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1230 NE 91 Terr (4)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address / 3 /V l 1 J tgitax Folio Legal Description �J Historically Designated: Yes No Owner/Lessee /Tenant v1 2 / G,�i M aster Permit # � 9 V) ¥ 9ss�� Phone Owner's Address / 0 . L'- • 9 I 7`_ /• Contracting Co. fi 7 -Z 6-=- C - 7 --,. 1 i C rftc - Address 6 C (D P //, , j 3c' / Qualifier 'S r0' it/( E - C 2 — SS# Phone 3UJr 6 / 2)1 State # G 0 00 6 6 Municipal # Competency # Ins. Co. P.M& , - D- r e Y Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION kvc I re Square Ft. ‘F-1C 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 one in compliance with all appl cat e laws regulating constction and zoning. I� thermore, I authorize the above -named contractor to do th (.. l ,z-e.-4A-- 7/� / ®/ � Signature of owner and/or President Date Si aturr � for or Owner- Builder gna � o Condo Presr en gn � �a APPROVED: Zoning Mechanical Notary as to Owner and/or Condo President My Commission Expires: 1/ RITA K. POLLARD I.: ,a‘ , .� MY COMMISSION # DD 030203 W,. ",- •.— a/ EXPIRES: May 30, 2005 ' Bonded Thru Notary Public Underwriters FEES: PERMIT i/ �° kf RADON .&. !/' / Date Building Electrical Estimated Cost (value) .a 9,7,0/ Notary as to Contrac or Owler- tL •AON ,i d My Commission Expires: S3HIdX3 SbLaL NOIS AP o . > 31 ° a D ElasvnN Nassir Woo 83aNVN8 sun U '�g ,0 ,VAS ANVlON 1VYJWO ' , d A C.C.F. I . ,, f NOTARY (. BOND TOTAL DUE Date e Plumbing Structural Engineer ITEM BATH TE UNIT FEE ITEM SWITCH OUTLETS UNIT Co FEE 7 ITEM SPACE HEATERS UNIT FEE B IOET LIGHT CUTLETS /7 ,2,RE,cCENTRAL HEATING DISHWASHER RECEPTACLES / AV A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN A PS DUCT WORK FLOOR DRAIN SERVICE REPAIR/IETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS '/ OCESS AND PRESS PIPING INTERCEPTOR RANGE TOP i UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTCRS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWI)f,IING POOL CUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER ' FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION CUTLETS ORAINFIELO, 4' TILE/RES. PUMP VIOLATION 3 ABANDON SEPTIC TANK SOAKAGE REINSPECTION PIT CU. FT. CATCH BASIN D I SC`{ARGE WELL DOMESTIC WELL AREA GRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE 'COL PIPING LAWN SPRINKLER SYSTEM 3AS RANGE ZTER SET (GAS) 3AS PIPING (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No N ®� C D ate. .. t �°' G 77 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiucida, 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 MIAMI SHORES VILLAGE No Street./ Owner's Name and Address Registered Architect and /or Engineeerr 14V , Employing ElectriciaA's Name Q' 6 �� "�� / No Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ✓. Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Street i, Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Ins ation— Conduit Tubing B.X.L Metal Moulding di4; mp ,. 4-? 'ity P-°,-54 e' Amount of Permit $ 1 (Signed)..F!" LUG - *tt Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 3966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for ins ection 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- ntracto , on • ork to be performed under this permit, as are licensed by Miami Shores Village. f - �? 7 Master Electrician. STATE OP FLORIDA, D COUNTY OP 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H STRIP H TOTAL CONTR. LIST y� / ' o( F CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No N ®� C D ate. .. t �°' G 77 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiucida, 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 MIAMI SHORES VILLAGE No Street./ Owner's Name and Address Registered Architect and /or Engineeerr 14V , Employing ElectriciaA's Name Q' 6 �� "�� / No Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ✓. Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Street i, Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Ins ation— Conduit Tubing B.X.L Metal Moulding di4; mp ,. 4-? 'ity P-°,-54 e' Amount of Permit $ 1 (Signed)..F!" LUG - *tt Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 3966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for ins ection 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- ntracto , on • ork to be performed under this permit, as are licensed by Miami Shores Village. f - �? 7 Master Electrician. STATE OP FLORIDA, D COUNTY OP 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 $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. c): - -- Owner's Name and Address. j9.� � -, ..../ Ce. .1..Q/ C- No /.c23 Li 0 Street i/• ,• 9 � . Registered Architect and /or Engineer....d .C../ "Z. ‘12-0..)/.0/e-/ STATE OF FLORIDA, 1 COUNTY OF DADE. I j Employing Electrician's Name No Z Jk"- .4r o T � Location and Legal Description Lot„�ca. /..d, . ✓..at4.,�Gr ..E4...Block Street and Number where work is to be performed—No...../..a2.,30 . State work to be performed and purpose of building (By Floors).._.0..oL.o1. .4.. New Building Remodeling Addition V 5$. Street Subdivision ...... atreet....0y....F A .t ..O ern, 2 — . Cce, Repairs No. of Stories .1 • Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground \� Type of Installation — Conduit A. Tubing ... B.X.L Metal Moulding Amount of Permit S . '� (Signed) El e cal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Si OWNEkr 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 $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE H ATER STRIP HEATER TOTAL CONTR. LIST l 0 pr ; ) .�. �;� y CHECK ( ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / I CHECK Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. c): - -- Owner's Name and Address. j9.� � -, ..../ Ce. .1..Q/ C- No /.c23 Li 0 Street i/• ,• 9 � . Registered Architect and /or Engineer....d .C../ "Z. ‘12-0..)/.0/e-/ STATE OF FLORIDA, 1 COUNTY OF DADE. I j Employing Electrician's Name No Z Jk"- .4r o T � Location and Legal Description Lot„�ca. /..d, . ✓..at4.,�Gr ..E4...Block Street and Number where work is to be performed—No...../..a2.,30 . State work to be performed and purpose of building (By Floors).._.0..oL.o1. .4.. New Building Remodeling Addition V 5$. Street Subdivision ...... atreet....0y....F A .t ..O ern, 2 — . Cce, Repairs No. of Stories .1 • Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground \� Type of Installation — Conduit A. Tubing ... B.X.L Metal Moulding Amount of Permit S . '� (Signed) El e cal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Si OWNEkr 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. MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE 192 PLUMBING ❑ P E R M I T N? 9 9 7 7 Contractor's License No. ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements oy-specifi tions and that he assumes responsibility for work done by his agents, servants or employees. Signed• Subdi- vision Sq. Ft Value of Project $ SPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for work done by either, myself, my agent, servant or employee. 1 CONTRACTOR OR BUILDER Amt. of BY AUTHORITY Work to be performed under this Permit . 01P Permit $ BY building during progress of work. Owner's Name and Address L MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date 15 Iff/ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, 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 Registered Architect and /or Engineer 1.7--7../...5' �` Em loyi g Electrician) ame .. /.. .ZE ." � 7 No Street... ~ f�`. "I.���4 -- -� # ,� II n/ Gtr . ` � 1;1;24 > f.° 6' � n � ' ' Location and Legal Dcscnph n Lot. Block Subdivision o Street and Number where work is to be performed —No /�'°3 0 A A ' ?f / 2 - State work to be performed and purpose of building (By Floors) New Building Remodeling Addition 51`3 Se 0e Und rground Size Feeders .✓ " Conduit Main Sw Amps .,c® Main Fuses Amps Type of Installation — Conduit.....) Tubing B.X.L Metal Moulding I/ STATE OF FLORIDA, 1 COUNTY OF DADE se. (Signed) fl Repairs No. of Stories / Amount of Permit S. ifi ®O (Signed) 1 7) , %lam Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspect' • on the site of the work such public not or notices as are required by the Act. The undersigned agrees to employ only such sub•contracto work to be performed -.'i4 permit, as are licensed by Miami Shores Village. - ^! Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE H STRIP H TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•S HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK 'I p y 1-1- building during progress of work. Owner's Name and Address L MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date 15 Iff/ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, 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 Registered Architect and /or Engineer 1.7--7../...5' �` Em loyi g Electrician) ame .. /.. .ZE ." � 7 No Street... ~ f�`. "I.���4 -- -� # ,� II n/ Gtr . ` � 1;1;24 > f.° 6' � n � ' ' Location and Legal Dcscnph n Lot. Block Subdivision o Street and Number where work is to be performed —No /�'°3 0 A A ' ?f / 2 - State work to be performed and purpose of building (By Floors) New Building Remodeling Addition 51`3 Se 0e Und rground Size Feeders .✓ " Conduit Main Sw Amps .,c® Main Fuses Amps Type of Installation — Conduit.....) Tubing B.X.L Metal Moulding I/ STATE OF FLORIDA, 1 COUNTY OF DADE se. (Signed) fl Repairs No. of Stories / Amount of Permit S. ifi ®O (Signed) 1 7) , %lam Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspect' • on the site of the work such public not or notices as are required by the Act. The undersigned agrees to employ only such sub•contracto work to be performed -.'i4 permit, as are licensed by Miami Shores Village. - ^! 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. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT s� APPLICATION FOR ELECTRICAL PERMIT Permit No. ..CZ / / f Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure hcrcin described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address -/ No / Street Pv' f q Registered Architect and /or Engineer • Employing, Electricia6's,,.Namcc,. . 5i ,.Q..`? ` •t'�G i ' c-- 4 s'.L�'' .. No q' od -`/ Street "II' o �/ fe ® oO' o2 q' y� , a , uon and tga teenpt n Lot ��� L (2 lock °l Subdivision 1y!?.e. � � ;� Street and Number where work is to be performed —No I .�.6 ..... Street de s i State work to be performed and purpose of building (By Floors) LA u :;A' �� 4 P ��'s� % 'i + ” �% ,,,,,,I. - .. New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit.. Main Sw Amps Main Fuses Amps Underground Type of Installation-- Conduit....11,` u e Tubing.. ... B.X.L.. .Metal Moulding Amount of Permit $ .... ".� STATE OF FLORIDA, COUNTY OP DADE. I °°' (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed).. . - .:�' Jw6 4.79 Date ' ; .gyp/ Master Electrician. Before me, the undersigned authonty, 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. t, SWITCH 0 LIGHT OUTLETS PLUG RECE•••T'0 FIXTURES NO LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP M TOTAL CONTR. LIST CHECK ENT. SW. GIST. CAS. SERVICE TEMP. SERVICE PERM. ;- �''��; y�, S .�,/,A; „ MOTORS 0.1 HP MOTORS 1.0 HP NEON TRANS. RADIO TOTAL CONTR. LIST �,1- �I ,/ .� 11 . , ' 9 c 1 CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT s� APPLICATION FOR ELECTRICAL PERMIT Permit No. ..CZ / / f Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure hcrcin described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address -/ No / Street Pv' f q Registered Architect and /or Engineer • Employing, Electricia6's,,.Namcc,. . 5i ,.Q..`? ` •t'�G i ' c-- 4 s'.L�'' .. No q' od -`/ Street "II' o �/ fe ® oO' o2 q' y� , a , uon and tga teenpt n Lot ��� L (2 lock °l Subdivision 1y!?.e. � � ;� Street and Number where work is to be performed —No I .�.6 ..... Street de s i State work to be performed and purpose of building (By Floors) LA u :;A' �� 4 P ��'s� % 'i + ” �% ,,,,,,I. - .. New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit.. Main Sw Amps Main Fuses Amps Underground Type of Installation-- Conduit....11,` u e Tubing.. ... B.X.L.. .Metal Moulding Amount of Permit $ .... ".� STATE OF FLORIDA, COUNTY OP DADE. I °°' (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed).. . - .:�' Jw6 4.79 Date ' ; .gyp/ Master Electrician. Before me, the undersigned authonty, 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. t, MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n l(� -1 6 1 Permit No. ! -- Name Address J2ao I' A Company Phone # I / ,'S. 453 For Inspector: i/ 2:7/0/ J Name : Date / Approved Correction Re- Insp'n Fee Date My Commission Expires: FEES: PERMIT PERMIT APPLLIICATION FOR MIAMI SHORES VILLAGE 6 Job Address / ®/ Y E 'q / relf • Tax Folio Legal Description / / j� Historically Designated: Yes No Owner/Lessee / Tenant / °!I' r "/ �f t ° l a m r / p� /f a' /;! l % Master Permit # ' 9 ' 41 3 Owner's Address (2X' C it lef/Q e ' Phone 6-4 7 9 l 0g5 <k ::3°) 4L3 5---- /'72YV0W/ Y/ ir Contracting Co. h QW1 ,PV Qualifier SS# State # Municipal # Competency # Address Address Architect/Engineer Bonding Company Address Mortgagor 5 " 2 r' �dds's Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION t er ' 'O 1 W V N 6 OF /I77Nfr tri k' fad /1- 4L/PIP p OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that ,all work will be d construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. APPROVED: _Zoning Building Mechanical Plumbing RADON C.C.F. ' NOTARY —® . ()/r; 72 d k// /b' M. t /2) P(3 ' / r-rir 1l . rd R6 -/yf '�i Square Ft. Estimated Cost (value) /2 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. a/64.4 Signature of owner and/or Condo President Date ' Signature of Contra or or Owner- Builder Notary as to Owner and/or Condo President Date No My Commis ion expires: `1\- b - ? o� ctor or Owner- Builder NANCY JONES MY COMMISSION # CC.876384 EXPIRES: November 6, 2003 , h Bonded Thru Notary Public UndNMVlt$r6 Structural Engineer in compliance with all applicable laws regulating Phone Ins. Co. 1 ec! PERMIT NO, ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' SECTION BY DATE ZONING ELECTRICAL MECHANICAL PLUMBING FIRE " PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL I. Sub!act to compliance with alt Federal. State. Co wtyXt1tage rules and regulations. Village assumes no responsibility for accuracy of /or results from these plans. 2. This copy of plans must be available ea buAding site or no tnspection will be conducted. ' JOB ADDRESS APPLICANT PHONE # APPLICATION # (9� SHEET OF MISCELLANEOUS • DATE 2 3®, e CRITIQUE SHEET COMMENTS INITIALS r - - / / ;i1 1!1 ' 1, / 2 A "‘ , 1- OJ -- 1N70:Z7- 1 ,AT T. ON 7 C017,711n: 12,0632 No. 93 of .J Elevation: H'00 2LVD Note Underground :2ncroachments and 1:ti if any, 'fence ewnersnip by ownersnio .71ot determined. 11 I I 4- This Tasterly of the Esterly 20 feet therec accordinc to the Plat t.lcof_ Plat 9, PaL3e 1/1 1.),7dfl CoLlnti, Cerified To: tioduff, i;orn - Aa . 11, P.A., Aftorney - ±nn=lnee and, inc., mael A. and 2-ilenele A. and 7layh t Associate-:, steces:r4ors .:11d/or assitIns. - / 4' e Q , 7ock 2. In tA0 cords of . - 11.1.1* 4 ,4,kfr f. 4 Z