Loading...
ELECTRICALType Insp'n MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date /41;711,°‘" 2— Time � 0 1W � / fie j)- Permit No. �� z �'� /( Name 2— .04e5/ g Address / 5/ /`° / i Company A £ P Qi, Phone # Jf ge` - l s-4/ For Inspector: Approved Correction Re- Insp'n Fee Type Insp'n Permit No. Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date l ®4 O ab Address Company Phone # if/ /3 7/ Approved Correction Re- Insp'n Fee Time 1., tL.?90g,a / /0/ ,( 2 6 s For Inspector: Z 2) N a �. - . . MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 9- /7-e2 Time Type Insp'n /14/Pk 4,02,V Permit No. 5 Z 2 Name e.j,■ Address / 9J "cc 94 5r Company a Phone # £f — /37V For Inspector/ / � Name & Date Approved Correction Re- Insp'n Fee ❑ Permit No 7. S ea- 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. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Q'1 _ e 1 - �J Servi O 11 nderground Size Feeders D 1 Conduit__ 4 Main Sw._ STATE OF FLORIDA, l COUNTY OF DADE. I ss. My Commission Expires No. Street Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name &fa s�� /�� / (..� P i!L4C:A../ No. ;2 00 Location and Legal Description Lot 4 / Block e Street and Number where work is to be performed —No 1V _ -9 _ __._.__ ___ f b Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories _ (Signed) --- 14_']_____ Subdivision 1--C/ '14 3 __1_ Amps , lT 1� Main Fuses Amps Type of Installation— Conduit Tubing B.X.L._____. Metal Moulding Amount of Permit $_ --� � —:__7 — ___(Signed). Electrical Inspector. The undersigned applicant for this building permit does hereby certify th e understands and accepts obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5`MJ6, 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 p osted 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. Notary Public, State of Florida Master Elec ician. 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 $L00 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 T " �' J . 7 FIXTURES NO. LAMPS a REFRIG. OUTLET ✓ IRON OUTLET / 7 v1 RANGE OUTLET I r ) RANGE CONN. / . S t] WATER HEATER 'r '; ' W. HEAT. CONN. 1 " J SPACE HEATER .- N / STRIP HEATER TOTAL CONTR. LIST /, 7 � CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0 -1 HP MOTORS 1-5 HP N EON TRANS. RADIO TOTAL CONTR. LIST //� 0 0 ) » / ) t..4% /7 7 �y CA, 1 t' CHECK Permit No 7. S ea- 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. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Q'1 _ e 1 - �J Servi O 11 nderground Size Feeders D 1 Conduit__ 4 Main Sw._ STATE OF FLORIDA, l COUNTY OF DADE. I ss. My Commission Expires No. Street Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name &fa s�� /�� / (..� P i!L4C:A../ No. ;2 00 Location and Legal Description Lot 4 / Block e Street and Number where work is to be performed —No 1V _ -9 _ __._.__ ___ f b Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories _ (Signed) --- 14_']_____ Subdivision 1--C/ '14 3 __1_ Amps , lT 1� Main Fuses Amps Type of Installation— Conduit Tubing B.X.L._____. Metal Moulding Amount of Permit $_ --� � —:__7 — ___(Signed). Electrical Inspector. The undersigned applicant for this building permit does hereby certify th e understands and accepts obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5`MJ6, 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 p osted 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. Notary Public, State of Florida Master Elec ician. 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 $L00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. APPLICATION FOR ELECTRICAL PERMIT ) _ / - Permit No.____I�sa_ 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 NoAddress. _ No. Street__ Registered Architect and /or Engineer____ x'Z_1 Yk 1�2______t w.f l_L_LL�r Employing Electrician's No. ('/- " _ .t1 __ ) _y 2`1__ ', Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. } ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No. F " Street__ State work to be performed and purpose of building (By Floors) d u _Q New Building______________ Remodeling Addition___ epairs i No. of Stories nit 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 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. f ' ^/ , (Signed) —t i__G�: Z_! . C� L_I` Z t,tc't .f Srl ,. 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 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 CHECK APPLICATION FOR ELECTRICAL PERMIT ) _ / - Permit No.____I�sa_ 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 NoAddress. _ No. Street__ Registered Architect and /or Engineer____ x'Z_1 Yk 1�2______t w.f l_L_LL�r Employing Electrician's No. ('/- " _ .t1 __ ) _y 2`1__ ', Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. } ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No. F " Street__ State work to be performed and purpose of building (By Floors) d u _Q New Building______________ Remodeling Addition___ epairs i No. of Stories nit 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 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. f ' ^/ , (Signed) —t i__G�: Z_! . C� L_I` Z t,tc't .f Srl ,. 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 APPLICATION FOR MIAMI SHORES VILLAGE Date 3114101 Job Address 1O • 016 ST. Tax Folio I 1-34 , o (o`O /t{- 3(0( Legal Description Q( Xo 31 LT 4c- +14 6U 8a Historically Designated: Yes No Owner/Lessee / Tenant 3e-01 Cb OSv(ZS (CEAT C) Master Permit # 99,co-( N 0.3.(% (b Owners Address 0 to • E • 4 s•vQ.it 331 Phone 305 -159-5./ I -- Contracting Co. l-kfQN S Qualifier ScE- K, erNO.•QM l State # €C Oov 1 3 ('4 Municipal # ) Q.rwr i �f• Address I18 5 ) /J E - S 10 33 It a.. SS# - / - ' Phone 305 - '!S9 - 53•I eZ, Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN eillA '42 WORK DESCRIPTION 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. 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. Signature of owner and/or Condo President No . • as to 'Owner and/or Condo President My Commission Expires: 'Py..,, JC Shawn Crow 'L • * MY COMMISSION # CC910617 EXPIRES February ": mr • 15, 2004 A . • ��,.;,; BONDED THRU TROY FAIN INSURANCE INC FEES: PERMIT ®' ©D RADON APPROVED: Zoning Mechanical o • as to Contractor or My Commission Expires: C.C.F. NOTARY' 'O Building Electrical uilder LINDA RIGGLE COMMISSION # CC 649234 EXPIRES JUL 31, 2001 BONDED THRU xrl ANTIC BONDING CO., INC. BOND TOTAL DUE 340/ Date Plumbing Structural Engineer GMOVEC By DATE a- STRUCTURAL ELECTRICAL 1/✓e02'eP i 1 PLUMBING i — i IIRECFPiAL C ROOFING -- -- BLDG. OFFICIAL) SUBJECT TO COMPLIANCE WITH ALL FEDERAL, STATE AND COUNTY RULES AND REGULATIONS. MIAMI SNORES VILLAGE ASSUMES NO RESPONSIBILITIES FOR ACCURACY OF OR RESULTS FROM MESE PLANS. COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY I`JIIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & SUB CONTRAC ARE CHARGED L WITH THE KNOWLEDGE OF ALL BUILDING I REGULATIONS WH EHER OR EDT SPECIFICALLY INDICATED HEREIN. . CY Ri S V OLLIIME MOODY ELECTRIC, INC:. P www.moodyelectric.com 669 N.W. 90 Street • Miami,FL 33150 -2166 Tel: (305) 891 -1374 Fax: (305) 758 -2000 /D9 94 RESIDENTIAL DEMAND LOAD CALCULATIONS W / SQ. FT REFRIGERATOR APPLIANCES DISHWASHER GARBAGE DISPOSAL MICROWAVE CLOTHES WASHER DRYER RANGE WATER HEATER OVEN FREEZER TRASH COMPACTOR GARAGE DOOR MOTOR JACUZZI JACUZZI BOOSTER HTR. IRONING BOARD POOL EQUIPMENT SPRINKLER PUMP LANDSCAPE LIGHTS STEAM SHOWER A/C WALL UNIT SPARE CAPACITY SPARE CAPACITY TOTAL CONNECTED LOAD FIRST 10 K.W. @ 100% REST @ 40% A/C @ 65% / HEAT @ 100% 29 9 1 / so �OKw TOTAL DEMAND LOAD /4 , 53.7(2 K.W. / 240 VOLT = 7 �' AMPS 337.0 6ic2 oG 73 K.W. K.W. K.W. 5 K.W. .- K.W. /.S K.W. /• K.W. Se) K.W. /9,OK.W. y S K.W. .� K.W. 5 K.W. K.W. K.W. -- K.W. K.W. g K.W. K. W (9,0 K.W K.W. K.W. K.W. K.W. .-� K.W. y K.W. 10.0 K.W. /3. 7v2 K.W. 1d. c K.W. 337,9-Kw . � ; Jo , pe OFRCIALNCTA SEAL O !, MAAY P BRIGGS r O » COMMISSION NUMBER - w�gr Q m p CC741660 My COMMISSION J(PIRES 02 __._1 MAY 11 20 4,T)64MP S�,ev.2 e DY ELECTRIC, MOO , INC. I www.moodyelectric.com 669 N.W. 90 Street • Miami,FL 33150 -2166 Tel: (305) 891 -1374 Fax: (305) 758 -2000 ( �0 TNp-n) r/1 cp oat _5 77- r -J /- J /a9/ .12/- '- o/ /�i5 01A 2.q l / . %`TN /13 Colic a06 0500 3c -r NA B. °told Fiys o (you' wP � • - "Tc--(9e9cvt ARY SEAL O' °<_ MARY P BRIGGS + wlj�r Q COMMISSION NUMBER .... OF f1 p �\O MY COMMISSION EXPIRES MAY 11 2002 Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Printed: 1 /14/02 Applicant: SCOTT Owner: COUSINS Contractor MOODY ELECTRIC INC Local Phone: Parcel # 1132060143660 Job Address: 1091 NE 96 ST Permit Status: Approved Permit Expiration: 7/13/02 Work: 200 AMP SERVICE UPGRADE If there is no perm fee is $50.00, which r This Permit is granted to th pertaining thereto and with the proper municipal authorities. "I which this permit is granted is covered hereby whether showr Signed: In consideration of the issuani plans, drawings, statements or t servants or employes. Signed: PAY AMOUNT OF MOODY ELECTRIC, INC. 669 N.W. 90TH STREET MIAMI, FL 33150 891 -1374 I r TO TAL BANK MIA MI, FLORIDA COUSINS SCOTT c - / GL.I Permit Number: EL2002 -17 Address: 669 NW 90 ST Cellular: Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 3 & 4 Fees: FEE2002 -267 FEE2002 -268 Description Building Fee CCF Total Fees: Amount CPO. 00 $1.80 Total Fees: $8 $0.00 Total Receipts: EXPLANATION AMOUNT TO THE ORDER OF ALL : OF in) DISC. OTHER 0 ■ .! { ,A 1.E NDWTUCEl THBl CHECKIFACEIUP: ONl tOP10P/ ANYlORO1NAPYlPIECElOP2PAPER1ANDiRUBICARBONtBAND .:AREA.WRH A'COIN °'CARBON MARKS 'WILIaTRANSFER'ONTO,TNO'.PAPER! Construction Value: $2,400.00 IFO' ISECURT'IPURPOBES THIS DOCUMENT/CONT Bl MICROPRINTINOIINSTNEIBORDEReANDrivcARBONIBANO ."ONATHEOREVERBEIBIDE'11 63-915/660 15884 (j 1 • RHIIMARBDNI II 0 588411' 1:06600 L 5 51: Pe it 35 L0 307WO 6 BLK 82 LOT SIZE DOLLARS CHECK AMOUNT 1 CONTRACTOR /����p, Il Name M / ' 6L-6 �! e C / N C License No. /r // "' " ' t! 9q G Address 66q, kw 90 ;. 2 ....- Telephone Fax iS�(� / ` D C,v Qualifier Name0 H .) J- /y) M I PROPERTY OWNER Name ®77 .ee./ /^1 s Address /or:// 1ve q bsr 011 gym) 3k QEs ! FL33f& Home Telephone 05 , /1 / - 6 " 1 A Business Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami 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. A PPL ICATION Job Address: Address Apt. City �,„,, State Zip Folio Number / 1 1 - 3 Zo - 0) 4 4 - 3(0 (0 Description of Work aq� AMP . ei)/ //,, E— l�1"Ziry E Lot `�1 Block 3a Subdivision PBiO PG / Zoning Linear Feet / Current Use of Property 4 ' / ' Square Fe 606 oC Uni ts Floors Proposed Use of Property O e Value of Work 0 • d O Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other IOW ive .16 Si PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. � �Uo Subsidiary Permit No. f»im41I51-/IX 33/58 ENGINEER Name License No. Address Telephone Fax Page 2 INIPORTANT NOTICES 1. 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. AFFIDAVIT - Please read carefully. 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. SEAL: STATE OF Signature of Owner Crrt RI A, COUNTY OF MIAMI -DADE Signature of Notary Public - State of Flori Co artStOS Print Name Sworn to and subscribed before me this ! day of ZODZ USN . „,.. YP Elva Velazco Inerarity ,, C ommission f! DD 008638 . E Expires March 11, 200' Boo dad Thru ',,,,''' Atkntie 5 �P Personally known Type of Identification Produced: TE OF FLORID , OUNTY OF IAMI -DADE Signature of Contractor / Qualifier Print Name �f Sw �tQ aid subscribed before me this / day of PERMIT APPLICATION / / ,/ ure of No C • g t � t N Or JG AAY P BRIGGS - COMMISS - ;w lt�� - Q � � i �O Ct741 OF fLO MY COMMISSION EXPIRES M4Y 11 2002 y 0 Signat SEAL: / e AS l OR, Produced Identification Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. '►'YPE Service Repair QT Y. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent - Pressure Vessel Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights 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 Low -volt, Burglar 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 /.. aoe Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPF, Condensate Drain QTY. TYI'E Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System - Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of - Pressure Vessel Pump and Abandon PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. 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 /d ',, Electrical Mechanical Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) .$ Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine $ Zoning Review ( sq.ft. = x/1000 x ¢.60) (¢.005 / sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: 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. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com BUILDING ELECTRICC1. PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLOR4DA P V.' DATE y '. P N 7 532 Work to be performed under this Permit Bl. �• = ' �,•/. l �G �,�', .� �.t ,tom Subdi- vision Value of Project Contractor's License No. 7L,r / 7 194 Amt. of Permit j ,✓ h This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed )tkle 1 `� ..... � -' By INSPECTOR In consideration of the issuance to me of this permit I agree to i perfori(th9'work covered hereunder in compliance with al dinances a Aftga5s pertaining thereto and in strict conformity with the plans, drawings, statem ts`or specifications submitted to the proper authorifie of Miami res Village. In acceptijg this pe it I assume responsibility for all work done b er m se my agent, servant or employee. CONTRACTOR OR BUILDER BQ BUILDING . ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR 011 BUILDER MIAMI SHORES VILLAGE, FLORIDA • DATE 194— ERMIT N? 7374 W to be performed under this Permit Bl. This permit is granted o t e contractor or builder name above to construct the building or to install the equipment or : e v e described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be per .rmed 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 ility for a thorough knowledge of the ordinances and permit is granted is the understanding that the contractor or builder named above assumes the response regulations pertaining to the work covered hereby whether shown on the plans or drawings ()fan the sibility for work done by his agents, servants or employees. Signed. Subdi- vision Value of Project I iSPEc TOR a,ternents or specifications a pst assumes respon- . 1 Contractor's License No. Amt. of Permit B� • r In consideration of the issuance to me of this permit I agree to perform tale work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myse my agent, servant or employee. ff f BY AUTHORITY MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date S / 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 appro ed plans and specifications must be kept at building during progress of work. Permit No 0090 4Afg 96 Owner c, s Name and Address .. #/. D Registered Architect and /or Engineer Employing Electrician's Name.. 57 ZE &I No. 9. 4. W) Street.... /5 . ``'q J Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition... Repairs Service nderground Size Feeders, Conduit 24 Main Sw...." 0 Amps. Type of Installation— Conduit Tubing B.X.L .Metal Moulding I� G Amount of Permit $ (Signed) The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. ss. My Commission Expires No Street Main Fuses Amps Electrical Inspector. ccepts his bligations as an employer of of FloridPermanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are Notary Public, State of Florida No. of Stories r) (Signed) 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. NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. H EAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST /‘C ,! YC�i���iNNA.� CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS N EON I.S HP TRANS. RADIO TOTAL CONTR. LIST - {� �r' CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date S / 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 appro ed plans and specifications must be kept at building during progress of work. Permit No 0090 4Afg 96 Owner c, s Name and Address .. #/. D Registered Architect and /or Engineer Employing Electrician's Name.. 57 ZE &I No. 9. 4. W) Street.... /5 . ``'q J Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition... Repairs Service nderground Size Feeders, Conduit 24 Main Sw...." 0 Amps. Type of Installation— Conduit Tubing B.X.L .Metal Moulding I� G Amount of Permit $ (Signed) The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. ss. My Commission Expires No Street Main Fuses Amps Electrical Inspector. ccepts his bligations as an employer of of FloridPermanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are Notary Public, State of Florida No. of Stories r) (Signed) 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. 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 M oIoNSO Employing Electrician' Name // it ift4n ‘f:14LLegil ear do 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, 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 progreu of work. Owner's Name and Address R ' J e-p (1 0 ..Y L A..4, No [ r 1 W. E • Street ? 6 Sty e e. t Registered Architect and /or Engineer _ f� e - -- STATE OF FLORIDA, COUNTY OF DADE. } APPLICATION FOR ELECTRICAL PERMIT Street and Number where work is to be performed —No State work to be performed and purpose of building (By New Building Remodeling Es. q. L Lot .1' My Commission Expires MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT t ®9 l ..... - C ,. Block Date. - ) ` /44 Subdivision P'"/- 51 ',Se .t'9 street L..12...? tie.... e'.. .e— t Floors) Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit.. Tubing B.X.L .Metal Moulding / Amount of Permit $... 4 .. .. Op (Signed) i (Signed eiti WO 6 Street 7 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Muter 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. NOTE: A re- inspection fee of $1.00 will be made when such rvinspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT 0 PLUG RECE'►'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER NEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CNECK ENT. Sw. DIST. CAS. SERVICE TEMP. SERVICE PERM. / MOTORS p 111 / J L /�_ 03 Q 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL Z .1 - -,- CONTR. LIST CHICK Permit No M oIoNSO Employing Electrician' Name // it ift4n ‘f:14LLegil ear do 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, 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 progreu of work. Owner's Name and Address R ' J e-p (1 0 ..Y L A..4, No [ r 1 W. E • Street ? 6 Sty e e. t Registered Architect and /or Engineer _ f� e - -- STATE OF FLORIDA, COUNTY OF DADE. } APPLICATION FOR ELECTRICAL PERMIT Street and Number where work is to be performed —No State work to be performed and purpose of building (By New Building Remodeling Es. q. L Lot .1' My Commission Expires MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT t ®9 l ..... - C ,. Block Date. - ) ` /44 Subdivision P'"/- 51 ',Se .t'9 street L..12...? tie.... e'.. .e— t Floors) Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit.. Tubing B.X.L .Metal Moulding / Amount of Permit $... 4 .. .. Op (Signed) i (Signed eiti WO 6 Street 7 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Muter 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. NOTE: A re- inspection fee of $1.00 will be made when such rvinspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Date 11 // 0 /9 Job Address ) Q ? A/ E? Z S Tax Folio Legal Description Owner / Lessee / Tenant Com6 Owner's Address r Contractin Co. ��� E4 �°c , tc Qualifier !iu I ' \ . f I 1 a Selo SS4f - )( State # 00 /0 gunicipal Architect/Engineer Company Permit Type(circle one): BUILDING L MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost(value) /(A9C90/00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating nst uction and zoning. Furthermore, I authorize the above -named contractor to do the work sta PERMIT APPLICATION FOR MIAMI SHORES VILLAGE )D9') NC? r Address y Address Mortgagor Address e,, Signature of owner and /or Condo President Date: ydzJ Gi � , ' // lbry Notary as to Owner and /or o • '4e8sif i rt orr,:r s171 Notary as to Co My Commission Expires: O .. �i B ARBARA ANN FUQ:Z,J 1 -1 ". ( 4 - g * COMMISSION NUMBER A CC360191 �t ata' MMISSIO EXP. ** * * * * ` � 'OF FA MA MY c R . 29 f998 FEES: PERMIT APPROVED: Zoning RADON Competency # C.C.F. Building Mechanical Plumbing Master Permit #P 310,6 9' Phone 75- — -SD /.=:\_ Address ( 4) E 14g --s /` - 9/9 - 6 3 7 3 Ins .co . / Cas Geol Signature of Contractor or Owner- Builder Date: tel My Commission E fi r es t " .BARBARA ANN FUGAZZI : * COMMISSION NUMBER aali = Q CC360191 * * *71;‹, , sti: MY kOMMIS$MQN EXP, OFF\ MAR. 29 1 ?" NOTARY � TOTAL DUE �> 3 Engineering Fire Other Electrical —4/0iii.