344 NE 102 St (6)/CA PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
tegal Description
Date t i 3 '1 2- S+ Tax Folio
I ' Historically Designated: Yes No
W 0.� e Master Permit # 37
O wner/Lessee / Tenant
Contracting Co. A \`1 ac.ce `p v�
L i ( 0
Owner's Address 3 q , v 6 (0 2 S4- Phone I 3 1 4 - 2-
Qualifier D°)n
YI S M G LcuA8h 1 I n SS# Phone (3CS) J - 241 (p
[� {0 1q D.C)Fj Municipal # CF'(,) q 2 � Competency # A6.
P P Y C" IG205 his Co. � r �
State # f Qtr7Ce,
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Address 0 0..u.), C4-
Permit Type (circle one): BUILDING ELECTRICA ' PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
t,\ CoM -c c
IGQ
/t'In42.4
-t- 004 C k ` o=4)
Square Ft. Estimated Cost (value) 2 Li 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 tha
Sign. - of owner and/or Condo President
A112 .r
otary as to r .I and/or e .
My Commission Expires:
FEES: PERMIT r RADON
9(°'
Date
esident Date
GLORIA E SUVILLAGO
My Commission CC308750
Expires Aug. 16, 1997
Bonded by HAI
80 0-422-1555
APPROVED:
Zoning Building
Mechanical Plumbing
f Co actor or Owner -Bui . er
ill be done in compliance with all applicable
laws regul • ting construction and zoning. Furthermore, I authorize the above -named co t. to; ' . the work stated.
Signatur
4 '� .
Notary as to ntra or I' er
My Commission Expires:
Electrical
3/r
GLORIA E SUVILLAGO
My Commission CC308750
Expires Aug. 18. 1997
Bonded by HAI
800 -422-1555
' I(o
Date
.a/a iqcp
Date
*
‘ �
, , "' J ;.�'
OF I te
C. C.F. ASV NOTARY TOTAL DUE * C.°
Engineering
ITEM
BATH 11B
UNIT
1
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
1
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN MPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/IETER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE .TCP
UNDERGROUND TANKS
LAVATORY
`
OVEN
ABOVE (ROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
lr
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 FP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTCRS OVER 3- 5 FP
MECHANICAL VENTILATION
SINK, RESIDENCE
MIOTCRS OVER 5- 8 If
TRANSPORTING ASSEMBLIES
SINK, SLOP _
MOTORS OVER 8- 10 If
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 FP
COOLING TOWERS
WATER CLOSET
1
MOTORS OVER 100 FP
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
4
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES .
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION CUTLETS
GRAINFIELD, 4' TILE/RES.
VIOLATION'
PUMP 8 ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA CRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
((%.N APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL