MECHANICAL PERMITs l s
Dafe 1 Job Address
Legal Description Historically Designated: Yes /� 3 / Tenant — Ek t e �(e X� ` v Master Permit # ''/ j g
Owner's A d d re s s 13n QE-- S � Phone( 2 7 I 3 (.
Contracting Co. ()1 T-adobe, v C 4 IC . Address ■ shrre4-
Qualifier _(1 SS# -
Municipal # Competency #u it'e (i ( Ins. Co.
State #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN MECH ANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIP'T'ION 7 )€(* C� q rit)c_4- OV to 5 on `
Square Ft. Estimated Cost (value)
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.
._1— - enP . �l . �o nsvh //43be c� �5 1
'Signature of Owner and/or Condo President ... Signs a of ton actor or Owner- Builder Date
Notary as t
My Commissi
APPROVED:
Zoning
Mechanical
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
'`W k& (01 &I-. Tax Folio ( \ - 3 --o n - a a)
FEES: PERMIT RADON C.C.F. i 6 NOTARY
ik r'i.r
Notary as to
My Commis
BOND
TOTAL DUE
Building Electrical
Plumbing Engineering
ADDENDUM TO BUILDING PERMIT.APPLICATION
APPLICATION FOR BUILDING PERMIT MUST ACCOMPANT THIS ADDENDUM.
OWNER'S NOTARIZED SIGNAnTpE NEED NOT BE PRESENT ON
ITEM
BATH Ile
POET
FL= CRAIN
CAUSE TRAP
LAVATORY
LAWRY IRO
CLOTHES RASHER
S INK POT/3 03IP
S I MC. SLOP
:T
WATER CLOSET
WATER SLPPLY TO:
RELAY
A/C LINT
IIIIING POOL
RATER SERVICE
SERER OMIECT IONS
UT IL I n
UT IL I TT-MATER
SEPT IC TANK
S.
TANK
CATCH BM IN
D ISCHARGE 11EL1
lDESTIC BELL
AREA GRAIN
ROOF INLET_
sow RATER NEATER
F IRE STA CPIPE
POQ PIPING
LAWN SPRINALER STSTEN
GAS RAtGE _
KIER SET (GAS)
CAS PIPING
PLUMBING
03/07/95 15:24 MS)
UNIT
FEE ITEM
5111 TCN OUTLETS
L 1911 CUTLETS
RECEPTACLES
ELECTRICAL
SERVICE TEWUVRY
SERVICE SIZE IN
SERVICE REPAIR/HE
APPL INCE OUTLETS
RA C TOP
OVEN
WATER HEATER
hgTCRS 0-
GOTQRS OVER 1-
bOTORS OVER 3-
MOTORS OVER 5-
IDTCRS OVER 8- 1
ROTORS OVER 10-
MOTORS OVER 25-1
M3TORS OVER 1
A/C MIFb01f
AIR CONTIONERS
STRIP HEATER
GENERATORS TRANSF
GENERATORS TRANSF
GENERATORS TRAN5F
SPECIAL PURPOSE
OUTLETS COMMERCIAL
sIGN TUBES
SIGN TRANSFORMERS
S IGN TILE CLOCK
FIXTURES
ANTENNA
TELEVISION OUTLETS
VIOLAT
RE INSPECT ION
004
IF A MASTER PERMIT HAS BEEN
SUB SEQUENT APPLICATIONS.)
MECHANICAL
ITEM
SPACE FCATERS
UNIT
FEE
CENTRAL FEAT ITC
A/C (TI I ID )
MC (CENTRAL.)
DUCT WORK
REFRIGERATION
PROCESS kV PRESS PIPIM
UNDERGRUM TAWS
ABOVE MOM 1O TANS
U.1, PRESSLRE VESSELS
STEAM BOILERS
/UT RATER BOILERS
MCCHANICAL
VENT IUT1%1
TRANSPORTING ASSEABIIES
EL EVATORS/ESCALATCRS
F IRE SPRINKLER STSTEYS
COOLIPG TOWERS
VIOLATION
RE IFLSPECTION
4
ADDENDUM TO BUILDING PERMIT.APPLICATION
APPLICATION FOR BUILDING PERMIT MUST ACCOMPANT THIS ADDENDUM.
OWNER'S NOTARIZED SIGNAnTpE NEED NOT BE PRESENT ON
ITEM
BATH Ile
POET
FL= CRAIN
CAUSE TRAP
LAVATORY
LAWRY IRO
CLOTHES RASHER
S INK POT/3 03IP
S I MC. SLOP
:T
WATER CLOSET
WATER SLPPLY TO:
RELAY
A/C LINT
IIIIING POOL
RATER SERVICE
SERER OMIECT IONS
UT IL I n
UT IL I TT-MATER
SEPT IC TANK
S.
TANK
CATCH BM IN
D ISCHARGE 11EL1
lDESTIC BELL
AREA GRAIN
ROOF INLET_
sow RATER NEATER
F IRE STA CPIPE
POQ PIPING
LAWN SPRINALER STSTEN
GAS RAtGE _
KIER SET (GAS)
CAS PIPING
PLUMBING
03/07/95 15:24 MS)
UNIT
FEE ITEM
5111 TCN OUTLETS
L 1911 CUTLETS
RECEPTACLES
ELECTRICAL
SERVICE TEWUVRY
SERVICE SIZE IN
SERVICE REPAIR/HE
APPL INCE OUTLETS
RA C TOP
OVEN
WATER HEATER
hgTCRS 0-
GOTQRS OVER 1-
bOTORS OVER 3-
MOTORS OVER 5-
IDTCRS OVER 8- 1
ROTORS OVER 10-
MOTORS OVER 25-1
M3TORS OVER 1
A/C MIFb01f
AIR CONTIONERS
STRIP HEATER
GENERATORS TRANSF
GENERATORS TRANSF
GENERATORS TRAN5F
SPECIAL PURPOSE
OUTLETS COMMERCIAL
sIGN TUBES
SIGN TRANSFORMERS
S IGN TILE CLOCK
FIXTURES
ANTENNA
TELEVISION OUTLETS
VIOLAT
RE INSPECT ION
004
IF A MASTER PERMIT HAS BEEN
SUB SEQUENT APPLICATIONS.)
MECHANICAL
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