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1224 NE 96 St (5)BUILDING PERMIT APPLICATIO FBC 2001 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CEOVED FEB 11: ; ,006 Permit Type (circle): Building Electric . Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) h LL/ P9 T A/ XPhone # .:3 vim- 3G 8-- �6 Owner's Address /7 ' 3 Af E ST City j. Tenant/Lessee Name $ Value of Work For this Permit Total Fee Now Due $ (Continued on opposite side) State / Z_ Ai) / 77 c3V/'E/=Z, Code Enforcement $ Structural Plan Review. $ Permit No. L _(2 - 310 Master Permit No. Zip 3 3/ 5 Phone # Job Address (where the work is being done) ._ 4/tic City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO XG Contractor's Company Name C ^ / N f & / r Phone # )()LS 75 1 — I ( Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: Type of Work: ❑Addition Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: ,tJ €)IT / 77 / ././Y ,K /TW 4=71/" it/'t !I/ €LAC 772(Crg ....... 1 '` °. < k !' S i.4f �ry�l ..r2.�G —E X0.12 ,9 .2$ .�' y /5ti✓ /� * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ / i j'. �/� CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ _ 0 Scanning $ Radon $ Zoning Bond $ Bonding Company's Name (if applicable) r' f Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City /V! 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. Owner or Agent The foregoing instrument was y c )cnoge� fore me this 1� da of / l & , 20 t k , b 'MAO* ^ d ay of ...1; , 200_lp , by SOn � P. �� n5 , who is personally known to me or who has produced,/ }YJ(1,(.. If!, who is personally known to me or who has produced T5( t )` -1')'1 As identification and who did take an oath. r5-/>4,1 -j Kylu,i�1 as identification and who did take an oath. NOTARY PUBLIC: NOTARY Sign: Print: BLIC• 2121.. My Commission Expires: Chc 05/13/03 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: State 69-/V/1 6 � ;t ,09 c MONICA USSETH DIAZ 483995 EXPIRES: October 20, 2009 Bonded Tin Mary Public UnderwrNers * ** * ** * ** * ** * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Signature Zip / / / C on The foregoing instrument was acknowledged before me this ) 3' 1 C.Inta2 k it S ( RECCE i s�LT rint: m ,, ?4"' 000270810 j :;? Expires 12/1/2007 : y Commission Expires: ;n -' • Bonded (800 )43242541 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning ADDENDUM TO BUILDING PERMIT APPLIUAIIUN AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL UNIT FEE ITEM SWITCH a TLETS UNIT 7- FEE ITEM SPACE HEATERS UNIT FEE ITEM :ATH TLS IDET LIGHT OUTLETS 11 CENTRAL HEATING 3ISHWASHER RECEPTACLES /4- A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR GRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE CUTLETS 'Y PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 If STEAM BOILERS SHOWER MOTORS OVER 1- 3 HD HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 hP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 If TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 I-P ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTJON WATER SUPPLY TO: AIR CONDITIONERS / A/C UNIT l STRIP HEATER FIRE SPRINKLER l GENERATORS TRANSFORMERS 'HEATER-NEW INST. GENERATORS I I HEATER - REPLACE GENERATORS TRANSFORMERS l l LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMM,ERC I AL WATER SERVICE SIGN TUBES SEWER CONNECTIONS .* SIGN TRANSFORMERS UTILITY -SEWER SIGN T I M E CLOCK UTILITY -WATER FIXTURES SEPTIC TANK l k ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. VIOLATION PUMP L ABANDON SEPTIC,-TANK I RE INSPECT ION i SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEW GAS RAKE 1 I I METER SET (GAS) I l GAS PIPING l 1 ! I ! ADDENDUM TO BUILDING PERMIT APPLIUAIIUN AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Permit No New Building Remodeling d STATE OF FLORIDA, t COUNTY OF DADE. 1? 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. ' Owner's Name and Address OA ' /VAR /4v -2) Noi `/ / fi 9� Street Registered Architect and /or Engineer Employing Electrician's Name i4.4 S S. No .3-04a (Signed) /' Date (Oei ' /c 19' Street e 9 y 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) 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 $ 3 ' ® (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. 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 HEALER ST HEATER ,� / 4/` ee.„ TOTAL /% CONTR. LIST I CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0 -I HP MOTORS 1.3 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No New Building Remodeling d STATE OF FLORIDA, t COUNTY OF DADE. 1? 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. ' Owner's Name and Address OA ' /VAR /4v -2) Noi `/ / fi 9� Street Registered Architect and /or Engineer Employing Electrician's Name i4.4 S S. No .3-04a (Signed) /' Date (Oei ' /c 19' Street e 9 y 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) 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 $ 3 ' ® (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. 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. CONTRACTOR Name uwzA „DEL-LA. Name 69x0 6. t6t.7,�IC_ a. License No. //99 Business Telephone Address /7.4 siv IAV:E ZZ Y , • 333" Telephone 3 q.5 q3L j-- Fax Qualifier Name /D .,, , 59RD PROPERTY OWNER Name uwzA „DEL-LA. Address /L2., N`e Jt Sr M6il. i'4ICRES Home Telephone Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Demolish Alteration Interior Relocation of Structure Shell Only Add'l Attachment Foundation Only Other Add'l 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. APPLICATION Job Address: /1-2 N•r Address Folio Number Lot d- Co" dock �y 2 Subdivision 115; _S .)t. PB , U PG-3 Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 14 .fir, Apt. Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. 500 7D Ali . ' »12 - 5 City State Description of Work &wl/ERT eii (4"/I)E(Gg.0 a`te , ,Se ezV /C6 PERMIT APPLICATION Zip Zoning Linear Feet Square Feet Units Floors Bldg Value tie of Work Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES 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. 1. 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. STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Owner Print Name Print Name Sworn to and subscribed before me this day of Swo to and subscribed before me this day of D , Signature of Notary Public - State of Florida SEAL: Signature of C gnature SEAL: PERMIT APPLICATION STATE OF COVNVY OF MIAMI -DADE orida _ _ ' 11, i�0'i6.:ii VIAL "9 FECYER ;:U2: &ER CF Personally known OR, Produced Identification Personally known ._ OR, Produced Identification °' I Type of Identification Produced: Type of Identification Produced: f C 1w'3w-so, [ (S 0 ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Cooling Tower Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Paint Booth Fire Pump Ventilation, Cost Outlet, Switch Air Handler, Tons Signs Ductwork, Cost of A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) - Process/Pressure Piping A/C Central 16-20 Ton Fixture Light Bath Fan - Vented, # Parking Lot Lights Fireplaces, Number of 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 n• ,/.lit c£ C-01y✓E,E31VAJ G(419 , Demolition Domestic Well Low -volt, Intercom/Teleph. Laundry Tray Repair Circuits Septic Connection Dishwasher Water Heater Low -volt, Television Draint - field, 4" Tile/Res. Service, Number of Amps Lavatory NIECHANICAL TYPE Minimum Fee QTY. .l.\.Plr Condensate Drain cm .l. }.pp Generator QTY .l.ypp Refrigeration, Tons QTY A/C Central, Tons Bath Tub Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Filter Replace Ventilation, Cost Pool Piping Air Handler, Tons Sprinkler Repair Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System - Process/Pressure Piping Cap - Water Gas - Appliance Bath Fan - Vented, # Pump, Domestic Fireplaces, Number of Pressure Vessel Cap - Sewer PLUMBING .l.ypE A/C Condensate ()Ty. TYPE Drains, Roof QTY. Tvl,E Miscellaneous Fixture QTY .l yri.: 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 Draint - field, 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: Page 4 OFFICE USE ONLY ❑ OWNER - BUILDER FORM (Attach) O 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 APPLICATION CHECKLIST ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) 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 0.60) (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) S�0 REVIEWED AND PREPARED BY: SECTION Zonin: Electrical Mechanical ��i / %!/rte Plumbing Fire Public Works Structural Building Official BY DATE ee/ TOTAL $ i0 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; VIP ' LOOP . I - 0 DE 30' "'AEG (JAIN) G • •t i' cve rt..11lr U . 2' ADOvE ROOF' 200A ;METER • >Y 701M)(1 bun a, I0 •-- e- rt.wrllc BtCI u11c 21Y ,CADNI),Apt- FI111T11ED GRAI1E Z 5 PL . 1 ^IC SLEILY� MAIN CI) PANEL WO' N IN bEP TI U ifll little • • 11F1I11. DISYONNECT Rafinp tlwn Sub 73rnalcors SUB FEEDER WS EDE PANEL. SIr1tATallE Of Coil i\c /pR I�l�L1� UI< • I''lAS* 1" •1- Icial,•t: f:oncluclor L ' Conciuii stx - Condut� -LT - rl,r a r-oo E3 tUo GrounfJ wlrc tttze__ 4 Amps 1- !b Ck-• .__ � _ __ Arrc FEeL - 71/f.Lt • Amps New _.�• Exlrtlnp_ _ _ ._ TYpa size . Mond S1z v • Rw•t • Z �� ft4 s Mond Buss •t' Locc.-tio PER S.F.I1.C, 45oIi,2(D) • ,CONTrci1cr_grulis.L•N: 1.1n • • • NOT AR Y \/ .D D 08/23/01 Job . • 1224 N.E PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Tax Folio I 3 �'O O ( qJ ) 3a� • 7 t� tn. 3 1 a Legal Description Miami Shores � ection # . �._ Historically Designated: Yes No Owner/L.essee / Tenant Linda Tondeur Master Permit # Owner's Address 1224 N.E. 96 Street Contracting Co. Custom Pools Caro Electric Mortgagor N/A and/or C • r • • President Own FEES: PERMIT �'o RADON Card Qualifier C orge - SS# Phone 305 - 255 -5315 State # 1199T Municipal# Architect/Engineer Kenneth R. Pfeiffer., P.E. Address 9395 S.W. 77th Avenue, #1042 Bonding Company N/A Address Permit Type (circle one): BUILDING LELECTRIC AIJ PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Swimming Pool Electric Square Ft. Estimated Cost (value) 6 ' V 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 con ction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. hionnra er and/or condo ` I ssion Expires: c , 7ULIETTE COLLADO COMMISSION # CC 897197 • EXPIRES: Dec 20, 2003 r Fie. Notary Service & Bondin3 Cc. APPROVED: Zoning Building Mechanical Plumbing . 96 Street Address Address C.C. NOTARY Phone 305- 255 -5315 7101' S'.W.. 136 Avenue, Ft. Lauderdale Competency # Ins. Co. Contractor or Owner- 0 ^ BOND 9.2 0.0/ Date .� °°1 JULIETTE COLLADO 4 ty MY COMMISSION # CC 897197 EXPIRES: Dec 20, 2003 1.&OC- :NOTARY Fla Notary Service & Bard Co. TOTAL DUE s C) C) Electrical ,G - / Structural Engineer 4 Date: CERTIFICATION OF POOL OWNER'S ASSUMPTION OF RESPONSIBILITY 08/23/01 To: Metropolitan Dade County Building. and Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as: LOT: 15, BLOCK: 84 at Miami Shores Section # 3, .PB:10 PG: 36 located at: 1224 NE 96 Street, Miami, .FL 33138 In .accordance with Section 5003.1 (d) , Code of Metropolitan Dade County , I certify and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved surrounding area walkway, and such walkway installed, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and installing the required surrounding area walkway prior to final inspection and use of the pool. I agree to hold Custom Pools / Miami Dade harmless in all matters el ted thereto. Legal Owner: Note: This certification is to be submitted with a swimming pool permit application, in.dttplic:a, Section 5003.1 (d), Code of Metropolitan Dade County, states the following: (d) Surrounding areas and /or walkways shall be constructed so as