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550 NE 95 St (10)BUILDING ❑ ELECTRICAL PLUMBING ❑ PERMIT N9 8118 ROOFING ❑ Owner of Building +,63 f^ .• �+ j Architect MIAMI SHORES VILLAGE, FLORIDA Datel' F Contractor or Builder Legal Description Address of t Building Lot e. ikon"' X , CONTRACTOR or BUILDER,' Work to be performed under this Permit 4- a 7t),.t 6 BI 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 applica- tion 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 plate or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants r empl9yees. Signe " l " '' 1 --''" (INSPECTOR) BY In consideration of the issuance to me of this permit I ante• to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawkn: statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting t} is permit,I assume responsibility f all work do- by either, myself, my agent, servsnt or employee. Contractor's License No. BY AUTHORITY Subdi- vision Sq. Ft. Value of I Amount of Project $ 11 Permit $ MIAMI SHORES VILLAGE, FLORIDA BUILDING El ELECTRICAL DATE PLUMBING ❑ PERMIT N? 7692 ROOFING ❑ Owner of Building Architect Contracto or Builder Legal Descriptic Address Building O CONTRACTOR OR BUILDER Work to be performed under this 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 :i7 r Lot n Bl Subdi- vision ,f Sq. Ft Amt. of Permit $ Value of Project $ MIAMI SHORES VILLAGE, FLORIDA BUILDING El ELECTRICAL DATE PLUMBING ❑ PERMIT N? 7692 ROOFING ❑ Owner of Building Architect Contracto or Builder Legal Descriptic Address Building O CONTRACTOR OR BUILDER Work to be performed under this 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 :i7 UILDING LECTRICAL LUMBING )wner of uilding PERMIT N° 5389 Work to be performed under this Permit rchitect : ontractor r Builder egal Lot 7 w Bl. Subdi- L' Iescription l visi i" ddress of uilding 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- ition herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any lans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked _ 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 crmit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough know edge of the o antes and gulations pertaining to the work covered hereby whether shown on the plans drawings op itatements or specifications a at he mes respon- bility for work done by his agents, servants or employees. ' 5 J Signed: � , f r " By i r i..- 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 3rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. i accept' g this permit I assume responsibility for all work done b er yself, my Sept, servant or employee. M CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA / DATE G " 194_7 • t ri. Value of Project BY Contractor's License No. Amt. of /, / Permit " /•T4 AUTHORITY -0 Permit No. / " MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement o f 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-__-_--__— __..��1.� No. Registered Architect and /or Engineer y� Employing Electrician's Name----- ---'- — — _ — No 2 Location and Legal Description Lot (1 Block Subdivision Street and Number where work is to be performed —No °1—c>"01 Street.__ _ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition___ 'i Repairs____ No. of Stories Service Overhead Underground Size Feeders Conduit_______ Main Sw._______.__________ _Amps .. Type of Installation — Conduit_____ — _________Tubing ______B.X.L.__.__ Metal Moulding_ Amount of Permit $____________Q (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. STATE OF FLORIDA, COUNTY OF DADE. } ss. (Signed) _ 1. Main Fuses Date.______ , a c ter Electrician. _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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $L00 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 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST 1 ! � CHECK Permit No. / " MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement o f 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-__-_--__— __..��1.� No. Registered Architect and /or Engineer y� Employing Electrician's Name----- ---'- — — _ — No 2 Location and Legal Description Lot (1 Block Subdivision Street and Number where work is to be performed —No °1—c>"01 Street.__ _ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition___ 'i Repairs____ No. of Stories Service Overhead Underground Size Feeders Conduit_______ Main Sw._______.