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43 NW 91 St (10)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date t /0 r Job Address 4 AJ L) ?/ 571 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant q M 4.-4/1 o '11' V i G' 1 4 u 1' N 1 7 / 5 — // S Master Permit # 3 Owner's Address 43 N CO `f 1 M i 5 S, F4. 35/6 Phone Contracting Co. ■ A) Address �71 'S NN /sr ,r - r / L ci 4.`J Qualifier I d /� _,6a.,5-.2}r 5 -o/� S S #�. � /� Phone . (. State # �F 94 FEES: PERMIT 3Y 420 RADON Municipal # Competency # Ins. Co. Address Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILD G EC C P MBING MECHANIC ROOFING AVING FENCE SIGN WORK DESCRIPTION /�� �+✓ //� t?i/ 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 OF 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 contrac : to do the wo stated. ! of C „ maw ••• Notary My Co BOND TOTAL DUE APPROVED: Zoning Building Electnca �� p� Mechanical Plumbing Engineering C.C.F. NOTARY Date Date BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA , ELECTRICAL Date — PLUMBING o PERMIT IsT9 9829 Contractor's License No. /e ROOFING ❑ ❑ Work to be performed under this Permit Own / Build ing of -) -i' ! � `' Architect Contractor / , or Builder .j``"- y n Y- °,r,i .� Legal Lot Description 1 I 1 BI Address of f ;/ e2.) 1/ 14 Building yJ CONTRACTOR or BUILDER Subdi- vision Sq Ft. Value of 11 Amount of Project $ 11 Permit $ ' BY AUTHORITY 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. L . Signed • •',,./ r ' ` ' (INSPECTOR) BY In consideration of the issuance to me of this perm agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, rawings, 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, r1l agent, servant or employee. /,/ .. /; .yr . 1;f/"' BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA t/ ❑ 1. DATE C *, ? t 195 ❑ PERMIT N? 3873 Contractor's � l � 9 ❑ 1 1 Work to be performed under this Permit Subdi- vision Value of Amount of Project $ 1I 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, 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 1%uilder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether sho In 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. • CON4AGTOR OR BUILDER BY :7 AUTHORITY c413B1%. s j10L o Village of Miami Shores JOB ADDRESS REMARKS INSPECTION t"' , i• re 7 /+ •% y N? 4475 TIME READY INSPECTOR DATE - 2 `Village of Miami Shores N° 4331 • JOB Z' 0 _g ,‘' - ", '"4 ed ADDRESS 4/30 # INSPECTION / A A es. c a7 TIME READY // a in= REMARKS INSPECTOR DATE `� v'� 'Village o f Miami Shores JOB GZ-flo5 fC it) "13 if/. 9/ -V L ADDRESS INSPECTION 7! &' #t 1`t. TIME READY t // ■° 4377 REMARKS SPECTOR DATE /- is - �% 4 celj, c t,E" . ;.:3 f..;" e 3 -/ et c ■2, /7G° e 2 7 I 7 Village of Miami Shores JOB ADDRESS di :( INSPECTION /�� TIME READY N? 4436 d REMARKS li INSPECTOR DATE 2)e- Permit No b 7 7 Street and Number where work is to be performed —No Service ' ce Underground Size Feeders / Conduit � /Z....Main Sw Amount of Permit $ APPLICATION FOR ELECTRICAL PERMIT STATE OF FLORIDA, 1 COUNTY OF DADE. l j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and appeared 86. o MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT i /C . . . O 'No aa0 G (Signed) O w." (Signed) e 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 therein by him stated are true. Date - °Z - C O 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 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 CA L./ lJ $. e- Registered Architect and /or Engineer Employing Electrician's Name e 127 '2, S Location and Legal Description Lot Block Subdivision. Lt. Street 9/ — ' No Street Street.* ICJ 3 2. f- Ye - State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories L: A Amps Main Fuses Amps Type of Installation— Conduit r Tubing B.X.L Metal Moulding Electrical Insp The undersigned applicant for this building permit does hereby certify that he understands and accepts his o•ligations 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 subcontractors employed by him in th e 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. • Master Electrician. take acknowledgments, personally sign the same, and that all facts 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 O UTLETS PLUG RECE'P'T'S FIXTURES N O. LAMPS REFRIG. O UTLET IRON O UTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. A CE TER STRIP H EATER TOTAL CONTR. LIST IST /� A? �� / 3 / / / -I •-- / ` / OO el/ CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP M OTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST /D D / '' CHECK n r 1 • { lj. -l et /4• //� /t-, kr L - Permit No b 7 7 Street and Number where work is to be performed —No Service ' ce Underground Size Feeders / Conduit � /Z....Main Sw Amount of Permit $ APPLICATION FOR ELECTRICAL PERMIT STATE OF FLORIDA, 1 COUNTY OF DADE. l j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and appeared 86. o MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT i /C . . . O 'No aa0 G (Signed) O w." (Signed) e 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 therein by him stated are true. Date - °Z - C O 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 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 CA L./ lJ $. e- Registered Architect and /or Engineer Employing Electrician's Name e 127 '2, S Location and Legal Description Lot Block Subdivision. Lt. Street 9/ — ' No Street Street.* ICJ 3 2. f- Ye - State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories L: A Amps Main Fuses Amps Type of Installation— Conduit r Tubing B.X.L Metal Moulding Electrical Insp The undersigned applicant for this building permit does hereby certify that he understands and accepts his o•ligations 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 subcontractors employed by him in th e 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. • Master Electrician. take acknowledgments, personally sign the same, and that all facts 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.