747 NE 94 St (6)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
/1 c i
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building
Contractor or Electrician
4liami Aores9llage
F L O R D A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla , 19
LOCATION
DESCRIPTION OF WORK
NUMBER OF
N? 209
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, upt n, any change in plans and specifications unauthorized by
this Department.
Dated , 19
, 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 *ules':anegulatons of the Electrical Department of Miami
Shores Village. y
(Seal)
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters 'Signs
Billboards
Other Apparatus
Permit Fee
ELECTRICAL PERMIT Town of Miami Shores
N. B. —This Permit must be on display on the premises
during the construction.
Owner of Building
Contractor or Electrician
NO.
STREET
Dated , 192
PRINTING CO., MIAMI, FLA.
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores, Florida,..: , 192
PART OF LOT
PROPOSED LOCATION
NUMBER OF
LOT
DESCRIPTION OF WORK
BL'K
N° 192
TOWN, ADDITION, OR SUBDIVISION
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
he 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 the Town of Miami Shores and the rules and regulations of the Electrical Department of the Town of Miami Shores. 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 unau-
thorized 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
he Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
_tate of Florida, all the Electrical Ordinances and Codes of the Town of Miami Shores, and all rules and regulations of the Electrical Department of the
- own of Miami Shores.
(Seal)
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building
Contractor or Electrician
STREET
PART OF LOT
LOT
BL'K
NO.
Outlets
Motors
Receptacles
Generators
Stoves
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla , 19
LOCATION
DESCRIPTION OF WORK
Water Heaters
aiami Jhores 9' llage
F L 0 S D A
NUMBER OF
Signs
Billboards
Other Apparatus
SUBDIVISION
TO 201
Permit Fee
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)
IL - 2- 6
Permit No
Registered Architect and /or
Employing Electriciad's Nam
Amount of Permit $
STATE OP FLORIDA, }
COUNTY OP DADE.
IA '�-'I SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FO
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio.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 wor k. �f C
Owner's Name and Address kE. L f C o 1j / ' No 6 '7 7
eer
L6i G- �& e/C
Location and Legal Description Lot Block Subdivision.
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
Service
Overhead
verhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Type of Installation— Conduit Tubing... B.X.L Metal Moulding
[ELECTRICAL PERMIT
(Signed)
(Signed)
Date IC 2 c}: 1 1.
Street
C/e 5
- Not S 5 Street ><1' —
Street
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his�•liga.tions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori'• 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 subcontractors, o•��'1It to be perfojat "d unf r this permit, as are
licensed by Miami Shores Village. �� 4
Master Electrician.
88,
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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGES
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIOT
? /
Y
e✓
LA-
CHECK
'
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
-
TOTAL
CONTR.
LIST
CHOECR
IL - 2- 6
Permit No
Registered Architect and /or
Employing Electriciad's Nam
Amount of Permit $
STATE OP FLORIDA, }
COUNTY OP DADE.
IA '�-'I SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FO
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio.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 wor k. �f C
Owner's Name and Address kE. L f C o 1j / ' No 6 '7 7
eer
L6i G- �& e/C
Location and Legal Description Lot Block Subdivision.
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
Service
Overhead
verhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Type of Installation— Conduit Tubing... B.X.L Metal Moulding
[ELECTRICAL PERMIT
(Signed)
(Signed)
Date IC 2 c}: 1 1.
Street
C/e 5
- Not S 5 Street ><1' —
Street
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his�•liga.tions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori'• 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 subcontractors, o•��'1It to be perfojat "d unf r this permit, as are
licensed by Miami Shores Village. �� 4
Master Electrician.
88,
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.
WNO.
STREET
PART OF LOT
LOT
BL'K
SUBDIVISION
Signs
Billboards
- ,..v-,.
Other Apparatus
.....,
Permit Fee
Outlets
Motors
Receptacles
Generators
Stoves
W1 1
i ft
Water Heaters
Signs
Billboards
- ,..v-,.
