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1400 NE 101 St (6)State# [ f ©oSY3S Legal Description Owner/Lessee / Tenant PERMIT APPLI\A,TION FOR MIAMI SHORES VILLAGE / 42O4/Job J YOO / ( E fD / Sfi Date � a Tax Folio Municipal # A J) n ,9,.rte Owner's Address /goo /V )5:)/ 51- s-(, Contracting Co. 1°4-1 1/(//`� 65i �.� rvi Qualifier ��� Architect/Engineer CA aal NC, -Trn.J Ag 7)-- Historically Designated: Yes No SS# Master Permit # Phone � 4 , p Address ti w 2 i y ve_ - Phone . 3 O S -y3 Z C Competency # 9Vj 9O,7k0 " Ins. Co. Address CU C v57t -( £ogdn.A Bonding Company OV YD" Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL / ROOFING PAVING FENCE SIGN WORK DESCRIPTION �` N c v4. a- 43,94-4 S t r ��' T f I t'v'vafy Square Ft. Estimated Cost (value) Z ©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. tenatute, o owner an Notary as to Owner and/or Condo President Date My Commts�sl� ® pr s IAL c �`r wcav 6 d' - aARft9RA 2 E77.2 ' o, FEES: PERMIT t' , '(q RADON APPROVED: Zoning Mechanical • .r Condo President Date C.C.F. Notary My C dr Signature of C actor or 0 uilder Date Contractor or caner= Builder Date scion E 4ry' JOHN J C R UISE = Public State of Florida i� Comma CC3705/1 7 z/98 NOTARY Cr' TOTAL DUE 4.5 0 0 `7/1- ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY • A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/1VETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY 1.3 OVEN ABOVE (MOUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER ,Z MOTORS OVER 1- 3 If HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE / MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTCRS OVER 25-100 HP COOLING TOWERS WATER CLOSET Z MOTORS OVER 100 HP 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 SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES . SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA ' RELAY TELEVISION OUTLETS ORAINFIELO, 4" TILE/RES. VIOLATION _ PUMP & ABAKON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL ' DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) -` GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Date Job Address Legal Description Historically Designated: Yes No Owner/Lessee / Tenant aeibAetg Ms 7� 6j� 93 2 7/23 Owner's Address 0 lJ ' V Q / 0 / l �� — " ( P3 ��v — 6l/ ✓ - 9 C / Ci T �� ? /Jw /�6' GM'/ Contracting Co. 0 _ .:.�_ %�' `� /—� O ff- f Address Qualifier /J j'�J) /! H)?/S SS# Phone KO-3 , 7 State # I y,$J Municipal # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL P UMBING MEC CAL ROOFIN PAVING FENCE SIGN WORK DESCRIPTION GA N <o o i y f iJGe Lo v2&71-(kG- 0 ci , wAr&L co 6 1 &Au tAy# 4t, Square Ft. Estimated Cost (value) Too. 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. ture of owner and/or .n.. President Date 15 Sg 3ag otary as to Owne FZ .l or Condo Presi My Commission Expires: OFFICIAL NOTARY SEAL JOHN S BEGASSE NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC238377 MY COMMISSION EXP. OCT. 21,1996 FEES: PERMIT PERMIT APPLICATION FOR MIAMI SHORES VILLAGE to RADON it /1, /01 51 en ate APPROVED: Zoning Building Mechanical Plumbing C.C.F. Tax Folio Address Address Address S as to Contract My Commission E � / z ( ") 23 0030 Competency # Ins. Co. Electrical TOTAL DUE Date Engineering Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address / y DO de" /0/ 51 ' Tax Folio 11- 3 20 S -0 Z 3 - 6 o 3 0 hy Legal Description [W7 2 A, f ,o °op W1 y Iii �! Ml4 Histon� Fj W f' Designated: ed: Yes NoX ssee / Tenant/ 1 A, C ,olff Z #�S1 fl Q Master Permit # Bonding Company N f 4- Square Ft. Z-90 Address 3 Address / (0 i 11 /0/ ST Phone 3 S 7,57. - , P4 4 0 Contracting Co. AT 9-- Address Qualifier SS # Phone State # Municipal # Competency # Ins. Co. Architect/Engineer C4-/W/A14 To 4) t th't%fz y Address Mortgagor 4 , E. C 4 /° i Tom-- Address Permit Type (circle one): II ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ) 9 1 7 1 77 I b r A ) 1 D L 11-1" e► 6 0 1/rz k J 1 V * / / 0 / Estimated Cost (value) t O!7 2(.9 01,1 -5 �– 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. Signature of owner and/or Condo President Date My Commission Expires: 1,0 FEES: PERMIT 15 1 RADON C.C.F. g' Q y APPROVED: 5 f YGr C 45 v / 1 " Zoning Building Mechanical Plumbing Signature of Con actor or ! er- Builder mwk tke- Notary as to Owner and/or Condo President Date Notary as to Contractor ,Owner- Builder My Commission Expires: NOTARY Electrical NOTARY PUBLIC fr P :11—. OF FL O1 UDA COM34:s3I.ON N . CC-269664 No(6.L -tei E. MAY 9 '�' TOTAL DUE `(o ty 6 y� Date d –/5- Date Engineering