1140 NE 91 Terr (2)PERMIT APPLICATION
V APPLICATION ^ j FO � R MIAMI SHORES VILLAGE
Date I ftp I Q 2- - Address V C) 1 7� KX Y . Tax Folio F 1- 32-05 - OO / - O y 3
114,0 g 1l2 o f (Or 11
Legal Description 'WA- )` C((1¢��y CWC E 1 A 'P/4 4 - 1 N 1 1 .0/ 1 8 • Historically Designated: Yes
VJ
Owner/Lessee / Tenant (� t V VUI /F Master Permit #
Owner's Address
SS A
1140 N () 1 T
contractin co. ,Y1 k"c,L Etafri.acci
Qualifier A . Ltr
State #
Municipal #
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAI) PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
_ 1
i7 G ' GZ w -rl E `1) ',o Fte 204
WORK DESCRIPTION A-INjj owl
Square Ft c o . _
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, authorize the above -named contractor to do the work stated.
kLoC. w Liao -° ' , x. G.(a t��s�
FEES: PERMIT
p,4 O RADON
Signature of owner and/or Condo President Date
Fz,c -? �d4'�mcr` ∎V(10
Notary as t wner and/or Condo Pre ent Date
My Commission Expires:
PIERRE JUDE DUMOND
Naar Pubic - Stab d iiaklo
My Commission Spires Aug 15, 7003
Commsssion # CO363183
Con q( � vJ g2 eve
SS# ddress - �2 Phone 3 5 ' 1
Competency # Ins. Co. (ovvcn I" er
Address
Address
Address
Estimated Cost (value)
Phone
as to Contractor or Owner - Builder
y Commission Expires:
C.C.F. 9 Le 0 NOTARY
21<°
i
ea/ L LAURA M. SHINER
is% :,Y MY COMMISSION # CC 812653
• : a; EXPIRES: February 28, 2003
, Bonded Thru Notary Pudic Underwriters
1
No
(T=K
BOND //
TOTAL DUE � Q� (c2o
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Engineering
Village of Miami Shores
10050 NE 2nd Avenue
Miami Shores, FL 33138
Phone: 305 - 795 -2204
Printed: 1 /16/2002
Applicant: WILLIAM LEE
Owner: WALSH
Local Phone:
Parcel # 1132050010430
Job Address: 1140 NE 91 TERR
Permit Status: Approved
Work: ADDITION OF OUTLETS AND 1 30 AMP 208 VOLT SPA
Fees:
FEE2002 -313
FEE2002 -314
If there is no permit packz
fee is $50.00, which must bb
This Permit is granted to the contra
ordinances pertaining thereto and with
and approved by the proper municipal
authorization. A further condition upor
cYdinances and regulations pertaining 1
b y his agents, servants or employees.
Signed*
In consideration of the issuance to ME
with the plans, drawings, statements or :
myself, my agent, servants or employes.
Signed:
Description Amount
Building Permit Application Fe$60.00
$0.60
$60.60
CCF
Total Fees:
PAY
TO THE
'4 ORDER OF
G, N
:
FOR
Electrical Permit
Permit Number: EL2002 -18
Cellular:
FIRST TTE, NATIONAL BANK
88
WALSH
WILLIAM LEE
Contractor DANIEL ELECTRICAL CONTRACT 04 1t : 5965 NW 82 AVE
Legal Description: WATERSEDGE PB 9 -141 LOT 18 & E1/2 OF LOT 17
Permit Expiration: 7/15/2002 Construction Value: $275.00
DANIEL NTEGRATED ELECTRIC L SERVICES R O INC.
COMPANY
AN
305- 592
M IAMI, FL 33166
'1/41VI �'
Total Fees: $60.60
Total Receipts: $0.00
OPERATING ACCO
0050052 0 1 :05310156 1 20 79900098 L7
Page 1 of 1
rya
BLK 2 LOT
50052
G� eo-,wx3+
�J TE
DOLLARS LJ
R.r r X 3 . 757
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 11'1;3-'(fi Job Address I 1‘4 N 1 ( Tax Folio
Legal Description Lar 1 -4-e 1 r7-- 1.1 &..4 . Z Historically Designated: Yes No
Owner/Lessee / Tenant 14.11 t•u A W WP-14 11< Master Permit #
Owner's Address 11q0 11113-0.41 cl-kneS 3 3 (3 &hone O° ) 1 — (q`1(O 3
Contracting Co. EN) 4164.5 6 EZTQ -&C , � r-k Address t e'S OE; S Prue t lel 14- i 53l (pZ
Qualifier OSeWW 42,I4At►2w1 SS# Phone 300 les - O
State # C CoO l 3 (Q 4 Municipal #
Architect/Engineer
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING i LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION C E OJT 4 k fl N4 f Pie- w t'M Peyz Emcee P ave_
2 ) 1 _z c 2 sea
Competency # Ins. Co.
Address
)(Square Ft. Estimated Cost (value)
Z�3� •CC)
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 do the work stated.
/ //2 r
K f'- �_ -,�� w `/ 2 - - .w 1//0 5S�
Signature of owner and/or Condo President Date Signa e of Contractor r caner- Builde Da
Notary as to O
My Commission
r on•
Commission N C C 6
oFIa.o My Conwtission Exp, 09/4/2001
14604- NOTARY - PI& Nobly S•yoe R now* Co.
teemeeeeeeeeeeeteeetateeeereeeeteetteeeetteeette
FEES: PERMIT .7 00 RADON
,98
as to Contrac
My Commission E
sss w 1w
er- Bu�tda K1awaaa
N 5' Pahl ; Shto of Florida
74 'oF F'IJ My CCommiss ion Exp, 0914/2001
i4e9 -4- NOTARY - !la. Notary Simko & Bond* Co.
ete ateeeeteeeeeteateteueteetateeeteteetteettee
ate
C.C.F. `746"— NOTARY 0 — BOND
TOTAL
APPROVED:
Zoning Building
Mechanical Plumbing Engineering
Electrical �e-'f"e
E I ST1 aC LSD PluP o'LU 1 c�
u Ic t /IL Sc. t t P M.LL
TuPE. 7.e PA -oeu,
TO 2£' 1 A1 ,J
1 t -4hu. (.3 P w., P - z.P
Fo o_ s.,Pa
W iia P IPt
C.' —�-
- 9 , /y'' C U-
- u s IS 1t 10 C,OC'PES_ Cr�.c>G Ll,n.,�..�.)f 20 D
(o' p.(
�D l .uk S E r)2 tc. mac,
n BSu NE S A
M 1Pk► &i FLoe..loP ?3 1b - 2,-
C3 oS) (o53 -ZS la
Z *g
Nar tray
E itsn UU FOSe_ Phie_ TO
C1-1-alive cot TO A 1 ai 1 ZS A
.L a P Q ,ck_i- P,r J a
EC. ti
ca
33_1
t
CI(a 1'i
Pa.�NT W+ Ebb dains ire
14wN
SPA
TOTAL_
I 1 10.E e° t D0 = I O J oo0
25erArvi i - 40 1('O
2211 co c�
14�-- rloP,� 10 , pO
LoPt-6 CA LCIJ LAr in u S :
6-1E1 8m41 lc 3= 5`(00
P-PPL l Soot Z, _ 3 O
Vcr tom, = Moo
WA-st -t = [Soo
• Soc)0
12-oco
Oo
▪ aOoO
4 Ifioo
- 1 0 000
31
X yo%
2140
3a wkrs
13o ✓ocTs
(oiz-W
12,43 AMPS
1.1EW SPA
Z &P tAoro2
1 11.1 1 LLJ A'JM Ih I ALSI.L
1 ME; g 1 Teezac..
riJAucl S t40(1.E.`-► F,orur L 3513$
(3o) 1S1-621(03
PROVED
s'f;yCT1JGAL
IIC
F■
r ECHANICAL
R XING
I RDC. OFFICIAL
MIAMI SNORES VILLAGE
SUBJECT TO COMPLIANCE WITH ALt FEDERAL, STATE AND COUNTY
RULES AND REGULATIONS.
iniAMI SHORES VILLAGE ASSUMES NO RESPONSIBILITIES FOR ACCURACY
CF OR RESULTS FROM THESE PLANS.
