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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 • ft odig A� D kepliteimi /4G DUGf /.t)04K r`5 Ri' Uaf16'•r 06r Su'OI y