30 NE 94 St (2)PERMIT APPLICATION P MIA I SHORES VILLAGE
Date f— 3 0 Job Address 3 o Ai C ` y Tax Folio I/ 3 . b- o i 3— o 3 V
Legal Description 1 p\A----S-Lsv- o � / CV IC - e.S His n a ly Designated: Yes No
I
45
Owner/Lessee / Tenant e o / (-e T7 e- / � r
Owner's Address 3 6 ki E l s�
Contracting Co. L-0 es
Signature of owner and/or Co
PAS: PERMIT ,75 ' — RADON
;.., ident Date
C (LOOa9
•
MO. coo 203908
., an55 vas mov 6, 19 97
Qualifier R " L ' - r +
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and th
laws regulating construction and zoning. Furthermore, I auth. • the above -named co
Signature of C
C.C.F. o CS NOTARY
Master Permit #
.So - C '-( - n/
Address 3'7
ss# S 7 q - 0-(0 -c?1t S Phone 7 0 <3 (/U
Phone
State # & o-e-p - / ( 4 1 Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle o iie): BUflLD1 GG ELECII' 3CAL P UM1BING MECHANICAL COIFING PAVING FENCE SIGN
WORK DESCRIPTION
-6-17 / —
Square Ft. Estimated Cost (value)
11 w
tor a•
Not .�4 Z . RgA
•' Co m. ma. ez Ego 8
WARNING TO OWNER: Y 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.
For or Owner- Builder
rk vyill be done • co °lance with all applicable
do the work s
7
-Bull
Date
Date
TOTAL DUE �.
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Engineering
f
AP L! ATE ®N F
Permit No ! e
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 wor /�
Owner's Name and Address X ...� " "...�..No S1 Street�fi p �, -0I (4( O
Registered Architect and /or Engineer
Employing Electrician's Name../.// • r U
No '7i/
Location and Legal Description Lot Block Subdivision
--
Street and Number where work is to be performed —No ..0 1 7 Street / t A/
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Overhead !
Service
ce Size Feeders a
Amount of Permit $
ss.
M9AIrk0 SHORES VOLlLAGE
ELECTRICAL INSPECTION DEPARTMENT
ELECT
Et)
°CAL PER AT
(Signed)
(Signed) — 1
Date
Street...
t
Conduit Main Sw.....D..5 0 Amps...... ;r Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L Metal Moulding
o I L
Electrical I`nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his • igations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flom . //Oermanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•co_rlctors 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 th work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be per Srmed under this permit, as are
licensed by Miami Shores Village.
,.Master Electrician.
STATE OF FLORIDA, }
COUNTY OP DADE.
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.
ACS
14 ATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0.1 HP
M OTORS
1•3 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
4-'-
�7
}i
CHECK
f
AP L! ATE ®N F
Permit No ! e
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 wor /�
Owner's Name and Address X ...� " "...�..No S1 Street�fi p �, -0I (4( O
Registered Architect and /or Engineer
Employing Electrician's Name../.// • r U
No '7i/
Location and Legal Description Lot Block Subdivision
--
Street and Number where work is to be performed —No ..0 1 7 Street / t A/
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Overhead !
Service
ce Size Feeders a
Amount of Permit $
ss.
M9AIrk0 SHORES VOLlLAGE
ELECTRICAL INSPECTION DEPARTMENT
ELECT
Et)
°CAL PER AT
(Signed)
(Signed) — 1
Date
Street...
t
Conduit Main Sw.....D..5 0 Amps...... ;r Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L Metal Moulding
o I L
Electrical I`nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his • igations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flom . //Oermanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•co_rlctors 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 th work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be per Srmed under this permit, as are
licensed by Miami Shores Village.
,.Master Electrician.
STATE OF FLORIDA, }
COUNTY OP DADE.
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.
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date / /1
Type Insp'n
Permit No. f. o > — / /,
Name GPA
Address 34> A
Company
Phone # 0� 7
Inspection Date / a
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date ///
Inspection Date / 2.-
Approved
Type Insp'n L Z�'' L� ✓
Permit No. �� L C 3 -` //
Name
Address 3 /"7/ �� ���
Company ".
Phone # > ` 3 6
Correction� -�
Re-Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Bu ding Inspection Request �(A
Date 0
Type Insp'n n �C/I� r ���' J (O-
�" 1 I
Permit No. el 05 - e I c
Name W �`.e nzG En rt v
Address � ► � � `1 S4
Compan ifeefrr
Phone # JLJ 3T —2G C2J l
Inspection Date J/
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 'i(
Type Insp'n � t� ���
r / �
Permit No. L ( 0 lC
Name LC v���,; (CT' C /� �
Address G' �� ` 1
Company i 4 ( ( L , (r ; (`
Phone # YIS a 1 6
Inspection Date
r\
r 1
Approved /
Correction
Re- Insp'n Fee
Permit No,
✓a�
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
0 // V
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 A . 0 .. .. . 4 z?:.�,. ' No Street
Registered Architect and /or Engineer $
n n/ � ) r aG\
Employing Electrician's Name c� �?�11 C� (��� 2 ii ,C -- ) N S rl /� L ' .'! s ,.Street V
Location and Legal Description Lot !�\/ -• ,, .- /7 Block (c g Subdivision. Me
Street and Number where work is to be performed—No =- 0 ':1 Street � e' er
State work to be performed and purpose of building (By Floors) ' 4e �`� ���� � � �' % � ,
New Building Remodeling Addition Repairs No. of Stories
/d 0,
Service Overhead V Amps °
�� e Size Feeders
Overhead
Conduit..11` Main Sw.._..�.Q Am s Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $... �L��� (Signed)
e 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 ark to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, 1
COUNTY OF DADE.
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.
SS.
My Commission Expires
Date
Notary Public, State of Florida
_
1 (Signed) �.
clvlaster Electrician.
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
O UTLETS
PLUG
R ECE'P'T'S
FIXTURES
N O. LAMPS
REFRIO.
OUTLET
IRON
O UTLET
RANGE
OUTLET
R ANGE
CONN.
WATER
H EATER
W. H EAT.
CONN.
SPACE
H EATER
STRIP
H EATER
TOTAL
CONTR.
LIST
O S
//
// � �
7 Cpl
—
�`D�
/ /�
!/ \ -`>
,e9
G �
��/7
!J
/ �
0
41,
Q
X7,3
( r
(SO
�. w
(
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0.1 HP
M OTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
0
--
CHECK
-
Permit No,
✓a�
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
0 // V
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 A . 0 .. .. . 4 z?:.�,. ' No Street
Registered Architect and /or Engineer $
n n/ � ) r aG\
Employing Electrician's Name c� �?�11 C� (��� 2 ii ,C -- ) N S rl /� L ' .'! s ,.Street V
Location and Legal Description Lot !�\/ -• ,, .- /7 Block (c g Subdivision. Me
Street and Number where work is to be performed—No =- 0 ':1 Street � e' er
State work to be performed and purpose of building (By Floors) ' 4e �`� ���� � � �' % � ,
New Building Remodeling Addition Repairs No. of Stories
/d 0,
Service Overhead V Amps °
�� e Size Feeders
Overhead
Conduit..11` Main Sw.._..�.Q Am s Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $... �L��� (Signed)
e 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 ark to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, 1
COUNTY OF DADE.
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.
SS.
My Commission Expires
Date
Notary Public, State of Florida
_
1 (Signed) �.
clvlaster Electrician.
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
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
i PERMIT N? 10426
Work to be performed under this Permit
BI.
Subdi-
vision
Value of
Project $
DATE 195
Contractor's
License No.
Amt. of
Pormit $
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 rcgulatiors
taining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shore:, Village.
accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY