736 NE 94 St (7)Date
Type In
Permit No.
MIAMI SHORES VILL
BUILDING DEPARTME
305- 795 -2204
Building Inspection Request
Name f
Address 6v Le
Company
Phone #
For Inspector:
Approve
Correction
Re- Insp'n Fee
Time
7 , s - t , IL 7 -0
rn Name &
` /contracting Co.
nature of owner an
Notary as to
My Commis
FEES: PERMIT
PERMIT APPLICATION FOR MIAMISIDIRI Nft.LAcE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • PhDne: 30585:2304 • Fax '315- 756 -8972
Date Job Addres!' 73 6 NE E 9 L( S4
Legal Description Historically
Owner /Lessee/Tenet
wner's Address 3 to N E eN f _S.( •
Qualifier SS#
State # Municipal #
WORK DESCRIPTION: 2 .v • 5
or ondo President
1,
,r 5�
, Conn• 7r; t # CC94B,Rkei
t/
RADON
, ,o
Date
ate
C.C.
Tax Folio
•
• • •
. •
• •
Designatta: •Yep
alb
• •••
• • .
• • • • •
• • • •
• • • • • • No
• • •
• • �� ---- t L i �
Master Permit # r Y 3 - c6Y -i • • • •• ••• •
. •• • •
one. • (/ • �� S
•• • • • • • ••. ••
ddress
n
Competency # Ins. Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 550.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ELECTRICAL .�
PLUMBING MECHANICAL ROOFING
D ,I ,Sao C°OVKJP69S01- 1 k ' " e ?yen/
cueoge. 44'Co sA gw /'%' A'V /Y r 7Yr_ seo,ve /g • /Prc Atv4, 418,-.
Square Ft. Es mated Cost (value) , O
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN
YOUR PAYLNG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). 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 all disciplines.
OWNERS AFFIDAVIT: 1 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.
S gnature of Contractor or Owner Builder Date
Notary as to Contractor or Owner Builder
My Commission Expires
Date
NOTARY BOND
APPROVED: TOTAL DUE
Zoning Building Electrical
Mechanical Plumbing Structural Engineer
��
• TH TU3
UNIT
FEE
ITEM
SWITCH CURETS
UNIT
1....v.
• �TE�1 � '.' '••
•
SPACE HEATERS •
UNIT
FEE
CET
LIGHT CURETS
CEUTRAL.IEAT'PG ••
S- ASTER
RECEPTACLES
•
. : •
. A/C •(YM 6) • • • •
OSAL
SERVICE TEWORARY
. •
• • •O. NO AU. • •
;INKING FOUNTAIN
SERVICE SIZE IN ASPS
DUCT WORK
.00R DRAIN
SERVICE REPAIR/1ATER CHANGE
REFRIGERATION
;.EASE TRAP
APPLIANCE CURETS
PROCESS AND PRESS PIPING
ITERCEPTCR
RANGE TOP
UNDERGROUND TANKS
;VATCRY
OVEN
ABOVE GROUND TANKS
=UNORY TRAY
RATER HEATER
U.F. PRESSURE VESSELS
-OTHES WASHER
MOTCRS 0- 1 FP
STEAM BOILERS
-0'WER
MoTCRS OVER 1- 3 FP
HOT WATER BOILERS
.NK. POT /3 COMP.
MOTORS OVER 3- 5 FP
MECHANICAL VENTILATION
INK. RESIOENCE
M]TORS OVER 5- 8 FP
TRANSPORTING ASSEMBLIES
:NK, SLOP
MOTCRS OVER 8- 10 FP
ELEVATORS/ESCALATORS
:+FCRARY WATER CLOSET
MDTCRS OVER 10- 25 HP
'
FIRE SPRINKLER SYSTEMS
1INAL
MOTORS OVER 25-100 FP
C00LING TOWERS
;TER CLOSET
MOTORS OVER 100 FP
VIOLATION
.IIRECT WASTES
A/C WINDOW
REINSPECTION
;TER SIPPLY TO:
AIR CONDITIONERS .
;2,
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER- REPLACE
GENERATORS TRANSFCRIIRS
LAWN SPRINKLER -WELL
SPECIAL PIRPOSE
SNIMdMHG POOL
•
CUTLETS COMERCIAL
WATER SERVICE
SIGN TUBES
WER CONNECTIONS
SIGN TRANSFOAI,ERS
'ILITY -SEWER
SIGN TIME CLOCK
'ILITY -WATER
FIXTURES
: ?TIC TANX
ANTENNA
:LAY
TELEVISION OUTLETS
AINFIELO, 4' TILE/RES.
VIOLATION
.W & ABANDON SEPTIC TANK
REINSPECTION
'WAGE PIT CU. FT.
.TCH BASIN
SC ARGE WELL
N.ESTIC WELL
EA DRAIN
CF INLET
LAR WATER HEATER
AE STANDPIPE
Cl PIPING
•
NM SPRINKLER SYSTEM
S RANGE
TER SET (GAS)
S PIPING
AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANT THIS ADDENDUM . IF A MASTER PERHIT HAS B.
:,STAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE OM Sin IZQt.T NT APPLICATIONS. )
• • ••
1 • • • • • • • •
•
•
- . . ••• •
• • • • . .
ELECTRICAL • •••• MECHANICAL
PL•UMB -
C
• •••
• •••
•
Timothy Barnum
736 NE 94 Street
Miami Shores, FL 33138
Electrical wiring for 2 new original 2.5 -ton central A/C wterres. • • • . :' • • • •
• • •
•
Condensers (2): •• • • ' ' • ' • •
.. . ......
Two condensers side by side.
Panel to condensers -- One 1" PVC conduit to 6x6x6 weatherproof junction box.
With four #8 THNN wire and one #8 ground wire.
At junction box 3 /4" seal -tight to weatherproof 40 amp non - fuseable disconnects
At Panel two, 2 pole, 40 amp breakers.
Air Handlers w/ 7.5w heaters (2):
3 /4" PVC conduit from panel to each air handler.
With two #6 THNN and one #6 ground in each conduit
Handlers have built in disconnects.
At Panel two,2 pole 50 amp breakers.
'A" PVC from each air handler to each compressor
With 18/2 thermostat cable.
Thermostats (2):
Surface mount 18/5 Thermostat cable from air handlers.
PRIOR TO INSTALLATION OF ROUGH
ELECTRIC Vv
CHECK NAMEPLATE DATA OF A/C
EQUIPMENT, HOT WATER HEATERS
AND OTHER EQUIPMENT TO OBTAIN
CORRECT WIRE SIZES AND
OVERCURRENT PROTECTION.
ADEQULM SEQVYCO CQpQCG117
a3t!ISp DE1 PR@VUDHD.
SUBJECT TO ELECTRICAL
INSPECTION.
••
• • • • ••• • •. • •
• • • •• • • •
•
• • • • • •••
•
• • ••• • • •
• • • •• •
• • •••
• . • • • • • • • • •
• •
• • • • •
• •
MIAMI SHORES VILLAGE
BUILDING AND ZONING DEPARTMENT
10050 N.E. SECOND AVENUE
MIAMI SHORES, FLORIDA 33138 -2382
HOMEOWNERS ELECTRICAL TEST
1. Switches shall •e so wired that all switching is done only
in the b �� a 4-conductor.
(a) ungrounde• (b) grounded
(c) neutral (d) black
2. Hanging fixtures, where located directly above any part of
the bathtub shall be so installed that the fixture is not
less than 0 feet above the top rim of the bathtub.
(a 4 (b) 6
(d) none of these
3. A conduit or tubing is permitted a 60o conductor fill when
used
(a) in a hazardous (classified) location
when lead conductors are used
it meets the requirements for a 24 inch or less nipple
none of these
4. Where nipples 24 inches or less are used, the ampacity
adjustment factors for more than 3 current carrying
• ductors to this condition.<-
does not apply (b) shall be applied
5. The combined cross - sectional area of four or more conductors
shall not exceed In % of the interior cross-
115 s tional area of the raceway.
40 (b) 50
c) 70 (d) 80
6 Conductor sizes are expressed in 7 or in circular
mils.
(a) voltages (b) American wire gauge
(c) Browns wire gauge (d) kcmil
7. Where the outlet box will provide adequate support, a
fixture weighing up to t- pounds may be supported
by that box.
(a 6 �' ! 30
6 50 75
46
(a) 4
(c) 8
8. Where conductors of different insulations are run together,
the maximum operating temperature is a,
(a) the temperature of the lowest conductor temperature
rating
(b) the ambient temperature
(c) the ultimate insulation temperature
(d) limited by the ampacity
9. A small appliance circuit in a, dwelling unit shall not
supply an outlet for the
•
(a) dining room
(b) pantry
allway (d) refrigerator
10. At least inches of free conductor shall be left at
each outlet, junction, and switch point for splices or
connections.
(b) 6
(d) 10
11. Service conductors: 240 volt, terminated at a through -the
roof- raceway, and less than 4 feet conductors pass over the
roof overhang. The mini 'a clearance above the roof is
(a) 12 in. b 18 in.
(c) 2 feet ) 3 feet
13. The tables in Article 310 are based on temperature alone and
7 do not take into consideration.
(a) continuous loads voltage drop
(c) insulation (. wet locations
12. Insulated conductors of No. (y or smaller, intended for
use as grounded conductors of circuits, shall have an outer
identification of a white or natural gray color.
(a) 2 b 3
(c) 4 6 (e) 8
14. Made electrodes shall have a resistance to ground of GZ.
ohms or less.
(a) 25
(c) 100
(b) 50
(d) 200
15. In kitchens and dining areas, a receptacle shall be
installed at each countertop space wider than (fit,
(a) 12 inches (b) 18 inches
(c) 2 feet (d) 30 inches
16. In multiwire circuits, the continuity of the
conductor shall not be dependent upon the device
connections.
I. hot II. -utral III. ground
(a) I only () II only
(c) III only c) I, and II
17. An outlet box contains two cable clamps, six no. 12 wires,
and one single pole switch. The minimum size box for this
combination would be a cubic inches.
(a) 12 (b) 13.5
(c) 14.5 ® 18
18. Receptacles rated C- amperes or less and directly
connected to aluminum con tors shall be marked CO /ALR.
(a) 15 b 20
(c) 30 (d) 50
19. When six current carrying conductors are run in the same
conduit or cable, the ampacity of each conductor shall be
I reduced t %.
(a) 90 b 60
(c) 40 ,D 80
20. No point along the floor line in any useable wall space may
be more than dor feet from an outlet in a dwelling
unit.
(b) 10
(d) 3
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: EL2003 -89
Printed: 4/10/2003
Applicant: IGTAFtierREM rv9t.1,4
Owner: -MAS€R gc�r n� NevN
JOB ADDRESS: 736 NE 94
Contractor
Local Phone:
Parcel # 1132060141680
This Permit is granted to the contractor or builder named above to construct the b " "
ordinances pertaining thereto and with the understanding that the work will be perfon
and approved by the proper municipal authorities. This Permit may be revoked at ar
authorization. A further condition upon which this permit is granted is the understanc
ordinances and regulations pertaining to the work covered hereby whether shown on
by his agents, servants or employees.
Signe
In consideration of the issuance to me of this permit, I agree to perform the work ccl
with the plans, drawings, statements or specifications submitted to the proper authors
myself, my agent, servants or employes.
SPECTOR)
Electrical Permit
(Contractor or Bu
MASER -8q r n �( w
MAI , of
ST
Contractor's Address:
PA Yio the
order o f-
y
Page 1 of 1
Legal Description: 5-6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOT 11 & E1/2 LOT 12 BLK 65 LOT SIZE
POULA -qk T 0
Total Fees:
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 6/21/2003 Construction Value: $500.00
Work: 2 new 2.5 ton central a/c panel to side /side condensor / "pvc #8 wire to weatherproof disconnect, panel to airhandler each pvc thinwire 1/2 pvc air
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
SOUTH BEACH COMPUTERS
736 NE 94 ST.
MIAMI SHORES, FL 33138
COLONIAL t
Miami Beach, F1 Colomg1 Connection 1 -877r
For
1:06 700 L 5 LBO:
Date
L2 LB
1814
63- 151/670
01
$ e
Dollars el
MIAMI SHORES VILLAGE
BUILDING DEPARTMEN
305- 795 -2204
Building Inspection Request p�
Date Time ( ` at
ype Insp'n
Permit No.
Name
Address
Company
Phone #
For Inspector:
Approved
Correction ❑ l /�1 �y��
Re- Insp'n Fee ❑
ky‘Pr/ �jS�L
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Reques
Date
Type Insp'n
Permit No. --
Name L -- )zo l,
Address / /\(E7- /
Company��
Phone #�,3
For Inspector: Name &
Approve • `� / L 7/ �.
Re- Insp'n Fee ❑
Time
,t f�G
t'J?
VillPQe of Miami Shores
JOB
N° 4504
ADDRESS�j/ C �
INSPECTION
TIME READY 7 - 3
REMARKS , )1z,
INSPECTOR DATE
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No.. 5 3 Z Date 4 ��
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. / p
Owner's Name and Address 11 u.. /.P V � `�
. � �
No St reet.. ft E%
Registered Architect and /or Engineer
Employing Electrician's Name l/ 1 s 6 Street .... f
Location and Legal Description Lot Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $ i
o �
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
licensed by Miami Shores Village.
My Commission Expires
(Signed) Pa/
(Signed)
STATE OF FLORIDA, }
COUNTY OF DADE.
Street..
Subdivision
U
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
Notary Public, State of Florida
Mater 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.
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
REPRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS NEON
1.0 HP TRANS.
RADIO
TOTAL
CONTR.
LIST
l
f
0
-A%1 ( v:4 e
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No.. 5 3 Z Date 4 ��
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. / p
Owner's Name and Address 11 u.. /.P V � `�
. � �
No St reet.. ft E%
Registered Architect and /or Engineer
Employing Electrician's Name l/ 1 s 6 Street .... f
Location and Legal Description Lot Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $ i
o �
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
licensed by Miami Shores Village.
My Commission Expires
(Signed) Pa/
(Signed)
STATE OF FLORIDA, }
COUNTY OF DADE.
Street..
Subdivision
U
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
Notary Public, State of Florida
Mater 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.
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.
w
NO.
STREET
PART OF LOT
LOT
BL'K
SUBDIVISION
736
h ''' E •
Other Apparatus
Permit Fee
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
/
_
• .7�
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
•
Owner of Building Mk-. A P rt !r
C actor or Electrician I0. L To v
iami cShores9llage
F L O R ID A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla , / v £ ' I9
LO CATI 0 N
N° 418
DESCRIPTION OF WORK
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.
•
DatedihJ ,�7 , 19
�G,C ► TTIE
t -` ,El ectrical 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.
(Seal)
NO.
Motors
STREET
PART OF LOT
LOT
BL'K
SUBDIVISION
7 ."
.' r
/ , L . 7 "�
-- i ,' _ ,...
.4.,
Permit Fee
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
/
/ i ,,,,, .......
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building 411" 1)1 f r ` I r
Contractor or Electrician ! 1 k':` ' 6 V, fy
this Department.
r °
.
91
19 "
iami chores J illage
F L O R ID A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla , ') 4 L . � "� 19
DESCRIPTION OF WORK
LOCATION
(7 . & , T
N9 418
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
•
)1* C
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 ,7
�► ,r' ,Electrical Inspector.
t ..,�
(Seal)
OUTLETS
MOTORS
RECEPTACLES
GENERATORS
STOVES
WATER H'TERS
SIGNS
BILLBOARDS
OTHER APPARATUS
MAIN
SUB
BRANCH
Basement
First
FLOOR
NUMBER OF
SIZES OF
INSULATION
OPEN OR
CONCEAL'D
NUMBER OF
CIRCUITS
OUTLETS
MOTOR
GEN.
MAIN
SUB
BRANCH
Basement
First
Second
Third
Fourth
Other
Floors
. —r
Application is hereby made for issuance of permit for electrical installation as described below, and for
inspection of same after installation:
Owner
Building Contractor
Electrical Contractor
Location of proposed work: Lot '` Block
Details of proposed work:
Number of Motors
Signature of Applicant
r
H P
aiami Jhores91llage
F L 0 A I D A
APPLICATION FOR ELECTRICAL PERMIT
Address
Building: Old or new Number of stories Used as
Description of proposed work
Volts .Amps Phase
Additional Information
Address (if other than owner or contractor) }
(SPACE BELOW FOR INSPECTOR'S USE ONLY)
Date
6 /k 14 ,/-
de( / K
t 193 1
Subdivision ''
e et
Work begun Inspected ` `r
Work finished Final inspection I
, Inspector
FLOORS
FIXTURES ONLY
NUMBERS OF
TOTAL
SIZE OF
IZE SERVICE
CONDUIT
No.
CIRCUITS
LIGHTS
CEILING
BRACKETS
OUTLETS
MAIN
SUBS
BRANCHES
BASEMENT
4
FIRST__ _
SECOND
THIRD
FOURTH
A -03
APPLICATION NO.
DATE 41 193 -
ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI
Desiring your certificate of Approval, application is hereby made for an inspection of the 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 Inspector.
LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. A AGES MUST BE FILLED .0 R APPLICATION
`7IL ,RE RETURNE
LOT NUMBE' B OGK NUId BSR SUBS VISION
STREET AND NUMBE
OWNE
OCCUPIED AS
BUILDING - -NEW OR OLD (UNDERLINE WHICH)
H. P. OF EACH MOTOR
CEILING BRACKETS RECEPTACLES SWITCHES STOVES 1 WATER HEATERS 1 SIGNS
`
KIND OF INSTALLATION
RECEIVED BY INSPECTOR - "`� _�" INSPECTED
PROGRESS
WILL INSPECT AGAIN
ROUGH WIRING
FINAL No
CORRECTED
TEMPORARY DAYS. FEE REMITTED
DATE ISSUED
OPEN OR CONCEALED
SPACE BELOW FOR INSPECTOR'S USE ONLY
REMARKS
SPECIFICATIONS
r
VOLTS_
V 1
OCCUPANT
WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR
TOTAL AMPS PHASE
za ate'
OTHER APPARATUS
_KNOB, RX., BX., MLDG., CONDUIT, METALL TUBING
INSPECTOR
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This appliation 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.
Owners Name and Address ic tom- (h (--
Registered Architect and /or Engineer
1
Employing Electricians Name . A
Location and Legal Description Lot Block Subdivision
ti
Street and Number where work is to be performed —No 1 1.g. }�:Q.= .....�..t
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories.
Service Overhead Size Feeders
Underground
Type of Installation -- Conduit
C) 'mot
Amount of Permit $
ESTATE OF FLORIDA, 1
COUNTY OF DADE.
Conduit.
Tubing
tr? -
ss.
•
B.X.L
No 7
Street it-
4
e .
(Signed) :..r:...
to administer
Date...: =
Street
Main Sw Amps .Main Fuses. .Amps
.Metal Moulding
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands and accepts
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by hill 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 subcontractors, on work to be performed under, this permit, as are
.licensed by Miami Shores Village.
d
L(1.C. ' .0
Electrical Inspector.
s obligations as an employer of
rida Permanent Supplement, and
:Master ..Electrician.
oaths and ..take icknowledgments, personally
Before me, the undersigned authority, a notary public, duly authorized
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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'7'S
FIXTURES
NO. LAMPS
RE ►RIO.
OUTLET
IRON
OUTLET
RANO(
OUTLET
RANGE
CONN.
WATER
NEATER
W. NEAT.
CONN.
ACE
Nt/1 TER
STRIP
NEATER
TOTAL
CONTR.
LIST
CHECK
•
ENT.
SW.
DIST.
CAS.
SERVICE
Tamp.
SERVICE
PER M.
.0 i S14
1. iSi4 ,
V P .
'D.S GaS A4tOTORS
0.1 HP
MOTORS
1.0 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
.
CHECK
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This appliation 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.
Owners Name and Address ic tom- (h (--
Registered Architect and /or Engineer
1
Employing Electricians Name . A
Location and Legal Description Lot Block Subdivision
ti
Street and Number where work is to be performed —No 1 1.g. }�:Q.= .....�..t
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories.
Service Overhead Size Feeders
Underground
Type of Installation -- Conduit
C) 'mot
Amount of Permit $
ESTATE OF FLORIDA, 1
COUNTY OF DADE.
Conduit.
Tubing
tr? -
ss.
•
B.X.L
No 7
Street it-
4
e .
(Signed) :..r:...
to administer
Date...: =
Street
Main Sw Amps .Main Fuses. .Amps
.Metal Moulding
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands and accepts
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by hill 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 subcontractors, on work to be performed under, this permit, as are
.licensed by Miami Shores Village.
d
L(1.C. ' .0
Electrical Inspector.
s obligations as an employer of
rida Permanent Supplement, and
:Master ..Electrician.
oaths and ..take icknowledgments, personally
Before me, the undersigned authority, a notary public, duly authorized
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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.
Total
Ceiling
Bracket
Receptacle
Switch
Bell
Floods
Sub -Feeds
SERVICE
Outlets
Transformers
AMP.
/ '',% � MP.
11 FORM 63 REV.
ELECTRICAL INSPECTION DIVISION
BUILDING DEPARTMENT
P. O. BOX 708
i�pG du ` �f
I hereby make application for an electrical ermit to install or change electrical wiring in or
on the premises described below. I agree to comply with all the rules and regulations govern-
ing electrical installations in the City of Miami. 7
LEGAL DESCRIPTION:
Lot
Address ,„ °
Building Occupied as:
New Construction
ROUGH WIRING
Equipment & Special Outlets
Firm /
Name I V �
Date
Application Received
Final OK No.
OK for
Block
2
ROUGH WIRING
Subdivision
Existing Structure
Owner or
Occupant
Stove
Wash.
Machine
Display
Case
Master
Electrician
Water
Heater
Drier
Streamer
(Festoon)
Total Bulb or Tube Sockets
Total Sockets Ceiling
Space
Heater
Refrigerator
Special
Outlet
Other
Other
bt
Sign
Main Switch
Bracket
Size Service
Wires
Size Service
Conduit
No. Circuit
MOTORS — AIR CONDITIONERS
(List and Give H. P. of Each Motor)
Phone
1
Ready
Will Call
Address's
INSPECTION REPORT
RETURN ( ) Inspector
Fee Paid
ao e /
Inspection Will Not B e Made Without Permit !
NO.
DATE,/ '
Addition to Existing Building
Waiting to Cover
FINAL
MIAMI SHORES VILLAGE. FLORIDA
0
BUILDING
ELECTRICAL DATR 195_;:2
PLUMBING S PERMIT 1st? _ 3932 Contractor's - 7
ROOFING License No.
�
�
. - ,
0 Work to be performed under this Permit l 1 s A� z I
Owner of
Building
Architect
Contractor r
or Builder
Legal Lot
Description Bl
Address of
Building ; t
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drags cr in the statements or speciiicat ns and that he assumes responsibility for work
done by his agents, servants or employees.
Signed. Ir 1 1 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
Subdi-
vision
Value of
Project $
OJ Go- 7.
Amount of
Permit $
BY AUTHORITY s,
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flu:Ida,
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 r'lr• and ribs • Kemp A. Maser N 736
Registered Architect and /or Engineer V. J. Knesevieh, Consulting Engineer
Employing Electriciafi's Name No Street
Location and Legal Description Lot' & E' • 2 .5 1 It 12 Block 6 5 subdivision ..Miami...Shores
Street and Number where work is to be performed— No Street N, E. 94th
State work to be performed and purpose of building (By Floors) Install three (3) duplex outlets
Repairs No. of Stories One(1)
New Building Remodeling Addition yes
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses . Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (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•contracto s, on work to be performed under this permit, as are
licensed by Miami Shores Village.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
(Signed)
Q.
Date Nay 16, 1974
Street N. E. 94th
STATE OP FLORIDA,
COUNTY OP DADE. I �'
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' •'T•8
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
I�
ENT. I OIST.
$W. I CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flu:Ida,
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 r'lr• and ribs • Kemp A. Maser N 736
Registered Architect and /or Engineer V. J. Knesevieh, Consulting Engineer
Employing Electriciafi's Name No Street
Location and Legal Description Lot' & E' • 2 .5 1 It 12 Block 6 5 subdivision ..Miami...Shores
Street and Number where work is to be performed— No Street N, E. 94th
State work to be performed and purpose of building (By Floors) Install three (3) duplex outlets
Repairs No. of Stories One(1)
New Building Remodeling Addition yes
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses . Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (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•contracto s, on work to be performed under this permit, as are
licensed by Miami Shores Village.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
(Signed)
Q.
Date Nay 16, 1974
Street N. E. 94th
STATE OP FLORIDA,
COUNTY OP DADE. I �'
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.
Date
Legal Description
/�
Owner/Lessee / Tenant Q Y O ►'1 e / ') cc s , e
Owner's Address 73 �O Y " , E. c 5
Contracton Co. �} / ' 1 E C C- . Lyl C
(.0 1 Y ' &dse.
Qualifier
State # F-C , D Q) 0 5 g Municipal # Competency #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILD
Signature of
r�
Notary , . to Owner and/or Conifo President
My Commission Expires:
FEES: PE
Historically Designated:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 736, /V ' E. Ns r, , Tax Folio
RADON
Master Permit # / Ogi
Phone 7.5 — / 9
Address l - 3/p N, E . 's7
SS# ?( ' /) - (Phone 3695 /4L -6373 L/
UMBING MECHANICAL
,,D r
WORK DESCRIPTION 1 L't C f 1�q !9 I �%t „5-2` -VI C °e 14/1 ) W c � � / G7 $4
5e - ✓t% 2 .� � `v- Y1e /
Square Ft. Estimated Cost (value) . 3000 , Q (2
er and/or Condo President Date
Yes No
Ins. Co. m and ( a941
ROOFING PAVING FENCE SIGN
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 a 1 work will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor t.. ► the •rk stated.
O 6.99
Signa j +f Contractor or Owner - Builder / 1Ya te
267 PI 1 ) j e?coo
Date
Date Notary as to Contract t o ?Owner- Builder
My Commission Expires:
C.C.F. c ® NOTARY 5
BOND
APPROVED: TOTAL DUE
Zoning Building Electrical
Mechanical Plumbing Structural Engineer
ivv� pit car COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. 1/ 06. — (9 ) iiwo
STATE OF FLORIDA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Legal description of property and street address:
L 01 - 1 1 aid (=.6 1'1R 1
2. Description of improvement: _p G)
3. Owner(s) name and address: P chi p Y e.
�3Co N,E. yq- S�.
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address: 4. ) ) E 1... (. ,- L G
i q -� N I E. J ��' S`) Ai
M( y 0 G.',. .rr 11,,7 . s -
5. Sure Pa m ent bond required by owner from contractor/if or i any) \ e:.-!5:,::-4-'
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may a served as provided
by Section 71 3.13(1)(a)7., Florida Statutes,
Name and address:
3
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Uenor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
Signature of Own
Print Owners Name
Sworn to and su
Notary Public
Print Notary's Name
My Commission Expires:
- RJcck Cos
0)1 C' leG ( a) ,E' wJ *'1) tAfti/
r t
99R 176305 1999 APR 06 14 12
Hi'nw v4G V!a
Prepared by: / a l,{ I R i)14a ' e , 1
Address: ?3e, ! V ,E E. ) +,7 -",
n.� . 1�� 1 a vn i J Ft . -3-31 g l
12301.52 2,93
: 1 . y in; -.'.
• J 7.:" NI 7? Ar=,.tn ^5 s.No CCCc CN%vP: =`env- Z,vieiCvc
eCC 1p .v =. 3ESCM,3 a irti..E
5i -CR!. T CRt C.► 331_;-'.Sd
'SLi ? eS
■301t T41 -22:—
.t.X t3C11 TSa -a9r2
TO: ELECTRICAL CONTRACTORS
FROM: MICHAEL DEVAi EY, CHIEF ELECTRICAL
INSPECTOR
Two spies of the applicable requirements must accompany all permit
applications. If not met, applications writ not be accepted by the
Building Department
Permit applications where a master pew is acirilt= wif creed
the following.
Service change:
Riser diagram showing meter size, disconnect, wire and conduit size,
sabfeed, grounding and panels.
The Work-With nsvectcn can be scheduled after the permit has b
obtained. A final inspm is required.
Air Condi�tiouing Hookup:
- Kitchen Remodeling
Load calculations showing service size to determine if se:vim is
adequate for new lead. Need the wire and cenduit size fcr air
handling merit and condensing unit.
Cabinet makes layout will since showing location of outlets.
In ether situations where a master pe.^mit is not issued, I will need to
eve a line showing what's beim done_
URI.P LOOP -
i« BE 10'
.4 (MIN)
cw
(:L,utP
u
-J
i -00A
METER
•
1
2' ADOVE ROOF
1
FINIS%tED GR A71E
MAIN CB
PAWEL
e 7 CI naCi
WEI aria
C
e' PLASM
p�� �/�
//�,
^_ fa.��N1�Y
! ^/C S VL
.J
a
.'O E 0
GRCtlNA
au Q1tiu
SUB C B
. PANG.
Ci1N'I
NOTARY
k
I-1c l01 ,
Conductor size .1- .7 ,. / * / /7
• Condu .5tz
Conduti: -type
Thru oof _Y E"a NO
Ground wlrc t;rr.r_= .'--- ______
NA1H. IDIS IJNIUECT
Ratlnp c,.7v0 Amps
_Art pg
Sub ) rQa1(er-s , ___ .._ Amps
S UB FEED
New _ r ,
• ry(Q c*
Size = 2 /0
Bond 'a'lze � •
SIGNATURE Of CONTRACTOR
ENS CDE PANEL.
R sting � A4 ps
Aond $us
. t_ °GartI°n
PER S,f .11:C; 4505.2((!)
L i.(:j us Ee . 6 00)058 �..
Ex l st:m j _ _
J ._
BUILDING
ELECTRICAL
PLUMBING
PERMIT N° 2974
Work to be performed under this Permit
Owner of
Building '� L
Architect
Contractor
or Builder /
Legal Lot Bl.
Description
Address of �i Value of
Building Project
Subdi-
vision
MIAMI SHORES VILLAGE, FLORIDA
DATE
Contractor's
License No.
A!nS,._f....
Permit
: .A'
,f.
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition
upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or, specifications and
that he assumes responsibility for work done by his agents, servants or employees.
Signed.
INSPECTOR ..
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. In consideration of the issuance to me of this permit I agree to perform thg, work covered hereunder in compliance with all ordina and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami. Shores
VI° ..--r _3 f .. `,
CONTRACTOR OR BUILDER BY AUTI-IORITSI
Date Job Address j Tax Folio //3.26‘
Legal Description cam-- Historically Designated: Yes No l
Owner/Lessee / Tenant T t vin d -.-� G - v M u V y� Master Permit # ljG C ‘3:>1
Owner's Address 13 ff Phone 9�.J 75"/ 71/0)
.) raw
Contracting Co.
Qualifier 4 � / i SS# Phone .6
State # 000 4/y)
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING E :+ ; se PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft Estimated Cost (value)
ondo sident
`•'� "• JULIO ROBLES
_•; ' '_ MY COMMISSION # CC 921872
+ EXPIRES: June 4 2004
•.Q ,;4. B onded Thru Notary Pubtx Underwriters
P ignature of own
Notary as
My Comm'
n Exp
FEES: PERMIT L0 / RADON
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Municipal #
/e /L /
Date
Address .. 77.�
Competency #
Address
Address
Notary
My Commission E
APPROVED:
Zoning Building Electrical
Mechanical Plumbing
Ins. Co.
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 . tractor to do the .rk stated.
owner and/or Signature
or or Owner - Builder
Date
JULIO ROBLES
x_ MY COMMISSION # CC 921872
EXPIRES: June 4, 2004
• `t, q „ Bonded Thru Notary Public Underwriters
*.r^x— cue.•: ,a max_
C.C.F. 1 6 () NOTARY �� — BOND
TOTAL DUE
Engineering
Village of Miami Sho
10050 NE 2nd Avenue l
Miami Shores, FL 33138 y`
Phone: 305 - 795 -2204
Printed: 1/25/2002 Page 1 of 1
, ' Applicant: TIMOTHY BARHUM
�--} r Owner: MASER MARJORIE
Contractor BRINKS HOME SECURITY INC Address: 5765 NW 158 ST
v Local Phone: Cellular:
Parcel # 1132060141680 Legal Description: 5 -6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOT 11 & E1/2 LOT 12 BLK 65 LOT SIZE
Job Address: 736 NE 94 ST
Fees: Description Amount
FEE2002 -446 Building Permit Application F460.00
FEE2002 -447 CCF $0.60
Total Fees: $60.60
Permit Status: Approved Permit Expiration: 7/24/2002 Construction Value:
Work: BURGLAR ALARM SYSTEM
If there is no permit package
fee is $50.00, which must be p.
This Permit is granted to the contractc
ordinances pertaining thereto and with th
and approved by the proper municipal at
authorization. A further condition upon v
ordinances and regulations pertaining to
by his agents, servants or employees.
Signed:
Signed:
In consideration of the issuance to me
with the plans, drawings, statements or
myself, my agent, servants or employes.
0
Electrical Permit
Look for: blue background on the front of this check, and the imageSafe® logo on hack. if hot present, do not cash. - - _ ^ % -- • - -'
BRINK'S HOME SECURITY
5765 N.W. 158TH STREET
MIAMI LAKES, FL 33014
PAY
TO THE
ORDER OF
Bank ofAmerica„
Customer Connection '�
FOR Z1
11'00357511' 1 :LLL0000 L59 56L 4aLse
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Permit Number: EL2002 -32
$199.00
Total Fees: $60.60
Total Receipts: $60.60
7 'Y'
DATE o 6
170
el 1-�.� 1 $ /7/
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3575
32 - 1/1 110 TX
0
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