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ELECTRICAL
BUILDING ELECTRICAL PLUMBING ROOFING Owner Buildin Archite Contrac or Build Legal Descript Addres Buildin n PERMIT N? 13153 MIAMI SHORES VILLAGE, FLORIDA Work to be DAT orated under this Permit 5 195. Contractor's License No This permit is granted the contractor or builder nait3ed above to co ttuct the building or to install the equipment or device described in the appli ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, - rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any :me 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 ranted is the understanding that the contractor or builder named above assn es the responsibility for a .orough knowledge of the ordinances and regulations ertaining to the work covered hereby whether shown on the plans or drawin s or in statements . spe cations and that e assumes responsibility for work one by his agents, servants or employees. In consideration of the issua • a of this permit ptea -aer erform the work covered hereunder in compliance with a tnances and gulations ertaining thereto and in strict conformity wi , rawings, statements or specifications submitted to the proper authorities of Miami Shor Village. T in accepting this permit I assume responsibility for 11 work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER Signed- INSPECTOR BY AUTHORITY ! )r A) ely f o r L s Z G 00 0 Subdi- vision Z2 t E ,.r�i// ion Lot gl, "�' � 9 g " T A vo1ueof ,,+�, r Project $ Amt, of Permit $ �, BUILDING ELECTRICAL PLUMBING ROOFING Owner Buildin Archite Contrac or Build Legal Descript Addres Buildin n PERMIT N? 13153 MIAMI SHORES VILLAGE, FLORIDA Work to be DAT orated under this Permit 5 195. Contractor's License No This permit is granted the contractor or builder nait3ed above to co ttuct the building or to install the equipment or device described in the appli ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, - rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any :me 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 ranted is the understanding that the contractor or builder named above assn es the responsibility for a .orough knowledge of the ordinances and regulations ertaining to the work covered hereby whether shown on the plans or drawin s or in statements . spe cations and that e assumes responsibility for work one by his agents, servants or employees. In consideration of the issua • a of this permit ptea -aer erform the work covered hereunder in compliance with a tnances and gulations ertaining thereto and in strict conformity wi , rawings, statements or specifications submitted to the proper authorities of Miami Shor Village. T in accepting this permit I assume responsibility for 11 work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER Signed- INSPECTOR BY AUTHORITY Application is hereby mode for the approval of the detailed statement tit the plans and specifications herewith submitted for the build inc 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 iuilding 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 budding during progress of the work. Owner's Namc and Address 0105 s "` Registered Architect and /or Engineer Namc and address of licensed contractor L o c a t i o n legal gf ilo ,t a built on: Lot.(t . ,[7� legal `cr e lot ` /��/ Street and Number where work is to be done r ! S� �!..._!_.�. State work to be doe and of building (by fl (A.)QC L ) .. .1)1619 e.�. .. d . :c4 , 1G� am- - _ APPLICATION FOR BUILDING PERMIT New Building Remodeling ✓ Addition Repairs No. of Stories _ To be constructed of Kind of foundation R f Covering . � Estimated Total cost of improvements $. 0 00 Amount of Permit S. Zone cubage required plan Cubage Distance .to next nearest building Size of Building Lot Vt � x /06 e fna -110 Maximum live load to be borne by each floor I hereby sub it a the plans and specifi ti s fo sa' bu ildiini , All cites with reference to the building and its construction may be sent to.. moki to q The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Libor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Snp clement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such ublic notice or noticcs as arc required by the Act. The undersigned agrees to employ only such subet�ntractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks... (Signed) Disapproved ... (Signed) ?�I - 5 5; 7 7 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT t11nt 9111 w n-� to t No./ Date... -!.. ..� � ._._� _ ...., M at) ._ Z. 3_.._... Street_ / 71=, 2. ' and for no other purpose. STATE OF FLORIDA, COUNTY OF DADE. ss• Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well kaown, 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 e. Permit No.._.!".IJ ' '' l 11. Date Read, Sworn to and Subscribed before me. Building Inspector My Commission Expires Notary Public, State of Florida PLANNING BOARD DATE Chairman Member Member Member Member .. .. _.....__....._..._._ ...._ Member ...__ Council Approved Date Disapproved Date NOTE: A c•h.irgc of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning llo.rrd. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection of faulty materials and /or workmanship. s 3 -z • CLos • • '51.I Etz• a•-•• "ma •LII4E14 ;MEP molowernall LAv • —;- _ 1 , Fi641 -:: • - EXISTING• otzess 11.1G • EN ISTiNc) 5E01200/A * • t..L 40, 111 ,1 1 /11 N 1 11 1)1 M 1 I ' I I DaW • ' ill ill it; • CLOS - EXISTiNIG• ber)1700/A 1 • Permit No.....I.� 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 No Street Registered Architect and /or Engineer Employing Electrician's Name No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building 4 1 T iL I 3 5 'Overhead erv Underground Site Feeder Conduit Main Sw Amps Main Fuses Amps - * Type of Installation — Conduit Tubing B.X.L Metal M ld g •. ount of Permit $ Elect l/Inspector. 13 ' (5 The undersigned applicant for this building permit does hereby certify that he derstands and accepts his obligations as an employer ■ labor under the Florida Workmen's Compensation Act, being Section 5966, Comp d General Laws of Florida Permanent Supplement, *d has complied with the provisions thereof, and will require similar compliance om all contractors or sub - contractors employed by him in he 4 work to be performed under this permit; and will post or cause to be Tolle2 for inspection on the site of the work such public notice or notices / 0 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. 40 0'TATE OF FLORIDA, OUNTY OF DADS MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Remodeling Addition Repairs No. of Stories Date (Signed) Master Electrician. ss. Before me, the undersigned authority, ty, a notary public, duly authorized to administer oaths and take acknowledgments, personally 2 2 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 �- e CHECK —r....- - -} err 2 + e ♦.+ Y ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.3 HP N EON TRANS. RADIO TOTAL CONTR. ' , LIST / /s 'O C //�1) I . a,� $CHECK Permit No.....I.� 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 No Street Registered Architect and /or Engineer Employing Electrician's Name No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building 4 1 T iL I 3 5 'Overhead erv Underground Site Feeder Conduit Main Sw Amps Main Fuses Amps - * Type of Installation — Conduit Tubing B.X.L Metal M ld g •. ount of Permit $ Elect l/Inspector. 13 ' (5 The undersigned applicant for this building permit does hereby certify that he derstands and accepts his obligations as an employer ■ labor under the Florida Workmen's Compensation Act, being Section 5966, Comp d General Laws of Florida Permanent Supplement, *d has complied with the provisions thereof, and will require similar compliance om all contractors or sub - contractors employed by him in he 4 work to be performed under this permit; and will post or cause to be Tolle2 for inspection on the site of the work such public notice or notices / 0 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. 40 0'TATE OF FLORIDA, OUNTY OF DADS MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Remodeling Addition Repairs No. of Stories Date (Signed) Master Electrician. ss. Before me, the undersigned authority, ty, a notary public, duly authorized to administer oaths and take acknowledgments, personally 2 2 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. MIAMI SHORES VILLAGE 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 Budding Ordinance of Miami Shores Village, Fiu :ida, and all provisions of the Laws of the Sate of Florida, all ordinances of Miami Shores Village and all rules and regulation. of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and speed' lions must be kept at budding during progreu of work. / y Owners Name and Address Permit No.f l t ` ° 9 Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. I es. (Signed) (Signed).. 5 No.... Recd Architect 7;< Engineer , Employing Electrician's Name -./ E� / C��IG f : Cpl Street, Location and Legal Description Lot.... ! W ' 54 7 Sdock »� Street and Number where work is to be performed—No ./ 9.3 ... .. Sate work to be performed and purpose of budding (By Floors) New Building Remodeling .Additaun Repairs No. of Stories. Service Overhead Size Feeders Conduit .Main Sw •..Amps Under Amps. Main Fuses ... »......... Type of Installation— Conduit. Tubing B.X.L Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or 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 • rk to be performed under this permit, as are licensed by Miami Shores Village. Subdivision rn 5 2. 1s Street. Street 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 anted RorANT FOB STATE Of FLORID* NT COUISSION EXP. APR 24,19K BOOED TMRU &ENERAA INS. UND, My Commission Expires Notary Pu Statee cf Ebrida NOTE: A re- inspection fee of 31.00 will be made when such re-inspection ' made necessary by improper novae for inspection, or faulty materials and /or workmanship. SWITCH Ouytcrs LIGHT OuTtcTS PLUG R[e['P'T' s ,0' ©� FIXTURES No. LANPs RC /RIO. OuTL K IRON Ourum R Ou MIAMI RANOC CONN. WATER MIAMI W. II FAT. CONN. SPACC M[ATt* iaTRIP MiAT[R TOTAL CONTR. LIST CAWS / ENT. $w. 01sT. CA /. T T[YP. $[RV PRAM. MOTORS O.1 MP MOTORS t•a HP • N[ON TRANS. , RADIO . TOTAL CONTR. 1.1 ST 4 CN SCR MIAMI SHORES VILLAGE 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 Budding Ordinance of Miami Shores Village, Fiu :ida, and all provisions of the Laws of the Sate of Florida, all ordinances of Miami Shores Village and all rules and regulation. of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and speed' lions must be kept at budding during progreu of work. / y Owners Name and Address Permit No.f l t ` ° 9 Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. I es. (Signed) (Signed).. 5 No.... Recd Architect 7;< Engineer , Employing Electrician's Name -./ E� / C��IG f : Cpl Street, Location and Legal Description Lot.... ! W ' 54 7 Sdock »� Street and Number where work is to be performed—No ./ 9.3 ... .. Sate work to be performed and purpose of budding (By Floors) New Building Remodeling .Additaun Repairs No. of Stories. Service Overhead Size Feeders Conduit .Main Sw •..Amps Under Amps. Main Fuses ... »......... Type of Installation— Conduit. Tubing B.X.L Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or 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 • rk to be performed under this permit, as are licensed by Miami Shores Village. Subdivision rn 5 2. 1s Street. Street 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 anted RorANT FOB STATE Of FLORID* NT COUISSION EXP. APR 24,19K BOOED TMRU &ENERAA INS. UND, My Commission Expires Notary Pu Statee cf Ebrida NOTE: A re- inspection fee of 31.00 will be made when such re-inspection ' made necessary by improper novae for inspection, or faulty materials and /or workmanship. Permit No MIAMI SHORES VILLAGE 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.k Owner's Name and Address ' f r No Street Registered Architect and /or Engineer./.,..._. Employing Electrician's Name L . No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No -- Street State work to he performed and purpose of building (By Floors) 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) 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, j COUNTY OF DADE. I ss. (Signed) 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER I TOTAL. CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CLlsr LIST —1.-- CHECK Permit No MIAMI SHORES VILLAGE 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.k Owner's Name and Address ' f r No Street Registered Architect and /or Engineer./.,..._. Employing Electrician's Name L . No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No -- Street State work to he performed and purpose of building (By Floors) 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) 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, j COUNTY OF DADE. I ss. (Signed) 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. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date l - / 9V Job Address /0 93 tJ S 2i -2 -� // 302110 // 3V? 15 7/ Tax Folio Legal Description ' , .cecz J7 ' 5/5 &W 75 /LO � Lessee / Tenant //21 i9 *71( 46002 Master Permit #: Owner's Address SAm6 Phone 75 X Contracting Co.71)]E C c/i Address =Sy F/ /�S: Qualifier 4 j, n L. 1471 SS4 # Phone 9L5/ O . State 4tiCDoDOS Municipal # Competency # Ins.Co. a/r S 7YU'j 0 "2 Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDI "LUMBING MECHANICAL ROOFING PAVING FENCE SIGN n WORK DESCRIPTION Pd1 - 6 -c; - ( P0, t Girds �- Square Ft. Estimated Cost(value) 7 s , e 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. Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: ** * * * * * * * * * * * * * * FEES: PERMIT a 4/ /0 RADON C.C.F. NOTARY TOTAL DUE t117 9 APPROVED: Fire Other Zoning Mechanical Plumbing Sign Date: /- /o -9 er- Builder Notary as to Contractor or Owner- My Commission Expires: _ 1� 1.2\I ST.�i.: J, 2 :' 7 L.. -4 PJ�Y Q'P➢i. "..: � ** Building Electrical Engineering