321 NE 93 St (3)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 4' A ?2+L 1-Gt) I Job Address 3a\ 91, e.�4 Tax Folio
Square Ft. Estimated Cost (value) /(--C)
ll -3accp Q«- co•_Io
Legal Description 1-01 IBS ' pes - Y fk- [of 1' RI( 14_ 16 Historically Designated: Yes No ✓
Owner/Lessee / Tenant CI,c 1;„t ex.. t "C Master Permit # T6 /3
Owner's Address - j � IVY 4- t - >-. ?e--C' -L .e4' Phone j C<" jCD`}
Contracting Co. 'Y`.9 —/ Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor S' Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING M ROOFINGt I P AVING FENCE SIGN
WORK DESCRIPTION /nS -�z� (repfr �l l��I�jtp ✓C�P�kt�c- `-� ��'� ✓S
eLCC►z ,10 eo.,' gi1C4 -- .-
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 of owner and/or Condo President
Notary as to Owner and/or Condo President
My Commission Expires:
FEES PERMIT
APPROVED:
Zoning
Mechanical
RADON C.C.F.
Building
Date Sign
Date No as to ontractor
My Commission Expir
NOTARY J �'
2.1
Z uil 6 g_ 6- 9 -0
4 y -o/
r �• ,=ii AO SEAL Date
D GLADYS 3 vlLLP
i'r S'I'fn i Oi:11.011:DA
WWI? COKMISSION NO, CC711103
BOND
TOTAL DUE 6
Electrical
Plumbing Structural Engineer
04 - 04 - 01
30
17 : 25
27
All dimensions & size designations
given are subject to verification on
job site and adjustment to fit job
conditions.
63
/ 121 VA 18 -/ •
36
BW
2430r
R L sr
W24
15
W24
15-
W15
30L
W30
30
G1830L
0
B27
67i
B9L
/ 27i 36
1001
E
HOME Th DEPOT
B15L
Iv
m
581
36
381
9 7 37&
OL
IC
18 - 15 -/
18 12i /
8
2060DB2E
c wagner
BI 8L
W1830L
A
1
BW
2430
R
51
Scale maximum
Designer
jan
301
27 27
56
27 26
Dwg no.
Design: 01/19/01
Date : 02/12/01
1511
29 c
/ 24
1 / - 18
1 W3612
/- 15 36
/ 15 ----- 36
1511
24 -/
4-
I G183
I -
DISH. 24" B9L
build platfor
36" REF-
This is an original design and Must
not be released or copied unless
applicable fee has been paid or Job
order placed.
I D
p .0'
Permit No....:
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buildin 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
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
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
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 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 sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, 1
COUNTY OF DADE. I
ss.
(Signed)......(/./....1 .�
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
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.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
r
CHECK
, .5-Z)
Permit No....:
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buildin 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
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
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
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 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 sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, 1
COUNTY OF DADE. I
ss.
(Signed)......(/./....1 .�
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
CONTItACTO
MIAMI SHOR ILLAGE, FLORIDA
DATE Cot
PERMIT N? 10821
Work to be performed under this Permit
Contractor's
License No
Owner of dir
Building
Architect
Contractor & or Builder ef r►Z l - 6 - [—>L• -
Subdi-
Descrif3 y Lot � I , ` II Bl. 4 4 vision '"� f
A Building of / f se
Building / 1°,04 y Xr�'
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 plane,
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 ordinance and s
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
In consideration of the issuance to me of this permit I ag se
pertaining thereto and in etri• - • :for:: '+ with the plans, drawi s,
In accepier : 's permit I su sp. ? 'ility for all work do
40' p
y
1
Value of
Project $
BY
INSPEC .It
0"'"2-:e
I) Amt. of
Permit
A/44,
perform the work covered hereunder in compliance with all ordinance" and relies
atements or specifications submitted to the proper authorities of Miami Shores NMI..
either, myself, my agent, servant or employee.
AUTHORITY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑ DATE / f ` Y 195
ELECTRICAL e' PERMIT N? 15802 Contractor's
PLUMBING ❑ License No
ROOFING ❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder T \
Is.
Legal Lot II Bl. Subdi-
Description vision
Address of Value of
Amt. of �-�
Building % , J i Project $ Permit $ ./ '••�+
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. { "
CONTRACTOR OR BUILDER
Signed • - t/ I '"` ' `"" ...) ,. By ki L ° 4 - .