W'ISI1 THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY
WiR; ;, VILLAGE IS REGUiRED. THE ARCHITECT, BUILDER & SUB
• .• CTUI ?S ARE CHARGED WITH THE ItNOWLEDGE OF ALL BUILDING
1f►C;�S T ?tE;t 011 NOT SPECIFICALLY INDICATED HEREIN.
NOTICE OF COMMENCEMENT
A RkCORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
M o.c1ea S "1
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA
COUNTY OF DADE
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance
with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Legal description of property and street address LOT to + 61/2. t - i t3c_I4 2
1140 N e 11
2. Description of improvement: t _)S AT.A - 4 t —r-; Foe SPA
3. Owner(s) name and address: t' 1tt t.t 'i & W 144.-0
1140 NE otter-v— 6.41 t sHy F 35(.
Interest in property Ou/A/e/..
Name and address of fee simple titleholder:
4. Contractor's name and address:
5 imply-et , It oz.&ce 33 t 4Z
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond: $
6. Lender's name and address:
ATE OF FLORIDA, COUNTY • r
EftEri CERiIFY that this is a it
it b
this attic on
7. Persons within the State of Florida designated' by
,TNEss ray
qp
as provided by Section 713.13(1)(a)7., Florida Statutes.
Name and address ∎ `-r
\■11a
8. In addition to himself, Owner designates the following pers� . (s) to receive a copy of the Lienor's Notice as pro-
vided in Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless
a different date in specified)
Signature of Owner
Print Owner's Name {v i �C. /fl M L
Sworn to and subscribed before me this
Notary Public
Print Notary's Na
My Commission Expir
/kJ/it S f{
day of 19 C
Communnon
"roF00*My lion Exp. 09/14r2001
t40117- NOTARY - Ito Notary Swim R Hooding Co.
etateeeeereeeeareeeeetweeteareeeeteeee
988584651 1998 DEC 09 09:04
1/'9 -
Prepared by: / 3/6-c L 4 / t / 01 .-- L—
Address• .715 . 5 4 yz
CHECK
MIAMI' SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No ( ((/ Date / 7/
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
budding during progress of work.
Owner's Name and Address
Amount of Permit $
Registered Architect and /or Engineer
Employing Electrician's Name RO't he-o-$ c. - Z W .e, No 13331 NW Street 1 4 J e->
Location and Legal Description Lot // � BI p ck Subdivision
Street and Number where work is to be performed —No ! / 1 6 ' v t 9 (] / Be
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Servict Under Size Feeders �' Conduit ,P Main Sw i �` )
Und Amos S Main Furey S c " Amps
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
1
STATE OF FLORIDA,
COUNTY OF DADE. I "'
(Signed)
Electri nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a n employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanenpplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors emp ed 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).
No 1 / 7 N L Street i / ' 2 /L .
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.
2
SWITCH L
LIGHT P
PLUG F
FIXTURES R
REFRIO. I
IRON R
RANGE R
RANGE W
WATER W
W. HEAT. S
SPACE S
STRIP T
TOTAL
CONTR.
LIST
CHECK
ENT. D
DIST. S
SERVICE S
SERVICE M
MOTORS M
MOTORS N
N EON R
RADIO T
TOTAL
CONTR.
LIST /
/ 3 / / I ° ;4/G 3
3. -
MIAMI' SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No ( ((/ Date / 7/
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
budding during progress of work.
Owner's Name and Address
Amount of Permit $
Registered Architect and /or Engineer
Employing Electrician's Name RO't he-o-$ c. - Z W .e, No 13331 NW Street 1 4 J e->
Location and Legal Description Lot // � BI p ck Subdivision
Street and Number where work is to be performed —No ! / 1 6 ' v t 9 (] / Be
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Servict Under Size Feeders �' Conduit ,P Main Sw i �` )
Und Amos S Main Furey S c " Amps
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
1
STATE OF FLORIDA,
COUNTY OF DADE. I "'
(Signed)
Electri nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a n employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanenpplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors emp ed 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).
No 1 / 7 N L Street i / ' 2 /L .
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.
2
Type Insp'n
Permit No.
Name
Address
Company
Phone #
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date x,3'02 Time
- eS /
f 1 C' 2
Gazed
I/ vo die 9/ 7 _
� eJ
a44L2, C64
For Inspector: 6 Name Da t-
Approved lid' /%� /�
Correction ❑
Re- Insp'n Fee ❑