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Electrical
Date — Job Address C G Legal Description Owner/Lessee / Tenant 41 X Qv) Ai 74 Owner's Address 3 6 6 a E 73 Contracting Co. AS CV N GE (E - 7,e/ C / r✓ C Qualifier C U/ S A • A s c U 0./ CC- PERMIT C PERMIT APPLICATION FOR MIAMI SHORES VILLAGE N 93 Tax Folio // 32 0 6 0/5 ‘3 2® State # de O/ 7 2 76 Municipal # Competency # Ins. Co. .34 . "`g 7 4 < -g 3'i et c��\ . Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING (ELECTRICAL) PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 41= 0-1/ 1- /-1 o J$ E . i' d / , - CT ? cc /6 f/ rYJ Square Ft. Estimated Cost (value} /400 - O 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 insta lation 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 '.s 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 o 4 er and/r Condo President Date as to mm1 /5 _A Not My er and/or Condo President Date ion Expires: • e�Y "�e Richard Jay Kurzban • ' Notary Public, State of Florida 1 i Commission No. CC 632956 - eoFno My Commission Exp. 04/03/2001 ' 14004.NOTARY. Fla. Notary Service & Boadlos Co. • t etemweeeeeteeeeeareceeteeeeeeeeteeeemereetee i :1istorically Designated: Yes No Address 4 -/ / ©/ L A G J N A Si SS# 222 -83 9? - 5- 88 -S >p3 C- Signature of Co FEES: PERMIT 41 ›"'2-." C.C.F. NOTARY Master Permit # Phone 36 5 — 2 8 i' 7 S tor or Owner - Builder ntractor or Owner - Builder Ar w C- 4/ 4...i % S tNMWMKrtR S % %% %ttt «t% `1KS tA "oe Richard Jay Kurzban Notary Public, State of Florida ` Commission No CC 632956 of nP My Commission Exp. 04/03/2001; 1.6003 - NOTARY. Fb. Notary sarvloe & Soadh* Co. '7e 1lle4 K!! Ue!tee eeeeme!K!!KereatCt!eteeeet!!e D ate 4_2‘) 47 Date BOND TOTAL DUE 0-7,02C APPROVED: Zoning Building Electrica `= t'/i`i�s�� 5y' Mechanical Plumbing Engineering APR -25 -97 10:47 AM WILLIAM.ARI2A.BERNAL Apr -25 -97 09:07A Miami Shore Village r,;1CJC►'YJUM 1 ur i dam � ° �r< +:r , '.�. ':S.'Y ;? ° c ;�.^.' �`�-•� � _ , N i \; . A.D ` ti +CY.. 1 - 5 d '.'.rlarF_.t ? = ?� :: uJ,r ' " 0 VCT 3E . ? ? " , , S N: a .i;IP :'..^rt- , .r•- • D7••P. ._ C ( - . ) 4 ( 1., ■ f., A iry .:� If , r MECHANICAL AP° UPC 7JTUTE RAKE TCP OVEN NAM 'FATS CTS 0- 14 aCTCRS VS I- 3 .P KIT= :NE;R 3- 3,9 10TCRS CAS s.. 34 / / spa HEATERS CENTRAL MEAT I? f.rAC A/C (ENS) Apt (amt.) a.cT tax RER IOc OAT ION FitaSS 143 MESS 11 116 1 - JtCF.aCaiQ1110 T • Ij�$ MVE GR UNO TAWS U.F. PRESSURE vE LS SEAN 30104 ICT RATER moms 1TC31 .N1t0(DG FCL'(AIN .za au ,EAR TRAP • NTU:C`RTa :AVATOli L1JNOIT TRAY SI-CTER S 1 • ?r/3 P. 3414. SLOP T 1:41VRT VAT'c.4 L.RiNAL yATER CLOSET 11Q At ECT WASTES ----- IA' SIP :1 70: VC MIT .:RE SPRINM1.9 j.°.,.T q- o !167. URN SPRItaQ.111-AE_L r4 44IMC, ?(X1E SEin zmcmes RELAY CRa 9,7 IEIA. CATC! S O IS.:4.4 PLUMBING ELECTRICAL L-ew GAS :.r EUILOIN3 PERMIT APPLICATTC)N CT S VS 6- tP ova :o- V� �P it3TOLS • yE; 5-II 1 1CTCRS TS ICE if 1 AA 111IM AIR tibiTlameS 1 STRIP eta 1 ZVERATOLS IRAMMEAS 1MVATC:T 1 uZNIDATI S (RN6f SIC 1 A ?.RPOZ 305 554 1657 P.01 305 756 L397? P.01 ^.IAN IC & VENTILATION 1 ' 1 I ELEVATORSOMALATORS SIM TLEiS UT I l : T'f- SE?IE4 SE=? TMk SE3Y 1< SIGN TAAWCP ERS SIG 711€ gOpC 1 [ 1 TRAIl53tT I NG ASSIAL I ES 1 ! I F!RF SARINIQ,_1 SYST156 1 =UK NG TOMEtiS 1 VIOLATION 1 11 1 1 ! 1 1 — I 1 BUILDING ELECTRICAL PLUMBING Owner of Building - MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 2524 Work to be performed under this Permit Architect Contractor or Builder Legal Lot !' Bl. Description Address of `► Building Subdi- vision Value o' Project DATE f 194 Contractor's License No. Amt. of Permit r.• 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 tie understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to an i approved by the proper municipal authorities. This Permit may be reviked at any time if the work is not done in compliance with such ordinances or if tie 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 tine 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 regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or spec fications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Legal Lot BI. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 2375 Work to be performed under this Permit )wner of Building _ Architect Contractor or Builder Subd- - vision Value of Project DATE r . 194/ Contractor's License No. Amt. of Permit / This permit is granted to the contractor or builder named above to construct the "lidding 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 - plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder nam above assumes the responsibility for a thorough knowledge of • the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work cove red hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or spe( ifications 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 JOB: BUILDING ELECTRICAL PLUMBING Cez AD: Inspector's Report : - WORK DONE BY:i :REQUESTED .'JILL BE READY • • 2.. • • : • • • • • • • The following is ready for InEpection: - . • • JOB: BUILDING ELECTRICAL PLUI.IBING ADD: ';> WORK • DONE BY: • . e REQUESTISD : JILL BE READY The Following is ready for inspection: - Inspector's Report: - s ) 1 1.• 0 0 0 13- 2 - • 4 3 A ,,_jf /9 • I v fd JOB: BUILDING PLUMBING ELECTRICAL • • • • Inspector's Report: AD: • • WORK /' • DONE BY : : REQUESTED The following is ready for Inspection: • • o • • • • : WILL BE READY JOB: (A- :.. BUILDING ELECTRICAL : Inspector's Report: The followihg is ready for Inspectim: , . • • • • AD: : WORK PLULBING : DONE BY: / 4// , • • : REQUESTED : WILL BE READY Ole • • • • • • • Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date____ / O 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 cf 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 — _ H N o. Street A w Location and Legal Description Lot____ . ° Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Add'tion Repairs No. of Stories t -- Service Overhead y Size Feeders Conduit Main S��._ ____— Amps. Underground p Type of Installation— Conduit Tubing - B.X.L. Metal Moulding Amount of Permit $_ (Signed) Subdivision__— Street_ Main Fuses Amps. Electrical Inspector. The undersigned applicant for this building permit does hereby certify ;hat he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Comp led General Laws of Florida Permanent Supplement, and has com- plied 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 under signed agrees to employ only such sub - ccntractors, ow work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. f Before me, the undersigned authority, a notary SS. My Commission Expires ( Signed) Notary Public, State of Florida Master Electrican. public, duly authoriaed to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes ;. nd says that he is the of the above described construction, that he has carefully read the foregoinE 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 REFRIG. OUTLET IRON OUTLET R.■NGE O1'TLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST �'p ° •6 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date____ / O 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 cf 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 — _ H N o. Street A w Location and Legal Description Lot____ . ° Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Add'tion Repairs No. of Stories t -- Service Overhead y Size Feeders Conduit Main S��._ ____— Amps. Underground p Type of Installation— Conduit Tubing - B.X.L. Metal Moulding Amount of Permit $_ (Signed) Subdivision__— Street_ Main Fuses Amps. Electrical Inspector. The undersigned applicant for this building permit does hereby certify ;hat he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Comp led General Laws of Florida Permanent Supplement, and has com- plied 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 under signed agrees to employ only such sub - ccntractors, ow work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. f Before me, the undersigned authority, a notary SS. My Commission Expires ( Signed) Notary Public, State of Florida Master Electrican. public, duly authoriaed to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes ;. nd says that he is the of the above described construction, that he has carefully read the foregoinE 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. ,E.A'irr SWITCH ETS LIGHT OUTLETS PLUG CE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON/ (DUNE/ R.,NGE OLTLET RANGE CONN. WATy1R. HEE1 R /, 1 W. HEAT. CONN. ; SPACE HEATER STRIP HEATER TOTAL CONTR. LIST J f ' - - N %� e ' i t �. i%, CHECK i ENT. SW. D15T. CAB. SERVICE TEMP. SERVICE PERM. / MOTORS„ 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VI LLAG E Permit No U Service Over ndergroun d head Size Feeders Amount of Permit $_ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. j ss. My Commission Expires 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 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 cf 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. r Owner's Name and Address ___.__. - «- No Street Registered Architect and /or Engineer Employing Electrician's Name ___ .____— ________ __ Location and Legal Description Lot__________ i Block ` ___�� Subdivision, , Street and Number where work is to be performed—No .___ __t ;_____ __ ________c z_ : Street —_ %� State work to be performed and purpose of building (By Floors) New Building Remodeling Add tion No. ") n (Sign - :d) I ✓, V t ,- Straat.� Repairs No. of Stories Main SW Amps. Main Fuses Amps. Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) - - -- — -- -- - -- — - - -- - - Electrical Inspector. rtify :hat he understands and accepts his obligations as an employer of labor Comp led General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - ccntractors, op,work to be ffotined under this permit, as are Notary Public. State of Florida Master Electrican. Before me, the undersigned authority, a notary public, duly authori2ed to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes ...nd says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No / ____ ?__ Date 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 -A Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein s3ecified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ( - • F ( ' " " No. Street Registered Architect and /or Engineer Employing Electrician's Name _ No ° Street Location and Legal Description Lot 1 / Block Street and Number where work is to be performed —No �_ Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. BS. /7 ` (Si €tned) Subdivision — __'__ __�__________________ Street State work to be performed and purpose of building (By Floors) New Building_ Remodeling Addition Repairs (Signed) No. of Stories. Service Overhead Size Feeders Conduit Main SI., Am s _ Main Fuses Amps. Underground P Type of Installation— Conduit Tubing B X L Metal Moulding 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 com- plied with the provisions thereof, and will require similar compliance from ill 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 inspec ion on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub -co itractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrican. Before me, the undersigned authority, a notary public, duly authoriv to administer oaths and take acknowledgments, personally appeared -- — -- - to me well known, and who, being by me first duly sworn, upon oath deposes aid says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspectioz is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'?'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET R. ‘NGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. $PACE H EATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O -1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No / ____ ?__ Date 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 -A Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein s3ecified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ( - • F ( ' " " No. Street Registered Architect and /or Engineer Employing Electrician's Name _ No ° Street Location and Legal Description Lot 1 / Block Street and Number where work is to be performed —No �_ Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. BS. /7 ` (Si €tned) Subdivision — __'__ __�__________________ Street State work to be performed and purpose of building (By Floors) New Building_ Remodeling Addition Repairs (Signed) No. of Stories. Service Overhead Size Feeders Conduit Main SI., Am s _ Main Fuses Amps. Underground P Type of Installation— Conduit Tubing B X L Metal Moulding 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 com- plied with the provisions thereof, and will require similar compliance from ill 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 inspec ion on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub -co itractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrican. Before me, the undersigned authority, a notary public, duly authoriv to administer oaths and take acknowledgments, personally appeared -- — -- - to me well known, and who, being by me first duly sworn, upon oath deposes aid says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspectioz is made necessary by improper notice for inspection, or faulty materials and /or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date /0 25-9 ' Job Address 3 G G Al E r S` Tax Folio / / 3 ,A - 0& " 013 ° 0 Legal Description Historically Designated: Yes No Owner/Lessee / Tenant At EX Q u (Ai T AriA Master Permit # Owner's Address 3 C 6 N£ 93 s Phone /7 S g i 7 S o Contracting Co. A SCu ^' c r ( e c 7let c /,r c. Address ei / -o / Let 6 J APA S ry` Qualifier (j5 , # A S c u ni C c• SS# 3 o s 2 2 4- L$ Z 9 2Zf 24, 6 3 State # 17 2 2 6 • Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAAJ PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION b C, ` � Square Ft. Estimated Cost (value) " 5 O O . p p WARNING TO OWNE : YOU MUST RECORD A NCTICE 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:,4 certify that all the foregoing inforrr.ation is accurate and that all work will be done in compliance with all applicable laws regulating constru and z g. Furthermore, I authorize the above- contractor to do the work stated. Or _ / & Signature o er and/or Condo President Date to-a Owner and/or Condo Presi. -nt Date fission Ex p ir ei»»N» % %% %%» S%% % %%»»»1»x»»» ; "OFFICIAL NOTARY SEAL" RICHARD JAY KURZBAN Notary Public, State of Florida r ,. Commission No. CC273005 `•� My Commission Expires 4/3/97 r r_ ... Through R.. Notary SO-vice & Dondin7 Co. c: I- SOO -3- N OTARY FEES: PERMIT , :I�' e RADON C.C.F. G e i Signature of Con %.i7 tor or Owner - Builder /AV No • 4, • • • ctor or Owner - : •Ider My Commis NOTARY APPROVED: Zoning Mechanical Plumbing Building -roil E Flii§i»» »,:»»5»11 »»»5 »»»`,Y1,:>»»» "OFFIC1i.LNO ?