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759 NE 94 St (3)PERMIT APPLICATIOI`FOR MIAMI SHORES VILLAGE Date L i 11( Job Address 1 k ' E • (R"1 51T C.t Tax Folio Legal Description Historically Designated: Yes No rll� Owner/Lessee /Tenant p\ 1 Master Permit # ./ 7 ` 1 Owner's Address — 159 /V a E. qcI 3*cd Phone Contracting Co. AC2friOb 1E -1--let+noa.k athicAiddress u o Mt E. t `)a Qualifier X f `T L cx�L I n SS# Phone q State cf' ��� Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDIN a ELECTRICA PLUMBING MECHANICAL ROOFING PAVING �, FENCE SIGN DESCRIPTION I w l one(1) 3`1?. ]ems. l� y ''` /ok� lb/4r Square Ft. d �yy 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 co tractor o do th)work stated. 7 � r Signature of o and/or Condo President 1 ate Notary as to Own = • or Condo President My Commission Expi#es: OFFICAL NOTARY STFAL BONNIE L :. LANE , 'i;4OTARY "UIWC STI:17. OF FLORIDA '' COMMISSION NO. CC6 0789 LMYCOMMISSION EXP. /UM. 12,2001 FEES: PERMIT > "' RADON Estimated Cost (value) 3 0 ' v Signature of Co , ' r or Owner- Builder Notary as My Commissio actor OF - affliiF.Z11 3 T HAL BONN. L;:':I.1N Y !U:3LIC STKi 0,;C 'LCRIDA COMMISSION ND. CC610769 MY COMMISSION at RN. 12,2001 tf/ 2,/0 Date Vi-Vr Date C.C.F. ' C NOTARY BOND TOTAL DUE 3 7 - ( APPROVED: Zoning Building Mechanical Plumbing Engineering Electrical i ..2 4;.efa, ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PER Permit No i...l . Dated Application is hereby made for the approval of the detailed statement of the plans and specificatio structure herein described. This application is made in complial and conformity with the Buildin and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all :u of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved building during progress of work. Owner's Name and Address.��.,..:�/ Registered Architect and /or En 2 inee Amount of Permit $ STATE OF FLORILA, COUNTY OF DADE. 1 j C= v ss. MIAMI SHORES VILLAGE Employing Electrician's Name. 1 ' No mi y � c��i + li € State work to be performed and purpose of building (By Floors) New Building Remodeling ... Addition Service Overhead Size Feeders.. .Conduit Main Sw. Undergro and Type Installation— Conduit. .T big. .B.X L No (Signed). (Signed) Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street th submitted for the building or other ante of Miami Shores Village, Florida, and regulations of the Building Division plans and specifications must be kept at 1 i Street.... a ✓ ` V; c_ Repairs No. of Stories Amps Main .uses... Amps Metal Moulding. r c , E .ctrc:al Inspector. The undersigned applicant or this building per nit does hereby certify that he understands and accepts his obligations as an employer of labor under the :lorida 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 subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as a,e licensed by Miam? Shores Village. 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, a .d he ha.4 carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLd'. IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HI" 4T. CONN. SPACE HE: ER STRIP HEATER TOTAL CONTR LIST CHECK ENT. SW. DIET. CAB. lET.V ICE _ T.. P. SERVIC° PERM. /� %' /7 ' f n './�� / ^- �I (/ :ti 0i0.'. O•I HP .;TORS I.S HP N Er' N C TRAN. RADIO TOTAL COM.R. LICT CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PER Permit No i...l . Dated Application is hereby made for the approval of the detailed statement of the plans and specificatio structure herein described. This application is made in complial and conformity with the Buildin and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all :u of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved building during progress of work. Owner's Name and Address.