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339 NE 100 St (10)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 0/ Job Address 53? 0(00s-f- Tax Folio Legal Description Historically Designated: Yes No O`ner/Lessee / Tenant C AR L yNV R &i lr/rf Master Permit # tf-qi,y5 / ,yeo7 •57- C h` t$ er's Address (Y 3 N F a /fi S t" 7 e , �o�s� 9 Date Contracting Co. JO S t? Pin 1 L o c 1[ Qualifier j ro s ee h State# CA.Co323r7 ilP r, , 1 4e Ai Ilt? l ' as t' Own' �� 0' (^ • TARP SEA �: R U B (. , ANGELA M BECKER 2 l (, n COMMISSION NUMBER • ' 'III .4 a' CC786697 7/ O c � MY COMMISSION EXPIRES FEES: PERMIT APPROVED: OF F\. NOV. 15,2002 • RADON Municipal # A jr Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN MECHANICA J ROOFING PAVING FENCE SIGN WORK DESCRIPTION 0 C in A N SP 0 OA P k t1 v t'4 C Ta l: M iNN A 14.t5 Cee n _ MofPL QCl 3 tote-11A. SeA364?A - CWA3TXC lotto 14 Nei G-n'LLs 4 A►R, O'v Square Ft. Estimated Cost (value) '..3 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. i ■ f owner and/or Condo Presideqt Date LC393'1 33 6`Ia ate Address 16 0 $ 0 LI Cns +1q c', vVQ,S+o1.rL, SS# ?S - 22A Competency # Ins. Co. USG. F Signa Zoning Building ctor or Owner- Builder Contra d" ?. -• ' ag Q STATE. Or FlI 11)A COM1MI s1ON NO. Ct , S e1 L1X OMPAf ),UN tiAt'. -11 X1.3 WO Co as t C.C.F. )' 0 V NOTARY-5 BOND Electrical Date Date Mechanical � `?J 2 2 3. 0 r Plumbing Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date a. - a 1 - a 00 slob Address 3 s _I 0 , L , 180t.. c"- Tax Folio Legal Description Historically Designated: Yes No Owner /Lessee / Tenant CA (2...o L va r l P P. CA C) w A LL A \) E Master Permit # /i'8 6' 305- 7 $ -d7S6 Ho Owner's Address j k) 1 O- R1 Phone 3 0 3 q 4 Me. L 5- - Oq W o Q 1( Contracting Co. Jos&L. L Ric Tor. Address 1 0 g 0 L A C.oS+A DL'. W -Otil Qualifier V OSeP►., ' Lnc L ss# _ Phone QSd. - 3(5S - r ) State # C A Co 32,n Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING LECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION D rootaeP.4' AC +0 bISCna NPr:}- 2 " Ca Ar.Jr Covd j j 4 [)& 1 ptS i 1.1AI; )�o Les t w 1 + a Square Ft. Estimated Cost (value) f U 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. Signature of owner and/or Condo President FEES: PERMIT e /69 RADON Date Signa Notary as to Owner and/or Condo President Date No . as to Co My Conunission Expires: My •ommission C.C.F. t r/ NOTARY BOND APPROVED: Zoning Building Electrical Mechanical Plumbing -. . acto A46 .11111; 1WW/915 cC7141 xPirtsb :alt°SION A.O. . MY COMMISSION Date Structural Engineer (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.) ITEM ADDENDUM TO BUILDING PERMIT APPLICATION PLUMBING BATH TUB BIDET DISHWASHER • DISPOSAL DRINKING FOUNTAIN FLOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER SINK, POT /3 COMP. SINK, RESIDENCE SINK, SLOP TEMPORARY WATER CLOSET URINAL WATER CLOSET INDIRECT WASTES WATER SUPPLY TO: A/C UNIT FIRE SPRINKLER HEATER -NEW INST. HEATER- REPLACE LAWN SPRINKLER -WELL SWIM,IING POOL WATER SERVICE SEWER CONNECTIONS UTILITY -SEWER UTILITY -WATER SEPTIC TANK RELAY GRAINFIELD, 4` TILE/RES. PUMP E ABANDON SEPTIC TANK 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 ELECTRICAL MECHANICAL UNIT FEE ITEM SWITCH OUTLETS LIGHT OUTLETS RECEPTACLES SERVICE TEMPORARY SERVICE SIZE IN AMPS SERVICE REPAIR/METER CHANGE APPLIANCE OUTLETS RANGE TOP OVEN WATER HEATER MOTORS 0- 1 HP MJ TORS OVER 1- 3 HP MOTORS OVER 3- 5 HP MOTORS OVER 5- 8 HP MOTORS OVER 8- 10 HP MOTORS OVER 10- 25 HP MOTORS OVER 25-100 HP MOTORS OVER 100 If A/C WINDOW AIR CONDITIONERS 3 STRIP HEATER 10 GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS SPECIAL PURPOSE OUTLETS COMMERCIAL SIGN TUBES SIGN TRANSFORMERS SIGN TIME CLOCK FIXTLRES ANTENNA TELEVISION OUTLETS VIOLATION RE INSPECTION UNIT I FEE ITEM SPACE HEATERS CENTRAL HEATING Ip A/C (WIND) A/C (CENTRAL) DUCTWORK REFRIGERATION UNIT TO PROCESS AND PRESS PIPING UNDERGROUND TANKS ABOVE GROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS FIRE SPRINKLER SYSTEMS COOLING TOWERS VIOLATION REINSPECTION TOO FEE