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550 NE 94 St (9)Date Type Insp'n 1 ®G � Permit No. =�, 1 9 � VA �^ JH �L A 5 Address 5 0 � ^ F y t I Company " b p l £ 1 Phone # 3 of 9\0 0 7 3 For Inspector /2../ 0 Name Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request 0 Time 7J/ av MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date • 0 Time Type Insp'n Permit No. Name Address Company Phone # OS For Inspector / 2 0 . Name & Date Approved Correction Re- Insp'n Fee 72J. O MIAMrSHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date.S °— � / I y/ o.irne Type Insp'n Permit No. 6—. r L Do I Approved Correction Re- Insp'n Fee Name Address 55 O . f 4.." Company P Phone # For Inspector )1s 1 Name & D S,4®a-# aLz,%/ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ___-_/W Time Type Insp'n Permit No. e 1 ;0O2 " Name C�V?) Address S,� / / Company 7 314441 / /- Phone # 7 ekr - i d ol -g r,aS i For Inspector: ��//_D.2 N �Dat Approved Correction Re- Insp'n Fee A.ekla ?a MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dat. O Time Type Insp'n Permit No. Name Address �/�� J �� Company f v y v 1 ``'� /t Phone # ( ^^� ' ljy� '� c 313 For Inspector:` `[ u 't Name Approved fTh Correction Re-Insp'n Fee ❑ 6 P lLice-ee'cal 7 / V PIOL e. m afe° He/®G gi riy5 ,osc X64 s P / AlA Ale )° fCC ®/ "I#y ' ze p MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Da e 1 Time Type Insp'n Permit No. — . 2. DO Name � S • 1 . C, (-1 ,2A , Company n ((‘Qa 4 Address 5 Approved Correction Re- Insp'n Fee Phone # �0�� 9 I I - 43.-D /�' For Inspector: �O /3/ 0-)_, Name & Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7 A P / 9 g Job Address 550 ril 9 St Tax Folio 1 - 3 ; 0 4 0 ON- QLJ Legal Description 1.0 7 144 • " l',•rt i 91.oresS-t•4-Historically Designated: Yes Owner/Lessee / Tenant A r r0 r � � I m - p /1 t / {� Owners Address 6 D �V�i I 6e �'7 L�/ � 2 6+� Phone � ' 7 � Contracting Co. ADT SECURITY SERVICES TNC. Qualifier l t c h h2s Ec by State # e oo(o 85 Municipal # Master Permit # Address No t /d8 23 SS# Phone 624 -7770 x 5254 Competency # Ins. Co. Architect/Engineer Bonding Company Mortgagor - Address Permit Type (circle one): BUILDING ELECTRICAL)'LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION LOW VOLTAGE SECURITY SYSTEM /CarriniP q bediC Square Ft. Estimated Cost (value) 61 � R' 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 pennits 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 the work stated. ature of owner and/or • ondo • reside ,&4 Notary as to Owner and/or My Commission Expires: � ► FEES: PERMIT 2r ' RADON ■ '''side fittN .� !' — MYCOMMI ► ' CC 648710 _ ° ' EXPIRES: May 19, 2001 o ''' Bonded Thru Notary Public Underwriters Address C.C.F. ► ( D NOTARY Si a ature of Contractor or Owner - Builder ;^ ; . CAREEN A. HUTCHINSON _nr : MY COMMISSION # CC 648710 - I�f EXPIRES: May 19, 2001 Rf °'' Bonded Thru Notary Public Underwriters Cass' V 3 0 5 / Date Notary as to Contractor or Owner - Builder Date My Commission Expires: / /5 42 1' BOND TOTAL DUE APPROVED: Zoning Building Electrica Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 08- 07 - 98 Job Address _6,56 ij. E. 9 y .. S'VEET Tax Folio I 3 2 D (v - O / ' - O 9 S D Legal Description Historically Designated: Yes No X Master Permit # 4'3 35 Owner/Lessee / Tenant Owner's Address D �. r E ` A4, Mortgagor AJ /%9 Not " caner M Commission Expires: Aia/�ori ,q a1 PLE Y Ar FEES: PERMIT 9s0 � RADON C.C.F. Address hone as to ontract wner- Builder Commission Expires: p NOTARY (moo s 7,58 71/4.5 9 Contracting Co. �.v ,7 I%L G C'T/2JC � �c�� a Address 6966 //i Qualifier r - 6A) / Q ss# , Phone (tea 5) 7,59 -/6L5 S t a t e # E C - DO D b ( a 5 Municipal d -622 °I / 9 5 Competency # Co. 6 / ae5 Architect/Engineer N //) Address Bonding Company A-1 //� Address Permit Type (circle one): BUILDING UMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION �).t/bal T DR/ OF 9(/ -) - -��%t v�('.? 1.)/Z-1i9 e »,) 6-% O c) Square Ft i f i9 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 regula g construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. l e can �+ Signature of owner and/or Condo f Con ac o . • er Estimated Cost (value) 4 /, ,?> 96 d 0 resident Date AV a7 ondo President D Not MJ JOHN M. FARQUHAR Notcry Public - State of Fcrldn My Commission Expires Mar 27.20 Commission e CC 543396 D/3 --07 r8 Date BOND TOTAL DUE Date APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS ID )zp CENTRAL HEATING DISHWASHER RECEPTACLES 217 ,g� A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN - SERVICE REPAIR/METER CHANGE / 3 REFRIGERATION GREASE TRAP APPLIANCE OUTLETS ,Z /o. PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP -- STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP ✓ HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MICAS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP 97;3'0 VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: - AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER v► FIXTURES 0. SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE . METER SET (GAS) GAS PIPING • (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL .v /9 ��11Ticc� / / /9647/ T"O MECHANICAL SECTION BY DATE Zoning Electrical /1 - Mechanical Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ /g6, 0 $ REVIEWED AND PREPARED BY: (sq.ft. = x/1000 x ¢.60) (¢.005 / sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION O CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ELECTRICAL TYPE QTY. 'TYPE QTY. TYPE QTY "TYPE ()Ty. Minimum Fee QTY. TYPE Refrigeration, Tons Dryer A/C Central, Tons Outlet, Appliance 9 _6 Service Repair Vent Hood, Cost A/C Central 1 -3 Ton A/C Wall/Win. Tons Fan Dryer Vents, Number of Outlet, Wall $s -- ,v') Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Ductwork, Cost of Fire Pump Periodic Inspections Outlet, Switch y 1 Signs Fire Sprinkler System A/C Central 8-15 Ton Pump and Abandon Fixture - Fluorescent Bath Fan - Vented, # Oven f Space Heater (kw) Gas - Appliance A/C Central 16-20 Ton Pump, Domestic Fixture Light / -I 0 Parking Lot Lights Cap - Sewer Spas/Hot Tubs Gas - Natural A/C Central 20+ Ton Pump, Fire Stand Flood Lights Temporary Toilet Plugmold/Strip Catch Basin Subfeeds, No. of Amps Gas - Propane A/C Window Pump, Re- circulate FPL - Load Central Temporary Water Closet Posts Clothes Washer Swim Pool, Commercial Gas Piping Air Conditioners Pump, Replace - Pool Garbage Disposal .-,,c / Range/Range Top 3! ai--- / Swim Pool, Residential Grease Trap Chiller Pump, Sprinkler Generators, etc. Utility - Sewer Receptacles Discharge Well Switchboards Ice Maker Clear Violatio Pump, Sump Heat Recovery Utility - Water Refrigerator, Comm. (p/PH) Dishwasher Temp Serv., Construction ' Compactor Relay Repair Low -volt, Burglar Vacuum Pump Refrigerator, Domestic ,c / Temp for Test - 30 days Interceptor Deep Freezer Roof Inlet Low -volt, Fire Water Closet Renew - Temp Service Domestic Well , � )ry e O O� v Laundry Tray Demolition Septic Connection Low -volt, Intercom/Teleph. Water Heater Repair Circuits Drainfield, 4" Tile/Res. g- 't LT S a Dishwasher fiyg / Low -volt, Television Water Heater New Service, Number of Amps Drains, Area Meter Set (Gas) MECHANICAL "TYPE Minimum Fee QTY. 'TYPE Condensate Drain QTY. '1'YI'i: Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons QTY. 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. TYPI: Drains, Roof QTY. 'TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 O INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. 74/ Xi-- PERMIT APPLICATION RECEIVED AND REVIEWED BY: DATE: CONTRACTOR Name / 1 A a 1 Name r . ) .... Hi 1 ,..1 �. 7_ ` C e Home Telephone License No. �� 2 ) ® -- P l Fax Address ® oV . F. (2$ es-f-. Repair Telephon30;_ ?cl7 37 Fax r L/9 q SO ` 7 Qualifier NName iii FL I 1 R. 0 / T s 7 /see) /A Demolish PROPERTY OWNER Name / 1 A a 1 Address U 50A/&1(-/-.51 Home Telephone •Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'1 Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. 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. A PPLICATION Job Address: 53 / E 9 / . PI I ■t Wl l 5 6`e5 Apt. City Folio Number 11 _3a()(4 ,. 0/v . v jj 9 escriptio(i of Work efOVd Lot Block \•- ef 1 Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work e. 4 evo. eo Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Address 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 Subsidiary Permit No oZ00e -c • c2 0 Permit N ) State PERMIT APPLICATION ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. - 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. 1. 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, l"" 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 FLORIDA, COUNTY OF MIAMI -DADE Signature of Owner -- Print ame Sworn to and subscribed before me this Signature of Notary Public - State of Florida SEAL: day of Personally known OR, Produced Identification - . . of Contrac .'r / Qu.l'fier u� Prin ame • w t. nd subscribed before me this f Flo da day % __l AAA 4 gnature of No .•'Public - Stat o ti '"a At 3 U1A t i tilt�e. :'pt 4 % „r Suraca7 f t .FiOi ��! Personally known ' ' . OR, Produced Identification SEAL: PERMIT APPLICATION ' y Y OF i s IAMI -DADE / % / , Type of Identification Produced: Type of Identification Produced: Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Printed: 1 /16/2002 Applicant: DEANNA Owner: SINGER Contractor P & M ELECTRIC INC Local Phone: Parcel # 1132060140940 Job Address: 550 NE 94 ST Fees: FEE2002 -308 FEE2002 -309 Permit Status: Approved This Permit is granted to the contrac ordinances pertaining thereto and with and approved by the proper municipal authorization. A further condition upon ordinances and regulations pertaining 1 by his agents, servants or employees. Signed: Signed: Permit Expiration: In consideration of the issuance to m ° with the plans, drawings, statements of myself, my agent, servants or employe Description Building Fee Notary Fee Total Fees: PAY ✓� ORD OF .4 II f A/ 1111.0 Bank of America® ACH R/r 063000047 Electrical Permit Permit Number: EL2002 -20 SINGER DEANNA Address: 1936 NE 148 ST Cellular: Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 6 & E1/2 LOT 7 BLK 56 LOT SIZE 75.000 Amount $186.50 $5.00 $191.50 7/15/2002 Construction Value: Work: RENOVATING BATHROOM AND KITCHEN AND REPLACING PANEL If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. fee is $50.00, which must be P & M ELECTRIC, INC. 1936 N.E. 148TH STREET NORTH MIAMI, FL 33181-1137 FOR $4,000.00 Total Fees: $191.50 Total Receipts: $0.00 Page 1 of 1 DATE II'007 L0011' .:0630000471: 00 L595 29 20 L Lu' Re- inspection of present do not cis t. — 00 DOLLARS 8 LEGTRICAL TY'PI?. Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair Q A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8-15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential i Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain Q'I'Y. TYPE Generator QTV. TYPE Refrigeration, Tons QTV. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TV Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY I I FIC VIT T OWNER - BUILDER FORM (Attach) • FIRE DEPARTMENT APPROVAL (Commercial / multi- family) • CONCURRENCY (New Construction) D OTHER (Specify & Attach) Zoning Review CI PROOF OF OWNERSHIP (Attach) CO HRS / DERM APPROVAL (Septic / Sewer) LI IMPACT FEE (New Construction) ® OTHER [ PERMIT FEES $3.00 per page (Scanning Fee) $ Miami Shores Village .Bond Metropolitan Dade County (C.C.F.) �1 l,t / /i�s/I �a ( sq.ft. = x/1000 x ¢.60) Inspector State Educational Fund $ (¢.005 /sq.ft.) State DCA (Radon) $ (¢.01 /sq.ft.) Code Enforcement Fine $ AO' /`°® (Specify & Attach) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION m CONDO ASSOCIATION APPROVAL (Attach) CJI BPR APPROVAL (Restaurants) CONTRACTOR REGISTRATION (On File) TTAL $ r CONDITION OF APPRO\ • f Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL a (305) 795 -2207 ° FAX (305) 756 -8972 o http : / /www.miamishoresvillage.com CONTRACTOR Name ?i-- } „,i - ( � c Yl License No. E CO(90 / 6 s / Address 1 3 ` ) E ) - ' 5 1 , ) 1alml Fz -33 g/ Teleph"630 S-11 /Q / (� 573ax Q'/ t7 -Ws-7 "T / ( ' f) ` 11q � Q Qualifier Naamp U Y PROPERTY OWNER New Construction Name ' Alteration Exterior Addr s 5 / G' .ves-i-. i ,emt ,rtos 3t Home Telephone ^ � Y' _ ^� / � / --93._.( l/> Business Telephone Relocation of Structure Fax Foundation Only TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must he taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. . 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. Address �} Apt. Folio Number /13 L Ole"- i /� / �v / Lot Block Subdivision PB PG Zoning Current Use of Property / Square Feet Units Floors Proposed Use of Property b< Value of Work / 4000 . coo Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. 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 PERMIT APPLICATION escription of Work Master Permit No. Subsidiary Permit No. ' 0 5 3(38 Zip Linear Feet ENGINEER Name License No. Address Telephone Fax r Page 2 PERMIT APPLICATION T A'I''OMA NT N OTI CS 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTEC1ED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. r AF,' . FIDAVly 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 FLORIDA, COUNTY OF MIAMI -DADE Signature of Owner Print Name Swom to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: SEAL: Personally known OR, Produced Identification Personally known Type of Identification Produced: 2 Swom to And subscribed before me this f[7 0>L ature of r otary State of Fl Publi OFFICIAL NOTARY SEAL byt cj` P� ANGELA M BECKER ^,ARSMIS2ON NUMBER 4 ; 4 1: Q CC786697 MY coNIA"•ISSION 00 ES uced I&FfitAicai1 n. Type of Identification Produced: 4 • Date Legal Description Owner/Lessee / Tenant PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address � / / i l l 1 Tax Folio /13 m' 0/ 4'o / 4 k' Owner's Address -675 E Contracting Co. POr Qualifier I �L� T(vyiL State # ,, Municipal # WORK DESCRIPTION APPROVED: Zoning Mechanical Signature of owner and/or Condo • 400 FEES: PERMIT : S / ' RADON C.C.F. Historically Designated: Yes Address PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN otary My Co NOTARY Master Permit # Building Electrical No V r Phone 4 76 13 Address MO /2ae e- SS# /Dr // - � / Phone ; 6 Ins. Co. Competency # Architect/Engineer Address Bonding Company - Address Mortgagor Permit Type (circle one): BUILD i " Square Ft. Estimated Cost (value) . ci V 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). 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 ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MEC CAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate= = _ - m ; • pliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above- - -�- 'ge a,r . • trac : • i f2N NO CC73 ss1O My — ,} er- Builder Date Date TOTAL DUE Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7 j4-9,c Job Address 9'0 if/6 94r Tax Folio Legal Description Historically Designated: Yes No Mi2aAJ o. /41, y Owner's Address ,57c 0 J( '7 /� Phone – 7 57<3 Contracting Co. – S F S Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Owner/Lessee / Tenant Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost (value) / 6 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 the work stated. Sign ature of owner and/or Con Prent ate 6. mss... , • 1ro8¢IC1AL NOTARY ' .t � i' SANDRA I MONTI Z r COMMISSION NUMBER 1x640 , ,m ' O 51v COMMIS O . P. �� FOr F�o �_ f,l�Ca��_` ..� Notary as to Owner and/or My Co FEES: PERMIT RADON Zact2 Master Permit # Signature of C +ntrac ±r .nom er -B • / Date Notary as to Contractor or Owner - Builder Date My Commission Expires: C.C.F. NOTARY BOND Q TOTAL DUEOI U' 3 APPROVED: Zoning Building Electrical ` j' c4 6 - �1`O Mechanical Plumbing Engineering Signa • WORK DESCRIPTION No My Commission Expires: 2 9 / ,24/, s o FEES: PERMIT 2 i 2 t& 5 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 'Date Job Address � Tax Folio Legal Description /� .c (( Historically Designated: Yes No Owner/Lessee / Tenant / ,IJ Imo/ f a.• I Master Permit # Owner's Address 5 v N E C/ y - Phone 7 7 0 Contracting Co. rS Address .Q «LU -4-e [ 3o / b / Qualifier /Lz SS# -, Phone 7/a -8 c f 7 o State # O Municipal # 9 5 00n 3 5 Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING --- Q `t'' _ S W 1 /.5 /V.;e .e , /-1/O 7 / / s`,("7-kQ tl Square Ft. Estimated Cost (value) / 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 an work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -nam; contracto to do the work stated. ,.. C6 ere ' d" I. ` pc, State of Florida M r es Aug. 15, 2001 e of owne Date Date LUMBING MECHANICAL ROOFING PAVING My Commission Expires: C.C.F. 4 1 NOTARY FENCE SIGN 4/ BOND TOTAL DUE gl--/ l7 r 5 APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering 6AN.APP'LICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ITEM BATH TIE BIDET LIGHT CUTLETS 0 I SMASHER DISPOSAL DRINKING FCJNTAIN FLOCK GRAIN GREASE TRW INTERCfPTCR LAVATORY OVEN 1 ABOVE GRCUIO TANKS LAUNDRY TRAY WATER HEATER / 4 .af U.F. PRESSLRE VESSELS CLOTHES WASHER MOTCRS 0- 1 If SOWER SINK, POT/3 CC6P SINK. RESIDENCE SINK. SLOP TEEWPCRARY WATER CLOSET LR I NAL WATER CLOSET INDIRECT WASTES WATER SLPPLY TO: PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION UNIT FEE ITEM SWITCH CUTLETS RECEPTACLES yo `'O J A/C (WIND) SERVICE TEMPORARY A/C (CENTRAL) SERVICE SIZE IN ASPS 1 DUCT WORK SERVICE REPAIR/6ETER CHANGE I REFRIGERATION RANGE TOP / MOTORS OVER 25-100 HP j COOLING TOWERS 1CTCRS OVER 10O If 1 V I OLAT ION A/C WINOOA AIR COIOITIONERS y 29 A/C UN I T STR IP HEATER / 7 FIRE SPR INKLER GENERATORS TRANSFCRSERS HEATER -NEW INST. GENERATORS TRANSFORMS HEATER- REPUCE LAWN SPRINKLER -WELL SY1111dwwG POOL WATER SERVICE SE'MER CONNECTIONS UT u.ITY-SEWER UTILITY -WATER SEPTIC TAM GENERATORS TRANSFORIERS SPECIAL PURPOSE OUTLETS C3IIERCIAL SIGN TUBES SIGN TRAILSFORIMS SIGN VIE CLOCK F IXMES � ' > S ANTENNA RELAY TELEVISIQI CURETS DRAINFIELD, 4' TILE/RES. PU1P & ABNOON SEPTIC TANK SOAKAGE PIT CU. FT. CATCH BASIN 0ISCHARGE WELL 001ESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER F IRE STAKPIPE POOI P IPING LAWN SPRIMIER SYSTEM 1S RAND )fTER SET (GAS) 3AS PIPING APPLIANCE CUTLETS 3 4 PROCESS AND PRESS PIPING MOTORS OVER 1- 3 HP 1 HOT WATER 80ILERS 1OTCRS OVER 3- 5 If ! MECHANICAL VENTILATION CTCRS OVER 5- 8 HP TRANSPORTING ASS&BL I ES 1OTCRS OVER 8- 10 HP I ELEVATORS/ESCALATCRS 1OTCRS OVER 10- 25 HP F IRE SFRINEER SYSTEZ VIOLATION RE INSPECTION ELECTRICAL MECHANICAL UNIT FEE ITEM 3 s o SPACE MATERS it / 24-g CENTRAL HEATING IJNDERGRCRO TANKS STEW BOILERS RE INSPECT ION UNIT FEE Date Legal Description Owner/Lessee / Tenant 6j2S 1 ('J ' 1 1 t I Owner's Address 6 5 0__ •fi _ P. S Contracting Co. Qualifier State # Municipal # Competency # Address Address Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BU WORK DESCRIPTION Signa Notary as My Comif PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 3 Job Address 5 N • £ ( S • 1 Tax Folio as l�enl0.,� Square Ft. Estimated Cost (value) 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 • -do .work stated. e of owner and/or Condo ' esiden 1PR P/49 R OFFICIAL NOTARY SEAL 16(Or CeOA(► �NSH , R . r4: CC378382 MY COMMISSION EXPIRES °E FV °... _r.... FEES: PERMIT g'5 RADON Dat Historically Designated: Yes No ss# , Phone Cif ? l t 54;x'7340, / 67 /1 Ins. Co. Address APPROVED: Zoning Mechanical Plumbing Master Permit # 1 /7 3- Phone ( - 4 5 — 5 c 3. A d d r e s s 3 6 `4/ L/ ( C PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN 1€5 7,6#730 l Notary as My Co Building Signature o ` •� OFFICIAL NOTARY SEAL B ‹, RAUL F ECHEMENDIA C.C.F. A ' 0 NOTARY BOND TOTAL DUE Electrical. Date Date • " I1 ! � • ;� rerOwner 2 0 u q MY COMMISSION EX' " ES (OFFVO J,1 r or Owner - Builder Engineering 0 • (Aid AP3LICA_:ON FOR BUILDING ?=p. -T MUST sCCOMPA T TZIS ADDENDUM. IF A MASTER PERMIT rAS BEM OBTAINED, TEE OWNER'S NOTAR.I_Z_] SICiIATUcRE NEB NOT BE PRESENT ON SUBSEQUENT APPLICATICWS. ) ITEM BATH TLB 810E7 DISHWASHER 0 I SPOSAL OR I NK I FG FCLNTA f N FLOOR CRAIN LEAS TRAP INTER TCR . -� L UVATCRY LAUMWRY TRAY CLOTHES 11ASrtER SHOWER. SINK. POT/3 CCrP SINK. RESIOECE SINK. SLOP PLUMBING i &FORARY WATER COO URINAL WATER CLOSET H C tRECT WASTES WATER SUPPLY T0: RELAY A/C UNIT FIRE SPRINKLER E TE IFZST. HEATER- REPLAa ! : N SRRIFIKL_R -HELL SIM61IN1G POOL • WATER SERVICE SERER 0ONNIECT1016 UTILITY-SEWER UTILITY - WATER Z9 TAW ORAINFIELD, a' TILE/RES. PULP 3 ABANDON SEPTIC TANK PIT CU. F7. CATCH' BASIN 01= WeL DOMESTIC nom• AREA CRAIN ROOF INLET SOLAR ;MATER :EATER FIRE STANCPIPE P c ?'PING L VIN SPRINKLER SYSTEM GAS METER E c GAS ?TING T SNITCH CUTLETS OUTLETS I RECEPTACLES I SERVICE GARY UNIT Fr.-. ITa LIGHT RANGE 7cP 0VE.' WATER !C.ATER W3TCRS OVER A/C N!?r N STRIP HEATER SPECIAL PLRP0SE 1' ■ • 1 - -:.rt S�J ELECTRICAL MECHANICAL SER. V a SIZE IN ALPS (y SERVICE REPAIR/1€TCR C.WE APPL INC OUTLETS W3TCRS 0- F HP SDTCRS OVER 1- 3 HP 13TCRS OVER 3- S .P SOTCIS OVER 5- 3 FP SD T CRS OVER S- 10 1P SOTCRS OVER 10- 25 %O T CRS OVER 25-100 HP 100 F� A IR C ITIONERS I SI ERATC1S TRAFtSFOR1al GZNERATCRS TRAFLSFOIII£RS C E'IERATORS TRAVCRISS 1 l 1 UNIT FEE (TEM SPAS HEATERS CENTRAL WATINu" A/C (111M3) A/C (CENTRAL) 0LCT 101( REFRIGERATION PRCU.SS AND PRESS ? IP UG Ut:ERM:UM TAM COOLING TONERS ABOVE GEM TANKS US . PRESSLRE VESSELS STEAM BOHL S POT WATER FILERS MECHANICAL VENTILATION TRAtiSPORTUG ASSE6LIES ELEYATCIS/ESCALA TORS FIRE SPRINCLER STSTENS VIOLATION RE f NSPECTION UNIT dt5 Permit No ` ; v APPLICATION FOR ELECTRICAL PERMIT Date' /I, 7- lO� 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 Registered Architect and /or Engineer Employing Electrician's Name �.��...dA Cry ' G No Y Street PO E /6 1 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No V.. 0 Street Ld 9 / S7 1 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No - Street LIE State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories /d O Service Overhead � Size Feeders �° Conduit / 7 'Main Sw l Amps Main Fuses Amps Type of Installation — Conduit (%"' Tubing B.X.L Metal Moulding iPeiv Xte/S / Guei Amount of Permit $ / 3 ca0 f✓ (Signed) w" ` (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and a is his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws • Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors o subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub' contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of 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. icy Master Electrician. 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. ACE H ATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIET. CAS. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK 1('9 dt5 Permit No ` ; v APPLICATION FOR ELECTRICAL PERMIT Date' /I, 7- lO� 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 Registered Architect and /or Engineer Employing Electrician's Name �.��...dA Cry ' G No Y Street PO E /6 1 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No V.. 0 Street Ld 9 / S7 1 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No - Street LIE State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories /d O Service Overhead � Size Feeders �° Conduit / 7 'Main Sw l Amps Main Fuses Amps Type of Installation — Conduit (%"' Tubing B.X.L Metal Moulding iPeiv Xte/S / Guei Amount of Permit $ / 3 ca0 f✓ (Signed) w" ` (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and a is his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws • Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors o subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub' contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of 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. icy Master Electrician. Permit No.. / 2 , c./() Overhead Service Underground Size Feeders Amount of Permit $ STATE OF FLORIDA, } t ss. COUNTY OF DADE. Before me the undersigned authority, a notary public, duly authorized to appeared . • MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement of the p ans and specifications henwith submitted for the buiding or other structure herein described This application is made in complia and conformity with the Building Ordinance of Miami Shores Village, Flo7ida, and all isions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of th•- Building Division of Miami Shor - Village shall be complied with, whe.her he-ein specf.ied or not. A copy of approved plans and specifications must be kept at building during ogress of wor Owner's Name and Address... Gun..&..Thompsen....550 .N.E.. 911.th Ste. Street. Registered Architect and/or Engineer Employing Electrician s Name. HART ELECTRIC No 3115'I. 40th street Miami, Fla • Location and Legal Descriptioi ot Block Subdivision Street and Number where work is to be performed—No ..550 N.E. 94th Street .Street. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Conduit.. .... Main Sw Amps..... . .. ....Main uses . ........... Amps Type of Installation—Conduit. . .B.X L . . .Metal Moulding. 6. 00 (Signed) ( id • 6 • C lectrival Inspector. The und rs'gned applicant for ti.•in building permit does hereby certify that he understands and accepts his obligations as an employer of iabo und- r the Florida Workmen's Compensation Act being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has omp11-..c1 with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be p rformed under this permit; and will post o. cause to be posted for inspection on the site of the wo k suc :. public notice or notices as are requir:d br the Act The undersigned agrees to . iploy only such sub contractors, on ork to be p.:rfori ed under this permit, as are licensed by Miami Shores Village Master Electrician. take acknowledgments, personally • 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 construLtion, and he hd carefully read the foregoin„ 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 workma SWITCH OUTLETS LICH' OUTLEC S PL,j0 REC 'P'T'S FIXTURES NO LAMPS REFRIO. OUTLET IRON OUTLET RANCE OUTLET RANGE CONN WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER Dryer TOTAL CONTR. LIST 10 1 1 6,00 CHECK ENT. 5 . DIST. CAB. SE V CE T MP. SERVIC7 PERM MOTORS 0.I HP MOTORS I. HP N N TRANr. R 010 TOTAL CONT Li T CHE K Permit No.. / 2 , c./() Overhead Service Underground Size Feeders Amount of Permit $ STATE OF FLORIDA, } t ss. COUNTY OF DADE. Before me the undersigned authority, a notary public, duly authorized to appeared . • MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement of the p ans and specifications henwith submitted for the buiding or other structure herein described This application is made in complia and conformity with the Building Ordinance of Miami Shores Village, Flo7ida, and all isions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of th•- Building Division of Miami Shor - Village shall be complied with, whe.her he-ein specf.ied or not. A copy of approved plans and specifications must be kept at building during ogress of wor Owner's Name and Address... Gun..&..Thompsen....550 .N.E.. 911.th Ste. Street. Registered Architect and/or Engineer Employing Electrician s Name. HART ELECTRIC No 3115'I. 40th street Miami, Fla • Location and Legal Descriptioi ot Block Subdivision Street and Number where work is to be performed—No ..550 N.E. 94th Street .Street. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Conduit.. .... Main Sw Amps..... . .. ....Main uses . ........... Amps Type of Installation—Conduit. . .B.X L . . .Metal Moulding. 6. 00 (Signed) ( id • 6 • C lectrival Inspector. The und rs'gned applicant for ti.•in building permit does hereby certify that he understands and accepts his obligations as an employer of iabo und- r the Florida Workmen's Compensation Act being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has omp11-..c1 with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be p rformed under this permit; and will post o. cause to be posted for inspection on the site of the wo k suc :. public notice or notices as are requir:d br the Act The undersigned agrees to . iploy only such sub contractors, on ork to be p.:rfori ed under this permit, as are licensed by Miami Shores Village Master Electrician. take acknowledgments, personally • 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 construLtion, and he hd carefully read the foregoin„ 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 workma NO. STREET PART OF LOT LOT BL'K SUBDIVISION 0 Billboards Other Apparatus Permit Fee Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. 1 Owner of Buildin %./ Contractor or Electrician aiami cShores }' llage FL OR ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , 19 LO CATI 0 N DESCRIPTION OF WORK N° 6'4 This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. Dated , 19 '. (Seal) -NO. STREET = PART OF LOT LOT BL'K SUBDIVISION Signs Billboards Other Apparatus Permit Fee Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee .f ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. aiami cShores9llage F L O R ID A OFFICE OF ELECTRICAL DEPARTMENT Owner of Building iia Shores Village, Fla., Contractor or Electrician this Department. LO CATI 0 N DESCRIPTION OF WORK N° _ 670 • This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by • , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. f , u 4 Dated ! ; 19 � �': 'i ,_ " s: � — � — a a ". , (Seal) BUILDING ELECTRICAL PLUMBING Owner of Building ERMIT N° 5997 Work to be performed under this Permit Architect Contractor or Builder Legal Lot Description Address of Building This permit is granted to the contractor or +u'lder named above to construct the building or to install the equipm cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wo plans, drawings, statements or specifications that may have been submitted to and approved by the proper municir at any time if the work is not done in compliance with such ordinances or if the plans are changed without autr permit is granted is the understanding that the contractor or builder named above assumes the responsibility regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the state, sibility for work done by his agents, servants or employees. � Signed. r. ' �� - / • INSPECT In consideration of the issuance to me of this permit I agree to perform the work covered hereun er in con. pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the ): In accepting tjliq permit I assume responsibility for all work done by either myself, my agent, servant or a ployee. • r A a MIAMI SHORES VILLAGE, FLORIDA DATE r k,` f ( - 194 i Subdi- vision Value of Project CONTRACTOR OR BUILDER BY Contractor's License No. Amt. of Perm 1 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building MIAMI SHORES VILLAGE. FLORIDA o PERMIT N? 2371 Lot DATE / 195 Contractor's License No. Work to be performed under this Permit B1 Subdi- vision Value of 1 Amount of Project $ i+ Permit $ This permit is granted to the contractor or builder named above to construc 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 assume s 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY e lUILDING LECTRICAL 'LUMBING ) ( j luilding weer of . .chitect 61/ : ontractor , r Builder .ega1 )escription ;,ddress of `.• ;uilding V Lot v r W ork CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORI PERMIT N° 5543 to be performed under this Permit Bl. Subdi- vision Value of Project DATE Contra License Amt. of Permit J This permit is granted to the contractor • builder named above to construct the building or to install the equipment or device described in the appli- ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any dans, drawings, statements or specifications that may have llgen submitted to and approved by the proper municipal authorities. This Permit may be revoked t any time if the work is not done in compliance with such ordinances or if the plans are changed ithout authorization. A further conditio )On - • this 'ermit is granted is the understanding that the contractor or builder named above asws s the on$ibility, for a thorough knowledge 'f ors'. ane and s egulations pertaining to the work covered hereby whether shown on the plan or drawm s or." the./stat is or specifications and tl as m- espon- ibility for work done by his agents, servants or employees. • /.! f . Signed: 1 By BY AUTHORITY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covereirtereunder in compliance with all ordinances and regulations ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. u accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. Permit No Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name ° -° Street and Number where work is to be performed —No. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date / 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 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. / N0.33 /(7. 49 ....Street No ` -r/ ....Street Location and Legal Description Lot _ Block Subdivision Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories 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•contraytors, pa work to be performed under this permit, as are licensed by Miami Shores Village. (Signed). ( Master Electrician. STATE OF FLORIDA. COUNTY OF DADE. I e'' 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. ACE H TER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP M OTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST jC /-L�- CHECK Permit No Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name ° -° Street and Number where work is to be performed —No. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date / 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 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. / N0.33 /(7. 49 ....Street No ` -r/ ....Street Location and Legal Description Lot _ Block Subdivision Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories 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•contraytors, pa work to be performed under this permit, as are licensed by Miami Shores Village. (Signed). ( Master Electrician. STATE OF FLORIDA. COUNTY OF DADE. I e'' 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 Application is hereby ma gir 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 ajl provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor Owner's Name and Address ___________� Registered Architect and /or Engineer Employing Electrician's Name () Location and Legal Description Lot APPLICATION FOR ELECTRICAL PERMIT Date_.L ---------------------- Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Block Street and Number where work is to be performed —Nor 5c`�__(_?