��.,..:�/ Registered Architect and /or En 2 inee Amount of Permit $ STATE OF FLORILA, COUNTY OF DADE. 1 j C= v ss. MIAMI SHORES VILLAGE Employing Electrician's Name. 1 ' No mi y � c��i + li € State work to be performed and purpose of building (By Floors) New Building Remodeling ... Addition Service Overhead Size Feeders.. .Conduit Main Sw. Undergro and Type Installation— Conduit. .T big. .B.X L No (Signed). (Signed) Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street th submitted for the building or other ante of Miami Shores Village, Florida, and regulations of the Building Division plans and specifications must be kept at 1 i Street.... a ✓ ` V; c_ Repairs No. of Stories Amps Main .uses... Amps Metal Moulding. r c , E .ctrc:al Inspector. The undersigned applicant or this building per nit does hereby certify that he understands and accepts his obligations as an employer of labor under the :lorida 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 subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as a,e licensed by Miam? Shores Village. 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, a .d he ha.4 carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No._----------- -- _ -- -__ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date ._. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address .___ —__ _ _ _:___ __ No Street Registered Architect and /or Engipeer ____ Employing Electrician's Name ___ ___:�___�_ __ _ No.��_�____�____:___�__ Street__ _ ______ ____ _____________________ 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) 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 $ STATE OF FLORIDA, k COUNTY OF DADE. ss' My Commission Expires (Signed) (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 com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the__ ______________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida Master Electrican. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST / ., CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -3 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No._----------- -- _ -- -__ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date ._. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address .___ —__ _ _ _:___ __ No Street Registered Architect and /or Engipeer ____ Employing Electrician's Name ___ ___:�___�_ __ _ No.��_�____�____:___�__ Street__ _ ______ ____ _____________________ 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) 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 $ STATE OF FLORIDA, k COUNTY OF DADE. ss' My Commission Expires (Signed) (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 com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the__ ______________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida Master Electrican. 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. MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL PLUMBING 1 1 i Work to be performed under this Permit it / Owner of Building ems-' e !'� «�� I 4,4 Architect R Contractor 4 i 9 a or Builder /4t'�^4 Legal Lot Bi. Description Andress of Building This pe . it is gra ed to the co tractor or builder name above to construct the building or to install the equipment or • •vice described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in he or specifications p d that assumes respon- sibility for work done by his agents, servants or employees. °<.." Signed. PERMIT N° 5994 Subdi- vision Value of Project DATE �6 4 pECTr0V /2 Contractor's / , License No. C.� 7 Amt. of Permit r/' /G 1947 By 1 In consideration of the issuance to me of this permit I agree to perform the work covered hereunlfer in compliance with all1r�oordinances and regu tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores age. In accepting this permit I assume} responsibility for a work done by either myself, my a ent, servant or emp e . =.`' CONTRACTOR OR BUILDER { Y • AUTHORITY Permit MIAMI SHORE -S VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date [ a . Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ,��_L j 4 No._,_ _ �.� ��_____ Street Registered Architect and /or Engjneer • _ Employing Electrician's Name 4 ^.�_ . __� No. � �! 33 , at Street___- Location and Legal Description Lot __ __1 ` _' ___': __1 !i Block y / Subdivision '_�= 4, �� � �i Street and Number where work is to be performed—No 1 .,� e ' Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs Service Overhead Size Feeders____________ Conduit.___— Main Sw Amps. Main Fuses w ______Amps. Underground Type of Installation— Conduit Tubing_ _ B.X.L. W____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 com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, .. QQ work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) „ Master Electrican. My Commission Expires Notary Public. State of Florida 4. No. of Stories____________ STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIO. OUTLET IRON pUTLET RANGE RANGE OUTLET CONN. n i WATER HEATER W. H EAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK . ,,;% d 7.J _. I l ENT. SW. DIST. CAB. S" VICE EMP. SERVICE PERM. ,✓ -, MOTORS 0-1 HP MOTORS 1 -5 HP N EON TRANS. RADIO TOTAL CONTR. LIST ✓ CHECK Permit MIAMI SHORE -S VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date [ a . Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ,��_L j 4 No._,_ _ �.� ��_____ Street Registered Architect and /or Engjneer • _ Employing Electrician's Name 4 ^.�_ . __� No. � �! 33 , at Street___- Location and Legal Description Lot __ __1 ` _' ___': __1 !i Block y / Subdivision '_�= 4, �� � �i Street and Number where work is to be performed—No 1 .,� e ' Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs Service Overhead Size Feeders____________ Conduit.___— Main Sw Amps. Main Fuses w ______Amps. Underground Type of Installation— Conduit Tubing_ _ B.X.L. W____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 com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, .. QQ work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) „ Master Electrican. My Commission Expires Notary Public. State of Florida 4. No. of Stories____________ STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING 'Owner of $adding Architect Contractor or Builder • MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 5838 Work to be performed under this Permi • Legal i ota q Lv Bi. 7 In consideration of the issuance to me of this permit I pertaining thereto and in strict conformity with the plan In accepting this permit I assume responsibility for a wor .l CONTRACTOR OR BUILDER Signed. Subdi- vision Value of Project BY DATE Contractor's icense No. Address of Building 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 appli- Cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wil 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 w lout thorization. A further condition upon which this pern?it is granted is the understanding that the contractor or builder named above asses the nsibi ' for a tliorough knowledge of ordinances and regulations pertaining to the work covered hereby whether shown on the plans or m e st ements pecifications . + t at a assumes respon- sibility for work done by his agents, servants or employees. ` Amt. of Permit By AUTHORITY 194— f ' IN$1 e to perform the work c eredliereunder in compliance witl X11 ordi es a regulations gs, statements or cificat submitted to the proper authorities of iami ores Village. y either mys my gent, ser mnt or employee. Cr 1 . * _. Date gJob Address 1$'' /V e. "(7 Sr Tax Folio Legal Description Owner/Lessee / Tenant 6kic Contracting Co. IThc1i f e -I i M Qualifier JO 11 11 j State # 6COX// Owner's Address PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Municipal # Architect/Engineer Address Bonding Company Address Signature of owner and/or Condo P Notary as to Owner and/o My Comnitssi {>t nires: OFFICIAL NOTARY SEAL + �� se, NICOLE A BERGERT 1 .4,' l : 0 COMMISSION NUMBER yjp. CC661267 ,� /9g Date Historically Designated: Yes No 'Oa 7S� Phone 759 2c' . 3 W4w v99sr _ �J 9/ 43 7/ Competency # (,6� f/ Ins. Co. N /G�iis Address Mortgagor Address MECHANICAL Permit Type (circle one): BUILDIN ELECTRICA PLUMBING MECHANIC ROOFING PAVING FENCE SIGN Master Permit # WORK DES ON /%0/2,64 �. / �(-e e e ,' X674 �; Square Ft. Estimated Cost (value) c 1 / c2 5 . © V WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). 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. MY COMMISSION EXPIRES 1 L. F_F JULY 2,2001 ,200 FEES: PERMIT g.5%. RADON C.C.F. a NOTARY Signature of Contractor or Owner - Builder" Date fr XpAgSf P I6 , 2 4 j 5 W: o Q `�OF F` OFFICIAL NOTARY SEAL NICOLE A BERGERT COMMrSSION NUMBER CC661267 MY COMMISSION EXPIRES JULY 2,2001 Notary as to Contra ctor or 0 Commission I '4 I4 q Date BOND TOTAL DUE 3,5 61) APPROVED: Zoning Building Mechanical Plumbing Engineering t , 1772. • MOODYL' ELECTRIC, INC. 669 N.W. 90 STREET MIAMI, FL 33150 -2166 TEL: (305) 891 -1374 FAX: (305) 758 -2000 RESIDENTIAL DEMAND LOAD CALCULATIONS 3 W / SQ. FT c) � K.W. REFRIGERATOR AO K .W • APPLIANCES 3.0 K.W. DISHHWASHER S K.W. GARBAGE DISPOSAL ,J - K.W. MICROWAVE /O K.W. CLOTHES WASHER /5 K.W. DRYER 5) K.W. RANGE ilaa K•W• WATER IIEA'TER K - W • OVEN � K.W. FREEZER K.W. TRASH COMPACTOR , K.W. GARAGE DOOR MOTOR K.W. JACUZZI K.W. JACUZZI BOOSTER HTR. K.W. IRONING BOARD G -0 K.W. POOL EQUIPMENT K.W. SPRINKLER PUMP / K.W. LANDSCAPE LIGHTS 6.5 K.W. SPARE CAPACITY K.W. K.W. IC .W. 35. TOTAL CONNECTED LOAD K.W. FIRST 10 K.W. @ 100 % 10.0 K.W. REST [ 40 % as. g /B•SA K.W• A/C @ 10 % /4 ' 6J He/4r ,® / -®K.W. 'OTAL' . DEMAND LOAD ®° ' K.W. 3 2 K.W. / 240 V. = � AMPS X000 / /9 ci PAM BY TO COWLIA71(.1:71111 LIL FEDERAL, STATE AND COUNT1 1 RND IIEGIRATIONS. :HOP.:3 RIAU. ASSUriViES NO RESPOilSIBILITIES FOR ACCURACY ERNI THESE PLANS. r VM 3 F_DRIDA BUILDING CODE RS ADOPTED el • • - THE ARClifir.CT: BUii.DER d SUB j? bTH THE IcNOMEDGE OF ALL BUILDING t:1-1EIliEIZ Da NO7 SPE.CIFiCRLLI INDICATED HEREIN. DATE MOODY# ELECTRIC, INC. 669 N.W. 90 STREET MIAMI, FL 33150 -2166 TEL: (305) 891 -1374 FAX: (305) 758 -2000 r - tirmiwo 769 NE R�15 f 12E Feed csr,Ai5 � 0- e'/P P a-p,d . Ek15TIa9 /LI)eG-► ©A3I ,1 00 AMp , BUILDING ELECTRICAL PLUMBING Owner of 1 ' Building Architect Contractor or Builder Legal Description Work to be performed under this Permit ,�. t / yy 3 1 4'4 4 / CONTRACTOR OR BUILDER PERMIT N° 5838 MIAMI SHORES VILLAGE, FLORIDA DATE '/ / ' ./ 194_ Subdi- vision Value of Project Address of '� c ' / e Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any p lans, 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 out authorization. A further condition upon which this asp permit is granted is the understanding that the contractor or builder named above assumes the r sibility for a tjagrough knowledge of the, ordinances and regulations pertaining to the work covered hereby whether shown on the plans or d u+gs oi..ift a sta ements gespecifications ' . that h ssumes respon- sibility for work done by his agents, servants or employees. r ,,.. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered Hereunder in compliance with all ordin s and regulations pertaining thereto and in strict conformity with the plans, drawin s, statements or specifications submitted to the proper authorities of ami Shores Village. In accepting this permit I assume responsibility for all work done either myself ' agent, servant or employee. I . ( i BY Contractor's License No. Arnt. of Permit AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building • Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 5994 Work to be performed under this Permit f /20 [/ 44 1 i L • Legal Lot Bl. Subdi- Description vision Address of *, _ � , Value Building { This pe it is gran •d to the co tractor or builder name above to construct the building or to install the equipment or vice described in the appli- cation 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 tin 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 respon- sibility for work done by his agents, servants or employees. ` / r Signed: r - , / E /r t 7 By / &S OR f f 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 accepting this permit I assume responsibility for all work done by either myself, my a e, servant or empl- - Y .'r CONTRACTOR OR BUILDER BY DATE 4 " u /(- 1949 Contractor's / ( '� License No. / • Aint. of /- Permit f ) AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA ❑ DATE. 19 o PERMIT N? 3945 Contractor s ❑ License No. 0 ❑ Work to be performed under this Permit B1 Subdi- vision Address of Value of 11 Amount of Building Project $ 11 Permit $ 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance w th 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 respon- sibility for work done by his agents, servants or employees. Signed. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ABBOT PRINT BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA ❑ DATE '" 2 t ' 19_0% PERMIT 7177 Contractors License No. = c 0 ❑ Work to be performed under this Permit— L. L t,. t? ,,` Owner of Building -- v Architect Contractor i or Builder 1 tw - I i 4 ••... i Legal Lot Description CONTRACTOR OR BUILDER B1 Address of ! r . Value of Building f ' s Project $ Subdi- vision Amount of Permit $ 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. f Signed t II i � ~ `' a ''`-+_ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compiiance 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 as cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employes. BY AUTHORITY A6 HOT 4l 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. N Owner's Name and Address 4" 4 4L D/ 4 'o 4 R_ Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. 60 ss. MIAMI IHdRES VILLAGE PLUMBING INSPECTION LIATMENT APPLICATION FOR PLUMBING PERMIT Dist. Feet of Tank or Drain Field from Well (Signed) ec. Date Size Septic Tank 6 O 0 p 0� Feet of Drain Tile JP Nature of Water Supply: City —Well . Size of Soakage Pit (Signed) Type of Tank Capacity Gals. My Commission Expires Notary Public, State of Florida / / /) t /," Street Registered Architect and /or Engineer Employing Plumber's Name me L C k No. 7 3 j I St eail. __ 1141 eA900_,__/PE Location and Legal Description Lot Block Subdivision J Street and Number where work is to be performed —No 2 S 2 Street /' -E - / G/ 7 cf7 - State work to be performed and purpose of building (By Floors) New Building_ - -. -_ Remodeling Addition Repairs No. of Stories 6 t ctor. The undersigned applicant for this building permit does hereby certify that he utiders nd epts'his cbligatonsA4 an empl yer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General La ss of Florida Permanent S$plement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS W � ,d4)- ,d4)- � TOTAL FIXTU S CONTR. LIST a. ) 02 I __ f CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL /4 L h CONTR. LIST ' 6015 CHECK 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. N Owner's Name and Address 4" 4 4L D/ 4 'o 4 R_ Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. 60 ss. MIAMI IHdRES VILLAGE PLUMBING INSPECTION LIATMENT APPLICATION FOR PLUMBING PERMIT Dist. Feet of Tank or Drain Field from Well (Signed) ec. Date Size Septic Tank 6 O 0 p 0� Feet of Drain Tile JP Nature of Water Supply: City —Well . Size of Soakage Pit (Signed) Type of Tank Capacity Gals. My Commission Expires Notary Public, State of Florida / / /) t /," Street Registered Architect and /or Engineer Employing Plumber's Name me L C k No. 7 3 j I St eail. __ 1141 eA900_,__/PE Location and Legal Description Lot Block Subdivision J Street and Number where work is to be performed —No 2 S 2 Street /' -E - / G/ 7 cf7 - State work to be performed and purpose of building (By Floors) New Building_ - -. -_ Remodeling Addition Repairs No. of Stories 6 t ctor. The undersigned applicant for this building permit does hereby certify that he utiders nd epts'his cbligatonsA4 an empl yer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General La ss of Florida Permanent S$plement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. •ro • Size Septic Tank___ Z-74.____ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. Date / Z - / 5 - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address. -%e- ____Q �_ No._____ -- Street_ Registered Architect and /or Employing Plumbers Name �� �� 11 =? G - No.____4 Location and Legal Description Lot-___ 7_x__4___21 flock Street and Number where work is to be performed— No._____.- ____-- -_ -_ -__ __ __ Street State work to be performed and purpose of building (By Floors) - a _ _ - -- I<' A ^, A k; t � �> New Building Remodeling___ __ _____ Addition._________ Repairs No. of Stories Type of Tank_ (Signed)_ (Signed) Capacity Gals. l c Feet of Drain Tile _____Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.________ _ _Size of Soakage Pit Street___ %C. Subdivision Notary Public, State of Florida 1 0 5 0. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatiox as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. i2 5 - v �� Master Plumber. ?(-) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS R INALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST - - -- CHECK Size Septic Tank___ Z-74.____ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. Date / Z - / 5 - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address. -%e- ____Q �_ No._____ -- Street_ Registered Architect and /or Employing Plumbers Name �� �� 11 =? G - No.____4 Location and Legal Description Lot-___ 7_x__4___21 flock Street and Number where work is to be performed— No._____.- ____-- -_ -_ -__ __ __ Street State work to be performed and purpose of building (By Floors) - a _ _ - -- I<' A ^, A k; t � �> New Building Remodeling___ __ _____ Addition._________ Repairs No. of Stories Type of Tank_ (Signed)_ (Signed) Capacity Gals. l c Feet of Drain Tile _____Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.________ _ _Size of Soakage Pit Street___ %C. Subdivision Notary Public, State of Florida 1 0 5 0. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatiox as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. i2 5 - v �� Master Plumber. ?(-) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship Permit No 1 3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address et_ Registered Architect and /or Engineer Employing Plumber's Name...... Location and Legal Description Lot. Street and Number where work is to be performed —No i �- �l 99' State work to be performed and purpose of building (By Floors)__--- -_ New Building. .._ _ _ _ _.. Remodeling____ ._.__ .__ Addition- _.__..__ .. Repairs No. of Stories... _.- .-- ._..... -.._. Size Septic Tank_ Feet of Drain Tile__ _- .- _- - _..�. Nature of Water Supply: City —Well Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supple plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed b performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public y in notice or required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _Type of t. Feet of Tank or Drain Field from Well No. (Signed)_ Subdivision Street.._..._ - Capacity Gals Size of Soakage Pit Street_.______..... _.._...... _•.._ ..... • g Inspector. ployer of labor , and has corn - the work to be notices as are permit, as are _ aster Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .___._...__...._._..._ of the above described construction, that he has carefully read the foregoing application, , and a l .. s therein by him stated are true. on and that he did sign the same, and that all facia My Commission Expires Notary Public, State of Florida mater A re-i s l< e fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, ar faulty CLOSETS BATH TUBE SHOWERS LAVA- TORIES SINK• SLOP SINKS LAUNDRY TUBS URINAL. CATCH BASIN FLOOR DRAIN DRINKING FOUNT -NS FIXTURES CONTR. LIST CHECK -- SEPTIC TANK SEWER CONN. DRAIN F IELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST CHECK Permit No 1 3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address et_ Registered Architect and /or Engineer Employing Plumber's Name...... Location and Legal Description Lot. Street and Number where work is to be performed —No i �- �l 99' State work to be performed and purpose of building (By Floors)__--- -_ New Building. .._ _ _ _ _.. Remodeling____ ._.__ .__ Addition- _.__..__ .. Repairs No. of Stories... _.- .-- ._..... -.._. Size Septic Tank_ Feet of Drain Tile__ _- .- _- - _..�. Nature of Water Supply: City —Well Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supple plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed b performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public y in notice or required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _Type of t. Feet of Tank or Drain Field from Well No. (Signed)_ Subdivision Street.._..._ - Capacity Gals Size of Soakage Pit Street_.______..... _.._...... _•.._ ..... • g Inspector. ployer of labor , and has corn - the work to be notices as are permit, as are _ aster Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .___._...__...._._..._ of the above described construction, that he has carefully read the foregoing application, , and a l .. s therein by him stated are true. on and that he did sign the same, and that all facia My Commission Expires Notary Public, State of Florida mater A re-i s l< e fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, ar faulty PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 10/22/92 Job Address 759 N.E. 94Th Street Tax Folio/ ‘a q / �-4 4 Legal Description � hi- 2y Owner / Lessee / Tenant Scollin Master Permit # )32y Owner's Address SAME Phone 756 -7900 Contracting Co. Public Gas Company Address 6890 N.W. 25Th Street Qualifier J.B. Geistweite SS# 'AF Phone 871 -1380 State # Municipal # Competency # a(o :3 VI & Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Connect Water Heater Square Ft. Estimated Cost(value) ° WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I autberize the above - named„ contractor to do the work stat-d. Signa ure of owner and /or Condo President Date: ondo Presid Notary as to Owner and My Commission Ex FEES: PERMIT 1P/PV RADON C.C.F. A -19 NOTARY TOTAL DUE ._M " APPROVED: / Florida NOED u19 Fire Zoning Buildi Mechanical Plumbing_ i nature of Contractor Owner-Builder te: J.B. Geistweite /� � Notary as to Contractor or Owner- Builder /e/204,0-1/ /e/204,0-1/ My Commission Expires: NOTARY PUBLIC, STATE OF &'LOI 1DA. MY COMMISSION EXPIRES: April 6, 1995. BONDED THRU NOTARY PUBLIC UNDERWRITER& * * * * * * * * * * * * ** Other Electrical Engineering COL. #1 MATALS E) Cost I USED COL,. # — AMOUNT Quant. . Description Quant. Description Cost MERCHANDISE D.O.C. STAMPS FINANCE CHARGE r $" LEASE FEE t K�?� — _ y""! SALES TAX GA POUNDS LLONS GAS @ '� �,� y_ - • TI LITY TAX (PERMIT INSPECTION FEE SUB TOTAL 4C LABOR —so-TOTAL COL. #1 PARTS - FITTINGS . TOTAL COL. *1 f TOTAL COL.#1 81 #2 '4 SALES TAX The use of the appliances, and gas equipment have been explained. I have sniffed the gas odor and understand that I shall call Public Gas immediately if I smell this odor in the future. A/C REC SUB TOTAL SECURITY rI ISTnMF / ; / TOTAL - c "'7 n LABOR: DATE LABOR: DATE LABOR: DATE INSTALL SERVICE fy ❑ APPLIANCE SALE Q . CITY RF(?F£IMFP A LOCATION (Directions) OS" )BRANCH) / TIME 8 F ROM TI ME FROM TIME F ROM /8 /8 RFrFIPT Mri, 0 1 STATE lJ Iol DATE COMPLETED Public Gas Company ACCOUNT NO, I NOL BREPARED Y NAME Q . iri 1 4 ( F SE ;:€ . / // ADDRESS (INITIAL) ZIP TURN TURN PULL C.O.D. $ ON OFF EQUIP. INSTRUCTIONS: 1 -- S Cr- 4 7 4 0 413 mil./ T A N K IN: Ser.* Tag* Size OUT: Ser * Size Rdg Rdg M E T E IN OUT WORK ORDER NO. 5 46 4 5 /0 /13/9 DATE ROMISE D /D DATE DOM. COMM. DEALER WHSE. IND. PHON ROG ❑ CYL. ❑ BULK ❑ METER NO. ❑ CHARGE ❑ 0 CREDIT OK ❑ Index ROG Index APPLIANCE : INSTALLED: MODEL No. SERIAL No MANOMETER TEST: OPERATING PRESSURE INCHES LEAK TEST: PRESSURE MINUTES SERVICE PERFdRMED: TO HOURS TO HOURS TO HOURS MIN MIN. MIN. SE RV ICE MANS INITIALS SE RV ICEMANS INITIALS SE RVICEMANS INITIALS BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder )Legal Description Address of Building 4 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 1; } �1 Contractor's License No. /1. f ( i ) PERMIT N° 5845 Work to be performed under this Permit ��{ ,,nn t .�ii�i4�`ti� ' eltt1 � Lot J Bl. ice Subdi- vision 2Lci ... Value of Amt. o dr el; Project Permit This rmit igranted to a contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation 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 tlig st tements or specifications and tha he assumes respon- sibility for work done by his agents, servants or employees. ., ' tff r ,` Signed. /2 / 2 t � By f{ PECTO s In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with aJ.prdinances d t)egi. tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoriticcf�55 of Miami ores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY