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340 NE 94 St (5)Permit No./ >k. Application is hereby made for the approval of the detailed statement of the plans and specifications her 'th 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, Flu :Ida, 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 Registered Architect and /or Erfgineer Employing Electriciad's Name. y ;�G'�;� Location and Legal Description Lot... :.. /'y' Street and Number where work is to be perfor d —No... ! -' ' Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Service Overhead Site Feeders Conduit Underground Type of Inst llation -- Conduit Amount of Permit 5 %% APPLICATION FOR ELECTRICAL PERMIT f77�` 17 MIAMI SHORES VILLAEE 7 " .. ELECTRICAL INSPECTION DEPARTMENT N �f Stre . r :;/ Subdivision. L.61,1/l � (Signed). No .1 The undersigned applicant for this building permit does hereby cciti(y that he understands and a labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. (Signed). "/ ✓.'• Date Street ( 7 7 7, pL Repairs No. of Stories Main Sw Amps Main Fuses . Amps Metal Moulding Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and sub•contractcrr employed by him in the of the work such pu'nlic notice or notices be performed under this permit, as arc Master Electrician. STATE OF FLORIDA, ► COUNTY OF DADE. IT 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 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 Flor,cia NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper norl:e for . .pL tior., 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 NEATER W. NEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHICK Permit No./ >k. Application is hereby made for the approval of the detailed statement of the plans and specifications her 'th 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, Flu :Ida, 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 Registered Architect and /or Erfgineer Employing Electriciad's Name. y ;�G'�;� Location and Legal Description Lot... :.. /'y' Street and Number where work is to be perfor d —No... ! -' ' Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Service Overhead Site Feeders Conduit Underground Type of Inst llation -- Conduit Amount of Permit 5 %% APPLICATION FOR ELECTRICAL PERMIT f77�` 17 MIAMI SHORES VILLAEE 7 " .. ELECTRICAL INSPECTION DEPARTMENT N �f Stre . r :;/ Subdivision. L.61,1/l � (Signed). No .1 The undersigned applicant for this building permit does hereby cciti(y that he understands and a labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. (Signed). "/ ✓.'• Date Street ( 7 7 7, pL Repairs No. of Stories Main Sw Amps Main Fuses . Amps Metal Moulding Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and sub•contractcrr employed by him in the of the work such pu'nlic notice or notices be performed under this permit, as arc Master Electrician. STATE OF FLORIDA, ► COUNTY OF DADE. IT 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 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 Flor,cia NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper norl:e for . .pL tior., or faulty materials and /or workmanship. • Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submittelf 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.. STATE OF FLORIDA, } COUNTY OP DADE. Location and Legal Description Lot APPLICATION FOR ELECTRICAL PERMIT MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT il/f Registered Architect and /or ngineer Employing Electrician's Name. Al /t/ � eg-T e c Co. No 7 f i 55. g-a J // Service O verhead Size Feeders / Conduit Main Sw Underground .0.......... Block Amount of Permit S l� 0 (Signed) (Signed) 2 4/, Street r ' ° • v St'teet 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 Remodeling Addition Repairs No. of Stories Amps Main Fuses Amps 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 igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub -co 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 undersigned agrees to employ only such sub•contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the unders:igned 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 RECEIP'T'S FIXTURES NO. LAMPS REFRI0. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LISP r9 ((�� , '1 z 6- / `� p , / _ � ,�p 7, 4-0 (/ Y� mo 4 /V CHECK 7 ,, p /A „,,0 / d 64,0 f� .6'D /, 41 3 ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. pig oho. D NeR i AS NA MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. P/ nice RADIO TOTAL CONTR. LIST 1 ✓ / / / 4 ry /) • 6•4 CHECK /,. I // 'V - �j Jf 6=0 • Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submittelf 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.. STATE OF FLORIDA, } COUNTY OP DADE. Location and Legal Description Lot APPLICATION FOR ELECTRICAL PERMIT MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT il/f Registered Architect and /or ngineer Employing Electrician's Name. Al /t/ � eg-T e c Co. No 7 f i 55. g-a J // Service O verhead Size Feeders / Conduit Main Sw Underground .0.......... Block Amount of Permit S l� 0 (Signed) (Signed) 2 4/, Street r ' ° • v St'teet 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 Remodeling Addition Repairs No. of Stories Amps Main Fuses Amps 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 igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub -co 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 undersigned agrees to employ only such sub•contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the unders:igned 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 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. \� Owner's Name and Address �•c No... S8 10, 8 � e Street . 5/ . , Registered Architect and /or Engineer e 3 Employing Electrician's Name..;.r ...p.71.��� .. , 4 4- .� - No ..e...7 ,3J.. Street J a-/ �=-� Location and Legal Description Lot t ) cY 4 r Block Y Subdivision i. Street and Number where work is to be performed —No 3 5 /V , .„ Street $ 9 Amount of Permit $ 7r- STATE OF FLORIDA, } COUNTY OF DADE. SS. (Signed) fr C: 41- (Signed) . State work to be perfo ed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Underground Type of I ®llation— Conduit Tubing B.X.L Metal Moulding I 4 . p. �i.., .r..I/Lc.., Po ..1..G Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of 'da Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub •ntractors 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 wprk 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE H ATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST 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. \� Owner's Name and Address �•c No... S8 10, 8 � e Street . 5/ . , Registered Architect and /or Engineer e 3 Employing Electrician's Name..;.r ...p.71.��� .. , 4 4- .� - No ..e...7 ,3J.. Street J a-/ �=-� Location and Legal Description Lot t ) cY 4 r Block Y Subdivision i. Street and Number where work is to be performed —No 3 5 /V , .„ Street $ 9 Amount of Permit $ 7r- STATE OF FLORIDA, } COUNTY OF DADE. SS. (Signed) fr C: 41- (Signed) . State work to be perfo ed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Underground Type of I ®llation— Conduit Tubing B.X.L Metal Moulding I 4 . p. �i.., .r..I/Lc.., Po ..1..G Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of 'da Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub •ntractors 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 wprk 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. PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address 0 , . E. Legal Description 4)/6 � n '/4 6i 4i / Master Permit # 2 )4 Owner / Lessee / Tenant 3L-4o fV , Er gT .57 phone 75 —/(3 Contractin C o ` 0-01 e, / r/ C yt c, Address Ict3 Si Qual ifier a Vt 1 t 111(01,5-e I/1 phone 6/14-6 37 3 Owner's Address Tax Folio If joU6 i, 6/1/ (® 3/ State# r C ©0/6 Competency# Ins. Co. Meto)o idC Coscia Architect /Engineer Bonding Company Mortgagor Square Ft . Permit Type (circle one): BUILDIN WORK DESCRIPTION f ( 1, 3 (t90 uua 1)00 k Address Address Address UMBING MECHANICAL PAVING FENCE SIGN Estimated Cost 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. 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 • d• the work stated. Signature of Owner and /or Condo President Date: 4/ Notary as to Owner and /or Condo President No ry as to Con or Owner- Builder My Commission Expires: My ommiss ion Expires: MO— * * * * * * * * * * * * * * PERMIT FEE: APPROVED: Fire Other Zoning Mechanical Plumbing / Q Signature Date: of Contractor Building i E±%ctrical Engineering or Owner - Builder 0y ))1'3)9) CONTRACTOR Name ����pp Wi ' torn .tte L . . CO ame & i . R A i k- C O h 4 C Home Telephone f r . -7.&- ' /' ' T 1 3 License No. f+ A c ® n /` 1 i y CA c...., !7 S Fax Address Address RO. kkox 6$ 12Do ( ;ci ± F( 2 14 it Telephone •10 S- P 6S/'� 1 4 Fax /= Q w [ `o '1 J r Qualifier Name R O 1!) e rl . Z. C. i ti .S PROPERTY OWNER Name ����pp Wi ' torn .tte L Address 4o N e. 9 sT Home Telephone f r . -7.&- ' /' ' T 1 3 Business Telephone 3 ®s - . 7 S y - ' ra 11 "'9� t Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other (&,.CBrN -Ct INSTRUCTIONS - The Step 1. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: 3 4 o NE cfc- S T Folio Number Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE ( ✓ Building Electrical Mechanical Plumbing LPGX Roofing Fence Other ARCHITECT Name License No. Address Telephone Fax Address following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Apt. Tax Assessed/Appraised Value Flood Zone PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection Miavn; shore City Descri,tio of Work A c Master Permit No. Subsidiary Permit No. Zoning Square Feet Value of Work So . f9cs FI State 1P—e•Ct Linear Feet Units PERMIT APPLICATION Floors Zip Bldg Value Base Floor Elev. ENGINEER Name License No. Address Telephone Fax I Page 2 'IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please ,read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1 Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. • F F LOR _ COUN . MIAMI -DADE Si n i �2 Print Name /S ' dove w�loer day of Sworn to and subscribed before me this Personally known e Kranz M.Y COMMIS ON # CC808950 EXPIRES February 14, 2003 BONDED THOU TROY FAIN INSURANCE, INC. OR, Produced Identification Type of Identification Produced: Signatur( Co tracto 1 \ � e r • Print Name I S Novco'►ber Sworn to and subscribed before me this VW day Of. , Signature o SEAL: tate of Florida PERMIT APPLICATION OF MIAMI -DADE Joy MY COMMISSION CC; i :' i EXPIRES February 14, 2003 BONDED THRUTROY FAIN INSURANCE, INC Personally known v OR, Produced Identification Type of Identification Produced: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) (sq.ft. = x/1000 x ¢.60) $ (¢.005 / sq.ft.) $ (¢.01 /sq.ft.) BY DATE PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ISSUING OFFICIAL CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ELECTRICAL TYPE Minimum Fee QTY. TYPE , I Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners j:S Ton Rf (1 Garbage Disposal Range/Range Top Swim Pool, Residential Chiller 1 C.,(:),„, a , Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New ( MECHANICAL TYPE QTY. Minimum Fee Tl'PE Condensate Drain QTl'. Tl'PI: Q71'. Generator Ty QTY. Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Bath Fan - Vented, # Fireplaces, Number of - Pressure Vessel PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE. Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 RECEIVED AND REVIEWED PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. DATE: Z/ /C_t°d ®� Miami Shores Village 10050 NE 2nd Avenue Electrical Permit Phone: 305- 795 -2204 Permit Number: EL2002 -383 Printed: 11/21/2002 Applicant: DYNISE PERRY Owner: PERRY DYNISE JOB ADDRESS: 340 NE 94 ST Contractor C & R AIR CONDITIONING CO Contractor's Address: 2121 NW 139 ST #10 Local Phone: 305 - 685 -6394 Parcel # 1132060136160 If there is no permit p fee is $50.00, which mu. . This Permit is granted to the ordinances pertaining thereto at and approved by the proper mui authorization. A further conditic dinances and regulations pert by his agents, servants or empli Signe In consideration of the issuan with the plans, drawings, staten myself, my agent, servan or e 1 ., -q Signed: Permit Status: Approved Permit Expiration: 5/20/2003 Construction Value: $50.00 Work: RECONNECT ELECTRIC OF 5 TON SPLIT AC SYSTEM EXACT CHANGE REPLACEMENT AIR CONDITIONING CO. P.O. BOX 681330 • MIAMI, FL 33168 -1330 PHONE: (305) 685 -6394 MEMO P.J.A.46 ( Total Fees: $0:00 Total Receipts: $0.00 BANK OF AMERICA FLORIDA 63- 243/670 Page 1 of 1 0004 L7 20 1:06 700 24 361: 40 L 309 L0600 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD 10 -70 W15FT OF LOT 6 & ALL LOTS PAY TO THE OF v L " $ 00 &Mk 4 Pyis 6 M4 eh, 4 j !�H. I ZED SIGNATURE 4172 c 0 0 DOLLARS n M. a 0 c CI d fa z 0 1