_ °_ ! State work to be performed and purpose of building (By Floors) if ' r / L New Building Remodeling Addition.. Type of Installation— Conduit CP Tubing ____ —L B.X.L.______________.Metal Moulding (Signed) No ------------ - -'L_ll ei - Street /L i No.------------- - �' - - -- -- ° -- Street cf Subdi i ion___ Street_ _____ Service Overhead Size Feeders Conduit.____ Main Sw._ —___ —_ Am s. Main Fuses_ Underground P -- Repairs __ No. of Stories___/______ Amps. 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. R STATE OF FLORIDA, sa. - o v COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ — of the above described construction, that 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 r Elcctrican. 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 I CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -S HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No Application is hereby ma gir 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 ajl provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor Owner's Name and Address ___________� Registered Architect and /or Engineer Employing Electrician's Name () Location and Legal Description Lot APPLICATION FOR ELECTRICAL PERMIT Date_.L ---------------------- Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Block Street and Number where work is to be performed —Nor 5c`�__(_?_ °_ ! State work to be performed and purpose of building (By Floors) if ' r / L New Building Remodeling Addition.. Type of Installation— Conduit CP Tubing ____ —L B.X.L.______________.Metal Moulding (Signed) No ------------ - -'L_ll ei - Street /L i No.------------- - �' - - -- -- ° -- Street cf Subdi i ion___ Street_ _____ Service Overhead Size Feeders Conduit.____ Main Sw._ —___ —_ Am s. Main Fuses_ Underground P -- Repairs __ No. of Stories___/______ Amps. 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. R STATE OF FLORIDA, sa. - o v COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ — of the above described construction, that 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 r Elcctrican. 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 kLECTRICAL PLUMBING Owner of Building ) .ry CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE iZ& C- /+ PERMIT N? 5997 Work to b perfe` ed under this Permit Architect Contractor (1 or Builder • Legal Lot Description Addregs of Building This permit is granted to the contractor . builder named above to construct the building or to install the equipment or 'device described in the appli- cation heraor 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 one 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 responsi ty for , thorough knowledge of ordinances and regulations pertaining to the work covered hereby whether shown on the plans o gs o in + . tement or spe ifications • • . = ssumes respon- sibility for work done by his agents, servants or employees. `� /Wide " Bl. co Signed. Subdi- vision Value of Project Contractor's License No Amt. Permit By AUTHORITY 1947 In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance witl Jl and, relations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authbritfes of Miami Shisre In accepting s permit I assume respo sibility for all work done by ebher myself, my, nt, sirvant or loyee. � o w �Ib- 11a-1� Permit No //3 L � / vt / / L U Application is hereby made for the approv of t detail statement of the plans PP p a s 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 Amount of Permit $ STATE OF FLORIDA, j COUNTY OF DADS ) ss. appeared My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Fra go0/70Ay Registered Architect and /or Engineer — _ Employing Electrician's Name Of a at Street. Subdivision Location and Legal Description Lot Block — y Street and Number where work is to be performed —No > L7 ij.,�.DE -� /9� Street. State work to be performed and purpose of building (By Floors) ,/ :_(e id✓Yk^ New Building Remodeling Addition Y Repairs No. of Stories Service Overhead Site Feeders Conduit Underground Type of Installation — Conduit Tubing 1 ( Signed) E5 Ley •o? -E y l wai �e Vio y tomtnission Expi {es Feb. 9, 1972 Unclad 6y American Ore 8 Cti ually Co. NOTE: A re- inspection fee of $1.00 will be made when such re-inspection materials and /or workmanship. No T5 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 subcontractors, pn work to licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer Main Sw Amps Main Fuses Amps B.X.L Metal Moulding (Signed).. 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 c�efully read the foregoing application, and that he did sign therein b him stated are 884r f `� is :made N Date oaths eaYN L Street err Electrical Inspector. ccepts 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 perfor'. ••under this permit, as are Master Electrician. and take acknowledgments, personally the same, and that all facts L Notary Public, State of Florida necessary by improper notice for inspection, or faulty 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 LIST Q � (/ f� v 'r J CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O -I HP MOTORS 1 -3 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No //3 L � / vt / / L U Application is hereby made for the approv of t detail statement of the plans PP p a s 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 Amount of Permit $ STATE OF FLORIDA, j COUNTY OF DADS ) ss. appeared My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Fra go0/70Ay Registered Architect and /or Engineer — _ Employing Electrician's Name Of a at Street. Subdivision Location and Legal Description Lot Block — y Street and Number where work is to be performed —No > L7 ij.,�.DE -� /9� Street. State work to be performed and purpose of building (By Floors) ,/ :_(e id✓Yk^ New Building Remodeling Addition Y Repairs No. of Stories Service Overhead Site Feeders Conduit Underground Type of Installation — Conduit Tubing 1 ( Signed) E5 Ley •o? -E y l wai �e Vio y tomtnission Expi {es Feb. 9, 1972 Unclad 6y American Ore 8 Cti ually Co. NOTE: A re- inspection fee of $1.00 will be made when such re-inspection materials and /or workmanship. No T5 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 subcontractors, pn work to licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer Main Sw Amps Main Fuses Amps B.X.L Metal Moulding (Signed).. 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 c�efully read the foregoing application, and that he did sign therein b him stated are 884r f `� is :made N Date oaths eaYN L Street err Electrical Inspector. ccepts 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 perfor'. ••under this permit, as are Master Electrician. and take acknowledgments, personally the same, and that all facts L Notary Public, State of Florida necessary by improper notice for inspection, or faulty OORS I- IAIUHtS ONLY NUMBER OF TOTAL OUTLETS SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS MAIN SUBS BRANCHES ENT d (94'Pri�� /f b QQ D H A -83 LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION ,/ WILL BE RETURNED. LOT NUMBER ( 9 ) ° /�= ''. <{ BLOCK NUMBER SUBDIVISION / - �� F = \-=- STREET AND NUMBER I A � � ,�� +� + - , SIDF M .4. -' P , . _ ��1i1 OWNER % S `�wd ,,.4.,4f4(.... 1 .,.,\ 151 < OCCUPIED AS • BUILDING- -NEW OR OLD (UNDERLINE WHICH) CEILING l KIND OF INSTALLATION F BASEM FIRST SECON THIRD FOURT REMARKS MASTER ELECTRICIAN f)Q 11 trJ BY HO 2IA BRACKETS RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN RECEPTACLES x ROUGH WIRING FINAL No CORRECTED TEMPORARY DAYS. DATE ISSUED SWITCHES REMARKS APPLICATION ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your certificate of Approval, application is hereby made for an inspection of the s electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by In- spector. FEE REMITTED G ?k ?lci yiN SPECIFICATIONS STOVES OCCUPANT DATE NO lJ�.L 1 193 WORK -- ADDITIONAL, NEW. ALTERATION OR REPAIR H. P. OF EACH MOTOR VOLTS TOTAL AMPS PHASF WATER HEATERS SIGNS OPEN OR CONCEALED KNOB. RX.. BX.. MLDG.. CONDUIT. METALLIC TUBING SPACE BELOW FOR INSPECTOR'S USE ONLY OTHER APPARATUS INSPECTION WANTED ADDRESS INSPECTED 1 il4 r t ' l n I, I INSPECTOR 1 Permit No Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT p APPLICATION F'O'R ELECTRICAL PERMIT _ Date (� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No Owner's Name and Address Registered Architect and /or Engineer --------- Employing Electrician's Name 1 -___ ft�F ' ,2 _ 7 No.__s�- _(t'�'_%'_____________ ____ Street___ __ =L I 1 i i-__" O . 7 Location and Legal Description Lot c 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 e� Addition Repairs_ Service Overhead Size Feeders Conduit____ - -__ Main Sw.. Amps. Underground Type of Installation— Conduit Tubing ____ B.X.L. Metal Moulding .Block (Sigr.ed) (Signed Notary Public. State of Florida Street j O 4 / ":-° ' t' No. of Stories Main Fus4- _,_ Amps. 1 >/ 1l� ve t=— Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he underst. •':s and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gene aws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all cont-ors 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 o • 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 - contrac rs, on work o be performed under this permit, as are licensed by Miami Shores Village. Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths an stake acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is 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 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 REFRI G. 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 CHECK Permit No Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT p APPLICATION F'O'R ELECTRICAL PERMIT _ Date (� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No Owner's Name and Address Registered Architect and /or Engineer --------- Employing Electrician's Name 1 -___ ft�F ' ,2 _ 7 No.__s�- _(t'�'_%'_____________ ____ Street___ __ =L I 1 i i-__" O . 7 Location and Legal Description Lot c 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 e� Addition Repairs_ Service Overhead Size Feeders Conduit____ - -__ Main Sw.. Amps. Underground Type of Installation— Conduit Tubing ____ B.X.L. Metal Moulding .Block (Sigr.ed) (Signed Notary Public. State of Florida Street j O 4 / ":-° ' t' No. of Stories Main Fus4- _,_ Amps. 1 >/ 1l� ve t=— Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he underst. •':s and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gene aws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all cont-ors 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 o • 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 - contrac rs, on work o be performed under this permit, as are licensed by Miami Shores Village. Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths an stake acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is 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 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.