ELECTRICAL PERMITDate ; /3 2- 1, cyv Job Address 3 41 We* 9 / s /"i - S Ho/L(5 Tax Folio 1 / - 3 2. 0 C _ Z 3 0
Legal Description 14:Y1 - 2 � Tat 1-4-sr 1 a F 4-07 8 Historically Designated: Yes No
13 1. !1 2 : 0 [, Po (2- i1. L 5-tJ 0 l C
Owner/Lessee / Tenant , To ca p- (mo
ru o S' co-e- Master Permit # (7 / J
& ) � 2,3
Owner's Address 3 4 ? ^/ C 9 / Ir S i 2E rr Phone 119 S - 73 7 - - 7 4- , ) de
(O i i'ir2t i4
Contracting Co. lave_ "1I ! is
Qualifier /t 1 f (4 LJ yn/ H
State # f' A - G' 5 6 Municipal # egfriaIlsr Competency # 0 6.49 5C,, 4 Ins. Co. At 2 r� Pa0 e a�
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION / N 5 A 4-1._ A,I`w A/c 5 PL /T Sy i 1- _ 7' nJ
Square Ft. ! 3 1 F/
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.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construct ph d zoning. Furthermore, I authorize the above -named contractor to do the work stated.
( -1
§fgnature of owner or Condo President to
I ii /h`
Notary as to Owner and/or Condo • 1dent , Date / Notary as to Contra�tpy,p et.- iulder
My Commission E 4 . 3 My Commission a�, 1. ; ''y ar In S c he pps
Martin Schepps 'l= _ sComm taaion # C C 90 856
' Commission # CC 908551 it l / Expires Feb. 7, 2004
Expires Feb. 7, 2004 Bonded Thru
Bonded Thru nn` Atlantic Bonding Co., Inc
! m a •�, Atlantic Bondin g Co., C/
. Inc 'b
FEES: PERMIT ed—
RADON C.C.F. ( NOTARY BOND
TOTAL DUE % I
APPROVED:
Zoning
Mechanical
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
r AJOU TRIAL. es) Ni.2 Cr/ nr4
A tr_'..z ,ai l �L e<7 N d I i 0,v 1 iv-CAddress 2.ea 3 . S — A/6
E /S/ S. A/ pi e
Building Electrical
3-0 S 14 7_ 2-4(20
Estimated Cost (value) 4 `f
Signature of Contract or Owner - Builder
3 2/ / c _
Date
Date
Plumbing Structural Engineer
'‘‘
cor uJON
/7 Q
pur Is 771
e Sek 9 (1 OS he D=
ed4-0644
PAGE LC-r- LION
COTS
4901.4(c) (Cont) v - " ,VODV/V
When the proposed work serves an occupant content of
total mechanical value of $25,000 or more or when the
system capacity of more than 15 tons or for any structur
in area designed for public assembly, the plans shall
impress seal of a Professional Engineer, registered in thi
When the estimated cost exceeds $5,000 for medical
toxic air filtration, or chemical• fire protection systems tl
be prepared by and bear the impress seal of a Professit
State of Florida, who is competent in this field of expert
All plans shall be prepared and submitted per the
Appendix "A ". The plans shall include a schedule sin
be filled by the Architect or Engineer of Record.
HVAC DESIGN REQUIRES:
YES
NO
DUCT SMOKE DETECTOR
FIRE DAMPER(S)
SMOKE DAMPER(S)
FIRE RATED ENCLOSURE
FIRE RATED ROOF/FLOOR
CEILING ASSEMBLY
FIRE STOPPING
SMOKE CONTROL
(d) PRECONTRACT EXAMINATION O
may be submitted by the designer to the Chief Mechan
for the proposed work is entered into by the owner.
(e) EXAIhIINATION OF PLANS: The C
Mechanical Plans Examiner shall examine all plans and
application or plans do not conform to the requirer
regulations, the Chief Mechanical Inspector shall rejet
stating the reasons therefore. Plans that are rejected, a
returned for correction. Inked notations on mechanic
accepted only for minor corrections. If the application,
examination, are found to comply with the requirement
plans shall be signed and marked as approved.
(f) PERMIT FEES : Shall be in accordance
4901.5 INSPECTIONS:
(a) SCHEDULE: The Chief Mechanical Inspc
is issued, determine the mandatory inspection schedule h;
Supplement No. 3
49 -2 -2
100 or more persons, or has a
mechanical system(s) with a per
e greater than 5,000 square feet
be prepared by and bear the
State of Florida.
gas, oxygen, steam, vacuum,
e plans and specifications shall
nal Engineer, registered in the
se.
South Florida Building Code,
lar to the one shown below to
PLANS: Preliminary plans
cal Inspector before a contract
hief Mechanical Inspector or
applications for permits. If the
vent of all pertinent laws or
:t such application in writing,
s stated herein above, shall be
illy reproduced plans . may be
plans and specifications, upon
s of the Mechanical Code, the
ith section 303 of this Code.
ctor may, at the time the permit
ed upon the complexity of the
Date Job Address 3 q 4 ► 1 ST. Tax Folio °- — Z 6 O" `6.2,3 0
Legal Description Li- s I E V.Z L 4 b Meek a Historically Designated: Yes No
Mr. -Icahn E 0 s9
Owner's Address J { g , L . I) S Phone
Owner/Lessee / Tenant
Contracting Co. A )epencc,Vj e rV \Ce Address
Qualifier A % C ' _ , y SS# 2_61 -3? - 16(5 Phone 305 irU")
State # R~ O O\ 3 Z r 3 Municipal #
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING CT PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Up - t"U I SO AMP s Gn W it vrq C
C ein ' \ Ar J c `1
Square Ft. 'J O S (2, - c „ Estimated Cost (value) 1 1 OQ
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 an zoning. Furthermore, I authorize the above -named contractor to do the work stated.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
as
My Commission E
APPROVED:
Zoning
Mechanical
oC - /e-06
s:
~t.SY GILBERTO BLAYA
COMMISSION # CC 642105
EXPIRES'JUN 21, 2001
r/4 �
BONDED THRU
O F F1• ATLANTIC BONDING CO., INC.
a- Ik -zcoo
C.C.F.
Building Electrical
Master Permit #
1y�y S,W: \39131 ct.
Competency # E 004 312 Ins. Co.
Address
Address
Signature of Contractor or 1,°° er- Builder
4
Notary as to Con et or or Owner- Builder
My Commission Expires: PG GILBERTO BLAYA
COMMISSION # CC 642105
Q EXPIRES JUN 21, 2001
1 .�' C BONDED THRU
�` OF F$ ATLANTIC BONDING CO., INC.
NOTARY BOND
(0)-92)
3 C5 — — `79
TOTAL DUE
Date
2 ^/ 02'ao
Date
Plumbing Structural Engineer
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
01SPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SE SI7F Id AWS vP 6' DE
DUCT WORK
FLOG DRAIN
ERVICE REPAIRAETER CNANG1)
/
REFRIGERATION
GREASE TRAP
APPLIANCE (1J1Lt15
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TCP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSI1fE VESSELS
CLOTHES WASHER
MOTORS 0- 1 f
STEAM BOILERS
SHOWER
MOTCRS OVER 1- 3 If
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTCRS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RES1OEHCE
MOTORS OVER 5- 8 If
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTCRS OVER 8- 10 If
ELEVATCRS/ESCALATORS
TEWCRARY WATER CLOSET
MOTORS OVER 10- 25 If
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 If
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTIOH
WATER SUPPLY TO:
A I R COND I TT 101
/
A/C UNIT
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPQSE
SWIMMING POOL
OUTLETS COMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
ORAINFIELD, 4 TILE/RES.
VIOLATION
PUMP 8 ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA CRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANOPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
i
GAS PIP!
ADDENDUM TO BUILDING PERMIT APPLICATION
(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
'ELECTRICAL'2
MECHANICAL
Permit No. _ 0 Q 14/
Owner's Name and Address__
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date. _________1
Application is hereby made for the approval of the detailed statement o f 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.
Registered Architect and /or
Employing Electrician's Name_____
Location and Legal Description Lot
Street and Number where work is to be performed —No. ,V
STATE OF FLORIDA,
COUNTY OF DADE.
}
ss.
MIAMI SHORES VILLAGE
No._
No. J — Z�/
(Signed)____
_Street__
Block Subdivision_
Street__
_S treet_ !_.? - _ - � 41- 4 - 1/4._
State work to be performed and purpose of building (By Floors) _ __ New Building Remodeling Addition Repairs No. of Stories
Overhead i `
Service Underground Size Feeders___ Conduit ___ L1 —_Main Sw.�__; 1 . ___ Amps Main Fuses ^`__T— __Amps
Type of Installation — Conduit___ — Tubing_{ ________ B.X.L.__—__ Metal Moulding
Amount of Permit $ -- f — i — .... ________________________________ (Signed) - -- ' .f--c a<•
cal Inspector.
The undersigned applicant for this building permit does hereby certify that he derstands and accepts his obligates an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compi d 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 p osted 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 wofk tp be performe under this permit, as are
licensed by Miami Shores Village.
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
RE CE'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
^) [
-
-1--
JI
/
AZ
CHECK
/ J
//
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/ f 7
/t a
#
dJ�
n
CHECK
111
Permit No. _ 0 Q 14/
Owner's Name and Address__
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date. _________1
Application is hereby made for the approval of the detailed statement o f 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.
Registered Architect and /or
Employing Electrician's Name_____
Location and Legal Description Lot
Street and Number where work is to be performed —No. ,V
STATE OF FLORIDA,
COUNTY OF DADE.
}
ss.
MIAMI SHORES VILLAGE
No._
No. J — Z�/
(Signed)____
_Street__
Block Subdivision_
Street__
_S treet_ !_.? - _ - � 41- 4 - 1/4._
State work to be performed and purpose of building (By Floors) _ __ New Building Remodeling Addition Repairs No. of Stories
Overhead i `
Service Underground Size Feeders___ Conduit ___ L1 —_Main Sw.�__; 1 . ___ Amps Main Fuses ^`__T— __Amps
Type of Installation — Conduit___ — Tubing_{ ________ B.X.L.__—__ Metal Moulding
Amount of Permit $ -- f — i — .... ________________________________ (Signed) - -- ' .f--c a<•
cal Inspector.
The undersigned applicant for this building permit does hereby certify that he derstands and accepts his obligates an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compi d 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 p osted 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 wofk tp be performe under this permit, as are
licensed by Miami Shores Village.
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.
BUILDING
ELECTRICAL
PLUMBING
PERMIT N° 10044
Work to be performed under this Permit
Owner of '
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
BI.
Subdi-
vision
DATF
C
Contractor's
License No
Value of II Amt. of
Project $ 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 statem is or specifications and that he assumes responsibility for work
done by his agents, servants or employees. 1 1 e
Signed: 31 "-`L----
BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to nrform the work covered hereunder in compliance wit
pertaining thereto and in strict conformity with the plans, drawings, statements sir sp 'flea ' s bmitted to the proper auth
In accepting this permit I assume responsibility for all work done by either, fiysej{;' mytervant or ployee.
ordinances and regulations
of Miami Shores Village.
AUTHORITY
195 �'
en-