500 NE 92 St (11)?u.DING
UMBThTG
_LOOPING
Owner of
Building k
Architect
Contractor
or Builder
Legal Lot
Description.
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE :x - � l y
„in PERMIT N? 14281 contractor's
❑ License No.
❑ Work to be performed under this Permit
CONTRACTOR OR BUILDER
Subdi-
vision
Value of
Project hi
BY
Amt of
Permit hi /
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device descrbed in the
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be r
time if the work is not done in compliance with such ordinances or if the plans are changed without authorisation. A further condition which
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the cr ants
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and than he assumes
done by his agents, servants or employees. ## A
Signed- l" 9► M ' 1*1. • ..... 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
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
AUTHORITY
F..
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Jb Lt)44 C0 4iw ,d
Lot !IEL
00 ijE9 2� v _ o
This permit is granted to the contractor or bui1 r named above to ' construct the b
herefor in strict compliance with all ordinances pertaining thereto and with ' e unde
drawings, statements or specifications that may have been submitted to and roved
time if the work is not done in compliance with such ordinances or if the p re gang
granted is the understanding that the contractor or budder named above es the
pertaining to the work covered hereby whether shown on the plans or dra ' • + or in th
done by his agents, servants or employees.
Signed:
In consideration of the issuance to me of • ermit I agree to perf
pertaining thereto and in strict conformity with the p wings, statem
In accepting this permit I assume spons flit' for all -wor eith
�{
CONTRACTOR OR BUILDER BY
MIAMI SHORES VILLAGE, FLORIDA
the work covered hereunder in compliance
or specifications submitted to the proper au
myself, my agent, servant or employee.
BUILDING ❑
ELECTRICAL PERMIT N? 14193
PLUMBING ❑
ROOFING ❑ Work to be performed under this Permit
Owner of
Building
Subdi-
vision
Value of
Project $
DATE
Contractor's
License N
Amt of
Permit $
ding or to install the equipment or device described in dut
ing that the work will be performed in compliance Issitk
proper municipal authorities. Thir Permit rosy be
thout authorization. A further condition upon which
%fifty for a thorough kno -• of the ordin
en or specifications and
AUTHORITY
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date S - J am- - 4,Rlob Address SC 3 !v E Tax Folio X
Legal Description K 5 S ( QrAA -k) Historically Designated: Yes
Owner/Lessee / Tenant G - L_(� 0 \1-' -0 VAL-CSC° Master Permit #
Owners Address (\ t- F • Z ST • Phone
Contracting Co. ` Ac, l rt cso euec . l l )s Address tao ,
Qualifier Ar1k s Il, ,S2/- o c> er.a. ss# Phone 4 2 76-5 •
State # Q (I VY Municipal # Competency # n4.34 Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
ALi_S
Notary as to Owner and/or Condo President Date
My Commission Expires:
otary as to
My Commission E
or• Owlaii
No 2
FEES: PERMIT ...2/0 RADON C.C.F. )'VI G.-5751, NOTARY BOND
d/S v3y
Square Ft. Estimated Cost (value) - OL
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 • Intrac j r to do ork stated.
Signature of owner and/or Condo President Date Si fture o
. MP()
Date
TOTAL DUE G,
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Engineering
ITEM
BATH TLB
UNIT
c'
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
' LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
REC,?TACLES -
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS . 1
15 o
y
O a M RK
FLOOR 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
ITS 0- 1 HP
STEAM BOILERS
SHOWER
MOTCRS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
',INCAS OVER 8- 10 NP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTCRS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR COND IT TONERS ° i '(A h
A/C UNIT
STRIP HEATER
4).9
FIRE SPRINKLER
GENERATORS TRANSFORMERS
'HEATER -NEW INST.
GENERATORS TRANSFORMERS
.
- -
HEATER - REPLACE
GENERATORS TRANSFORMERS
� �_
LAWN SPRINKLER -WELL
�
SPECIAL PURPOSE --�
CUTLETS C06MERCIAL
SIGH TUBES
.
SWIMMING POD
'
WATER SERVICE
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
•
UTILITY -WATER
FIXTURES
SEPTIC TANK
ANTENNA '
RELAY
TELEVISION OUTLETS .
ORAINFIELD, 4' TILE/RES.
VIOLATION ...
.
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
•
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA GRAIN
ROOF INLET
SOLAR WATER HEATER
'---,
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
i
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANT THIS ADDENDUM. IF A MASTER PERMIT HAS B_
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEEEDc. NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
FROM:
4,. , 'Ll1
ji•CatS. T 3etG.t 231__ _3d
r a
: 2 � -�
FsX ..Cat 733.34
TO: F7.FCTRIC4L CONTRACTORS
iICEAFT DEVAN YY, CHIEF ELECTRICAL
D PECTOR
Two =pies of the aaplicable requirements must many all permit
anplica¢cns. If act met, applications wu"I net be as pt d by the
Buildrig DeparttuaLt.
Pemnit aiTkica dcns where a mast permit is nsz - will need
the fellowi.
Service ciaang
Riser aia am. shown= meter size, disccnne , wire and =snit size,
subfee , r and panels.
The W oric- With hispdon can be scheduled after the permit ?mss been
obtaiaed A final in pe tics iz required.
Air Conditio Hookup:
Load calcaiations showi4 service size to determine it Zvi=
adequate for new lead. Need the wire and =tit size for air
handlitg tuut and candensiva unit.
- Kitchen Remodeling:
Cabinet makes layout will suffice show location of cutlet.
other scus were a maser permit is act issued, 1 wig Lem to
have a fine cha.. showing: what's beirq acne.
DRIP LOOP
( BE ]0'
.4- 13 (MIN)
6' •ri'
• u
' 2O0A
'METER
1
2' ABOVE ROOF
1
•
E:' 10lAlKi
minima
e•• PLAS'1IC
eLC"llUlG
FlI i7S11ED f3RADE
•
••
f ^ ./C &L-EE
MAIN CD
PANEL
II
4---
wean Y1 ►(D!.
. kr7 -
TENT loth•
G1..MIf'
:11
GRik11'Q1
flan Qufu
E0•0' MIN BEP Ti 1
i/.
s I(;IlnTuni`fl
n i
B
K1ALk UI' ti/i:A _
Pry •
• I- 1c1 '1 1�
Concliacior sCrr
1 1 r—' --r- r -r
• Conduit stz t � �G Y IZ 5j i
Conduit type
Thru rvof___.ea _ _ 1 ` 1 0
Gr- ound wl.c
)1AIN. DISYOIJIIECT
R at1 np
Maw%
Sub Breakers
SUB FEEDER
PER S.F.U.C, 4506.2(D)
b
J Amps
Ari ps
/ _Amps
-
New E:xlstai g
'ryes ii... YLs
Size '7 CR
Bond ally. X.,./2
.
INSEDE PANEL
tt
Rating C A++ps
Bond Buss , Yes
LoGc. f
c. UTRACTOR
_Iln
NOTARY
•
•
\\// I - .1 )
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No / Date
Application is hereby e 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 Floriea, 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 . ''''' -,. j`� / �+' +` '`' No Street
Registered Architect and /or Ender
( B
Employing Electrician's Name ✓...< ��-� 'ti' ' � / ►-"` xif - - No
Street
Location and Legal Description Lot Block Subdivision
'r ) _ ^ a 1
Street and Number where work is to be performed —No � ... t � / f _ 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
s
P P
Type of Installation— Conduit Tubing B.X.L Metal Moulding
v el
`"r a r.
l \ + \......... cf. if k/ ; e:
Amount of Permit $
(Signed)
Electrical Inspector.
The undersigned pplicant building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Fl da Workmen's Compens tf Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied wit the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be perf rmed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, 1
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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.
88.
My Commission Expires
MIAMI SHORES VILLAGE
(Signed)
•
Notary Public, State of Florida
iL.!.✓:0le1/
Master Electrician.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. H EAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
s
MOTORS
0.1 HP
M OTORS
1 -5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No / Date
Application is hereby e 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 Floriea, 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 . ''''' -,. j`� / �+' +` '`' No Street
Registered Architect and /or Ender
( B
Employing Electrician's Name ✓...< ��-� 'ti' ' � / ►-"` xif - - No
Street
Location and Legal Description Lot Block Subdivision
'r ) _ ^ a 1
Street and Number where work is to be performed —No � ... t � / f _ 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
s
P P
Type of Installation— Conduit Tubing B.X.L Metal Moulding
v el
`"r a r.
l \ + \......... cf. if k/ ; e:
Amount of Permit $
(Signed)
Electrical Inspector.
The undersigned pplicant building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Fl da Workmen's Compens tf Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied wit the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be perf rmed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, 1
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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.
88.
My Commission Expires
MIAMI SHORES VILLAGE
(Signed)
•
Notary Public, State of Florida
iL.!.✓:0le1/
Master Electrician.
Amount of Permit $
STATE OP FLORIDA, }
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
ELECTR ICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted 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, waether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work„
Owners Name and Address No Street
Registered Architect and /or Engineer
F ;
Employing Electrician's Name i.J + ' t" No Street
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 v, Remodeling Addition Repairs No. of Stories
Service Und h e a d d Size Feeders Conduit �- Main Sw Amps Main Fuses Amps
Type of Installation — Conduit fTubing,o B.X.L Metal Moulding
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands d 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 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.
(Signed)
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
N9TE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
mater' is 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 . ' I
/, % :`
✓ .
�a
y it
tl _
1 ;1
♦.
f�
/
^] .
/ - S
g .
!
7J
` i
VZ)
tt
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O.1 HP
MOTORS
1•5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
/ 00
/ 6'D
Amount of Permit $
STATE OP FLORIDA, }
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
ELECTR ICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted 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, waether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work„
Owners Name and Address No Street
Registered Architect and /or Engineer
F ;
Employing Electrician's Name i.J + ' t" No Street
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 v, Remodeling Addition Repairs No. of Stories
Service Und h e a d d Size Feeders Conduit �- Main Sw Amps Main Fuses Amps
Type of Installation — Conduit fTubing,o B.X.L Metal Moulding
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands d 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 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.
(Signed)
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
N9TE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
mater' is and /or workmanship.
%