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1160 NE 91 Terr (5)'Primary Zone: 1100 SINGLE FAMILY RESIDENCE CLUC 0001 RESIDENTIAL- SINGLE FAMILY Beds /Baths: 3/2 Floors: 1 Living Units: 1 Adj Sq Footage: 1 821 Lot Size 10,625 SQ FT Year Built: 1954 Legal Description: WATERSEDGE PB 9 -141 ELY3OFT OF LOT 20 & ALL LOT 21 & WLY5FT LOT 22 BLK 2 LOT SIZE IRREGULAR OR 20409 -1752 05 2002 1 COC 21953 -4592 12 2003 1 Year: 2003 2002 Land Value: $116,025 $101,150 Building Value: $134,026 $97,606 Market Value: $250,051 $198,756 Assessed Value: $250,051 $125,182 Homestead $25,000 $25,000 Exemption; Total Exemptions: $25,000 $25,000 Taxable Value: $225,051 $100,182 Folio No.: 11- 3205 - 001 -0450 Property: 1160 NE 91 TERR Mailing Address: FRANK CERAOLO 1160 NE 91 TERR MIAMI SHORES FL 33138- Miami -Dade My Home Show Me: My Home mia idadieigov (Property Information Search By: Select Item) 13 Text only version Summary Details: Property Information: Sale Information: Sale O /R: Sale Date: Sale Amount: 21953 -4592 12/2003 $345,000 Assessment Information: ACTIVE TOOL: SELECT Digital Orthophotography - March 2001 M 0 .9, We appreciate your feedback, please take a minute to complete our survey. My Home 1 Property Information 1 Property Taxes 1 My Neighborhood 1 Property Appraiser Home 1 Using Our Site 1 About 1 Phone Directory 1 Privacy 1 Disclaimer If you experience technical difficulties with the Property Information application, please click here to let us know. E -mail your comments, questions and suggestions to Webmaster Web Site © 2002 Miami -Dade County. All rights reserved. Page 1 of 2 113 ft http: / /gisims2. co.miami -dade. fl.us /myhome /propmap. asp ?app= none &bytool= ADDR &cmd... 2/10/2004 SECTION BY DATE Zonin: %ISR Lrc o. 01,A 9d/ liek". Electrical /��� Repair 7 Mechanical Qualifier Name �f �/ Lya L 44i v / 5 f!1 Plumbing Relocation of Structure Fire Foundation Only Public Works Add'l Attachment Structural Add'I Detachment Building Official Other CONTRACTOR New Construction N_c sL N �, e - Enclosure %ISR Lrc o. 01,A 9d/ liek". Address ffe /1/2... /4 Y"jr/+y Repair Telephone a7r j/�j Fax J Alteration Interior Qualifier Name �f �/ Lya L 44i v / 5 f!1 PROPERTY OWNER New Construction Name /O C Enclosure Address / /6n dc 91 liek". Home Telephone Repair Business Telephone Alteration Interior Fax Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other Page 4 OFFICE USE ONLY CIIECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) O CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review REVIEWED AND PREPARED B Cl PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ /ma , lvll ( sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ISSUING OFFICIAL DATE: 4 � CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2`' AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ,•. Job Address: PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other INSTRUCTIONS - The following steps must he taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed bum= owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLICATION / /o 9/7-G.. Address Folio Number Lot Block Subdivision Current Use of Property Proposed Use of Property Tenant Information 3Z -6,500/0 (1,5 PB PG 35000 C L . 4S4a- Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. 1 s-CYS4' 4S Subsidiary Permit No. City A Descriptio i of Work Zoning Linear Feet Square Feet Units Floors Value of Work /7 Bldg Value P Tax Assessed/Appr si' ed Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax PERMIT APPLICATION Zip ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTV. TYPE: Outlet, Appliance QTY. TYPE: Service Repair Q•I'1•. A/C Central 1 -3 Ton Heating Strips, each Fan Outlet, Wall Service, Temporary Paint Booth A/C Central 4-7 Ton Fire Pump Outlet, Switch - Piping, Flammable Liquid Signs A/C Central 8 -15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16-20 Ton Pressure Vessel Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton -- ilimmiONIns /g ri__. i / Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller � / r /_ I ‘ Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor e ow -volt, Burp Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New INIECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TVI'1-: - Generator QTV. TYPE Refrigeration, Tons QTY. A/C Central, Tons Q•I•V. Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of - Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Gas - Appliance PLUMBING TYPE A/C Condensate QTY. TYPE: Drains, Roof QTV. TYPE: Miscellaneous Fixture QTV. TVI'E Soakage Pit Q•I•V. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 2 I\II'OKT.\NT NOTI('I-S 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PRO'T'ECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is , required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. A FFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50%) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1° Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. • • a ure o e of N Public - State of Florida CO'?'' ,' ttLEI 14 MY # cc t EXP19 •O dtbb2r23 2 b04 Oondri - Mahe ryPGbg STATE OF Print N Si SEAL: ORIDA CO Y OF MI 2R N1�C Ce YZ A- O Swi°and subscribed before me thi \ day of ADE Personally kn'. h" OR, Produced • en . Type of Identification Produced: PERMIT APPLICATION W ,�� CC 953795 C XPIHES. uctober 2004 Bonded Thru Notary Pubrk Under STATE OF FLORIDA 1 UNTY OF MIAMI -DADE Signa Prin ame Sworn to and subscribed before me thi Signature of No SEAL: 4Zifick day of Personi T known,— OR, Produced Identification Type of Identification Produced: Page 3 PERMIT APPLICATION 1 INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. 1 RECEIVED AND REVIEWED B DATE: . ��� Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2004 -45 Printed: 2/26/2004 Applicant: FRANK CERAOLO Owner: CERAOLO FRANK JOB ADDRESS: 1160 NE 91 TERR Contractor BRINKS HOME SECURITY INC Contractor's Address: 9960 N. W. 116TH WAY, SUITE 12 Local Phone: 305 - 887 -8455 Parcel # 1132050010450 Signed: (INSPECTOR) Electrical Permit Permit Status: APPROVED Permit Expiration: 8/18/2004 Construction Value: Work: BUGLARY ALARM Page 1 of 1 Legal Description: WATERSEDGE PB 9 -141 ELY3OFT OF LOT 20 & ALL LOT 21 & WLY5FT LOT Fees: Description Amount FEE2004 -1988 Building Fee $100.00 FEE2004 -2005 CCF $0.60 FEE2004 -2006 Training and Education Fee $0.20 FEE2004 -2007 Technology Fee $2.50 Total Fees: $103.30 Total Fees: $19430 Total Receipts: MO C)a $199.00 MAR 15 PAID 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Jul -28 -03 11:19A POWER EL' C RIC 810 NW 86 AVE PEMBROKE PINES, FT... 33024 ATT: BLDG DEPARTMENT REGARDING PERMIT #EL2003 -64 JOB ADDRESS : 1160 NE 91 TERR ;JOB NAME: INMAN 7/25/2003 POWER INSTALLATION INC DBA (POWER ELECTRIC) PULLED AN ELECTRICAL PERMIT FOR A SERVICE CHANGE. THIS CUSTOMER HAS CANCELLED THE ELECTRICAL UPGRADE JOB AND WISHES TO CANCEL THE ELECTRICAL PERMIT. PLEASE LET ME KNOW IF YOU HAVE ANY QUESTIONS. THANK YOU, 1\043 MEMO DATE 7/25/2003 OFFICE- 954 - 558 -0777 Dade CC -16274 BRWD. 85•CME -999-x PAUL HEERMANCE 4�e-z P. 01 Ae_ 6-3 r G' c ,✓j/-c e4 c e v ( 1 A5 Fs 4 62. 4 db ec' e nJ no I P c 11 I Q .am 0, c)c i rdJ� Of htiAa3 e r k 4 - 0 ,eta t. e_ �-k .� r I VOlD t Ads 2 /ec±f-;,.0.3 p er /A:4 co 0 , )\ E 1 / faces. 11 <.J ``®re,5 F 33(33 t 6 4 ,DA hA k NA L._ZN/'F 4 ( 5 .(=;63 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/7/2003 Applicant: DANA MICHAEL Owner: INMAN JOB ADDRESS: 1160 Contractor POWER INSTALLATION INC Local Phone: Parcel # 1132050010450 NE 91 POWER INSTALLATION, INC. DBA 12-00 POWER ELECTRIC 810 N.W. 86 AVE. PEMBROKE PINES, FL 33024 ORD R OF `� � la -e c5 , Short 5 i• Sr Permit Number: EL2003 -64 INMAN DANA MICHAEL TERR / a S I fC G v� U g O v MEMO P.e//Yt a I f COO NG C Tsy 3i'a -4 11 1 3 9 2 0' 1:06 300004 71: 00 34446 30 73 20 Electrical Permit Contractor's Address: DOING BUS IN DADE CO Permit Status: APPROVED Permit Expiration: 7/20/2003 Construction Value: $2,100.00 Work: MOVE EELCTRICAL SERVICE UNDERGROUND & UPDATE METER BANK OF AMERICA 63 -4/630 - - - - - -- - -�- _ . 7 _ ___.•-- - -- AUTHORIZED SIGNATURE 3 /o -o $ 66, , o Page 1 of 1 Legal Description: WATERSEDGE PB 9 -141 ELY3OFT OF LOT 20 & ALL LOT 21 & WLY5FT LOT _ 4 t 0, o o S_ o Total Fees: - $$71,6 Total Receipts: $0.00 1392 DOLLARS pection erefor in strict compliance with all c that may have been submitted to e plans are changed without ty for a thorough knowledge of the assumes responsibility for work done aining thereto and in strict conformity sibility for all work done by either OWNER MIKE INMAN NEW 200 AMP METER MAIN COMBO 6 JOB ADDRESS: 1160 NE 91 •TCRR . • . :' • • . • : CKT FEED THRU PANEL CONTACTOR: POWER INSTAL/AMR INC. : : • • CONTACT PAUL 954- 392 -8g8 • GARAGE SCREENED PATIO HOUSE 2" CONDUIT W/3 #2O AND 1 #6 GROUND TO EXISTING 200 AMP PANEL 2" PVC CONDUIT UNDERGROUND VNRE BY FPL - EXISTING FPL POLE • • ••• • • • • • • • • • • • • •• • • • • • • • • • • ••• • • • • • • • • • • • • • ••• • • • • • • •• • • • •• •• • • • • • • • • • • • • ••••••• 2" PVC CONDUIT W13 #210 AND 1 #6 OR • UND 2- GROUND RODS 6' APART AND COLD WAER PIPE CLAMP 1 #4 WIRE 1160 NE 91 TERR EXISTING CONDITIONS EXISTING 200 AMP PANEL IN GARAGE SCREENED PATIO EXISTING FPL POWER POLE EXISTING METER HOUSE • • ... • • • ••• • • • • • • • • • • • • • • • • • • • • • • ... • • • • • • • • • • • • • • ••• • • • • ... • ••• . ••• • ••• • • • • • • • •• • • • • • • • • • • • • • • • .. • • • • • • • • • • .. • • • .. ••• .. • • • • • • • .. • • • • • ••• .. EXISTING WEATHER HEAD ... • • • • • • •• •• • • • • • • • • • • • • • •••• • • • • • • • ••• • • •• • • • • • ••• • ••• • ••• • • • • • • • • • • •• • • • • • • • • • . • , 11,1,119n] e7,:' 1193 LAGE •• •• • • • •. fi'l / • • t DATE • .. ••• • • • • • •• •_. -_. Y= - 1 I f . 1 7 i t jEi MPG. OFFIC!AU SUBJECT 30 5 ; !T ,: . c+ h ' g�i� ^!, c S11rf L ,a rCE S i f, 25 : -C(1� �3L'.E3 f Ac.�1, st"^��9 ! a 4�l. J:1�.,_S .ALA. J5 1.5 ".:�L.Jh:��s: - � ..+�. L'�v+ i V i iaRfj�1J lY:OICL E uc1� i I WO . �`q1 , - ail^ ° 241= , s::•_ ° A i s' .. �:, R.o j �•��•:i� +��^�i1'�fY 61f•_ .UU .IY 1 b�.7.L�� G {6: •4� i ..� J•.i.s: 4 4 I11l4.11 St :C;',:1; 4!L.,0:i. !(.3 L'n.,ifiE). ME 1:ii if.:s ^e qt.I; ..?: CCHTR tC16 tli AfLL• ia4A`,I1ef:'J U T Tiii. 4',!..0 srt,_.: AU. er;. ^T. °mot h R.GULATiO''1S VINE ThER W. :'J7 *: , 'ECi. iCf.L1 R: ;a r7i C:._ e :., 1 v`f z. .atil Ftri '.''..1 :tl'' g' 'r„ u' . ,74^i;„ t =z.. '. %:: F. , 57A . 3 . 44';',20'. - * • s • t..ti6 t$ t L. �_.vt`&.. • • ... • • • ••• .. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ... ••• . ••• • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • .. • • • . . .. .. • • • • • • .. • • • • • ... .. ELECTRICAL TYPE Minimum Fee QTY. 'fl'PE Dryer QTY. 'I'YI'E Outlet, Appliance l?'fY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Cooling Tower Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Paint Booth Fire Pump Ventilation, Cost Outlet, Switch Air Handler, Tons Signs Ductwork, Cost of A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) Process/Pressure Piping A/C Central 16 -20 Ton Fixture Light Bath Fan - Vented, # Parking Lot Lights Fireplaces, Number of Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television • Service, Number of Amps W Water Heater New MECHANICAL 'TYPE Minimum Fee QTY. TVPI; Condensate Drain QTY. . Generator Q i'VI,E Refrigeration, Tons QTY. A/C Central, Tons Bath 'rub Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Filter Replace Ventilation, Cost Pool Piping Air Handler, Tons Sprinkler Repair Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Water Gas - Appliance Bath Fan - Vented, # Pump, Domestic Fireplaces, Number of Pressure Vessel Cap - Sewer PLUMBING Tl'1'E A/C Condensate QTY. TYPE. Drains, Roof QTY. TYPE. Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath 'rub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply ••• • • • ••. • • ••• .• •. • • • • • • • ••• Page 2 • ••• ••• • • • • ••• • ••• • • • • • • • • • • • IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction.•INOUQS )F ( .RUC are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections wilLbe cog/uc n : eakeodspr Ildl lays. 2. All construction of demolition•'reas MU 1�IFD A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORIN YPILOPEI F16S g1JRLC B k•E FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. ST TE OF FLOR ' • , COUNT O› AMI -DADS Signature of Owner DA Ai (cN,t,EL ) ■JM JJ Print Name Sworn to and subscribed before me this lO SEAL: Personally known of Flonda Irv, Angela M Beeker , � � ` • My Commission 0D15004$ - Expires November 15, 2006 a. OR, Produced Identificati� Type of Identification Produced: • Z — STATE OF FLORIDA, COUNTY OF MIAMI -DADE Personally known Signature of Con actor / Qualifier R cry 1.? Print Name 3rd YI /I �r 1 �/`I Sworn to and subscribed before me this day of Y C l , i • Signature rotary- Pabtic.=- .State Florida SEAL: �i PERMIT APPLICATION • OR, Produced Identification Type of Identification Produced: Page 3 • • ••• • • • • • • • • • • • • • • • • • 00 0 • • • ••. .. • ••• • • • • • • • • • • ' • •••• • • • • O •• O ••• .•• PERMIT APPLICATION • INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: PROPERTY OWNER Name // /// ``!! pc ,E^ Sl�GL4/ &-1 rl1L License No. C b a 7 Li Name ////7 rC 4, 0 hit n / Telephone 5 Y _ TV .,4 65 , Fax Qualifier Name R 6Q , Address t i rob Ax i 1 T..„. lr A �41,3,: rkm-ws i F( c .3 ( Repair 3 Home Telephone 3o S- 54 r $© 6 Demolish Business Telephone Relocation of Structure Fax Foundation Only CONTRACTOR Name // /// ``!! pc ,E^ Sl�GL4/ &-1 rl1L License No. C b a 7 Li Address 2K S A-t ( S ¢ P .t ,— 4-eack Ft s a 1 16 Telephone 5 Y _ TV .,4 65 , Fax Qualifier Name R 6Q , TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other Page 4 ••• . .. ... OFFICE USE ONLY •'• '• • • . • • • • • CHECKLIST ❑ OWNER - BUILDER FORM. • (Attach) • • •• ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) O OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ 1 ) C? Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review ••• • • ••. • • •. •: •• • • • •S. • :••': "• • • ;❑ PROOF OF OWNERSHIP (Attach). • ' • • • •• ❑ HRS / DERM APPROVAL (Septic / Sewer) $ f $ (0.005 / sq.ft.) • • ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) S,Dc) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE (sq.ft. = x/1000 x0.60) (0.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED 19 i Acter- DATE: igf`�� CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2 AVE., MIAMI SHORES, FL • (305) 795 - 2207 • FAX (305) 756 - 8972 • http : / /www.miamishoresvillage.com Step 1. Job Address: t 100 Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other N C� Apt. Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name License No. Address Telephone Fax �i. a e e !a J / fle1`41 • • •• •• � . . • • PERMIT APPLICATION • ••• ••• • •• • • Master Perr iih No ; Subsidiary Pefmit No. 0 ' c-F INSTRUCTIONS - The following steps must be taken to obtain a pern.4 from the Miami Shores Village: • • •• • • Complete the attached permit application which must be signed by the property owner %nd qi ali iei .Roth signatures must be notarized. Please print or type to allow for a more accurate processing of your application. 2Prooting work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION City 33 State Zip Folio Number XDescription of Work ` r IOV c e ( / €C' at r - e c) A ersr6JA <)P4;C1 e ,1efer- Zoning Linear Feet Square Feet Units Floors Value of Work (mom Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax %t' "�" .4;vi�1 � i ^ :�;(1�z' s i•.. {r�. aY1,� } /i "�'u, i . G1 Ai a '!I • . ••• • • • • •• . . . . • • • . . • .. • . • • • • • • • • • • • • • • • • • • • . . . • • • • ••• • .. • • • • • • • .. • • • • • • • • • • • • • • • • • • • • • • • • • • .. • • • • .. • • • • • • •• • . • • • • EFFECTIVE DATE EXPIRATION . DATE EXEMPTED INDIVIDUAL NAME S.S. BUSINESS NAME FEIN BUSINESS ADDRESS STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY DIVISION OF WORMS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF EXEMPTION FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE DATE 02/09/2002 EXPIRATION DATE 02/09/2004 EXEMPTED PERSON LAST NAME HEERMANCE FIRST NIWE PAUL SOCIAL SECURITY NUMBER 591 -26 -58 BUSINESS NAME POWER INSTALLATION INC FEDERAL IDENTIF CATION NUMBER 592529655 BUSINESS ADDRESS 345 N. 11TH ST. STATE OF FLOR • • • • • • • • .. • • • .. .. • DEPARTMENT OF LABOR AND 1ZMbif - jbt0lAri31( DIVISION OF WORKERS' CdMPI1S�4 • ∎ • CONSTRUCTION INDUSTRY CERTIFICA9S OF EXEMPTION • • • FROM FLORIDA WORKERS' COMPENIATIO1 CAIN. ; ; •; Compensation Law. 592529655 02/09/2002 02/09/2004 HEERMANCE 591 - 26 - 5842 POWER INSTALLATION INC 345 N. 11TH ST. FLAGLER BEACH CUT HERE • • ..•. . .• • • • • This certifies that the individual listed below has elected to be exempt from Florida Workers' .. . . • •. •.• •• PAUL • • Carry bottom portion on the job, keep upper portion for your records. • • FL 32136 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE 01 -22 -2002 NOTE Pursuant to Chapter 440.10(IL,00,2 F.S., a sole proprietor, partner, or an officer of a whocorporation elects exemption from Florida Workers' Compensation Law may not remover benefits or NOTE Pursuant to dupter 440. 1011),(e2, F.S.. a sole proprietor, partner, or officer of a corporation who elects exemption from the Florida Workers Compensation Law may not recover benefits or won under Chapter 440. LICFNSI: N0 30- 1415280 CC NO: BUSINESS NAME ! LOCATION POWER INSTALLATION INC DOING BUS IN DADE CO OWNER :POWER INSTALLATION INC NOT VALID IN AVENTURA, iLECTRICAL CONTRACTOR HIALEAH, KEY BISCAYNE, PINECREST i SUNNY ISLES Llctiost,B mu-:! f(?gisto, y ! U* tilt whote:r• POWER INSTALLATION INC be dune. RAY B CARTER 345 N 11 ST FLAGLER BEACH FL 32136 ,,, ww w wxEr k : mot. C°" 16)19/2002 00210000012 000200.00 141528-0 ausihir SS Nun (LOCATN)N POWER INSTALLATION INC DOING BUS IN DADE CO OWNER POWER INSTALLATION INC Sr c. t rlx! of 8uflin... 196 ELECTRICAL CONTRACTOR ^ d$ , S AN •••'ba M!•l :AA O!x.f. 00EG At!; A£PM.T 'ME t::ENISEk *• • f ASTLi� PE(a ATtTP.'f :?II 1H' :AV" a 'ROM PO (, TifA ICI GS( t'FnM•1 Hr g1h•E,1 ev IA*. ,HAT is •: =ff • ,'E•:BEC•'+'w •1r * uct.E-sE Taw 000016274 DO NOT FORWARD DO NOT FORWARD POWER INSTALLATION INC RAY B CARTER 345 N 11 ST rE Mni ref lerecu r, 7017r WORKERS 3 • • • • • • • • • • • • • • • • • . • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • .• • • • • ... ... •.• • ... • • . • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • • ..• .. • • • • • • . • • .. • • • • • . •• flRST•CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 IS HEREBY LICENSE[? )0 0 BUSINESS AS A CONTHAC r:;R AS SPE-CIF•1ED HEREON MIAMI -DARE COUNTY 3002 OCCUPATIONAL. 4J ( • FIRST -CLASS TAX COLLECTOR MAW -OAF* COUNTY - STATE OF 140 W. FLAMER ST. EXPIRES SEPT. 30. 2003 '` r s U.S. PO ' ' •x� >��a' PAID 1401 FLOOR MUST OE 003PLAYED AT PLACE OF ` �� r "; �s' MIAMI. FL M1AYi, FL 33130' PURSUANT TO COWRY COOS CRAPTER AA' -7Nxt. _ 1rf N° PERMIT NO. 231 RENEWAL m S 8 141528-0 000016274 C C NY 0567350 STATE OF FLORIDA DZPARTXINT OF BUSINESS AND PROFESSIONAL RELATION ELECTRICAL CONTRACTORS LICENSING BOARf1:. 4'850) :487 -1395 • 1940 NORTE NONROE STREET • • TALLAHASSEE FL 32399 -0763 • • • • • • • • CARTER RAY B POWER iNSTALLATION INC 345 N. 11TE STREET FLAMER B!J►H FL 32136 STATE OF FLORIDA Mk= DEPARTMENT OF CONTRACTORS BUSINESS AND BOARD 8EOL0301010135 [p9 /A3 /1QD,1 7O121S17 1112000064 "'y.� The ELECTRICAL COATRACTOR _ Named below RAS REGISTERED Under the provisions of Expiration date: AUG 31, (INDIVIDUAL NWT NIET ALL . Rf1QIIIRDIVITB PRIOR TO cum RAY B Pitt USTW T_ INC 6111 11..W. 136' AMR FORT BADE FL 33330 • • • .. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •.• • • • • • • • • • • • • • • • • ... • • • • •.. •..• • • • • .. ..• .. • • • • .. • • • • • ••••. Rem apppd im AC/056735 AR1lm or B08IN888 1RD f ' PRQrr862GMRL RieaLaYIOw 11110009696, 09/03/02 REG CARTEL LOCATE TO Coirr . _ _ sae :1a20 the s...t.s...a 0.40 .,pirsti..a.t.a MPG 31, 2004 MO IIsaasszr • . • ••• • ••• •• .. • • • 1• • •• • DA�I � CERTIFICATE OF LIABILITY INSUI ANICF • ; 1 02/20/03 She Zahn Galt Insurance Agency CceporatIam 2511 RR 22nd Ave Suite 100 Pt, Lauderdale VII 35308 Picee:154 -561 -7070 7ax:954 -561 -7090 COVERAGES. c»*ERCULwan&wetm S CP41640146 OEM AGGREGATE WIT APPLIES PER 7 Pcuc I (JEC1 I I GARAGE UMW/ AaaY FUTO CLAAIB RADE F3 OCQR aCONRIANIIELLA LIAELRY OCCUR E3 CLANS DEDUCTIBLE $ NolOPSIIRS COAEBaAATION A RO OIL.OYBIT LHSUIY ANY PROPRIETORIPAA'I1EWF)(ECUTNE OFFICERNIDAORP !AMMO? SPECIAL PROVISIONS ANON OESCROmcN OF MUTTON, I LOCARCINi /WIC& I EIIOLIMION$ ADDED BY eDORMAffir T 15PEdAI. PROVAt4Ns ELSCTRICAL 910AR - =TRIM BUU U1J6 - RAT 8. CAR2%R AS 0071LXT1R. CERTIFICATE HOLDER ACORD 2E 1 1081 AIWA. raw:RC••• • • • CANCELLATION • • TIM C5RTIFECAt1 A NNIVID A 11Affe OF MFCRIAATION ONLY AND CONFERS NO MONTS UPON TER CERTIICA111 • • HOLDER. TIM CERTIFICATE DOES NOT AMID, EC= OR ALTER TIIEIOdVERAS! A/IIORDED BM TNIPPOUCiN BELOW. EIiNRERSARbRam4610 E i i • NWRERA ;MILANO CASUAL?! MUM B •• •• • •• INSURER D • • • • • • INELDEAE • • • • • • •• •• 11E POLICES CF NBLRANCE USED BELOW IO NE SEEMS ISSI S 1O 'DE NEMO AIMED ABOVE FOR THE POLICY PERIOD INDICATE). NOTMRISTMO SKY RBGJRBee . TERM CRCONDMCNOFMFY CONTRACT CRCI DOCLAENT WIEN RIXPECT701MiCN MIS CERTIFICATE I *YBErasterOR ' MAY PERTANI THE !SURFACE AFFORDED BY RE POLJCE• DESCRIBED MEN IS SUBJECT TO ALL RE /BRAT, E11GLUB10NS AND CONDITIONS CF S1OI .. Pct'c 3. ftQGREOATE LAPS ROAR AMY HAVE BEEN REDUCED BY PAID C LAMS. • GENW *L LABIUM ' 12/14/02 12/14/03 r PR'i,PF5Frf f . • • • BURY !WRY IPMRadial • • CCAIBIIRD SNOW LSRT. GODLY imuit NALC URNS VCR OCORRBS;E . S • 1', 000 , Boo 1.Y•NrffC 1v1O11W . weigafl=s IEs=1..] $ 900 000 . %ROMP (Am on•ono) -�:I 110,000 PB�Bb►tAL &ACV IRANI -t 1, 000 000 * 2,000,000 PRx.1JCfS•COkENOPADO I t 2,000,000 s $ !L. NeJlIe,E.A Swum i:' ?: •.,, OACORDCORPORATION 1038 CZS! CE' M= mous 10050 1.11. 2IlI) AVIN= 1aAla SIE0111 PI 33130 SHOULD ANYCP1IEi ARCM DEi1CiaBR/ POLIOER CANCELLEDBEFORE'DO YEARATON DAM nEPmOP,1$11ISS EItaEaibRVALBOWNCRTOMI. 10 DM1YSMwn■I NO GE70TIE? Cii1iEIATiROIOERAYNEDT071 ELErf,OIRPALUiTODOSOSHALL WON RDCSAATONOR UPON TIM M1 I%113 Pan OR RIPRIMTATRIBI '7774w-- The Sunshine State -�- LICENSE NUMBER 1550473 -67 -346-0 DANA MICHAEL INMAN 759 NE 75TH ST MIAMI, R. 881884275 EIRTIO'7E Sot HOT. REST. 06-2647 M 6-11 Immo 01 -01-02 EXPIRES 08 -2808 ENDORSE. OUPUCAlE 0040.00 310019 cement to •ny • brhty tort required by law Opeletfon ate motor vefl�cM oon•tluA�e • • • • • •• • •••••• • •••••• •••• • • •••• •••••• • • •• •• • • •• • • • • • • • • • •••••• • • • • • •••••• •• • • • • • • • • • • • • • • • •• •••• • • ••••• •••••• Permit No Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith d ibmitted for the building of 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 plane and specifications must be kept at building during progress of work. Owner's Name and Address 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 Floors) r4 New Building Remodeling Addition /l Repairs No. of Stories Dock (Signed) No Street No.. i (Signed) Date. a Street 1.! 1 ` ( Subdivision Street Se rv i ce Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L .Metal Moulding r1 ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid ermanent 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 .erformed under this permit, as are licensed by Miami Shores Village. Muter Electrician. STATE OF FLORIDA, i COUNTY OF DADE. I ss. 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 neceuary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REIRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER NEATER W. HEAT. CONN. SPACE H STRIP H TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -S HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith d ibmitted for the building of 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 plane and specifications must be kept at building during progress of work. Owner's Name and Address 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 Floors) r4 New Building Remodeling Addition /l Repairs No. of Stories Dock (Signed) No Street No.. i (Signed) Date. a Street 1.! 1 ` ( Subdivision Street Se rv i ce Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L .Metal Moulding r1 ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid ermanent 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 .erformed under this permit, as are licensed by Miami Shores Village. Muter Electrician. STATE OF FLORIDA, i COUNTY OF DADE. I ss. 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 neceuary by improper notice for inspection, or faulty materials and /or workmanship. Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT / ® 1 c3 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. �f Owner's Name and Address... ©10 / _ .. No. .. /, / o Registered Architect and /or Engineer Employing Electrician's Name _. h...1/ 4 ~2 No... (c. 6 Street.4 )v / 1 i f 1 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No / /LO Street... io 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 Am s Main Fuses Am s Underground p P Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) STATE OF FLORIDA, l COUNTY OF DADE. I ss. (Signed) Date .,>.:. Street 7 / 7 .. *9qe �� ��etrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli' .dons as an employer of labor under the Florida I's Compensation Act, being Section 5966, Compiled General Laws of Florida P manent 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. V. M. er 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 REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. H EAT. CONN. SPACE HEALER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.I HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST /_ .f /1 6. I CHECK Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT / ® 1 c3 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. �f Owner's Name and Address... ©10 / _ .. No. .. /, / o Registered Architect and /or Engineer Employing Electrician's Name _. h...1/ 4 ~2 No... (c. 6 Street.4 )v / 1 i f 1 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No / /LO Street... io 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 Am s Main Fuses Am s Underground p P Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) STATE OF FLORIDA, l COUNTY OF DADE. I ss. (Signed) Date .,>.:. Street 7 / 7 .. *9qe �� ��etrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli' .dons as an employer of labor under the Florida I's Compensation Act, being Section 5966, Compiled General Laws of Florida P manent 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. V. M. er 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. Registered Architect and /or Engineer Employing Electrician's Name. .4 e E6 New Building Remodeling Addition STATE OF FLORIDA, } COUNTY OF DADE. 55. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 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. /� ,�/ Ownei s Name and Address. J9/ [ ,�/ 6e !! W No..6.6uQ .l'4. Location and Legal Description Lot / /., // Block y Street and Number where work is to be performed —No .Lfr State work to be performed and purpose of building (By Floors) 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 Amount of Permit $ (Signed) ! Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his pbligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo 'da Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub. tractors 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) Date.. //. . /. No. . A Street..... Z Subdivision Street ?/ 19r Street Z,5T? T ter Ele naan. 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 R ECE'P'7'S FIXTURES N O. LAMPS REFRIG. OUTLET IRON O UTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. ACE HATER STRIP H EATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP M OTORS 1.3 HP N EON TRANS. RADIO TOTAL CONTR. 3-/4(7 y _ S CHECK Registered Architect and /or Engineer Employing Electrician's Name. .4 e E6 New Building Remodeling Addition STATE OF FLORIDA, } COUNTY OF DADE. 55. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 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. /� ,�/ Ownei s Name and Address. J9/ [ ,�/ 6e !! W No..6.6uQ .l'4. Location and Legal Description Lot / /., // Block y Street and Number where work is to be performed —No .Lfr State work to be performed and purpose of building (By Floors) 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 Amount of Permit $ (Signed) ! Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his pbligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo 'da Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub. tractors 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) Date.. //. . /. No. . A Street..... Z Subdivision Street ?/ 19r Street Z,5T? T ter Ele naan. 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 l=1 MIAMI SHORES VILLAGE, FLORIDA Date ' — 191e ELECTRICAL at PLUMBING ❑ PERMIT N? 10193 Contractor's v7 larz, ROOFING 111 License No ❑ Work to be performed under this Permit Owner of Building R•C% Y Architect Contractor or Builder V Z C / t Legal Lot Description Address of Building (ow 1 . L c Tr�t I I II BI Subdi- vision Sq Ft Value of Project 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 th lans or wings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or?employeey Si • f�i/' - (� • 1 SPECTOR) BY In consideration of the issuance to me of this permit I agree to rform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, s t ents or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done b ther, myself, my agent, servant or employee. CONTRACTOR or BUILDER � - Z e{ • II Amount of " �� 11 Permit $ BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA ❑ DATE E PERMIT N9 4150 Owner of fi Building '" "' , Architect Contractor or Builder >- r x Legal Lot Description Bl CONTRACTOR OR BUILDER Work to be performed under this Permit_ Contractors License No. Subdi- vision Address of r , Value of 1 Amount of Building ' r 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. Signed . INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in coma lance 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 ac cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT s 1 �( rt' ; «`c . tiw�1Jt� ti //r �.4.' � ?'� "�p 1:'' A•`i ..'�.L..ti1 • - • • ••• • • • • • .. • • • .. .. • • .• • • • • • • • • • • • • • • • • • • • • ... • • • • .. • .. • • • .. ... .. • • • • • • .. • • • • • ... • • „u; q ,t .. ,p d t i r ,•� rat .cw. •r ", r _ 4 41' .:ir'a4ty o-f_t2f. r .. *• �. - r. " r • • �irr "si• >y , ... • .. . • ... • • • • • • • .. • • • • • • • • • • • • • • • • • • • • • • • • • • • This certifies that the individual listed Compensation Law. EFFECTIVE DATE EXPIRATION .DATE EXEMPTED INDIVIDUAL NAME S.S. BUSINESS NAME FEIN BUSINESS ADDRESS STATE OF FLORIDA DEPARTMENT OF LABOR AND BAPLOYMENt SECURITY DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF EXEMPTION FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE DATE 02/09/2002 EXPIRATION DATE 02/09/2004 EXEMPTED PERSON LAST NAME HEERMANCE FIRST NAT* PAUL SOCIAL. SECURITY NUMBER 591 -26 -5842 emus raw POWER INSTALLATION INC FEDERAL EOENTIFICATION NUMBER 592529655 BUstlESS ADDRESS 345 N. 11TH ST, FLAGLER BEACH STATE OF FLOR •• . • • • • •• . • .. • DEPARTMENT OF LABOR AND 1)Mi'fi1T;S'tt t* DIVISION OF WORKERS' C aft • • •■• CONSTRUCTION INDUSTRY CE TIFICATS OF E XEMPTIOK ••• FROM FLORIDA WORKERS' COMPEi<44A41 FAIN• U •. . . ... . . • • • 02/09/2002 02/09/2004 HEERNANCE 591 -26 -5842 POWER INSTALLATION INC 592529655 345 N. 11TH ST. FLAGLER BEACH below has elected to be exempt from Florida Workers' .• • • • •• ••• •. NOTE Pursuant to Chapter 440.10N).(g),2 F.S., a sole proprietor, partner, or an officer of a corporation who elects exemption from the Florida Workers' Compensation Law may not recover benefits or compensation under Chapter 440. PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE FL 32136 F 0 L D H E E CUT HERE • • .. • • • • • ••. .. PAUL • • • Carey bottom portion on the job, keep upper portion for your records. • • • FL 32136 01 -22 -2002 • NOTE Pursunt to chapter 440.10(1),i0,Z F.S., a sole proprietor, partner, or officer of a corporation who elects exemption from the Florida Workers' Compensation Law may not recover benefits or compensation under Chapter 440. 1111.. ".�'•.. uCENSIENO 30 1415280 CC NO: BUSINESS NAME .' LOCATION POWER INSTALLATION INC DOING BUS IN DADE CO OWNER :POWER INSTALLATION INC NOT VALID IN: AVENTURA, iLECTRICAL CONTRACTOR 3 HIALEAH, KEY BISCAYNE, PINECR£ST $ SUNNY ISLES Lkie miN! !egism, Y.! SIX'. Ci!y *Noe svpsrx be a(x,.• 0/2002 00210000012 000200.00 MIAM I OADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 14th FLOOR MIAMI. FL 33130 141528-0 t1tiSif£ NAME 1 LOCATION POWER INSTALLATION INC DOING BUS IN DADE CO OWNER POWER INSTALLATION INC Src. t ?Pa Of Business 196 ELECTRICAL CONTRACTOR :AZ an... c C 4 S Mr KAYO •NE 4 4:E4i4E0. Y 1 6!.• (A:SrI}( PE(u,:AT,)P% :41 :'JNI!4! JK'$ (1+' T• t f,(Nurf M? cmE •4'L ^O!S Y.ki(IPT ' /!f 1J3 NSlE M ON 09. Clive A[!CI VIS( 444; 1•r4i4M1 N(QIriA!'J ev LAtl. HIS t$ . ::R A 44W 2002 OtXXIPATIONAL lICEIlsti MIAMI -0440E COUNTY • STATE OF .FL EXPIRES SEPT. 30. 2003' . ' . ?4 MUST bE DISPLAYED AT PLACE OF PURSUANT TO COMITY CODE CHAPTER SA 000016274 DO NOT FORWARD POWER INSTALLATION INC RAY B CARTER 345 N 11 ST FLAGLER BEACH FL 32136 DO NOT FORWARD POWER INSTALLATION INC RAY 0 CARTER 345 N 11 ST r. Anl rn nr AnV Co 7517L • • • • • • .. .. • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • 0 00 • • • • ... 000 • ..0 • 0110 • • • • 11. • • 11. • •• • • • • • • • • • • • • • • • • • .. 11. • • • .. • • • 00 000 00 • • . • • • • • 00 • • • • • 000 00 !� HEREBY LICENSED 10 0, B(}S(AI£-Sy AS A CONTHAC r(OH AS SPF.rrF rE D E RF, ON RENEWAL Licv•SE NO. 141528-0 C C • 000016274 WORKERS 3 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 ' FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 CARTER RAY 3 POWER INSTALLATION INC 345 N. 11TR STREET FLAOLER BRACE FL 32136 STATE OF FLORIDA [04/a2/16621c741/1c27 I n�flflQ6*t" . .. The ELSLTRICAL CONTRACTOR Named below RAS REGISTERED -- Under the provisions of Expiration date: AUG 31, (INDIVIDUAL MOST MET ALL muumuu PRIOR TO CARTIR RAY POWER kNSTALLATION INC 6112 SAW. 136' AVM FMT LAUDMRDALE FL 33330 DZPARTMINT OF BUSINI $S AND PROFESSIOiNAI. RBOULATION ELECTRICAL CONTRACTORS LICENSING aoizb 1940 NORTH MONROE STREET • • TALLAAASSER FL 32399 -0783 ••• • • • • • • • •• • .. .. • • • • •• •• • • • • • • • • • • • • • • • • • • • • • • • • . . . • • • .. • •• •. • • • • • • • • •. • • • • • • • • :" •C850): 487 -1.395 • • • • • • • .. • •.•• .•.. • • • • • • •.• EXIT n.0 A A0005b735 mum OF auf8I R f PROMMOIVAL UoLi1TICR , 110009686,. 09/03102 REG LOCAL n I0it T D ccvraACr'ilq . . Ate) 1118 RISziTSmw..4.r the piwtd..r.i 0.4f1 tepfr tiad.ge AX 31, 2004 1•01/4113M 31113! Ate 0567350 STATE OF FLORIDA mot DEPARTMENT O I� B CONTRACTORS � BOARD REGULATION �L020103013s •• •• • • DATB (fBIR1 ffan PRODUCE John Galt Insurance 35511 ME 22nd Suite 100 E't, Lauderdale EL 38908 Mae: 954-561-7070 Fax :95�4 -563. -7090 HERM COVERAGES OTTER RE POuCE9 CK,&RMI E USED BELOW PAYE End ISREDTO THE HOMED IYAID ABOVE FOR THE POUCY PEA100 MGM. . NoIWTIN3TANDIND ANY R.11EMI CR COMMON OF ANY CONTRACT OR OTEER rooter ram RERECTTO WMCN 1HS CERTIFICATE MMY SE r D OR MNY PERTAN, THE IFSURAME AFFORDED BY THE POLICIES DESK HE SEIN IC REJECT ID ALL THE TORE. Et UjeIONS MO COrOITIONS CF SUCH POL LO MI S. AGGREGATE T' SWIM AMY MINE DEER REDUCED BY PAID WAG WAG . Iflltt LTR T M OP pIUUIICi _ POLICY M UNN A, cw+ERCIKGENERAL LaBLm„ SCP41640146 CLAIMSINIDE OCOIR • OEPA.ROSREOATE UASTAPPLES PER: -�n fLOC O LM ARAGE weir( ANY AUTO fY UR l7OCiMIJAIEIMLA OCC a CLMIB WOE DEIXCTELE R1 MON $ W WORKERS COMPiATION AFC MY PROPRIETORPARTNEREYEQJTP1E � �FIIM ERCWC D? SPECIA . . L PROVISIONS Won on . CERTIFICATE I� ACORD 23 (20011013 • • - CE 1 02/20/03 TIM C'ERTIRCAff 1Isl"EfED A$ATYktI OF INFONIRTI0N ONLY AND CONFERS N0 RIONTS UPON THE CERTIFICATE MOLDER. TIES CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER TMErOCNEiA$ A/PORDED 61.TRIIPOuCIES MLOW NNrIRERSMFRRDN • • • : WW1 A NUMB= CASUBL E COWAN! MUER e re.RE"iC•• • • INSURER D • MUEP ► ' reCl I ► Y WA r 12/14/02 12/14/03 OESCfO11KN OF OPERATION, I LOCATIONS I MSC M r EXCLUSIONS ADDED BYENDOR,13ENT I SPERM. PROVACOr6 CANCELLATION • ••• • • • ••• • • • • • • • • • • • • • • • • ••• •• ELICTRIGL 110M - MIT1iteT BUILDINGS - RAZ 8. GRIM AS QQ71LYt1A. • •• •• • • • • • • • 11 • UMW. •t�l.vtf,W.a- 'V77 :'1 r : , Ni't7 .1 Clr..l EAai mamma • • 11, 000 , 000 . Mt111R1C IvJ , I L/ - PReMaSESIEs in lal 1 300 000 tansy (Ant aso•+Mn) :i •10,000. MEOW L4DYSUURY 41,000,000 weak AtiOREGATE 12,000,000 PRODUCTS •COMPICPABG : '12 000,000 COMPINE0 SINGLE LMT (CORY fU WV.'r GODLY FUMY . ri r cnx >' :ef, r �irr tr 1a C'GCL1?4Etzt •• • EL EACH AC CC[NT E1.. DREAM ,EA Details f:'=- DISEASE- POLICY LIMIT NAIC • • O ACORDCORPORATION 1088 can or 1Q31Q MERE 10050 Cll. 211) AVMS 1QIII[I 350928 PL 33136 1®11[81[ SHOU D 1WY a1iEARCMI Di1Rlev POLICBEfICANCBIIB DB1fPORi71iEIIilialOo nesnaREOE ,1}eesteIOBMesaateu.ecawDRTDeIE 10 010 worm NORIaR7DT1SainIFICOS NOM NAMED TOME Llr ,IRRIssI DO So,Iwi UPON 1gGRLIRST DN ORL1AilllYOPANNNBO UPON1Fe Ila MINIS OR RilPIwwIR4T1Y� y W W co Z � F .` t The Sunshine State UCB4SE NUMBER 1550473 -67 -346-0 DANA MICHAEL INMAN 759 NE 76TH ST MIAMI, FL 33139.5275 BIRTH DATE Sac HOT. REST. ENDORSE. 09-0647 M 5-11 tSSUED ao'IRES OUPLMATE 01 -31-02 09-25-09 00-00.00 MOM Operation of • motor vNdcte constitutes consent to any sobriety test required by law. 000 • Permit No New Building Remodeling Addition Service Overhead Amount of Permit S STATE OP FLORIDA, COUNTY OP DADS ) es. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith b ibmitted` for the building of 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 ... - / . ' No Street `i‘4 Registered Architect and /or Engineer Employing Electriciad's Name Location and Legal Description Lot P / Street and Number where work is to be performed —No £. / .t� ® -.. R! l(, Street State work to be performed and purpose of building (By Floors) /4/S Dock -No �v Repairs No. of Stories Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation -- Conduit Tubing B.X.L .Metal Moulding _ (Signed) Date. Street / 5 ? 9:° Subdivision ectricu1 Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oyogations u an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid ermanent 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 subcontractors, on work to be .erformed under this permit, as are licensed by Miami Shores Village. 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. DIET. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK . Permit No New Building Remodeling Addition Service Overhead Amount of Permit S STATE OP FLORIDA, COUNTY OP DADS ) es. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith b ibmitted` for the building of 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 ... - / . ' No Street `i‘4 Registered Architect and /or Engineer Employing Electriciad's Name Location and Legal Description Lot P / Street and Number where work is to be performed —No £. / .t� ® -.. R! l(, Street State work to be performed and purpose of building (By Floors) /4/S Dock -No �v Repairs No. of Stories Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation -- Conduit Tubing B.X.L .Metal Moulding _ (Signed) Date. Street / 5 ? 9:° Subdivision ectricu1 Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oyogations u an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid ermanent 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 subcontractors, on work to be .erformed under this permit, as are licensed by Miami Shores Village. 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. Permit No STATE OF FLORIDA, j COUNTY OF DADE. I j Ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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. �f / Owner's Name and Address...8O, j �S1 / No. ,/,/ c Registered Architect and/or Engineer / Employing Electrician's Name 2, ". .....f' "`s 4 No... ‘ 6 Street.4 )/ ? $ , 1 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No lsC 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 --- Amount of Permit $ " (Signed) ctricdl Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli .dons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P manent 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 performed under this permit, as are licensed by Miami Shores Village. (Signed) Street .. lf Af !./76;9�Q Street _._ /.., ?'AT.--�,�-.. M. ' "er 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. H EAT. CONN. SPACE HEA tER STRIP HEATER TOTA CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP MOTORS N EON 1•5 HP TRANS. TR/AAN RADIO TOTAL CONTR. LIST !!!^''��� �� �J CHECK 1 Permit No STATE OF FLORIDA, j COUNTY OF DADE. I j Ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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. �f / Owner's Name and Address...8O, j �S1 / No. ,/,/ c Registered Architect and/or Engineer / Employing Electrician's Name 2, ". .....f' "`s 4 No... ‘ 6 Street.4 )/ ? $ , 1 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No lsC 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 --- Amount of Permit $ " (Signed) ctricdl Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli .dons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P manent 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 performed under this permit, as are licensed by Miami Shores Village. (Signed) Street .. lf Af !./76;9�Q Street _._ /.., ?'AT.--�,�-.. M. ' "er 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. ze j Permit No Service Overhead Size Feeders Underground Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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. n ,�/ Owner . s Name and Address Registered Architect and /or Engineer Employing Electrician's Name ..."4 .... .I�� 4 . .0 v Location and Legal Description Lot / Block Street and Number where work is to be performed —No //f 6 h State work to be performed and purpose of building (By Floors) New Building Remodeling Addition No.. 6.6p.Q 4/ iii! (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 licensed by Miami Shores Village. (Signed) Date. ..: ; ,1 — 6 No. /j.6i A.4. Street.....1..! Z4 Street/ 771 Subdivision Street 7 4 T Repairs No. of Stories Conduit Main Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding Electrical Inspector. ccepts his ligations as an employer of of Flo 'a ' Permanent Supplement, and sub- retractors employed by him in the of the work such public notice or notices be performed under this permit, as are ter Ele naan. STATE OF FLORIDA, } COUNTY OF DADE. ss. 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 REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST _ z -� CHECK ze j Permit No Service Overhead Size Feeders Underground Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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. n ,�/ Owner . s Name and Address Registered Architect and /or Engineer Employing Electrician's Name ..."4 .... .I�� 4 . .0 v Location and Legal Description Lot / Block Street and Number where work is to be performed —No //f 6 h State work to be performed and purpose of building (By Floors) New Building Remodeling Addition No.. 6.6p.Q 4/ iii! (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 licensed by Miami Shores Village. (Signed) Date. ..: ; ,1 — 6 No. /j.6i A.4. Street.....1..! Z4 Street/ 771 Subdivision Street 7 4 T Repairs No. of Stories Conduit Main Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding Electrical Inspector. ccepts his ligations as an employer of of Flo 'a ' Permanent Supplement, and sub- retractors employed by him in the of the work such public notice or notices be performed under this permit, as are ter Ele naan. STATE OF FLORIDA, } COUNTY OF DADE. ss. 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.