1070 NE 96 StBUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
I ! PERMIT N° 9515
Work to be performed under this Permit
BI.
Subdi-
vision
Value of
Project $
DATE 195_
s
License No
Amt. 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 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 perm 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 regulations
pertaining thereto F'ISd in strict conformity with plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting thiSteimit I assum s y onsibility for all work done by either, myself, my agent, servant or employee.
4 (, t,
CONT ACTOR FOR BUILDER /! BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 9690
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project $
DATE 195
Contractor's
License No
Amt. 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 application
herefor in strict compliance with all ordinances pertaining thereto and with tie 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 regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Villrge.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
Permit No
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
ELECTRICAL INSPECTION DEPARTMENT
MIAMI SHORES VILLAGE
APPLICATION FOR ELECTRICAL PERMIT
No 1 0 7 0 Alb Street I g 'd i 0 "- J `V
Registered Architect and /or Engineer // s `
Employing Electrician's Name i f( / L (L re k/'\ g e ! c- a...... `� 0 S 'V..k Street '
Location and Legal Description Lot Block QQ // Subdivision
Street and Number where work is to be performed— No..../...0. 7..0 kV l..Sp Street
State work to be performed and purpose of building (By Floors)..% '�—�T 'mss ice" <L'e ( Q .54-7e1/ e'er
New Building Remodeling I1 Repairs No. of Stories
Service
� n e 1191111 ' � Size Feeders
STATE OF FLORIDA, }
COUNTY OF DADE
8a.
44-
4
Conduit 1 Main Sw l
Amount of Permit $ c o (Signed)
Date
6
Amps Main Fuses /
Type of Installation — Conduit Tubing B.X.L Metal Moulding
if
J
Electrical Inspecto .
Amps
The undersigned applicant for this building permit does hereby certify that he understands and accepts , � obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of IP r • a 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 are
licensed by Miami Shores Village.
(Signed) `/ 1 f )0 ,'�
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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
N O. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
RACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
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
ELECTRICAL INSPECTION DEPARTMENT
MIAMI SHORES VILLAGE
APPLICATION FOR ELECTRICAL PERMIT
No 1 0 7 0 Alb Street I g 'd i 0 "- J `V
Registered Architect and /or Engineer // s `
Employing Electrician's Name i f( / L (L re k/'\ g e ! c- a...... `� 0 S 'V..k Street '
Location and Legal Description Lot Block QQ // Subdivision
Street and Number where work is to be performed— No..../...0. 7..0 kV l..Sp Street
State work to be performed and purpose of building (By Floors)..% '�—�T 'mss ice" <L'e ( Q .54-7e1/ e'er
New Building Remodeling I1 Repairs No. of Stories
Service
� n e 1191111 ' � Size Feeders
STATE OF FLORIDA, }
COUNTY OF DADE
8a.
44-
4
Conduit 1 Main Sw l
Amount of Permit $ c o (Signed)
Date
6
Amps Main Fuses /
Type of Installation — Conduit Tubing B.X.L Metal Moulding
if
J
Electrical Inspecto .
Amps
The undersigned applicant for this building permit does hereby certify that he understands and accepts , � obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of IP r • a 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 are
licensed by Miami Shores Village.
(Signed) `/ 1 f )0 ,'�
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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
Employing Electrician's Name G Z"
Location and Legal Description Lot _..: 1
Street and Number where work is to be performed —No
STATE OF FLORIDA, 1
COUNTY OF DADE. I
APPLICATION FOR ELECTRICAL PERMIT
88.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
1'6
Date 7 -) / - 6'
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.
Q
Owner's Name and Address .�/ ��� �.::��.:v^���� No Street
Registered Architect and /or Engineer
t 'x o No 6 Street T
Block g Subdivision
BB , J
Street o d C�
State to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
G of
Service Overhead d Size Feeders / Conduit / a/ Main Sw Amps Main Fuses Amps
Type of Installation — Conduit (ubin B.X.L Metal Moulding
/;
Amount of Permit $ r
�� v � 1 A
.:� � (Signed )_—J � � � .� , , ,,
/ , 4/ Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that h,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 P�irn.'anent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contractocs'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.
C jj A
(Signed) c? ,'- 4 ( / f
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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
REC��E'P''T'S
1
FIXTURES
NO. LAMPS
D
REFRIG.
OUTLET
// { /
IRON
OUTLET
0
RANG!:
OU TLET
/
RANGE
CONN.
WATER
HEATER
/
W. HEAT.
CONN.
/
SPACE
HEATER
STRIP
HEATER
TOTAL
C L ST
// /Ji
0 J
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
Employing Electrician's Name G Z"
Location and Legal Description Lot _..: 1
Street and Number where work is to be performed —No
STATE OF FLORIDA, 1
COUNTY OF DADE. I
APPLICATION FOR ELECTRICAL PERMIT
88.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
1'6
Date 7 -) / - 6'
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.
