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78 NE 93 St (9)CONTRACTOR Name CN1Q nu.4trunu t l c±. ct " License No. ,u- C ODO I c --- I q Address 92 ).3 i\ o 7c rO lar )( 33)). -Lo Telephone g_ i s i Fax Qualifier Name r r PROPERTY OWNER New Construction Name Far Enclosure Address .— g 5 muflv xeSI P 33/3P Home Telephone t Business Telephone Alteration Interior Fax Demolish ENGINEER New Construction Name a (rfey .cInp 1 Enclosure License No. Alteration Exterior Address 4 3S S 7 "7 t Telephone 10 C ' .) r 0 g 6 i 1 V Alteration Interior Fax Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the pro erty owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. 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 Job Address: -)g 03 7 Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence / Other Apt. Folio Number Lot 3 Block 2- Subdivision PB PG Zoning Current Use of Property �— Square Feet Proposed Use of Property Tenant Information PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT License No. \\NN Name Address Telephone Fax Master Permit No. 03 -h qV Subsidiary Permit No. P7lanki S ares City Description of Work PERMIT APPLICATION 0 33/ 39 State Zip Linear Feet Units Floors Value of Work 50 0 Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Bldg Value Page 2 ImPORTAN'I' NO"I'1('I:S 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through 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 KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, 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 SINGLE 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 govemmental 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, 1" 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 : 1 R 1 A, COUNTY OF MIAMI -DADE Signature of Print Name Swom to and_sffibscribed before me this Signature of Notary SEAL: KENNETH SHERMAN Notary Public, State of Florida y comm. exp. May 24, 2007 Comm. No. DD 182405 ST Signature of Contractor / Qualifier Print Name Sworn to and subscribed be Si for 1. ttary public RMAN My com , State of Florid m. exp. May 24, 2007 Comm. No. D 182405 SEAL: OF FLORIDA, C PERMIT APPLICATION OF MIAMI -DADE Personally known OR, Produced Identification Personally known cy OR, Produced Identification Type of Identification Produced: Type of Identification Produced: ELECTRICAL TYPE Minimum Fee Q"I'1'. 'I'YI'I. Dryer QT y. Tvr►? Outlet, Appliance Q FV. T) 1 Service Repair Q•1'v. AJC Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs AJC Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial 0 Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Dental Chair Generators, etc. Grease Trap Receptacles Pump, Sprinkler 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 Roof Inlet Demolition Low -volt, Intercom/Teleph. Repair Circuits Septic Connection Dishwasher Low -volt, Television Service, Number of Amps Septic Tank MECHANICAL "I'YI'E Minimum Fee QTY. TYPE: Condensate Drain QTY. 'I'YI'E: Generator Q•I'v. TYI'E. Refrigeration, Tons Q'I'1'. 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 PLUMBING TYpE A/C Condensate QTY. TYI Drains, Roof QTY. TYPE: Miscellaneous Fixture QT\'. •I'YI'r. 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 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CIIi t:1.IST ❑ 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 (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ C r 0 ( x sq..60) x/1000 (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE 2 ®.7 PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERi1I1 FEES TOTAL $ ts DATE: 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 Date Z 2 dd Job Address O 6 135 . r . Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant ()0/7 Co/7 C? f Master Permit # 7J N� �3f7 Owner's Address Contracting Co. )9-/c___/;1c- Address e/2j? Qualifier State # Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): 4. MOLDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION [ t' a/a- d 4-- Dv. 62 0 re g py / ° " C (,/ AP a a Vali& avA4 Square Ft. Estimated Cost (value) 2 ZL° ©` . 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 cons _ ion and zonin;j' urthermore, I authorize the above -named contractor to do the work stated. ' Condo President �OTARYSEAL RAMON LOPEZ IC STATE OF FLORIDA No as toyt>stl tam t,4 EXP. Si N My FEES: PE PERMIT APPLICATION FOR MIAMI SHORES VILLAGE APPROVED: Zoning Mechanical @ACp 1Z3 93 AntritorIrlAlle 4. Municipal if Competency # Address Address Date Ii2n Date kt4 C.C.F. Phone Building Electrical SS# PhonV ld ji 77 / Ins. Co. Signature of Contractor or Owner- Builder Date 3h /e' OFFICIAL NOTARY SEAL N ,+ : as t, ,�,1 . M ...?' Aut • .,. • FLr CC750205 MY COMMISSION EXP. UNE 10,200 NOTARY D BOND TOTAL DUE Date Plumbing Structural Engineer ERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 4/ 3 / et) Job Address 7 6 /)/c--- Y C f 3 Tax Folio Legal Description Historically Designated: Yes No Master Permit # 4'4 ie Owner's Address Phone "- ) 1 2 at _ Contracting Co s0 a> L fe l 2 (v`z.- Address 3 T'V LA 4- $ X 4 F )//J Owner/Lessee / Tenant ( #/V , o T2)LZ) `a 7f *We Qualifier 44_4- p-t, ^ 5 - kly , -a. r ' N SS# Pho e, )4-4 -3 ° 88 c 8 I J State # Municipal # Competency # 7¢c'Dflca. 4 Ins. Co. 1 '! Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION - /4 -/ Ci.liZ Square Ft. Estimated Cost (value) WARNING TO OWNE:,. YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO .r r SO MAY RESULT IN YOUR PAYING TWICE FOR ' tI ROVEMENTS 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 pennit 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 constru n and zo ; g. Furthermore, I authorize the above -named contractor to do the work stated. Signatur Notary My Co alvner d1 .w; 1 OF FICIAL , NOTAR Rnnk.. C-csF,FLORIDA 01.i4 -1 ST., -? S FEES: PERMIT ...47P / . 4°, RADON 4 /L %d Date Date. N My Commission Expires: APPROVED: Zoning Building Mechanical Electri _306 , -Buil NerI AtI`{ "13111.3C Sr KIT F OF'FLORIDA COM MISSION NO CC7.'070. S •. V. 1l1vF.10 002 or or Owner -B / Date II ail° Date C.C.F. r W NOTARY �lJ BOND TOTAL DUE Plumbing Structural Engineer e F 1?-; 6' 2 r T A (\ 6 m s c 11 E 9_3 31 bt) k / c 3 t l /D poo /0.0 — 1 o0. / ec5 iocien, 4---of; (c VO 3 /.z/O 2 " J 4- C - /Q O V 4 J 5 O t/ 00V11 D (J �q c/ ./ l .sv o 11, l'1 ( S Cc . LJ / 5 . 6)6 /arD °o ÷.24- A g. A 5 7^i' , V O 1q,P 1111 ER- CM e a. Y hick. GoA e C 3641 S.W. 25 Terrace. Wami, Fkwidai 33133 Phone: (305) 443 -6606 ° Beeper: (305) 9 g33;- 5 OFFICIAL NOTARY SEAL P�Y P� MARY MORENO �� :4' ( COMMISSION NUMBER ?1116 o CC606964 - 9,. ° ;tip G�� MY COMMISSION EXPIRES F OF Fa0 UEC. 10,2000 d ezirtic / c G000 v100 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT IT? 12687 ❑ Work to be performed under this Permit BI. Subdi- vision Value of Project $ DATF 195 Contractor's License No Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER SY AUTHORITY Permit No Street and Number where work is to be performed —No Service Overhead Underground Size Feeders Type of Installation — Conduit STATE OF FLORIDA, 1 COUNTY OP DADE. I s s. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date A g - � "? 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. 1 Owner's Name and Address No Street Registered Architect and /or En i er / 9 Employing Electrician's Name._. ..✓ No Street Location and Legal Description Lot Block Subdivision a` d Street (7 l State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Conduit Main Sw Amps Main Fuses Amps Tubing.. B.X.L Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. y� �' ` u k (Signed) �� v - ' Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST /6 CHECK / / / �' �`— v ENT. SW. / f„ • DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS MOTORS 0.1 HP 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / C '� p ) ._ n �u G ��:_, p ---:J--' p ( f -�J fit- rn,.._ CHECK Permit No Street and Number where work is to be performed —No Service Overhead Underground Size Feeders Type of Installation — Conduit STATE OF FLORIDA, 1 COUNTY OP DADE. I s s. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date A g - � "? 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. 1 Owner's Name and Address No Street Registered Architect and /or En i er / 9 Employing Electrician's Name._. ..✓ No Street Location and Legal Description Lot Block Subdivision a` d Street (7 l State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Conduit Main Sw Amps Main Fuses Amps Tubing.. B.X.L Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. y� �' ` u k (Signed) �� v - ' Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBIN , Owner of Building Lot Work to Architect Contractor d or Builder Legal Description Address of Building sibility for work done by his agents, servants or employees. CONTRA TOR OR B ILDER MIAMI SHORES VILLAGE, FLORIDA 'PERMIT N° 6820 Bl. Subdi- vision e performed under this Permit I -I./ DATE 7 — �� 194 L c ' Contractor's Li 'se No Value of Project Amt. of Permit This permit gran e. to the co tractor or buil er named above to construct the building or to install the equipment or . evi. - described in the appli- cation herefor in ict 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 ass mer responsiblity for a thorough knowledge of the ordin.nces and regulations pertaining to the work covered hereby whether shown on the plans,or dra s o e tements or spec catio'� and that a ass s espon- Signed�'~� f INSPECTOR �� \� By In consideration of the issuance to me of this permit I agree toper ' the work covered hereunder in compliance with all ordinances and regulations, pertaining thereto and in strict conformity with the plans, drawings,',s atements or specifications submitted to the proper authatities of MiamflSh3viVsgiage. In accepting this permit I assume respons'bility for all work done by either myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE 194__ PERMIT N9 6727 Work to be performed under this Permit Owner of Building Contractor's License No. Architect Contractor or Builder Legal Lot Bl. Subdi- Description vision Address of Value of Amt. of Building 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 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. Signed • B 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 BY AUTHORITY MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEF'ARTMENT APPLICATION FOR ELECTRICAL PERMIT ) M � r Permit No._ __ __ Date Application is hereby made for the approval of tbe detailed staiement of the plans and specifications herewith s tted for i the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance o iami Sh res 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 building during progress of work. ? Owner's Name and Address Registered Architect and /or Enginr Employing Electrician's Name _ _._ =d_ Location and Legal Description Lot. 3 Street and Number where work is to be performed —No 7 __0 • a State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs it Service o`ndergrou Size Feeders_ 11 Conduit._ Type of Installation— Conduit__ Tubing _ B.X.L Metal Moulding Amount of Permit $____ No. Street or not. A copy of approved plans and specifications must be kept at °�• No. -/_3_ 1 Street__ `4' �� Block Subdivision 1:It'a_ °." Street__s - is (Signed) r 7r No. of Stories Main Sw.to (3 Amps. Main Fuses_ Amps. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section.5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, ss COUNTY OF DADE. ' --.-- Master Electrican. 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 of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires , Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or fault materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECEE�'P'T'S %7L FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL. CLIST 7 i d C , U / 1 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEF'ARTMENT APPLICATION FOR ELECTRICAL PERMIT ) M � r Permit No._ __ __ Date Application is hereby made for the approval of tbe detailed staiement of the plans and specifications herewith s tted for i the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance o iami Sh res 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 building during progress of work. ? Owner's Name and Address Registered Architect and /or Enginr Employing Electrician's Name _ _._ =d_ Location and Legal Description Lot. 3 Street and Number where work is to be performed —No 7 __0 • a State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs it Service o`ndergrou Size Feeders_ 11 Conduit._ Type of Installation— Conduit__ Tubing _ B.X.L Metal Moulding Amount of Permit $____ No. Street or not. A copy of approved plans and specifications must be kept at °�• No. -/_3_ 1 Street__ `4' �� Block Subdivision 1:It'a_ °." Street__s - is (Signed) r 7r No. of Stories Main Sw.to (3 Amps. Main Fuses_ Amps. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section.5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, ss COUNTY OF DADE. ' --.-- Master Electrican. 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 of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires , Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or fault materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N2 6820 Work to be performed under this Permit Architect Contractor or Builder Legal Lot Bl. Subdi- Description vision Address of Value of Amt. of Building 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 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. Signed: By INSPECTOR DATE 194_ Contractor's License No 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 BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building r ' Lot PERMIT N? 6727 Work to he performed under this Permit Bl. Signed• Subdi- vision Value of Project BY DATE Contractor's License No INSPECTOR Amt. off, Permit 194 This per ft is granted *;,the contractor oiY builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliai,,,e with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not 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 drawing(or in the statements or specifications and that hems times respon- sibility for work done by his agents, servants or employees. ® / . /- t' � �. ! 1.■ By 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 gulat erns pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In acceptil}g this permit I assume responsibility for all work done eith: ys , my agent, servant or employee. AUTHORITY ddress Inspection Time Ready Date Ready REQUEST FOR INSPECTION ompany PHONE Permit No._ Application is hereby made or 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 Owners Name and Address a1s' =- .�� — ^.er _ No. l s�_ % _— — = - -__ Street__ Registered Architect and /or Engineer ___�'r L1__ i - __k-___ —A k ",*3 Employing Electrician's Name No Street______________ Location and Legal Description Lot____.. C ° `T�L� ________________Block �\ Subdivision____�1 Street-- ------______________________ ..... - -- et Street and Number where work is to be performed —No � g , ( !� Amount of Permit $,_ appeared MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT My Commission Expires Service Overhead Size Feeders Conduit Main Sw. ______ Amps. — Main Fuses_ Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Date_ Notary Public. State of Florida 4-, State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs —___ No. of Stories _Amps. (Signed) -- -- - - - - -- – – -- – -- — - -- – – – - -- — __ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, 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, d: work to be ., performed , under this permit, as are licensed by Miami Shores Village. -� 9 lest `! STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments, personally 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspect }on, 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 ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No._ Application is hereby made or 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 Owners Name and Address a1s' =- .�� — ^.er _ No. l s�_ % _— — = - -__ Street__ Registered Architect and /or Engineer ___�'r L1__ i - __k-___ —A k ",*3 Employing Electrician's Name No Street______________ Location and Legal Description Lot____.. C ° `T�L� ________________Block �\ Subdivision____�1 Street-- ------______________________ ..... - -- et Street and Number where work is to be performed —No � g , ( !� Amount of Permit $,_ appeared MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT My Commission Expires Service Overhead Size Feeders Conduit Main Sw. ______ Amps. — Main Fuses_ Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Date_ Notary Public. State of Florida 4-, State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs —___ No. of Stories _Amps. (Signed) -- -- - - - - -- – – -- – -- — - -- – – – - -- — __ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, 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, d: work to be ., performed , under this permit, as are licensed by Miami Shores Village. -� 9 lest `! STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments, personally 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspect }on, or faulty materials and /or workmanship.