1421 NE 101 St (15). T
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date ' !�D 0 Job Address / / / v 10 / 5 J Tax Folio
Legal Description 1 f' ) ��� l ,/ Historically Designated: Yes No
v
Owner/Lessee / Tenant a '& rU ► 'CT # Jib 1 le 4Y'sPermit # t 1/9
Owner's Address /#2/ N /O/ Phone *
Contracting Co. ` 'rgedarb/e at, 1-11-60 3?) Address / V g /90 ✓ 2.
Qualifier Jon eeinan .949p- m
State # &?1'4g/ / / Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLU ING MECHANICAI ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 'mil a oe J Tom) 4)G' WI/ 0
Square Ft. Estimated Cost (value) ) 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 penult 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.
1 9 -- X39 — S63 Z5
ture of owner and/or Co I d •
FEES: PERMIT ;4) •'%
o
APPROVED:
RADON
a1
Mechanical - � � ' L� Plumbing
Z
Date
A
NO'f Po
OR M.,'''ERRA
MMIS . ' c
•
Signa
Notary as to
My Commissi
GO
C.C.F. 1 " NOTARY ° 0' BOND
Dat
Zoning Building Electrical
0,
Structural Engineer
ITEM
3ATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
)ISHWASHER
RECEPTACLES
A/C (WIND) ��
)ISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL) ('/
)KINKING FOUNTAIN
SERVICE SIZE IN MPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
:AVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
:LOTHES WASHER
MOTORS 0- 1 If
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
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
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
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
I
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
;EWER CONNECTIONS
SIGN TRANSFORMERS
JTILITY -SEWER
SIGN TIME CLOCK
JTILITY -WATER
FIXTURES
;EPTIC TANK
ANTENNA
1ELAY
TELEVISION OUTLETS
)RAINFIELO, 4' TILE/RES.
VIOLATION
'UR E ABANDON SEPTIC TANK
REINSPECTION
;CM/CAGE PIT CU. FT.
:ATCH BASIN
)ISCHARGE WELL
.
)OMESTIC WELL
AREA GRAIN
100F INLET
;OLAR WATER HEATER
'IRE STANDPIPE
COL PIPING
.
.AWN SPRINKLER SYSTEM
;AS RANGE
tETER SET (GAS)
AS PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A t•1ASTEH PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
t
y6 77
05/05/94 13:12
Sec.. 6-1.1. Air conditioning regulations.
(a) All individual air conditiuuing unit-s installed in walla or
windows shall be securely anchor,:d to the walls by approved
methods. Units installed over public /property. paths of egreso or
more than ten (10) feet above grade shall be secured to the struc-
ture by bolts or screws to resist horizontal wind loads. Such units
cantilevering more than eight (S) inches on the exterior of a
building shall be supported by steel angle brackets secured by
bolting. Bolts to masonry shall be set in lead shields or similarly
rot - resistant fastenings.
(b) The following special requirements shall apply to the con-
trol and regularion of noise nuisance from air conditioning machinery:
(1) All equipment. existing or hereafter installed. regardless
of location, shall be maintained In good working order.
Equipment so located that normal operating noises create
a nuisance to adjacent owners or occupants shall be pro-
vided ith soundproofing, or sound-absorbing bafrels, or
enclos =s. as approved to insure maintenance of a rea-
sonable noise level.
(2) All equipment on outer walls, on roofs. or in other exposed
locations, which arc unduly noisy, and which causes valid
complaints from adjoining property owners or occupants.
etas be required to be relocated. redesigned and/or en-
closed in noise-retarding materials when. in the opinion of
the building official, such enclosure is necessary or would
be effecr
43) Special consideration shall be given to the planning of all
future installations to minimize the noise nuisance to ad-
joining prdperty yr occupants, and the building
official shall have authority to reject or require the redo -
.sign.of any system which, in his opinion, would cause such
a noise nuisance.
(c) Violation of this section shall t punished as is now or mny
; hereafter be provided bylaw. (O w& No. 299, H 1 -3, 2.21•G1)
Y have read the ab ve oralnaoce and will ecstply with t.11.:
regulations
11SV
c:JI tiLt712t c! torrS f iilage
► L o n o A
r
i
rAr iSitJttatt:: ` U:ra rector 5jdP.zi-;
J .
Date - z 2. Job Address /42-I NE Ior st
Legal Description
Owner / Lessee / Tenant ZEN - M.Q 0s Master Permit # 32 42
A 7
Owner's Address /",v . 729 1 p / Phone
Contracting Co. 'k ELL , t JL pWD
Qualifier alliA' /Cio / " 1 Phone 4itir ItraA ? (3"
State # Fe-- Municipal # Competency 401:09 /774ns.Co..a4a a /Zipad ,./"
Architect /Engineer Address
Bonding Company Address
Mortgagor
* * *
APPROVED:
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Zoning
(Mechanical
* *
OWNER'S AFFIDAVIT: I certify that all the foregoing i ormation is accur
be done in compliance with all applicable laws regu ting constructs
authorize the above -named contractor to do the wo st ed.
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
* * *
Tax Folio ll
77) 5 6 I Ad
Address 18-.1 W (, "b Jwa,pha 5300
Address
Si ;i . = ure o
Date: •6
Permit Type(circle one): BUILDING ELECTRICAL PLUMBINGCHANICAL) ROOFING PAVING PENCE SIGN
WORK DESCRIPTION ;�cb1t try\ 1✓2c.J I ' (z tar a.A) ! '40.A.a -.
Square Ft. Estimated Cost(value) 1509°
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,
on the attached addendum (if applicable). I certify that all work will be performed to meet
standards of all laws regulating construction in this jurisd' ion. nderstand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POO , ROOFING and r CHANICAL W
Notary as t • • F actor or Owner- uild r
My Commis = one pires: o feat��v�
MOTARY PU&IC STATE O DLO UDA
f iY NOtSS!Q? XP. SfPT*17.1 *
SOMEDTKUMERALINSALIZI.
-
FEES: PERMIT RADON C.C.P. NOTARY TOTAL DUE 1
*
Fire Other
Building Electrical
d t
tor or Owner- Builder
and
the
**
5 4lumbing Engineering
q 3
cc,
rb""^
Aikst
(- 4) 0- ) ck.
I I
uJck
,7
cot,p t`� F�-
3 /� L, L.
ty U3
170-r �or %, „Q era in otx-
H21 JE :o:
M I , •--)
P
eta R. C i
� e4110.% -,,, 1
L�ae.ue�
fi -tC -
THEE PLANS ARE APPROVED FOR
ISSUANCE OF A BUILDING PERMIT
VARIANCE(S) LISTED IN "REMARKS"
MY V.I, S`4fREi BUILDING AND ZONING
UNI.F`: SPECIFICALLY LISTED BELOW.
... :D COU :: •iY LAWS MUST BE COMPLIED
Auts'n S'gnoture Date
• WITH 70 V'9.iANfr` 0 V/ITH
NO OTHER "E` 1�.T10 'S F; :Ci.,1 Th•
ORDI :::F: .,v1L'. BE rg "T "P.)
MI OT"F.? .' P' IC.-',EVE E :■ '.: C
\-,11•:' .n MI' PARTIES.
FINE DEPART'1�.•
F:. I_.E DErARf!iF ;i
L .,'.'.i!I, IU DIRrC T OR
•��.
..
PLANtJ G & ZU.:I ;C _5
VILLAGE CODUCIL
APPROVAL ••
PRELIMINARY: FINALI
i
REMARKS:
COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED
BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER &
SUB CONTRACTORS ARE C4ARGE■ \ "ITL TI-17 K"OWLEDGE OF ALL BUILD-
ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN.