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87 NE 92 St (14)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 59 ! rte 57 Tax Folio,/ �o�� 3 �•�� Legal DescriptionAQPqW ' 2id. & / / Lessee / Tenant ,4 'V/`4# /4/4', Owner's Address �L �/ Phone Contracting Co. ,".441. i% e" � , 6: Address 1, AJE 4" C Qualifier L) 1J tL��3/.� -dSS4� Phone State C1211,6 Municipal ik `Competency # Ins.Co. Architect /Engineer 0/ei'¢ Address Bonding Company / Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Mortgagor WORK DESCRIPTION Square Ft. Estimated Cost(value) Signature o Date: Nytry as to �ri and /or Condo President My Comni Expires: NOTARY PUBLIC STATE OF FLORIDA MY COMMISSION EXP. OCT. 9,1993 BONDED THRU GENERAL INS. UND. * * * * ** * Master Permit # Address 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` / ma ed , ontractor to do the work stated. i i �i it.'s�.vi .weer an. or Condo President Date: 4 \ \ 'Sz.ib` gnature of C.S" actor or Owner-Builder Notary as to Contractor ' g -"Builder My Commission Expioki, pyritic sAII 6 ,„ Yim MY COiKs ISSION EXP. AUG 4 BONDED THRU GENERAL %!{d, WW O . * * * * * * ** FEES: PERMIT (... 55 4 600V RADON C.C.F. , � ' NOTARY TOTAL DU$ 3/' d APPROVED: Fire Other Zoning Building Mechanical Plumbing lectrical Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPA TER CHANGE ,�f REFRIGERATION GREASE TRAP APPLIANCE OUTLET PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 If STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 If • TRANSPORTING ASSEM3LIES SINK, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 If COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECT ION WATER SUPPLY TO: , AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMIING POOL OUTLETS COWERCIAL WATER SERVICE ' SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. .- VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING • LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ► ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL FLOOR Basement 1st Floor 2d Floor 3d Floor 4th Floor 5th Floor 6th Floor 7th Floor 8th Floor Attic REMARKS• (Applicant sign here) NUMBER OF LIGHTS Received by Inspector CERTIFICATES Form 155 Date `:ym `Y)° , 192 FOR FIXTURE WORK ONLY ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your Certificate of Approval, application is hereby made for an inspection of the electrical installa- tion in the premises stated below, for which the undersigned agrees to correct any infractions of the National Electrical Code and the City Rules pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL S ACES MUST BE ILL : ' ICATION WI ' ETURNED. Lot Number Y �y k o Numb Street a' . % r �' Y s Side Owner Occupant Occupied as Building —New or Old (underline which). CEILING OUTLETS Work will be started / / v `� / _ v will be finishe Progress Will inspect again Rough Wiring FINAL No Corrected Temporary Days Approved Letter Date Issued J i _ SPACE BELOW FOR INSPECTOR'S USE ONLY Correct Location Correct Equipment I,N DEFECTIVE Time Allowed: APPLICATION T)ays SPECIFICATIONS Inspected e Electric Light C Fee remitted Remarks BRACKET OUTLETS 7 /-o Work— Additional or New (underline which). a NUMBER OF CIRCUITS Address Street �@./Jc� gZ-4 -`P° - "Y� Tnspector Outlets Motors Receptacles Generators Stoves W er ters Signs Billboards Other Apparatus I 2b I Sub 1 Branch 14 19 2 1 .l .x°oa. .ili... ri. / .." C.o--. .lil. 2Uz. 14 e.. .t"o.. " "bao.....fe.d....`i.. FLOOR NUMBER OF SIZES OF INSULATION OPEN OR CONCEAL'D NrUMBER Of CIRCUITS Outlets I Motor Gen. Main I Sub 1 Branch Basement First Second Third Fourth Other Floors 19 2 V- veIy1cP - .l .x°oa. .ili... ri. / .." C.o--. .lil. 2Uz. 14 e.. .t"o.. " "bao.....fe.d....`i.. Bic. Bx ' "0-ftF.' 0 c.:.L CV CV ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your Certificate of Approval, application is hereby made for an inspection of the electrical installa- tion in the premises stated below, for which the undersigned agrees to correct any infractions of the National Electrical Code and the City Rules pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED, OR APPLICATION WILL BE RETURNED. 22-23 2 ::i�: �i .. +ao E Lot Number . . Block Number Street an tuber 1i _. �L1. Owner / ./ 5 4 Occupant .Y Occupied as -L C; u 1 L - ;.de e Building—New or Old (underline 'which). H. P. of each motor REMARKS: Work will be started 2-21-28 Received by Inspector CERTIFICATES Progress Will Inspect Again/ Rough Wiring FINAL No. Corrected Temporary Days Approved Letter Date Issued FLORIDA PRINTING CO MIAMI FLA Form 156— P.0.30332- 240 -26 -5M APPLICATION Date 2e °y 21,1928 SPECIFICATIONS Number of Motors H.P Volts Greatest Number of Lights on one Branch 11 DEFECTIVE Time Allowed: Days (Applicant sign here) Ko en - ei're ll Elo c Co Street No. Side Er Work— Additional or New (underline which). 192 Amps Phase (Nature of Work) Open — Concealed Knob— Mldg.— Conduit will be finished 2-24-28 Address B o `er 2 1I1 �l11 i �ht� cc, fio SPACE BELOW FOR INSPECTOR'S USE ONLY Inspected ./j � 1' 2 - 6 Correct Location r , Correct Equipment Electric Light Co. Fee remitted c Remarks: Inspector Permit No. _ ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT • MIAMI SHORES VI LLAG E Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or o\ structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, F1ori 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 . Owner's Name and Address • lY- 4_ _ Al L s _G� Street____ _ Registered Architect and /or Engi: r _____________ �r— ___�________ _�__..� —�� • ,,�_ _ _ ___� Employing Electrician's Nam= %" cra3loo ________ Street_ Location and Legal Description Lot / Block Street and Number where work is to be performed— No ._______ly _ 7 __ A __ , _________— Street____ - - -_—__ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs Service Overhead Size Feeders Underground STATE OF FLORIDA, COUNTY OF DADE. • My Commission Expires Conduit Type of Installation— Conduit Tubing B.X.L. Metal Moulding 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 lorida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub -c• ractors 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-con raeto k, on work to be performed under this permit, as are licensed by Miami Shores Village. Amount of Permit $_ (Signed) ned Main Sw __ __ Amps. ___.______ Main Fuses ______. Amps. No. of Stories Notary Public. State of Florida ectrlca nr. 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 the ___.�____________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. • SWITCH OUTLETS LIGHT OUTLETS PLUG RECE - P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. H EAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST • ■ r / 'NA , J ? t �. et. -- CHECK '/ / J ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0-1 HP MOTORS 1-5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No. _ ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT • MIAMI SHORES VI LLAG E Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or o\ structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, F1ori 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 . Owner's Name and Address • lY- 4_ _ Al L s _G� Street____ _ Registered Architect and /or Engi: r _____________ �r— ___�________ _�__..� —�� • ,,�_ _ _ ___� Employing Electrician's Nam= %" cra3loo ________ Street_ Location and Legal Description Lot / Block Street and Number where work is to be performed— No ._______ly _ 7 __ A __ , _________— Street____ - - -_—__ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs Service Overhead Size Feeders Underground STATE OF FLORIDA, COUNTY OF DADE. • My Commission Expires Conduit Type of Installation— Conduit Tubing B.X.L. Metal Moulding 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 lorida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub -c• ractors 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-con raeto k, on work to be performed under this permit, as are licensed by Miami Shores Village. Amount of Permit $_ (Signed) ned Main Sw __ __ Amps. ___.______ Main Fuses ______. Amps. No. of Stories Notary Public. State of Florida ectrlca nr. 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 the ___.�____________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. •