■ < RICHARD JAY ttUR'^,A ■ < Notary FuSlic. State cf f iot:da .' < Commission N o. CC2739 5 <; < My Commission Eor ir:s 43197 < Dond d Through Fla. Notary S.:.ica ta Condiry Co. , t < I- SOO- 3- NOTARY 5)»)»)>»),>>>>>»»»>>>>>»>>>»)»»»»)») ' Electrica BOND y TOTAL DUE /0-- 3/ - 9C- Date ID-31- q6, Date Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ` )- tC /-7(- Date t- f4, Job Address 3 �= ' _ T ax Folio // 2-l` 6 c` 4 .s 1 Legal Description Historically Designated: Yes No Owner/Lessee / Tenant 3 4 i ( 9 . ^ Master Permit # 1 /0 1 /6 Owner's Address Phone � -- i / .5 7 Contracting Co. ,� ai.,l e ,e lEc 4tc4 / ee .,. Ir„,, . h,A Address 4)J/ O s.Lej .v7d /0i ., P/ ? / a d e r _ ± _ 4 . S ee state # 00 Architect/Engineer Bonding Company Address Mortgagor Address Permit Type (circle one): UILDIN L TCE RICAI„ PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION , e: iY4 ('e( i? r c A( c c° , Def e: s tc ;h ..0 s . Square Ft. Estimated Cost (value) %0 0 0 (>0(01 S 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 AFFIDAVI : I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable la regulating cons jt on and zoning. Furthermore, I author: ze the above -named contractor to o the work stated. y Commissi er and/or Condo President Signature •; / A�: / er and/or Condo Pres'. -n Date n xpires: �1�111�111U1111 »)1�111�115�11 )11)1111) "OFFICIAL NOTARY SEAL" RICHARD JAY KURZBAN < Notary Public. State of Florida Commission No. CC273005 My Commission Expires 4/3/97 < Bonc:.lThmegh Fla. Not:.ry Service & Bonding Co. I- 800 -3- NOTARY FEES: PERMIT 7...4 -we RADON APPROVED: Zoning Mechanical SS# Municipal # / 7 ? V_ e Competency # Address Notary as My Commiss Phone Ins. Co. or Owner - Builder Date Tres pm»»» »»» %% %%%%> -..,,., ..w , .'-' "OFFICIALNOTA0: ::,.L" • ( RICHARD KUI<Z / ` < Notary Public. State of Florida 4 < Commission No. CC? 130,15 2` < My Commission Er. p i: t 55 < Bonded Through Fla. Now }' SC', •■:. Ir'm;hnt. C• ' • < I- 800 -3 NOTARY 0 / ® C.C.F. 1. NOTARY BOND Building Electrica 48, -4f ,r) TOTAL DUE Plumbing Engineering Permit No. r L t Amount of Permit aloft Application is hereby made for the approval of the detailed strtement 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 ordinal ces 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 ___ APPLICATION FOR ELECTRICAL PERMIT Date_ Registered Architect and /or Engineer � � �.d .' .Sine! or i , � j. : :' r Employing Electrician's Name ------ ______ ___________ ___,___ � _ —.__. 1 No r t � ___. Location and Legal Description Lot___!' c , Blo k . 7 ,,� Subdivision_ __ %e_�� er Street and Number where work is to be performed—No )) d 2 � J � ` P Street State work to be performed, and purpose of building (By Floo s) New Building Remodeling - _ Addition Repairs Service Overhead Size Feeders / Conduit 1 .;t Main Sw.__ / Amps. Main Fuses / 1 ' e Amps. Underground Type of Installation— Conduit Tubing_ t'-'`' '3.X.L .Metal Moulding My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL I ■SPECTION DEPARTMENT No Street (Signed) Electrical Inspector. The undersigned applicant for this building permit does h 'reby 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 com- plied 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 pos :ed for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ onl r such sub - contractors, o ork to ormed under this permit, as are licensed by Miami Shores Village. + ` (Signed) 1 !-1 " -.a.. Master Electrican. STATE OF FLORIDA, ss. 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, upcn oath deposes and says that he is the of the above described construction, that he has carefully re Id the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida No. of Stories ____/ NOTE: A re- inspection fee of $1.00 will be made whe:. 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 3-13— t FIXTURES NO.LAMPS REF RIG. OUTLET IR('N OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL CONTR. LIST / i , 1 U j. '1 / I t 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. r L t Amount of Permit aloft Application is hereby made for the approval of the detailed strtement 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 ordinal ces 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 ___ APPLICATION FOR ELECTRICAL PERMIT Date_ Registered Architect and /or Engineer � � �.d .' .Sine! or i , � j. : :' r Employing Electrician's Name ------ ______ ___________ ___,___ � _ —.__. 1 No r t � ___. Location and Legal Description Lot___!' c , Blo k . 7 ,,� Subdivision_ __ %e_�� er Street and Number where work is to be performed—No )) d 2 � J � ` P Street State work to be performed, and purpose of building (By Floo s) New Building Remodeling - _ Addition Repairs Service Overhead Size Feeders / Conduit 1 .;t Main Sw.__ / Amps. Main Fuses / 1 ' e Amps. Underground Type of Installation— Conduit Tubing_ t'-'`' '3.X.L .Metal Moulding My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL I ■SPECTION DEPARTMENT No Street (Signed) Electrical Inspector. The undersigned applicant for this building permit does h 'reby 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 com- plied 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 pos :ed for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ onl r such sub - contractors, o ork to ormed under this permit, as are licensed by Miami Shores Village. + ` (Signed) 1 !-1 " -.a.. Master Electrican. STATE OF FLORIDA, ss. 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, upcn oath deposes and says that he is the of the above described construction, that he has carefully re Id the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida No. of Stories ____/ NOTE: A re- inspection fee of $1.00 will be made whe:. such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. New Building Remodeling__ MIAMI SHORES VILLAGE ELECTRICAL. INSPECTION DEPARTMENT APPLICATION =OR ELECTRICAL PERMIT ` -- Lam Date Addition Repairs Service Overhead Size Feeders Conduit Main Sw Amps. Underground 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 ordi lances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether 1 erein 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 — Street � '' Employing Electrician's Name ______�_ __- = No t, 1 1 - ____— Location and Legal Description Lot Block 1 1 / Subdivision / %r c c J —._e 1 " Street and Number where work is to be performed —No . ;;___ M ‘.�, Street _.d. ' y State work to be performed and purpose of building (By Floors) _ Type of Installation— Conduit Tubing. B.X.L. Metal Moulding Amount of Permit $_— ______-- ______________ - - (Signed) No. of Stories Main Fuses Amps. Electrical Inspector. The undersigned applicant for this building permit does Jereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Sectior 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 pcsted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ orly such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. (Signed) My Commission Expires Notary Public. State of Florida Master Electrican. 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 be is the of the above described construction, that he has carefully r: ad 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 whet 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 RON 0 JTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK f f T ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK New Building Remodeling__ MIAMI SHORES VILLAGE ELECTRICAL. INSPECTION DEPARTMENT APPLICATION =OR ELECTRICAL PERMIT ` -- Lam Date Addition Repairs Service Overhead Size Feeders Conduit Main Sw Amps. Underground 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 ordi lances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether 1 erein 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 — Street � '' Employing Electrician's Name ______�_ __- = No t, 1 1 - ____— Location and Legal Description Lot Block 1 1 / Subdivision / %r c c J —._e 1 " Street and Number where work is to be performed —No . ;;___ M ‘.�, Street _.d. ' y State work to be performed and purpose of building (By Floors) _ Type of Installation— Conduit Tubing. B.X.L. Metal Moulding Amount of Permit $_— ______-- ______________ - - (Signed) No. of Stories Main Fuses Amps. Electrical Inspector. The undersigned applicant for this building permit does Jereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Sectior 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 pcsted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ orly such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. (Signed) My Commission Expires Notary Public. State of Florida Master Electrican. 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 be is the of the above described construction, that he has carefully r: ad 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 whet such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. r .e s r Permit No.____ Date_ _,,,_ •' 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 compl ante and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ord nances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether :Ierein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. r r br r' Owner's Name and Address ______,, ..�____. '� 1 ' . = '" No Street Registered Architect and /or Engineer _____ __________________ Employing Electrician's Name ____ _ No .e x _ _�N� ` ' _ �______ Stoat. , Location and Legal Description Lot Block — 1-- ! _ Subdivision 44 '� _ > l Street and Number where work is to be performed--No—_,...1_ _ , t V , ? ....-4 Street .4-- State work to be performed and purpose of building (By FlDors) New Building Remodeling Addition Repairs_______________________ __ No of Stories MIAMI SHORES VILLAGE • ELECTRICAL. INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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) ✓ t% The undersigned applicant for this building permit does iereby 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 com- plied with the provisions thereof, and will require similar co npliance 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 pc sted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ of ly such sub - contractors, o work to be �pelv�med under this permit, as are licensed by Miami Shores Village. ,� ' (Signed) 4. °,1, Master EleEtrican. STATE OF FLORIDA, COUNTY OF DADE. ss. to me well known, and who, being by me first duly sworn, up to oath deposes and says that he is the of the above described construction, that he has carefully n ad the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Before me, the undersigned authority, a notary publil , duly authorized to administer oaths and take acknowledgments, personally appeared - - -- -- ---- - - - - -- — — — — Notary Public. State of Florida Electrical Inspector. NOTE: A re- inspection fee of $1.00 will be made whet such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWIT - ETS LIGHT OUTLETS yCUG R(CE'P'T'S FIXTURES 0.LAMPS REFRIG. OUTLET RO�-�ry} CUTyEx RANGE OUTLET RANGE CONN. WAT H W. HEAT. CONN. A i SPACE HEATER STRIP HEATER TOTAL CONTR. LIST ,., / ' A ., - i,` - " , . . d � " J . / .. 1 CHECK 1 ENT. SW. DI T. CAB. SERVICE TEMP. SERVICE PERM. MOTOR'" 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK r .e s r Permit No.____ Date_ _,,,_ •' 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 compl ante and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ord nances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether :Ierein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. r r br r' Owner's Name and Address ______,, ..�____. '� 1 ' . = '" No Street Registered Architect and /or Engineer _____ __________________ Employing Electrician's Name ____ _ No .e x _ _�N� ` ' _ �______ Stoat. , Location and Legal Description Lot Block — 1-- ! _ Subdivision 44 '� _ > l Street and Number where work is to be performed--No—_,...1_ _ , t V , ? ....-4 Street .4-- State work to be performed and purpose of building (By FlDors) New Building Remodeling Addition Repairs_______________________ __ No of Stories MIAMI SHORES VILLAGE • ELECTRICAL. INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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) ✓ t% The undersigned applicant for this building permit does iereby 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 com- plied with the provisions thereof, and will require similar co npliance 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 pc sted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ of ly such sub - contractors, o work to be �pelv�med under this permit, as are licensed by Miami Shores Village. ,� ' (Signed) 4. °,1, Master EleEtrican. STATE OF FLORIDA, COUNTY OF DADE. ss. to me well known, and who, being by me first duly sworn, up to oath deposes and says that he is the of the above described construction, that he has carefully n ad the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Before me, the undersigned authority, a notary publil , duly authorized to administer oaths and take acknowledgments, personally appeared - - -- -- ---- - - - - -- — — — — Notary Public. State of Florida Electrical Inspector. NOTE: A re- inspection fee of $1.00 will be made whet such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 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 he :ein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address .8 C' G Service Overhead ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date — 6 MIAMI SHORES VILLAGE Registered Architect and /or Engineer Employing Electrician's Name d►' U 4 /3 � No. C7 O ekv- Street / 7 5 3 / 1 Location and Legal Description Lot Block Subdivision �a / 2 s s.. Street and Number where work is to be performed — No G No (- Street. .. / Y 2 : 5 / State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Underground Site Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding e so Amount of Permit $ (Signed) The undersigned applicant for this building permit does hereby certify that he understands and acce labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of has complied with the provisions thereof, and will require similar compliance from all contractors or su work to be performed under this permit; and will post or caus: to be posted for inspection on the site of as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be licensed by Miami Shores Village. Electrical Inspector. pt obligations as an employer of a Permanent Supplement, and tractors employed by him in the e work such public notice or notices performed under this permit, as are 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. 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. S�ACE H ATER 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 Oi �r s( 1 O/ / - ^ ere-Ai �,� CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether he :ein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address .8 C' G Service Overhead ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date — 6 MIAMI SHORES VILLAGE Registered Architect and /or Engineer Employing Electrician's Name d►' U 4 /3 � No. C7 O ekv- Street / 7 5 3 / 1 Location and Legal Description Lot Block Subdivision �a / 2 s s.. Street and Number where work is to be performed — No G No (- Street. .. / Y 2 : 5 / State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Underground Site Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding e so Amount of Permit $ (Signed) The undersigned applicant for this building permit does hereby certify that he understands and acce labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of has complied with the provisions thereof, and will require similar compliance from all contractors or su work to be performed under this permit; and will post or caus: to be posted for inspection on the site of as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be licensed by Miami Shores Village. Electrical Inspector. pt obligations as an employer of a Permanent Supplement, and tractors employed by him in the e work such public notice or notices performed under this permit, as are 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. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL, INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No " Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted fofthe building of other structure herein described. This application is made in compl and conformity with the Building Ordinance of Miami Shores Village, Fio:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation's of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADS. I se. Registered Architect and /or neer ry o ing Ele triciafi'e me.... I / "..1. _ .� • , i No Street 1 Loatio nd Legal Description Lot. C.. �� 'kf; 5 � Block 4 7 Subdivision. ? Street and Number where work is to be performed—No ....... a ,..7. State work to be performed and purpose of building (By Floors) — I 0 New Building Remodeling Addition Repairs service Overhead Size Feeders Conduit.. Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing.. ... B.X.L Metal Moulding (Signed )..&e No i � / . _ ' D !� �S� Street.A. / �' • (Signed) Street....,...:! Date r 1 ` , f F No. of Stories 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'contracto on work to be performed under this permit, as are licensed by Miami Shores Village /114co Master Electrician. Before me, the undersigned authonty, 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 neceuary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH 0 LIGHT OUTLETS PLUO RECE••T'S FIXTURES NO LAMPS RE /RIO. OUTLET ICON OUTLET RANGE OUTLET RANGE CONN. WATER N EATER W. MEAT. CONN. SPACE 14 STRIP 14 Ic '.]Nl =; f < p /" i TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL, INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No " Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted fofthe building of other structure herein described. This application is made in compl and conformity with the Building Ordinance of Miami Shores Village, Fio:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation's of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADS. I se. Registered Architect and /or neer ry o ing Ele triciafi'e me.... I / "..1. _ .� • , i No Street 1 Loatio nd Legal Description Lot. C.. �� 'kf; 5 � Block 4 7 Subdivision. ? Street and Number where work is to be performed—No ....... a ,..7. State work to be performed and purpose of building (By Floors) — I 0 New Building Remodeling Addition Repairs service Overhead Size Feeders Conduit.. Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing.. ... B.X.L Metal Moulding (Signed )..&e No i � / . _ ' D !� �S� Street.A. / �' • (Signed) Street....,...:! Date r 1 ` , f F No. of Stories 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'contracto on work to be performed under this permit, as are licensed by Miami Shores Village /114co Master Electrician. Before me, the undersigned authonty, 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 neceuary by improper notice for inspection, or faulty materials and /or workmanship. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2 /4/2003 Applicant: ALEXANDER QUINTANA Owner: QUINTANA ALEXANDER JOB ADDRESS: 366 NE 93 ST Contractor P & M ELECTRIC INC Local Phone: 305 - 949 - 6373 Parcel # 1132060136320 -4 bo,ov 5_0 6S-o Total Fees: - $G QQ Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 8/3/2003 Work: LIGHTING RECEPTACLES IN NEW KITCHEN 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 ordinances and regulations pertair by his agents, servants or employ In consideration of the issuance with the plans, drawings stateme myself,_my agent, an or em Signed: PAY TO THE ORDER '0F Electrical Permit Permit Number: EL2003 -30 Contractor's Address: 1936 NE 148 ST Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 W1/2 LOT 2 -LOT 3 & 4 & E1/2 LOT 5 BLK 47 P & M ELECTRIC, INC. 1936 N.E. 148TH STREET NORTH MIAMI, FL 33181 -1137 Construction Value: $1,300.00 MEMO Page 1 of 1 Bank of America ACH R/T 063100277 il'00 ?ILA 611' ':0 6 30000 4 71: 00 L S 9 5 2 9 20 L 45,6ZJ 7446 DOLLARS dive Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOYR+✓AtrATE4Q4RMi'I RMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEft NE,ATANDI (.'OIQ)SU ioN free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FrM laj27' DEBRts': • • 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUPPMENT (IR. 1lZLES, M. ' NOT BE USED FOR STORAGE. A bond is • required for work in or near the street/sidewalk. • • ••• • • • • 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer De iartment (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, V Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE QF_ ORIDA e NTY OF M Signature of Owner Print Name Sworn to and subscribed before me this as day of•3c.x. tLa t� . , 7 c) c:) . r N 1v• 6 'ZEAL Signatu ; p�otar 1,010- oonda ri co;9MISSIOd NUMBER DW04689 AMMISSiO EXPIRES O , r - An 21 2003 J I SEAL: Personally known OR, Produced Identification Type of Identification Produced: • • •.• • . . • • • - • • • •• • • • • • • • • • • •• . • . • • ••• • • • ••• • • • S `AT FLO ID CO Y OF IAMI -DADE j Signature of Contractor / Qualifier Print Name worn to and subscribed before me i I Signatu of Notary ' ,lic - ' t to . Florida i ,o. > A ela M Becker v v commission 00150048 tr fi =xc'rei November 15, 2008 SEAL: Personally known PERMIT APPLICATION day of OR, Produced Identification Type of Identification Produced: CONTRACTOR Name 7fy O k�d - c1 �Jt' l c z � l License No. C (, m Q v i 5 - Address 1 C 3(e, /U l : 14.'5 f; AT, (Vt, : atK: �Z, 33l El j Teleph _qr /j 7 37 ax Qualifier Name ix. ( tie c ce Q5em PROPERTY OWNER New Construction Name /� /� / - /AN"- Ow. c/ Y �.1Cl. /✓1 Ytc� Address .8 (c, N E 3 --S - - / 1A-4t - 1 ley , S kr, - t /.1 -r L1 a 3 ./ i Home Telephone (�S) 7S / — G y' Z 4 / Alteration Interior Business Telephone(3 0.5) - not / — 3 F ir 3 Demolish Fax Shell Only TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior ,-Repair Alteration Interior 4,- Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other •• • •• •' • • • • • • • • • ••• • •.• • • Master Permit No. • Sdbsidiary Permit No. ••. • . • PERMIT APPLICATION INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: •• • • • Step I. • Complete the attached permit a mus•bestg'hed 6, the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more tccfirate prooessing of.'ybur application. If roofing work will be done, a roofing application must be submit- • • • • • • ted along with this permit appltcatioR. • • . • • • • • • Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job' Address: 3 t' Iv g t A w Address Apt. City Folio Number // —0 —0 /3 I' ( e 3. D escription of Wor Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision' Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax £ h- »- € i 6r t c� ate 33 /3 Zoning Linear Feet Units Floors / / J Square Feet �j I �DJ alue of Work g :no c Bldg Value 111/// 1 Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax ELECTRICAL TYPE Minimum Fee QTY. TYPE Drylf • • • • ; ; • QTY. • I. TYPE. •Outlet, Appliance • • QTY. P. 'TV1'1. Service Repair ()Ty. A/C Central 1 -3 Ton Fan Outlet, Wall f J Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch J Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) Periodic Inspections A/C Central 16 -20 Ton Barbecue Fixture Light q Parking Lot Lights Process/Pressure Piping Spas/Hot Tubs Supply, AC Well A/C Central 20+ Ton Bath Fan - Vented, # Flood Lights Fireplaces, Number of Plugmold/Strip Pressure Vessel Subfeeds, No. of Amps Temporary Toilet A/C Window Catch Basin FPL - Load Central Gas - Propane Posts Pump, Re- circulate Swim Pool, Commercial Temporary Water Closet Air Conditioners Clothes Washer Garbage Disposal Gas Piping Range/Range Top Pump, Replace - Pool Swim Pool, Residential Urinal Chiller Dental Chair Generators, etc. Grease Trap Receptacles PI Switchboards Utility - Sewer Clear Violations Discharge Well_ Heat Recovery Ice Maker Refrigerator, Comm. (p/PH) Pump, Sump Temp Serv., Construction Utility - Water Compactor Dishwasher Low -volt, Burglar Indirect Wastes Refrigerator, Domestic f Temp for Test - 30 days Vacuum Pump Deep Freezer Disposal Low -volt, Fire Interceptor Renew - Temp Service Roof Inlet Water Closet Demolition Domestic Well Low -volt, Intercom/Te:eph. Laundry Tray Repair Circuits Septic Connection Water Heater Dishwasher Drainfield, 4" Tile/Res. Low -volt, Television Lavatory Service, Number of Amps Septic Tank Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE. Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number oT Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well_ Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipmen': Sink Well, Supply Page 3 • • • •o• • • • • • RECEIVED AND REVIEWED BY: • • ••• • • • • • • • • • • • • .•• PERMIT APPLICATION • •• • . • • •• • •• • ••• • • • • • INSTRUCTIONS: Please indicate a& typepf v41;k be nd perZormed and quantity(ies) in the space provided below. DATE: G/ `®4'? Page 4 OFFICE USE ONLY ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) LI OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary REVIEWED AND PREPARED BY SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY ' DATE • • • • • • •.. • •.• • • 0 PROOF OF OVJNERSHIP (Attach) •• ••• • • O HRS / DERM APPI(OVA4 (Septic / Sewer) • • • • • ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) • • • . •• • • • • • • • • ••••••• • ••• •• • • • • • PERMIT APPLICATION CHECKLIST .•• • ❑ CONDO ASSOCIATION APPROVAL . • JNtiach) . • • . .. • • • . • . • •• • • • • L] B R APPROVAL (Restaurants) . . ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES ( .ftt. = x/1000 (¢.005 / sq.ft.) (¢.01 /sq.ft.) TOTAL $ \ D V ISSUING OFFICIAL e DATE: 4i CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com