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1216 NE 93 St (13)BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Buildi g lectrica - Plumbing Owner's Name (Fee Simple Titleholder) Phone # Owner's Address City t l,1 I Asi-ii St4t.'rte State L Tenant/Lessee Name \v Job Address (where the work is being done) / 2_/ E- 4. e, City Miami Shores Village Miami Shores Village Building D epartment Zip County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name PC`t r c ._ =GU c° . Contractor's Address / 3 3 0 City frt State F ! U .e i on Number of: Bays Type of Work: Describe Work: 4 E Qualifier /, .0 c`_; E -4.2.• $ Value of Work For this Permit '- 5 e ~ 1 Stories Addition ❑Alteration p,.a Permit Fee $ itr; " - ' L Minus Plans Check Fee $ - . Total Fee Now Due $ Permit No. 1 c'J Master Permit No. ' P .1 © c ' 3 -5 t C Mechanical Roofing Phone # Families ❑New c. �l gCif T Zip Phone # " � - ? - z zip 33 7 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Architect/Engineer's Name (if applicable) - Phone # Architect/Engineer's Address City State Zip Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Bedrooms Baths ❑ Repair/Replace t G' (f•- Notary $ ❑ Demolition County Escrow Fee $ Education/Training Fee $ C'e & L Tech $ 5 Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ OCT 0 6 PAID sc.00 CC. 50 r C 7. qt) (Continued on oppositg side) APPLICATION APPROVED BY: Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Signature Signature ,._. Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 0 t day of , 20 , b y , day of ( C.4 , 20C/3 , by Lo..1 who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: N OTARY PUBLI Sign: Sign:. Print: Print: My Commission Expires: Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** i (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * ** ********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Chc7/7 /03 as identification and Mabe who ssiol did n #DD23198 .�: take an s oath. V �rga I fi 1 - �? +� xp'; ' , 07 r--. /ff 7° ' Plans Examiner Engineer Zoning EM ,TH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT 7 FEE /�.6 ITEM SPACE HEATERS UNIT FEE OET LIGHT OUTLETS / © LS" CENTRAL HEATING SITYIASHER RECEPTACLES `a A/C (WIND) SPOSAL SERVICE TEMPORARY A/C (CENTRAL) LINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK .COI ORAIN SERVICE REPAIR/METER CHANGE REFRIGERATION TEASE TRAP APPL IANCE OUTLETS PROCESS AND PRESS PIPING ITERCEPTOR RANGE TOP UNDERGROUND TANKS WATCRY OVEN ABOVE (ROUND TANKS ;UNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS _OTHES WASHER MOTORS 0- 1 If STEAM BOILERS -DER MOTORS 0V.ER 1- 3 If HOT WATER BOILERS INK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION INK, RESIDENCE MOTORS OVER 5- 8 If TRANSPORTING ASSEMBLIES INK, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS E)PORARY WATER CLOSET MOTORS OVER 10- 25 If FIRE SPRINKLER SYSTEMS RINAL MOTORS OVER 25-100 HP COOLING TOWERS ATER CLOSET MJTCRS OVER 100 HP VIOLATION .DIRECT•WASTES A/C WIMOW REINSPECT ION ATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS I HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMfi€RCIAL MATER SERVICE SIGN TUBES EWER CONNECTIONS SIGN TRANSFORMERS TILITY -SEWER SIGN TIME CLOCK TILITY- WATER FIXTLRES EPTIC TANK ANTENNA ELAY TELEVISION CUTLETS RAINFIELD, 4' TILE/RES. VIOLATION UMP & ABANDON SEPTIC TANK REINSPECT ION AAKAGE PIT CU. FT. . ` lP . i s —. -e.- , e 'ATCH BASIN .Q.. (-4- ,0 1 e+CI w iISCHARGE WELL OMESTIC WELL %REA DRAIN . • IOOF INLET t • CLAR WATER HEATER `. 'IRE STANDPIPE l 'O0L PIPING .AWN SPRINKLER SYSTEM IAS RANGE DETER SET (GAS) ;AS PIPING UN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION , ELECTRICAL MECHANICAL Permit No 3 ?J 2 - s eio Registered Architect and /or Engineer Employing Electriciah's Name. /i.(,& i6.1 APPLICATION FOR ELECTRICAL PERMIT Location and Legal Description Lot Block Street and Number where work is to be performed —No.. .r r-r.T:t / /2 .1. k? Street State work to be performed and purpose of building (By Floors) Pk? 'fi/ 4 L y! ` k- r C New Building Remodeling Addition. . . o..b / /^ o Amount of Permit $ . 0 �•.- MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT e c ti CG7 C....No 12/ 2, ■ (Signed).... ' P�.1�1t•a. (Signed) Repairs ((# - /32 3 S Date....0/2 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation, 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. i A Owner's Name and Address R061,101 R..y No. of Stories Service Overhe Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of . .(( B.X.L .Metal Moulding Street /)(0 vvi . LA Subdivision 331,' Ai_ E. 9 3 S e Electric( Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, i COUNTY OP 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, 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 0 LIGHT OUTLETS PLUG RECE•P'T's FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP H TOTAL CONTR. LIST / CHECK ENT. ' SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / CHECK . Permit No 3 ?J 2 - s eio Registered Architect and /or Engineer Employing Electriciah's Name. /i.(,& i6.1 APPLICATION FOR ELECTRICAL PERMIT Location and Legal Description Lot Block Street and Number where work is to be performed —No.. .r r-r.T:t / /2 .1. k? Street State work to be performed and purpose of building (By Floors) Pk? 'fi/ 4 L y! ` k- r C New Building Remodeling Addition. . . o..b / /^ o Amount of Permit $ . 0 �•.- MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT e c ti CG7 C....No 12/ 2, ■ (Signed).... ' P�.1�1t•a. (Signed) Repairs ((# - /32 3 S Date....0/2 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation, 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. i A Owner's Name and Address R061,101 R..y No. of Stories Service Overhe Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of . .(( B.X.L .Metal Moulding Street /)(0 vvi . LA Subdivision 331,' Ai_ E. 9 3 S e Electric( Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, i COUNTY OP 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, 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 MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 7267 Owner of Building Architect Contractor or Builder Legal Lot Description Bl Address of Building e CONTRACTOR OR BUILDER DATE " 195 Contractor's License No. Work to be performed under this Permit Subdi- vision Value of Project $ I I! Amount of 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 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 cr in the statements or specifications and that he assumes responsibility 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 ac- - cepting this permit I assume responsibility for all work done by either, myself, my agent, servant 'or employee. BY AUTHORITY 6 BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING Owner of Building Architect Contractor or Builder y - Legal Lot II B1. Description. Address of Building j i i' MIAMI SHORES VILLAGE, FLORIDA a PERMIT N° 15488 CONTRACTOR OR BUILDER Subdi- vision Value of Project $ DATE . . r • ❑ Work to be performed under this Permit Contractor's License No Amt. of Permit $ ; • vol 195 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. A . "`*" . -, BY Signed• , ' INSPEdTOR 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. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Y Architect Contractor or Builder Legal Description. Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT 'N° 12289 Work to be performed under this Permit Bl. Subdi- vision Value of Project $ DATE w Contractor's License No Amt. of Permit $ CONTRACTOR •ILDER BY AUTHORITY L 195 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 re ul ' ns pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsib' ' r work done by his agents, _servants or employees. i Signed • - y BY J INSPECTOR 4 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. w a 7►- 1 Permit No 4 . 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. s / + Owner's Name and Address L/'J .. / d `i . d -- No.... `4 Street v � 9 Registered Architect and /or Engine r Employing Electrician's Name ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No .1.. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw 1 0 Amps Main Fuses Amps Underground Type of Installation • •nduit Tubing... B.X.L r l ° r hd '... -.< a 7 Amount of Permit $ ` ' (Signed) Elect '.1 Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio - an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per ent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contracto :> 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. SS. My Commission Expires MIAMI SHORES VILLAGE No 4, ! Street/ a) //, (Signed) d4� ' Metal Moulding f q � Date Street q s Notary Public, State of Florida Mastef Electrician. d 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. 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. St ACC HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST . CHECK w a 7►- 1 Permit No 4 . 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. s / + Owner's Name and Address L/'J .. / d `i . d -- No.... `4 Street v � 9 Registered Architect and /or Engine r Employing Electrician's Name ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No .1.. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw 1 0 Amps Main Fuses Amps Underground Type of Installation • •nduit Tubing... B.X.L r l ° r hd '... -.< a 7 Amount of Permit $ ` ' (Signed) Elect '.1 Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio - an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per ent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contracto :> 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. SS. My Commission Expires MIAMI SHORES VILLAGE No 4, ! Street/ a) //, (Signed) d4� ' Metal Moulding f q � Date Street q s Notary Public, State of Florida Mastef Electrician. d 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. 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. - j► MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ° ? Dat S /A Application is hereby made for the approval y pproval of the detailed statement of the plans and specifications herewith sub r ted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of fami 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 wo Owner's Name and Address. Registered Architect and /or En Employing Electrician's Name No ./ .0 Street r? Street �a...0. /.... Location and Legal Description Lot Block / Subdivision Street and Number where work is to be performed —No °";, /? e State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts h' ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fl Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- ractors 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 work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contract , on work to b performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 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, 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. 88. My Commission Expires (Signed) (Signed) � E ical�ctor. Street dA 1 Notary Public, State of Florida Master ..lectrician. 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 N O. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. ACE H ATER STRIP HEATER (� � TOTAL CONTR. LIST �j Aog, CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK - j► MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ° ? Dat S /A Application is hereby made for the approval y pproval of the detailed statement of the plans and specifications herewith sub r ted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of fami 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 wo Owner's Name and Address. Registered Architect and /or En Employing Electrician's Name No ./ .0 Street r? Street �a...0. /.... Location and Legal Description Lot Block / Subdivision Street and Number where work is to be performed —No °";, /? e State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts h' ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fl Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- ractors 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 work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contract , on work to b performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 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, 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. 88. My Commission Expires (Signed) (Signed) � E ical�ctor. Street dA 1 Notary Public, State of Florida Master ..lectrician. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 1 Owner's Name and Address 7 APPLICATION FOR ELECTRICAL PERMIT 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 herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Registered Architect and /or Engineer a , u rfi ' ''' C .. No.4 V Street Gl %' g. c%' ,, e. 14 - , r Employing Electrician's Name.. -'./-- ;:--) a Location and Legal Description Lot Block Subdivision ., Street.. - 2 1 " • Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition MIAMI SHORES VILLAGE EL ECTRICAL INSPECTION DEPARTMENT Service Overhead Size Feeders Conduit Main Sw Underground Type of Installation— Conduit Tubing B.X.L Amount of Permit $ T) STATE OF FLORIDA, } COUNTY OF DADE: 68. No / /G Street The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. Date d ' 7 ,f Repairs No. of Stories Amps Main Fuses Amps Metal Moulding (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as are (Signed) «. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. IST LIST ./ CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO TOTAL CONTR. 0v- , ; /110 6-1s CHECK 1 Owner's Name and Address 7 APPLICATION FOR ELECTRICAL PERMIT 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 herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Registered Architect and /or Engineer a , u rfi ' ''' C .. No.4 V Street Gl %' g. c%' ,, e. 14 - , r Employing Electrician's Name.. -'./-- ;:--) a Location and Legal Description Lot Block Subdivision ., Street.. - 2 1 " • Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition MIAMI SHORES VILLAGE EL ECTRICAL INSPECTION DEPARTMENT Service Overhead Size Feeders Conduit Main Sw Underground Type of Installation— Conduit Tubing B.X.L Amount of Permit $ T) STATE OF FLORIDA, } COUNTY OF DADE: 68. No / /G Street The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. Date d ' 7 ,f Repairs No. of Stories Amps Main Fuses Amps Metal Moulding (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as are (Signed) «. 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. / Permit No � MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No Street Registered Architect and /or Engineer Employing Electrician's Name No Street r Location and Legal Description Lot Block Subdivision / Street and Number where work is to be performed —No �° /.7 2 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses A4s Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) Electrical Inspector The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. (Signed) Date.. ..,.. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are i 1 Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. 1 SS. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. r 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. SPACE HEATER STRIP HEATER TOTAL CONTR.. IST . LIST CHECK , y� r' ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. /" t J ' , , MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST % CHECK " ' / ' / Permit No � MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No Street Registered Architect and /or Engineer Employing Electrician's Name No Street r Location and Legal Description Lot Block Subdivision / Street and Number where work is to be performed —No �° /.7 2 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses A4s Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) Electrical Inspector The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. (Signed) Date.. ..,.. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are i 1 Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. 1 SS. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. r WORK DESCRIPTION S ignature of owner and/or Condo President FEES: PERMIT AO RADON 95 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ' / 2-0 / 0/ Job Address)/ l 2i ( �r f 9 3 - Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenan' R V ` l (q V VT g e w Master Permit # fr C5--CF) 9 Owne?s Address ( 2_ ( 3 S ( Phone Co \t t�T , Address ( 3 11 3 0 1 . Lam) 1 3 �-e__ SS ' ? State # 'rL G" 0 `, Municipal # Competency # (4' S Lc7 Ins. Co. S (="a-Tr e<, 4 Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Square Ft. Estimated Cost (value 0 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 perfonned 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 s Date Notary as to Owner and/or Condo President Date My Commission Expires: ature of Co or . Owner uilder Date Notary as My Co Contractor or ssion Expires: Z t L �-' ►7�.Z 3 C e C.C.F. e*"" ✓ NOTARY p BOND TOTAL DUE__ APPROVED: Zoning Building Electrical Mechanical Plumbing Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date < <2 S D Job Address / Z ( Ali, 7 5 Tax Folio Legal Description Historically Designated: Yes No f a S Master Pe Owner's Address / 2 / , r E, 115-57 Contracting Co. PC- ti Qualifier L C / r /0 C5 Ni Owner/Lessee / Tenant FEES: PERMIT ,i;62 r8' RADON Address / 3 3E, A) w l/ , Square Ft. Estimated Cost (value) d i 07 1- 5 Notary as to Owner and/or Condo President Date No . - a to Contrac My Commission Expires: M Commission Ex APPROVED: Zoning Building Electrical Mechanical Plumbing 0 z) Phone ' � • 7 / � 1- 2-0 2phone O S''. "7 S I— y 20 7 State # ' C f) 9 3 Municipal # Competency # // Ins. Co. ° Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL 7LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION _12---A-/S i ic c-<-e. ,�Cz �7(. • '� 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 wor ed. "-'1 4,a.-P r :1 4 ) ' ..■ - ___A C-,-, -IV 3 / Si ature of owner and/or Condo President Date Signatur4 Contrac; r or O wner -Buil v5.364304/? / P -. 0( V Lo VaanY F11131.1c STATE OF FLORIDA COMMISSION NO. cCC714103 1Y cCOMM[SSION EXP. MAR 1, IIb? C.C.F. NOTARY 5' BOND TOTAL DUE 5 --' Structural Engineer