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1084 NE 91 TerrContracting Co. 4 Da`e7 Legal Descriptf , s e e /Tenant . —T67,0 &. h Owner's Address J o xi, c. Qualifier State # ER0009302 John E. Carter Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING WORK DESC r i ' Si : irrof own -r and/c Con Municipal # Ft Estimated Cost (value) f WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT 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 regula nstruction and zoning. Furthermore, I authorize the above -n;. - . .ntractor to do the work stated. resident Votary as to Owner and/or Condo President My commission Expires; - w e' / o d PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ob Address 0 o n g f 7 'ax Folio / * Historically Designated: Address Address ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN , ( � � f � � c J Q ' 2'7 / e---"le /7,2 C Address Date Date FEES: PERMIT 3 ' ' RADON C.C.F. b �� APPROVED: boning Building Electrical Mechanical Plumbing Engineering SS# Phone Ins. Co. , ry irual r ac Icy ! -e Terr. ce _ 5_ _.ac BOND TOTAL DUE l7o2 `' ADDENDUM TO BUILDING PERMIT APPLICATION (AN 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 SUBSEQUE.IT APPLICATIONS.) ITEM SWITCN OUTLETS LIGHT OUTLETS RECEPTACLES SERVICE TEMPORARY SERVICE SIZE IN AMPS SERVICE REPAIR/METER CHANGE APPLIANCE OUTLETS OVEN WATER HEATER MOTORS 0— 1 HP bOT( iS OVER 1- 3 If MOTORS OVER 3- 5 If MOTORS OVER 5- 8 HP MOTORS OVER 8- 10 HP MOTORS OVER 10- 25 HP MOTORS OVER 25-100 HP MOTORS OVER 100 If AIR CONDITIONERS STRIP HEATER GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS SPECIAL PURPOSE OUTLETS COMMERCIAL SIGN TUBES SIGN TRANSFORMERS SIGN TIME CLOCK TELEVISION OUTLETS VIOLATION RE INSPECTION ITEM SPACE HEATERS CENTRAL HEATING A/C (WINO) REFRIGERATION PROCESS ANO PRESS PIPING UNDERGROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS FIRE SPRINKLER SYSTEMS DOLING TOWERS VIOLATION REINSPECTION RESIOENCE INDIRECT WASTES WATER CLOSET A/C UNIT FIRE SPRINKLER HEATER -NEW INST. HEATER - REPLACE LAWN SPRINKLER -WELL SWIMMING POOL WATER SERVICE ABA /CON SEPTIC TANK INLET WATER HEATER PIPING 4' TILE/RES. ITEM BATH TL8 BIOET 0ISHWASHER DISPOSAL DRINKING FOUNTAIN FLOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER SINK, POT /3 SINK, SINK, SLOP TEMPORARY URINAL WATER CLOSET WATER SUPPLY SEWER CONNECTIONS UTILITY -SEWER UTILITY -WATER SEPTIC TANK RELAY ORAINFIELD, PUMP & SOAKAGE PIT CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA GRAIN ROOF SOLAR FIRE STANDPIPE POOL PIP LAWN SPRINKLER SYSTEM GAS METER SET GAS PLUMBING ELECTRICAL MECHANICAL ci Permit No )(s- Amount of Permit 4 M8, MI SHORES VILLAGE ELL T KCAL, INSPECTION DEPARTMENT Owner's Name and Address.e 2 r / A PLICA,lI N FOR ELECTRICAL PERMIT (Signed) (Signed) 1/ ate Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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. No Street. /0.1 Registered Architect and /or Engineer /� /� / y Employing Electrician's Name � �' /1 3., �'( .1�. t - 170 No Street. E: r'b_ I / Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Sesvioe Overhead Site Feeders Conduit Main Sw Amps Main Fuse= ACISi3 Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding Electeica- ,; agecsaa. The undersigned applicant for this building permit does hereby certify that he understands and accepts his /Obligations as an ezaployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of F1osl Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by hies in the work to be performed under this permit; and will post oa cause to be posted for inspection on the site of the work ouch public notice or notices as are required by the Act. The undersigned agreed to employ only such subcontractors, on work to be performed under this permit, an are licensed by Miami Shores Village. • Muter Electrician. STATE OF FLORIDA, COUNTY OF DADE. oo. fore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknocrledQmenta, percana`siy appeared to rae 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 ;tine same, and shag a: faG2a therein by him stated are true. My Commit -ion Expires Notary Public, State of Plorida NOTE: A re•inspection fee of Sfl.6o will be oaade when such re-inspection is made necessary by improper notice for inspection, o:t E z:1:y raa6erialo and /or worea' nebip. SWITCN OUTLETO LIGHT OUTLETS PLUG Reee•P•T'a rPUATUREO NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER %TOTAL CO ]TCI. MIT. .fail. DIST. CAD, SERVICE TCMP. SERVICa PERM. /� ,DV � � 1IJ /-0`7r —�L MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO 'LOYAb CONTR. LIST