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ELECTRICAL PERMIT
Dat Time Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Type Insp'n �i� � 4 Permit No. C� a 7 Name Gr -P• Address Company f CIsty Phone # 3 05 ° l I 4373 3 For Inspector: l -c( o 0 . Time Type Insp'n Permit No. ®®k " S Name d Address / G OA, V 1 Company f i Phone # /4 ° t ' _ 7° 63'73 For Inspector: �l� E Name & D f/5 17 V Approved Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Re- Insp'n Fee ❑ ce,e4''9, Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date I Di 11J b j Time rrii AR P Approved Correction Re- Insp'n Fee _ 2 O D om,' a 9 I ) 1 4 e ci a,,,e-1- 'P.- IN\ iL9 L\ _ For Inspector: ) /_ /0c 2Name & Date Fr ❑ /°',- Date Type Insp' Permit No. Name Address Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time ict-iceJ A /0 . ,. - Company Phone # c2 ( 7 For Inspector: 0 Approv ? Re- Insp'n Fee ❑ g ,14 401-7/ ,'1' /i5 . 7 PROPERTY OWNER dame e Add s ' Ho e e ephone Business Telephone Fax 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 APPLICATION BUNIOAIN- 40_4 INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. 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. ob Address: Complete the attached permit application which must be signed by the property 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 submit- ted along with this permit application. Address Apt. City State Zip Folio Number LD ption of W Lot Block Subdivision PB PG Zoning Current Use of Property Square Feet / y� n Units Floors Proposed Use of Property � e of Work ! G/ l/ , oa Bldg Value Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Tax Assessed/Appraised Value PERMIT APPLICATION Master Permit No. Subsidiary Permit NoV. " c .W?` Linear Feet Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR License No. Address Telephone Fax Qualifier Name Page 2 IMPORTANT NOTICES 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 PROTEC:I'ED 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. STA OF FLORIDA, COUNTY OF MIAMI -DADE o gnat o Owner Q Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: Personally known F FLORIDA C TY OF IAMI -DADS A' tractor / Qual' ier ,` Print Name �^ Sworn to and subscribed before me thi day o PERMIT APPLICATION OR, Produced Identification Personally known S Produced Identification Type of Identification Produced: Type of Identification Produced: ELECTRICAL TYPE Minimum Fee ()Ty. TypE Dryer QTY .1.1,1,1. Outlet, Appliance QTY .i.VPI., Service Repair ()Ty. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights 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 Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons 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 Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. 'TYPE Soakage Pit QTY. 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 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $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 Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $ ,60 ( x .60) x/1000 $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) $ O D SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) Cl CONTRACTOR REGISTRATION (On File) TOTAL $ — D v CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com a tte27i2002 PAY Applicant: AMY Owner: SALZVERG JOB ADDRESS: 1116 NE 92 Contractor BRANDON AC Local Phone: Parcel # 1132050270420 • Permit Status: Approved Permit Expiration: Work: ELECTRICAL FOR AC CHANGE OUT BRANDON AIR CONDITIONING SERVICE CORP. 6175 N.W. 167 STREET, G -25 MIAMI, FL 33015 (305) 819 -2669 5/26/2003 U se '70' / ' Z L TO THE ORDER OF - �� i DATE Electrical Permit Permit Number: EL2002 -397 SALZVERG AMY ST Contractor's Address: Legal Description: BAY LURE Construction Value: DATE INVOICE AMOUNT PB 44-63 LOT 3 $100.00 11295 63 -60 CHECK NO. 1/95 GROSS AMOUNT tattoo's Socunty Maas mbeck. MIAMI WEST OFFICE 702 MIAMI, FLORIDA 33155 11 '0 l 1 29 511' 1 :06600060 070 20008 9 5 50 311' 2 Z/i . o x,e,dlaii 2k" 660 DOLLARS NP BLK 3 LOT SIZE 75.000 X 125 OR .ections. Re- inspection in the application herefor in strict compliance with all cents or specifications that may have been submitted to ich ordinances or if the plans are changed without •umes the responsibility for a thorough knowledge of the ifications and that he assumes responsibility for work done s and regulations pertaining thereto and in strict conformity .rmit I assume responisibility for all work done by either CONTRACTOR Name ..1..-19_, ec. L ITA ) License o. 5 9 i Address q 3 6 NE Q 4 &I .., Will(' , A rm; / t f_+ - 3 3Ig1 Tele . . ., :, � - / = 3 Fax Qu • ier NaiAe at.R g• PAa elzIPV) PROPERTY OWNER New Construction Name ,501. ) -Z-Vi Q G Enclosure Address t- Alteration Exterior Home Telephone 3 n5 _ 5 Business Telephone c y _ Alteration Interior Fax Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior v Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property 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 submit- ted 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 Job Address: PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 1I16 117 ga Address Apt. City State Folio Number Description of Work • - Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work 44 2 09 Bldg Value Tenant Information PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PERMIT APPL Master Permit No. 21 &0O Subsidiary Permit No. T7t, ' 01. A 1a 1 S)i©►es F . Tax Assessed/Appraised Value Zip Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES 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 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. STA OF FLORIDA, COUNTY OF MIAMI -DADE Si ature o Owner Print Name Sworn to and subscribed before me this day of Type of Identification Produced: Signat ure of Contrac / Q ualifier PERMIT APPLICATION a R Y t Print Name and subscribed before me this JT I Signature of Notary Public - State of Florida ature of, Pub tate of Florida (-- RY p OFFICIAL NOTARY S SEAL: SEAL: V P Uoe ANGELA M BECi<EH Z'� l , # � � OOMI NUMBER ig a if Q CC786697 '•t �'MY cooaurtsetON rxPina9 Personally known OR, Produced Identification Personally known O F_ �Y ._ BR Proclu Identification Type of Identification Produced: ELECTRICAL TITG. Minimum Fee ()Ty. TVPP. Dryer QTY. '1'VPE Outlet, Appliance (in'. TYPE? Service Repair Q'I'1 A/C Central 1 -3 Ton Cooling Tower Fan Outlet, Wall r. 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 Water Heater New MECHANICAL TVPF Minimum Fee ()Ty. T1'PE Condensate Drain Q'I'1' T1'PE Generator QTV' '► Refrigeration, Tons Q'll A/C Central, Tons Bath Tub 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 TYPE A/C Condensate QTY" i'1"PE Drains, Roof QT1'. Tl't'F. Miscellaneous Fixture ()Ty. 'I'1'PE Soakage Pit QTV". 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 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond REVIEWED AND PREPARED BY: ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $ jpm a�D Metropolitan Dade County (C.C.F.) $ (sq.ft. = x/1000 x0.60) Inspector State Educational Fund $ (¢.005 /sq.ft.) State DCA (Radon) $ (¢.01 /sq.ft.) Code Enforcement Fine $ Zoning Review $ Notary $ no SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE OZ PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com 0 PAY TO THE ORDER QF Miami Shores Village • 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8 17/2002 Applicant:. AMY SALZVERG Owner: SALZVERG AMY JOB ADDRESS: 1116 NE 92 ST Contractor P & M ELECTRIC INC Contractor's Address: 1936 NE 148 ST Local Phone: 305- 949 -6373 Parcel # 1132050270420 Legal Description: BAY LURE Permit Status: to._e.ui\-AZ4fgzkrigkaz 6o, o S_OD APPROVED Permit Expiration: 2/3/2003 Construction Value: Work: INSTALLING 4 RECEPTACLES IN NEW WALL ON BACK PORCH P & M ELECTRIC, INC. 1936 N.E. 148TH STREET NORTH MIAMI, FL 33181 -1137 4011 ..ti 411 A 4, 1? _PA) MEMO Electrical Permit Permit Number: EL2002 -259 Bank of America ACH R/T 063100277 c)-- /Do 11'00 7 29 211° 406 30000 4 ?I: 00 L 59 5 29 20 L LH' Page 1 of 1 PB 44 -63 LOT 3 BLK 3 LOT SIZE 75.000 X 125 OR $400.00 $ 07) Total Fees: $6:A0- Total Receipts: $0.00 7292 • 63 -4/630 FL 1348 DOLLARS R,ifigaelku spection herefor in strict compliance with all is that may have been submitted to he plans are changed without lity for a thorough knowledge of the assumes responsibility for work done taining thereto and in strict conformity isibility for all work done by either s� PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ,O 0 Job Address ) (® e q t _ 5-A- Tax Folio Legal Description Historically Designated: Yes No 1rc 5Q\ z e ( ( Master Permit # gnu � � �• q a �� ,ale ��V� l O e.5hon )'5 5) 45 3 . 5 � Owner/Lessee / Tenant Owner's Address 1 Contracting Co Qualifier State # EZ,C2C0 / 25 'Municipal # Competency # Architect/Engineer Bonding Company Mortgagor !•1E // igna of owner and/or P ident Date • • - ©, C.C.F. ' 10' 0 NOTARY APPROVED: Zoning Building SS# - q 1 9 3 7 Ins. Co. 2U 1 Cif Address Address Address Permit Type (circle one): BUILDING (LECTRICAE PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ucle_ )0 Y%-(51 Square Ft. Estimated Cost (value) X 9 a 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 ork ted. Notary :. to Contra My •mmission Ex Electrical ` �✓ / l - C_5 or or Owr • w.: gr Y 1A1 i� ^ r :. ° ATI NLO DAi CWI ,SION NO. CC77141O3 MY Comm �;d3 EX P. mAr x,203'2 ® BOND TOTAL DUE Mechanical Plumbing Structural Engineer (AN APPLICATION FOR BUILDING PERMIT MIST ACCOMPANY THIS ADDENDUM. IF A RASTER PERHIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING HuuttvuuM iu k3UiLUINU PERMIT APPLIUAI•IUN ELECTRICAL MECHANICAL ITEM BATH T1.13 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING OIS?YUSHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN - SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE CUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE (MOUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS S SHOWER WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTCRS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS JRINAL MOTORS OVER 25-100 HP COOLING TOWERS RATER CLOSET MOTORS OVER 100 HP VIOLATION VIOLATION INDIRECT WASTES A/C WINDOW 1ATER SUPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LATIN SPRINKLER -WELL SPECIAL PURPOSE SWIWING POOL OUTLETS COMMERCIAL WATER WATER SERVICE SIGN TUBES EWER CONNECTIONS SIGN TRANSFORMERS TILITY- SERER TILITY SIGN TIME CLOCK -WATER FIXTURES EPTIC TANK ANTENNA 'LAY TELEVISION OUTLETS RAINFIELO, 4° TILE/RES. _ VIOLATION VIOLATION IMP & ABANDON SEPTIC TANK JAXAGE PIT CU. FT. ITCH BASIN I SG1ARGE WELL :MESTIC WELL IEA CRAIN - )OF INLET /AR WATER HEATER RE STANDPIPE :OL PIPING . ,NN SPRINKLER SYSTEM S RANGE TER SET (GAS) S PIPING (AN APPLICATION FOR BUILDING PERMIT MIST ACCOMPANY THIS ADDENDUM. IF A RASTER PERHIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING HuuttvuuM iu k3UiLUINU PERMIT APPLIUAI•IUN ELECTRICAL MECHANICAL Architect /Engineer Bonding Company Mortgagor Permit Type(circle 0 ar APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE . Date)` / fit Job Address // /' A/&- C `-� Le n \ Legal Descriptio d i Owner / Lessee / Tenant '('\ C ��\ AZNe r? Master Permit it 3 Owner's Address \" 6 0 E CI a Am CAVYV 51 IO(eS t -FL 3 Phone - 7 64 J Contracting Co. {',"!l i.'( /l /'1 ( Address 4.2OXJ 14. 7five fiawc Pk Qualifier JOC IIQ/7"7 ss# ( State # Municipal # one): BUILDING WORK DESCRIPTION ° ss __ . �►1...�s .r_aY� � Square Ft. 4 Estimated Cost(value)%241111101.... ‘a/ °. 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. ��- ,�' A 4 t e ( /2 ) igpture 'of °owner apd /or Condo President ARIYNE CASSU` O 4 PUbilc a So otary la of Florida Gomm. oxqiks 4 as to Owner and/or Sanma si ft My Commission Expires: ** * * * * * * * * Competency # Ins.Co. Address - Address ess LUMBING MECHANICAL ROOFING PAVING FENCE SIGN Signature Date: Nota as to Contractor or Owner- Builder My Commission Expires: * * * Tax Folio \ \ ` 3C�O 5- - G 1.v Phone 4T-3 3 2.3h FFICIAL NOT SEAL of Con r to NUTARY AN r Y A , COMMISSION NO. CC402100 :SSION EXP. AUG. 22,1998 FEES: PERMIT ?At RADON C.C.F. 4 NOTARY TOTAL DUE 31 Fire Other Zoning Building Electrical Mechanical Plumbing Engineering 48 18 1/1° T /b 1/2 TS36 W3636 MSP242496L B12..FH.1TD I DW24 J W3036 31 42 "30" 1 P83012.FH J 1 W331/ W3636 uCS33 1 n I I BPPS18.3DWD.TCD I L -- 1 L I 1 ADC42R.LS.TCD BP3 I WEP3L.42 Imm CCMB RM8 WEP1 12R.42W2424BUTT I I Bat e fTEP9€ 5923REV3.DSN Range 30 Eye l BEP3R- — REF36-20 W3027 WEOS64 42" TECH Products 3930 N.E. 2nd Avenue Miami, Florida 33137 ( -6633 Fax (305)573 -2050 5923REV3.DSN TECH Products '3930 N.E. 2nd Avenue `Miami, Florida 33137 `05)573 -6633 Fax (305)573 -2050 'TR . DSN ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT f/ FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS 2 CENTRAL HEATING DISHWASHER RECEPTACLES > / 9 A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS 4 ` r PROCESS AM PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN / ,� a ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If 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 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SIPPLY T0: 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 SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4° TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL 26 (i' DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 0 4 AM Q Z s T Tax Folio Historically Designated: Yes No Legal Description ion 3 A 3 Owner/Lessee / Tenant ,c573- Master Permit # s tate # te Owner's Address // %Y �_ L", ., Phone J0.5 / 5 f — , 5< (3 Contracting Co. �/ r�'A 7A/ �' Address 4/6 19 /WM, Qualifier 4164'4:r 5 , /J Z SS# - - Phone3Oi 9V -2 3 c'° Municipal # Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDIN ELEC PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /fd /tom P. C 2 free /- Square Ft Estimated Cost (value) i ©d, 6 '' ° 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 -n: /Antra or t• a o th o . • • Signature , ,eftlwner and/or Co o President Date Not to � an or Condo President My C 51- 'ssion Expires: CvskY ARLYNE CASSUTO COMMISSION 1 CC 693674 EXPIRES NO T 3, 2001 2. 4r BONDED THRU OF P. ATLANTIC BONDING CO., INC. /01-l FEES: PERMIT a✓ 69 d RADON C.C.F. Signature Not M as to ,.ntractor or Owner - Builder X. 1/43.-?0 Competency # 9 ? , ,27 Ins. Co. JICCE7 Address Address C ntractor o Owner - Builder 0 ommission Expires: • ~ Poo (n COMMISSION 0 CC CASSUTO 936674 "� IN EXPIRES NOV 3, 2001 .7/7.`.O BONDED THRU OF P. ATLANTIC BONDING CO., INC. NOTARY BOND 7 Date Date TOTAL DUE 35 APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date /5 fc Job Address WC ,t/e 9 Z- s TL Tax Folio (/3$9 05 L64 - /ii/c-4,9e/ 5rt /2'ver3 —35= 1/ /9/n ie• Master Permit # Legal Description / Lessee / Tenant Owner's Address /// (v ot/G 9Z S¢ Contracting Co. AU, ri Euis EL5Gir Qualifier 450 C' WITF(ELr0 SS# State # ER . 0013004 Municipal # Competency # O/9 l/5' Architect /Engineer Phone Address S SO St,../ (c, 'La. Phone (305) CPPD - (,O21 OLD boa4si ica/ ` WT) Ins .Co . ST1RTT FritCu4 ( COIp) Address ----- Bonding Company Address Mortgagor Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ✓ R06 5e Square Ft.V � Estimated Cost(value) V 3 ‘6 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 f wn-r and /or Condo Pr sident 6L6iiik., 4j no No = y a to Owner and /or Condo President My Commission Expires: ARLYNECASSSJTO Notary Public, State V flora My Comm. wins Nltjr ** * * * * No. C�'' * FEES: PERMIT 4 ,1 , 56 RADON APPROVED: Zo Mechanical * * * C.C.F. /✓ Fire Other Plumbing Address Signature of Co 'ractor or Owner- Builder 2 / /5/cN Date: Notary as to ontrac'7•r or Owner- Builder My CommigSon Expires: PATRICKCHATFIELD • - a MY COMMISSION # CC308137 EXPJ 3 August 26, 1997 BOND Pin TROY*41N INSURANCfli * ** NOTARY TOTAL DUE" Building Electrical' l Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT I FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS 2f// q CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN MPS DUCT WORK FLOOR DRAIN SERVICE REPAIRA ETER CHANGE •• REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE (MOUND TANKS LAUNDRY TRAY _ WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 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 FP 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 FP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY T0: 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 SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE - SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS , UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4° TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN . ROOF INLET SOLAR WATER HEATER . FIRE STANDPIPE POOL PIPING • LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL t16 MECHANICAL 1`11V 1 1�+IC. VII vv - - - — PERMIT NO. TAX FOLIO NO. ` i 1 3a05 - as - 1 -o ma STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes. the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: ] 1 � ��� oc �� .1 .Oc,�:.. : -- 0 \• P L -e. C- A`7 C- c'e( Or _ r _ a e. 3 �I..�o1 I Q t o c c\ l. 6-€ . i (� ,(., / ,--,1,-1, / , 4, 6, r I G,� / ar-/ r i Y 4,- /G? C� 4. Contractor's name and address: 54 �� -Z-14 4 e 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond S , 9 4F•087672 1994 FEB 23 10:16 2. Description of improvement: 5 C/' v/ G 3. Owner(s) name and address: t o �`(- e l S Ck\ Z \_) e F. 111, & ^ ra. `�� i ' CAA . ' . r Interest in property: )fl P C Name and address of fee simple titleholder: (5 365 96E3 CW/ A2 g47 5 c G -c c 9 96/ 6. Lender's name and address: C v� '56 P.o . S( L \Aot(t �-(� 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 4t 8. In addition to himselt.,Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b). Florida Statutes. Name and address: /. 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a ditferent date is specified) Signature of Owner Print Owners Name Notary Public Print Notary's Name My Commission Expires: Sworn to and subscribed before me this u, ARLYNr Notary Public; ,Soft ' •" "' My Comm. expires s ird�.d .. . No. CC283323 "J f Prepared by:( c°" -7 4" / Psi �h °;- S - v�S Address: /'I/ � 74- �''�•, � / 3310 UUb l MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. p UPI I C Pt �1 PO 1 Date... 6 �_....___.... ...... . 19..? �., Owner's Name and Address „.- -. _ No. I . 6... . . Street.,,, 9 2 . 2 2' Registered Architect and /or Engineer _ _M Name and address of licensed contractor C Oj� FO P I.. 2Q . ∎m /A 1 R c ONNI D . 11..(.. ~ .. j ONE 15' S� L. Location and legal description of lot to be built on: _.. f/.__-- Lot .a Block .3 Subdivision MI!) Li\ 1 6 H O z€ 5 54 V L on, E'( S and Number where work is to be done k. 1.. 4_l2_._lq 9.2- G �� St- • State work to be done and purpose of building (by floors )...__..L.E_S`1_.T_ g C O Q - T O \3 • J \ and for no other purpose. New Building Remodeling t/ Addition ✓ 'Repairs' No. of Stories 4 To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ '2 (0-• OO Amount of Permit $ 1 O. 00 Zone cubage required __..._ -_Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor Disapproved (Signed) 4 - Date._ ( j- S Building Ins ctor Chairman Member Member ..._ . 3 0-1 I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit 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 subcontractors, on work to be pe rformed under this permit, as are licensed by Miami Shores Village. Remarks..._ (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts Permit No �Q stated are true Date 1 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires me well known, PLANNING BOARD ___._...DATE Member Member Member .r Council Approved _. Date Disapproved _ ~ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Amount of Permit 5 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ND......... . /...1 6 APPLICATION FOR ELECTRICAL PERMIT Permit No.. Date Y Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fik: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 Registered Architect and /or Engineer / /' Employing Electrician's Name. ��tl %6 .. i y..a. No e D 3 Street 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 Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses . Amps Underground Type of Installation— Conduit Tubing... ... B.X,L.. Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby eel tify that he understands and accepts his obligations as an employer of labor under the Florida Workmen'a Compensation Act. being Section 4966, 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. 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 NOTE: A re• inspection fee of 51.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty material° 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 ® /L� CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP M OTORS 1•0 HP N EON TRANS. RADIO TOTAL CONTR. LIST 5/12.._ CHECK Amount of Permit 5 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ND......... . /...1 6 APPLICATION FOR ELECTRICAL PERMIT Permit No.. Date Y Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fik: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 Registered Architect and /or Engineer / /' Employing Electrician's Name. ��tl %6 .. i y..a. No e D 3 Street 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 Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses . Amps Underground Type of Installation— Conduit Tubing... ... B.X,L.. Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby eel tify that he understands and accepts his obligations as an employer of labor under the Florida Workmen'a Compensation Act. being Section 4966, 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. 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 NOTE: A re• inspection fee of 51.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty material° and /or workmanship. BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA 9 r ELECTRICAL Date -- • 19 PLUMBING ❑ PERMI 1018 Contractor's ROOFING ❑ License No. Architect Contractor t' or Builder Legal Description Address of Building • i , 11 • Lot Work to be performed under this Permit Owner 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 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' f y k - (INSPECTOR) BY In consideration of the issuance to me of this permit I rae to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, dra uigs, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all wor one by either, myself, my agent, servant or employee. CONTRACTOR or BUILDER y • Ls r ft 7 It Subdi- vision Sq Ft. Value of 11 Amount of Project $ II Permit $ BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA ❑ DATE. , ` ,. 19 6 ( o PERMIT N? 6582 Contractor's , E. ❑ License No. ❑ Work to be performed under this Permit Owner of ( t Building Architect Contractor or Builder (--'" Legal Lot Description Bl Address of ; , Value of Building / • ! Project $ This permit is granted to the contractor of 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: CONTRACTOR OR BUILDER J Subdi- vision .r INSPECTOR In consideration of the issµance to me of this permit I agree to perform the work covered hereunder in complian 'with all ordinances sad regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper auttirities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 7 Amount of Permit $ AODOT BUILDING ELECTRICAL PLUMBING ROO1ING Owner of Building Architect Contractor or Builder Legal Lot Descripticn MIAMI SHORES VILLAGE, FLORIDA ' DATE 19 PERMIT 6641 Contractor's License No. Work to be performed under this Permit_ B1 Subdi- vision Address of Value of I Amount of Building 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 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ABBOT 44E" Permit No. 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 compliant 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 Amount of Permit $ v t■EpLICATION FOR ELECTF IC AL PERMIT ii ( " 2- 3 - SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPA-TMENT Registered Architect and /or Engineer . • Employing Electrician's Name P e i Location and Legal Description Lot Block Street and Number where work is to be performed —No jl / �f' ,7 L 7 State work to be performed and purpose of building (By Floors) C. a 2.- ' C. New Building Remodeling Addition........ D ) e 0 No / [ / k� Street (Signed) (Signed) No 0.. f Date Street Street Subdivision / j Cr p .1) 1 ' O o-/ Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type ' Installation — Conduit Tubi.ig.... .. . B.X.L . . ... .Metal Moulding. ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ns as an employer of labor under the :lorida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P anent 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 they 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 performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. I 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, a_.d 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. OUTL.r IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. Hr AT. CONN. SPACE HE. ^.. ER STRIP HEATER TOTAL CONTR LIST / CHECK ENT. SW. DIST. CAB. "i ERVICE T:., P. SERVIC° PF_RM. Ni O'iO:`.: 0.1 HP , .. .?.TORS 1.5 HP NE' N TRANC. RADIO TOTAL CON . Z. LIST CHECK Permit No. 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 compliant 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 Amount of Permit $ v t■EpLICATION FOR ELECTF IC AL PERMIT ii ( " 2- 3 - SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPA-TMENT Registered Architect and /or Engineer . • Employing Electrician's Name P e i Location and Legal Description Lot Block Street and Number where work is to be performed —No jl / �f' ,7 L 7 State work to be performed and purpose of building (By Floors) C. a 2.- ' C. New Building Remodeling Addition........ D ) e 0 No / [ / k� Street (Signed) (Signed) No 0.. f Date Street Street Subdivision / j Cr p .1) 1 ' O o-/ Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type ' Installation — Conduit Tubi.ig.... .. . B.X.L . . ... .Metal Moulding. ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ns as an employer of labor under the :lorida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P anent 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 they 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 performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. I 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, a_.d 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 BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. Date.au1y. _ 9 , 19.65_. Owner's Name and Address._ N 1116 Street NE 92 Street Registered Architect and /or Engineer Name and address of licensed contractor Appliance Conaymer Service Co. Inc. 1123 SW 67 Avenue Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done ,1116__.j1JE__92__S.tree_t. State work to be done and purpose of building (by floors) Install one 2 Hp air conditioner in a prepared hole and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 400.,0Q Amount of Permit $ 4..Q0 Zone cubage required .Plan Cubage Distance to next nearest building 1' Size of Building Lot Maximum live Load to be borne by each floor I hereby submit all the plans and specifications ' for said building. All notices with reference to the building and its construction may be sent to �!_ l_1– " " G 7 c-'`. 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 Sup dement, and has complied with the provisions thereof, and will require similar compliance rom all contractors or sub- contractors employe by him in the work to be performed under this permit; and will post or cause to be poste for inspection on t.e site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only sue 'subcontractors, on k to be erformed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No fL I Date ► Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida ( Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member 1 0' to me well known, Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hecn obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building_ Architect Contracto or Builder Legal Descripti Address Building ❑ PERMIT N? 8834 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 • 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 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, servant or employee. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit DATE 195 Contractor's License No BY AUTHORITY .. 17 r Lot n Bl Subdi- vision Sq. Ft Amt. of Permit $ Value of Project $ BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building_ Architect Contracto or Builder Legal Descripti Address Building ❑ PERMIT N? 8834 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 • 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 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, servant or employee. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit DATE 195 Contractor's License No BY AUTHORITY .. 17 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No yvi j 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 comp}ie 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 Engi STATE OF FLORIDA, '! COUNTY OF DADE. 11 SS. My Commission Expires MIAMI SHORES VILLAGE it New Building Remodeling la Addition Amount of Permit $ 0 (Signed) e;' (Signed) Date No 4'7 Street ' 7 7 Employing Electrician's Name 7 4 9 No Location and Legal Description Lot Block Subdi ision S/0 - Street and Number where work is to be performed—No Street ° ��.A d �� �6 7 - State work to be performed and purpose of building (By Floors) Street. Repairs //(/' C\,/' �l Notary Public, State of Florida 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 r ctrical 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 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 perf ed under this permit, as are licensed by Miami Shores Village. Master Electricia> 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. 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'6 FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST!? // f / q �, /, CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 14 HP NEON TRANS. RADIO TOTAL CONTR. LIST /�� CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No yvi j 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 comp}ie 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 Engi STATE OF FLORIDA, '! COUNTY OF DADE. 11 SS. My Commission Expires MIAMI SHORES VILLAGE it New Building Remodeling la Addition Amount of Permit $ 0 (Signed) e;' (Signed) Date No 4'7 Street ' 7 7 Employing Electrician's Name 7 4 9 No Location and Legal Description Lot Block Subdi ision S/0 - Street and Number where work is to be performed—No Street ° ��.A d �� �6 7 - State work to be performed and purpose of building (By Floors) Street. Repairs //(/' C\,/' �l Notary Public, State of Florida 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 r ctrical 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 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 perf ed under this permit, as are licensed by Miami Shores Village. Master Electricia> 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. 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. Village of Miami Shores JOB ADDRESS (? ' N° 3936 INSPECTION `// - TIME READY REMARKS INSPECTOR DATE r` ./ �� Village of Miami Shores N° 4557 JOB rZ 3 C<_ ADDRESS 1 1 I t o � " L ' � � - INSPECTION m 4 C_ TIME READY REMARKS INSPECTOR DATE 7 0 la orMiami Shores JOB ADDRESS z - TIME READY b e- INSPECTION /,'/ ' Q INSPECTOR DATE N° 4130 REMARKS 'J 47— , MIAMI SHORES VILLAGE ELECTRICAL. INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 4� I r Date.. 02 7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No 4 (1.7 . .Street +'1!/.arf ..4.,._ .g—A - /4 Owner's Name and Addresfit- Registered Architect and /or E ineer Employing Electrician's Name Service Overhead Feeders Underground STATE OF FLORIDA, } COUNTY OF DADE. SS. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No. // l ' State work to be perfor and purpose of building (By Floors) New Building Remodeling Addition Repairs Amount of Permit $..! (Signed) '" 4 ' StrZet 2221�.14.4.L4 Street..(!. / No. of Stories Conduit .. /. Sw / Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding f eetrical nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob'ations 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 subcontractors, on work to be perfo under this 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 HEATER W. HEAT. CONN. semi HTE STRIP HEATER TOTAL CONTR. LIST )1' y 11 .I (, 1 /. y ) i / / CHECK ENT. SW. D15T. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST ( / CHECK MIAMI SHORES VILLAGE ELECTRICAL. INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 4� I r Date.. 02 7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No 4 (1.7 . .Street +'1!/.arf ..4.,._ .g—A - /4 Owner's Name and Addresfit- Registered Architect and /or E ineer Employing Electrician's Name Service Overhead Feeders Underground STATE OF FLORIDA, } COUNTY OF DADE. SS. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No. // l ' State work to be perfor and purpose of building (By Floors) New Building Remodeling Addition Repairs Amount of Permit $..! (Signed) '" 4 ' StrZet 2221�.14.4.L4 Street..(!. / No. of Stories Conduit .. /. Sw / Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding f eetrical nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob'ations 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 subcontractors, on work to be perfo under this 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. BUILDING ELECTRICAL PLUMBING ROOFING krchitect .,ontractor Dr Builder Legal ?escription kddress of wilding MIAMI SHORES VILLAGE, FLORIDA DATF 195 ❑ PER M 1 T N° 3386 Contractors , License No. 0 ❑ Work to be performed under this Permit Owner of Huilding Lot B1 Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construc 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, rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime 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 ,ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations - , ertaining 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 one by his agents, servants or employees. Signed. 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 regulations iertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- :epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 6 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building / Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA ,. © DAB 195 ❑ PERMIT N° 4089 Contractor s License No. 0 ❑ Work to be performed under this Permit Bl. Subdi- vision Value of Project $ Amount 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. Signed. 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 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. CONTRACTOR OR BUILDER BY AUTHORITY B Permit No , 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 or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 1 .�w':�• r Registered Architect and /or En ne r State work to be performe New Building STATE OF FLORIDA, l COUNTY OF DADE. T APPLICATION FOR ELECTRICAL PERMIT " ''> 55. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Employing Electrician's Name. Location and Legal Description Lot Block Street and Number where work is to be performed —No and purpose of building (By Remodeling herein specified Floors) 1.1 / No Addition Repairs . f Street r Amount of Permit $ ✓ (Signed) , Date Street. r' { ' 4. Subdivision / • r No. of Stories Ovhead Service underground Size Feeders I Conduit. ...i' Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding Notary Public, State of Florida Elec •cai Inspector. - - ... 2 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) f G" 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. 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 REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.8 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No , 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 or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 1 .�w':�• r Registered Architect and /or En ne r State work to be performe New Building STATE OF FLORIDA, l COUNTY OF DADE. T APPLICATION FOR ELECTRICAL PERMIT " ''> 55. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Employing Electrician's Name. Location and Legal Description Lot Block Street and Number where work is to be performed —No and purpose of building (By Remodeling herein specified Floors) 1.1 / No Addition Repairs . f Street r Amount of Permit $ ✓ (Signed) , Date Street. r' { ' 4. Subdivision / • r No. of Stories Ovhead Service underground Size Feeders I Conduit. ...i' Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding Notary Public, State of Florida Elec •cai Inspector. - - ... 2 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) f G" 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. 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 APPLICATION FOR MIAMI SHORES VILLAGE /7 ;2M .7° 6 Date OC' Job Address /// /// 13 7° - Tax Folio Legal;iescription Historically Designated: Yes No d / Owner/Lessee / Tenant ////2-4.4 " � Master Permit # Owner's Address /ft: A C 4? 1 53/7e Phone Contracting Co. / � � i Address 5 'f JAI / �� Qualifier && ; SS# ?/[ - Phone .Ss3' >1 4'? 72 State # ,S 9 ' Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING E ` RI . WORK DESCRIPTION LUMBING MECHANICAL ROOFING P VING FENCE SIGN Square Ft. Estimated Cost (value) �� 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 constructi and zoning. Furthermore, I authorize the above -named con :for to do the - •rk stated. JULIO ROBLES MY COMMISSION 4 CC 921872 EXPIRES: June 4, 2004 noted That Notary PitAo Undawdlsrs r of o r and/ or -. Co o ndo President Date Signature Not $ Owner My Commission FEES: PERMIT . 5 O RADON Date •,..r: xpires: • R•: S :, ' s;: MY COM ISSION 4 CC 921872 EXPIRES: June 4, 2004 Rr B and ed Th Notary PubAc Underwriters Signature o o . -ctor r Owner; u er lder Notary My Co C.C.F. ' NOTARY BOND TOTAL DUE 3 C?. 851° APPROVED: Zoning Building Electrical 2 Plumbing Engineering Date Date