898 NE 95 St (7)Date
Legal Description
e r / Lessee / Tenant
Owner's Address
Contracting Co. �(
Qualifier TO n! c• Cq
Fa
State # Municipal #
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDIN ELECTRICAL T[,UMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
I-
Co ire
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 zoq Furthermore, I
author r ove -..med contractor to do the work stated.
//
Notary as to Owner an
My Commission Expir
** * * *
APPROVED:
Zoning
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address ( 1;11" S
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My Comm Exp. 1/02199
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140. CC431261
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FEES: PERMITJ3 / 4P4° RADON
Tax Folio /1'3 )-04— 0/4- 2 590
Master Permit 4fr
Phone
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Address Cln/.�r U/t rc- ,►�
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Phone
Competency # Ins.Co.
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Signature of Contractor or Owner- Builder
Date:
Notary as to Contractor or Own
Builder
My o l A �l e o aidCF1EZ
MY COMMISSION # CC 383081
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C.C.F. ..50 NOTARY TOTAL DUE 3-<g
Fire Other
Building Electrica
Mechanical Plumbing Engineering
Permit No
1173
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
Location and Legal Description Lot Block
Street and Number where work is to be performed —No '." ( �" Z
New Building Remodeling Addition
Overhead
Service d Size Feeders
i , , 4
Amount of Permit $
STATE OF FLORIDA, f
COUNTY OF DADE
ss.
A
n
FLU[ ATII FC1 ELECTRICAL - ER IT
licensed by Miami Shores Village. g 7
MIA y` 0 SHORES VELLAGI
ELECTRICAL INSPECTION DEPARTMENT
'J
1 Conduit./ . "1.t Main Sw..../ / Amps
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, on work to
Date / ° 3
No Street
Registered Architect and /or Engineer.
Employing Electrician's Name `® No Street
State work to be performed and purpose of building (By Floors)
Street
Repairs No. of Stories
( Signed) ": iV
f 0-0
Main Fuses
Type of Installation — Conduit Tubing B.X.L Metal Moulding
(Signed)
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 performed under this permit, as are
Subdivision
Amps
Master Electrician.
Before me, the undersigned authority, a notary p b l c, duly authorized to administer oaths and take acknowledgments, personally
appeared 1 "�..
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
NO : A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
mate, s and /or workmanship.
SWITCH
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LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
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Permit No
1173
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
Location and Legal Description Lot Block
Street and Number where work is to be performed —No '." ( �" Z
New Building Remodeling Addition
Overhead
Service d Size Feeders
i , , 4
Amount of Permit $
STATE OF FLORIDA, f
COUNTY OF DADE
ss.
A
n
FLU[ ATII FC1 ELECTRICAL - ER IT
licensed by Miami Shores Village. g 7
MIA y` 0 SHORES VELLAGI
ELECTRICAL INSPECTION DEPARTMENT
'J
1 Conduit./ . "1.t Main Sw..../ / Amps
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, on work to
Date / ° 3
No Street
Registered Architect and /or Engineer.
Employing Electrician's Name `® No Street
State work to be performed and purpose of building (By Floors)
Street
Repairs No. of Stories
( Signed) ": iV
f 0-0
Main Fuses
Type of Installation — Conduit Tubing B.X.L Metal Moulding
(Signed)
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 performed under this permit, as are
Subdivision
Amps
Master Electrician.
Before me, the undersigned authority, a notary p b l c, duly authorized to administer oaths and take acknowledgments, personally
appeared 1 "�..
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
NO : A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
mate, s and /or workmanship.