700 NE 93 St (12)My Commission Expires:
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 1 7 Job Address 700 AL q357 Folio 11 3206 1q ) 9
Lot 6i7 2 z.
Description Gl f Lessee / Tenant 1JJC 1�CL ±f I ✓) Master Permit 413 p 31
0A -.q3$+
Owner's Address ,,� , f Phon_757 —J2J8
A e / /� J �..�_
Contracting Co. 0— 'Ii/ 'c - c ) C. Address / 9 , v- �. l7" ?S/
Qualifier rout e / a cise t1 SS# (/ - -#,Vj4hone9 / 373
State I #Ee 000 /O5lMunicipal # Competency # Ins.Co
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDIN
I p r - 1 ( I
WORK DESCRIPTION i / � ✓�� p r c P bCle -S � �Z��� �i `j
P a �
Signature of owner and /or Condo President
Date:
PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
P/ z 3 a'z y
Square Ft. Estimated Cost(value) // COO, 00
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 regulatin_ •ns uction and zoning. Furthermore, I
authorize the above -named contractor to do the work st
Notary as to Owner and /or Condo President
Signatur
Date:
AlaIa.IJI
of Contractor or Owner- Builder
/Y 71
01
1; M C�'J
Notary as to Contractor or Owner -Build
My Commission Expires:
NOTARY M ?. C., C7A (1? C:1:77.A.
MY COPJ'PEIMMIC `. i;,'"r:'.s: :. 2:3 :!;';'
** * * * * * * * * * * * * * * * **
TOTAL DUE
RADON C.C.F. NOTARY
Fire Other
Zoning Building Electrical I
Mechanical Plumbing Engineering
BUILDING
ELECTRICAL
PLUMBING
PERMIT N? 4826
Work to be performed
Building y 4 r-
Architect
Contractor
or Builder Ck ` Y r
Legal Lot
Description
MIAMI SHORES VILLAGE, FLORIDA
DATE G'-` ti D U
Bl.
Address of t ; ..... -- Value of Amt. of
Building c.... Project Permit (P Y •.
This per t is granted to the contractor • builder above to construct the building or to install the equipment or device described in the appli-
cation herefor in trict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.,
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. •
CONTRACTOR OR BUILDER
under this Permit
Signed.
64 e?
le y
Subdi-
vision
BY
Contractor's
License No.
194.L.
By
1 2.b J AUTHORITY
•
•
• MIAMI SHORES VILLAGE, FLORIDA
BUILDING
ELECTRICAL
PLUMBING
Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Lot
RACTOR OR BUILD
ERMIT N° 4706
Bi.
4. 3
Subdi-
vision
BY 1
DATE
Contractor's
License No.
5
1941,
I
Address of (7 � {� Value of Amt. of 0 P
Building - L� 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 w th the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. ' _ , tJ le
Signed. By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all judinances and riguljabkns
pertaining thereto and in strict conformity with the la s drawings, statements or specifications submitted to the proper authoritiAstiof Miami Shores•VillYge.
In accepting this pe it I ass res sibility for a rk done by either myself, my agent, servant or employee.
AUTHORITY
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
// APPLICATION FOR ELECTRICAL PERMIT
Permit No.44. _ _ �?__ Date / 410
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.
AI
Owner's Name and Address / • : —_ . ' ,A.. r ' — No. _____— _�_ - -� �__ Street_ —___
1 '
Registered Architect and /or Engineer ...___.– T —
Employing Electrician's Nam ' / - -- — _ -- _,r''1 ! __t �- L No._ - - j i c ..
— _ ____�__— Street_ ,, _ 1_ __— i�— __L.:_ _
Location and Legal Description Lot - _Block_________,. = Subdivision
Street and Number where work is to be performed —No 21/ __...-:=-
__r S treet / - - - _
State work to be performed and purpose of building (By Floors)
New Building Y Remodeling Addition Repairs
No. of Stories _____ f __
/ /
Service OUnderglound Size Feeders 1 1 Conduit.l_ Z— — Main Sw._ _f p ^- Amps. Main Fuses____ Amps.
Type of Installation — Conduit_______ Tubing _______f B.X.L. Metal Moulding
---------- ------- --- - -- -- - - - - --
— - -- _— –
Amount of Permit $ / +^ 1 C? i% – (Signed)
n . The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
. of under the Florida Workmen's Compensation Act. being Section 5966. Compiled General Laws of Florida Permanent Supplement, and has com-
\ plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub- contractors, on work to be performed under this permit. as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires
r `
(Signed)
Notary Public. State of Florida
lectrical Inspector.
Master Elecarican.
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
/ f
IRON
OUTLET
/�
/
RANGE
OUTLET
J'
j
RANGE
CONN.
WATER
HEATER
/
W. HEAT.
CONN.
d
/
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR. LIST
y'�'S -
! (� .
/�
1
J 7
P l
/ �J "
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0 -1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RA010
TOTAL
CONTR.
LIST
IST
/
/
/1—
t„lC
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
// APPLICATION FOR ELECTRICAL PERMIT
Permit No.44. _ _ �?__ Date / 410
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.
AI
Owner's Name and Address / • : —_ . ' ,A.. r ' — No. _____— _�_ - -� �__ Street_ —___
1 '
Registered Architect and /or Engineer ...___.– T —
Employing Electrician's Nam ' / - -- — _ -- _,r''1 ! __t �- L No._ - - j i c ..
— _ ____�__— Street_ ,, _ 1_ __— i�— __L.:_ _
Location and Legal Description Lot - _Block_________,. = Subdivision
Street and Number where work is to be performed —No 21/ __...-:=-
__r S treet / - - - _
State work to be performed and purpose of building (By Floors)
New Building Y Remodeling Addition Repairs
No. of Stories _____ f __
/ /
Service OUnderglound Size Feeders 1 1 Conduit.l_ Z— — Main Sw._ _f p ^- Amps. Main Fuses____ Amps.
Type of Installation — Conduit_______ Tubing _______f B.X.L. Metal Moulding
---------- ------- --- - -- -- - - - - --
— - -- _— –
Amount of Permit $ / +^ 1 C? i% – (Signed)
n . The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
. of under the Florida Workmen's Compensation Act. being Section 5966. Compiled General Laws of Florida Permanent Supplement, and has com-
\ plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub- contractors, on work to be performed under this permit. as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires
r `
(Signed)
Notary Public. State of Florida
lectrical Inspector.
Master Elecarican.
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 / E
Architect
Contractor _ U
or Builder LA
Legal Lot
Description
Address of
Building
4
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 4826
Work to be performed under this Pertnit i,.a
0 L.
Subdi-
vision
Value of 1 Amt. of
Project Permit •
This perm is granted to the contractor o builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in Wet 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 Ithat may have been submitted to and approved by the proper municipal authorities. This Permit ay 1?e revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon•
sibility for work done by his agents, servants or employees.
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 r. b ........,.
pertaining thereto and in strict conformity With the _plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Villag
In- accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDS r
� F
Signed. c "
BY
DATE
Contra r'
License
By
RUTH
Permit No
17 7
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted or the building of 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.._ t" ",t.G' G C4 0 . 4.-lee' ' /J' No 7o Streets J
Registered Architect and /or Engineer 512(.
Location and Legal Description Lot
(
Street and Number where work is to be performed —No
.7p e
Employing Electrician's Name ®{,ad AS�� No Street
Block 6 ` Subdivision r...�
Street A/ ✓ -.7
State work to be performed and purpose of building (By Floors) 4 _ c ,Z' /CA c'4"* o"
New Building Remodeling Addition � Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ (Signed)
El ectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obgations 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 sit` of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, o wor to be performed under this permit, as are
licensed by Miami Shores Village.
Date -
Notary Public, State of Florida
STATE OF FLORIDA, }
COUNTY OF DADE. sa.
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
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
REPRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. H EAT.
CONN..
SPACE
H EATER
STRIP
N EATER
TOTAL
CONTR.
LIST
rLj
/ !i
h -
'
,
CHECK
/
ENT.
SW.
D1ST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
Let/' ✓CL.
'POLV- L! re'
FA k,
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
.
TOTAL
CONTR.
LIST
/
I
,
I
.
CHECK
Permit No
17 7
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted or the building of 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.._ t" ",t.G' G C4 0 . 4.-lee' ' /J' No 7o Streets J
Registered Architect and /or Engineer 512(.
Location and Legal Description Lot
(
Street and Number where work is to be performed —No
.7p e
Employing Electrician's Name ®{,ad AS�� No Street
Block 6 ` Subdivision r...�
Street A/ ✓ -.7
State work to be performed and purpose of building (By Floors) 4 _ c ,Z' /CA c'4"* o"
New Building Remodeling Addition � Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ (Signed)
El ectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obgations 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 sit` of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, o wor to be performed under this permit, as are
licensed by Miami Shores Village.
Date -
Notary Public, State of Florida
STATE OF FLORIDA, }
COUNTY OF DADE. sa.
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
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.
1(
0
s
2' PC'
Permit No
Si
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
qq g r Date - 7
Z (�
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, 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 plane 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
Amount of Permit $
STATE OP FLORIDA, 1
COUNTY OF DADE.
", Before me, /
pared
es.
L c7c.
MIAMI SHORES VILLAGE
Block
No 700
No 6 . 5 7 / r a l f ffe y%� 4L
1
Subdivision...
700 Street ... fl/
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L .Metal Moulding
(Signed)....
Street./f S' S'/
ectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o}1 gations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida` ermanent 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.
,x��ned a thority a n• ary public, duly authorized to administer oaths and take acknowledgments, personally
/ A!%�' ,/, //
ti; me we11 known, and who, being by me first duly sworn, upon oath deposes and says that he is the.
of -.he above descrioed vanstruction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein ti,k0 tai are true.
4 State Mf Fiend tj fw Ie
My Commission Expires April 9, 1980
Bonded ,bjr.Axneriassr�
My Coia> iniffakJf pes
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.
dtta
Notary Public, State of Florida
0
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG.
RECE• ►•T'S
FIXTURES
NO.
RE /RIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. NEAT.
CONN.
SPACE
H
STRIP
H
TOTAL
CONTR.
LItT
i
^ Q
�(
7
/1
l•
CHECK
_-
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP,
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
.
TOTAL
CONTR.
LIST
•a/
^./ a.
r �� ' jj __
^
— 3 / G
//
e. ewe` -
7.¢s ■D
I •S `..
CHECK
/
1(
0
s
2' PC'
Permit No
Si
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
qq g r Date - 7
Z (�
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, 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 plane 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
Amount of Permit $
STATE OP FLORIDA, 1
COUNTY OF DADE.
", Before me, /
pared
es.
L c7c.
MIAMI SHORES VILLAGE
Block
No 700
No 6 . 5 7 / r a l f ffe y%� 4L
1
Subdivision...
700 Street ... fl/
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L .Metal Moulding
(Signed)....
Street./f S' S'/
ectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o}1 gations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida` ermanent 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.
,x��ned a thority a n• ary public, duly authorized to administer oaths and take acknowledgments, personally
/ A!%�' ,/, //
ti; me we11 known, and who, being by me first duly sworn, upon oath deposes and says that he is the.
of -.he above descrioed vanstruction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein ti,k0 tai are true.
4 State Mf Fiend tj fw Ie
My Commission Expires April 9, 1980
Bonded ,bjr.Axneriassr�
My Coia> iniffakJf pes
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.
dtta
Notary Public, State of Florida
0
inspection Number: INS Ft-31 97
Inspection Date: 01/23/2006
Inspector: Devaney, Michael
Owner: RODRIGUEZ, MARIA LUISA
Job Address: 700 93 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: ATEXI SERVICES CORP
Building Department Comments
Friday, January 20, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Ph q ie: (305)795 -2204 Fax: (305)756 -8972
Block:
Number: M225 -380
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Generator
Phone Number
Parcel Number 1132060141480
Lot:
Page 1 of 2
Passed
Inspector Com
*' .
/ 0
` / 73 ‘77,-� c f "
�
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
inspection Number: INS Ft-31 97
Inspection Date: 01/23/2006
Inspector: Devaney, Michael
Owner: RODRIGUEZ, MARIA LUISA
Job Address: 700 93 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: ATEXI SERVICES CORP
Building Department Comments
Friday, January 20, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Ph q ie: (305)795 -2204 Fax: (305)756 -8972
Block:
Number: M225 -380
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Generator
Phone Number
Parcel Number 1132060141480
Lot:
Page 1 of 2
Issue Date: 12/16/2005
Owner's Name: MARIA LUISA RODRIGUEZ
Permit Type: Electrical - Residential
Work Classification: Generator
Job Address: 700 93 Street NE
Comments:
INSTALL EMERGENCY GENERATOR
Additional Information
Miami Shores Village, FL 33138-
Building Department File Copy
Applicant Signature
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 11/04/2006
Contractor(s)
ATEXI SERVICES CORP
Phone Primary Contractor
Yes
Type of Work: GENERATOR Additional Info:
In consideration of the issuance to me of this permit, I agree to perform the work
covered hereunder in compliance with all ordinances and regulations pertaining
thereto and in strict conformity with the plans, drawings, statements or specifications
submitted to the proper authorities of Miami Shores Village. In accepting this permit I
assume responsibility for all work done by either myself, my agent, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL 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. Futhermore, I authorize the above -named contractor to do the work
stated.
Fees Due Amount
CCF $3.60
Education Surcharge $1.20
Permit Fee - Additions /Alterations $210.00
Scanning Fee $9.00
Technology Fee $5.25
Total: $229.05
Invoice Number
EL - 12 - 05 - 23126
Total:
Amt Due
$229.05
aEC zAiD
Amt Paid
Permit Status: APPROVED
Permit Number: EL2005 -380
Phone:
Parcel #: 1132060141480
Block: Lot:
Section: PB:
Total Square Feet: 0
Total Valuation: $ 6,000.00
Required Inspections
Final
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
•
•
BUILDING
PERMIT APPLICATION
FBC 2001
Job Address (where the work is being done)
Contractor's Address ) 1 1 --- 4 c
City Poczk - State C
Type of Work: ❑Addition ❑Alteration
Describe Work:
Total Fee Now Due $ LZ . 10
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
RECEOVED
75
Permit Type (circle): Building Wlectrica4 Plumbing Mechanical Roofing
( /4d s Cie -/o
Owner's Name (Fee Simple Titleholder)/7ari`' bui5, A 'od r c ie.7 Phone # 36 7 ) > 2 3
Owner's Address 7eJU /1.&- g3 rd�� �J
City A1,4 ; S State PI Zip 3- /3'
Tenant/Lessee Name �1 Phone # A l 4
7 7V N c 9 'a s/
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO x
Contractor's Company Name (rc'' jC �' o Phone # Z �• � L 1-- 16 ett
E Zip 3 �) 6 1
Qualifier l�2N1S -,6 0 X Z.
State Certificate or Registration No. C? J Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit 406 . Square Footage Of Work:
New
urn 2 i PAID
Permit No. E LOS - 380
Master Permit No.
Zip
33/3
❑ Repair/Replace ❑ Demolition
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ / 0 ■ 60 p CCF $ a 3 -Go CO /CC
Notary $ Training/Education Fee $ 1 .2 O . Technology Fee $ 5 - Z kD
Scanning $ - 00 Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
NVA
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature 6":42.4-) L C
dd Owner o Agent
The foregoing instrument was acknowle ged before me this
day of • ,20
who is personally known w me or Wetiaypecifitlo
Co missiot� #,D��23 7:
lake an oath.
• • ' �� Bonded Thru
II%`' Atlan onding Co., Inc.
NOT 'UBLIC:
Sign:
Print: *t-' I LI 6 C' -► .." '\ NZ,
My Commission Expires:
APPLICATION APPROVED BY:
Chc 05/13/03
Signature
/ � � r it /r /-
Contractor
The foregoing instrument was acknowledged before me this_
day of ViDli , 20 CS. b�y,,�`
who is personally " ' tp
" me r- ttt�t0' '
jced
r2•: Commission #DD 31785
*• as kile/itificint uO.5tiQ(gly/ take an oath.
• NOTARY PUB ��.0 °F F`. ° P' B : ed
' %% %% Atlantic � nding Co., C Inc.
Sign:
Print: ` + t- > C' f
My Commission Expires:
** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
/60t 4,s Plans Examiner
Engineer
Zoning
ADDENDUM lU bU1LUlrv.2 rcriMi r1rr J. n a. �.,
AN AEP;..ICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS A.DDMIDUM. IF A MASTER. PERMIT HAS B.
OBTAI'NED, .THE, OWNER' S NOTARIZED SIGNATUP..^ NEED NOT BE PRESr'T.IT ON SUBS :QUENT APPLICATIONS. )
GAS RAKE
PLUMBING
METER SET (GAS)
GA PIDIN
ELECTRICAL
1
MECHANICAL
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
TEl1
TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
ATH
LIGHT OUTLETS
CENTRAL HEATING
IDET
ISHWASHER
RECEPTACLES
A/C (WIND)
iISPOSAi
SERVICE TEMPORARY
A/C (CENTRAL)
IRINKIIG FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
'LDOR DRAIN
SERVICE REPAIR/METER CHARGE
REFRIGERATION
;REASE TRAP
APPLIANa OUTLETS
PROCESS AND PRESS PIPING
RANGE TOP
UNDERGROUND TANKS
INTERCEPTOR
OVEN
ABOVE GROUND TANKS
_AVATC(RY
TRAY
WATER HEATER
U.F. PRESSURE VESSELS
_`UNORY
:LOTHES WASHER
MOTORS C- 1 FP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 If
HOT WATER BOILERS
S INK POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
,
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, RESIOENCE
"INK, SLOP
MOTORS OVER 8- 1O 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 I-P
VIOLATION
HO IRECT WASTES
A/C WINDOW
RE I NSPECT JON
WATER, SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
I J
FIRE SPRINKLER
GENERATORS TRANSFORMERS I
I
1
'HEATER -NEW INST.
GENERATORS
HEATER - REPLACE
GENERATORS TRANSFORMERS
I
I I
LAWN SPRINKLER -WELL
I
SPECIAL PURPOSE I
1 I 1
SWIMMING POOL
OUTLETS COM4,ERCIAL I
1
I I
WATER SERVICE
SIGN T'L ES
SEWER CONNECTIONS
'
S I G N TRANSFORMERS
1
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION 1
SOAKAGE PIT CU. FT.
CATCH BASIN
D I SC WELL
l
I
DOMESTIC WELL
( 1
1
AREA DRAIN
1
l
I
ROOF INLET 1
1
I
SOLAR WATER HEATER I
I 1
FIRE STANDPIPE I
I
POOL PIPING I 1
I
1
LAWN SPRINKLER SYSTEM' 1 I
I I I
ADDENDUM lU bU1LUlrv.2 rcriMi r1rr J. n a. �.,
AN AEP;..ICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS A.DDMIDUM. IF A MASTER. PERMIT HAS B.
OBTAI'NED, .THE, OWNER' S NOTARIZED SIGNATUP..^ NEED NOT BE PRESr'T.IT ON SUBS :QUENT APPLICATIONS. )
GAS RAKE
PLUMBING
METER SET (GAS)
GA PIDIN
ELECTRICAL
1
MECHANICAL
A TEXI SERVICE CORPORATION
MIAMI, 12 -05 -05
SRAS:
GLADYS AND MARIA LUISA RODRIGUEZ
700NE 93rd ST. MIAMI, FLA
SUBJECT:
INSTALLATION 15000 KW STANDY GENERATOR (GENERAC)
SCOPE OF WORK:
1) PERMIT FEE
2) INSTALLATION GENERATOR AND TRANSFER SWICHT.
TOTAL $ 3,000.00
DOWN PAYMENT $- 1,000.00
AMOUNT DUE (JOB COMPLETED) $ 2,000.00
ARNALDO A. TEXIDOR
(786) 251 -1604
13375 NE 4 CT Miami Florida 33161
PH (786) 251 -1604 - Fax (305) 892 -5085
r
svr835a THE HOME DEPOT
DELIVERY CONFIRMATION
STORE: 6322 N MIAMI /BISCAYNE
Delivery Date: 10/19/2005
Customer : RODRIGUEZ, LUISA
Phone : (305) 758 -8923
Contact : RODRIGUEZ, LUISA
Company .
Site : 700 NE 93 ST
MIAMI SHORES, FL 33138
Reference: RTS 15KW GENERATOR
Special Instructions:
REF # SKU
S02
S0201
22517768
126 -496
VO4 515 -663
Time
Work
ITEM DESCRIPTION / RETAIL
15KW 04390
$2,795.00
CURBSIDE DELIVERY SERVICE
$59.00
RODRIGUEZ 61960
Pager
PAGE: 1
DATE: 10/19/2005
TIME: 07:40:56 pm
DELIVERY NUMBER 061960VO4
: NO PREF
: (305) 758 -8923 Ext
Phone : (305) 758 -8923 Ext
Alt Phone : (305) 758 -8923 Ext
QUANTITY
ORDERED DELIVERED
1.00
1.00
Balance Due: $0.00
I HEREBY ACKNOWLEDGE RECEIPT OF THE ABOVE ITEMS,. IN THE QUANTITIES SHOWN IN
THE "DELIVERED" COLUMN ABOVE:
CUSTOMER'S SIGNATURE
CUSTOMER COPY
'1l L
DRIVER'S SIGNATURE
END OF DELIVERY NUMBER 061960VO4
Miami Shores Village
Building Department
ELECTRICAL CRITIQUE SHEET
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Fes,/ a � ,riri � , o w. , - 41- e, 'e, /) Cc� S T
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4
&-
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit
Job Name
UP IF LOOP
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