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ELECTRICALFor Inspector: Approved' Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reques Date Type Insp n a Permit No. v 0✓ ' //✓ Name Address Company Phone # 05 . Re- Insp'n Fee ❑ /e-toX 025 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Date Type Insp'n Permit No. a DO ' /// "---" Name Address / 7\1 ---- Company Phone # For Inspector: jj p, Name & Da Approved / / /�/ Correction Re- Insp'n Fee ❑ / ,€-✓ee/c7i MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reque Date Time Type Insp'n Permit No. Name Lb Correction ❑ Re- Insp'n Fee Address Company Phone # Name & Da For Inspector: Approved l� 1 ige p (5-gLA aP/ulv 0-97( /7645 >-- 0 /r)° tee, /, JILDING LECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 2088 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Subdi- vision Legal Lot Bl. Description 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 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• 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 regula- tions 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 agent, servant or employee. Value of Project DATE 194— Contractor's License No. Amt. of Permit CONTRACTOR OR BUILDER BY AUTHORITY 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 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 comp ' d with, whe herein specified or not. A copy of approved plans and specifications must a kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineel Employing Electrician's Name Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT t f SS. MIAMI SHORES VILLAGE My Commission Expires ELECTRICAL INSPECTION DEPARTMENT (Signed)" No. (Signed) Date r if /� No i7 Street Location and Legal Description Lot k "' __: __ Block Street and Number where work is to be performed —No. Z' �� %! State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs l t Subdivision_ ree[= Service Overhead Size Feeders______________ Conduit Main Sw Amps. Main Fuses Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding 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 tte of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractor , on rk , 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 t A l Street ---- _ - - / - -------- --- --- -- -• No. of Stories 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 FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP ' HEATER TOTAL CONTR. LIST r" CHECK / c �' ,� � ', _� ^ / � v ,( y 9 ENT. SW. DIST. 'S CAB. ERVICE TEMP. SERVICE PERM. j / MOTORS 0-1 HP MOTORS 1-5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK 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 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 comp ' d with, whe herein specified or not. A copy of approved plans and specifications must a kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineel Employing Electrician's Name Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT t f SS. MIAMI SHORES VILLAGE My Commission Expires ELECTRICAL INSPECTION DEPARTMENT (Signed)" No. (Signed) Date r if /� No i7 Street Location and Legal Description Lot k "' __: __ Block Street and Number where work is to be performed —No. Z' �� %! State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs l t Subdivision_ ree[= Service Overhead Size Feeders______________ Conduit Main Sw Amps. Main Fuses Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding 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 tte of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractor , on rk , 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 t A l Street ---- _ - - / - -------- --- --- -- -• No. of Stories 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. Permit No.— Employing Electrician's Name APPLICATION FOR ELECTRICAL PERMIT a /14 I Date_. /. � =- — Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit 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 Owner's Name and Address r fi No 97 1 Registered Architect and /or Engineer Location and Legal Description Lot__ Block___ e Street and Number where work is to be performed —No Service Overhead Size Feeders Underground Amount of Permit $--/ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) No a c State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Type of Installation— Conduit Tubing B.X.L. Metal Moulding Street__4 Street .4 _ �' Su bdivision��l ______— ____— ___________ .�d n . ' t Street No. of Stories Conduit Main Sw. ) ' Amps. ___ / Main Fuses Amps. 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST yyy � 1 t7 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No.— Employing Electrician's Name APPLICATION FOR ELECTRICAL PERMIT a /14 I Date_. /. � =- — Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit 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 Owner's Name and Address r fi No 97 1 Registered Architect and /or Engineer Location and Legal Description Lot__ Block___ e Street and Number where work is to be performed —No Service Overhead Size Feeders Underground Amount of Permit $--/ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) No a c State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Type of Installation— Conduit Tubing B.X.L. Metal Moulding Street__4 Street .4 _ �' Su bdivision��l ______— ____— ___________ .�d n . ' t Street No. of Stories Conduit Main Sw. ) ' Amps. ___ / Main Fuses Amps. 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. JOB: BUILDING PLUEBING • - -.- • - - • ELECTRICAL Inspector's Report: AND • • f • • 4 • • WORK • • DONE BY: / / • • : REQUESTED : WILL BE READY • • • AD: The following is ready for Inspoction: I ADA 4 1, nR ■P • ■ MIAMI SHD'RES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ff Permit No.______ _ Date_ a Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitid 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. Service Overhead Size Feeders Underground Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot__ `N Q Street and Number where work is to be performed —No My Commission Expires Block No 97 Conduit 1C v Main Sw. The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. (Signed) t Street •�d Subdivision_. M� Street No C ad Amps. Street____ Notary Public. State of Florida State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs • No. of Stories.. Main Fuses Amps. Type of Installation — Conduit Tubing B.X.L Metal Moulding Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) " 4 -/- --? Master Electrican. 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. SWITCH OUTLETS LIGHT OUTLETS ! 71- PLUG RECE'P'T'S - C✓: Y FIXTURES NO.LAMPS - T - e -- , REFRIG. OUTLET --- IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL C LIST R i FA / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHD'RES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ff Permit No.______ _ Date_ a Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitid 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. Service Overhead Size Feeders Underground Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot__ `N Q Street and Number where work is to be performed —No My Commission Expires Block No 97 Conduit 1C v Main Sw. The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. (Signed) t Street •�d Subdivision_. M� Street No C ad Amps. Street____ Notary Public. State of Florida State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs • No. of Stories.. Main Fuses Amps. Type of Installation — Conduit Tubing B.X.L Metal Moulding Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) " 4 -/- --? Master Electrican. 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. JOB: BUILDING ELECTRICAL PLU1IBING Inspector's Report: • • • • • • • • AD: • • WORK f /, , - ,, , erl t, , ',F.,i, : DONE -/- BY:i , : REQUESTED • • :/ The following is ready for Inspection: : WILL BE READY JOB: 11 'I BUILDING ELECTRICAL PLUMBING Inspector's Report: ; • ,-, • • • AD: WORK DONE BY: • • • The following is ready for Inspection: REQUESTED : WILL BE READY . . • . ▪ ? ,,,/,-,/,,, . . . . V-- . . . , / / , f .,, f • • • • • • , • • • is/ 75 _ '5'a trio ( 0 / G lo %7 o Owner's Name and Address Registered Architect and /or Enginee, Employing Electrician's Name Location and Legal Description Lot___ Service Overhead Size Feeders Conduit Underground Type of Installation — Conduit Tubing Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. SS. My Commission Expires The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit: and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. MIAMI S HE] RES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. __ P 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, whe r herein specified or not. A copy of approved plans and specifications must c kept at building during progress of work. � (Signed) (Signed No. Date Block �� /j_ 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 Streets No. of Stories Main Sw. Amps. ____ _____ Main Fuses Amps. B.X.L . Metal Moulding Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the 'te of the work such public notice or notices as are sub - contracto on �.rk j . b performed under this permit, as are 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, that he has carefully read the foregoing application, and that he did sign the same, and therein by him stated are true. to administer oaths and take acknowledgments, personally Notary Public, State of Florida Master Electrican. that all facts 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 RANGE OUTLET OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST / i v� � � / �J ✓i � II 4 CHECK /j ENT. SW. DIST. P CAB. ERVICE TEMP. = � r ` SERVICE,/ PERM. / J 7 / / , /// MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Owner's Name and Address Registered Architect and /or Enginee, Employing Electrician's Name Location and Legal Description Lot___ Service Overhead Size Feeders Conduit Underground Type of Installation — Conduit Tubing Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. SS. My Commission Expires The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit: and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. MIAMI S HE] RES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. __ P 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, whe r herein specified or not. A copy of approved plans and specifications must c kept at building during progress of work. � (Signed) (Signed No. Date Block �� /j_ 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 Streets No. of Stories Main Sw. Amps. ____ _____ Main Fuses Amps. B.X.L . Metal Moulding Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the 'te of the work such public notice or notices as are sub - contracto on �.rk j . b performed under this permit, as are 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, that he has carefully read the foregoing application, and that he did sign the same, and therein by him stated are true. to administer oaths and take acknowledgments, personally Notary Public, State of Florida Master Electrican. that all facts 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 Registered Architect and /or Engineer ..... . 11 � ng� E ectryFi6's Na l..l..I .�.�M. V... � . ° �..Q- tion SnTLeegga ITe scri tion Lot 4 4 ' 4 ?J 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 Q _._ 4 _ STATE OP FLORIDA, } COUNTY OF DADE. Amount of Permit $ u. MIAMI SHORES VILLAGE My Commission Expires ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date f3� . O ll 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, Fiu: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. ,, CU D _ 7 Owner's Name and Address... .(,�L'(/I.�s �!/ " - No E •r- Street 9 e7 (_ Res "Street 7 ? s Jv Block.... Subdivision 7 7) /\/ .. i 'E.. Street di / `r 9 a_ e_ sev- vt�e 7Lov% (Signed) Repairs No. of Stories Service Un • e and Site Feeders Condu,t. Main Sw .� ® Amps Main Fuses Amps Type of Installation — Conduit Tubing. . B.X.L Metal Moulding C s ti ;cam... - -2, q 0 -K 1..% C...o.. . ..1"..e... 4A . (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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Before me, the undersigned authority, a notary public, duly authorised 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 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 0 LIGHT OUTLETS PLUG RECE•P•T•s FIETURES NO LAMPS REIMS. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP H TOTAL CONTR. LIST /./f ! �eq/, '' �ry � r / / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. AlTORS (/ C 0.1 HP MOTOR{ 14 HP NEON TRANS. R RADIO TOTAL CONTR. LIST L / /O L LI � Vt. CHECK Permit No Registered Architect and /or Engineer ..... . 11 � ng� E ectryFi6's Na l..l..I .�.�M. V... � . ° �..Q- tion SnTLeegga ITe scri tion Lot 4 4 ' 4 ?J 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 Q _._ 4 _ STATE OP FLORIDA, } COUNTY OF DADE. Amount of Permit $ u. MIAMI SHORES VILLAGE My Commission Expires ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date f3� . O ll 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, Fiu: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. ,, CU D _ 7 Owner's Name and Address... .(,�L'(/I.�s �!/ " - No E •r- Street 9 e7 (_ Res "Street 7 ? s Jv Block.... Subdivision 7 7) /\/ .. i 'E.. Street di / `r 9 a_ e_ sev- vt�e 7Lov% (Signed) Repairs No. of Stories Service Un • e and Site Feeders Condu,t. Main Sw .� ® Amps Main Fuses Amps Type of Installation — Conduit Tubing. . B.X.L Metal Moulding C s ti ;cam... - -2, q 0 -K 1..% C...o.. . ..1"..e... 4A . (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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Before me, the undersigned authority, a notary public, duly authorised 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 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. Date Type Insp'n Permit No. Name Address Company Phone # Re -Insp' n Fee icy MIAMI SHORES VILLAGE BUILDING DEPARTMEN 305- 795 -2204 Bui ding Inspection Req est 4-S For Inspector: 6 () 7 l 0 Approved Correction ;� SW/ 11/�J i (N -A17 7/2/ 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • F MOW Date Job Addfe3s 73 /1)6 93 S T Tax Folio Legal Description U Historically Designated: Yes k Owner /Lessee/Tenet I 0 ■) (C)/ 6a Master Permit # )c6vner's Address G') 3 N E. ci s Si" ' Phone Contracting Co. Ve, 'El—ea st C, 10 C - Address Qualifier PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ss# Phoneme 0 7S /, to 7 State # Municipal # 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 $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING RK DESCRIPTION: V._ 1 - 3 p ( " D LuAzS' Permit Type i fft..0-e,(4— L---tc„rt n er Notary as to Owner and/or Condo President My Commission Expires rti 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 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). 1 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 tt}e foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning�Furthe more, 1 authorize the above named contractor to do the work stated. gnat • of o and/or Condo President ' Date f Sig r ture of Contractor or Owner Builder Date Date Notary as to Contractor or Owner Builder My Commission Expires FEES: PERMIT #par OD RADON APPROVED: Zoning Building Mechanical C.0 NOTARY S . 0 v BOND Date Plumbing Structural Engineer H TtE UNIT FEE ' ITEM SWITCH OUTLETS LIGHT OUTLETS RECEPTACLES UNIT MildlidEPMEM13111111111111111111 R' FEE , " ITEM SPACE HEATERS A/C (WINO) UNIT FEE ET S=WASrER £ GSAL SERVICE TEMPORARY A/C (CENTRAL) INXING FOUNTAIN SERVICE SIZE IN AMPS OUCT WORK O R DRAIN SERVICE REPAIP.4ETER CF{ANSE REFRIGERATION :ASE TRAP APPLIANCE CURETS 2. a., PROCESS AND PRESS PIPING •TERCEPTOR RANGE TOP UNDERGROUNO TANKS vATCRY OVEN ABOVE GROUND TANKS ',TRY TRAY WATER HEATER j U.F. PRESSURE VESSELS .OTFES WASHER MOTORS 0- 1 HP STEAM BOILERS -OWER • MOTORS OVER 1- 3 FP HOT WATER BOILERS NK, POT/3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION NX, RESIOEIICE MOTCRS OVER 5- 8 HP TRANSPORTING ASSEMBLIES A. SLCP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS :WCRARY WATER CLOSET MOTORS OVER 10- 25 FP • FIRE SPRINKLER SYSTEIS 'INAL MOTORS OVER 25-100 }P COOLING TOWERS -TER CLOSET MOTORS OVER 100 HP VIOLATION DIRECT WASTES A/C WINDOW REINSPECTION ;TER SYPPLY TO: w AIR COND I T I OhERS . A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS MUMMERS SEATER -NEW INST. GENERATORS TR,ULSFCRPERS ':EATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMdIIG POOL • OUTLETS CCA•ERCIAL RATER SERVICE SIGN TUBES lIR COIOOECT IONS SIGN TRANSFCRN RS MIT-SEWER SIGN TIME am ILITY -WATER FIXTURES ?TIC TANG( • AMEN ..0 TELEVISION OUTLETS AINFIELO. 4' TILE/RES. VIOLATION W & ABANDON SEPTIC TANK REINSPECTION :(AGE PIT CU. FT. TCi BASIN - MO■ r NEIL i% vESTI �:STIC WELL EA DRAIN CF INLET _AR WATER HEATER ;E STANDPIPE J. PIPING IN SPRINKLER SYSTEM 3 RANGE TEA SET (GAS) 3 PIPING + :...: 2` I1K.7 b. :BTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2003 -125 Printed: 5/20/2003 Applicant: KENNETH SALOMON 60 Owner: SALOMON 'KENNETH C\O JOB ADDRESS: 973 NE 95 ST Contractor PONTE ELECTRIC INC Local Phone: 305 - 751 - 4207 Parcel # 1132060143130 . 6e_ oo (}t.."`-'\ o o 45, 0 Total Fees: $9700- Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 11/16/2003 Construction Value: $1,000.00 Work: 5 outlets 1 -6 disp 1 -disp 1 dishwaher 1 w /heater6 lights Signed: In consideration of the issuance to rr conformity with the plans, drawings, sti done by either myself, my agent, serva Signed: , ,, ;:s yd C(9 / 31V0 OL9/E99-E9 62£L suv Electrical Permit Contractor's Address: 1330 NW 113 TERR Legal Description: 5 -6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOTS 24 & 25 BLK 76 LOT SIZE Page 1 of 1 • 2: •IlE LOO1i (""v9 )1/4 ) W71 y u0d Z£b900L90 HOV VInoHOyM ral 0 �' � $ � �' g � 1 d0 3 H10 !; ! AVd L9IEE 'LEI LOZ17 'ua.L'£II 'MN 0££I 98 - 'DNI 'DIU13313 d.LNOd — The Sunshine State — P530 - 530 -47 -258 -0 :. LUCEN JAMES POSTE 1330 NW 113 TR MIAMI, FL 331673668 BIRTH DATE SEX 110T. REST. INDORSE. 07 -1847 M 6-00 ISSUED EXPIRES DUPLICATE 07- 18-06 07 -17-01 1O11mo= Operation 01 a motor vehicle constitutes =sent to any sobriety test required by law. TYPE OF MANAGEMENT (1 ) NCONTRACTOR l ame 1L/�'6V �f/'� y� / �lya� Address 9Fc Ai/ ii ie g e ciater fi 4 2 . eJ P 33/7, Telephone f g Fax // Qualifier N B e. �� _G660- J TYPE OF MANAGEMENT (1 ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must he taken to obtain a permit from the I\liami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized, Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. 91'3 g 9s \' * s( oN `e Folio Number 1/5. ' 6 /H3/36 // / `'' )> Job Address: Lot Address Apt. Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (./ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other f Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PROPERTY OWNER Name d/ &Of /�mi, Address 9 73 /✓ 1 i 477.- Home Telephone Business Telephone Fax Description of Master Permit No. Subsidiary Permit No. a -20, City Zoning Linear Feet Square Feet Value of Wo 1p Zip Units Floors Bldg Value Tax Assessed/Apprats .o Value Flood Zone PERMIT CHANGE (./ ) ENGINEER Name License No. Address Telephone Fax Base Floor Elev. Page 2 I\II'OR'I NT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are Limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is •required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. 1. FF[DAVIT - Please read carcfu1Iv. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1° Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE 01 . FLORIDA, CO •/ MI• I -DADE Signat of Owner -,c J i! T R_ Se (a o �. Print Name Sworn to and subscribed before e this of is - State Signat SEAL: Personally known Flori :IUILi0 i;O�aLkiG CC' :' :'SSi(n 4 Cr, C2111/2 EXPI 11 - - S: June 4, 2004 OR, Produced Identification Type of Identification Produced: STATE OF FLORIDA, Signature Print Na $7n) and subscribed before g • Signature o SEAL: PERMIT APPLICATION Y OF MIAMI -DADE - State of Fled == i JUL :d uLj:e COiti;JiISSION 4 CC . 11 1172 EXP rli 0: Juno 4, 20.21 .-._ U∎Au liru kohl' /t1 U ^ ti_r :rum J Personally known OR, Produced Identification Type of Identification Produced: ELECTRICAL TYPI.. Minimum Fee QTY. TYPE. Dryer QTY. TYPE. Outlet, Appliance (in'. TYPE Service Repair Q'I'Y. A/C Central 1 -3 Ton Heating Strips, each Fan Outlet, Wall Service, Temporary - Paint Booth A/C Central 4-7 Ton Fire Pump Outlet, Switch Piping, Flammable Liquid Signs A/C Central 8 -15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16-20 Ton Pressure Vessel -FLItht $ -' Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton f; e,......!...&- k j' ��j Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial - Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor w -volt Burelar..> Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New 1IECHANICAL .I.I,I,I,; Minimum Fee QT y. .I.vi,I,, Condensate Drain () 7 PI; Generator Q TYPE Refrigeration, Tons QTY A/C Central, Tons ()Ty Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of - Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Gas - Appliance PLUi1RING 'ru A/C Condensate ()'I'1' TYPE Drains, Roof QTY TYPE Miscellaneous Fixture ()T1' 'rvri; Soakage Pit ()Ty Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zoning Electrical tGfr.'m, Mechanical Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) O CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) $ Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ 6 Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review REVIEWED AND PREPARED BY ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ o (sq.ft. = x/1000 x ¢.60) (0.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Date Type Insp'n Permit No. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Phone " ^ For Inspector: Approved Correction Re- Insp'n Fee 5 1 11 3 . t Name 4 :01i3w Date Ai, 7 Time Type Insp'n 'A'c' 10 j 0 0- A'aP!/i`4< Name 5 GP/S'� >� " Address 9' )", , Of Company ` / �3 Phone # s ' 7 2/ S MIAMI SHORES VILLAGE l S- BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Permit No. ei For Inspector: Approved Correction Re- Insp'n Fee ❑ Name & Date 722 pfLI5 � -7 A.4244- PERMIT APPLICATION FOR MIAMI SHORES VILLAGE l 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305- 756 -8972 C r? tit,. r�t✓►1� ,a 3313 Date 5 - D3 Job Address —` 3 tit / S 5 * Tax Folio Legal Description )DCK 76 Owner /Lessee/Tenet 1 " n e got D o n Owner's Address 9 7 3 1Ll I 95 5+ Y Y'; am i 5kO f g Permit Type (circle one): BUILDING WORK DESCRIPTION: C .., .1kL Preside a 7 , 1 A '/4 / /,■ - -..iJ&1 /1,ik -4 Si ture of owner and/or Co o II- i a t No as to t caner an My Commission Expr My Commission D0150048 w „ Expires November 15, 2006 RADON FEES: PERMIT APPROVED: Zoning Building Mechanical Plumbing Historically Designated: aK tip Poo g vi;ovne,i l Yes Date Sign Square Ft. Estimated Cost (value) X7 0 , 49D No Master Permit ((73 pZ00 3,853) 2._tc3`1 c 30 BR 1-- cfca I �/� ( Phone h Contracting Co 3 I 5e B g 6TerS e(' "f t C Address Qualifier j A el e 5 • x.. p 6 U N& ga SS# d 1- 9 t 57 Phone C301) 5C- D' State # 040 9 1 Municipal # 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 $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. PLUMBING MECHANICAL ROOFING 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 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: 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, 1 authorize the above named contractor to do the work stated. e of Contractor or Owner Builder Date G i, 6. Date Notary as to Contractor or Owner Builder SEAL O ` P R Y pt, CFF ARE 0 ROSNER * 1 ' j y COMMISSION NUMBER a 4 Q 00058687 9 r e O4 � MY CO MMISSION EXPIRES OF F� OCT. 12.2005 My Commission Expires Date 6Ln2 oA NOTARY S . 0 b TOTAL DUE Electrical Structural Engineer BOND (95 O Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/4/2003 Applicant: KENNETH Owner: SALOMON JOB ADDRESS: 973 Contractor PHASE MASTERS Local Phone: Parcel # 1132060143130 Fees: FEE2003 -3175 FEE2003 -3361 Permit Status: APPROVED Permit Expiration: Work: HOOK UP POOL EQUIPMENT Signe In consideration of the issuance to me conformity with the plans, drawings, state done by either myself, my agent, servant: Signed: NE 95 Description Notary Fee Building Fee Total Fees: Legal Description: Electrical Permit Permit Number: EL2003 -145 SALOMON KENNETH ST Contractor's Address: 5 -6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOTS 24 & 25 BLK 76 LOT SIZE Amount $5.00 $90.00 $95.00 11/24/2003 Construction Value: $600.00 FLORIDA CRAKER CONSULTANT & PERMIT' :. SERVICES, INC: 954 - 445-3099 122 VIA MILAN TERRACE DAVIE, FL 33325 -6911 Bankof America. II r 0� °° 3 7L b:S --/ 92, E L.2.603-&3 FOR I 2 o 0 J/ AO /A/ #/ / _ . a�� .m.w['l:llls'.9:l�fiva��i4� -. _-- i_•yTi¢�.i:.9`�� -_ _� ._ Li +rimniu.l�YRCm�S'1.Dmme - -- 1i'lYSiu1�[��1�1.11wF T• _ Page 1 of 1 Total Fees: $95.00 Total Receipts: $0.00 /;') a ,, sL 0 es 1/,` //cr 9 e I $ 1000 LO 5 211' 1:063 L00 2771: 00 3 7 3 2 38 58 L ii' 63- 27/631 FL 817 PAY TO THE v .. ORDER OF � hi" �/,� 4 41,11/e �.-��ti . DOLLARS MIAMI SHORES VILLAGE BUILDING DEPART 305-79,5-2204 - Building Inspection Requ Dat'% 0 Tim Type Insp'n Permit No. EL 0 1 l ) Name AZ-- Address �.1 ? C. Company P ' e' Phone # 3 aS 1s 1 ^ L a o7 For Inspector: O 1' ` o 3 Name : Date Approved Ud bl V Correction Re- Insp'n Fee ❑ 10050 e E nd A4enue • Miami Shores, 33138 • Phone: 305- 795 -2204 • Fax: 3 N. .� 6 -8 r t1 Date Job Address 9 3 13 .E obis Yi Tax Folio 1 t� kN Legal Description Historically Designated: Yes k' N Owner /Lessee/Tenet '1 0 La IN IN °J Master Permit # ' ' S 6 (4 7 0 , 0 � Owner's Address 1 2 3 d • t g • s---1-- Phone PC) Contracting Co. 0.1-1-1E V---60'L i`6 kz)e Address I 3 U /J t t t (3 -' Qualifier 1r '' tom°■.) P td\ -€ SS# 7,6 - 7 —9 6 ^ State Vb ' U 3 9 IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING CE PLUMBING MECHANICAL ROOFING g u c k 0,j OF ?/z -C i WORK DESCRIPTION: Apg 2 2003 PERMIT APPLIC,_TION FOR MIAMI SHORES VILLA E 5 Municipal # 1 Z Competency # Ins. Co. Qt 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 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: 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. e of owner and/ ident Signat Notary as to ' lwner and : Cond. Pres lent My Conuni ,cx/ia®gla M Beck ; My Commission DD150048 V 91 Expires November 15, 2006 FEES: PERMIT ,Se f ® RADON Date C.C.F Signature of Contractar.pr Own Builder �p Date 53D . o '91.2►- 0 as to f¢ ntractor Not r Owner NI der My Commission Expires Angela M Becker My Commissinr. �r 1 50048 Of Expires Nove r�eei i s ?006 NOTARY S . 0 b BOND APPROVED: TOTAL DUE Zoning Building Electrical 7.d�,1 ®.� Mechanical Plumbing Structural Engineer EM T N 11E UNIT FEE ITEM S'N I TDI OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE CET LIGHT CUTLETS CENTRAL HEATING S;XASHER RECEPTACLES A/C (WIlO) CSAL SERVICE TEMPORARY A/C (CENTRAL) INXING FOUNTAIN SERVICE SIZE IN AWS ? OUCT WORK OCR CRAIN SERVICE REPAIRNETER CRkeWiNikik REFRIGERATION EASE TRAP APPLIANCE CURETS PROCESS AND PRESS PIPING TERCEPTCR RANGE TCP UNDERGROUND TANKS 'lATCRY OVEN ABOVE GROUND TANKS UNORY TRAY _ WATER HEATER U.F. PRESSURE VESSELS .OTHES WASHER MOTORS 0- 1 HP STEAM BOILERS TIER MOTCRS OVER 1- 3 If ! HOT WATER BOILERS NX, POT/3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION A. RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES NX, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS :WCRARY WATER CLOSET MOTCRS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS ;INAL MOTORS OVER 25-100 I•P COOLING TOWERS ;TER CLOSET MOTORS OVER 100 FP VIOLATION DIRECT WASTES A/C WINDOW REINSPECTION ;TER MU TO: AIR COhU IT IOhERS ~—' - A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRA1SFCU €RS • HEATER -NEW INST. GENERATORS TRANtSFCR1.$RS HEATER- REPLACE GENERATORS TRA}SFCRM€RS LAWN SPRINKLER -WELL SPECIAL PURPOSE SMIWING POOL CUTLETS CCMbERCIAL MATER SERVICE SIGN TUBES NER CONNECTIONS SIGN TRARSFCRA€RS ILITY -SEWER SIGN TIME CLOCK I L I TY- 7OATER F I XTIRES ?TIC TAN( ANTENNA LAY TELEVISION CURETS INFIELD, 4' TILEIRES. VIOLATION +P & ABANDON SEPTIC TANK REINS?ECTION AXAGE PIT CU. FT. TCH BASIN s RARGE WELL 4ESTIC NELL EA ClRAIN CF Ih1ET !AR WATER HEATER aE STANDPIPE :L PIPING • N SPRINKLER SYSTEM i RAMIE I ;R SET (GAS) i PIP11G =N APPLICATION FOR BUILDING PER_xIT KIST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. - J3TAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) 1/ ELECTRICAL PLUMBING MECHANICAL The Sunshine State P530-530-47 LUCIEN JAMES POArre 1330 NW 113 74 ; *VA At 33104868 08;7844 shzro Resr evoofte, . ON q 4,32t 111SUED 071843 *4•07 ••weAltien.Cit; MO* *hit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/29/2003 Applicant: KENNETH Owner: SALOMON JOB ADDRESS: 973 NE 95 Contractor PONTE ELECTRIC INC Local Phone: 305 - 751 - 4207 Parcel # 1132060143130 1 ( i Signed;/��i7 Z In consideration of the issuance tc conformity with the plans, drawings, done by either myself, my se 2 Signed: 2 0 PAY TO THE ORDER OF �T rs Legal Description: 5-6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOTS 24 & 25 fOY Permit Status: APPROVED Permit Expiration: 10/26/2003 Construction Value: $2,500.00 Work: RELOCATION OF 200 AMP SERVICE I�I 1 1 ' 1 mamma atcoa■ a a. mama lama,. rarma ma= a Waal Nana a a aimalamal a a aran imauf a a 17:1761.11SY OC at* I lama 4 . - aramat. Ram. a Waal arann a aeaTharaariawarra3 aa:arraan% au, a - a v I I • rxiciriaTai L G an PONTE ELECTRIC, INC. 1 -88 1330 N.W. 113th Terr. 305 - 751 -4207 Miami, FL 33167 Electrical Permit Permit Number: EL2003 -111 SALOMON KENNETH ST Contractor's Address: 1330 NW 113 TERR c--LA-- L. 6 WAICHOVIA ACH RT 067006432 c� FOR 1(�'reitf 00 Ci `3 d i S S r 1°00736710 1:06700643 21i: 2 1,54655355 Page 1 of 1 Total Fees: $0.00 Total Receipts: $0.00 BLK 76 LOT SIZE DOLLARS 7367 63- 643/670 BRANCH 19093 DATE y/ d //7 $ � 3 o MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reque Date 4\10\07 Time Type Insp'n POP,1 I O, Permit No. / Name 5;9 4.,,t14 — Address _g_23 %ji ‘15 Company 11441 Pe,0 / Phone # For Inspector: Approved Correction Re- Insp'n Fee 6 \l` `,Y flame Date Type Insp Permit No. Name Address Company Phone # For Inspecto4 Correction Re -Insp' n Fee MIAMI SHORES VILLA BUILDING DEPARTME 305- 795 -2204 Building Inspection Request 03 g Name Apfroved LJ Time MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. Name Address Company Phone # 3 05 - Inspection Date Approved Correction Re- Insp'n Fee SS Type Insp'n MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Req Date ! '10 Permit No. El .2003 — 1 Name (�OIO fY'JW) Address _` -73 Dom-' L S 5- Compan 1, Phone # J q3 0I25 - Inspection Date Approved Correction Re- Insp'n Fee 21