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ELECTRICALBUILDING MIAMI SHORES VILLAGE, FLORIDA Date_ _ / " Contractor's License No. _ ELECTRICAL T1 PLUMBING [1 PERMIT N9 9574 ROOFING Cl n u Dr.'ner of t r Building -- Work to be performed under this Permit - - .Architect Contractor or Builder _ Legal Lot I S ti Description 11 B1. _ '.`isicn Sgrt Address of od 1 r I Value of .Amo,u } ol Building r i Project Perm; This permit is granted to the contractor or builder named alcove to construct the building or to install t e ,z,, or dew',• i'_si riln;l in tht alt} II': tiu herefor in strict compliance with all ordinances pertaining thereto and with the understanding th,it the vork will be pet-for Ir C ur,1 ,\iih all plans, drawings, statements or specifications that may have beer submitted to and approved by • he proper rnun ciral authorities. This 1'.rniit may Lr nc('sr,' at any time if the work is not done in compliance with such ordinances or if the plans are cha tged without rw •horization, A further condition upon t■ hint ihi, permit is granted is the understanding that the contractor or brildc - named above assumes the - esponsibility fo- a thorcugh knowledge of tht „rdin:ni i; �:n regulations pertaining to the work covered hereby whether shown on the plans or drawings or 'n the statement• or specifications an 1 r:tar he as■un,r, rest, sibility for work done by his agents, servants or employees. Signed:___ __ — --- -- (INSPECTOR) BY In consideration of the issuance to me of this permit 1 agree to perform the work cuvercd hereunder in coinpLance with ail erd r::r:cc, aril rct{ d.ttiur pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to t:h_ proper authorities o' 'Uia sh o,r„ '` illW_ In accepting this permit I assume responsibility for all work done by either, myself, my ager servant nr eropl :yee. CONTRACTOR or BUILDER BY AUTHOR 19 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Bui ding A chitect Contractor cr Builder Legal Lot Description CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT NY 4245 B1 Work to he performed under this Perin:t - it Subdi- vision _ — Address of V aIL.e of Building r OJeci: ) :DATE 19_ Contractor's License No Am;. tint Formit This permit is granted to the contractor or builder named above to construct the building or to install tl e equipment nr dev,et d •;rribed in the appli. a tier herefor in strict compliance with all ordinances pertaining hereto and with the undcrit:and'ng that the wr rk will be performed in n mpliance ,cith plans, drawings, statements or specifications that may have begin s.bmitted to and approved b3 the prr per rru icipal acthnritici. This Permit may be revoked at any time if the work it not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which thi, permit is granted is the understanding that the contractor or builder named above assumes the responsibility fi r a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown en the plans or drawing; cr in the statement• or specification and tlat se assumes r'nrn sibglity for work done by his agents, servants or employees. Signed: J In consideration of the issuanco to me of this permit I a to perform thd.i were caverd hereunder ccnzpdcra:e with all , ,. - sitian:?s mad regulation. -. pertaining thereto and in strict conformity with tho plans, drawings, ahxtemonts or specifications submitted - o the c'oper cruilioritilis of Di icic GF.cras Village. In ac- cepting this permit I assmne responsibility for all work done by either, myself, my agent, servant or employee BY 4UTH b >:OOFING Owner of ; uilding rchitect : ontractor Builder .eaal Lot )escription ddress of uiiding CONT3A.CTO t OR BUILDER MIAMI SHORE:S VILLAGE, FLORIDA 1II.DING .1cmIcxL PERMIT ' N° 11019 LUMBING 1 1 _] Work to be performed under ilhis Permit_ 7 1 Subdi- vision Value of Project $ 1 DATE Contractor's License No. Amt. of Permit $ 1952 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 refor in strict compliance with all ordinar ces pertaining thereto and wi th the understanding that the work will be performed in compliance with any plans, rawings, statements or sped �ications that may hive been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any „e 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 anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations 4 C q ertaining to the work coven:d hereby whether shown on the plans or drawings in the statements or specifications and that he assumes responsibility for work one by his agents, servants or employees. / t 1 1 Signed- , t , r , „ . / . r, .,. 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 regulation rtaining 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 assurne responsibil:ty for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architeuf Contractor or Builder Legal Lot Description Address of Building Y e ONTRAC`'OR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 10798 Work to be performed under this Permit Y� 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 cornplianr.e 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 dore in compliance with such ordinances or if the plans are changed without authorization. A further condition uron which this permit is granted is the unde- standi:Ig that the contractor or builder named abode assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work co\ered 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 employee:;. Signed 4:_- BY ' INSPFCTOR 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 fpr all work done by either, rnyself, my agent, servant or employee. Bl. Suhdi- vi'.i- Value of Project $ DATE Contractor's License No. Amt. of Permit $ BY AUTHOR ETY 1951_ D a t PROVED: ;SEES: PERMIT 11�,:3ncr / Lessee / Tenant 4 Job Address `-7 7 kr 3 °3 i ` Tax Folio // 6 - 43 ° ' 6 9 _ Le al Description 'Owner ° s Address q7 N EL 3 3 S r. Contracting Co. PC) U k „_ •J . Address / : a c) fc; : () ' / / a / qualifier // -✓c 0:1 AJ P0A: i kr . Phone l a / 7 2-) 7 State # e%. Municipal # Competency # S 2-5 Ins.Co. 7-4= Ocpc3 %) 3 Architect/Engineer Address I ondiang Company Address Mortgagor Address Permit Type(circle one): BUILDING q:ECTRICAL UMBING MECHANICAL ROOFING PAVING FENCE SIGN '1OL R DESCRIPTION fr( 4- </- Lz C C Square Pt. Estimated Cost(value) 80 c) C) ca 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 OITAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR 07 COM2 EVCEMENT) . 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. O NEJ ' APPIDAVIT: I certify that all the foregoing information is accurate and that all work will be donne in compliance with all applicable laws regulating constr c ion and zoning. Furthermore, I ° a thorrize the above-named red contractor to do the work stated. , Signature of ower and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: Zoning E 1 MIT APPLICATION FOR MIAMI SHORES VILLAGE E -) 1)--pcz.So s t RADON C . C . P. NOTARY ° �' TOTAL : JUE bc Fire Other Buildin -; Electrical Phone Master Permit # ?)- Signature of Contr ctor or Owrer-Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: Mechanical Plumbing Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT ITEM SPACE HEATERS UNIT FEE BIDET ' LIGHT OUTLETS r g>. CENTRAL HEATING DISHWASHER �' RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN I SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN -_ SERVICE REPAIR/METER CHAFE APPLIANCE OUTLETS RANGE TOP � REFRIGERATION GREASE TRAP INTERCEPTOR PROCESS AHO PRESS PIPING UNDERGROUND TANKS LAVATORY OVEN .■ ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 C0W. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 IP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW 1 1 REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT i STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE 0 SWIMMING POOL OUTLETS COMMERCIAL I WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY- WATER FIXTURES SEPTIC TANK ANTENNA RELAY GRAINFIELD, 4" TILE/RES. -;_ TELEVISION OUTLETS VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECT ION ■ 1 SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER l FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RAKE ■, - METER SET (GAS) GAS PIPING - - 0 ADDENDUM TO BUILDING PERV1IT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUM I N G ELECTRICAL i-51 MECHANICAL Ss. MIAMI SHORES VILLAGE ELECTR!GAL iNISPECTION C EPARTM ENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date - _Application is lyc :LI for the approval cf the detailed statement of the plans and specifications herewith submitted for the building or other sac...rt.:le herein C.1.1.1.11Fibi2: 1 h 1 .:1 anplicatiun is made in compliance and conformity witla the Building Ordinance of Miami Shores V illage, Florida, .in bwirrs re: :he Stt. cf Florida, all ordinances of Miami Shores Villag.2 and all rules and rcgula.ions of the Buildin Division '.1 with . whether herein specified or nc.L. A of approvrei peim and spa:1Eu Lions mast ac kept at . cf year's.. • / T • ?. wr.et's No Street ,e R..:giinered 1'a-chin:ea ar,e2./or Er.F.incen '; , • ,,....is ...,,, , .. For; .•,:,:•:r.., .111,,.:tr:. N NJ Steed . _,•' •t • # i - . • k - i7n ar d 1 t;;z1 ascripticn. Lot Block Subdivision /. . • , 11ii-,•- a ,1,1-.1 Nunil: '...- s lr.',:e work. is Lo be -2,r:1'a:ince—No _ .. . _ • -: _ Street ‘,," . ). 2 LI '.., ..,' er-- , ----- --------- -- -- - ry 7 --.:2,' , -,',. pisrpcsii o bailding (By Floors) . , I 1_, PLUC rr11 1 r.1 1 1,FRI'G. . IF-1 1 1 ,1.1 .1... ' , , NCE WA 1 11. HEAT. SPACE. STRIP TOTAL 1.1. TLET. . 1..L.Th-TTS NECE N.J.LAMPE CUTLET 1 CUTLET C....,...1...E. C1,1NN. HEATER CONN. 1 1- Ef." .1 HEATER CONTR. 1 I , LIE r : ! , / 7 1 ■ . 1 T . I CHEUK . 1 1 VIEE SSV'T.:112. 1 MOTORS MOTORS NEON i rio 0-1 HP H? - rnANn. :E. . L. ra n '` Sw. Amps. Amps. I/etai Moulding - 74 ` of S:ories 1 11 spe:t.. 7:: H :1'1 hereby c7L-tiri t 1 2 a !le': ac:pt -Hs , ;1 - .11 gationa as an employe.: cf labor :1 , :H ,Lag Section 59 G, (Y.= Sur.plement, and has corn- is e : , :otnpiiart - 2 ftc-7.i nIl t nr..91-_-.yerl by him in the work to be i1 --i: ;- 7 C27! :::11,F2 o ha posted for insp.:calms rae i. ta of aha whili each public, notice or notices as are Tire i employ only such sub-contra:trio , V,`c::k to L 1'crzed under this permit, as are allacre; Viii: # 4 (Signed) ' ' < My Commission Notary Pubhi, cf Florida 1 A1aster Electrican. TOTAL SF ATE OF 11.Cif.IDA, COUNTY OF I Before ire, the undersi2,ned authorit!,,, a notary public, duly authorizer to administer oaths and take acknowledments, personally appeared in me well kilo and s- bo, being by me first duly sworn, upon oath deposes and says that he is the of the ,ibov dt :-lad construction, that he has carefully read the foregoing application, and that he did sia the same, and dna Al facts therein . by hint sta:::d are talc. ra-insrsca fee of $1 .CO swill. be rra:Ca whcd iz clads necessary by imperap.ir netice for in.spection, or faulty seorkraanship. SWITCH LIGHT PLUG FIXTURES REFRIG. i OUTLETS OUTLETS RECE'P'T'S No. LAMPS OUTLET -- Co NT R. L1s CHECK CONTR. LIST ENT. sw. C:HECK STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the 1 uildinf; or other stricture 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 -hall be complied with, whether herein specified or not A. copy of approved plans anc specifications rust be kept at building during progress of work. O.'.ner's Namc arc Addre- s..- -- --.. .._... No Street Registered Architect and /or Engineer Employing Electrician Nara.... No Street Location and Lekal Description Lot Block Subdivis nn...._...- Street and Number •,'here w:or:: is to h, per r,rmed— Nr1 Street state work to he performed and purple of building (By H'.a New Building Remodeling Addition Repairs No. of Stories DIST. SERVICE SERVICE CAB. TEMP. PERM. IRON RANGE RANGE WATER 1W. HEAT. OUTLET ; OUTLET CONN. HEATER I CONN. MOTORS 0 1 HP Service Overhead Size Feedcr• Conduit Main Sw. Amps Underground Type of Installation - -- Conduit Tuning B.X.L Metal Moulding MOTORS NEON 1.5 HP TRANS. The undersigned applicant for this building permit does hereby certify that he •understands and a Libor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Law has complied with the provisions thereof, and will require s imilar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. Before nee, the undersigned authority, a notary public, duly authorized to administer oaths and SPIT :E H EAl' ER STRIP HEATER RAO10 TOTAL TOTAL M: in Fuses Amps Amount of Permit: $ (Signed) Electrical Inspector. ccepts his obligations as :0 employer of of Florida Permanent S ipplement, and suh•contractors eraployed by hi:n in the of the work such public notice or notice be performed under this permit, as are (Signed) Master Elcctrician. take acknowledgments, personally appeared to !lie 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 applico :fon, and that he • did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, St:_te of Florida NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is rr.ade necessary by improper notice far inspectour., or faulty oaterials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT _ Permit No Date Application is hereby made for the approval of fac detailed statement of the plans and specifications herewith submitted for the hu iding or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and :al provisions of the Laws of the State of Florida, all ordinances of Miami Shore; \Wage and all rules and regulations of the Budding Diyis-ion f Nliand Shores Vi.lage shall be complied sith, whether herein specified or not. A copy of approved plans and specifications mast be kipt at building during progres of work. Owner's Name and Addres No Street Registered Architezt :-.d/or EnyinLer Employing Electrician's, Nara,: Streel- Locdtion and Legal Description Lot Block Subdivision.. Street and Number whet: work is to he performed --No Street State work to be performed and purposz of building (By Floors) Ncw Building Remodeling Addition Repairs No. of Stories SWITCH LIGHT FLUG FIXTURES REFRIG. IRON OUTLETS OUTLETS ' RECE'P'T'SI NO. LAMPsi OUTLET OUTLET CONTR. LIST CHECK CONTR. Lisa ENT. DIST. SE.RVICE SERVICE SW. CAS. TEMP. PERM. CHEC:K RANGE RANGE: WATER OUTLET CONN. HEATER MOTOF:5 0.1 HP W. HEAT. CONN. SPAC.E HEATER STRIP H EATER MOTORS NEON RADIO 1-5 HP TRANS. TOTAL TOTAL Overhead Service Underground Sizc Feeders Conduit Main Sw Amps Fuses Amp Type of Instal:at:on- —Conduit Trbing B.X.L Metal Moulding *lount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Ccmp:'ed General Laws uf Florit a Permanent H,upplement, and has complied with the provisions thereof, and will require similar compliance fror- all contractors or sub-contactors employed hy him in the work to be performed under this permit; and will post or cause to he posted for intpection on the site of the work such public notice or notice, as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to he performed under th permit, as are licensed by Miami Shores Village. (Signed) Maste- Electrician. STATE OF FLORIDA, COUNTY OF DADE. 5 " Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared tn me well know l, and who, being hy me firs: duly sworn, upon oath deposes and says that he is the cf the above described construction, and he has carefully read the foregoing ;ipplication, and that he did sign the same, and that all fact: therein by him stated are true. My Commission Exp:ams Notary Public, State of Florida NOTE: A. re-inspection fee of $1.0 wil be made when such re-inspect :s made necessary by improper notice for in Tection, or faulty materials and/or workmanship. • MIAMI SHORES VILLAGE € LECTRICAL INSPECTION D EPA,- TMENT f [ FL l(ATIUN F ELE'r'TRW Permit No 1 Da t e s Application is hereby made for the approval of the detailed statement of the lane and s reifications ` erewith submit Registered Architect and /or Eng' er. Employing Electrician's Name_.e . .0...- Location and Legal Description Lot re l and Number where work is to be performed —No r .2 State work to be performed and purpose of building (By Floors) ervice Overhead Undergroun$" Size Feeders Conduit Main Sw No. Block Subdivision 1 _ Street Amps. f ' Type If Installation— Conduit Tubing B.X.L Metal Moulding..- STATE OF FLORIDA, } COUNTY OF DADE. Amount of Permit $ CZ? (Signed)..a ,/4 -l` ss. L E M PT P P ted 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 � �ar/ Atreet Street New Building Remodeling Addition Repairs No. of Stories Main Fuses Amps lectrica Inapeactor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi =.lions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida .J rmanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•cantra ors 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. (Signed)..... y. C 11/47( 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, a.,d 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 $1.00 will be made when such re• inspection is made necessary by improper notice For inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS C'LUO RECE'P'Y'S FIXTURES No. LAMPS REFRIO. OUTLre IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HE ^. STRIP HEATER TOTAL CONTR LIST f 3 CH¢Cti C c��r' c , " D._ V /r ENT. Sw. DIST. CAB. SERVICE TC,'P. SERVICE PERM. MOYOPC 0.1 HP P / . ^ . :OTORS 1•9 HP N EON TRANF. RADIO TOTAL C1 Y R. . . ^YLIS •- / ! • MIAMI SHORES VILLAGE € LECTRICAL INSPECTION D EPA,- TMENT f [ FL l(ATIUN F ELE'r'TRW Permit No 1 Da t e s Application is hereby made for the approval of the detailed statement of the lane and s reifications ` erewith submit Registered Architect and /or Eng' er. Employing Electrician's Name_.e . .0...- Location and Legal Description Lot re l and Number where work is to be performed —No r .2 State work to be performed and purpose of building (By Floors) ervice Overhead Undergroun$" Size Feeders Conduit Main Sw No. Block Subdivision 1 _ Street Amps. f ' Type If Installation— Conduit Tubing B.X.L Metal Moulding..- STATE OF FLORIDA, } COUNTY OF DADE. Amount of Permit $ CZ? (Signed)..a ,/4 -l` ss. L E M PT P P ted 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 � �ar/ Atreet Street New Building Remodeling Addition Repairs No. of Stories Main Fuses Amps lectrica Inapeactor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi =.lions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida .J rmanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•cantra ors 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. (Signed)..... y. C 11/47( 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, a.,d 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. Date a Quali.E^r WORK DESCRIPTION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE job Addr zs `. � 6 - 7 Tax Folio Legal Descriprior. Historically Designated: Yes No Owner/Lessee / Tenanl /� ,� � Master Permit # ` ,G,' Owner's Address � ;3 .' ; 5 < Contracting Co. St k; s# Municipal # ° 0.2,C mpetency # A.rchitcc3/.w nginer Address 3ondirg Company Adds Mo :g gor Address Permit Type (circle one): BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Phony?, Address Scare F. Estimated Cost (value) SS# . (.3r Ins. Co. ✓ WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY ; IESULT IN YOUR PAYING TWICE FOR LVIPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YO1UR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Applicaticn is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). : certify fiat all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits arc required far ELECTRICAL PLVNL'3ING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S At ± i1)A VTT 1 certify that all the foregoing information_ is accurate and that all work will be done e -corgi Liance with all appli :able laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the won : stated. Signa - -e of own.,r,and/cr Cond. President Notary as to O My Cc.nmissi FEES: PERMIT APPROVED: Zoning MechEmical Irek 4, CARMEN R DE 2AYAS 1 t1 ovuorssioN NUYBCA CC7541 S3 ri ,.' Pry CZWASSION EXPIRES cr„.22::N.0 -- JUNR 24,2002 _2 ('' RADON Date i 2,- 22 of Date ,Signature of Ca Notary as to Contra My Commission Ea Building Plumbing C.C.F. NOTARY Structural Engineer, I actor or Owner- I3,tider r Owner- Builder O�PRY y c RN�EN R E ZA .tT r� rs , i # 634111183t0t1 SiUYBpe 75 63 E"FJ C01.414=Ol1 EXPSA1M ft.‘ J6 NE 24,2 002 BOND TOTAL DUEj L Eiectrica ���-' ITEM BATH TUB BIDET DISHWASHER UNIT - FEE ITEM SWITCH OUTLETS LIGHT OUTLETS RECEPTACLES UNIT FEE r ITEM SPACE HEATERS UNIT FEE CENTRAL HEATING A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN MPS DUCT WORK FLOCR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0— 1 HP STEAM BOILERS SHOWER SINK, POT /3 COMP. SINK, RESIDENCE MOTORS OVER 1— 3 HP MOTORS OVER 3— 5 HP MOTORS OVER 5— 8 HP r HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES SINK, SLOP TEMPORARY WATER CLOSET URINAL MOTORS OVER 8— 10 If MOTORS OVER 10— 25 HP MOTORS OVER 25-100 HP ELEVATORS/ESCALATORS FIRE SPRINKLER SYSTEMS COOLING TOWERS WATER CLOSET MOTORS OVER 100 If VIOLATION INDIRECT WASTES WATER SUPPLY TO: A/C UNIT A/C WINDOW AIR CONDITIONERS STRIP HEATER REINSPECTION FIRE SPRINKLER HEATER —NEW INST. HEATER — REPLACE LAWN SPRINKLER —WELL SWIMMING POOL WATER SERVICE GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS SPECIAL PURPOSE OUTLETS COMMERCIAL SIGN TUBES - _ == SEWER CONNECTIONS UTILITY —SEWER UTILITY —WATER SEPTIC TANK RELAY DRAINFIELO, 4° TILE/RES. PUMP 8 ABANDON SEPTIC TANK SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL - - , SIGN TRANSFORMERS SIGN TIME CLOCK FIXTURES ANTENNA 1 TELEVISION OUTLETS VIOLATION REINSPECTION AREA DRAIN ROOF INLET - SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING _ LAWN SPRINKLER SYSTEM GAS RANGE - ' 4ETER SET (GAS) 3AS PIPING - PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICA