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520 NE 92 St (13)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Req Date 5'/3 -1?.3 Time Type Insp'n Permit No. Name Address Company Phone # Approved Correction Re- Insp'n Fee L 2403 ° 3 0 5 - Tuee:44;714., Savh e-e A etieeti g a'i 35Y9 For Inspectors_ eg 3 Name L'T ❑ l 3f=-ecy MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp Permit No. — Name Adq. r/ 3_3 5 Phone # For Inspector: /� Approv ` Correction ❑ /�1` ' Re- Insp'n Fee ❑ Type Insp'n MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reque t Dag Time Permi L 0 0 3' 33 Nam Address Company Phone # For Inspector =V I'( / E e & Date Approved Correction Re- Insp'n Fee ❑ ❑ / ' �, ® 2-- Approved MIAMI SHORES VILLAGE BUILDING DEPART a ENT 305- 795 -2204 Building Inspection Request Re- Insp'n Fee ❑ Date Type Insp'n Permit NOEL /O 03- 3 Name Address Company ` r Phone # " C)S I / 1 �i For Inspector) Correction r ��/ �� CONTRACTOR Name aeUS /04 S0u&'e. 1NC- License No(qE ow 157 7 CC Address 7035 WA LI/ ST Telephon 1/4“too Fax Qualifier Name R oA to /Fo \ r , Z PROPERTY OWNER Name L _urrz --I A 4DAWl 4 / Address Enclosure Home Telephone 3 C S 7 5 ct _ a a G? Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other Step I. Step 2. Job Address: • • • • • • • • • • • • • • • . . • • • • • • • • • • • • • • • • • • • • ... • • • • • • . • • • ...••• .•.. Master Permit No. ..:Subsidiar�.Petmit No • • • • • .. • .. • • • • PERMIT APPLICATION INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which mus•be signed by ttcpiopegty owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate p dcess m ofyoDr Cpplc Qn. If roofing work will be done, a roofing application must be submit- ted along with this permit application. • • • • • • • • • •• • • • • • ••• • • 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 -moo 10, -r•"„ ` sT Address Apt. Folio Number Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other t/ Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax //�� State A Description of Work DtbrPOA) City st©2 F Zoning Linear Feet Square Feet Units Floors Value of Work 0' 6-560 ' 00 Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR:VAJJDATED PENIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCtleN are Limited to: Monday thredtt 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' leVI'I E 4. SWALES MUST BE PROTECTED FROM BEING DAMACjED BY'I Ulel41E 4TpF{ trH ICLES, 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 SINGTh FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, P' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in •accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORI ► A, COU Ana rA Signa e of Owner Print Name Sworn t and subscribed before me this 9 day of J /A/092y Si ! " !„kPublic - State of Flo * SEAL .> • , MY CO MISSION If "O NOV.14,2 9 J Personally known OR, Produced Identification I -DADE • • •• • • • •• • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • •••• • ••••••• • ST • JE OF FLORIDA, COUNTY OF MIAMI -DADE ignature of Contractor / Qualifier LQCKe f4 M cu "t' Print Name Sworn to and subscribed before me this PERMIT APPLICATION a5 day ofT4 . Y to =FlCIAL • f " ARMA : • IM/ Sigltature of Kto � LI P # Stesainlq ER N 1 4F1'' Q CC981857 SEAL: YI0 .�r.. `!Y COMMISSION EXPIRES OF ft NOV. 14,2005 Personally known _____ OR, Produced Identification Type of Identification Produced: Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer , %, .l.t'I Appliance QTy. TYPE Service Repair QTy. A/C Central 1 -3 Ton I • • • • • Fan "L • • Outlet, Outlet, Wall 2.S Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch 1 4' Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) 10 I A/C Central 16 -20 Ton Fixture Light ZZ Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. 3 Repair Circuits Water Heater Dishwasher Low -volt, Television Z Service, Number of Amps 150 I Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. 'rYl Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUNIBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet 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 Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray 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 Page 3 RECEIVED AND REVIEWED BY: • • • • • • • • ••• • • • • • • • • • • • • ••••••• •••• • •• ••• • •. • • • • • PERMIT APPLICATION IN IN INSTRUCTIONS: Please indicate the type pf work being perforrrge4aOd quantity(ies) in the space provided below. Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $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 Notary REVIEWED AND PREPARED BY: • •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • •••• • • • • .• • ••• ❑ PROOF OF OWNERSHIP e e ❑ CONDO ASSOCIATION APPROVAL (Attach) (Attach) •• ••• •• • • • •• • • • • • • • • . ❑ HRS / J7ERM APPROVAL ; •; • • ❑ BPR APPROVAL (Restaurants) (Septtc. Sgwtr). . • • • • • ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) (sq.ft. = x/1000 x0.60) $ (¢.005 /sq.ft.) $ SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE (¢.01/sq.ft.) • PERMIT APPLICATION ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ DATE:,7 CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Applicant: LUCRECIA Owner: ADAMS JOB ADDRESS: 520 NE 92 cro m Contractor PRECISION SOURCE INC Local Phone: 305 - 260 -4444 Parcel # 1132060141190 O I:J c Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2003 -33 Printed: 2/5/2003 Permit Status: Signe Approved Work: ADDITION ELECTRICAL Permit Expiration: • Electrical Permit 8/4/2003 ADAMS LUCRECIA ST Contractor's Address: 1220 SW 70 AVE Construction Value: $5,500.00 Page 1 of.1 PECTOR) BY: Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 4 & 5 BLK 58 LOT SIZE 100.000 X P-Q.m4 4). . 0 u 4 v Total Fees: 49.00- Total Receipts: $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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. In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself,,my agent, servants or employes. RE COl 021903 0921 it#O1 004941 CASH Signed: P l / (Contractor or Builder BY: S262.50 Date Legal Description LoT 9 - Job Address 0 N ? a S T Tax Folio / / 3a0(, 0/ N //90 Owner's Address , c c) A PERMIT APPLICATION FOR MIAMI SHORES VILLAGE .eC oe K Ownei / Tenant S C1 ,/1 a e / A ,4 i ,Q n•, Contracting Co. DIY ST/2 2 C_ Ec TR / 0_ /A) — J 4otC 2 � — / 6)-27 Signature of owner and/or C ' 1: -. Date No My e r,t, Maria T. Fernandez . % Notary Public, State of Florida 'A ' Commission No. CC 686836 '' �"or tt�� � My Commission Exp. 10/07/2001 1.6004NOTARY Fla. Not. Service & Bonding Co. FEES: PE '" RADON C.C.F. sae- 4d2--- Historically Designated: Yes No Master Permit # 1 46 g 7 Phone Address S'30 / J /0? ,S I Qualifier ,..76 (LG.-F P. e. 4C-0 E2o(.) SS# Phone 305 R93 - ogz-( / oS Ins. Co. 7;f/ 60u0TY State # C'( / LI/ 6 a Municipal # 3 0 - 37 6 5709 Competency # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN ti D 6-1•17 /N /`C 7 T C' K arz ) A Ail) WORK DESCRIPTION A D 17 c) u T L_ F TS TA/ i2_00 rnS Square Ft. /To 0 Estimated Cost (value) (, O 0 - 0 0 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. OWNERS 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. 6 :1 • • w {y � aria er • ez j N o dry Public, State of Flor a Commission No. CC 68683 ' ?o i l,g4s � My Commission 50. 10/07/2001 14111841.NOTAItt ice•. Nara y $Itwae at San • Co. 1 My o • ontractor No NOTARY p BOND APPROVED: Zoning Building Mechanical Plumbing Structural Engineer TOTAL DUE S43 © Date Electrical Permit No -g It9 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu :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. ! Owner's Name and Address. / 2 2.° . I4S /C9 1,1 No... .. A Street 9g 3: Registered Architect and /or Engineer rt mpl J o��y in g ec l a r / � ' ?.. � No. P a S i4.7 // [ j bon and Leg I Description Lot � Block 'g Subdivisionv! / � Soi,A Street and Number where work is to be performed —No .---C: -°......") 9 2 Street 2 " - . s4 State work to be performed and purpose of building (By Floors) 1° �— �. w c . if= ho New Building Remodeling Addition Repairs No. of Stories Service Overhead dund Size Feeders / Conduit./ Main Sw / 5' ' 4° Amps./ .5° Underground _zit) C. v., Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. I "°' Type of Installation — Conduit � Tuubbtinng� B . Metal Moulding 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 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 sub•contrac on work to be performed er i3 permit, as are licensed by Miami Shores Village. of the above described construction, and he has carefully read the foregoin therein by him stated are true. FOTIIRY PUP.LIC STATE Or rldR.IDA NY CUiIflTSS:Ctl EXP. JULY ..1991 My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date.. io,/e9 (Signed) / //f to administer oaths and take acknowledgments, personally Before me, th q9egigned authori notary public, duly authorized appeared ��F,i• /.�1 �� "'`iX�C. • to me well known, and who, beilig by me first duly sworn, upon oath deposes an . that he is the `�u and chat l' did sign the same, and that all facts Main Fuses Amps Muter Electrician. Notary Publi tate of Florida A' NOTE: A re-inspection fee of $1,00 will be made when such re-inspection is male necessary bir i4proper notice for inspection, or faulty materials and /or workm?nship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P•T•S FIXTURES NO. L REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK • Permit No -g It9 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu :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. ! Owner's Name and Address. / 2 2.° . I4S /C9 1,1 No... .. A Street 9g 3: Registered Architect and /or Engineer rt mpl J o��y in g ec l a r / � ' ?.. � No. P a S i4.7 // [ j bon and Leg I Description Lot � Block 'g Subdivisionv! / � Soi,A Street and Number where work is to be performed —No .---C: -°......") 9 2 Street 2 " - . s4 State work to be performed and purpose of building (By Floors) 1° �— �. w c . if= ho New Building Remodeling Addition Repairs No. of Stories Service Overhead dund Size Feeders / Conduit./ Main Sw / 5' ' 4° Amps./ .5° Underground _zit) C. v., Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. I "°' Type of Installation — Conduit � Tuubbtinng� B . Metal Moulding 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 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 sub•contrac on work to be performed er i3 permit, as are licensed by Miami Shores Village. of the above described construction, and he has carefully read the foregoin therein by him stated are true. FOTIIRY PUP.LIC STATE Or rldR.IDA NY CUiIflTSS:Ctl EXP. JULY ..1991 My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date.. io,/e9 (Signed) / //f to administer oaths and take acknowledgments, personally Before me, th q9egigned authori notary public, duly authorized appeared ��F,i• /.�1 �� "'`iX�C. • to me well known, and who, beilig by me first duly sworn, upon oath deposes an . that he is the `�u and chat l' did sign the same, and that all facts Main Fuses Amps Muter Electrician. Notary Publi tate of Florida A' NOTE: A re-inspection fee of $1,00 will be made when such re-inspection is male necessary bir i4proper notice for inspection, or faulty materials and /or workm?nship. Permit No 5 _ _ Application is hereby mad for the approval of the detailed statement of the plans and specifications herewith su mitted 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 wo Owner's Name and Address ___ .„---2-------....-___L Registered Architect and /or Eng' r Employing Electrician's Name __ _y Location and Legal Description Lot MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT (.. �' � – – – – -Block Street and Number where work is to be performed —No __:. Service Overhead Size Feeders Underground Type of Installation— Conduit Amount of Permit $ 1 My Commission Expires (Signed) 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. No s5 Tubing r B.X.L Metal Moulding Date No.3 9 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Subdivisiog Street .1 ".1 ° �: • - - -_.- l — _- -- Conduit.___— Main Sw _ Amps. Main Fuses Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has corn- 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 4 Street (Signed) -- – _— _— _– __�_._ .�._ - ` - -- Master Electrican. Notary Public. State of Florida No. of Stories Amps. STATE OF FLORIDA, COUNTY OF DADE. ss. 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 REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK 1 l I 9 yy i_ .. _, ./ ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PEMM. t MOTORS 0 -1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST 4 CHECK Permit No 5 _ _ Application is hereby mad for the approval of the detailed statement of the plans and specifications herewith su mitted 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 wo Owner's Name and Address ___ .„---2-------....-___L Registered Architect and /or Eng' r Employing Electrician's Name __ _y Location and Legal Description Lot MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT (.. �' � – – – – -Block Street and Number where work is to be performed —No __:. Service Overhead Size Feeders Underground Type of Installation— Conduit Amount of Permit $ 1 My Commission Expires (Signed) 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. No s5 Tubing r B.X.L Metal Moulding Date No.3 9 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Subdivisiog Street .1 ".1 ° �: • - - -_.- l — _- -- Conduit.___— Main Sw _ Amps. Main Fuses Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has corn- 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 4 Street (Signed) -- – _— _— _– __�_._ .�._ - ` - -- Master Electrican. Notary Public. State of Florida No. of Stories Amps. STATE OF FLORIDA, COUNTY OF DADE. ss. 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. BUILDING ELECTRICAL PLUMBING Owner of Building Contractor _ or Builder , • CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE AA:( ( � (" 194 Contractor's /Cr? License No. ERMIT N? 5996 Work to be performed under this Permi Architect Bl. Legal Lot Description f Building 3 Address of ' / ,. f rf -1 This permit is granted to the c r cctor or b der named above to construct the building or to install the equipment or de . ce described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be perfor ed 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 spwifications ad that he'assumes respon- sibility for work done by his agents, servants or employees. r i' Signed. ,,,r- f '' ` . . d PE TO!). 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 Shore'Village. In accepting this pe I assume resp n ibility for all work done � b yej# her self, m agent, se ;ant or emp�yee. Subdi- vision Value of Project BY Amt. of ' � Permit ��"'"�"" By AUTHORITY BUILDING LECTRICAL PLUMBING Owner of Building Contractor or Builder w� Legal Lot ...- Description 13 • ' MIAMI SHORES VILLAGE, FLORIDA DATE 7 '^ Contractor's License No. /1 PERMIT N? 5217 Work to be performed under this Permit ... , Architect Bl. Address of ' 7 Value of Amt. of t Huildin@ 6 -z -�1 ! Project Permit • r • 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- cation 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 thin. permit is granted is the understanding that the contractor or builder named above assu the r nsiblyC.fp -e sip hough knowledge of the ordinances and = egulations pertaining to the work covered hereby whether shown on the plans or ngs or ' e it em is or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. , Signed. �� • :�,,s � : y By..✓�r� In consideration of the issuance to me of this permit I agree to perform the . w C ork covereOereunder 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 tht permit I assume responsibility for all work done by either, myself, my agent, Servant or employee. CONTRACTOR OR BUILDER 11 AUTHORITY 1t• • Subdi- vision INSiWCTOR BUII)ING ELECTRICAL PLUMBING Work to be performed under this Permi Contractor or Builder �^ Legal Lot Description Owner of le r Building Architect , . CONTRACTOR OR BUILbER (` MIAMI SHORES VILLAGE, FLORIDA DATE ' i PERMIT N? 5217 . .T1.-, 4' ,ti C Bl. Address of , , Value of Amt. of 1- -- 4.- -- < Building o (, / - ,,I` Project Permit This permit is granted to the contractor or builder n amed above to construct the building or to install the equipment or d described in the appli cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work wil be performed in compliance with - plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be te- 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 w' permit is granted is the understanding that the contractor or builder named above ass s the responsibjULy forspa4liorough knowledge of the ordi regulations pertaining to the work covered hereby whether shown on the plans or ings or itithe statements or specifications and that he as- sibility, for work done by his agents, servants or employees. �? ;� In consideration of the issuance to me of this permit I agree to perform the work coverea hereunder in compliance with all .-- pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorl In accepting thinpermit I assume responsibility for all work done by either myself, my agent, servant or employee. V Contractor's / License No. i t Subdi- vision r�• 197 BUILDING ELEhTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE 6' ;env �� �* PERMIT N? 5300 Contractor's License No. tt:.J Work to be performed under this Permit L7 C 4 194L Architect Contractor ■ or Builder � t �" : ,. fr Legal Lot , Bl. Subdi- DescripA on 4 /-- 4 vision .Address of r 4- t . ? Value of Arnt. of �� &'" Building -x f ) 0 1 u ; / L,r 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- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wil be performed in compliance with any plans, flrawings, 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 drawinvs or in the statements or specifications an&that he assumes respon- sibility 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 a1 rdinances a4d pegulalipns pertaining thereto and in strict conformity with the plans, dri$ings, statements or specifications submitted to the proper authorities. of Miami 9hords'Vi1t ge. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. i es CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of 4 Building Architect Lot MIAMI SHORES VILLAGE, FLORIDA DATE d�E:� e' /6 PERMIT N? 5996 Contractor's License No. Work to be performed under this Permit k./ a. , C 4 . L 0 L4 „ierY'Zr,I ("tvielaopl Bl. Contractor or Builder Legal Description Address of Building This permit is granted to the c. tractor or b der named above to construct the building or to install the equipment or de ce described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be perfor ed 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 cons' : I upon which this permit is granted is the understanding that the contractor or builder named above assumes the respo ibility for a thorough knowled' `of : ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or ' thestatements.or sp ,ycifications • 1. iat •. assumes respon- sibility for work done by his agents, servants or employees. Signed. 1 /G 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 pew I assume resps ibilit y for all work done b e' erself, my a ent, servant or emp yee. 1.1 5 Subdi- vision Value of Project • t IT Amt. of Permit 1942 • AUTHORITY Permit , _ ° _`w ____ 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 Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot_ __________.! • Street and Number where work is to be performed —No –___ • _ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs No. of Stories / Service Size Feeders Underground nd Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amount of Permit $ 6 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT STATE OF FLORIDA, COUNTY OF DADE. j es 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. 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 be did sign the same, and that all facts therein by him stated are true. My Commission Expires – – - - - - -- – No. – -- - -- _— _ Street No Block (Signed) Notary Public. State of Florida Street_ Subdivision_ Street Conduit.___ Main Sw.__� ` �_�� ___� —_� Amps. Main Fuses_—________Amps. Electrical Inspector. reify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has corn- 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) – - -= Master Electrican. 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. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS I -S HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit , _ ° _`w ____ 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 Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot_ __________.! • Street and Number where work is to be performed —No –___ • _ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs No. of Stories / Service Size Feeders Underground nd Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amount of Permit $ 6 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT STATE OF FLORIDA, COUNTY OF DADE. j es 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. 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 be did sign the same, and that all facts therein by him stated are true. My Commission Expires – – - - - - -- – No. – -- - -- _— _ Street No Block (Signed) Notary Public. State of Florida Street_ Subdivision_ Street Conduit.___ Main Sw.__� ` �_�� ___� —_� Amps. Main Fuses_—________Amps. Electrical Inspector. reify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has corn- 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) – - -= Master Electrican. 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.