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45 NE 94 St (12)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date/ � / Job Address7s NE ill sr Tax Folio 1 .- 4 13 O97 'J Legal Description AQ°4'6 Owner / Lessee / Tenant P4'L D *r Owner's Address 4 0 7 vE 41 y 'A.44./ Master Permit #�i.3y Phone ? 9' c Contracting Co. Nk swEiiT ALC Address 59'00 SV (N 7f Ave. Qualifier Rt'er$ KRANtEI- SS# Phone 5 T?- 2.3 3 Z. c4CC (Po �, 4� State # Municipal # Competency 4P Ins.Co. • Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING CHANICAL ,ROOFING PAVING FENCE SIGN H , C tft4 Adf1E cur 3 TT dew & I6 # r Square Ft. Estimated Cost(value) ff G® WORK DESCRIPTION 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 onstruction and zoning. Furthermore, I authorize the above -named contractor to do the work stat Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: ** * * APPROVED: Zoning • lc S g ture of Contractor or Date: ® -.- I3 1 er- Builder 1 to as to C My Commission • - . JOSEPHINE OXISEON ** RADON C.C.F. /` NOTARY J ' P TOTAL DUE '' 1 /Y /r Fire Other Building Electrical `` � � Mechanicala � ' � � /�umbing Engineering BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building o o PERMIT Architect Contractor or Builder Legal Lot Description CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA B1 N9 5543 DATE. 19 Contractor's License No. Work to be performed under this Permit Subdi- vision Address of Value of I I Amount of Building Project $ II 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 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 plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed } 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 ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT • BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA PERMIT Owner of Building Architect Contractor or Builder Legal Lot Description II 131 CONTRACTOR OR BUILDER N9 5507 DATE 1 Contractor's License No. Work to be performed under this Permit Subdi- vision Address of Value of I Amount of Building Project $— I 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 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 plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. 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 ao• cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT P• Permit No 1 New Building Remodeling Addition Amount of Permit $ STATE OF FLORIDA, ') COUNTY OF DADE. 11 t , e g . or S S. I OA 1 SHORES VOLL ME ELECTRICAL INSPECTION DE " ARTMENT AFPLOCATll FOR ELECTRIIt AL PER M DT Date 7 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 D . ... 6' 8 Gfl No 'V3 �� Street ..(/ )� Registered Architect and /or Engineer r- Employing Electrician's Name D®41 6 I / 4 Q-''C / No. .l A iw-`',1.A. Street .... ' t 'c 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) 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 (Signed) lectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obl'ftions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida manent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contr . ors 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 w such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be :led under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized 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. to administer oaths and take acknowledgments, ..r. My Commission Expires Notary Public, State of Florida l(l NO E: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty ma erials and /or workmanship. personally 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 /9 C.... TOTAL. CONTR. LIST CHECK ,,g ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•8 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK P• Permit No 1 New Building Remodeling Addition Amount of Permit $ STATE OF FLORIDA, ') COUNTY OF DADE. 11 t , e g . or S S. I OA 1 SHORES VOLL ME ELECTRICAL INSPECTION DE " ARTMENT AFPLOCATll FOR ELECTRIIt AL PER M DT Date 7 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 D . ... 6' 8 Gfl No 'V3 �� Street ..(/ )� Registered Architect and /or Engineer r- Employing Electrician's Name D®41 6 I / 4 Q-''C / No. .l A iw-`',1.A. Street .... ' t 'c 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) 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 (Signed) lectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obl'ftions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida manent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contr . ors 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 w such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be :led under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized 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. to administer oaths and take acknowledgments, ..r. My Commission Expires Notary Public, State of Florida l(l NO E: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty ma erials and /or workmanship. personally Owner's Name and Address.. Registered Architect and /or Engineer Name and address of licensed contractor Street and Number where work is to be done een Date Disapproved - �� D. to ( Signed) Building I t,pector MIAMI S H I J RES VI LLAG E BUILDING INSPECTION DEPARTMENT APPLLOCATfi® FD BURLS ONG PER iOT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. State work to be done and purpose of building (by floors) 18—, 2 - L'ee.1b i 7 .-1p S Y,s /� I hereby submit all the plans and specifications for said building. be sent to 1 4'7'tO /g _ aty312?: n4',.i,,115 c e r l rf o 4-,f? e„,Jo i n®.J , ,J d Date of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws and has complied with the provisions thereof, and will require similar compliance from all c. tract in the work to be performed under this permit; and will post or cause to be posted for ins or notices as are required by the Act. The undersigned agrees to employ only such subco permit, as are licensed by Miami Shores Village. Remarks (Signed) r- / 4- No ' 474 4 1-- Street 4 9 / s Location and legal description of lot to be built on: Lot Block Subdivision -A(' A). 5 4( Sr- ,J P �.tiJ a and for no other purpose. New Building Remodeling Addition ' Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ "/ 2_ O p � Amount of Permit $ 4 - ( 0 Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live Load to be borne by each floor All notices with reference to the building and its construction may ' ALA. 7st Cy' -- fcL,9- - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer Florida, Permanent Supplement, sub - contractors employed by hint site of the work su public notice work to be perfo • d under this STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer A the and take acknowledgments, personally ap- peared 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 he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him state e true. Permit No Read, Sworn to and Subscribed before me. , 19 `f Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hecn obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.