85 NE 94 St (3)Date P.-)9g
Legal Description
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address
/ Lessee / Tenant T 12 AILK n CA T
� �
Owner's Address /01_ 9
,,ii�� pp
Contracting Co. Cg 11 a1 , l C6 r I 6-U Iv
Qualifier C In rqs F
State #C OXAI Municipal 4
Architect /Engineer
Bonding Company
Mortgagor
Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING
WORK DESCRIPTION
TON Condes�",vc� Uh
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 regulatin: constru t'•n and zoning. Furthermore, I
authori the above -named contractor to do the work sta 1
Sig
Date:
President
My Commi ig>n' xpire s : o * ,F-
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j/�;„ NAT- FEES: PERMIT
Ai .'
APPROVED:
Zoning
Mechanical
Rs @' -1
k) '- tmc�t
Tax Folio
Master Permit # 1 -47 1 78-6
Phone 7 5 ^ 4 2,
Address 2.0 (Ox � (� ( 336
SS # Phone 30S L39 y
0 Competency 1PcY-L W- _3 Ins.Co
Address
Address
* *
MECHANICAL, ROOFING PAVING FENCE SIGN
Signatu
otary as t o C ontactor o Own = Builder
My Commi, o � Expi rfe'a; �.A J. L
=�: j; ;A : MY OOMMISSION f1 00430@ &9 EXPIRES
F ebruary 14, 1999
* * * * OP O ED 'MU TM FAIN INSURV¢66, INB. *
tractor or Owner- Builder
**
RADON C.C.F. /,0 NOTARY TOTAL DUE
Fire Other
Building Electrical
%V Plumbing Engineering
MIAP4I SHORES VILLAGE
EL CTRICAL. INSPECTION DEPARTMENT
PLICATIONI FOR ELECTRICAL PE MIT
Permit No f 3 Date � 1 � ? �' / 9 76
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv,ida,
and all provisions of the Lawo of the State of Florida, all ordinances of Miami Shores Village and all ruled and regulationo of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer /�
Employing Electriciat's Name 6 A Q- Q &f R • ` ' 4 (i v r
Street and Number where work is to be performed —No
G � �, Q c 9 y S r .
No v � � Street N
Tlvc • No 9
e s -
Amount of Permit $ (Signed)
Street
Street gi w • '/.)- 5 • r j , U1�
Location and Legal Description Lot Block Subdivision
' ; 9 Y s- '
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
S e r viee Overhead Size Feeders Conduit Main Sw Ampo Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
ect nap oar.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his •bligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo a Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE. ea.
Before me, the undersigned authority, a notary public, duly authorized to administer oatho and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he io the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facto
therein by him crated are true.
My Commioaion Eapirea Notary Public, State of Florida
NOTE: A re -inspection fee of 51.00 will be made evhen such re• inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REPRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CNCCR
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
e &wrem .
A, s -id,
/
V
MOTORS
O - t H•
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
MIAP4I SHORES VILLAGE
EL CTRICAL. INSPECTION DEPARTMENT
PLICATIONI FOR ELECTRICAL PE MIT
Permit No f 3 Date � 1 � ? �' / 9 76
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv,ida,
and all provisions of the Lawo of the State of Florida, all ordinances of Miami Shores Village and all ruled and regulationo of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer /�
Employing Electriciat's Name 6 A Q- Q &f R • ` ' 4 (i v r
Street and Number where work is to be performed —No
G � �, Q c 9 y S r .
No v � � Street N
Tlvc • No 9
e s -
Amount of Permit $ (Signed)
Street
Street gi w • '/.)- 5 • r j , U1�
Location and Legal Description Lot Block Subdivision
' ; 9 Y s- '
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
S e r viee Overhead Size Feeders Conduit Main Sw Ampo Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
ect nap oar.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his •bligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo a Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE. ea.
Before me, the undersigned authority, a notary public, duly authorized to administer oatho and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he io the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facto
therein by him crated are true.
My Commioaion Eapirea Notary Public, State of Florida
NOTE: A re -inspection fee of 51.00 will be made evhen such re• inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE, FLA.
JOB
comet ake
'
5 A/ Y 7 -
G
ADDRESS
INSPECTION
TIME READY _1
REMARKS. /P
INSPECTOR DATE 3