534 NE 102 St (3)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date l' -z-1 C 7JobAddress 3 cf /(/ /UZ ( 1-1-
Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant 3 r► So n A e h C. 1 ,' J f Master Permit # 4/c3 Q 9
Say Ng /0 L o Phone 793- /.377
G41 Ac. Co.
Owner's Address
Contracting Co.
Qualifier ; r \• Ch it cos - SS# - Phone � S =Co (o 9
State # Pt Municipal # r Competency # RC0 Ins. Co. ) Ja
(-4rn er
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ECHANICAL OOFING PAVING FENCE SIGN
WORK DESCRIPTION k4 4. /ee ctrl 4•44 3 ck", 4
°4 ' 3 Ku 3C fo .0 .leer
Address 2-11— 1 iti4• / 3 S ,rs f
'k)
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 d work stated.
■
Date Si lure o ` on ctoi'or Qwner -Bui !R Date
FEES: PERMIT
APPROVED:
0: V Joyce Kranz
�__ _� •.: MY COMMISSION # CCI01950 EXPIRES
• ilir
,, ,,.;: February 14, 2003
BONDED jtU TROY FAIN INSURANCE INC
�(Y ( f ' RADON
tart'
Co
to Contractor or
ssion Expires:
\1 ' - Vs Joyce Kranz
F , r ... MY COMMISSION # CC808950 EXPIRES
February 14, 2003
BONDED THRU TROY FAIN INSURANCE INC
C.C.F. • NOTARY BOND
TOTAL DUE Y7e
' - I - R1
' Date
Zoning Building Electrical
Mechani "Aft/ Plumbing Structural Engineer
(A.N A2 PT- :CN FOR 3UILDMNG PERMIT MUST ACCO *E_°sNT ZE_TS ADDENDUM. NDUM. -- A MASTER PERMIT EAS E -
C3 _ ._NED , T _? c' N ' S NO AE =ice S :GMAT I NEED NOT BE ?RESENT ON SZ2SEQUENT LICATT . )
ITEM
PLUMBING
BATH 11.13
BIDET
B SMASIZI
OIS?OSAL
OR IHI(IEG FOUNTAIN
FLOM CRAM
GREASE TRAP
IHTS
LAVATORY
LA NDRY TRAY
CLOTHES HASr{R
SiCY ER
SINK. POT/3 CCbP.
S I H (. RES IOENC`
SINK. SLOP
TEVPORARY RATER CLOD
UR I NAL
RATER CLOSET
INDIRECT RASiES
RATER SI.PPLY TO:
A/C UNIT
FIRE SPRINKLER
•FEATFA -HEN INS.
if_ATER -REPL Aa
UM SPRINKLER-4a
SW RUING POOL
RATER SERVIC`
SEWER CO Q€CT IOIS
UTILITY- -SERER
UT11ITY -1(ATE;
SEPTIC TANK
RELAY
1
1 RE
A/C RHO)
UNIT FEE !T I
SNITCH CUTLETS
LIGIT CUTLETS
SERVICE TE1!:CRARY
A/C (C`.'IURAL)
1
SVICE SIZE IN ALES
SERVICE REPAIR/LEER Me
1 APPLIAEcZ CUTLETS
RAIM TCP
OVE'1
RATER HEATER
LOTCRS 0- 1 If
LOTCRS OVER 1- 3 If
LOTCRS OVER 3- 5 If
1OTCRS OVER 5- 8 if
LDTCRS OVER 8- 10 If
TUTORS OVER 10- 25 if
IATCRS OVER 25-100 If
IOTCRS OVER 100 If
A/C IKON
AIR CONOITI.RS
STRIP HEATER
UNIT FEE ITEM
SPACE HEATERS
t Z'tiRAL EATING
CLOT I '!<RK
UNIT
R F 1S4AT IOH
PROCESS MO PRESS P IP I?G
UNDSMCLIN3 TAM
ABOVE 6i101Q TANKS
U.F. PRESSTRE VESSELS
STEAM BOILERS
FAT RATER BOILERS
LECiANICAL VENTILATION
TRANS?CRTIEG ASSEIffiIES
• I FIRE SPRINCL91 SYSTEMS
1
EL-' VA1 S/ML&TCRS
CJOLI C TO1RS
VIOLATION
REliEPECTION
CoAck." � St�w.+ 00% ()r
FEE
.a- i
GRAINFIELD. 4- TILE/RS.
RAP & ABAIOOH S TIC TAM(
SOAKAGE PIT CU. FT.
CATC:1 BASIN
0ISCiARGE HELL
OOI,¢ST IC HELL
AREA CRAIN
ROOF INLET
SOLAR 11ATR HEATER
FIRE STANDPIPE
POOL P IPING
LAWN SPRINKLER SYSTEs1
GAS RA`Y'^ic
1EETR SET (GAS)
GAS P IP. IM
N UM TO Eiji! DING
GETERATCRS TRANSrt
GE ERATCRS 1RA SFCA>4<RS
1 GEERATCRS TRAE rrSFCRSRS
1 SPECIAL PLRPOSE
CUTLETS CCAISCIAL
• ( SIG{ TLBES
1 SIG{
SIN TILE CLOCX
F 1XTi.RES
ANTENNA
TELEVISION CLETOS
VIOLATION
REIEISrECTION
ELECTRICAL
1 E.F,M_ I APPLICATION
MECHANICAL