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395 NE 92 St (11)Date O Job Address 3 /5 /V , E. 9., 37 Tax Description. /? 1 7 (1 (-- .f'G,} Owner `� , 1 Lessee / Tenant r. 14 De � Master Permit 4fr.ye7v � � Address �� q, V ,E 9,2 , Phone 6� / -'/ g0 Co . in ► e ) -1-Y1 C , Address ) q,3, A) i �--- . 1 L) es a lA I l'. 1° I A c� e n ss# Phone 09 - ( p 3 7 3 Qualifier Competency # Ins. ma \t,nof CJrSIA[ tj Owner's Contracting State #/ t9 /955' Municipal # Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDI WORK DESCRIPTION -1-w) 4 ( 5)iThAnd rZ)J5 Square Ft. Estimated Cost(value) 7.5 f e 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: be done i . •mplian authorize h - \ove �a , 'Mr * 7 7 • e = n • /or `ondo President Signature Date :m ary - to Owner an My Commission Expires ** * APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE EICAL �LUMBING MECHANICAL ROOFING PAVING FENCE SIGN n h� v4J �� � Cp n ayid Yl5 ertify that all the foregoing information is accurate and that all work will th all applicable laws regulating truction and zoning. Furthermore, I d contractor to do the work st EPH£i?F CHUM Folio,// Vta/ I / Signa rp o' ontractor or Owner - Builder Date//%% ' O// 3 tary as to Co Commission ** FEES : PERMIT , 2 9 IS RADON C.C.F. _ r t , NOTARY , - ; O,O TOTAL DUI 4 155 Fire Other SI Zoning Building lectric �p t p Mechanical Plumbing_ Engineering MIAMI SHORES VILLAGE, FLORIDA PERMIT 7369 Contractor's ❑ License No. 0 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description II BI DATE = ' 19 Work to be performed under this Permit '.a Subdi- vision Address of ' > Value of II Amount of Building Project $ II Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER Signed. 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. IIY AUTHORITY AY6o1 "J" BUILDING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 2017 Work to be performed under this Permit Architect Contractor or Builder Subdi- vision Value of Project Legal Lot Bl. Description Address of Building 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 regula- tions 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. DATE Contractor's License No. Amt. of Permit CONTRACTOR OR BUILDER BY AUTHORITY I f 194 MIAMI SU VILLAG BUILDING DEPARTMEN 305- 795 -2204 Bui ring Inspection Request Date `i 1 l htit a lel Type Insp'a -1 rCt Permit No. E t O D 4' `"t Name tr©A-te y Address ) G q")- S� Company t( oLs 1JO ivkt Sr.0 Phone # &S - Vi5S Inspection Date Approved 74 Correction P/Z my Re- Insp'n Fee ❑ CEILING BRACKETS RECEPTACLES SWITCHES STOVES WATER HEATERS SIGNS OTHER APPARATUS BRACKETS MAIN SUBS BRANCHES BASEMENT FLOORS FIXTURES ONLY NUMBERS OF TOTAL OUTLETS SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS MAIN SUBS BRANCHES BASEMENT V! - ''''/ /i � FIRST / 6 • SECOND 777111 THIRD FOURTH APPLICATION NO , j DATE � 193_ ELECTRICAL DEPARTMENT OF THE CITY OF Desiring your certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION WILL BE RETURNED A -6S LOT NUMBER n BLOCK NUMBER SUBDIVISION STREET AND BER OWNE OCCUPIED AS BUILDING - -NEW OR OLD (UNDERLINE WHICH) H. P. OF EACH MOTOR VOLTS TOTAL AMPS PHASE KIND OF INSTALLATION REMARKS CONTRACTO �1 t � RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN ROUGH WIRING FINAL No CORRECTED TEMPORARY DAYS. DATE ISSUED OPEN OR CONCEALED REMARKS BY SPACE BELOW FOR INSPECTOR'S USE ONLY /t/ OCCUPANT WORK - - ADDITIONAL, NEW, ALTERATION OR REPAIR SPECIFICATIONS ADDRESS KNOB, RX., BX., MLDG., CONDUIT, METALLIC TUBING INSPECTION WANTED YOBS INSPECTED SIDE FEE REMITTED INSPECTOR Permit No J' Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami' Shores Village, Fiv.ida, 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. �/ t N <' / Owner's Name and Address /N J n z� /`'' P" No.3 9 - 5– NE 9 Z S Street Registered Architect and /or Engineer �/ y �ETlB�yp'ng E ctrr i Na e.,Z2/. ig /($ /// tP l�f/ b67 C No Street �/ 1 Loca�uuon L ' Legal,Cscri Lion Lot �' 3 1 Block 9 7 Subdivision S • 56C7/ / /'r Street and Number where work is to be performed —No 391S e71$1 Z $� Street State work to be performed and purpose of building (By Floors) New Building Remodeling Service Overhead Site Feeders Underground Type of Installation -- Conduit w,e .SST �-lii N Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE I es. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT C� Date . 3-- ' Repairs No. of Stories Conduit Main Sw Amps Main Fuses Amps Tubing.. ... B.X.L .Metal Moulding 4, 1kt qi4 Irf 4QP 4 `L wp ((' d-€o (Signed).. A 179 4 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understand 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 morn, 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 $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH 0 LIGHT OUTLETS T (� PLUG RECE'►'T'S FIXTURES NO LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. NEAT. CONN. SPACE H STRIP H TOTAL CONTR. LIFT CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.0 MP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No J' Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami' Shores Village, Fiv.ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. �/ t N <' / Owner's Name and Address /N J n z� /`'' P" No.3 9 - 5– NE 9 Z S Street Registered Architect and /or Engineer �/ y �ETlB�yp'ng E ctrr i Na e.,Z2/. ig /($ /// tP l�f/ b67 C No Street �/ 1 Loca�uuon L ' Legal,Cscri Lion Lot �' 3 1 Block 9 7 Subdivision S • 56C7/ / /'r Street and Number where work is to be performed —No 391S e71$1 Z $� Street State work to be performed and purpose of building (By Floors) New Building Remodeling Service Overhead Site Feeders Underground Type of Installation -- Conduit w,e .SST �-lii N Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE I es. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT C� Date . 3-- ' Repairs No. of Stories Conduit Main Sw Amps Main Fuses Amps Tubing.. ... B.X.L .Metal Moulding 4, 1kt qi4 Irf 4QP 4 `L wp ((' d-€o (Signed).. A 179 4 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understand 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 morn, 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. Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee 1 2 EL, T PERMIT N B.—T �iay on the :turing • h ls P e rm . .ion. e rof8 Ul NO Outlets 3n or Eli aiami cShores9illage F L O A ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , 19_ LO CATI 0 N DESCRIPTION OF WORK SUBDIVISION N° 221 PART OF LOT LOT BL'K This erns is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specrtcations submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Vyage and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation d any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the pla and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. Dated , 19 (Seal) e-52 Permit No 73(l: Registered Architect and /or Engineer Amount of Permit $ APPLICATION F R ELECT - ICAL PERMIT STATE OF FLORIDA, } COUNTY OF DADE. SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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. ppi� Owner's Name and Address l'�/v c /-� n no... Employing Electrician's Nama (1 - F1r.�.N �c -�e TRr:; ` per VT No 2.7.3. °-`s Street –7 Q Sr Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No s3 1 34- - Z Sf Street State work to be performed and purpose of building (By Floors) EL C.. F-t--4- 3 New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P P Type of Installation — Conduit Tubing B.X.L Metal Moulding (Signed). (Signed). No J Date 3 " a`I ' 6 ' Street Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acce f 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 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. 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEALER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TCMP. SERVICE PERM. MOTORS O -I HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONYR. LIST 3 N P CHECK e-52 Permit No 73(l: Registered Architect and /or Engineer Amount of Permit $ APPLICATION F R ELECT - ICAL PERMIT STATE OF FLORIDA, } COUNTY OF DADE. SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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. ppi� Owner's Name and Address l'�/v c /-� n no... Employing Electrician's Nama (1 - F1r.�.N �c -�e TRr:; ` per VT No 2.7.3. °-`s Street –7 Q Sr Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No s3 1 34- - Z Sf Street State work to be performed and purpose of building (By Floors) EL C.. F-t--4- 3 New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P P Type of Installation — Conduit Tubing B.X.L Metal Moulding (Signed). (Signed). No J Date 3 " a`I ' 6 ' Street Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acce f 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 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. 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. JOB DATA APPROVED DISAPPROVED NUMBER INSPECTOR'S SIGNATURE DATE INSPECTOR'S SIGNATURE DATE REASON 2. RANGES, OVENS, RANGE TOPS 1.50 3. WATER HEATERS 1.50 r 1.00 5. DRYERS 1.00 6. CLOTHES WASHERS 1.00 7. DISHWASHERS 1.00 FINAL - ELECTRIC 1.00 9. SPACE HEATERS 1.00 JOB DATA TYPE EACH NUMBER FEE 1. OUTLETS, ROUGH WIRING $ .20 2. RANGES, OVENS, RANGE TOPS 1.50 3. WATER HEATERS 1.50 4. REFRIGERATORS 1.00 5. DRYERS 1.00 6. CLOTHES WASHERS 1.00 7. DISHWASHERS 1.00 8. DISPOSALS 1.00 9. SPACE HEATERS 1.00 10. AIR CONDITIONERS * �j� 3 /1! 2" 11. FANS * 12. MOTORS * * 13. SERVICE * 14. SUB FEEDS * * 15. FIXTURES - BULBS * 16. FESTOON LIGHTS * ZONING OK 17. SIGN 18. FLASHERS 1.00 19. TIME CLOCKS 1.00 20. * * SEE CODE ( MINIMUM FEE $ .50 TOTAL IMPFROF MIAMI SS E) BUILDING DEPARTMENT BOX 708 COCONUT GROVE STATION MIAMI 33, FLA. ELECTRICAL PERMIT APPLICATION REMARKS INSPECTOR'S REPORT 3 -z1 -44 FOR OFFICE USE ONLY This application becomes a valid permit when signed by an authorized repre- sentative of the director, CITY OF MIAMI BUILDING DEPARTMENT and all fees are paid and receipt acknowledged in the space provided. BUILDING OCCUPIED AS CHECK NEW CONSTRUCTION ❑ EXISTING ADDITION ❑ ONE OWNER'S NAME CONTRACTING FIRM TELEPHONE NO. OMPECT RI COPY DO NOT WRITE IN THIS AREA APPLICATION APPROVED BY VIOLATION CHECKED ❑ PINKY PULLED ❑ FINAL INSPECTION MADE DATE OK NO: ELECTRICAL INSPECTOR FOR Application is hereby made to obtain a permit to do the work and installations as hereon indicated. I certify that no work or installation has been effected prior to the issuance of said permit and that all work will be performed to meet the standards of all laws regulating construction in CITY OF MIAMI. 6 , SIGNATURE OF M S T I R ELECTRICIAN O 1 m O n ,f,&4 Cev/ Phc. 69/-a7392- v+ 0 Z 10M 4 Req. 17863 FORM E 300 Permit No. Amount of Permit $_ MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT Date_____ Application is hereby made for the approval w pp y pproval 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. My Commission Expires ELECTRICAL INSPECTION DEPARTMENT -t- (Signed) (Signed) s ' _t'"ttreet_ Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot —___ ___ Block Subdivision_ Street and Number where work is to be performed —No ? Street State work to be performed and purpose of building (By Floors) No Street_ New Building Remodeling 4; Addition Repairs No. of Stories. Service Overhead Size Feeders Conduit____________ Main Sw Amps. _________________ Main Fuses Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Notary Public, State of Florida ,4 Electrical Ifispecto r. The undersigned applicant for this building permit does hereby certify th . he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compieed 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 - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. , Master Electrican. STATE OF FLORIDA, k COUNTY OF DADE. es. 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, 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. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 1 t , h A k..) , 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. Amount of Permit $_ MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT Date_____ Application is hereby made for the approval w pp y pproval 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. My Commission Expires ELECTRICAL INSPECTION DEPARTMENT -t- (Signed) (Signed) s ' _t'"ttreet_ Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot —___ ___ Block Subdivision_ Street and Number where work is to be performed —No ? Street State work to be performed and purpose of building (By Floors) No Street_ New Building Remodeling 4; Addition Repairs No. of Stories. Service Overhead Size Feeders Conduit____________ Main Sw Amps. _________________ Main Fuses Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Notary Public, State of Florida ,4 Electrical Ifispecto r. The undersigned applicant for this building permit does hereby certify th . he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compieed 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 - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. , Master Electrican. STATE OF FLORIDA, k COUNTY OF DADE. es. 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, 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. JOB: AD; BUILDING ELECTRICAL : : WORK PLUEBING : DONE BY: Inspector's Report: • • • • • • : REQUESTED WILL BE READY • • • The following is ready for Inspection: • • APPLICATION FOR ELECTRICAL PERMIT Permit No / and Number where work is to be performed —No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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 of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address - �____� No Registered Architect and /or Engineer Employing Electrician's Name -_ No Location and Legal Description Lot Block Subdivision_ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs —___ No. of Stories Service Overhead Size Feeders Conduit Main Sw Underground 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. ss. My Commission Expires (Signed) i -- - -- - -- Street ---- __- _______ --- ------- - - - - -- / Street e Amps. Main Fuses Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding j r -- -.- - - - ----- r - — Electrical Inspector. rtify that lie understands and accepts his obligations as an employer of labor Compiled 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 - contractors, on work to be performed under this permit, as are (Signed) 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 read 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 Master Electrican. NOTE: A re- inspection fee of $1.00 will be made wlien such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL LIST // < . !I ,� 1 - CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. • MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK APPLICATION FOR ELECTRICAL PERMIT Permit No / and Number where work is to be performed —No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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 of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address - �____� No Registered Architect and /or Engineer Employing Electrician's Name -_ No Location and Legal Description Lot Block Subdivision_ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs —___ No. of Stories Service Overhead Size Feeders Conduit Main Sw Underground 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. ss. My Commission Expires (Signed) i -- - -- - -- Street ---- __- _______ --- ------- - - - - -- / Street e Amps. Main Fuses Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding j r -- -.- - - - ----- r - — Electrical Inspector. rtify that lie understands and accepts his obligations as an employer of labor Compiled 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 - contractors, on work to be performed under this permit, as are (Signed) 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 read 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 Master Electrican. NOTE: A re- inspection fee of $1.00 will be made wlien such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CONTRACTOR �� �i..5 � • e ' Li Name _�eae c o. p0 oz, fe/ Address /j at 44, iiiej/ pild gR 7? Telephone r /Y! Fax Qualifier Name _A ..„/...er9.- PROPERTY OWNER Name 0 / 1 _,,, A 9f p! Address b AiE 9�' Home Telephone Business Telephone Fax TYPE OF MANAGEMENT (1 ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must he taken to obtain a permit from the Miami Shores Village: Step 1. 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: .;r ,ve 9- Lot Subdivision Tenant Information 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 roofing work will be done, a roofing application must be submitted along with this permit application. Address PERMIT TYPE (1 ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other U Ec Block PB PG dic50 CSC 4 - 2 a 2004 Apt. Folio Number 1/' 3,70.‘- 0/3.6 1 / D Current Use of Property 1 Square Feet Units Floors Proposed Use of Property Value of Work Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (1) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Description of /.>9/ City Zip ,&,/s, 4 �r PERMIT APPLICATION Master Permit No. G t ao0 M — U Subsidiary Permit No. Zoning Linear Feet ENGINEER Name License No. Address Telephone Fax Page 2 I\II'OICIA\•f \O'lICIS 1. 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. FFI DAN I'1' - 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 $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1' Floor, (305) 679-1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a C tractor. Signature of Own O °I�`, • I . 4 -'Y . Print Name orn to and subscribed bef si , s day of ature o •VP OII1i C5PRf1'CE POMO �'• ')MMISSION N CC 9537 q - API RES October 23,2QQ4 , Bonded rhru ivotary Pubto Undsr ntltn STATE OF SEAL: Personally MIAMI -DADE OR Produ .g. liientif�catipn,- - l° Personally kno OR, Produced Iden Type of Identification Produced: Type of Identification Produced: STATE OF FLORID � a UNTY OF MIAMI -DADE Signa Print PERMIT APPLICATION Signature of Ntr3 Puy • _ ti ..,. • Florida i TANNCE K , MYO MISSIOn Pr g537; .$ CXPIR $ , t ,. ES. Octooe, .0ou Bonded Thru Notary Public Underwriter: SEAL: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) O CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) O OTHER (Specify & Attach) PERMIT FEES $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 REVIEWED AND PREPARED BY: $ t® SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE ( sq.ft. = x/1000 x ¢.60) (¢.005 / sq.ft.) (¢:01 /sq.ft.) O CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT APPLICATION TOTAL $ CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2' AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ELECTRICAL TYI'P. Minimum Fee QTY. TYPE Dryer QTY. TYPI'. Outlet, Appliance QTY. • I111: Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4-7 Ton Fire Pump Outlet, Switch Signs A/C Central 8-15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Fps /foe,✓ < / 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 Chiller (;stet .4 Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor urg lar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPI? Condensate Drain QTY. TYPI: Generator (1 •1 Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C WaWWin. 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 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. "1'1'1'1•: Soakage Pit (1 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 Punip, 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 Equipment Sink Well, Supply PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. Page 3 RECEIVED AND REVIEWED BY: DATE:Z "' Primary Zone: 1100 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL- SINGLE FAMILY Beds/Baths: 4/3 Floors: 1 Living Units: 1 Adj Sq Footage: 2,427 Lot Size: 13,379 SO FT Year Built: 1937 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 23 & 24 BLK 47 LOT SIZE 105.350 X 127 OR 11889 -2708 0783 1 Year: 2003 2002 Land Value: $142,716 $118,842 Building Value: $139,112 $86,325 Market Value: $281,828 $205,167 Assessed Value: $131,653 $128,567 Homestead Exemption: $25,000 $25,000 Total Exemptions: $25,000 $25,000 Taxable Value: $106,653 $103,567 Folio No.: 11- 3206 - 013 -6410 Property: 395 NE 92 ST Mailing Address: ULRICH KO PF iW NAZARINE 395 NE 92 ST MIAMI SHORES FL 33138 -3133 Sale O /R: 118892708 Sale Date: 7/1983 Sale Amount: $143,500 Miami -Dade My Home -Text My Home miamidade.go Show Me: !Property Information - Text L Search By: 'Select Item I �: Address Search 'Enter the address and click "LOCATE". Use the Tab key to switch between fields or click using the mouse. House 1395 Number: Direction: (NE Street Name: Street Type: Unit (opt): Zip Code (opt): Il-,f 192 !ST I 1 Page 1 of 1 Go to property map a: Print friendly version Summary Details: Property Information: Sale Information: Assessment Information: We appreciate your feedback, please take a minute to complete our survey. My Home 1 Property Information j Property Taxes 1 My Neighborhood 1 Property Appraiser Home j Using Our Site 1 About 1 Phone Directory 1 Privacy 1 Disclaimer If you experience technical difficulties with the Property Information application, please click here to let us know. E -mail your comments, questions and suggestions to Webmaster Web Site © 2002 Miami -Dade County. All rights reserved. MI. 11 http: / /gisims2.co. miami- dade.fl. us /myhome /proptext. asp ?app= none &bytool = none &cmd =FI... 2/4/2004 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/26/2004 Applicant: NAZARINE Owner: KOEPF JOB ADDRESS: 395 Contractor BRINKS HOME Local Phone: 305 - 887 -8455 Parcel # 1132060136410 NE 92 SECURITY INC Fees: FEE2004 -2013 FEE2004 -2014 FEE2004 -2015 FEE2004 -2016 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $100.00 $0.60 $0.20 $2.50 $103.30 Total Fees: $1030 $0.00 •3 3C� Q us Total Receipts: Permit Status: APPROVED Permit Expiration: 8/18/2004 Construction Value: $199.00 Work: BUGLARY ALARM Signed: (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 1 assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) Electrical Permit Permit Number: EL2OO4 47 KOEPF NAZARINE ST Page 1 of 1 Contractor's Address: 9960 N. W. 116TH WAY, SUITE 12 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 23 & 24 BY: BLK 47 LOT SIZE VISA 15 SE