Loading...
864 NE 91 Terr (2)Dat PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Legal Description# 9 j " / Owner / Lessee / Tenant p Y d 8 � J.E. cl! ht_ . Owner's Address Job Address Contracting Co. P1 / \-51'45e,E`S EIECteffkidress ( f - A 6d , /07 s < l l Qualifier ,(,Qf J 1 State( EC0000 i 73 Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION 772-6e • Square Ft. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of Owner and /or Condo President Date: Notary as to My Commission * * PERMIT FEE: Owner and /or Condo President Expires: * * APPROVED: 6 T6ex ompetency# q /TZ EKiS7%^/? S 12- Uf C E m (oE Jo A Uo C a /4., 11,l I tar as to o ntractor or Owner - Builder y Commission Expires: * * * * * * * * * * Fire Tax Folio /� ,3ii d ©.3 Master Permit # /A(Ai Phone 7 c ) 4 6 , Phone 7 5 5 3 O Ins. Co. Estimated Cost 1, NCO • CO Signature of Contra ,E or or Owner - Builder Date: Other Zoning Building Electrical/AP 137 Mechanical Plumbing Engineering 9A49/ BUILDING ELECTRICAL PLUMBING Work to be performed under this Permit 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 or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: A` By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions 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 pertgit I assume responsibility for all work done by either myself, my agent, servant or employee. MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3230 Subdi- vision Value of Project DATE 194_ Contractor's License No Amt. of Permit CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ❑ ELECTRICAL P1 PLUMBING ❑ ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT 'N ?. 13977 Work to be performed under this Permit Bl. Signed• Subdi- vision Value of Project $ Contractor's License No Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any 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 responsibility for work done by his agents, servants or employees. BY INSPECTOR In consideration of the issuance to me of this permit I agree to perfdrm the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servagt or employee. BY AUTHORITY 195 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT (( Permit No [ ...1..... Date Application is hereby made r 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. Owner's Name and Address Registered Architect and /or Engineer /— Employing Electrician's Name.....�'"'� �C Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No a V State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service UOrvidergrourtd Size Feeders / Conduit ....l 7- Main Sw Type of Installation — Conduit Amount of Permit $ STATE OF FLORIDA, , l COUNTY OF DADE. 1 8 8. MIAMI SHORES VILLAGE No Street No I- Z 1 Street / 7 1 e ° Amps 1 f17 Main Fuses l f � Amps Tubing L_ B.X.L Metal Moulding (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 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. (Signed) Z 7j. e e Street. ...J.1/ e-T 1 ......... 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST ! / / / / / I / Z CHECK 1I l li a ( , /'� 7C l I /c v 7-- ` 7J® ,../ [ ( / q ,�.1� [j !�� ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1.8 HP NEON TRANS. RADIO TOTAL CONTR. LIST ✓ I ,..- / 1 ....,.'' 6 yy y���� ` CHECK /AJ •, J /d la ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT (( Permit No [ ...1..... Date Application is hereby made r 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. Owner's Name and Address Registered Architect and /or Engineer /— Employing Electrician's Name.....�'"'� �C Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No a V State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service UOrvidergrourtd Size Feeders / Conduit ....l 7- Main Sw Type of Installation — Conduit Amount of Permit $ STATE OF FLORIDA, , l COUNTY OF DADE. 1 8 8. MIAMI SHORES VILLAGE No Street No I- Z 1 Street / 7 1 e ° Amps 1 f17 Main Fuses l f � Amps Tubing L_ B.X.L Metal Moulding (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 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. (Signed) Z 7j. e e Street. ...J.1/ e-T 1 ......... 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. 1 JOB: BUILDING ELECTRICAL PLUMBINB Inspector's Repo t:- f ^ The following is ready 4ipr inspection:- DUE BY: 44 ) REQUESTED —r BE PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date C (7 - 97 Job Address ''�6-- 1 /�! 9 / tery>l(Tax Folio 11 - 3 2 0 (' -005- 0 33 d - 602- Legal Description /Y �� 1 ( tic Historically Designated: Yes No L� Owner/L essecJ e v A l I S .620-0(6_ 3 Master Permit # /5 3 Owner's Address 4 6 (o L '/ ,e,& q / Teri Phone 95 LI s L/ - S/ a Contracting Co. E (e Jie l J A S Ie PS $ Address S 4 O O S c-ti ( c tz S I Qualifier 06 414 (c o POel r t b Li e 'Z Phone 2 C S -7756 State # 1 Municipal # ?]FD00Q(',3 Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDIN ELECTRICAL C_/ PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN eec 6ui Id c VT. p ra l e Fc' _ • � - , .,, i • P rtio rS e� Square Ft. Estimated Cost (value) ,t cS0 •S WORK DESCRIPTION 3 5 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regula • - on ctio - zoning. Furthermore, I authorize the above -named contractor to do the work stated. . ■411 ...iNLOk7 , ,F 7 tr—w/e-e n p atu a %owner and/• ondo 'resident D. to Signature of Contractor or Owner- Builder Date FEES: PERMIT ' " RADON 6 Vf7 K Notary as to Owner and/or Condo President Date otary as to Contractor or Owner - Builder Date My Commission Expires: = My Commission Expires: / C.C.F. NOTARY ' BOND TOTAL DUE APPROVED: Zoning Building Electrical ✓ -t' f� Mechanical Plumbing Engineering