700 NE 94 St (8)IPERIVITIF AIFIFLIE CATION FOR IM[IIAMII SHORES VILLAGE
Date — /5— Of Job Address Tao n.9 ii 9 ST Tax Folio
Legal Description Historically Designated: Yes
/Lessee / Tenant D .'.
Owner's Address
7 o o rJ lc:- S `( J ' r A r.l Phone
Contracting Co. S t ri !� y $ ■ T7^ / eg.B ,t)" 41 7 Address L ( a J s.J 7 J e�
Qualifier aj ,.r "1 r d" 1. • Cr e. V iS /
State # C- 4 C.. ' S 7 .6 2 Municipal # Competency #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (tinge one): UILED NG (ELECTRICAL
WORK DESCRIPTION
Signature of owner and/or Condo President
6, (c-CA c 7 ) 1 4 2_ - (-i = Of
Notary as to Owner and/or Cons. President Date
My Commission Expires
% ,, ,, �, W Keith Phillips, IIII
v r Commiasion # C p
C 829610
;'9i grc Expires a Juno 9 14, 24)03
,v Of q
.'n Atlantic Bonding Co., Inc.
FEES: PERMIT ® 44''�O RADON
z - f � —
—Oa
Date
PLUM
/ C A 4
C.C.F. NOTARY
APPROVED:
Zoning Building Electrical
Mechanical
No a /
Master Permit # L SJ S
• (-( `(.3
SS# ' 1 - S Y -3S73 Phone 3 a r L (p k i t 2, 8 1 0
Ins. Co.
ENO M ECIEHANECAL ROOFING PASO FENCE SIGN
Square Ft. Estimated Cost (value) 2. 5( Lo.
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMIYIENCEMENT CO AND YOUR FAILURE TO DO SO MAY RIESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IIIF 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.
Notary as to Contractor or
My Commission Expires:
Signature of Contractor or Owner- Builder Date
Z - / .! _— O/
er- Builder Date
„at gy W. Keith Philli • a III
�fllntl(�lOri 8� p I
; CC 829610
1 . Plrea June 14, 3003
•� 8o adsd
' '''Rf��`"� Atlaatie Bondia Thru Co., Inc.
BOND
TOTAL DUE (
Plumbing Structural Engineer
PE
MI[T AIPIFILII(CATIION FO
MIIA li MU" VILLAGE
Date St- 94'..-a) Job Address 22 JJ, 4V-5K- Tax Folio // --
Legal Description
Owner/Lessee / Tenant
r- U7C 6 4ie
Qualifier k-Ad R24-6/:
Owner's Address _7�
Contracting Co.
Historically Designated: Yes
✓� �' :l; /h ,�►i : ster Permit # °'T 4.3y
,1VC Address taw/ Sai /170° e
ss# ,Q 5c
-9x
State # C, (e/5 lob Municipal #
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (sirclle one): et;UILDIN 1ILECTRIICAL )IPILUM]BIING MECHANICAL ROOFING PAVING FENCE SIIGN
WORD DESCRIPTION `1{ - G��/�'� S�/ l /�✓3 9
4-. 57 47 . h 1 . 4�"'
Square Ft. Estimated Cost (value)
APPROVED:
Zoning
Mechanical
FEES: PERMIT,/� RADON
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
C.C.F.
Competency #
Address
Address
Address
Phone
7 c* %-- / 9 q
Ins. Co.
WARNING TO OWNER: YOU MUST RECORD A NOTICE OIF COM `MENCEMENT AND YOUR IFAIILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FO IMPROVEMENTS TO YOUR IP' • OPERTY OIF YOU INTEND TO Ib IsTAIIN FINANCING,
CONSULT WIITIIII YOUR LENDER OR AN ATTORNEY BEFORE RECO i TING [P YOU r 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.
1 l
Signature of Contractor
uilder
No
Date
Notary as to Contractor or Owner -Ber Date
My Commission Exp
NOTARY
.\PP.Y Pei OFFI ;IAL NOTE. ^Y SE% -. h
O. '/ BARBARA ANN FUGAi'.7-i
5 ,f,r':� �} CO0.9I it tlEEl
g .ajr..; , Cr C C 3 6 ®1 9 tl
- � � ry corfl ,ISSION EXP.
e OF I'V. (,:,,�, .'
BOND
I
TOTAL DUE
ikw
Building Electrical -/
Plumbing Engineering
Legal Description
WORK DESCRIPTION
Signatu
Date:
APPROVED:
IPER AIFIPLII(CATIION FOR IiiIIIAR/iIII S IHI
Date Job Address_70O si/2t fl `
Owner / Lessee / Tenant _ A)4L e
Owner's Address 2 4!I 5
Contracting Co.
Qualifier �"
State #a *I "6 3Municipal I
• Notary as a�
My Commission Expire
/
president
um ROSLES
sion
4, 199
:^wxr �.
or Condo President
* 0
FEES: PERMIT r ®F RADON
Zoning
Mechanical
Square Ft. Estimated Cost(value)
OWNER'S AFF,DAVIT: I certify that all the foregoing information is
be done i ance with all applicable laws regulating construc
author i h a ve -named contractor to do the work stated.
tt * rc
Tax Folio
, ,
Signat.
Date:
Notary as tacamm
My Commission'Lxpires:
Building
Plumbing
TRIES VIIILLA GIE
Master Permit # _3
Phone
Address ' J ,v4)
SS# / - -- 5-70 Phone .5"..r. M4-
Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDIN
AL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
fi t'
WARNING TO OWNER: YOU OUST 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 nd MECHANICAL WORK.
curate and that all work will
and zoning. Fur'ermore, I
-Builder
AL
or or
OFFICI
JULIO o:
y 0 M m tres
rgilder
* tr a * ti• **
C.C.F. NOTARY TOTAL DUE
Fire Other
Electrica
Engineering
Service Underground
Size Feedersid
STATE OF FLORIDA,
COUNTY OF DADE. Il
SS.
` AMU SGT O ES V LEA E
ELECTRICAL INSPECTION DEPARTMENT
A LlCATQ N FEM CLLCTMCQL, p[ RMOT
0
Registered Architect and /or Engineer . ',-
Employing Electrician's Name 3- '- 't
Location and Legal Description Lot / /
Street and Number where work is to be performed —No
Type of Installation — Conduit Tubing B.X.L
Permit No Date t
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 keptr.at
building during progress of work. ,
Owner's Name and Address ! �
JxC No �)r, \
Block Subdivision %` �3 �G /s )-/
7 / I ' Street :(
State work to be performd and purpose of building (By Floors) C-- v }
New Building Remodeling Addition Repairs No. of Stories
Conduit��'.l� Main Sw Amps Main Fuses Amps
Amount of Permit $ t� (Signed)
rical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig t s as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P anent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on wor to be perf p. reed under this permit, as are
licensed by Miami Shores Village.
(Signed)
7 G
No l Street )9'
Metal Moulding
1 1 A- r 9 . 2 (/'
Street
Master Electrician.
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
RECCE'P•T•S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
/0,40c1":0
� L�
'-"-> V l
RANGE
CONN.
WATER
HEATER
� N
W. HEAT.
CONN.
SPACE
HEA /ER
STRIP
HEATER
TOTAL
CONTR.
LIST
1St 7
X /
`
,S.:70°
2 Fil
`�-
.D
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
®e' U
q
L:�a
• .
MOTORS
0.1 HP
MOTORS NEON
1.5 HP TRANS.
RADIO
TOTAL
CONTR.
1 ,- " °.
7...--,..r,
SA
C31?
�. 4Gt�,E F)
CHECK
.1- ff.:O \ C • 4 - % 1/
Service Underground
Size Feedersid
STATE OF FLORIDA,
COUNTY OF DADE. Il
SS.
` AMU SGT O ES V LEA E
ELECTRICAL INSPECTION DEPARTMENT
A LlCATQ N FEM CLLCTMCQL, p[ RMOT
0
Registered Architect and /or Engineer . ',-
Employing Electrician's Name 3- '- 't
Location and Legal Description Lot / /
Street and Number where work is to be performed —No
Type of Installation — Conduit Tubing B.X.L
Permit No Date t
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 keptr.at
building during progress of work. ,
Owner's Name and Address ! �
JxC No �)r, \
Block Subdivision %` �3 �G /s )-/
7 / I ' Street :(
State work to be performd and purpose of building (By Floors) C-- v }
New Building Remodeling Addition Repairs No. of Stories
Conduit��'.l� Main Sw Amps Main Fuses Amps
Amount of Permit $ t� (Signed)
rical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig t s as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P anent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on wor to be perf p. reed under this permit, as are
licensed by Miami Shores Village.
(Signed)
7 G
No l Street )9'
Metal Moulding
1 1 A- r 9 . 2 (/'
Street
Master Electrician.
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.