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9600 NE 2 Ave (9)Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 1 Permit Number: ELC -8 -06 -2200 Invoice Number: ELC -8 -06 -25991 Applicant: CAMP BISCAYNE AT THE GROVE LLC Company Name: Owner Address: Job Address: 165 96 Street NE Miami Shores Village, FL 33138- Date Friday, August 25, 2006 08/25/2006 Credit Card . Payment Type Check Number Amount $163.35 Change $0.00 Total Payment: $163.35 Page 1 of 1 Permit Type (circle): Building City id ` State Tenant/Lessee Name Job Address (where the work is being done) i l OS City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name ee Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ❑Addition Describe Work: — SA> 84 e.1. t Submittal Fee $ Notary $ Scanning $ 3 Bond $ Structural Review. $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING IFEVIEWM Permit No. E1 Oat' 2.2a) PERMIT APPLICATION AUG 2 3 ? FBC 2004 boo NO � Tl IEC -V LC._. l3 c State 1 c A a C�b -� ❑Alteration ❑New 0 (.7 4-(44 S ItCA k4 i Plumbing l� Owner's Name (Fee Simple Titleho er) 100 Owner's Address 1 1 Phone # 1 �q O S County Miami -Dade Contractor's Address . 3U: 1 ( S W City x(1 t /ire Qualifier Name V1M0 L.LQ State Certificate or Registration No. ER pp° ?WO Certificate of Competency No. Permit Fee $ Training/Education Fee $ �1 Radon $ DPBR $ aster Permit No. LC '0(0 I -R Zip q)1 Phone# (7)() C 114_4_3±__ Sugar bu bb l2 LLB, N. q-r Zip 3 Phone# 3OS g8( 1t l Zip Phone # Phone # Square / Linear Footage Of Work: Mechanical Roofing 3317 Sot -ssz- taw, t door t to I B 7 ikRepair/Replace ❑ Demolition ******** , * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** lti 2\atiy ( CQ CCF $ CO /CC Technology Fee $ Zoning $ Code Enforcement $ Double Fee $ Total Fee Now Due $ See Reverse side --> Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not.be approved and a reinspection fe• w" 1 be charged. Signature (- �,' % f_ `_ A Signature ontractor The foregoing instrument was ackno - dged before me this 2, ? The foregoing instrument was acknowledged before me this day of p r , 2 by , day of 2 ,20b(,by roc, who is persona known to me or who has produced who p�lrially known to me or who has produced. (Revised 02/08/06) As identification and who did take anyath. NOTARY PUBLIC• Print: %Yore !/1 .'I� i t My C mission Expires. APPLICATION APPROVED BY: 1,424eittntification and who did take an oath. xpiies. NOTARY PUBLIC: I.■uided 1 hru ii�icl�indi l Sign: Print: My Commission Expires: - * * * * * * * * * * * * * * * * * * * * * * * * * ** ************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** lans Examiner Engineer Zoning ITEM MATH Tl8 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE 3 I DET LIGHT OUTLETS 7 CENTRAL HEATING 3ISHWASHER RECEPTACLES Z A/C (WIND) )1S10SAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS CULT WORK FLOOR DRAIN SERVICE REPAIR/6ETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNOERGROUN) TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MJTCRS 0- 1 FP STEAM BOILERS SHOWER MJTCRS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MJTCRS OVER 3- 5 I-P MECHANICAL VENTILATION SINK, RESIDENCE MJTC S OVER 5- 8 H° TRANSPORTING ASSEIBLIES SINK, SLOP MJTCRS OVER 8- 10 FP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MJTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MJTORS OVER 25-100 I-P COOLING TOWERS WATER CLOSET IATCRS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW RELNSFECTJON WATER SUPPLY TO: AIR CONDITIONERS _ A/C UNIT STRIP HEATER • FIRE SPRINKLER 'HEATER GENERATORS TRANSFORMERS -NEW INST. I GENERATORS TRANSFORMERS HEATER - REPLACE I GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMAING POOL OUTLETS COMIERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS .*.SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK IE RELAY 1 TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. VIOLATION PUP E ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT G.I. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN 100E INLET ;OLAR WATER HEATER � 'IRE STANDPIPE J J 00L PIPING • .AWN SPRINKLER SYSTEM. 1 AS RANGE ETER SET (GAS) 1 I l AS PIPING 1 f , "AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Inspection Number: INSP -25359 Permit Number: ELC -8 -06 -2200 Inspection Date: 09/27/2006 Inspector: Devaney, Michael Owner: LLC, CAMP BISCAYNE AT THE GROVE Job Address: 165 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: BARRETT ELECTRIC CO Building Department Comments Tuesday, September 26, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 SEP 2 8 2006 Block: Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: New Phone Number (786)290 -8815 Parcel Number 1131010250130 Lot: Phone: (305)552 -6611 Page 2 of 2 Passed Inspector Comments Lp /69‘. Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -25359 Permit Number: ELC -8 -06 -2200 Inspection Date: 09/27/2006 Inspector: Devaney, Michael Owner: LLC, CAMP BISCAYNE AT THE GROVE Job Address: 165 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: BARRETT ELECTRIC CO Building Department Comments Tuesday, September 26, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 SEP 2 8 2006 Block: Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: New Phone Number (786)290 -8815 Parcel Number 1131010250130 Lot: Phone: (305)552 -6611 Page 2 of 2 Issue Date: 8/24/2006 Expires: 02/20/2007 Owner's Name: CAMP BISCAYNE AT THE GROVE LLC Permit Type: Electrical - Commercial Work Classification: New Job Address: 165 96 Street NE Contractor(s) Phone BARRETT ELECTRIC CO (305)552 -6611 Primary Contractor Yes Comments: INSTALL OUTLETS LIGHTS Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type of Work: OUTLETS LIGHTS Additional Info: Classification: Commercial In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations 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, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Notary Fee Permit Fee - New Construction Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $5.00 $150.00 $3.00 $3.75 $163.35 Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: ELC -8 -06 -2200 Phone: (786)290 -8815 1131010250130 Lot: PB: Total Square Feet: Total Valuation: $ 2,000.00 Re•uired Ins•ections Alteration Underground Rough W W Service Change Meter Box Fire Alarm Relocation Final 0 Invoice Number ELC - 8 - 06 - 25991 Total: Waid Amt Due $163.3 2 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES"' SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Owner's Name and Address. C. 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 complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Permit No j.. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) .1 Date '.�`�.... Street ./ Registered Architect and /or Engineer Employing Electrician's Name.. , 1 2. L" . ..../,'. : „It 1V .1 I C , No ,..... /... Street . 'a ' t -' Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed--No ,:. .. Street I s r 4 La State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding....:`'.. 5 '" it'!/ ' T J 1 I 1 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he un er nds and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled eneral 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST ,................... 1 nnz7 + ( m... _n. le CHECK ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Owner's Name and Address. C. 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 complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Permit No j.. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) .1 Date '.�`�.... Street ./ Registered Architect and /or Engineer Employing Electrician's Name.. , 1 2. L" . ..../,'. : „It 1V .1 I C , No ,..... /... Street . 'a ' t -' Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed--No ,:. .. Street I s r 4 La State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding....:`'.. 5 '" it'!/ ' T J 1 I 1 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he un er nds and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled eneral 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) 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. 0 Owner's Name and Address MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT la 34 4 PPLICATION FOR ELECTRICAL PERMIT Permit No f Date /6/ , // / r/ Application is hereby mad 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 complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. l 1 ✓ 1 No Street Registered Architect and /or Engineer Employing Electrician's Name C.,!' ‘ 14. ' '' t ,J:L l .1t.r:..No .17x5 )I/ 2. . 'F ' Street Location and Legal Description Lot a Block / '/' Subdivision irj / J Street and Number where work is to be performed —No isr '7 NE 7 1 ri— Street ' x ,a State work to be performed and purpose of building (By Floors) 1/ e New Building V Remodeling Addition Repairs No. of Sies..... Amount of Permit $ STATE OF FLORIDA, } COUNTY OP DADE. SS. (Signed) Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding 1 Electrical Inspector. The undersigned applicant for thi building permit does hereby certify that he unde nds and accepts his obligations as an employer of labor under the Florida Workmen's ' •mpensation 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 subcontractors 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) - 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 mater and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET O LET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STR It HEAT R TAL CONTR. LIST 3 f P O' Q / a - 2s • ■ CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL LIST 4 li / ii'l . 1) IP p- 3 oi____ CHECK 1 -� k r 0 Owner's Name and Address MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT la 34 4 PPLICATION FOR ELECTRICAL PERMIT Permit No f Date /6/ , // / r/ Application is hereby mad 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 complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. l 1 ✓ 1 No Street Registered Architect and /or Engineer Employing Electrician's Name C.,!' ‘ 14. ' '' t ,J:L l .1t.r:..No .17x5 )I/ 2. . 'F ' Street Location and Legal Description Lot a Block / '/' Subdivision irj / J Street and Number where work is to be performed —No isr '7 NE 7 1 ri— Street ' x ,a State work to be performed and purpose of building (By Floors) 1/ e New Building V Remodeling Addition Repairs No. of Sies..... Amount of Permit $ STATE OF FLORIDA, } COUNTY OP DADE. SS. (Signed) Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding 1 Electrical Inspector. The undersigned applicant for thi building permit does hereby certify that he unde nds and accepts his obligations as an employer of labor under the Florida Workmen's ' •mpensation 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 subcontractors 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) - 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 mater and /or workmanship. Permit No/ 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 complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address �/� G !/ e 42,5 ..,7 4-1/ No Street Registered Architect and /or Engineer Employing Electrician's Name a. Location and Legal Description Lot Block .Subdivision Al C`. Street and Number where work is to be performed--No SS �. ..� State work to be performed and purpose of building (By Floors) 5./ ✓ �. - a.5 �.A._ New Building Remodeling !-/ Addition Repairs No. of Stories Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT PLICATION FOR ELECTRICAL PERMIT Date....f 9-/fi t � (Signed) • Street...1i.� et- G s,e ( - Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Ele cal spector. The undersigned applicant for this building permit does hereby certify that - • understands and accepts his obligations as a employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S pplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub •contractors employ • 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 . . . is notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) A..-4 .. .1' ' ,.ee 7-a..r....1►..r19.�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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No/ 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 complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address �/� G !/ e 42,5 ..,7 4-1/ No Street Registered Architect and /or Engineer Employing Electrician's Name a. Location and Legal Description Lot Block .Subdivision Al C`. Street and Number where work is to be performed--No SS �. ..� State work to be performed and purpose of building (By Floors) 5./ ✓ �. - a.5 �.A._ New Building Remodeling !-/ Addition Repairs No. of Stories Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT PLICATION FOR ELECTRICAL PERMIT Date....f 9-/fi t � (Signed) • Street...1i.� et- G s,e ( - Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Ele cal spector. The undersigned applicant for this building permit does hereby certify that - • understands and accepts his obligations as a employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S pplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub •contractors employ • 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 . . . is notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) A..-4 .. .1' ' ,.ee 7-a..r....1►..r19.�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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building_ Architect Contracto or Builder Legal Descriptic Address Building MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 8128 Work to be performed under this Permit DATE 1.t • Contractor's License No ':-f ) C_ 195 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 application herefor 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 th t he assumes responsibility for work done by his agents, servants or employees. fi Signed: C:. �, / r. �w4, •+� +! ,n . .. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereytider in compliance with all ordinances and regulations 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. CONTRACTOR OR BUILDER i BY AUTHORITY 7 l� +, - s 4 - , u r , . y ` .. ., i r. S 4. e.. . �. r A , t r +, .:, .. ..f e t., 4 . L. a.• !.. + t t r , , 4 G <_ k as .1t, i t , NI , • 4 :. . A . !e , n Lot Bi Subdi- vision ,f 1 " (1 20. ,7 t ,- t ". t 1. ;) ' r Sq. Ft Amt. of Permit , — t:1 $ i Value of Project $ BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building_ Architect Contracto or Builder Legal Descriptic Address Building MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 8128 Work to be performed under this Permit DATE 1.t • Contractor's License No ':-f ) C_ 195 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 application herefor 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 th t he assumes responsibility for work done by his agents, servants or employees. fi Signed: C:. �, / r. �w4, •+� +! ,n . .. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereytider in compliance with all ordinances and regulations 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. CONTRACTOR OR BUILDER i BY AUTHORITY 7 BUILDING ELECTRICAL PLUMBING ROOFING Owner of, Building Architect Contractor or Builder Legal Description MIAMI SHORES VILLAGE, FLORIDA ❑ DATE 19 ° PERMIT N9 4043 Contractors - -! License No. '� < Lot CONTRACTOR OR BUILDER B1 Work to be performed under this Permi r Subdi- vision r• Address of { �. ,,, Value of 1 Amount of Building �t`} .- � Project $ 1 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 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- sibility for work done by his agents, servants or employees. `�. / t ,. Signed. (.4 r'.. f / - INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance 'with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. , BY AUTHORITY ABBOT . Permit APPLICATION FOR ELECTRICAL PERMIT 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 complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Y Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By v Floors) New Building Remodeling Service Overhead Size Feeders Conduit. _ Underground Type of Installation — Conduit Tubing Amount of Permit $____4 performed under this permit: and will post required by the Act. The under signed agrees to licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT _Block .>1:ave __(Signed) Date—_Jli No.__211(— ___—_________ Street_ _6-43!_____ -_ Subdivision_ Z � StreetetrK – i - - -� – Addition. /j Repairs_ ______ _______ No. of Stories_______ Main Sw _______ Amps. Main Fuses_ B.X.L. .Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Sectign. 594 Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be or cause to be posted for inspection on the site of the work such public notice or notices as employ only such sub - contractors, work to be Aerformed under this permit, as 7" I c2-,-- (Signed) r ": 1 -s% Master Electrican. Amps. are are 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, that he has carefully read the foregoing application, and that be did sign therein by him stated are true. the same, and that all facts My Commission Expires Notary Publf 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 REFRIG. 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 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST ea CHECK Permit APPLICATION FOR ELECTRICAL PERMIT 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 complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Y Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By v Floors) New Building Remodeling Service Overhead Size Feeders Conduit. _ Underground Type of Installation — Conduit Tubing Amount of Permit $____4 performed under this permit: and will post required by the Act. The under signed agrees to licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT _Block .>1:ave __(Signed) Date—_Jli No.__211(— ___—_________ Street_ _6-43!_____ -_ Subdivision_ Z � StreetetrK – i - - -� – Addition. /j Repairs_ ______ _______ No. of Stories_______ Main Sw _______ Amps. Main Fuses_ B.X.L. .Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Sectign. 594 Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be or cause to be posted for inspection on the site of the work such public notice or notices as employ only such sub - contractors, work to be Aerformed under this permit, as 7" I c2-,-- (Signed) r ": 1 -s% Master Electrican. Amps. are are 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, that he has carefully read the foregoing application, and that be did sign therein by him stated are true. the same, and that all facts My Commission Expires Notary Publf 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builde Legal Description, Address of Building dieK PERMIT 12508 Work to be performed under this Permit v e to struct tit end wi the unde d 'ttb and approved t!he planeAke ha ! above assui' Lbe or drawings or ' Lot This permit is granted to the contractor or b er na herefor in strict compliance with all ordinances pc ning drawings, statements or specifications that may have been su time if the work is not done in compliance with such ordinan granted is the understanding t der n pertaining to the work covered reby whether show dorte by his agents, servants or •. ployees. In consideration of the issuance to me a , "s permit' - pertaining thereto and in strict conformity with the dr In accepting this permit I assume responsibility for all uuNTtutc - rOR OR BUILutlt MIAMI SHORES VILLAGE, FLORIDA Subdi- vision DAT Contractor's License No e of t $ building or to install the equipment or device described i appiiSetion Landing that the work will be performed in compliance wi plans, the proper, municipal authorities. This Permit may be revoke d without Aithorieation. A further condition upon which this perm oneibility f ' a tlxorough knowledge of the ordinances and regulations he itiketne , or specifications and that he assumes ponsibility for work I) Amt. of Permit $ to perform the work covered hereun er in compliance with a statements or specifications submitted to the proper authoriti of Miami Shores Village, one by either, myself, my agent, servant or employee. BY dinances and regulatigas AUTHORITY �UILDING ELECTRICAL PLUMBING ROOFING Owner of Building ■J■4 Architect Contractor or Builder Legal Description. Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA Fr PERMIT n ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER +N? 12307 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 application herefor in strict compliance with all ordinances pertainin thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submiirod 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 ordinarieee-Oelghe plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder Banned aboke..,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 responsibility for work done by his agents, servants or employees. 4.-,,-..."..., �'7 Signed i i BY L �'✓ { C ` '— INSPECTOR In consideration of the issuance to me of this permit I agree to per the work covered hereunder in compliance with all ordinances and regulations 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 rk done by either, 5,iself, my a espscjvant or employee. r / BY Subdi- vision Value of Project $ DATE Amt. of Permit $ 195 Contractor's License No L AUTHORITY 7 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder t \ Legal Lot Description Address of Building / 5 5' CI C- PERMIT n ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA E. 1 1■° 13434 Subdi- vision Value of Project $ DATF. 1' • 195_ Contractor's License No 1.. u Amt. of Permit $ 1 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 application herefor 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 responsibility for work done by his agents, servants or employees.C+,, �� Signed• i 's" ' f . BY r '� ✓ IN R In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations 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. BY AUTHORITY � ' v l, BUILDING ❑ ELECTRICAL E RM IT PLUMBING ❑ ROOFING Owner of ✓ Building Architect Contractor or Builder L �a.. �• Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA BL N? 12254 Subdi- vision Value of Project $ DATE ❑ ork to be performed under this Permit T' •1 195 Contractor's License No Amt. of Permit BY 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 application herefor 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 responsibility for work done by his agents, servants or employees. Signed '� � La_ BY JV a INSPE R In consideration of the issuance to me of this pe it I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plan 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. • PERMIT APPLIC 1 Ivry r Wit N A. .. Date 3- 6--r Job Address ( 9 ( Tax Polio Description Lo f 1 J a i r "I0 . c" 1 a lik_d. Legal / Tenant Jt-ss {c-o-- Si vt- ,-•r.4., -Sr hie,- -1 -�&v Master Permit # Owner's Address 55 Owner / Lessee / _ 1 S S /\1 E 9 6 �+ • Phone �� `� _ 77 e�- _.�° ,-✓ -S Address 3Z 4o p K C Q. Contracting Co. �n�- �-� ,_,_,,,,:2 G1 obe,f" S - 1 �-fin SS# Phone 1 '74 ^ 0 . qualifier State # ate° V Municipal #t _ Competency # Ins.Co. u r _01 r Condo President STATE OF CC EEO. CC 283 PO '•a'. COMM NO. c?7 si Notary as to Owner and /or Condo P My Commission Expires: e Address Architect /Engineer ' —& Bonding Company Mortgagor Address Permit Type(circle one): BUILDING CAL °PLUMBING MECHANICAL ROOPING PAVING PENCE SIGN WORK DESCRIPTION Address Estimated Cost(value) c3- Square Ft. 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, ROOPING and MECHANICAL WORK. OWNERS AFFIDAVIT: I certify that all the foregoing information be done in compliance with all applicable laws regulating cons authorize the j o e -named contractor to do the work stated. Signature of Contractor or Owner - Builder K. LAD NOTARY F L S '• t CO ear sC ... ' My yria7mFto Ti OP 71. urate an and z ( rector o Tres: ** * * * * * * * * PEES: PERMIT ; RADON C.C.F. APPROVED: Fire " Other Zoning Building Blectricalil Mechanical Plumbing Engineerinr, t all work will Furthermore, I * * * * * * ** NOTARY TOTAL DUN 3 C O )\1 ** TOTAL PAGE.004 **