Other Apparatus
.....,
Permit Fee
,
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building 8 1,1
Contractor or Electrician
aiami =ihores9illage
FL O al D A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla , E * 40 X
DESCRIPTION OF WORK
NUMBER OF
LOCATION
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 cha • -;e in the pl ns apd specifications unauthorized y
this Department.
N? 201
•
, 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 lectrical,epar ment of Miami
Shores Village.
Dated , 19
(Seal)
I IIFNO.
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
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building
Contractor or Electrician
ddliami cShores9illage
F L O R ID A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla , • 19
LOCATION
DESCRIPTION OF WORK
NUMBER OF
N? 209
•
This Permit is granted upon the express condition that all facts stated in the Application are true and th% the c on, `tr tict complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and w lie Electrical Ordinances and Code
of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. ' is Permit..n iy 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 .ruled and regulations of the Electrical Department of Miami
Shores Village.
Dated ;; , 19 . �' (Seal)
�TO
STREET
PART OF LOT
LOT
BL'K
TOWN, ADDITION, OR SUBDIVISION
• ins' ..
Billboards
Other Apparatus ' _
Permit Fee
Outlets
Motors
Receptacles
u _
r orators
Stoves
Water Heaters
• ins' ..
Billboards
Other Apparatus ' _
Permit Fee
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises
during the construction.
Owner of Building
Contractor or Electrician...
STRANGE PRINTING CO., MIAMI, FLA.
G
Town of Miami Shores
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores, Florida • i" % ,,.. i , 19,1:
.
PROPOSED LOCATION
f
NUMBER OF
•
DESCRIPTION OF WORK
of the issuance to me of the foregoing Electrical Permit, I hereby agree
plans and specifications thereof heretofore by me submitted, and„in co
Electrical Ordinances and Codes of the Town of Miami Shores, aid all
1_ J;
'� H /
In consideration
the Application and the
State of Florida, all the
Town of Miami Shores.
Dated (Ye' _ , - 19 Z
Y
NI 192
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 the Town of Miami Shores and the rules and regulations of the Electrical Department of the Town of Miami Shores. 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 unau-
thorized by this Department. -
A L_ • 2. /cc , Electrical Inspector.
to do the proposed construction in strict conformity with
pipliance with all provisions of all Electrical Laws of the
rules alid regulations of the Electrical Department of the
(Seal)
•
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
RERRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
,
pz..
TOTAL
CONTR.
LOOT
CHECK
ENT.
SW.
D1ST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•9 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
ER J( _3/. T"
V r A ,
'L /
1� /
Y
CNQCR
/
LICATION FOR ELECTRICAL PERMIT
Permit No
/ a / Date — - `✓
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fk 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 L. te No '2
Registered Architect and/or En / / (� / .
Employing Electrician's Name... c .... 7� L �C �T��C Nod. �S 7 Street W
Location and Legal Description Lot Block Subdivision.
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors) / l ¢ e • t
New Building Remodeling ` Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses . Amps
Underground
Type of Installation— Conduit Tubing B.X.L.. Metal Moulding
Amount of Permit S
SS.
r
IAMI SHORES VILLAGE
[ELECTRICAL INSPECTION DEPARTMENT
(Signed ).. )
Electrical Inspector.
The undersigned applicant for this building permit does hereby eel tify 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 Flog a Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-co tractors 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 ..uch public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, oork to be peyfor f d under this permit, as are
licensed by Miami Shores Village.
(Signed.)
Street.. � 4 5-T
Master Ele rician.