INSPE
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, statenlants 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
Permit No/ 4/
y _
Owner's Name and Address
Service
Amount of Permit $./
STATE OF FLORIDA, 1
COUNTY OF DADE. I
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 w
Registered Architect and /or Eng sneer
Employing Electrician's Name._. D h e 4� ' k . t / d ''''No
:, Street
Location and Legal Description Lot ...�.i ... f(,..Vt.ef . 1•4`.... Block q.e
Street and Number where work is to be performed —No ' ,�.7' 1
State work to be performed and purpose of building (By Floors)
New Building 1>� Remodeling Addition Repairs No. of Stories
verhead
Site Feeders Conduit .. /.....t3s Main Sw
n er round
Type of Installation — Conduit Tubing 1i B.X.L Metal Moulding
(Signed)
Electrical 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 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
1• No 3 `Zi
Date k t 3 1
Street
Street
IV F 0 3
Subdivision .... • S " Qv t /
Air ' ...
.n
4 s Amps Main Fuses...f .. Amps
tit
(Signed) u 7 4e ,
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
OUTL s
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
` O ST
/ 7
� O
/
(44: 37444
1
/ -"
I
/ 5-6
/
07
/
I 71 !
___I__
. CJ
7"
.rO
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/ 4/
y _
Owner's Name and Address
Service
Amount of Permit $./
STATE OF FLORIDA, 1
COUNTY OF DADE. I
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 w
Registered Architect and /or Eng sneer
Employing Electrician's Name._. D h e 4� ' k . t / d ''''No
:, Street
Location and Legal Description Lot ...�.i ... f(,..Vt.ef . 1•4`.... Block q.e
Street and Number where work is to be performed —No ' ,�.7' 1
State work to be performed and purpose of building (By Floors)
New Building 1>� Remodeling Addition Repairs No. of Stories
verhead
Site Feeders Conduit .. /.....t3s Main Sw
n er round
Type of Installation — Conduit Tubing 1i B.X.L Metal Moulding
(Signed)
Electrical 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 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
1• No 3 `Zi
Date k t 3 1
Street
Street
IV F 0 3
Subdivision .... • S " Qv t /
Air ' ...
.n
4 s Amps Main Fuses...f .. Amps
tit
(Signed) u 7 4e ,
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
❑
MIAMI SHORES VILLAGE. FLORIDA
0
PERMIT N? 6862
Owner of
Building
Architect
Contractor
or Builder - t r - `
Legal Lot
Description
a s'
Address of
Building ` f
CONTRACTOR OR BUILDER
Signed
DATE —
1 L
195
Contractor's
License No.
Work to be performed under this Permit
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 cr in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
INSPECTOR
BY.
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
N° 1129
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla ,
Owner, Agent or enant of Building
1
Lot "
. 7 /:11 liock 7 I Subdivision
Street Address ^ ) r . - c„ `
Approved use by occupancy Er ..
e
wi•
Remarks.
This Certificate of Ccccupancy is issued to the above named
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of b ildings or structur s.
Arn —=—
BU L i NG DIVISION
6 ��
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No a. Date ( '
Registered Architect and /or gI e
Employing Electrician's Nam: `n !
Location and Legal Description
Amount of Permit $
•
1
SS.
Lot
Street and Number where work is to be performed —No
My Commission Expires
0
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 { 4..11 ����' /L, No 3 21 Street 1 �
9
Street e
Block Subdivision
�..:..� . .Street 1 ()
State work to be performed and purpose of building (By Floors)
Notary Public, State of Florida
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
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.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts hi obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo da 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 performed under this permit, as are
licensed by Miami Shores Village. e
• (Signed) , � / (
Master Electrician.
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.
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.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
M OTORS
141 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
6 ��
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No a. Date ( '
Registered Architect and /or gI e
Employing Electrician's Nam: `n !
Location and Legal Description
Amount of Permit $
•
1
SS.
Lot
Street and Number where work is to be performed —No
My Commission Expires
0
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 { 4..11 ����' /L, No 3 21 Street 1 �
9
Street e
Block Subdivision
�..:..� . .Street 1 ()
State work to be performed and purpose of building (By Floors)
Notary Public, State of Florida
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
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.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts hi obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo da 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 performed under this permit, as are
licensed by Miami Shores Village. e
• (Signed) , � / (
Master Electrician.
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.
_ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • 305- 795 -2204
Date 3/ Address lit\ LJE e Y9 �# Tax Folio
Legal Description Historically Designated: Yes No
Owner /Lessee/Tenet
C 1/4 P
Owner's Address 3J \ 1•36 ac C c2 C.k-
l � �^
Contractin �
Qualifier
C L&I R. (Y)
Quali
State # ". £9001 V V Municipal #
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ( ELECTRICAL-• PLUMBING MECHANICAL ROOFING
WORK DESCRIPTION: Q CI A e 1 [ e_ t he �t,/ OT C/ C� WL
D �
3 Square Ft. pctyrel
Estimated Cost (value) 7Q900 «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 ANY 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 all disciplines.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated.
Notary . to Ow di ,nh A iktBECKER
My - ontmtssion : � ( S CI COMMISSION NUMBER
t i , vi' ' ' CC786697
9 4 cis*. MY COMMISSION EXPIRES
! OF f NOV. 15,2002
FEES: PERMIT
APPROVED:
Zoning Building
Mechanical Plumbing
)
Address
Master Permit # L r 0 ' ✓
Phone • f 1
IciwoN,E\9€5i
ss# ( phone 30C991 -63 73
Competency # Ins. Co. 4,..(Y) ()/1
C.C.
Sig
otary as t Contract r or • C ler moiler
My Commission Expir a - , '
O r. i * M p sv 6;4
'
r • u; .�' "I *: ii4 ' s y p� B0 N
tl�
ate
Date
TOTAL DUE
Electrical
Structural Engineer
IM
TN 11.B
UNIT
•
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
OE7
LIGHT OUTLETS :.
CENTRAL HEATING
SttWASiER
RECEPTACLES
A/C (WIND)
S?OSAL
SERVICE TEMPORARY
A/C (CENTRAL)
;INKING FOUNTAIN
SERVICE SIZE IN MPS
DUCT WORK
.00R CRAIN
SERVICE REPAIFVYETER CHANGE
/
REFRIGERATION
;EASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
ITERCEPTOR
RANGE TOP
UNDERGROUND TANKS
,VATORY
OVEN
ABOVE GROUND TANKS
,UMJRY TRAY
WATER HEATER
U.F. PRESSLRE VESSELS
.OTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
CRIER
MOTCRS OVER 1- 3 HP
HOT WATER BOILERS
:HK, POT /3 COMP.
MOTORS OVER 3- 5 FA
MECHANICAL VENTILATION
NK, RESIDENCE
MOTORS OVER 5- 8 FP
TRANSPORTING ASSEMBLIES
NK, SLOP
MOTCRS OVER 8- 10 FP
ELEVATORS/ESCALATORS
:MPORARY WATER CLOSET
MOTORS OVER 10- 25 FP
FIRE SPRINKLER SYSTEMS
1IHAL
MOTORS OVER 25-100 FP
COOLING TOWERS
',TER CLOSET
MOTORS OVER 100 FP
VIOLATION
DIRECT WASTES
A/C WINDOW
REIHSPECTION
;TER SLFPLY 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
SHI1&1IN6 POOL
OUTLETS OINERCIAL
WATER SERVICE
SIGN TUBES
:WER CONNECTIONS
SIGN TR,(NSFORMERS
'ILITY -SEWER
SIGN TIME CLOCK
'ILITY -WATER
FIXTLRES
:PTIC TANK
ANTENNA '
:LAY
TELEVISION OUTLETS
AINFIELO, 4' TILE/RES.
VIOLATION
-
IP & ABAN+DOH SEPTIC TANK
RE I tSPECT I ON
IAKAGE PIT CU. FT.
,TCH BASIN
SCHARGE HELL
STIC WELL
�-
IA DRAIN
?OF INLET
;EAR WATER HEATER
RE STANCPIPE
�-
GL PIPING
��-
;WN SPRINKLER SYSTEM
S RANGE
.TER SET (GAS)
S PIPING
;.N 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.)
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MECHANICAL
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NOTARY
) 1 \/' 9f/in, m ._
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 3/14/2002
Applicant: CHRISTINE
Owner: WAGNER
Contractor P & M ELECTRIC INC
Local Phone:
Parcel # 1132060136240 Legal Description:
Job Address: 321 NE 93 ST
Fees: Description Amount
FEE2002-1498 Building Permit Application Fe$60.00
FEE2002 -1500 Notary Fee $5.00
Total Fees: $65.00
If there is no permit pac
fee is $50.00, which must
This Permit is granted to the co.
ordinances pertaining thereto and
and approved by the proper munic
authorization A further condition t
ordinances and regulations pertain
by his agents. • • v anls or employ'
S ign
Signed
In considorntron of the Issuance
with tho plains. drawings. stntema
myself. my agent. servants or ern
Electrical Permit
Permit Number: EL2002 -75
WAGNER
CHRISTINE
Address: 1936 NE 148 ST
Cellular:
p Permit Status: Approved Permit Expiration: 9/8/2002 Construction Value: $2,200.00
Work: REPLACING SERVICE W /NEW 200 AMP SERVICE & BREAKER PANEL
( \19 -- Q_
Page 1 of 1
«I'00 7 L 7 2» 1:06 30000 00 L 5 9 5 29 20 1 Log
Total Fees: $65.00
Total Receipts: $0.00
Bank of America
ACH R/T 063100277
MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 18 W1/2 LOT 19 BLK 46 LOT SIZE
7172
P & M ELECTRIC, INC. 63- 4 /ti3u FL
1936 N.E. 148TH STREET 1348
NORTH MIAMI, FL 33181 -1137 3/14/2002
PAY TO THE
ORDER OF
$ * *260.80
tv ************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** DOLLARS
Miami Shores Village
►.IEMo singer - 194.00 merchant 66.80 , 211. .