Q
Owner's Name and Address .�/ ��� �.::��.:v^���� No Street
Registered Architect and /or Engineer
t 'x o No 6 Street T
Block g Subdivision
BB , J
Street o d C�
State to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
G of
Service Overhead d Size Feeders / Conduit / a/ Main Sw Amps Main Fuses Amps
Type of Installation — Conduit (ubin B.X.L Metal Moulding
/;
Amount of Permit $ r
�� v � 1 A
.:� � (Signed )_—J � � � .� , , ,,
/ , 4/ Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that h,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 P�irn.'anent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contractocs'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.
C jj A
(Signed) c? ,'- 4 ( / f
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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
/ `�
Amount of Permit $_
, t
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL 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 complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
0
Owner's Name and Address__ °�`�° � z ' No Street
/%/ /
Registered Architect and /or Engineer/ ii
✓'
P g
Em loyin Electricians Name_____
-- ° ' _:._ No. Street
- - r '� — — =
Location and Legal Description Lot Block
Street and Number where work is to be performed— No. _1 - -r Street
State work to be performed and purpose of building (By Floors) _
New Building Remodeling Addition ____ .Repairs No. of Stories
ss.
Date
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L .____Metal Moulding
_ ( 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 59(66, 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 hire in the
work to be performed under this permit; and will post or cause to be posted for inspection o the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub Ontractgv, i work to j rformed under this permit, as are
licensed by Miami Shores Village.
Subdivision
'- iii
Mas ter Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. I?
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
No. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
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
1.5 HP
NEON
TRANS.
RADIO
TOTAL.
CONTR.
LIST
fff
CHECK
Permit No
/ `�
Amount of Permit $_
, t
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL 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 complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
0
Owner's Name and Address__ °�`�° � z ' No Street
/%/ /
Registered Architect and /or Engineer/ ii
✓'
P g
Em loyin Electricians Name_____
-- ° ' _:._ No. Street
- - r '� — — =
Location and Legal Description Lot Block
Street and Number where work is to be performed— No. _1 - -r Street
State work to be performed and purpose of building (By Floors) _
New Building Remodeling Addition ____ .Repairs No. of Stories
ss.
Date
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L .____Metal Moulding
_ ( 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 59(66, 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 hire in the
work to be performed under this permit; and will post or cause to be posted for inspection o the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub Ontractgv, i work to j rformed under this permit, as are
licensed by Miami Shores Village.
Subdivision
'- iii
Mas ter Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. I?
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date (p t . Onob Address /07t 9(o 51/CC-7 Tax Folio
Legal Description Historically Designated: Yes No
/ Tenant xif cki G/ /14- 'e( -P Master Permit #1 4'70¢3) 00 �D
Owner's Address
Contracting Co.
Qualifier J {af L (r SS# - Phone 3C
State # {EGL (5 OO pia- Municipal # Competency # b 32 / Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDIN ! LECTRICALJ,LUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Square Ft. 0
070/156.
WORK DESCRIPTION 7`Cd`'EN /R014-1/45. f lit' 4 S, ,QEr oe q
rheT t 7 /xfJpf 7 L fcvis - �y
Estimated Cost (value) 6Q') ® � d�"'�
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 A}F)AVIT: 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.
" : •
klY PUBLIC STATE OF FLORID
COMMISSION NO. CC714103
MY COMMISSION EXP. MARI 002
�J .•
e o
V
Si
Notary as .. Own
My Commission
FEES: PERMIT ®'" RADON
•23
Date
--0
C.C.F
Signatur � • I
Notary as t. Contractor o
M:y Commission Expires
Phone 30 — 7”_2-7¢3
er5OO 4 1 3 y- /3 Date
?6 p 06 ,
6
OFF'eln NOTAeYS
GLADYS J VILLAR
NOTARY PUBLIC STATE OF, FLORIDA
COMMISSION NO. CC714103
LMY COMMISSION EXP. MAR. L2002
BOND
(� -a3 -6000
ate
APPROVED: TOTAL DUE 5
Zoning Building Electrical '•, e/A-i° -24T o
Mechanical Plumbing Structural Engineer
Maxwell — Kitchen Renovation
1070 NE 96 Street, Miami Shores, 33138
Scope of Work
Building
• Remove existing cabinets, counter tops and splashes and install new
• Remove existing soffits install new green board.
• Remove existing tile floor and install new wood flooring over 30# felt on existing sub flooring.
• Paint walls & ceiling
Plumbing
• Remove existing sink and lines to appliances and install new.
• Replace shut -off valves
Remove existing appliance and install new
•
Electrical
• Remove existing electric range and replace wit
• Remove existing and install new GFI outlets
• Disconnect appliances and reconnect new
• Remove one ceiling light and install 2 new
• Install new ceiling fan from exiting box
Schedule of Work
/ -,
g as.
• Week of June 18, 2000 Demolition, furring, electrical rough, wall board
• Week of June 26, 2000 Plumbing rough, wood flooring, tape & float wall board
• Week of July 3, 2000 Paint primer first coats
• Week of July 10, 2000 install cabinets and appliances
• Week of July 17, 2000 install countertops
• Week of July 31, 2000 install back splashes, final electrical, finish floors
ITEM
BATH TLS
UNIT
•
FEE
ITEM
SWITCH OUTLETS
UNIT
2
FEE
ITEM
SPACE HEATERS
CENTRAL HEATING
UNIT
FEE
BIDET
LIGHT OUTLETS
DISHWASHER
RECEPTACLES
C
A/C (WINO)
A/C (CENTRAL)
DISPOSAL
SERVICE TEMPORARY
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER MAO:
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
k
ABOVE GROIN TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
WITCRS 0- 1 If
STEAM BOILERS
.
SHOWER
MOTORS OVER 1- 3 FP
HOT WATER BOILERS
SINK, POT/3 COMP.
MDTCRS OVER 3- 5 If
MECHANICAL VENTILATION
SINK. RESIDENCE
W3TCRS OVER 5- 8 If
TRANSPORTING ASSEMBLIES
SINK, SLOP
MDTORS OVER 8- 10 NP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MDTORS OVER 10- 25 If
FIRE SPRINKLER SYSTEMS
.
URINAL
MOTORS OVER 25-100 If
COOLING TOWERS
WATER CLOSET
MDTCRS OVER 100 If
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
3{
GENERATORS TRANSFORMERS
LAWN SPRItO(LER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
GRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
?
. ; ,o . ',—
CATCH BASIN
DISCHARGE WELL
(fir 1 WIG- 4
"2/
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
1 0 `) 0 los
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
MECHANICAL
MIAMI SHORES VILLA E
BUILDING DEPARTME
305- 795 -2204
Building Inspection Request
Date M-17 - 03 Time
Type Insp'n ?Ofldi d13 G YOOTI c 11 vg
Permit No.
Re- Insp'n Fee ❑
O ? - X2-5
Name ti“),
Address ) 01 0 E Q( ST
Company 2 G
Phone # 30s- q (t '?- 96
For Inspector:0 10 03 Name & ate
Approved TI
!! SaV'
Correction ❑ %!� �-�
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date ' ccY���' �° �' `"/
Type Insp'n `" /� /-
Permit No Cg-
Name /-e0 -
Address /G 76
Company
Phone # �- ' 9y 7 — / 8 >
Inspection Date "P' / y
Approved
Correction
Re- Insp'n Fee
/ 3' to � 7
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buildin: Inspection Req
Dat-.-
J
Type Insp'n
Permit No.
Nam
Address 1 0 0/Y\ C b �•
Company
U� Phone #
Ins. Dat 3 i ) 7 I
Approved 71 //.
Correction ❑ r' x,7"'0
Re- Insp'n Fee El
?,;9 r W/ 7/ - R® -
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date °Z
it
Type Insp'n
Permit No.
�((�+��,�,,,�,�n� ` �QQ
Name I`' C u. ■QJ —QC
Address IO1O SE ct( s4-
Company Una) hircon
Phone # ,?W — q `l - 3 ^ C l i
Inspection Date '1v`I'Cs1-1
Approved ❑
Correction U' l'
Re- Insp'n Fee ❑
ce_//y--/F 7 "'/
SI Bps 7 Z>Qc7-r
Pnef/P 2 erL "3,#---e-
G/G i=
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Budding Inspection Request
Date
3ggj
Type Insp'n It nQl Elec.
Permit No. `H ` g3-q3
Name CVC U
Address t O `O N 9`c, 3
Company
Phone #
Inspection Date 9 Zb
Approved
Correction ❑
Re- Insp'n Fee ❑
,g8 5
MIAMI SHORES VILLA
"il/ UILDING DEPARTME
305- 795 -2204
Building Inspection Request
?COI
l�
Darr)1 JO • .W cirC11
Type Insp'n CX Y f(CLUCk
Permit No. 3
d B / '
Name 6" ok6(/
Address ' O1 - O 1�'E q , S-
L-
Company nco v
Phone # G47 �i O
Inspection Date a) 61
rPK
Approved
Correction
Re- Insp'n Fee
�P� bra1) 2 l oL
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date I Cl I LI Time
Type Insp'n 1 •(A l ('
P�o/.
Permit No.
Name
Address t V- 0 1 t
Company L1 nC t J I r
Phone # 3W 9q / �U
For Inspector:
"Approved
Correction
Re- Insp'n Fee ❑
r / �' J �� 4
E 103 'aCI3
‘&9,/ -0 k.G ,S ? p e
e 9c ®l ' e
P —? / ,}l'ri?
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
37gq
Type Insp' n i rq h- None
Permit No. ` c OJ3 ^ �
Name )40qqAtt I
Address 1010 ME 9(05-
1-
11 $( is inn
Phone # 786 V cI r
1
For Inspector: C414
Approved
Name & Date
Correction ❑ 76cw.7
Re- Insp'n Fee ❑
Type Insp'n
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Data (7
Permit No. rn f- 03 -
Nam
Address l C7 �O A / C , 01 i 1 t
Company /a
Phone # 7
Inspection Date N 1 0
Approved ❑
Correction -3-/C,01
Re- Insp'n Fee ❑
�l� Ln4y I// t
Viet ,
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date91 1 5 Time
Type Insp'n PL rnQ1n ofO +
Permit No. 1 l
Name qoxalel I
Address \O `l0 1`E-• 9to 5
Company FI SlU \tOC
Phone # 986 44', 89 TA
For Inspector: pi l
Approved
Correction
Re- Insp'n Fee ❑
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE 6
BUILDING DEPARTMENT A
305- 795 -2204
Building Inspection Request
Date
Type Insp'nf �
-- Permit No. 1003 / J
3
Name a /ccu_siZ
Address 10
Company 1-000/
Phone #
Inspection Date
❑
3 ? 7
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date i
TypeInsp'n 1r aI
Permit No. I
� ,�' . 0 - 34 S
:
Name VY-)"' –C
Address 1070 �C�X 01 6 5 T
Company h ()co
Phone # O3 q4 q
Inspection Date
p93
Approved ❑
Correction 71 .o'I 5 ' l
Re- Insp'n Fee ❑
fit/` 1 S it/ G
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
2 '
Date / -:1
Type Insp'n
Permit No.
Name
Address
Company
Phone #
Inspection Date
Approved
Correction
Re-Insp'n Fee
.5/51
BUILDING
PERMIT APPLICATION
Owner's Address /0 A(£ . cir $ITIEE 7
City `tatoar/ Sf /‘):;�.s State .rL
Tenant/Lessee Name /VA-
Miami Shores Village
Building Department
FBC 2001
Permit Type (circle): Buildin Electri al Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) R"I /cN &- MAW'/a -4 Phone # 005 76 - l9
Job Address (where the work is being done) /070 N6 96 5772,e61
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
Contractor's Company Name r
Contractor's : dr - ss ! '
- ./ 1/ /Y S •te
City
Qualifier
$ Value of Work For this Permit
State
6'0
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No. E 1 cl3
Master Permit No. / 2 -
Zip 33 /38''
Phone #
P "�� g
Zip 3g/k/
Phone #
Zip 313
Architect/Engineer's Name (if applicable)
Architect/Engineer's Address
City
Zip
Square Footage Of Work:
Number of: Bays / Stories / Families / Bedrooms . Baths 2 -
Type of Work: ['Addition ['Alteration 4ew ❑ Repair/Replace ❑ Demolition
Describe Work: 7,457714-1../W761 r /4'
d L-
F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
County Escrow Fee Permit Fee $ __ � Notary $
Education/Training Fee $ Tech $ Scanning $ Radon $
Code Enforcement $ Bond $ Struct. $
Minus Plans Check Fee $ Total Fee Now Due $ (Continued on opposite side)
l'ib � C i l C, c. 5\ 0 r7 $ S O .
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) C(t jfl2 £ ( OA- - �1� tC -TLG"
Mortgage Lender's Address 1 e) • 1-»( 7 14{-c
City pl1/41-- ok-vi"e4)
State VA- Zip 23 2{--0 -- Cv t Lt `t
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
day of
NOTAR
Sign:
Print:
chc7/7/03
a°17
Owner or Agent
The foregoing instrument was acknowledged before me this
20 0fl, by
who is personally known to me or who has produced
As identificatio I and w
Signature
4
Contractor
The foregoing instrument was acknowledged before me this
, day of s7"- , 2Q 3 j , by
who sonallyinauc me or who has produced
as identification and who did take an oath.
•
I .11.
• •
UB
.off i,c4 •ra �. 3 1 L•�I I
,ce;7r�.�rrt ,, #DD051385
e an oath.
My Commission Expires: d ` Bo Thra
rang Atlantic Ca, Inc.
ARY PUBL
Print: 4
My Co
(Certificate of Competency Holder)
State Certificate or Registration No.f C 060(26-eh
************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY
Certificate of Competency No.
******************* * ** * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning