1005 NE 91 Terr (10)Date • /7 / e lob Address /pas ,VE c3 / P 714 Q.,; Tax Folio
Legal Description
Owner/Lessee / Tenant 3
Owner's Address f ,v 1 N r - WWQ,
Contracting Co. p6 4 1 E tP.t / v / . L-Y .
R Madsevv
Qualifier
State #
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
a90 )(9,5g
Square Ft. / (pf o
Municipal #
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 4'e. ' ■lr@i � �-44 7 t4' <4 hr@R / T
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- i e contractor to do the work stated.
1g 14
ture sof owner and/or Condo President Date
,))-4r-z_Z>e
Notary as to Owner and/or Condo President
11 .. .. _
&'( PU OFFICIAL NOTARY SEAL
0 e !i SANDRA M MONTIEL
2 * COMMISSION NUMBER
., • . Q C C 4012 S 1
@� MY COMMISSION ,EXP.
11, OF F'.O AUG. 1/ 19911
My Co
FEES: PERMIT 9> ' .62 RADON
Historically Designated: Yes No X
Estimated Cost (value)
Master Permit # 1 7 1 Z
Phone 7 6/ — �r4'9�.,
Address 1.13& 1
3/ A , !C 1 `tea .5 t
ss# o4(pal- /1 IffigPhone 9 � G 473 73
Competency # Ins. Co.n
Address
Address
Address
1740(49 o� f �O
Signature of Contractor or Owner - Builder ate
Date Nbtary as to Contractor or Owner - Builder
My C IC IAL NOTARY SEAL
t
er- SANDRA M MONTIEL
t' ) t, COMMISSION NUMBER
-'n Q CC401261
. 7 J ,'liti' COMMISSION .EXP.
Li* iN AUG. 1/ 1998
C.C.F.
NOTARY
BOND
TOTAL DUE
l atvi (, (
APPROVED:
Zoning Building Electric
Mechanical Plumbing Engineering
'RIF LOOP
BE 10
AFC (MIN)
6'•-t•/-
r 200A
t METER
1
2' ABOVE ROOF
1
MAIN CB
PANEL
b.+. -
r
PLASTIC
FINISHED ODE
.�1
PVC = =1E
t
8'a' MIN DEPTH
1
IMO
ra
J CL 4NP
'e x r
RUTS QW
SUB CB
PANEL
I4e ght
Conducor stz-
Conduit size_
Conduit. •3'
MAIN{ DIS' l4ECT
- OCprps •
Rabhp
Mann Amps
Sub Breakers Amps •
SUB FEED ER •
r � �
New . Existing _
Type
Sze
Bond fi
PER S.F.B.C. 4505.2(B)
APFDFR
BY
Ground wire
INSIDE PANEL ..
-
Rating _ ' Asps
korai suss _Yes No
. Loca1aon
v �
T'I r C`Tf Tf` A I ra\ : Tc—mh
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 OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Size Feeders /Z. Conduit / Main Sw e -40A Amps 4' "t' Main Fuses
55.
(Signed)
APPLICATION FOR ELECTRICAL PERMIT
j- 7
Permit No `� Date /
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. . re—\
Owner's Name and Address ` " ®� Ar ..f5!!S/.No / ° ' r Street 3 F 1
.....
f�!( Street �
.714 / Subdivision .. .
Street , f di
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead
Underground
Type of Installation— Conduit f Tubing ✓ B.X.L :Metal Moulding
°` Amps
Amount of Permit $ gc • f (Signed) /IAA ...
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 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 sub-contractors, on work to be perf • rmed under this permit, as are
licensed by Miami Shores Village.
er Electrician.
t' me, ' 7 Before me the undersigned authority, duly authorized to administer oaths and take acknowledgments,
-l. 5 � c- g ty, a notary public, dul g personally
`Z' . atnka g red
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
REPRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HATER
STRIP
HEATER
J -cx
tT.. a
TOTAL
C L QT
/�'�
(4,rtc;
G 'mil
a Z
//
J
/
1
_ _
/
Qom° / ->7:'
CHECK
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS;
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
COI
LIST
/ 2 ( -N.
.�i/
,/
t/
CHECK
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 OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Size Feeders /Z. Conduit / Main Sw e -40A Amps 4' "t' Main Fuses
55.
(Signed)
APPLICATION FOR ELECTRICAL PERMIT
j- 7
Permit No `� Date /
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. . re—\
Owner's Name and Address ` " ®� Ar ..f5!!S/.No / ° ' r Street 3 F 1
.....
f�!( Street �
.714 / Subdivision .. .
Street , f di
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead
Underground
Type of Installation— Conduit f Tubing ✓ B.X.L :Metal Moulding
°` Amps
Amount of Permit $ gc • f (Signed) /IAA ...
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 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 sub-contractors, on work to be perf • rmed under this permit, as are
licensed by Miami Shores Village.
er Electrician.
t' me, ' 7 Before me the undersigned authority, duly authorized to administer oaths and take acknowledgments,
-l. 5 � c- g ty, a notary public, dul g personally
`Z' . atnka g red
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.
MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑ V
ELECTRICAL D DATE 45 `.fir ' 195
PLUMBING ❑ PERMIT N? 8675 Contractor's
License No ' / " .2
ROOFING ❑
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
r i /
L P
CONTRACTOR OR BUILDER
Bl.
a'
Subdi-
vision
Sq. Ft
Value of
Project $
411 e e
Amt. of
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 application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plane,
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 • BY
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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
f. ♦
BY AUTHORITY
17