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35 NE 92 St (8)MIAMI SHORES VIL AGE BUILDING DEPARTM 305- 795 -2204 Building Inspection Request Date 20 /3.y Type Insp'n F � Permit No.. I _ l • Name J 1C SCUISCI Address S J f E ! S 4 Correction Re- Insp'n Fee Company Phone # Inspection Date 7 -7 JZ 1 Approved 7 1/y ?, )9 cid 2- ) C Type lnsp'n Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT \` 305- 795 -2204 ?j Buil ing Inspection Request Date Z Permit No. E 1 V ) SSA Address 35 / v C q Compan O u /Nr Phone # Inspection Date 1Z� Approved LEA Correction ❑ �3J - / -, Re- Insp'n Fee ❑ 0/-1' Dat Type Insp'n Permit No. Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Request clnGl EIE'C4- 17, Name S LU i 3 CI Address NE- c i 3 Company "� �( Phone # / 6(0 — 30,- c I 1 7 l Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/7/2004 Applicant: NICOLE Owner: SUISSA JOB ADDRESS: 35 Contractor Local Phone: Parcel # 1132060130240 NE 92 Signed: (INSPECTOR) Signed: (Contractor or Builder) Electrical Permit Permit Number: EL2004 -172 SUISSA NICOLE ST Contractor's Address: Permit Status: APPROVED Permit Expiration: 12/21/2004 Construction Value: $1,500.00 Work: 2 CEILING FANS AND HI HATS. MOVING ONE OUTLET BY: Page 1 of 1 e Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 15 & 16 BLK 2 LOT SIZE 100.000 Fees: FEE2004 -6738 FEE2004 -6739 FEE2004 -6741 FEE2004 -6742 Description Building Fee CCF Technology Fee Training and Education Fee Total Fees: Amount $100.00 $1.20 $2.50 $0.40 $104.10 n/ Total Fees: $104.10 Total Receipts: $0.00 JUL O 7 PAID In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. BUILDING PERMIT APPLICATION FBC 2001 Contractor's Company Name $ Value of Work For this Permit Describe Work: Submittal Fee $-S Notary $ Scanning $ Radon $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Not Master Permit No. 3 P �`l a -7 l Permit Type (circle): Building Electrical umbing Mechanical �} R000fing Owner's Name (Fee Simple Titleholder) I J SC)ISS Phone #�(7c%) 3 O / — 7 wY Owner's Address 3 S IV/ 9? --- sT/ZEeT n/471 City r S h4,72 C- j State h Zip --- ) 3 2 Tenant/Lessee Name Phone # 1/) 5�2�fi =r Job Address (where the work is being done) � 5 � [' / qt' , City Miami Shores Village County Miami -Dade Zip ��) 3 2( Is Building Historically Designated YES NO $/_ O _ b "V Permit Fee $ / ©O / 'O Structural Plan Review. $ Phone # Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: ['Alteration ❑New ❑ Repair/Replace ['Demolition Type of Work: ['Addition 2_ C tc- e-ov c- g (ri# En f /7e iJ //VG - c Dl r .C7' * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** REMOVED 2 4 2004 CCF $ ( i c CO /CC Training/Education Fee $ i l a Technology Fee $ Zoning Bond $ U Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a cert:f:ed copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this day of ,20,by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: *************************************************** APPLICATION APPROVED BY: �/�� /_�_%� Chc 05/13/03 Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 _, by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** vv Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/7/2004 Applicant: NICOLE Owner: SUISSA JOB ADDRESS: 35 Contractor Local Phone: Parcel # 1132060130240 NE 92 Signed: (INSPECTOR) Mechanical Permit Permit Number: MC2004 -110 SUISSA NICOLE ST Contractor's Address: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 15 & 16 BLK 2 LOT SIZE 100.000 Fees: Description Amount FEE2004 -6734 Building Fee $100.00 FEE2004 -6735 CCF $0.60 FEE2004 -6736 Training and Education Fee $0.20 FEE2004 -6737 Technology Fee $2.50 Total Fees: $103.30 Total Fees: $103.30 6 Total Receipts: $0.00 S3,3a Permit Status: APPROVED Permit Expiration: 12/21/2004 Construction Value: $300.00 Work: RELOCATE AC VENT Page 1 of 1 JUL 0 7PA1p In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: 2 r - +- BUILDING PERMIT APPLICATION FBC 2001 Tenant/Lessee Name Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Electrical ���� Plumbing Owner's Name (Fee Simple Titleholder) A_ r/rN /U!� O - SUl V/f Phone Owner's Address 3 ! 9 T w T� G�CT City n State fL . Job Address (where the work is being done) S 7 (l 1 t ) � � City Miami Shores Village County Miami -Dade Zip 3 3) 3R Is Building Historically Designated YES Contractor's Company Name Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) L $ L,91t/ Phone # (3 0‘) gz - 393, $ Value of Work For this Permit Type of Work: Describe Work: ['Addition ❑Alteration ENew 4 S Submittal Fee $ S a. Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ Zoning * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ° Master Permit No. Permit No. Zip 313 Phone # Phone # Square Footage Of Work: ❑ Repair/Replace AECEOVED off = � `U° ❑ Demolition CCF $ ' - 0 CO /CC Technology Fee $ , S () Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ S� (Continued on opposite side) 2 4 J. 20E Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature /Q Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 _, by day of , 20 , by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: Chc 05/13/03 NOTARY PUBLIC: Sign: Print: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** V � Plans Examiner Engineer Zoning ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Heating Strips, each Fan Outlet, Wall Service, Temporary Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch Piping, Flammable Liquid Signs A/C Central 8 -15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16 -20 Ton Pressure Vessel Fixture Light - Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential V V Chiller Generators, etc. Receptacles Switchboards 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 Relay Repair 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/Teleph. Laundry Tray Repair Circuits Water Ileater Dishwasher Low -volt, Television Service, Number of Amps Water Ileater New 1VIECHANICAL 'TYPE .. _ ' Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons QTY. Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel -_ - 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 Filler 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 1 Septic Connection Water Ileater Draintield, 4" Tile/Res. Lavatory Septic Tank Water Ileater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CHECKLIST Cl OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ ,mooe �o Metropolitan Dade County (C.C.F.) $.. /' ^�' ( sq.ft. = x/1000 x ¢.60) Inspector State Educational Fund $ (¢.005 /sq.ft.) State DCA (Radon) $ (¢.01 /sq.ft.) Code Enforcement Fine $ Zoning Review REVIEWED AND PREPARED BY: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE /y,1/mvt PERMIT APPLICATION' Cl CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ A(0 _ t� ISSUING OFFICIAL DATE: 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 PROPER IMWNER'' .:'" ''l b +i,lt:tn Name a : f•- Address 2 Pe V sr / fri , 5)111.. �/� IIonic Telephone Business Telephone Fax CONTRACTOR 4 , yam, ' i � 5 L � Name Name I 4 Zy Ei►4Y,C License No. License No. �i C Ci1:7/6-14t Address l Address i° 1 SO 1 5e1 1 0,40 . 1 i(-/ Telephone , 3 oo&b Fax Fax Relocation of Structure Q`trIvA or�i S Gb_ s Shell Only ARCHITECT 4 , yam, ' i � 5 L � Name �- A i8/"�S E License No. Pi u— p "✓! f r 1 2,- is- J- " Address l Alteration Interior Telephone Demolish Fax Relocation of Structure TYPE OF MANAGEMEN'lji (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other Step 1. Job Address: r � �- s 7 / , {mil Address Apt. City Description of Work poo L Folio Number) ) 3 O b O' Oa No Lot S Block 4 � Subdivision ' t _s s -,„„ , 0 to p6.20_ Current Use of Property S1 Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other x PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection Master Permit No. 3 5" PERMIT APPLICATION Subsidiary Permit No. ,INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If rooting work will be done, a roofing application must be submitted along with this permit application. 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 quo State E f 40)14 ut, Zip Zoning Linear Feet Square Feet Value of Work Units Floors Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES I. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT 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 CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY 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 Department (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 a 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, 1" 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 OF FLORIDA, COUNTY OF MIAMI -DADE Signature o • er Signa of Contractor / Qualifier Sworn to and subscribed before me this day of Print Name Signature of Notary Public - State of Florida SEAL: PERMIT APPLICATION STATE OF Ii A, .COUNTY OF MIAMI -DADE Sigi it ota ubin, - S Notary Public, State of Florida SEA . My comm. exp. May 24, 2003 Comm. No. CC819725 Print Name 1 Sworn to and subscribed before e this 3/ day of D c.-77: eft,_, ( " a d/ . Personally known OR, Produced Identification Personally known Olt, Produced Identification Type of Identification Produced: Type of Identification Produced: ...—,1114,1,4.,Y1.„ ■•=11117111..1.1. •,_._11 PAY TO THE OR IROF gyea VOoth ESSIG POOLS, INC. 1800 NE 151ST STREET NORTH MIAMI, FL 33162 Mellon United National Bonk Miami. Florida FOR Pe.zintit - /8011 1:0670096461: 002/ 302 .1e.7.1.raN DATE 6 / 86180 63-9642 670 $ C'O o DOLLARS ei f.turity 44•4■0% 1.11. on Rae. • ` /11 • • Date Job Address J / 6 ? sr Tax Folio Legal Description Historically Designated: Yes Owner/Lessee / Tenant J� 6 Owner's Address 5 /411/1(%, Phone Contracting Co. OO x 1 QC, Qualifier ,1'O I'V J 1110 0 t>e State# ec000i i q Architect/Engineer • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Municipal # Bonding Company Address Mortgagor Address WORK DESCRIPTION Square Ft. Estimated Cost (value) Notary as t My Comm APPROVED: Zoning Mechanical Se XPS OFFICIAL NOTAR SEAL + MARY PATRICIA BRIGGS • _,r * COMMISSION NUuBER itc la 1 % 0 H' Q CC335258 <( • MY COMMISSION EXP. �F • Fly JAN. 31,1998 6 /\ A � � � (TL (1 si 032 f owner and/or Condo President lieg FEES: PERMIT .2 4 ;40 / COp RADON C.C.F./i gip NOTARY Master Permit # Building Electrical No Address � q k)o) 905r SS# - phone gq/ /374/ Competency # /ea6.02, Ins. Co. / //T,L'j t16 2S Address Permit Type (circle one): BUILDING(ELECTRICAIL ) LUMBING MECHANICAL ROOFING PAVING FENCE SIGN 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. ature of Contractor or Owne S uilder ////2_/ Date • ild -��� /Z /1 Notary as t.` ontra Date My Commission Expit.t P U S OFFICIAL NOTARY SEAL 2 19 % ;T�(1 MA RY PATRICIA ®RIGOS * ...' * COMMISSION,, NUMBER y 4 'v ' Q CC335258 , �0F _ cp RAY COMMISSION EXP. JAN. 31 1998 r 1...2. 