__________ _Amps .. Type of Installation — Conduit_____ — _________Tubing ______B.X.L.__.__ Metal Moulding_ Amount of Permit $____________Q (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. STATE OF FLORIDA, COUNTY OF DADE. } ss. (Signed) _ 1. Main Fuses Date.______ , a c ter Electrician. _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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $L00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the , uilding £r other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shops 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 building during progress of work. Owner's Name and Address ___ / � 4 ;^ Registered Architect and /or Enginee No _________ _ Street__ _Block______ — _____________ Subdivision New Building Amount of Permit $ APPLICATION FOR ELECTRICAL PERMIT STATE OF FLORIDA, } COUNTY OF DADE. es. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No (Signed Date Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed— No. __I__.� 3 __ —_ _ Street____ // 7 _ State work to be performed and purpose of building (By Floors) Remodeling Addition Repairs / Service Underground Size Feeders_ I Conduit./ Main Sw._ 6 0 — Amps. Main Fuses / e Amps. Type of Installation— Conduit Tubing k 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. specifications must be kept at Street Master Electrican. 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 t h e _ _ of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all fa therein by him stated are true. Notary Public. State of Florida No. of Stories 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. IBT L / 3� 13 I D w 2 -(,y `- 1 1 1 1 / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST ' / / L � /:-. /:-. e0 j) l i!/ CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the , uilding £r other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shops 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 building during progress of work. Owner's Name and Address ___ / � 4 ;^ Registered Architect and /or Enginee No _________ _ Street__ _Block______ — _____________ Subdivision New Building Amount of Permit $ APPLICATION FOR ELECTRICAL PERMIT STATE OF FLORIDA, } COUNTY OF DADE. es. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No (Signed Date Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed— No. __I__.� 3 __ —_ _ Street____ // 7 _ State work to be performed and purpose of building (By Floors) Remodeling Addition Repairs / Service Underground Size Feeders_ I Conduit./ Main Sw._ 6 0 — Amps. Main Fuses / e Amps. Type of Installation— Conduit Tubing k 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. specifications must be kept at Street Master Electrican. 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 t h e _ _ of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all fa therein by him stated are true. Notary Public. State of Florida No. of Stories 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. J r CO � � / - 1 &zi . 3.- 3, Sol, /o • AD.2 } / 1 I C / ge m r/2 _� ✓ f A4r 644 36000 ;UILDING LECTRICAL 'LUMBING 3wner of ` J kuilding Architect Contractor pr Builder - — Legal Lot Description M • PERMIT N° 6546 Work to be performed under this Permit Py . ( 1.-i 1 « CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Bl. Subdi- vision t �..� DATE 194 Contractor's License No. / ...�, C Address of r Value of..! / r Amt. of ,../., •••j � Building , / v 1 „ ! Project i , Permit ./r This permit is granted to the contractor or build 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 the understanding that the work wil 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 as rCinies respon- sibility for work done by his agents, servants or employees. .1.0 Signed ' / % "'"137 -' 9 ,,. -- jam1/ '4° IN TOR +� In consideration of the issuance t. e of this permit I agree to perform 'E work covered hereunder in compliance with all ordinances and regulations per nPg ' ,,41 In strict. eerr€e - ^i with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. qFi it I assume i. onsibilft 4 . a '". work done by either myself, my agent, servant or employee. BY AUTHORITY ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ermit No 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 k work. ) 1;442 ' , r / �' ,, y— Owner's Name and Address.... No J ` -Q Street / 9 Registered Architect and /or Engineer _ Employing Electrician's Name 1 CiLc ?./.?- a No.1 &3 Street. .. e.it gt Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street � /� State work to be performed and purpose of building (By Floors) w.. r. er 1.0./_.x.. le A ee.# 4ae7",:4.N r, New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I SS. My Commission Expires Y MIAMI SHORES VILLAGE (Signed) (Signed) The undersigned applicant for this building permit does hereby certify 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 sub - contractors, on work to licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths Electrical Inspector. cc s his obligations as an employer of of Florida Permanent Supplement, and sub - contractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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 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 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS MOTORS 0.1 HP 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / 0-, ? L C�I A 14 CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ermit No 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 k work. ) 1;442 ' , r / �' ,, y— Owner's Name and Address.... No J ` -Q Street / 9 Registered Architect and /or Engineer _ Employing Electrician's Name 1 CiLc ?./.?- a No.1 &3 Street. .. e.it gt Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street � /� State work to be performed and purpose of building (By Floors) w.. r. er 1.0./_.x.. le A ee.# 4ae7",:4.N r, New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I SS. My Commission Expires Y MIAMI SHORES VILLAGE (Signed) (Signed) The undersigned applicant for this building permit does hereby certify 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 sub - contractors, on work to licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths Electrical Inspector. cc s his obligations as an employer of of Florida Permanent Supplement, and sub - contractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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 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 Description PERMIT N? 5389 Contractor's License No. - 71.44.041 Work to be performed under this Permit t 31 d 4;1" la 4 7 I Bl. J w Address of 7 S - Value of , Amt. of /� Building S d Project Permit 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. 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 upo which this . permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough kno • ledge of the •,,.; ances and regulations pertaining to the work covered hereby whether shown on the plans ;,r.��` ings i 1 tatements o pecifications a . that he . . •s respon- sibility for work done by his agents, servants or employees. Signed (' L�� By t INSPECTMR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulatio0 pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper aut•es of Miami 445 Tillage. In accepjZng this permit I assume responsibility for all work done by flfher yself, m t, servant or employee. i CONTRACTOR' OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 4-5 Subdi- i<2 vision /1544, 1947_ r• AUTHORITY ' E BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building MIAMI SHORES VILLAGE, FLORIDA .�- PERMIT N? 11542 ( [1 Work to be performed under this Permit 4 7 ,4 Subdi- vision Value of Project $ DATE Contractor's License No ..r a � ' Amt. of Permit $ This permit is ranted 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 drawin s or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. N � of 1 s t il Signed: 1 -;� `, �,, - ... d• C'[oR "'• aow BY 195 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. 00% (CAL-....- cofetien L70tt OR 41. Y AUTHORITY 0 Permit No a (t � Owners Name and Address STATE OP FLORIDA, COUNTY OF DADE I SS. 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 structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, 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 of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specifications must be building during progress of work. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Amount of Permit $ (Signed Date //— or other Florida, Division kept at No ,c3(.0 Street �� Registered Architect and /or Engineer Employing Electrician's Name. ! 4 / ' �� g Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs (Signed) i, ""P No. of Stories O j Overhead o Service Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps a 9Type of Installation — Conduit T.4bing B.X,L Metal M g-...., ' , r Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obl labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida has complied with the provisions thereof, and will require similar compliance from all contractors or sub contra work to be performed under this permit; and will post or cause to be posted for inspection on the site of the wa 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. ations as an employer of rmanent Supplement, and rs employed by him in the such public notice or notices Master Electrician. // / o 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 REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. CAB. CAB. TEMP. TEMP. SERVICE PERM / /� / .A v / MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. UST CHECK Permit No a (t � Owners Name and Address STATE OP FLORIDA, COUNTY OF DADE I SS. 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 structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, 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 of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specifications must be building during progress of work. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Amount of Permit $ (Signed Date //— or other Florida, Division kept at No ,c3(.0 Street �� Registered Architect and /or Engineer Employing Electrician's Name. ! 4 / ' �� g Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs (Signed) i, ""P No. of Stories O j Overhead o Service Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps a 9Type of Installation — Conduit T.4bing B.X,L Metal M g-...., ' , r Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obl labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida has complied with the provisions thereof, and will require similar compliance from all contractors or sub contra work to be performed under this permit; and will post or cause to be posted for inspection on the site of the wa 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. ations as an employer of rmanent Supplement, and rs employed by him in the such public notice or notices Master Electrician. // / o 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 No._ ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 2 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 Villa , 4e 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 Service Overhead Underground Size Feeders Type of Installation — Conduit_ • STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. MIAMI SHORES VILLAGE No /J_`_ Street_ 9fv --- - -- - ------- ----- - lJ -- � No X Employing Electrician's Name dhe 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 _Additio= _ Amount of Permit $ Block Subdivision Street____./ (Signed) Repairs No. of Stories Conduit — ___Main Sw. Amps. Main Fuses Amps _Tubing________ B.X.L. Metal Moulding The undersigned app leant for this building permit does hereby certify that he understands and accepts his obligations 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 p osted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to licensed by Miami Shores Village. ( Signet 4.4l { _ Xe....4.S il�iev Master Electrician. Date be pe • Street__________ Q 0 ectrical as spector. an employer of of Florida Permanent Supplement, and sub - contractors employed by him in the of the work such public notice or notices rmed under this permit, as are Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 1 3 /J 7 /1 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1-5 HP N EON TRANS. RADIO TOTAL CONTR. ST CHECK CHECK Permit No._ ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 2 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 Villa , 4e 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 Service Overhead Underground Size Feeders Type of Installation — Conduit_ • STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. MIAMI SHORES VILLAGE No /J_`_ Street_ 9fv --- - -- - ------- ----- - lJ -- � No X Employing Electrician's Name dhe 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 _Additio= _ Amount of Permit $ Block Subdivision Street____./ (Signed) Repairs No. of Stories Conduit — ___Main Sw. Amps. Main Fuses Amps _Tubing________ B.X.L. Metal Moulding The undersigned app leant for this building permit does hereby certify that he understands and accepts his obligations 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 p osted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to licensed by Miami Shores Village. ( Signet 4.4l { _ Xe....4.S il�iev Master Electrician. Date be pe • Street__________ Q 0 ectrical as spector. an employer of of Florida Permanent Supplement, and sub - contractors employed by him in the of the work such public notice or notices rmed under this permit, as are 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. BUILDING ELECTRICAL PLUMBIN Owner of Building Architect Contractor or Builder Legal Description Lot Ara, MIAMI SHORES VILLAGE, FLORIDA ERMIT N? 8022 Work to be performed under this Permit Bl. C "1.,oet Subdi- vision Address of Value of Building Project DATE Contractor's License No. Amt. of Permit 194 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device des ri. - . the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance 'th any plans, drawings, statements or specifications that may have been submitted to and .proved 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 . ans are c d without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named abo assumes sponsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans . drawin . _ t n the st ents or pecifications and at h • assumes respon- sibility for work done by his agents, servants or employees. - ,.i Signed. INSPECT6R In consideration of the issuance to me of this permit I agree to pis, -ale work covered hereunder in compliant: th al}Iinandes and repu ®s pertaining theret.. . nd in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoritiies''of Mimi Shore 17illage. C IS In adespting permit I assure responsibility for all work done by either myself, my agent, servant or employee. tit a CONTRACTOR OR BUILDER BY AUTHORITY Date Type Insp'n --° Permit No. Name Address Company Phone # For Inspector• Approveig CPS Correctio MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Re- Insp'n Fee ❑ Ti e e.A .01-G/ 5 .i i 0 1 7(r 141 reri" - P07 -4-71 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 3 E 6 7S- Da& 7 Job Address Tax Folio f / ,340 6'9/4Lt Legal Description Historically Designated: Yes No Owner/Lessee / Tenant I 1 / /�' /(J 7 Master Permit # <-3869,3 ` Phone AC/ -- /9' k Contractin Co. // im p , " L of is �' 6)(2.'7, 6 O /. Address . / 1 - / 2 �� Qualifier J (/ Z--/ /,4/ SS# Phone 9V0 —6777 State # Municipal # Competency �U O //442 Ins, Co. GPh Pi r / 4 , c! yt L Architect/Engineer Address Bonding Company Address Mortgagor Address Owner's Address ; c V Permit Type (circle one): BUILDING WORK DESCRIPTION G e p'adf `P LUI MECHANICAL ROOFING PAVING FENCE SIGN eir-v_s 9 Square Ft. Estimated Cost (value) 11 10 7S 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 work stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT APPROVED: Zoning Mechanical Building Electrical r, Signature of Contracto'''r/ r- Builder Notary as to Contractor or Owner- Builder My Commission Expires: /1'- C.C.F. ,,....5 NOTARY TOTAL DUE 4 7/Av Date 4///g& Date - Plumbing Engineering ADDENDUM TO BUILDING PERMIT. APPLICATION (AN APPLICATION FOR BUILDING >' EMIT MUST ACCO}iPANT THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) MECHANICAL L ICOT OUTLETS RECEPTACLES SERVICE TtwORARY SERVICE SIZE IN APS SERVICE REPAIRAVER APPLIANCE OUTLETS RANGE TOP MOTORS OVER 100 HP A/C MIWOW AIR COM I T I ONERS MOTORS OVER 25-100 FP STRIP NEATER GENERATORS TRANSFORbERS GENERATORS TRANSFCRUERS GENERATORS TRANSFa (RS SPECI PURPOSE OUTLETS C KIERCIAL MINIM SIGH TRANSFERS - ■- SIGN TILE CLOCK - FIXTIRES - ANTEMHA TELEVISION OUTLETS -M • VIOLATION - CENTRAL HEATIIG REFRIGERATION PROCESS AFO PRESS PIPING UROERGROIAU TANKS ABOVE GROIWO TANKS U.F. PRESSLRE VESSELS STEAM BOILERS HOT HATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSET IES ELEVATORS/ESCALATC S FIRE SPRINKLER SYSTEIS VIOLATION RE INSPECTION TUPC ARY HATER CLOSET LA 1NAL WATER CLOSET IW IRECT BASTES WATER SUPPLY TO: A/C UNIT FIRE SPRINKLER HEATER-NEW INST NEATER - REPLACE UTILITY-SEWER UT IL TY -MATER SEPTIC TANK RELAY CATCH BASIN DISCHARGE HELL D0IESTIC WEU. AREA DRAIN ROOF INLET_ SOLAR MATER FfATER Foot, PIPING • ITEM UNIT FEE SWITCH CUTLETS MIT T FEE I TEM BATH us BIDET DISHWASHER DISPOSAL DRINKING FOUNTAIN FICCR DRAIN CLOTHES BASHER SHOWER SINK POT/3 COMP. SINK, RESIDEssE SINK. SLOP LAIN SPRINKLER -BELL MIMING P001 WATER SERVICE SEVER COPINECT IONS PLUMBING GRAINFIELD 4 TILE/RES. PU1P & MNCON SEPTIC TAM( SOAKAGE PIT CU. FT. FIRE STAIOPIPE GAS RANI LETER SET (GAS GAS PIPING 03/07/95 15:24 MSV ELECTRICAL ITEM SPACE HEATERS 004 of AFFORDABLE ELECTRICAL CONTRACTORS, INC. PH. 305-940-0777 516 NE. 190TH ST. MIAMI, FL 33179 PAY AA. • c L i TO THE I/V II pipit ) n 4) in VI 1 1 0 y 1 ORDER OF h Lit rl a i awn. Transflorida Bank 499 SHERIDAN STREET DANIA. FLORIDA 33004 614 FOR 000 22? Le COG 70 LO 58 31: ,PE, L38 6, sr ,-- 0/k1.4 L 60 20680 20 Le _ — — 2271 • 4 1/0 - 19 96 6.- DOLLARS Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2003 -37 Printed: 2/11/2003 Applicant: DANIEL Owner: KENT JOB ADDRESS: 550 NE 95 Parcel # 1132060140810 Signed: Electrical Permit KENT DANIEL ST Contractor ADVANCE ELECTRICAL CONTRACTOR Contractor's Address: 2035 SW 123 RD CT Local Phone: 305 - 986 -0435 Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 6 & LOT 7 BLK 55 LOT SIZE 100.000 X 129 OR p tA,‘‘A.A. 63,5D (.5)o s) Total Fees: VICKI. Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 8/10/2003 Construction Value: $2,500.00 Work: GFI OUTLET FOR KITCHEN & NEW ELECTRICAL PANEL FUSE TO BREAKER 100 AMPS If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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. PE TOR) BY: 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 responisibility for all work done by either myself, my agent, servants or employes. KCB 01 021203 1046 IfCt01 004789 CHAFG!: ¢u`. t ? (Contractor or Builder) BY: .� • '8 • °°° • • °° °° • • • o ° • ° °°° • • • • °° • • • • °°°° °°° • °°° • °°° • • °° • • • °° °°° • • °°° • • ° °• °°~ • • °° °° • • • • • , �==^:.~ �_ � � ° The Sunshine Stcite'-- ��41 � 2036 SW 123 CT • 911A911, 01. 3 3176-0000 BIRTH LAT sa NOT. REST. 3441540 IA 5-06 ISSUED . � EXPIRES 'vt.SPuuATs � �w»mw • • ,`'' �r�. s!, CONTRACTOR-- , _ €tefzee ' Name f � ��� � 4Y, V 1 /C J 00-0; License No. g 7_ E ozs.3 Address �° 35 , rcv / -3 ci '`trrt P( 59i. Telephone a..), Fax Qualifier Name ✓ . /4 JO i I•ars - PROPERTY OWNER ,,// Name f '�rJ(EI_ ArJO CL flee.rit /CF,,,r Address SSo NF 9J 7 (069i1 SI/02.Ef rt. 33/3$ Home Telephone C3os� 3S7_ /96T Business Telephone Ockii 40— 7 400 Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair v Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: 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 Complete the attached permit applicatioillhiCh tilts sigAe I **Me gli5Derty owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurateEro :es :in$ o ;y tpi:lkatiorf. • If roofing work will be done, a roofing application must be submit- ted along with this permit application. • • • • • • • • • •• • • • • • ••• •• 5S0 Ale 9S STRW Address Apt. Folio Number Lot Block Subdivision PB PG Current Use of Property AOS Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other •• •. • • • .. • • • • • • • •.. • • • • • • • • • •..•••• PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax • • • • • • .•• Malcr Permit No. ()(4 i Suter City State , tcf PERMIT APPLICATION G oa -3 1 7 • • '. • SuSsidiary Permit No. • • • • • • • ••• ••• ••• ••• • • 33/3T Zip & Fs ®ULAr pra/ 7 end ne` ., Description of Work fig . P F 4o tit r e )' .mss Linear Feet Zoning Square Feet Units Floors Value of Work �-S» ax Assessed/Appraised Value Flood Zone Base Floor Elev. Bldg Value ENGINEER Name License No. Address Telephone Fax 5 Page 2 IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVtD • YQU11 VALII$ATELCPERMIT'4ND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION ate limited to: ItISRdaj tit ough FMay 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 KEPI. b11;'1 ItI3�1S. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED lid' EQth *M!plt tEGIt:LE,S ° 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. STATE OF '10 ignature of Owner DAr`►rel W krzt Print Name w • 4 , 1 t and subscribed re me this _ taro Sign SEAL: of No Pu Personally known A COUNTY OF MIAMI -DADE .11 . - 1 iS 1 day of 4 IREN MY commis' `• 4 EXPIRES:i _` . s 72 ^4 l_800 - 3 - NOTARY FL Notary Service & no OR, Produced`ldentiQcation Type of Identification Produced: • • • •• •• • • • • • • • • • • • • • • • • o • • • 0 • o•• • 0 • • o•• 0 • STATE OF FLORIDA, IDA, IOUNT 0 F MIAMI -DADE Signature of Contractor / Qualifie PERMIT APPLICATION J�i~s n/'C Print Name Sworn to and subscribed before me this l 3 day� �ot�v gnature o�Notary Pub - State of Florida 4 .0 v Angela M Becker ;f � . ' My Commission D0150048 V I Expires November 15, 2006 Personally known OR, Produced Identification Type of Identification Produced: SEAL: ELECTRICAL TYPE Minimum Fee OTy. . I - yru Dryer QT TYPI; ' p41et, Am: fiance QTV 5 1 - x1 , 1 ,, Service Repair QTY A/C Central 1 -3 Ton Heating Strips, each Fan • • • • ' • Uu fl t, Wall Service, Temporary Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch Piping, Flammable Liquid Signs A/C Central 8-15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16-20 Ton Pressure Vessel 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 Garbage Disposal Range/Range Top / Swim Pool, Residential Chiller Generators, etc. Receptacles 4 Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic f Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Mao eJ€cr Per y / lip 1 Demolition Low -volt, Intercom/Teleph. Repair Circuits Atop Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TypE Generator QTY. TYPE Refrigeration, Tons (.1" ry. A/C Central, Tons Q'I 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 Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Gas - Appliance PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYI'I:: Soakage Pit Q'I 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 BY: . ..• • • 3 • •• • • • • • • • • • • • • .• • • • • • • • • • • • • • • ... • • • • • • • • • • ••• PERMIT APPLICATION . • •. •• INSTRUCTIONS: Please indicate the type of+rvor'lc Ming perrorined nd quantity(ies) in the space provided below. . •• .. • • • DATE: // / e� 01 3 Page 4 OFFICE USE ONLY CHECKLIST ® OWNER - BUILDER FORM (Attach) LI FIRE DEPARTMENT APPROVAL (Commercial / multi - family) CONCURRENCY (New Construction) LI 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 Notary REVIEWED AND PREPARED BYl/ LI PROOF Of OWIIERs (Attach) • • •• • • • • • • HRS /17ERM •e (Sept io L Sewer) e ° • ° e U IMPACT FEE (New Construction) LI OTHER (Specify & Attach) $ $ / • ° (sq.ft. = x/1000 x 0.60) $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) • •• •, • • • •• • • • • ii • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • •• • o ❑ CONDO ASSOCIATION APPROVAL (Attach) • • • • B PR APPROVAL (Restaurants) • • PERMIT APPLICATION LI CONTRACTOR REGISTRATION (On File) TOTAL $ / - 3D SECTION ey Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2"° AVE., MIAMI SHORES, FL o (305) 795 -2207 o FAX (305) 756 -8972 0 http : / /www.miamishoresvillage.com DATE: // Pt 9 °3 MIAMI SHORES VILLAGE BUILDING DEIVTAIENT 305- 795 -2204 Building Inspection Reques Date 7-11-03 Time Type Insp'n Permit No. FL. sO / 3 _ j 7 1 ") Name K-Pi/L -+ Address ‘5`° �/: 93 ,S* Company R r {co 710 ' i2 Phone # PDSJ S C2- "4 S/ For Inspector: 'J7. /Y4? Approved Correction ❑ Re- Insp'n Fee ❑ & ate Date PERMIT APPLICATION FOR MIAMI SHORES VI 10050 N.E. 1n rAv nue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Job Address / t 9 6 - 3 " Tax Folio Legal Description Historically Designa* .c : dwner/Lessee/Tene D r ff `' i<pr Master Permit # PI 2 c03 — IFT Owner's Address --- u � � y '*one / 9�l / /96r Contracting Co. ARFA PLUMBING CORP. Adddre 3 i sw o Tee. ixim 9; t 50—/ Qualifier GILBERTO CABRE'RA ss# r ! / 0 —Oki on o1,3 -V 416 State # vD 6 0q1.3 Municipal # Competency InS. Co. l� D IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. ermit Type (circle one): // BUILDING ,,% �'' ORK DESCRIPTION: G. f / 2€,Tre e/L€4 A • Zi re Q L 0c,\ led ignature of owner an k�ary as to Owner and/or Co My Commission Expires FEES: PERMIT Cl� RADON C.C.F APPROVED: Zoning Mechanical I I (P ELECTRICAL PLUMBING MECHANICAL ROOFING Square Ft. timated Cost (value). . 600 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 ANY 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). 1 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 all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that al will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contrac s to do the wo k stated. or Condo President IRENE VAZQUEZ MY COMMISSION # CC 937990 EXPIRES: Jul 21, 2004 14300-9-NOTARY FL Notary Service & Bonding, Inc. Date Si : nature ofo ac orQw • r Builder My Building Plumbing SO CO Itary as : ',nt actor or Own mmission Expires NOTARY Yes No Date APR 2 2 7093 pOp��FFIC/I�AL ,'�I�.T3' " _: �, ����,••° L..e.". MARTA CIS.: 3T :NA PER 2 NOTARY PUBLIC STILT:: Of:1 1, COMMISSION NO. 13 2".711.0 MY COMMIS'S. i" :1 juN 13.2036 Date TOTAL DUE Electrical Structural Engineer Name Address Phone # For Inspector: 4-3 Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 6 r d 7 'a,3 Time Type Insp'n h1SJA441i J *t Permit No. Ei 203-37 K emp SS i ass 1- Corn ,1 /94 v G2 C/ V'/ L t �Jp 305 qe - 0113,5 Name & Date CI