65 NE 92 St (5)Date Job Address C95 N E 12. 64 Tax Folio /1 —3(2,0(0 - 013 — va lP (
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant I ^ Master Permit #
Owner's Address �ok..u.J Sm '4 Phone 158 -1
Contracting Co. TT Gu r
Qualifier �D r.' C_ k
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
'/e,v> - i Address IDS Pow ln-e PiA
SS#
State # C 0 0009 11 Municipal # Competency #
Address
Address
Phone 69g 7 77O epl-- S,2S
Ins. Co.
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 1- , v 6 Ora C.c.s 1 14Lc C/ S
/3 2E0 /C6--5
Square Ft. Estimated Cost (value) 13 y
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 zoning. Furthermore, I authorize the above -named contractor to do the work stated.
444 ^'‘ ,
Signatur, of owner and/or Condo Presi.,' .� ,,
JA N E T M. GRAHAM
COMMISSION # CC694991
orrdif EXPIRES DEG. 3, 200D
ary as to Owner and/: Condo President Date
y Commission Expires:
FEES: PERMIT _3 5 _5 RADON C.C.F.
Signature
.t: as 1'o Contract • or Owner- Builder Date
y Commission Expires:
NOTARY
BOND
APPROVED:
Zoning Building Electrical l% % 1 / ✓l/l — �J�
Mechanical Plumbing Engineering
y O. 6
3
JANFr RR ari
,• COMMISSION # CC6049g1
aa� EXPIRES DEC. 3, 2000
TOTAL DUE
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date -0- Job Address 69. c 9 ? 5 i Tax Folio /1 314)6. l 3 024,6
Legal Description LD. 9 9 Historically Designated: Yes No
Owner/Lessee / Tenant (— AN 01— S LIM L 6 Master Permit #
Owner's Address L 5
Contracting Co. / 1 I, Address / 2 S " Po oe t12 n-P
Qualifier TeMti l r) SS#
State # C0000°1 L�
Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING LEC TRICAL)PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION J e`L U'. cry ! A LA-4m I Ceo l
Square Ft Estimated Cost (value) ) `r" I� J
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
"
—b1/ -Allreautrie
igna ' e of owner and/or undo President Date
Notary as to d and/or Como President
My Commission Expires: _
OFFICIAL NOTARY SEAL
\ ,. p V6 SHERRY L MCINNES
2 ; ; �� C' $ COMMISBION NUMBER
IT ,�1, 4r CC572626
A e . , cp MY COMMISSION EXPIRES
0 k.® JULY $8 2000
Date
FEES: PERMIT 3r ✓ ® RADON C.C.F.
NOTARY
APPROVED:
Zoning
Mechanical Plumbing
Building
VCW
Phone 30 f 56 Y ( od
/ 3 D-e∎i c-es
Signature of Contractor or Owner- Builder Date
P h o n e (b & _ 7'7 ic 5 3-6y
Notary as to Contra or or Owner- Bur r
My Commission Ex.ires iO
� � y p� OFFICIAL NOTARY SEAL
6 e SHERRY L MCINNES
Z T H. ; � 0 COMMISSION NUMBER
i� Q CC572626
o ho MY
Date
Engineering
APPLICATION FOR ELECTRICAL PERMIT
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village,
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 �yt.�&
Registered Architect and /or Engin
Employing Electrician's Na
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
-Pfl •
No 'F� 5 Street.
D��........r 'l .l l
t y
No.�,.✓. /A�� ‘I Street. . At v1i � � t..'
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No ... Street F u--•T r '
State work to be performed and purpose of building (By Floors)
New Building V Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit.. Main Sw Amps
Underground P' Main Fuses . Amps
Type of Installation — Conduit Tubing.. .. .. ..B.X.L..._.... Metal Moulding.. ....
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flor a 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 causz 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, ' ..r. to be performed under this permit as are
licensed by Miami Shores Village
STATE OF FLORIDA, }
COUNTY OF DADE.
SS.
(Si
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
the above described construction, and he ha 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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
- f1�/ -/r/� ,/�
1 /2, 11 i
APPLICATION FOR ELECTRICAL PERMIT
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village,
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 �yt.�&
Registered Architect and /or Engin
Employing Electrician's Na
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
-Pfl •
No 'F� 5 Street.
D��........r 'l .l l
t y
No.�,.✓. /A�� ‘I Street. . At v1i � � t..'
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No ... Street F u--•T r '
State work to be performed and purpose of building (By Floors)
New Building V Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit.. Main Sw Amps
Underground P' Main Fuses . Amps
Type of Installation — Conduit Tubing.. .. .. ..B.X.L..._.... Metal Moulding.. ....
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flor a 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 causz 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, ' ..r. to be performed under this permit as are
licensed by Miami Shores Village
STATE OF FLORIDA, }
COUNTY OF DADE.
SS.
(Si
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
the above described construction, and he ha 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.
Permit No
MIAMI SHORES VILLAGE
to 1
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
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 .... .4.44... 9'x. _... No W
Registered Architect and /or Engi er.
Employing Electrician's Nam -�4 t i a7-1a No / 7/v y Street.. i•'tj 4. Cam`
Location and Legal Description Lot Block
Subdivision
Street and Number where work is to be performed —No iV:..E Street ? 4 itY
State work to be perform d and purpose of building (By Floors)
New Building r' Remodeling Addition.
Service "� �-- ro Size Feeders
n erground
Type Installation — Conduit ✓ ...Tubing._.. B.X.L
•
• I Amount of Permit $
J°
STATE OF FLORIDA,
COUNTY OF DADE. J
SS.
Conduit Main Sw / 3- 0 Amps Main Fuses Amps
(Signed)
(Signe
Repairs No. of Stories
.Metal Moulding.
Electrical Inspector.
r The undersigned applicant for this building permit does hereby certify that he understands and accepts his '.bligations as an employer of
: alzor_wi der the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori a Permanent Supplement, and
has thmplied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
wcirk 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.
L
Street. q •
Master`Ekctrician.
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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
/ y
/3
'3 3
/3
/
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
T
Ti.../.1P.
SERVICE
PERM.
MOTORS
O.1 HP
MOTORS
1.S HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
MIAMI SHORES VILLAGE
to 1
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
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 .... .4.44... 9'x. _... No W
Registered Architect and /or Engi er.
Employing Electrician's Nam -�4 t i a7-1a No / 7/v y Street.. i•'tj 4. Cam`
Location and Legal Description Lot Block
Subdivision
Street and Number where work is to be performed —No iV:..E Street ? 4 itY
State work to be perform d and purpose of building (By Floors)
New Building r' Remodeling Addition.
Service "� �-- ro Size Feeders
n erground
Type Installation — Conduit ✓ ...Tubing._.. B.X.L
•
• I Amount of Permit $
J°
STATE OF FLORIDA,
COUNTY OF DADE. J
SS.
Conduit Main Sw / 3- 0 Amps Main Fuses Amps
(Signed)
(Signe
Repairs No. of Stories
.Metal Moulding.
Electrical Inspector.
r The undersigned applicant for this building permit does hereby certify that he understands and accepts his '.bligations as an employer of
: alzor_wi der the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori a Permanent Supplement, and
has thmplied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
wcirk 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.
L
Street. q •
Master`Ekctrician.
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.
.1
1 2 0 0
1 5 0
1 0 0
a..001� Tap
3 0 0
O.a,°, .1
3
1 5 0
340
. N. 1 0 0
0..
0.,.� . 1 0 0
3 0 0
1 0 0
1 0 0
2s 0 0
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. / .j�
Owner's Name and Address.... ,� No U1 • Street.,.. Z 9 4
1_.._
Registered Architect and /or Engineer /
Employing Electrician's Name — - � 4.
..C_I f ......... No (R..'5'...t '/ . : :. _,/ Street
Location and Legal Description Lot Block. Subdivision
Street and Number where work is to be performed —No /�'. , e1 Street
State work to be performed and purpose of building (By Floors)
New Building Y Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw. Amps Main Fuses Amps
Underground I p
Type of Installation/ .nduit
4
r
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. 1?
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
ss.
MIAMI SHORES VILLAGE
Tubing... B.X.L Metal Moulding
(Signed)
(Sig
4)% .....�.
Date. g2 I
9
ectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ons as an employer of
labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Ile anent 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 wo to be performed under this permit, as are
licensed by Miami Shores Village.
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
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. / .j�
Owner's Name and Address.... ,� No U1 • Street.,.. Z 9 4
1_.._
Registered Architect and /or Engineer /
Employing Electrician's Name — - � 4.
..C_I f ......... No (R..'5'...t '/ . : :. _,/ Street
Location and Legal Description Lot Block. Subdivision
Street and Number where work is to be performed —No /�'. , e1 Street
State work to be performed and purpose of building (By Floors)
New Building Y Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw. Amps Main Fuses Amps
Underground I p
Type of Installation/ .nduit
4
r
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. 1?
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
ss.
MIAMI SHORES VILLAGE
Tubing... B.X.L Metal Moulding
(Signed)
(Sig
4)% .....�.
Date. g2 I
9
ectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ons as an employer of
labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Ile anent 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 wo to be performed under this permit, as are
licensed by Miami Shores Village.
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.