STATE OF FLORIDA, l
COUNTY OF DADE. It
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 $1.00 will be made when ouch re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Date
(9r /
Legal Description
Owner's Address
Contracting Co. #i)
Qualifier vw
Chi" SSE Phone (edY -7776 XS)7C
State # Municipal fP
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING
WORK DESCRIPTION /d
Square Ft. Estimated.Cost(value) 3 4 0
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in comp Dance with all applicable laws regulating construction and zoning. Furthermore, I
authorize the • Ave - aied contractor to do the work stated.
ignature
Date:
* *
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Lessee / Tenant
Job Address 7'17 A t E q c / Sl
l c) // c S/vc, (e 7
1/ 01 cc cc r �, / �c 5 5
�s
or Condo President
if
.O�V k`A �1$OdD81@kt
ION # CC 503112
Nota . a.. n,.,., __=.. ..r• �n.a_ :b
My
* * * * * * * *
Competency #EF000691
( 2-CCD ( (CZ
Tax Folio JJ
/ i 5/ 4 S• Seer 3
Phone A
/ / �d / as Address 0 5� -5 �"ow ( /h e t (lzf
PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Master
Ins.Co.
✓It
Permit ft
Signature of Contractor or Own B uilder
Date:
a . Pis JAV t ATO IJS: it
/ / t>: i �� COMMIS •fi C :C O3 12
f� '��• • = I �, 1 Syf3
i I , My Co 4 1 Expires:
**
FEES: PERMIT G4/ r 'e:' ,0 RADON C.C.F. NOTARY TOTAL DUE 1: 4C
APPROVED: Fire Other,
Zoning Building Electrica
Mechanical Plumbing Engineering
Tenant/Lessee Name
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical Plumbing
Owner's Name (Fee Simple ple Titleholder) S 'l Phone #
Owner's Address 1 ^ 1 Ord q
City inn mi thareK
State
Job Address (whe the work is being done) i-Y q "(
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Address 13) 3 i J 1-
Architect/Engineer's Name (if applicable)
Architect/Engineer's Address
$ Value of Work For this Permit
County Escrow Fee $
Education/Training Fee $
Code Enforcement $
Miami Shores Village
Building Department
0
-Ft
County Miami -Dade
NO
Contractor's Company Name (T,. n9. n4-?n; 1? 0
City MCOL111 State 1-
Qualifier k • .; MN> S
Permit L0.3 ^ � (
Master Permit No. tj )) 0 3-. I �SJ
Mechanical Roofing
r 13 — 9
Zip
Phone #
Zip
Phone # 30.c- c) l.t9.9 , S ,
Zip 33) . 2 (i
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
3�1 1 a
.5? )/ . k---
City State Zip
poo(, 3016 LtJ,
Square Footage Of Work:
Number of: Bays Stories Families Bedrooms
Type of Work: ['Addition ['Alteration ['New ❑ Repair/Replace
Describe Work:
Baths
❑ Demolition
* * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
D Permit Fee $ 4 ''me Notary $
Tech $ , ...S 0 Scanning $ Radon $
Bond $ Struct. $
M inus Plans Check Fee $ S(} _ /D�) _Total Fee Now Due $ b
` G ; V { a ( l I �►
(Continued on opposite side)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the, applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be deliverr„l to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of , 20 _, by
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
State Certificate or Registration No.
chc7/7 /03
Signature
Contractor
The foregoing instrument was acknowledged before me this /1
day of i„.17 , 2OC1 by
is personally known to me . r w, o has produced
as identifica • • who did take an oath.
(Certificate of Competency Holder)
My Commission ExpibsNo � ay 24, 2o�d
Certificate of Competency No.
APPLICATION APPROVED BY;./ _�" �`{� �1- �C' � � G Plans Examiner
Engineer
Zoning
Miami Shores Village
Permit Type (circle): Building Electrical
Owner's Name (Fee Simple Titleholder) 5 CO 1T
Owner's Address q LK? q ST S^
City /, [F . 1F —S State
Building Department
0
\ ---:. "-- ,.,
BUILDING
PERMIT APPLICATION
FBC 2001
Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 1 74 . "1 /v £ 6 14 ST '
Permit N
Phone #
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Master Permit No.J-'0
Mechanical Roofing
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name -55t G p„ Phone # C i s 49 0060
Contractor's Address 18
City 1L • M t f rr State r/ Zip 3 3) 14
i
Qualifier � �t'�d. 't.SSL
$ Value of Work For this Permit
N
Number of: Bays
Type of Work: DAddition
Describe Work:
Education/Training Fee $
Code Enforcement $
Stories
goo
p i S
Tech $ 3 +O Scanning $
.Phone #
Architect/Engineer's Name (if applicable)
Architect/Engineer's Address
City State Zip (� n
Square Footage 0
Families Bedrooms _ Baths
['Alteration ['New
❑ Repair/Replace ❑ Demolition
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
County Escrow Fee $ Permit Fee $ / 2 - 0 Notary $
0
Radon $
Bond $ Struct. $
Minus Plans Check Fee $ —SO —2
Total Fee Now Due $ (Continued on opposite side)
L L fl A / (14D
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As
promise in good faith t
whose property is sub ect
for the first inspecti n
inspection will not b app
Signature
The foreg
day o
who is p
NOTARY
Sign:
P
II
•
Owner or A ent Contractor
fr
g instrument was a u owledged before me this b7 The foregoing instru ' ent was acknowledged before me this `7
✓ o , . day of :fd , by
onally kno ho has produced who is
fication and who did take an oath.
s ids
My Commission Expires:
APPLICATION APPROVED B
Chc7t7 /03
•
condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
at a copy of the notice of commencement and construction lien law brochure will be delivered to the person
t id ttachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
occurs seven (7) days after the building permit i issue • In the absence of such posted notice, the
ri'ved d a reinspection fee will be charged.
Signature
N E T H S H E R M A N NOTARY PUBLIC:
y Public, State of Florida
My comm. exp. May 24, 2007
Sign:
Print:
My Commission Expires:
e or who has
r
ced
o did take an oath.
ERMAN
D 1824tg
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
n' (Certificate of Competency Holder)
State Certificate or Registration No. f 'C_.,C t Certificate of Competency No.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * �� * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
0rida
07
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12/11/2003
Applicant: SCOTT
Owner: BETTUA
JOB ADDRESS: 747 NE 94
Contractor SHINE MAINTENANCE ELECTRICAL Contractor's Address: 7323 NW 8 ST
Local Phone:
Parcel # 1132060142010
Signed: (INSPECTOR)
Signed: (Contractor or Builder)
Electrical Permit
Permit Number: EL2003 -311
BETTUA
SCOTT
ST
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 E22FT LOT 21 & LOT 22
Fees:
FEE2003 -8181
FEE2003 -8182
FEE2003 -8183
FEE2003 -8184
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Total Fees:
Amount
$100.00
$0.60
$0.40
$2.50
$103.50
Total Fees: $1 Q3.50
Total Receipts: 0.b0
Permit Status: APPROVED Permit Expiration: 4/17/2004 Construction Value: $900.00
Work: POOL HOOK UP
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 fo the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
BY:
BLK 67 LOT
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: EL2003 -311
Printed: 12/11/2003
Applicant: SCOTT BETTUA
Owner: BETTUA SCOTT
JOB ADDRESS: 747 NE 94 ST
Electrical Permit
Contractor SHINE MAINTENANCE ELECTRICAL Contractor's Address: 7323 NW 8 ST
Local Phone:
Parcel # 1132060142010
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 E22FT LOT 21 & LOT 22
Fees: Description Amount
FEE2003 -8181 Building Fee $100.00
FEE2003 -8182 CCF $0.60
FEE2003 -8183 Training and Education Fee $0.40
FEE2003 -8184 Technology Fee $2.50
Total Fees: $103.50
Total Fees: $1.1.10
Total Receipts: 10.00
3 5 3___S o
Permit Status: APPROVED Permit Expiration: 4/17/2004 Construction Value: $900.00
Work: POOL HOOK UP
Signed: (INSPECTOR)
Page 1 of 1
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,prgper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
BLK 67 LOT