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295 NE 95 St (5)BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal - Lot Description Address of Building CC1l4RACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORA r DAZE s•- t; PERMIT N° 4422 Work to be petii'r'med under this Permit Owner of Building Bl. Subdi- vision Value of Amt. of Project Permit 194. Contractor's License No. This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with a plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revo 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 whi h permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the or nc and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he mes respon- sibility 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. r BY AUTHORITY BUILDING ❑ ELECTRICAL DATE PLUMBING ❑ PERMIT N9 9607 ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot m CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA ❑ Work to be performed under this Permit Bl. Subdi- vision Sq. Ft Value of Project $ Amt. of Permit $ 195 Contractor's License No 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. BY AUTHORITY PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 2 - 1 / - 2 Q0Qob X2 i 1 9.- $ T ax Folio j / ao 6 —0/3 —3 r 7?) Legal Description ,40 7 23, a 5/ 6' c o c i 2? , Historically Designated: Yes No / Tenantx �� �f/ jmv /•0 LP5,4 /Z Zlviaster Permit # 6/6 17 V) v Owner's Address 2 15 4-; - P� 6 7 Phone AddressJc3 / cj (" • /1 y C r Qualifier ( S CZD SS# Phone .30/ 229 oe7Vb State # 0 (9/ y go 3' Municipal # Competency # 1F00 0 Z 73 Ins. Co. /ye'l v1T /3•�;� Architect/Engineer Address // Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 6 ?V/<!/ ' 44 d 0ili� Contracting co.si/r 'L/4 - 7`'/Z ( Square Ft. Estimated Cost (value) '`SD OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be 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 Date Notary as to Contractor or Owner - Builder My Commission Expires: FEES: PERMIT ,a2,0 RADON My Commission Expires: 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. in compliance with all applicable laws regulating , 4. /41111111W Signa 'o Contractor or • er- Builder C. C.F. NOTARY : 9 er BOND TOTAL DUE APPROVED: Zoning Building Electrical /` /#1 %� '4 Mechanical Plumbing Structural Engineer — *_ Date Date ITEM BATH TL8 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIN)) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAI TER CHANG� REFRIGERATION GREASE TRAP APPLIANCE OUR PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY _ OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MDTCRS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEM3LIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 hP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION 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 SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES _ SEWER CONNECTIONS _ SIGN TRANSFERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELO, 4' TILE/RES. VIOLATION PUMP 8 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 a ‘AbDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Permit No 1 rO 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 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date - s \ Registered Architect and /or Engineer Employing Electrician's Name ' .....�_. � �..?.<.�J -�"�S. 1:�. No 4- 1 . 3 I .. Street Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs ' No. of Stories Service Overhead Size Feeders Conduit Main Sw Underground Type of Installation — Conduit Tubing B.X.L STATE OF FLORIDA, '1 COUNTY OF DADE. I Amount of Permit $ lJ (Signed) lti 85. My Commission Expires MIAMI SHORES VILLAGE Block No. ..JN...r 1 Street Street The undersigned applicant for this building permit does hereby certify that he understands and acct labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Before me, the undersigned authority, a notary public, duly authorized to administer oaths and appeared Subdivision 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 therein by him stated are true. Amps Main Fuses Amps Metal Moulding Electrical Inspector. s obligations as an employer of rida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or su •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 undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Master Electrician. take acknowledgments, personally sign the same, and that all facts 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. ACE HATER STRIP HEATER TOTAL CONTR. LIST • CHECK ENT. SW. D1ST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS NEON 1•5 HP TRANS. RADIO TOTAL CONTR. / e "` /) t (1 CHECK Permit No 1 rO 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 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date - s \ Registered Architect and /or Engineer Employing Electrician's Name ' .....�_. � �..?.<.�J -�"�S. 1:�. No 4- 1 . 3 I .. Street Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs ' No. of Stories Service Overhead Size Feeders Conduit Main Sw Underground Type of Installation — Conduit Tubing B.X.L STATE OF FLORIDA, '1 COUNTY OF DADE. I Amount of Permit $ lJ (Signed) lti 85. My Commission Expires MIAMI SHORES VILLAGE Block No. ..JN...r 1 Street Street The undersigned applicant for this building permit does hereby certify that he understands and acct labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Before me, the undersigned authority, a notary public, duly authorized to administer oaths and appeared Subdivision 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 therein by him stated are true. Amps Main Fuses Amps Metal Moulding Electrical Inspector. s obligations as an employer of rida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or su •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 undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Master Electrician. take acknowledgments, personally sign the same, and that all facts 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 Registered Architect and /or Engineer MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted 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 __�_____�!_YA L f ` 1� No ...... _________________ ____ —_. Street__ ______ Employing Electrician's Name ___ �1 <_:.:_�; !__L No 0 __`�� ���___ Street__�__£_� �" �_______ —_ —_ r ` Location and Legal Description Lot____�y _�___ _� _ _* G Subdivision__ _- — (/ Z r " Street and Number where work is to be performed —No Street • tJ , --re State work to be performed and purpose of building (By Floors) New Building Amount of Permit $- My Commission Expires Remodeling Addition.. (Signed) (Signed) Notary Public. State of Florida Repairs ^__ No. of Stories �/ e ` Service Overhead Size Feeders Conduit.___� — Main Sw.___A V l Amps. Main uniewessid 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 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. t L Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. ss. 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 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. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST - ¢ / - - / � '� / � ((� I I /J b ` 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 Permit Registered Architect and /or Engineer MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted 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 __�_____�!_YA L f ` 1� No ...... _________________ ____ —_. Street__ ______ Employing Electrician's Name ___ �1 <_:.:_�; !__L No 0 __`�� ���___ Street__�__£_� �" �_______ —_ —_ r ` Location and Legal Description Lot____�y _�___ _� _ _* G Subdivision__ _- — (/ Z r " Street and Number where work is to be performed —No Street • tJ , --re State work to be performed and purpose of building (By Floors) New Building Amount of Permit $- My Commission Expires Remodeling Addition.. (Signed) (Signed) Notary Public. State of Florida Repairs ^__ No. of Stories �/ e ` Service Overhead Size Feeders Conduit.___� — Main Sw.___A V l Amps. Main uniewessid 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 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. t L Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. ss. 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 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. BUILDING ELECTRICAL PLUMBING Owner of . Building MIAMI SHORES VILLAGE, FLORIDA II DATE 4-- r 194.Je� PERMIT N? Work toe performed under Architect Contractor . .,,`,,." -,,,i, .-4z or Builder Legal Lot 11. Subdi Description visio 00 , Address of -,,97 �! F Value of Amt. of q d ' Building ' ` Projec Permit r 6 l 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 plank 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 hich this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the or ances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in thistatements or specifications and that h umes respon- sibility for work done by his agents, servants or employees. rf' Signed , r;. INSY TOR By' _ n consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with dinances ander�ggga}lakons per airing thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper author of Miami Shoifs Vilidge.. ccepting this per it I assume responsibility for all work done by either myself, my agent, servant or employe CONTRACTOR OR BU E Adit 4422 Contractor's License No. this Permit fig. BY AUTHORITY