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423 NE 92 St (5)itiriv` 54gaee-S 'PERMIT APPLICATION FOR MU1IICIPAL OF DADE COUNTY /6/ Date Legal Owner DD / wt A SW2S Description ZBt /s f �, OIk ' � _ Master Permit # Tenant MPs i/ ALB/-u -( Owner's Address Contracting Co. A OT WO (444 Qualifier Job Address State# "x0000/60 Architect /Engineer Bonding Company Mortgagor Permit Type: ROOFING BUILDING WORK DESCRIPTION Signature of Property Owner or Condo ADMIN TERED OATII ❑ SW TO & SUBSC''IBED B FORE ME THIS ;O DAY OF ; - - , 19 f3. FEE llf e eef' oning 5e/ C° Mechanical vo3 A)7 Qut ;1 41>T 4 Vaj ss# cc� Competency # c/ 3 NE S► Application is hereby made for a permit to do work & installation as indicated. I understand the separate permits are required for Electrical, Plumbing, Sig:zs, Pools, Roofing, & Mechanical work. 6cig Citi-g A iq it4 / co AJfi4o / 5 DeVicES Square Ft. Estimated CostA0C). 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 TH2 NOTICE. A BACKFLOW PREVENTION DEVICE PERMIT AND CERTIFICATION TEST MAY BE REQUIRED IN ACCORDANC" WITH ORDINANCE #825. CALL THE PUBLIC WORKS DEPT. AT 787 -1001 OR VISIT THEIR OFFICE AT 1815 N.E. 150 ST. OWNER'S AFFIDAVIT: I certify that all the foregoing information Is accurate, and that al applicable laws regulating construction and zoning. Furthermore, I authorize the Ji4it Pres. Signature of NOTARY to Owner /Condo President NOTARY PUBLIC, STATE 01? FLORIDA. MY COMMISSION EXPIRES: Dec. 30, 1991 BONDED THBU NOTARY PUBLIC UNDERWRITERS (Print, Type, or Stamp Commissioned Name) Personally Known Ud or Produced I.D. ❑ Type of I.D. produced Building Plumbing Address Address Address Address Day -Time Phone 75% i `7' 9 1n s. p'EeL Ol1 Ll44i uwlstxa -. , Phone Ins. Co. PLUMBING MECHANICAL Type of I.D. produced Tax Folio 33-0 I� -oi q—d� -�( PAVING FENCE SIGN C O w i l l be done nce with a l l wor d ADMIT STERED OATH ❑ ORN TO & SUBSCRIBE A I ga); DAY OF t .L ,,lt ‘. . tr.c j' ,44.4 ' OonYra for BEFORE ME TFAS , 19 Signature of NOTARY to Contractor State o? f c3iL- et lama ' � 4- (�' �/^ My Gcr.t: ^'.•:,..'s:.,y 12...c.:its: 9 tl ' V 4 4 ® i z •" „ PVT {�i y 22, l'i45 (Print, Type, or Stamp Commissioned Name) Perscr.ally Known ❑ or Produced I.D. ❑ Engineering o do the work stated. Permit Owner's Name and Address_ Registered Architect and /or Engineer_ Employing Electrician's Name _______ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. } MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. ss. Date._ No._ -____ t' _ • __Street__ (Signed) �� ����� No • __Street__ ' 4 e Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No - .44 - Street____ .l__ __G�. 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_ Sw._— ______ Amps Main Fuses_____ ______ _________Amps Type of Installation — Conduit_________ — Tubing_ Q.X.L._ —_. Metal Moulding_ _________________ — (Signed) _i.( _ n t - -- -- r i Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli lions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe anent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractots employed by him in the work to be performed under this permit; and will post or cause to be p osted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work, to, be performed under this permit, as are licensed by Miami Shores Village. 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 HEATER STRIP HEATER TOTAL. CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit Owner's Name and Address_ Registered Architect and /or Engineer_ Employing Electrician's Name _______ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. } MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. ss. Date._ No._ -____ t' _ • __Street__ (Signed) �� ����� No • __Street__ ' 4 e Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No - .44 - Street____ .l__ __G�. 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_ Sw._— ______ Amps Main Fuses_____ ______ _________Amps Type of Installation — Conduit_________ — Tubing_ Q.X.L._ —_. Metal Moulding_ _________________ — (Signed) _i.( _ n t - -- -- r i Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli lions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe anent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractots employed by him in the work to be performed under this permit; and will post or cause to be p osted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work, to, be performed under this permit, as are licensed by Miami Shores Village. 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. Permit No STATE OF FLORIDA, } COUNTY OF DADE: ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT PPLBCAT10N FOR ELECTRICAL PERMIT �lO 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 f .�'fr 0- - ?- ' ,17 'l Registered Architect and /or Engineer. + Em to in E lectrician's Name ( Y � / �Lr^ G> -/ � ti v ) ./ » 1 ° A '. p y g No Street... l Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 2 Q� - � (Signed) (Signed) No Street Date /1 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h': 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. �,�. / o 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 NEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST / - l) < ' t, G " CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.3 HP NEON TRANS. RADIO TOTAL CONTR. Li ST CHECK Permit No STATE OF FLORIDA, } COUNTY OF DADE: ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT PPLBCAT10N FOR ELECTRICAL PERMIT �lO 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 f .�'fr 0- - ?- ' ,17 'l Registered Architect and /or Engineer. + Em to in E lectrician's Name ( Y � / �Lr^ G> -/ � ti v ) ./ » 1 ° A '. p y g No Street... l Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 2 Q� - � (Signed) (Signed) No Street Date /1 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h': 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. �,�. / o 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. Permit Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances 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. �/ C 9 Owner's Name and Address �71%�_,�.t� — — No �1. c • Street - { .2 dagi• Registered Architect and /or Engineer_ C Employing Electrician's Name --- ---__CR No.- _ 97�_'f Street__ /Y4 �.Ltll`J Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No. Street____ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit —_Main Sw. _ Amps. Underground Type of Installation — Conduit Tubing B.X.L._._____ Metal Moulding MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT } Electrical Inspector. The undersigned applicant for this building permit does hereby certify that h derstands and accepts his gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Come General Laws of Flori 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 p osted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Amount of Permit ( S i g n e d ) ...... STATE OF FLORIDA, COUNTY OF DADE. } ss. >-( Before me, the undersigned authority, a notary public, duly authorized to administer oaths and a 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. Main Fuses (Signed _2!.__ __ -- _ Amps Master Electrician. 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 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 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. �/ C 9 Owner's Name and Address �71%�_,�.t� — — No �1. c • Street - { .2 dagi• Registered Architect and /or Engineer_ C Employing Electrician's Name --- ---__CR No.- _ 97�_'f Street__ /Y4 �.Ltll`J Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No. Street____ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit —_Main Sw. _ Amps. Underground Type of Installation — Conduit Tubing B.X.L._._____ Metal Moulding MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT } Electrical Inspector. The undersigned applicant for this building permit does hereby certify that h derstands and accepts his gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Come General Laws of Flori 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 p osted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Amount of Permit ( S i g n e d ) ...... STATE OF FLORIDA, COUNTY OF DADE. } ss. >-( Before me, the undersigned authority, a notary public, duly authorized to administer oaths and a 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. Main Fuses (Signed _2!.__ __ -- _ Amps Master Electrician. 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 Architect Contractor or Builder Legal Description Lot f CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N2 5001 Bl. Subdi- vision BY Contractor's License No. Work to be performed under this Permit Owner of Building N Address of - A ..- Value of Amt. of �- Building f r <:� f Project Permit '• This permit is granted to the contractor or luilder named above to construct the building or to install the equipment or device desc ed in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in c pliance 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 drawjugs or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. • AUTHORITY 194 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. • BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA 0 DATE '` 195 ❑ PERMIT N9 46 71 Contractor's License No ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER B1 Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work / done by his agents, servants or employees. Signed. BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ucu UILDING ECTRICAL UMBING MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 8571 Work to be performed under this Permit wner of uilding rchitect DATE 194_ Contractor's License No. ontractor Builder egal Lot Bl. Subdi- escription vision ddress of Value of Amt. of uilding Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- ition herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any ans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked 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 -;nnit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and :gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- bility 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 zrtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description. Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9771 Work to be performed under this Permit Bl. Subdi- viei.on Value of Project $ DATE 195' Contractor's License No Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings 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. BY AUTHORITY ��. Permit No. _ c = ______�___ Amount of Permit $ Street and Number where work is to be performed —No Overhead A Service Underground Size Feeders_ 2 / APPLICATION FOR ELECTRICAL PERMIT New Building Remodeling Addition.. Repairs Type of Installation— Conduit ' Tubing_ B.X.L Metal Moulding MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) Date Street Subdivision_ -h� NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice materials and /or workmanship. 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 ____,;_%,=_-.?:_,...__ �___t_ ���`_ � No. ______� _ - ` Street__ —_ __ t_____- ____,._; Registered Architect and /or Eng' eer t_ '° %� 3 , �, Employing Electrician's Name 1 -- _ / ,_, „, �! No q__ —___ ! L Location and Legal Description Lot � - ` L_ Block 3- Street a /- i State work to be performed and purpose of building (By Floors) �^_ VI ' l My Commission Expires Notary Public. State of Florid- STATE OF FLORIDA, COUNTY OF DADE. ss' Before me, the undersigned authority, a notary - public, appeared - -- to me well known, and who being by me first duly sworn, upon oath deposes and says that he is t he___________________— __- -______-_ _ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and t` therein by him stated are true. duly authorized to administer oaths and take acknowledgments, No. of Stories______ f___-_ 7 Conduit._ I/. Main Sw.__I c (' Amps. Main Fuses Electrical Inspector, The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from 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. (Signed -- - � Master Electrican. Alba 1 SWITCH OU LIGHT OUTLETS 1 ( � PLUG RECE'P''T'S / 7 --9 FIXTURES NO.LAMPS , REFRIO. O UTLET V IRON O UTLET v RANGE OUTLET .- RANGE CONN. WATER H EATER W. HEAT. CONN. SPACE H EATER STRIP H EATER TOTAL L ST CONTR. 11 4 CHECK /4. / 7 ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / i CHECK I ��. Permit No. _ c = ______�___ Amount of Permit $ Street and Number where work is to be performed —No Overhead A Service Underground Size Feeders_ 2 / APPLICATION FOR ELECTRICAL PERMIT New Building Remodeling Addition.. Repairs Type of Installation— Conduit ' Tubing_ B.X.L Metal Moulding MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) Date Street Subdivision_ -h� NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice materials and /or workmanship. 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 ____,;_%,=_-.?:_,...__ �___t_ ���`_ � No. ______� _ - ` Street__ —_ __ t_____- ____,._; Registered Architect and /or Eng' eer t_ '° %� 3 , �, Employing Electrician's Name 1 -- _ / ,_, „, �! No q__ —___ ! L Location and Legal Description Lot � - ` L_ Block 3- Street a /- i State work to be performed and purpose of building (By Floors) �^_ VI ' l My Commission Expires Notary Public. State of Florid- STATE OF FLORIDA, COUNTY OF DADE. ss' Before me, the undersigned authority, a notary - public, appeared - -- to me well known, and who being by me first duly sworn, upon oath deposes and says that he is t he___________________— __- -______-_ _ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and t` therein by him stated are true. duly authorized to administer oaths and take acknowledgments, No. of Stories______ f___-_ 7 Conduit._ I/. Main Sw.__I c (' Amps. Main Fuses Electrical Inspector, The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from 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. (Signed -- - � Master Electrican. Alba 1 0 p ni J .� 7 (I se 0 If 6 . BUILDING E' ECTRICAL PLUMBING 1 Owner of Building Lot Work tg e CO RACTOR OR' UILDER MIAMI SHORES VILLAGE, PERMIT X? 5001 rmed under this Permit Architect Contractor or Builder Legal Description Address of Building This permit is granted to the contractor or wilder i =med above to construct the building or to install the equipment or device desc '..ed in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in c. pliance 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,Ale res ibilityfor a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or draw' or in statements o %specifications and that he assumes respon- sibility for work done by his agents, servants or employees. i % TOR it Bl. Signed. Subdi- vision :A1,64eie of Project FLORIDA DATE Contractor's License No. Amt. of Permit By •••••0 ‘,/ 194 l bi In consideration of the issuance to me of this permit I agree to perform the work coveredreunder in compliance with all ordinances and regulati . s pertai4lthereto and in strict conformity with, e plans, draw' gs, statements or specifications submitted to the proper authorities of Miami Shores V' In acc p g this permit I assmn spon b "for,.--all work d by either myself, my agent, servant or employee. 1 " e ; , AUTHORITY ge PERMIT APPLICATION kOR' SHORES VILLAGE Date 4; _ Job Address 4 - frE 72 c r Tax Folio Legal Description Owner / Lessee / Tenant /in n' Owner's Address 4(2 '4 /1 S Phone Contracting Co. ) V t° 12 �i--/�O —d?0-0 Address 0 / 970 /WV 7 2! 7 Qualifier / 4 H t P i / Ca' //G4' 'SS# / Phone (o 3 - e, c, State #A5?-0007A0 Municipal # / 23/92 Competency #D00oJU9 /4. Ins.Co. C/0/01 d»'e ci -'I Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDI ELECTRICCAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION f/C 0 416c Z 45 1 — 3 % rO11 S • /r49 c 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 My Commission Expires: Signatu Date: 4i:'e EM V. MEDEROS /• til MY COMMISSION 1 CC 260679 ' J . EXPIRES: Fabius/1i 18, 1997 ** * * * * * * * * * 1;4F ;° " •` s *B , andulThtfE}imayPUOWOndm0 * ** FEES: PERMIT .? >` £ RADON C.C.F. ` S D NOTARY TOTAL DUE 3 7 APPROVED: Fire Other Y ' Zoning Building Master Permit # 6d6/ otar as to Contra My ractor ,or er- Builder tor or Owner- Builder Electrical -- Mechanical Plumbing_ Engineering ' ' AN all. ICATION FOR BUILDING P IT MST ACCOf :An TEA ADDEITINTLI . n. SERB ICE R PA IM ETFR CHANGE CATER 1EAYL:3 L.d`I O 23-101 IP tom OVER 1013 I.3) A/ BI f COWS STZI TIM STIvv FC`ti�Ei'v 7iT S ➢ b T112 =X CM. T V IGLU 1011 ➢1 itaSPEL.110141 413 PRESS PIPIT a Sffil, RESIT S I tX, SLOP FIRE ssums 1 ATE -amt ASST. S,RR 1 A. -I; S31firea Pte.` LATc2 Syi SClE V.t`ES. "i 1C EMI tEA CRAIN PIT cu. FT. SEPTIC TAB( 1TE/d S IITO1 011TLETS L IGHT OUTLETS RECEPTACLES SERV icz SIa IN A TEEM& t V 1CLAT ➢rte ITel SACI: IATTAS CENTRAL TEAT 11S A/C (P71143) (0330120 • TAM ICAL VENT 1LAT1t TRANSPORT I1G iSSEIGL IES ITEM BATH TUB B 10E1 0 I SMS1481 0I SFOSAL OR INKING FC JNTA I14 FLOOR 0RA1N GtEASE I NTERCEPTOR LAVATORY LAILtORY MAY curl ?ES vAsis SIR SINIL POT/3 CM?. TiRARv 1 I NAL ►7ATER INO RECT WASTS >;AT ER SiFPt.Y 1D: A/C an. SEr '' iI MS UT IL1TY -SEWL '1/ L VT IC ,FLAY RAIIk7 1EiCt, OAKAGE ATC}! BAS IP TER (C) S PIPIT PLUMBING 13ATER SEATER ' RE STAMP IPE a PINE SPR I KB SYSTE S RANEE ADDENDUM TO BUIL -0- '4HG PERMIT APPLICATION ELECTRICAL MECHANICAL I4 I T FEE 1 15 fa ■IP #1144 w P " Q Pe V T Q , k ),L 6 i 3 /y�F,�d1 8 04 ( HNN 3 ) " t4 - . 35 Aw+e Fv5es 60 Poi p Poi( 00-1- 3) )-.:6Q■d — t.c\ e