CNECES ci Permit No )(s- Amount of Permit 4 M8, MI SHORES VILLAGE ELL T KCAL, INSPECTION DEPARTMENT Owner's Name and Address.e 2 r / A PLICA,lI N FOR ELECTRICAL PERMIT (Signed) (Signed) 1/ ate Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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. No Street. /0.1 Registered Architect and /or Engineer /� /� / y Employing Electrician's Name � �' /1 3., �'( .1�. t - 170 No Street. E: r'b_ I / Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Sesvioe Overhead Site Feeders Conduit Main Sw Amps Main Fuse= ACISi3 Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding Electeica- ,; agecsaa. The undersigned applicant for this building permit does hereby certify that he understands and accepts his /Obligations as an ezaployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of F1osl Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by hies in the work to be performed under this permit; and will post oa cause to be posted for inspection on the site of the work ouch public notice or notices as are required by the Act. The undersigned agreed to employ only such subcontractors, on work to be performed under this permit, an are licensed by Miami Shores Village. • Muter Electrician. STATE OF FLORIDA, COUNTY OF DADE. oo. fore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknocrledQmenta, percana`siy appeared to rae 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 ;tine same, and shag a: faG2a therein by him stated are true. My Commit -ion Expires Notary Public, State of Plorida NOTE: A re•inspection fee of Sfl.6o will be oaade when such re-inspection is made necessary by improper notice for inspection, o:t E z:1:y raa6erialo and /or worea' nebip. r uKc Permit No 1 3e U Amount of Permit A STATE OF FLORIDA, } COUNTY OF DADE. as. M S : UAIES V LL w ELEC©4R8OAL INSPE C OO 1 DEPARIFME NT FLICATil (Signed) The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licunaed by Miami Shores Village. (Signed) . L PER IT Date 3 C� A4 6 C '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, F10 ida, 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 monk be kept at building during progress of work. Street C i A. ' � • > Owner's Name and Address • '''k 'N'S., No. 6 % Registered Architect and /or Engineer \ Employing Electrician's Name �,. _\.. `: ,,_ • ' \' .--\. �` . � ...� .. No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No .--�- - . '`-'-'' '�' ;' : Street State work to be performed and purpose of building (By Floors) ' New Building Remodeling Addition...�.'?i` ,. i, _.. , .Repairs No. of Stories Saevicc Overhead Site Feeders Conduit Main Sw Am Main Fuses Aco Underground ps Type of Installation— Conduit Tubing B.X.L .Metal Moulding Electri Inspector. ccepta his obligations /an employer of of Florida Permane Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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 facto 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 ouch re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETo LIGHT OUTLETS PLUG RECE'P'T's FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER QOYAL COPRTR. LIOT CHECc E. SW. DIST. CAD, SERVICE TEMP. SERVICE PERM. MOTORS O.1 HP MOTORS 1.0 HP NEON TRANS. RADIO TOYA4 Coxya. LIST V `k r� ' ` . ��'` \_ .. f�. CNacu r uKc Permit No 1 3e U Amount of Permit A STATE OF FLORIDA, } COUNTY OF DADE. as. M S : UAIES V LL w ELEC©4R8OAL INSPE C OO 1 DEPARIFME NT FLICATil (Signed) The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licunaed by Miami Shores Village. (Signed) . L PER IT Date 3 C� A4 6 C '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, F10 ida, 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 monk be kept at building during progress of work. Street C i A. ' � • > Owner's Name and Address • '''k 'N'S., No. 6 % Registered Architect and /or Engineer \ Employing Electrician's Name �,. _\.. `: ,,_ • ' \' .--\. �` . � ...� .. No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No .--�- - . '`-'-'' '�' ;' : Street State work to be performed and purpose of building (By Floors) ' New Building Remodeling Addition...�.'?i` ,. i, _.. , .Repairs No. of Stories Saevicc Overhead Site Feeders Conduit Main Sw Am Main Fuses Aco Underground ps Type of Installation— Conduit Tubing B.X.L .Metal Moulding Electri Inspector. ccepta his obligations /an employer of of Florida Permane Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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 facto 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 ouch re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.