGE :TER SET (GAS) AS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B, OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL