1065 NE 96 St (3)Permit No 1 9
Owner's Name and Address
Registered Architect and /or meet
Employing Electrician's Nam
Location and Legal Description Lot
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
o
Amount of Permit $
55.
My Commission Expires
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 wo
P
No
No
Street and Number where work is to be performed —No Street
(Signed)
Street
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontract
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the wor
as are required by the Act. The undersigned agrees to employ only s contractor. •n work to be perfor
licensed by Miami Shores Village.
Street
Block Subdivision
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing. _ B.N.L ...Metal Moulding
/ad ...�'�
Notary Public, State of Florida
ctrical I.:: ctor.
ns as an employer of
anent Supplement, and
employed by him in the
uch public notice or
r this per
Master Electrician.
ces
rare
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'7'8
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
RACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
D16T.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5
N EON
TRANS.
RADIO
TOTAL
CONTR.
L1GT
) HP
�j
CHECK
Permit No 1 9
Owner's Name and Address
Registered Architect and /or meet
Employing Electrician's Nam
Location and Legal Description Lot
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
o
Amount of Permit $
55.
My Commission Expires
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 wo
P
No
No
Street and Number where work is to be performed —No Street
(Signed)
Street
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontract
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the wor
as are required by the Act. The undersigned agrees to employ only s contractor. •n work to be perfor
licensed by Miami Shores Village.
Street
Block Subdivision
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing. _ B.N.L ...Metal Moulding
/ad ...�'�
Notary Public, State of Florida
ctrical I.:: ctor.
ns as an employer of
anent Supplement, and
employed by him in the
uch public notice or
r this per
Master Electrician.
ces
rare
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
peared
Permit No
Disapproved
(Signed)
M DAMN S H ES VO LLA L
BUILDING INS 'EG DEPARTMENT
APPLOCATOON FO3 U LL
t)
ONG PER
OT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept a. building during progress of the work.
Date cj.. / 3 , 19 / V
Owner's Name and Address.. C 0 ¢ . No G Street y S7 >
Registered Architect and /or Engineer
Name and address of licensed contractor.C..L..1.aI&M C_tflli.l O(, G01/SeT1_1 ? g ..
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 1 b • q _l,
State work to be done and purpose of building (by floors - tsf..S'.I1A - lrc - Fj.. 7
1A€ .L117k. -14f g- 1.47_ .__ V4‘) ..LAL.- Si/ 7.v...c. --.1 g - R-1 .
t. at) ..--L..y__ t
New Building..�'.l (.I_$'.rl.M.C. Remodeling Addition Repairs
To be constructed of Kind of foundation Roof C vying
Estimated Total cost of improvements $ / d Amount of Permit $... /.0 ' ------
Zone cubage required _Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
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 sul ontractors, on wgzc to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) ..
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
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.
19
Date J �. ! Read, Sworn to and Subscribed before me.
1Yi\t_ PRA
and for no other purpose.
No. of Stories
Date._
Notary Public, State of Florida
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member ..... Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Miami Sh
PERMIT APPLICATION M FOR MUN ICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date Job Address 06,5 A' ��r'�- �� Tax Folio 11 - 1/
9 - 3
Legal Description Master Permit # 3 -�
/ Lessee / Tenant 29)Z4/d 2erfil
f D 6 s , l 4(51 2 ` / - /t(( 6° Owner's Address t � e Phone ���'
Contracting t aae ( S tO P G Address , 9 - C4;1574 Rd'
Qualifier j t 11 A . SS# c;0 3 - ‘&: Phone 9 Wi' //'/g
State# a4Ca 3302D Competency#
Architect /Engineer
Bonding Company
Mortgagor
Address
Address
Address
Permit Type (circle one : BUILDING ELECTRICAL PLUMBING
WORK DESCRIPTION
Square Ft.
7
Signat
Date:
PERMIT FEE: APPROVED:
Zoning
Mechanical
list Pear
OWNER'S AFFIDAVIT: I certify that all the forei
will be done in compliance with all applic
Furthermore, I authorize the above -named cont
Notary as to Owner and /or Condo
My Commission Expires:
* . *
President
5
Estimated Cost
Ins. Co.
Building Electrical
,)Plumbing Engineering
PAVING FENCE SIGN
Gc lJ4 r' ?
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO
DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGN', OOLS, ROOFING, and MECHANICAL work.
FRANK A. HEISS
MY COMMISSION # CC'&3046
D(PIRES: October 12, 1997
gip „;$•' Bonded ThN Notary Palkjjelernalters
nformation is accurate and that all work
ws e• lating constru•t on and zoning.
o d.,, work stated.
lder
*
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOCR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK. POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK. RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK. SLOP
MOTORS OVER 8- 10 HP
ELEVATORS /ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 FP
COOLING TOWERS
WATER CLOSET
•
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
•
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
JTILITY -WATER
FIXTURES
SEPTIC TANK
ANTENNA
•
RELAY
TELEVISION OUTLETS
)RAINFIELD, 4" TILE/RES.
VIOLATION
't.M' & ABANDON SEPTIC TANK
REINSPECTION
3OAKAGE PIT CU. FT.
:ATCH BASIN
)ISCHARGE WELL
)OMESTIC WELL
1REA DRAIN
100F INLET
_
1OLAR WATER HEATER
'IRE STANDPIPE
'001 PIPING
.AWN SPRINKLER SYSTEM
;AS RANGE
IETER SET (GAS)
SAS PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
•
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
ITEM
BATH TU3
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
1
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING /i)itee-
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL) 57tfi
l
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOCR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS /ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
•
MOTORS OVER 100 HP
_
VIOLATION
.INDIRECT WASTES
A/C.WINDOW
_
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
'
1
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
-
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
.
FIXTURES
SEPTIC TANK
ANTENNA
-
1ELAY
TELEVISION OUTLETS
)RAINFIELD, 4' TILE/RES.
VIOLATION ••
'UMW & ABANDON SEPTIC TANK
REINSPECTION
3OAKAGE PIT CU. FT.
;ATCH BASIN
)ISCHARGE WELL
X)MIESTIC WELL
°EA DRAIN
100F INLET
SOLAR WATER HEATER
•
'IRE STANDPIPE
'OOL PIPING
.AWN SPRINKLER SYSTEM
1AS RANGE
CER SET (GAS)
;AS PIPING -
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BE'
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
ELECTRICAL
MECHANICAL
PERMIT NO. TAX FOLIO NO. ///---
✓2 /9- 3
STATE OF FLORIDA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement,
%5 A. g 96 ?4
1. Legal description of property and street address:
2. Description of improvement:
3. Owner(s) name and address:
Interest in property:
. Name and address of fee simple titleholder:
4. Contractor's name and address:
5. Surety:(Payment bond required by owner from c
Name and address:
Amount of bond $
6. Lender's name and address:
Notary Public
Print Notary's Name
My Commission Expires:
NU, Il•t Or (UMIVItINI;tMtN 1
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself, Owner designates the following perso
Section 713.13(1)(b), Florida Statutes.
Name and address: /I
9. Expiration date of !his Notice of Commencement: (the expir
ati' date is 1 year from the date of recording unless a
different date is specified) /
""(
Signature of er
Print 0 ners Name C--. o c S . - Z e_.-
Sworn to and subscribed before me this \\ day of F e�b.
Lka,
ntractor, if any)
,„„t
•■■••011.0..0.
(s) to receive a copy of the Lienor's Notice as provided in
- '1K7t. HESS
MY COMMISSION # CC 32$046
,h ��` a' • • : October 12, 1997
Bonded Thor Notary Pubtic Underwriters
4 b.'TM ESS inyh -n o ' and Official Seal.
.Ha RUVIN,C RI
CE iA ,STALLATION OFFICE
,19 c tS . Sears, Roebuck and Co. (5596)
Addres3825 Forsyth Rd.
Winter Park, FL 32792
OTATE OF EALORIDy,„ COUNTY OF DADE
i ffErviaze ,�Z gn Th iith h o true o of the
erkina ofro ow / day
'A.O.t9
CEN i RAL INSTALLATHON OFFICE
of cu. and County Courts
O.C.
958064 456 1995 FEB 16 12:12
/DK. e &•57
.3 3/ 38
ears, Roebuck and Co. (55
3825 Forsyth Rd.
Winter Park, FL 32792