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ELECTRICALPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address /Z z 5 o�� de e9,3 ST Tax Folio s6 .3 Di W 2 S' / y�'' 4 h'12e "'1 L - Legal Description C Historically Designated: //� � e Owner's Address Ph one 3 A -. 7 7 a. P / Owner/Lessee / Tenant JAc k S C 4 /L L/4 e k Master Permit # g 6 ! 2) Y g , 7 7 S r9 - �/� Contracting Co. R E,L & CT ! C r Address `7/ k/ D $It) 'RU Qualifier R /O -7 ' T O Phoned ps' 4 6 1 State # Municipal # Ins. Co. Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING �LECTRICA)L PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /8 ) $ 4 B ' �49 Competency # Address Address Square Ft. Estimated Cost (value))/ ea No : as to Owner and/or Condo President P ate My Commi sio or ito EXPIRES: Oct 3, 2004 1-800-3-NOTARY FL Notary Service a Bonding, Ina, ires: JOSE M GARCIA, II. 1v11 COMMISSION # CC 972149 FEES: PERMIT 94 2_$''RADON C.C.F. APPROVED: Zoning Building Mechanical Plumbing 6 a / 9,59O OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in com 'ance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. 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.) Yes No 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. Signature ofCotrractor or Owner- Builder �s to Contractor or Owner - Builder Date Notary My Comnussio Y I N, JOSE M GARCIA, II. .. MY COMMISSION # CC 972449 EXPIRES. Oct 3.2004 1.800.3- NOTARY FL Notary Service 8 Bonding. Inc. ate NOTARY - r' 0 BOND Structural Engineer ITEM BATH 116 UNIT FEE ITEM SWITCH OUTLETS UNIT q' FEE Z4 ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS /55 CENTRAL HEATING DISHWASHER RECEPTACLES 13 9� A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTA1N SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY .,. OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP 1 7 rSTEAM BOILERS SHOWER MJTCRS OVER 1- 3 If 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 SUPPLY TO: AIR CONDITIONERS ,. T / d/ A/C UNIT STRIP HEATER ,' J j FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWI) ING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION CUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK RE INSPECTION SOAKAGE PIT CU. FT. _ �j6Ke O4 j -C/ fj,Qgt. 4/ / 6 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 ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Architect/Engineer Bonding Company Mortgagor Square Ft. /M' • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 0 1-07—(N Job Address /�,-,2 /V = 93 5 t Tax Folio Legal Description Historically Designated: Yes No 1( Owner/Lessee / Tenant Sq' c C Sc. h: //; r, 3 C---r Owner's Address /YE 93 S Phone (3C S) 2 7 - / cam{ Contracting Co o. . . e r) ) e1J" Se-cc A C e _ C O .Address C'?'60 /YE 9 fh Qualifier �► i P /7 i951 Phone - /6 state # 6 0000 6 02-5 Municipal # 30— Q % / 95Competency # .0 00 /3 ?- 33Ins. Co. A//9 Notary as to Owner and/or Condo President Date FEES: PERMIT 4,0 RADON C.C.F. Address Address Address Master Permit # nn Fi fe Permit Type (circle one): BUILDING LECTRICAIJ PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIP'T'ION r .1G/,�'°n -� - c_ c L .. �- �'''27�� � P4,7 R ,,„-- Estimated Cost (value) / C 00 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 infbrmation 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. dee d/e Simnture of owner and/or Condo President Date Signature of Contractor or Owner - Builder Date Notary as to Contractor or Owner - Builder Date My Commission Expires: My Commission Expires: NOTARY BOND TOTAL DUE • ' APPROVED: Zoning Building Electrical ?7 fr1 Mechanical Plumbing Engineering Date 0/-67- 96 Job Address % 2.. 'I /1I 9 Tax Folio Legal Description Historically Designated: Yes / No Owner/Lessee / Tenant /)e:-/e . jC N) LLB t) E Master Permit # z,�7�o Owner's Address /,2,Z4 A)t QJ , -5T7E T Phone P023) '757 - 378 Contracting Co. a1/OZ e P/G j v/ Address ,O /VZ '$4� a Qualifier 41.1J ii/ ,v 5 Phone. (111. - / 6 6-5 S t a t e # ,6 e > 0 0 0 - 0- Municipal # .BD -6.7,2 q f 9. Competency # DODO /32,323 Ins. Co. o,U .c-c' Architect/Engineer 'i/eq Bonding Company 4/ Mortgagor A/ /A Permit Type (circle one): BUILDIN L ECTRIS:A1 PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN 7 C'r/4/ .el'711 ��� gC. - A/9.c./,5 , 1 4 4( WORK DESCRIPTION Square Ft. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. � � t Not as to O M ' Commission Exp PERMIT APPLICATION FOR MIAMI SHORES VILLAGE r / yb - and/or Co : • President n JONI M. PHICNIMM NN$ory Rao • Mated Rattle Oommluion BONA Mat 27. CoMMINWI • 00143346 2111 FEES: PERMIT RADON C.C.F. Address Address Address Estimated Cost (value) 4 4 0 0, 0 6 ature of Contr o Contractor or Owner - Builder Commission E • ires: NOTARY ,t/L--q% 0//O 7996 for crr caner- Builder Date O/ /O V2;e3 BOND k TOTAL DUE APPROVED: Zoning Building Electrical Mechanical Plumbing _ Engineering ITEM BATH TLE UNIT FEE ITEM SWITCH OUTLETS ' 1 ig ol FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMP DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS 3 PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNCERGROUN) TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER IQTCRS 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 MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTCRS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: _ AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL CUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTI,RES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PULP & 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 ADDENDUM TO BUILDING PERMIT APPLICATION (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 ELECTRICAL MECHANICAL MIAMI SHORES VILLAGE, FLA. N° 7013 JOB J 114 c c r "' ADDRESS / z � a 4, F- g3 INSPECTION 7 e TIME READY /414 - // - 2 Z - e lAMI SHOES VILLAGE, FLA: JOB -Sc I 4 - ,4,z (c7* - ADDRESS e • `k# ? 71:fi INSPECTION F 0J 4- c- TIME READY — 2 7 - T- REMARKS: N? 7235 INSPECTOR DATE KUILDING ELECTRICAL ='LUMBING GOOFING MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 6377 Dwner of tuildinq archi ontractor Builder .egal )escription Lot B1 ',.ddress of iuilding Work to be performed under this Permit lone by his agents, servants or employees. In consideration of the issuance to me 'ertaining thereto and in strict conformity with =epting this permit I assume responsibility for n. CONTRACTOR OR BUILDER Signed DATE 1 Contractor's 195 — L License No. .12 • Subdi- vision 7 Value of 1 Amount of 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 application ierefor 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 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 -.pf 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 INSPECTOR of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations the plans, drawings, statements or specifications sulinitted to the proper authorities of Miami Shores Village. In ac- all work done by either, myself, my agent, servant or employee. BY AUTHORITY