535 NE 95 St (9)[- f
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 3 —.a - I Job Address C3 S AR SST`
Legal Description n
Owner / Lessee / Tenant SAM t_.5 L HA-Pim 0/Ni 0 Master Permit #
Owner's Address S ( V ST • ` Phone me
Contracting Co. AV- C S (Z ELtCTC“ C -P C - Address b D O -�� �.� . P l
Qualifier S e? C IS " P ° - -
Phone 05
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION --I- ' LS l c ' - '
D.5 i h 7 7 ,) (✓t. s I /el
Square Ft. Estimated Cost(value) - s-c)
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 wor d. n (�� t C � (D �
5 ' J-i l - 4 /
Signature of owner and /or Condo President Signature of Contractor or Opner- Builder
Date: Date:
Notary as to Owner and /or Condo President Notary as to Cdtractor or Owner-Builder
My Commission Expires: My Commission Expires:
** * * * * * * * *
FEES: PERMIT 1 RADON C.C.F. p NOTARY
Fire Other
Tax Folio
* * * * * * * **
Y TOTAL DUE r
/
Zoning Building Electrical p AY
Mechanical Plumbing Engineering
Permit No
APPLICATION FOR ELECTRICAL PERMIT
Date 3 - -II - ('�
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of 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.
/ �r
Owner's Name and Address 4.74 .m.S L. /-4401 /-4401 Al A..3 No 5 J Street
Registered Architect and /or Engineer e p
Employing Electrician's Name AN0..1:61r)RR- E e.Ecritie /&('.No �.Q..lp.. Street. - 44) f1 a / J'
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
se.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Block Subdivision /
Street N Qv E .[
1 N . ST.ALC VA lLD c(G-/-(7 -
Service Overhead Site 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 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed).... ••/ Ardeil4 1�`'�
Master Electrician.
CC . 0Op0 /Q7
No. of Stories
STATE OF FLORIDA, 1
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared C WA Q- viz .
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the......T...l� .�.. • . 4W0'(F /ER.
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, an that all facts
therein by him stated 1� PUNK STATE OF IWROA
MY COMTSS ON EXP.00r. Z,19l5
BONDED THAU GENERAL IN& Unt
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. L
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
H
TOTAL
CONTR.
LIST
•
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
t•S HP
NEON
TRANS.
RADIO
.
TOTAL
CONTR.
LIST
CHECK
Permit No
APPLICATION FOR ELECTRICAL PERMIT
Date 3 - -II - ('�
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of 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.
/ �r
Owner's Name and Address 4.74 .m.S L. /-4401 /-4401 Al A..3 No 5 J Street
Registered Architect and /or Engineer e p
Employing Electrician's Name AN0..1:61r)RR- E e.Ecritie /&('.No �.Q..lp.. Street. - 44) f1 a / J'
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
se.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Block Subdivision /
Street N Qv E .[
1 N . ST.ALC VA lLD c(G-/-(7 -
Service Overhead Site 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 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed).... ••/ Ardeil4 1�`'�
Master Electrician.
CC . 0Op0 /Q7
No. of Stories
STATE OF FLORIDA, 1
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared C WA Q- viz .
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the......T...l� .�.. • . 4W0'(F /ER.
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, an that all facts
therein by him stated 1� PUNK STATE OF IWROA
MY COMTSS ON EXP.00r. Z,19l5
BONDED THAU GENERAL IN& Unt
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.
PL
Owner of
Building
Architect
cup
or Builder
Legal
Description
Address of
Building
This permit is
herefor in strict comp
drawings, statements
time if the work is not
granted is the tinderata
pertaiaing to the work
done by his agents, serve
In consideration
pertaining thereto and in
In accepting this permit I ai
CONTRACTOR OR ^:.
Architect
Contractor
or Builder
Legal
Description
ifalee of
Plvikbat
BEING
CL
PLUMBING
Owner of
Buildin
Address of
Building
This peneooi o m
herefor in strict
drawings. etatemmms or
time if the work is not dem
granted is the under t
p to the work
done by agents„ serums
In consideration r�q ar complian
pertaining thereto and in �' m ' ' �� r F
In accepting' this permit L , ya a �r1 submitted anor #o the proper
i
Permit No
STATE OF FLORIDA,
COUNTY OF DADE.
}
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.
Owner's Name and Address - >.... - � - -__ -� �' _ _.`_,; � ---- __•------ -_No._
Registered Architect and /or Engi eer__ _____.______ _
Employing Electrician's Name_______ ___! '"_ -� _T^ 2. No _ _ Street_._____- ____..__- ___ —_._ --
Location and Legal Description 6t_____________________ ___ ___— ____________ Block Subdivision_____________ _
Street and Number where work is to be performed- N6._____s,.L J:. ) /V Street_________ "__L' _ :. _._._____ —
State work to be performed and purpose of building (By Floors)
New Euilding Remodeling__ _____________- Addition Repairs No. of Stories
Service Overhead Si Feeders_________________ Conduit _ -- _Main Sw. Amps
Underground - - --
Type of Installation- Conduit__ _ Tubing_______:_____B.X.L._ ___ Metal Moulding
Amount of Permit $_ --- _ —_._ -. _--- _— _— ______ (Sign:
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify tha understands and accepts his obl' ations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, iled General Laws of Florid ermanent Supplement, 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 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.
ss.
My Commission Expires
MIAMI, SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Date_ Le '
i
Main Fuses____..-__-__ — _-Amps
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.
Notary Public, State of Florida
Master Electrician.
NOTE: A re- inspection fee of $1.00 will be m 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
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
RM.
MOTORS
0.1 HP
MOTORS
1 -5 HP
NEON
TRANS.
•
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
STATE OF FLORIDA,
COUNTY OF DADE.
}
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.
Owner's Name and Address - >.... - � - -__ -� �' _ _.`_,; � ---- __•------ -_No._
Registered Architect and /or Engi eer__ _____.______ _
Employing Electrician's Name_______ ___! '"_ -� _T^ 2. No _ _ Street_._____- ____..__- ___ —_._ --
Location and Legal Description 6t_____________________ ___ ___— ____________ Block Subdivision_____________ _
Street and Number where work is to be performed- N6._____s,.L J:. ) /V Street_________ "__L' _ :. _._._____ —
State work to be performed and purpose of building (By Floors)
New Euilding Remodeling__ _____________- Addition Repairs No. of Stories
Service Overhead Si Feeders_________________ Conduit _ -- _Main Sw. Amps
Underground - - --
Type of Installation- Conduit__ _ Tubing_______:_____B.X.L._ ___ Metal Moulding
Amount of Permit $_ --- _ —_._ -. _--- _— _— ______ (Sign:
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify tha understands and accepts his obl' ations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, iled General Laws of Florid ermanent Supplement, 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 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.
ss.
My Commission Expires
MIAMI, SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Date_ Le '
i
Main Fuses____..-__-__ — _-Amps
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.
Notary Public, State of Florida
Master Electrician.
NOTE: A re- inspection fee of $1.00 will be m when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
- - c - ,, /.,-, ,- -
Permit No.___ Z____1 _1____ _ _ Date_ /_c:._- :___„_ J
Application is hereby mad( 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
Registered Architect and /or Engineer
Employing Electrician's Name /L/ �:_ f awn " No._
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
Amount of Permit $ • -
STATE OF FLORIDA,
COUNTY OF DADE. sit.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
No ____-- ------------ _ -___. Street_--- ____ --
c �_
- - - -Block
(Signed)
(Signed)
k
Street__
My Commission Expires Notary Public. State of Florida
No. of Stories
,,ctrical Inspector.
Master Electrican.
Subdivision__ _______ _
-----
Service Overhead Size Feeders Conduit._ Main Sw. Amps. Main Fuses_____, _Amps.
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding ____________________________ ____
The undersigned applicant for this building permit does hereby certify that he up'derstands and accepts his obligations Y n employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled(Getieral Laws of Florida Permanent ement, 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.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_
of the above described construction, that be 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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
f
/«-
1 7
l
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/ l `
j
2j, �
v
CHECK
- - c - ,, /.,-, ,- -
Permit No.___ Z____1 _1____ _ _ Date_ /_c:._- :___„_ J
Application is hereby mad( 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
Registered Architect and /or Engineer
Employing Electrician's Name /L/ �:_ f awn " No._
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
Amount of Permit $ • -
STATE OF FLORIDA,
COUNTY OF DADE. sit.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
No ____-- ------------ _ -___. Street_--- ____ --
c �_
- - - -Block
(Signed)
(Signed)
k
Street__
My Commission Expires Notary Public. State of Florida
No. of Stories
,,ctrical Inspector.
Master Electrican.
Subdivision__ _______ _
-----
Service Overhead Size Feeders Conduit._ Main Sw. Amps. Main Fuses_____, _Amps.
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding ____________________________ ____
The undersigned applicant for this building permit does hereby certify that he up'derstands and accepts his obligations Y n employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled(Getieral Laws of Florida Permanent ement, 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.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_
of the above described construction, that be 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.
PERMIT APPLICATION F AtNICigLITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date 4 Job Address -lac' / 1.4 7.4 Tax Folio //5,P61,6". 6 /f D 3
Legal Description /7E , ,c4 74,6iezi y Master Permit # c %
Owner / Lessee / Tenant Y ,f i /. ' Af1I ld
Owner's Address ,4 / S V.Vg? Phone
C_��;e e/1'.5 A. v&
Qualifier - �y ���,� SS# Phone ��'� �o
Contracting
State# 45/
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Competency# Ins. Co.
Address 7,, S /'
Permit Type (circle one): BUILDING EL CAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft.
ig
Dat
o a as to
My Commission
* *
PERMIT FEE:
.40 'so
•
Owner and /or
Expires:
* *
APPROVED:
Mechanical
Condo President
,Zoning
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
wil be done in compliance with all applicable laws regulating construction and zoning.
Fu t ermor =z i horize the above -named contractor to do. the k stated.
OFFICIAL SEAL
RARLES
nilcmArm siitsnit Expires
J June 4, 1996
;ow" Comm. No. CC 205953
*
Fire
Building
Plumbing
Estimated Cost
Signature
Date:
of Con ractor : 6
to Contractor
My Commission Expires:
* * * *
Other
///'
lectrical
Engineering
........
ld L SEAL
s -Bui
) 5 ROBLES
My Commission Expir
• June 4, 1996
`: cfi Comm. No. CC 2059
or owner- Builder
*
*