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MECHANICAL PERMITPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date g Job Address ?■ 0 �O l 5 Tax Folio Legal Description Owner/Lessee / Tenant Owner's Address Architect/Engineer Bonding Company Address Phone Historically Designated: Yes �— No Q ° M ! <<L 1O/l /l l4 / 1 341. Contracting Co. OW / 7e l7 M ,M'J it C Address 7 ) U (' 2 S c Qualifier '�L/ Sj /C� �� (& (cC-, / SS# S"7 a y( � State # ( 5 Municipal # Competenc # Ins. Co. Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ' OOFING PAVING FENCE SIGN WORK DESCRIPTION e A. , 0 / Al c--, 4 6e- �C_ A. d I / 'R. ' - • / ki c% ? - 1 P (A-77 o' t.J. T° 6 ji, (- i s7"/"..7(.., / /I 1.-!// C s ��pG L .�c�;% Square Ft Estimated Cost (value) 4 9 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 sta ed. Signature of owner and/or Condo President Date '0 «'• i AAA il Notary as to Owner and/or Condo President Date otary as to ontq pr • � : VSKr , Date res' IfiLF My Commission Expires: FEES: PERMI caner- Builder 5/6 9 Date RADON C.C.F. -- ° NOTARY BOND TOTAL DUE APPROVED: Zoning Building Electrical Mechanical �`�` `{ Plumbing Engineering i Architect Contractor or Builder Legal Description Address of Building MIAMI SHORES VILLAGE, FLORIDA BUILDING El Date Date t� — f 1 _�Q ELECTRICAL ❑ N_ 43416 PLUMBING ❑ PERMIT ROOFING ❑ MLA Work to be performed under this Permit Owner of es-- Building r Ukirre-c_H W �u- 4�s.n11 Lpt Io4 7or) rye. lol CONTRACTOR or BUILDER sibility for work done by his agents, servants o '' oyees. Q License No: b .332 `�' y P/F k. G II • c;16 O(7 222 C OT: `00 Subdi- A, 4 BOND: vision t RADON Sq Ft Value of p •() 1 1 Amount of 3 / Project $ S 1 1 Permit $ Signed• °�r - / ' (INSPECTOR) BY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation. pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion berefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- BY • ITEM BATH TL8 UNIT I ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE B I OET LIGHT CURETS CENTRAL HEATING DISHWASHER RECVTACLES A/C (WINO) DISPOSAL SERVICE TEWORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR ORAIN SERVICE REPAIR/METER CHANT REFRIGERATION GREASE TRAP APPLIAIDE CUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP J ERGROUIO TAMS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES HASHER MOTORS 0- 1 NP STEAM BOILERS SHOWER MOTORS OVER 1- 3 If HOT WATER BOILERS SINK, POT/3 COMP. MOTCRS OVER 3- 5 NP MECHANICAL VENTILATION C ),,, SINK. RESIOENCE _ MOTORS OVER 5- 8 1P TRANSPORTING ASSEMBLIES SINK. SLOP MOTORS OVER 8- 10 If ELEVATCRS/ESCALATDRS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 NP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 NP C00L I NG TONERS WATER CLOSET MOTORS OVER 100 NP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMIERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFC RS • LAWN SPRINKLER -WELL _ SPECIAL PURPOSE SWIMMING POOL - CURETS CC RCIAL _ WATER SERVICE • SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY-SEER SIGN TIME CLOCK UTILITY -HATER FIXTURES SEPTIC TAN( ANTENNA RELAY TELEVISION CURETS GRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TAN( REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN . 0 I SC{ARGE WELL DOMESTIC WELL AREA GRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPR I NQER 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 B. OBTAL*TED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Date 4 v.lob Address PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ption Historically Designated: Yes No /� / Tenant / # MT`t' C=2 CI / Master Perrot # 6 4 /V / /0/ £>' Phone 4-224-1 Contracting Co. ( 4'/,/1//? W / 4 t( , Address s Qualifier / SS# Phorgp C;K6. Owner's Address State # Municipal # Competency # Ins. Co. Architect/Engineer -- Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING CHANICA ROOFING PAVING FENCE SIGN • WORK DESCRIP'T'ION / 17 A &X (S/ / °✓ / /,c) f a : 1/cI ;C/ ®A.,k, c ,/�T7i� a A/ S �� t /7 Square Ft. Estimated Cost (value PO() ° 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 wi11 be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor s o the work stated. /� Ii Signature of owner and/or on . resident Date Notary My Commis FEES: PERMIT -(k Ale /0/ Tax Folio d/or Condo President Date n xpires: RADON Sign wrier- Date .F/ /'her, 6: Notary as to Contractor or Owner- Budlder / _ SEAL Commission Expires: ` RY PVB BARB A FUGAIM l E 0 =MISSION NUMBER Q CC723468 o q MY COMPASSION EXPIRES MAR. 29 2002 C.C.F. , =RA NOTARY BOND TOTAL DUE / APPROVED: Zoning Building Electrical M echanical `jj i Ppinbing Engineering BUILDING ❑ MIAMI SHORES VILLAGE FLORIDA ELECTRICAL Date— + 19 -r PLUMBING ❑ PERMIT N? 10425 Contractor's ROOFING ❑ License No. ❑ Work to be performed under this Permit Owner of Building .r ' ' ca 1 �- � ; ek r Architect Contractor or Builder `— i `• ..:-- L. / -. ) • 1 I - Legal Lot 11 Description 11 Bl. Address of Building sr- f� c CONTRACTOR or BUILDER Subdi- vision Sq. Ft. Value of 11 Amount of Project $ 11 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with am plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or _employees. Signed (-.0 17 `"' "'"' ' —^'tINSPECTOR) BY In consideration of the issuance to me of this permit I agreeA6 perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawing drawing,d, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting thip'permit I assume ,responsibility for all work don* by either, myself, my agent, servant or employee. BY AUTHORITY MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMI Permit No Date. Owner's Name and Address.. Amount of Permit $ t� STATE OF FLORIDA, COUNTY OF DADE. I &g' (Signed). kr, b No 6'6) Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be compi with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Street Registered Architect and /or En i er , Employing Electrician's Name:L.. ./ /G. .se` ../ No./ 7 , Street..L`" / �` /�% Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ,/CL..-'. .. .... Street ..�`� e State work to be performed and purpose of building (By Floors) ;! _, r New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P Type of Installation — Conduit Tubing B.X.L Metal Moulding r. Electrical Inspec The undersigned applicant for this building permit does hereby certify that he understands and accepts hiligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such publw icitice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on d+prk to be performed u' 'er hi permit, as are licensed by Miami Shores Village (Signed). ...t��.1 ° Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O.I HP MOTORS I•S HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMI Permit No Date. Owner's Name and Address.. Amount of Permit $ t� STATE OF FLORIDA, COUNTY OF DADE. I &g' (Signed). kr, b No 6'6) Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be compi with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Street Registered Architect and /or En i er , Employing Electrician's Name:L.. ./ /G. .se` ../ No./ 7 , Street..L`" / �` /�% Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ,/CL..-'. .. .... Street ..�`� e State work to be performed and purpose of building (By Floors) ;! _, r New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P Type of Installation — Conduit Tubing B.X.L Metal Moulding r. Electrical Inspec The undersigned applicant for this building permit does hereby certify that he understands and accepts hiligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such publw icitice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on d+prk to be performed u' 'er hi permit, as are licensed by Miami Shores Village (Signed). ...t��.1 ° Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.