0 BOND ° 'la TOTAL DUE ,g Plumbing Engineering 3K j$b0 3 w / SG. n REFRIGERATOR 3o-no c� APPUANCES DeskIW SMER GARBAGE DISPOSAL 1611CROWAYE AOn CURRES WASKER ' S i'7 DYER � ) RANCE FRS TR SK COMPACTOR GARAGE DOOR MOTOR JACUZ U JACUZZI BOOSTER MR. IRONING BOARD POOL ECIUI?1 D4T SPFGHO .ER PUMP LANDSCAPE EWES SPARE CAPNCITY TOT& CONNECTED LOAD 4 � K.W. dos Kw. • K.W. 0 KW. � QQ K.W. `CJ KW. ( KW. KW. KW. KW. KW. KM. KW. K.V. K.W. KW. KW. KW. MST 10 X.W. • 100 1 U 10 ILL races W .o x ? C 3 = 132, KW. we O 160 % IC) 1(.W. 'TOTAL O i AND LAW 216 21,8 K.W. / 240 v. 1 P P (/ B OFFICIAL NOTARY SEAL , MARY PATRICIA BRIGGS = y * } r .1 COMMISSION. 4+Vir•-•,' CC338258 9 F �F flO MY COMMISSION EXP. JAN. 31 1998 KW. KW. 7 /( 1 (A4-Al lctrzL„uz. ��000 / r9� c 40 4r 'X 26 ) 0 N3 iL 2 Ge• Ip.) &sos - (4c.,) I'Iz. ° C. ` pRT P(/ OFFICIAL NOTARY SEAL MARY PATRICIA BRIGGS 2 * COMMISSION NUBER CC33 ,'lli' MY COMMISSION EXP. OF RP JAN. 31 1998 5 Tv LT ( 3 5 td. q s-r. CA I Z C�U�o /1 9q Owner's Address PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date & 1 2 9C Job Address 3 5 Tax Folio / / Phone 3dzo4 O[.3 Oas4D Legal Description /45 -L / /4 11,') is--+ t e Historically Designated: Yes / Owner/Lessee / Tenant /Y1(ay. (../T Master Permit # �� V No Contracting Co. L Ctv Co L ►� 1 L c L7 /2 / C ( Address /5 0 Lt , < _ its S Qualifier B A ( H pa N I'M 1 (3 7 i SS# Phone (3 05 8 q q —° 677 State # Municipal # Competency # Ins. Co. L &.419 c t2 L 1J Architect/Engineer -- Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /1/ 9 W t.,/i/? ' .JO( F 2 / D /V S G � AJ j /2 /-1- f A / Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (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 Date Notary as to Owner and/or Condo President Date My Commission Expires: My Commission Expires: SiliVONA •, fl.JL ilqv ".• FEES: PERMIT, d/a RADON C.C.F. ..w NOTARY 57 0 TOTAL DUE O< So APPROVED: Zoning Building Electrical Mechanical 95 t?. ?Q Signature of Contractor or Owner- Build dz' Date Not alry as to Contractor or Owner - Builder Date Plumbing Engineering Date i I ' , 5 ( O Job Address 3 5 5 0� Legal Description Owner/Lessee / Tenant ono .' C s } , S j (/7 • Owner's Address 3 S r- ' c / o ` L ' , r?-rY, . S)7 c S /= L Phone Contracting Co. �'�` � 5 /9. ti C 4 • Address S i f to (o / • )7 e c 1 Z -, Qualifier cr\ nItih w.••c-c SS# . Phone 3‘ -- 08a 3 State # CMG o g S - 7) Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost (value) 3 yz o o 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. APPROVED: Zoning Mechanical Signature of owner and/or Condo President Notary as to Owner and/or Condo President My Commission Expires: _ I pY FI S� i;:.7AE'vV LL ..'..:11071 13U fl C49 '51 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE sT FEES: PERMIT /D () ' ' RADON 9 I3 1 Date ' 61-- 8/i3/r� Date C.C.F. a Tax Folio Historically Designated: Yes No Signature of Contractor or Owner - Builder Building Master Permit # Notary as to Contractor or Owner- Builder My Commission Expires:. _ ._. • • `; ".i!. L PoG7A2V _' L ` ".i; W1A C.3 .`©;;; ?Ir L Da NOTARY ,5"; TOTAL DUE / Electrical i;au �iC9 °::17. I l ° as - 3 gA3) to Date Date AV/3 /9A Plumbing Engineering STATE OF FLORIDA, COUNTY 0 DAPE 1 HEREBY CERTIFY that this is a tr c• • of tho original filed in this office on WITNESS my • _ :d--cnd Officio HAiiVE, j I11 BY 1•/f(I e PERMIT NO. STATE OF FLORIDA COUNTY OF DADE l 3. Owner(s) name and address: 123.01.112 7/94 PAGE 3 ,A i9 Seal. it and County Courto NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address* /S t f B - k 2. Description of improvement: \ C 'I n lc `1 of l 16r). Interest in property: Name and address of fee simple titleholder /4. Contractor's name and address: ka 5 . o �� (. ' r . 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond: $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name and address 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as pro- vided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date in specified) Q01n C r+ sAwil Signature of Owner Print Owner's Name 1 Inn n► r 1 n v . Sworn to and subscribed before me this Notary Public Print Notary's Name My Commission Expires: - ;"' `7 - ,., . "'' "' i:...7.1 TAX FOLIO NO. /1 b 0/3 627 96R359699 1996 AUG 13 11:52 day of _, 19 Prepared by Address: For: Name -e se — � -,, i0 Address 3 .S ' ,7 6 / cP City and State or Province fyn r'.4'1 ') i S)rxm ...Q= g C_.. . . p- By: Contractor ( t..5 3 / / °4--- Address • %.../ , A cj AA 1^ -A-- <. /A' /rc 1 0 6, 3 .1J City l-e 4 e-7I ^'i 31a/ „ f t, /li s9'kd_a- / j �� Winter Outside db 7 'r °F Inside db Design Conditions Summer ti 7e °F Outside db el/ °F Inside db , 7 r - °F Winter Design Temperature Difference as "jpa °F Summer Design Temperature Difference /6 °F Room RH Daily Range Total Heat Loss for Entire House (Line 15) Ventilation CFM = 7 ,2 • Heating Summary = 2 . 1 4 ,1 ) Btuh A r Winter Design Temperature Difference = es °F Heat Required for Ventilation Air = 1.1 X Design Heating Load Requirement = ;? ,4 - a r CFM X 5 �? ° F = z - 3 ., Btuh (house) (Vent) = Btuh Total Sensible Gain 3 P./ D 3 Cooling Summary Btuh (Calculation Procedure D) Design Temperature Swings Btuh (Calculation Procedure D) Normal 3 ( ) 4.5° ( ) Total Latent Gain + 1 2- 4',a 0 Total = Sens. + Lat. = j d t-j D 3 Btuh Ventilation CFM = Make / Model -'?' r'" Equipment Summary /3 0 &-/ Rj .4 ? Type Heating Input (Btuh) 3,-f /7,0 Heating Output (Btuh) 3 .e...// Efficiency 12- Sensible Cooling (Btuh) L/ y Latent Cooling (Btuh) 4J ? /,C;) Total (Btuh) 4 1 g -e9 COP /EER /SEER /HSPF Cooling CFM /,S. e o Heating CFM / file, Space Thermostat Heat ( ) Cool ( ) Heat /Cool (V ) Night Setback ( ) Windows Construction Data Floor Partitions Doors Walls Basement Walls Roof Ground Slab Ceiling FORM J -1 Including Calculation Procedures A, B, C, D Copyright by the Air Conditioning Contractors of America 1513 16th Street, N.W. Washington, D.C. 20036 Printed in U.S.A. 1986 Plan No. Date Calculated by WORKSHEET FOR MANUAL J LOAD CALCULATIONS FOR RESIDENTIAL AIR CONDITIONING r 1.' • 3 S /,4401,414&4„._fi c_• e < ..r A::: • 4 tr.3 o'no 04-IgjAA--a 1? ( ----j I ! A • 4 10.?..X4. 25 d , 0,v■ xi 0 ■ yi, /LOW ev) 1 ! 1 ; i I i , 1 \ r (- , % 1 .1, 1 , /s l'oe-3 1 7 !,! 1 : I, ..- 1 ¶ f 11-6:90,,,,—% P4 ro ,i fyl , • • lcoto 2 7 TCP" 2_7 5 - e . F' ev■ „oz) %. >.„„ 3 r 1.' • 3 S /,4401,414&4„._fi c_• e < ..r A::: • 4 tr.3 o'no 04-IgjAA--a Q • 1 Name of Room Enfire House 1 2 3 4 5 2 Running Ft Exposed Wail / 71) 3 Room Dimensions. Ft 7 p ,YJ / %' Z /"J a 4 Ceiling Ht, Ft (• Directions Room Faces TYPE OF EXPOSURE Coast. No. HT?�4 Area or Length Btuh Area or Length Btuh Area or Length Btuh Area or Length Btuh Area or Length Btuh Area or Length Btuh Htg Clg Htg Clg Htg Clg Htg Clg Htg Clg Htg Clg Htg C 5 Gross Exposed Walls and Partitions a /Z • 2/7O 2/70 b c j d — 6 Windows and Glass Doors Heating) a s � , ' 30 0 /2') rd b c -- --- - - -- d �� Windows and Glass Doors (Cnuling North E &W or NE & NW South or SE & SW %u a Other 8 Other Doors 9 Net Exposed Walls and Partitions a /3_ /2)o /17! b c d 10 Ceilings a /O _ a l e / 217r 8700 b - 1 11 Floors a b - 12 Infiltration HTAl /1. 30 ® 381/? 13 Sub Tot. Bath Ldss =6 +8 +9+10 +11 +12 Bi 14 Duct Btuh Loss % 263/ 15 Total Btuh Loss = 13 +14 Ll`ug 16 People @ 300 and Appliances 1 2 00 E���� • 7300 17 Sensible Btuh Gain= 7+ e + 9 +100+ii +72 +16 2 / a 18 Duct Btuh Gain f I % /P, 19 Total Sensible Gain = 17 39410 APPLICATION FOR B JILDING PERMIT • \. • Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. Date March 19 195 Owner's Name and Address J. V. Lasky No 35 Street NE 92nd Street Registered Architect and /or Engineer Name and address of licensed contractor MIAMI HEATING & VENTIjAATING CO. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done _____ NE 92nd Street State work to be done and purpose of building (by floors) — 2.75 gA1 1m dergr and _.storage_- -tank — furnace installed and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of — Kind of foundation oof C v�ring Estimated Total cost of improvements $ 1113.00 _Amount of Permit $_L C Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to _ 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 inspe tion on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subco ractors, on work be p formed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed) Disapproved _ , Date ( Signed) MIAMI SHOR VILLAGE BUILDING INSPECTION 1!EPARTMENT STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Notary Public, State of Florida to me well known, and who, being by nie first duly sworn, upon oath deposes and 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. Permit No 6 f -t-4 Date 3 "" d - Read, Sworn to and Subscribed before me. Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved . Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. • Permit No x 0 "21 Owner's Name and Address.. STATE OF FLORIDA, l COUNTY OF DADE. Il SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT sLit pvti Application is hereby made for the approval of the detailed statement of the plans and specifications here v l(h submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. ( Date No Street Registered Architect and /or Engineer .f.":{_ Employing Electrician's Name S T A A. 1< 3 L &' 1. C • No ... . .. I .....................Street... 7., IA/ I.. s: . ., Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 3 ` State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service O °eLlsound_ Size Feeders ( Conduit / /.Main Sw Type of Installation — Conduit Tubing 1 B.X.L Metal Moulding Amps / V Main Fuses Amps Amount of Permit $ l...k... (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that a nderstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Com.' ed 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Street A/ .E / 2-S f 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 $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMP$ REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. / / /0 / ? /_o '� r / ` c22, / I S vy � r f c � , O 2 so CHECK /� 1 - 2..› y_, ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / / r / CHECK 1 , 0 0 i'• ( � 0 Permit No x 0 "21 Owner's Name and Address.. STATE OF FLORIDA, l COUNTY OF DADE. Il SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT sLit pvti Application is hereby made for the approval of the detailed statement of the plans and specifications here v l(h submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. ( Date No Street Registered Architect and /or Engineer .f.":{_ Employing Electrician's Name S T A A. 1< 3 L &' 1. C • No ... . .. I .....................Street... 7., IA/ I.. s: . ., Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 3 ` State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service O °eLlsound_ Size Feeders ( Conduit / /.Main Sw Type of Installation — Conduit Tubing 1 B.X.L Metal Moulding Amps / V Main Fuses Amps Amount of Permit $ l...k... (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that a nderstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Com.' ed 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Street A/ .E / 2-S f 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 ROOF Owner of Building Architect Contractor`' or Builder 1 / r ��SF -&A t�vr� Legal Description Address of Building i. Lot ❑ MIAMI SHORES VILLAGE. FLORIDA 0 P • ✓ • / ?pi ' r In consideration of the issuance to me pertaining thereto and in strict conformity with cepting this permit I assume responsibility for CONTRACTOR OR BUILDER PERMIT N? 6926 Bl J Signed. DATE Contractor's License No. 195 [27__1_ to be performed under .1.• T__ -_.. ' •- $ ,a 0'7.44-4 /At h 1 / . r.l Subdi- vision Value of ` jr Project $ 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 f� 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 spe cations and that he assumes responsibility for work done by his agents, servants or employees. INSPECTOR of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- all work done by either1mys =.1f, my } agent, ",.servant or employee. ;-• : l . � . s d � 0 _ . BY Amount of f Permit $ if BY AUTHORITY Permit No STATE OF FLORIDA, , l COUNTY OF DADE. !l MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT I //�� APPLICATION FOR ELECTRICAL PERMIT 104( Date 4e6. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. l � Owner's Name and Address No Street Registered Architect and /or Engineer Employing Electrician's Name rS d . _. 0 1.... 5 , C e C , No....3 . 2- / 1 Location and Legal . Description Lot Block Subdivision Street and Number where work is to be performed —No 3 ss. (Signed) iq Street._.... A . 0 ... 7 Street.... At 92- State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L .Metal Moulding r Amount of Permit $ (Signed) ; u Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he derstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compil • General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. a ;l 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 CHECK Permit No STATE OF FLORIDA, , l COUNTY OF DADE. !l MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT I //�� APPLICATION FOR ELECTRICAL PERMIT 104( Date 4e6. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. l � Owner's Name and Address No Street Registered Architect and /or Engineer Employing Electrician's Name rS d . _. 0 1.... 5 , C e C , No....3 . 2- / 1 Location and Legal . Description Lot Block Subdivision Street and Number where work is to be performed —No 3 ss. (Signed) iq Street._.... A . 0 ... 7 Street.... At 92- State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L .Metal Moulding r Amount of Permit $ (Signed) ; u Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he derstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compil • General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. a ;l 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 P1 Li PERMIT N? 10412 Owner of Building Architect Contractor or Builder Legal Description. Address of Building Lot 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. Signed • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit Bl. Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ BY AUTHORITY BUILDING ELECTRICAL PLUMBING PERMIT N? 10727 Work to be performed under this Permit Owner of Building Architect Contractor or Builder- Legal Lot Bl. Description. Address of : --•' Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Subdix vision Value of Project $ 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 responsbility 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 sta ments or specifications and that he assumes responsibility for work done by his agents, servants or employees. 4 Signed t'� . , "� r P' ,,. x INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, s r ant or employee. ir 4 DATE` .... , 195 Contractor's License No. Amt. of Permit $ BY AUTHORITY t ,r-M