1210 NE 97 St (6)Date
Legal Description
Owner / Lessee / Tenant
Owner's Address
Contracting Co.
Qualifier
State #
Architect /Engineer
Bonding Company
Mortgagor
Permit Type(circle one): BUILDIN
WORK DESCRIPTION ■.-at.a..1_,C)
Signatur
Date:
oite
Notary as to . p ? ,t�fn'ti� 0 oGr aCk%ceAg idg3►
My Commission •� -� es:,��/ sraal�: '.? .tii6i9CA
1 y , CO ;C9ISSION NUMOER
'` < CC3486ia6
'i 0 ;:v , 9 MY COMMISSION _RP
** * * I * Pr* AP
FEES: PERMIT
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Zoning
Job Address /9_/(7 p7 , g' ,d • Tax Folio
of ( a°1C i cJpal #
1
/ to ')'1. £ q'`? r
ELECTR.I CA
f owner and Condo President
Mechanical
-. Phone 4
Competency #
Square Ft. Estimated Cost(value)
WARNING TO OWNER: YOU MUST RECORDS L 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 `_'OUF. 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 construction and zoning. Furthermore, I
autho -ize the above -named contractor to do the work stated.
otary a tps diny rb&Mta. o.>a'..Ow.ner;rtB; ilder
My Commi pres........:a ..I: A
`; gUt∎(:11`•;:iI)N
I� 6 j 1• iti1� �iJIfI dilu IC r: '�Jil
* * * , * �•• P' V•'r _.. e e * N a �. *• y
C.C.F.
Fire Other
Building
Plumbing
Address
Master Permit i 37,,3/6
Phone
Add r e s s jc,,,,, ./ (.[/ . 4 jelb !4(, . .
Address
Address
PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
NOTARY
Electrical
Engineering
4'■
Signature of ntractor or Owner-Builder
Date:
TOTAL DUE
**
�G�
Permit No ig ry I
MIAMI SHORES VILL 4 GE
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. /
Owner's Name and Address.. 6 /b 62 ,! .�` v S s 6 'A ) ' No Street
Registered Architect and /or Engineer
Employing Electrician's Name/01%r ''"
No3 ? 6
Date
Street
Str ��-(
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No O�� e
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
7
Service Overhead Size Peeders.. ... / Conduit.. Main Sw..... o ..c . 9 Amps Main Fuses AL-- G Amps
Underground
Type of Installation— Conduit Tubing 1v � B.X.L Metal Moulding
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed). .. . .• ) >' 56 Master Electrician.
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 d cribed construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by hi stated are true.
SS.
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
aterials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE•P'7'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
i
CHECK
7 D \\
—/
//O
/ .)
14//),j/2
7.._.)
/
M OTORS
0.1 HP
qq �1
d i;) a -
7,
MOTORS
1•5 HP
J ''
N EON
TRANS.
.:, /�"�7
®e
^, f -l/ .1'
4
RADIO
l,—' CJm
#4._
i r e ' s , ! -
TOTAL
/'
p ,/
ENT.
SW.
DI
CAB.
/
SERVICE
TEMP.
SERVICE
PERM.
.., Y 1 4 '.
10(1.',/),.
CONTR,
LIST
- /
i!-
e/
/
CHECK
J
J OD
/,
1r*
/
mss
Y/ e4 -6
Permit No ig ry I
MIAMI SHORES VILL 4 GE
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. /
Owner's Name and Address.. 6 /b 62 ,! .�` v S s 6 'A ) ' No Street
Registered Architect and /or Engineer
Employing Electrician's Name/01%r ''"
No3 ? 6
Date
Street
Str ��-(
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No O�� e
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
7
Service Overhead Size Peeders.. ... / Conduit.. Main Sw..... o ..c . 9 Amps Main Fuses AL-- G Amps
Underground
Type of Installation— Conduit Tubing 1v � B.X.L Metal Moulding
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed). .. . .• ) >' 56 Master Electrician.
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 d cribed construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by hi stated are true.
SS.
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
aterials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description —
Address of
Building
MIAMI SHORES VILLAGE. FLORIDA
DATE +• 195
py PERMIT N° 1655 Contractor's
License No.
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of Amount of
Project $ Permit $
This permit is granted to the contractor or builder named above to construe the building or to install the equipment or device describes in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed- BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY u y
building during progress of work.
Owner's Name and Address . - • � / ' � /
Registered Architect and /or Engineer
Employing Electrician's Name
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
l RPLICATIDN FOR ELECTRICAL PERMIT
Permit No L 4 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
c- G / C Off' e o'c "
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 No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps
Underground
No Street
' No r .' �, �/.' • ° �. Street
Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L Met31 Moulding
Amount of Permit $
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he underst$,sizand 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 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.
STATE OF FLORIDA, }
COUNTY OP DADE: ss.
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.
(Signed)
Master Electrician.
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
materi s and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATI ::R
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
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
building during progress of work.
Owner's Name and Address . - • � / ' � /
Registered Architect and /or Engineer
Employing Electrician's Name
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
l RPLICATIDN FOR ELECTRICAL PERMIT
Permit No L 4 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
c- G / C Off' e o'c "
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 No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps
Underground
No Street
' No r .' �, �/.' • ° �. Street
Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L Met31 Moulding
Amount of Permit $
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he underst$,sizand 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 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.
STATE OF FLORIDA, }
COUNTY OP DADE: ss.
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.
(Signed)
Master Electrician.
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
materi s and /or workmanship.