not to drain into the pool or spa or other adjacent structures. An 18" minimum width of walkway around the pools and spas, as measured from the pool water edge, shall be constructed for at least 80 percent of the pool and spa perimeter. A raised cop shall not be a parr of the 18" minimum width. Project Name Address Tree Review CUSTOM POOLS 1224 N.E. 96 Street Thi >< review wax accomplish Datad R u s_ 23 itd Zoo BY atUTW CERTIFIED GUNITE COI.wmr. rC • rCORPORATED FLOROA AUGUST. IP64 TREE SUFZVE Tondeur AO There are no trees on the .subjects property that conflicts with the construction of the swimming pool and deck. ❑ There are . conflicts between the construction of the swimming pool and /or deck. However, all 'trees that conflict with the construction are less than eighteen (I8) inches in diameteer. ❑ There are tries greater than eighteen (18) inches in diameter that conflict with the construction of the swimming pool. Howerver, this /these tree(s) is /arc of the following species that do not require permit for removal: ❑ Ficus ❑ Fruit tree ❑ Australian Pine ❑ Brazilian Pepper ❑ Mal al cuca ❑ Biuchofia ❑ Earl eaf Acacia ❑ Norfolk Island Pi ❑ Schefel era 1 2 1 65 SOUTH DIXIE HIGHWAY • MIAMI FLORIDA 33156 • (3051 255.5315 Date 08/23/01 OWNER'S SWIMMING POOL CERTIFICATION Attention Building Official: I certify that I am the legal owner of the property described as ': 15, BLOCK: 84 at Miami Shores Section #3, Pb: 10, PG; 36 , located at 1224 N.E. 96 Street, Miami Shore, FL 33138 In accordance with Section 33 -12(e) and (f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constricted at the above address cannot be used or filled with water until a separate permit has been obtained for an approved SAFETY BARRIER, INCLUDING A SPRING -LOCK SELF - CLOSING GATE, (double gates must be constructed to the standard described in memorandum dated October 12, 1994 in order to meet this requirement), equipped with A SAFE LOCK (no padlocks are permitted on pedestrian gates; padlocks are required on non - pedestrian gate leaves of double gates) and utilized when the pool is not in use and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. I have read and understood the reverse side of this form. NOTE: IF AT THE TIME OF FINAL, THE ABOVE REQUIREMENT HAS NOT BEEN MET, THE OWNER WILL BE CITED WITH A ZONING VIOLATION Sec 33 -12 Fences and Safety Barriers for Swimming Pools (a) Required for final inspection of pool. No final inspection for a swimming pool shall be given by the Building and Zoning Department, unless there has been erected a safety barrier as hereinafter provided. No pool shall be filled with water unless a final inspection has been made and approved, except for testing purposes as may be approved by the Building and Zoning Department. (b) Types permitted. The safety barrier shall take the form of a screened -in patio, a wooden fence, a wire fence, a rock wall, a concrete block wall or other materials, so as to enable the owner to blend the same with the style of architecture planned or in existence on the property. (c) Height. The minimum height of the safety barrier shall be not less than four feet (4' -0 "). (d) Location of barrier. The safety barrier shall be erected either around the swimming pool or around the premises or a portion thereof on which the swimming pool is erected. In either event, it shall enclose the area entirely, prohibiting unrestrained admittance to the enclosed area. Pools located in enclosed structures or on the roofs of buildings shall not require the installation of barriers as required herein. (e) Gates. Gates shall be of the spring -lock type, so that they shall automatically be in a closed and fastened position at all times. Gates shall also be equipped with a safe lock and shall be locked when the swimming pool is not in use. (f) Permits. Before any work is commenced, permits shall be secured for all swimming pools and for safety barriers. Plans shall contain all details necessary to show compliance with the terms and conditions of this chapter. No swimming pool permits shall be issued unless simultaneously therewith a permit is secured for the erection of the required safety barrier, provided however, that in lieu of the permit for a safety barrier, a written statement from the owner certifying that he understands and agrees that the pool cannot be used or filled with water until a permit has been obtained for such barrier erected, inspected and approved will be acceptable. This certification, however, will not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. If the premises are already enclosed, as hereinbefore provided, permit for the safety barrier shall not be required if, upon inspection of the premises, the existing barrier and gates are proven to be satisfactory. (g) Wooden fences. In the wooden type, the boards, pickets, louvers, or other such members, shall be spaced, constructed and erected so as to make the fence non- climbable and impenetrable. (h) Walls. Walls, whether of the rock or block type, shall be so erected to make them non - climbable. (i) Wire fences. Wire fences shall be the two inch chain link or diamond weave non - climbable type, or an approved equal with top rail. They shall be of a heavy, galvanized material. (i) Refusal of permits. It shall be within the discretion of the Director to refuse approval of a barrier which, in his opinion, does not furnish the safety requirements of this section, i.e., that is high enough and so constructed to keep the children of pre - school age from getting over or through it. (k) Maintenance. It shall be the responsibility of the owner and/or occupant of the premises upon which the swimming pool is hereafter erected to maintain and keep in proper and safe condition the safety barrier required and erected in accordance with this chapter. (Ord. No. 57 -19 8 5, (CC), 10- 22 -57; Ord. No. 64 -53, 6 1, 10- 23 -64; Ord. No. 74 -33, 66 1, 2, 5 -7 -74) ** S0'39ed 1H101 ** 5532 kw. 7* STREET, SUITE Z02 MAK. FLORIDA 33126 TELEPHDH ; P05) 2642660 FAX: (305)26W225 SO'd M' f Aiwa *titulars Atm BOUNDARY SU lAt= 20 malt 1Dri'.2o boat _ I�[K .04 1b exi IDFI3 I (or - -I4 O �m(.84- 1 6ttr cS1- 5 "car 1 V60 aunt LAND SURVEYORS la 1A• Now € F Scale 1' 1nr-Ic 61cac ti10 7.0 oJE •S De Ar y. t<.1✓c: aim I zr 9URVEY NO. Ol _ SHEET NO 4 L G rfF__ 11 T-1& 6laaa<24- 25 .2a 2a . S99124CSOC 01 8940 17LC S•I d 0Qt d re OD8UZ dd Wd 25:1 1002 172 inf. 5.582 NW. TIE STREET. SUITE 202 /BMA FLORIDA 33126 TEUEPHOFE: OM 264.2666 FAX (706) 2M1.02:23 DRAWN BY Alva urm u � 1--J- � - LAND SURVEYORS ORS Tt7 Survey. of Lot: 15 Block: 84 Subdivision: MIAMI SHORES SECTION NO. 3 According to the'Flat thereof as recorded in the Plat Book No. 10 at Page No. 36 of the public records of MIAMI -DADE County, Florida. Property Address: 1224 NE 96 ST, MIAMI, FL 33138 For: LINDA TONDEUR . A • ARC. AIC . AIR COMMONER PAD. AE - ANCNOR EASEMENT. AIR . ALUMNUM ROOF. ANS - A .LP INUM SHED. ASPH. • ASPHALT. B.C. • BLOCK CORNER. BLDG.. BUILDING. B.M. • BENCH MARK B.O.B.. BASIS OF BEARINGS C. - CALCULATED. GB. - CATCH BASIN, C.B.S. • CONCRETE BLOCH STRUCTURE. COW - CONCRETE BLOCK WALL. CH. - CHORD DISTANCE. CH. 8. • CHORD BEARING. CL • CLEAR. GLF. • CHAN UNK FENCE. C.M.E. • OAHAL MAINTENANCE EASEMENT. CONE. • CONCRETE. C.P.. CONC. PORCH C.S. - CONCRETE SLAB. DE • DRAINAGE EASEMENT D.ME. • DRAINAGE MAINTENANCE EASEMENT. DRIVE. z DRIVEWAY. o - DEGREES. E - EAST. E.T.P. - ELECTRIC TRANSFORMER PAD. ELEV. - ELEVATION. ENCR - ENCROACHMENT. F.H . ARE HYDRANT. F.I.P.. FOUND IRON PIPE. F.LR. - FOUND IRON ROD, F F.E. • MASHED FLOOR ELEVATION. 77 j e f.i so l • c 1 to I 18 So 1 ., 7s • LOCATION SKETCH Scale 1 "= N F_ A()1BBFWATIDNS AND MFANINN: • F.NO,• FOUND NAIL BASK FR.. FRAME, FT. • FEET. FNIP, . FEDERAL NATIONAL INSURANCE PROGRAM. F.N, . FOUND NAIL. H - MGH (HEIGHT). IN. S EG. • INGRESS AND EGRESS EASEMENT. LP. - LIGHT POLE LF.E.. LOWEST FLOOR ELEVATION. LIVE. - LAKE MAINTENANCE . EASEMENT. • MINUTES. M. - MEASURED, DISTANCE. MON. s MONUMENT. MAL - MANHOLE MIL - MONUMENT UNE. N.A.P. • NOT A PART OF. NOW). NATIONAL GEODETIC VERTICAL DATUM. N. • NORTH. N.T.S.. NOT TO SCALE. • - NO. - NUMBER. 018. • OFFSET. ON. - OVERHEAD. O.H.L. OVERHEAD UTIUTY LINES OM • OVERHANG. O.RB.. OFFICIAL RECORD BOOK PVMT. • PAVEMENT. PL. • PLANTER. P11. - PROPERTY LINE. P.GC, - POINT OF COMPOUND CURVE P.C. - POINT OF CURVE. P7. • POINT CF TANGENCY. POE.. POINT CF CO"P ENCEMENT POE • POINT OF BEGINNING. '7 (,•) I"1 I i t JL —I _ 9 � (. LT ti I P.R.C. - POINT OF REVERSE CURVE. PROP. CDR,• PROPERTY • CORNER. P.B. - PLAT BMX. POs PAGE PINY • PARKWAY. PAM - PERMANENT REFERENCE MONUMENT. P.L6. - PROFESSIONAL LAND SURVEYOR. R • RECORDED DISTANCE. RR.. RAILROAD. RES - RESIDENCE. • W W.. RIGHT-0F. WAY. RAO. - RADI OR RADIAL R.P. - RADIUS POINT. RGE. - RANGE. SEC.. SECTION. STY. - STORY. SINK, • SIDEWALK SIP. - SET IRON PIPE LB. 16044 5. a SOUTH S.N.D. - SET NAIL B DISK LB. 15064. SP. - SCREENED PORCH. ' • SECONDS. T. - TANGENT. T WP, . TOWNSHIP. U.E. - UTILITY EASEMENT. UTIL - UTILITY. U P. • UTILITY POLE. W.M. - WATER METER. W.F. • WOOD FENCE W,5 • WOOD SHED. 6 o CENTRAL ANGLE. W. T. . • WEST IZ • CENTER LINE. 4..ANGLE. .3 1 0.00 x 0.00 SURYE,YD8flIIIZEELL1). IF SHOWN. BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN. BY SAID PLAT IN TIE DESCRIPTION OF THE PROPERTY. IF NOT, THEN BEARINGS ARE REFERRED TO COUNTY TOWNSHIP MAPS 2A IF SHOWN, ELEVATIONS ARE REFERRED TO B M . ELEV OF N.G.V.O. OF 1P2S. 3■. THIS IS A SPECIFIC PURPOSE SURVEY. 4). TIE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:7500 FT. I HEREBY CERTIFY: THAT THIS'BOUMDARY SURVEY' OF THE PROPERTY DE HEREON AS RECENTLY SURVEYED SAID DRAWN UNDER MY SUPERVISION. COAlUB6 YVRNTLE MMIIIJM TECHNICAL STANONOB AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 61017.6, FLORIDA ADMMSTRATIVE CODE PURSUANT TO 472.027, FLORIDA STATUTES, BY: 7DJF✓ IBARRA (DATE OF FIELD WORK). PROFENSDO LAND SURVEYOR NO. Sf,oV STATE OF FLORIDA. (VALID COPIES OF THIS SURVEY WILL BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND SURVEYOR). LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY): EJMLANATION OP THE ABSTRACT OF TITLE WILL NAVE TO BE MADE TO DETERMINE RECORDED WSTRIAAENT7. IF NWT. AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATIONS. LAUTATIONS. RESTRICTIONS. RESERVATIONS OR EASEMENTS OF RECORD. LEGAL DESCRIPTIONS PROWOEO BY CLIENT OR ATTESTING TITLE COMPANY. BOUNDARY SURVEY MEANS A ORAWING ANDIOR AORAPNIC REPRESENTATION OF THE SURVEY WORE PERFORMED IN THE FIELD, COULD SE DRAWN AT A SHOWN SCALE ANDIOR NOT TO SCALE Eo55MENTS AS SHOWN ARE PER PLAT BOCCI UNLESS OTHERWISE SHOWN THE Yew 'ENCROACHMENT MEANS VISIBLE AND ABOVE GROUND ENCROAcHmENTB ARCHITECTS SHALL VERIFY ZONING REGULATIONS. RESTRICTIONS AND SETBACKS AND THEY WILL BE RESPONSIBLE OF DLOMmnNO PLOT PLANS YATN THE CORRECT INFORMATION POR THEIR APPROVAL FOR AUTHORIZATION TO AUTHORITIES M A NEW CONSTRUCTION. 1.44 .2.56 OTHERWISE NOTED. TENS RRM MAS ROT ATTEMPTED TO LOCATE FOOTINGS ANDJOR FOUNDATIONS FENCE OWNERS/OP NOT DETERMINED. THIS PLAN OF SURVEY. HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITlES HOMED HEREON. THE CERTIACATE DOES NOT EXTEND TO ANY UNNAMED PARTY: THE PMP FLOOD MAPS HAVE DESIGNATED TIE HEREIN DESCRIBED LAND TO SE Situated in Zone: AE Community /Panel /Suffix: 120652 - 0093 -J Date of Firm: 07/17/1995 Base Flood Elevation: 8FT Certified to: LINDA TONDEUR ATTORNEYS' TITLE INSURANCE FUND INC. RONALD H. KAUFFMAN, ESQUIRE WELLS FARGO HOME MORTGAGE, ITS SUCCESSORS AND /OR ASSIGNS.:;;'. SURVEY No. SHEET NO I OF 1 Date: 07/18/2001 gr LEGEND TYPICA b0'd S99I2Le80E 01 89L0 bLE S't'd 0G8dd '8 038eZ ad Wd zS:T 1- 0007Sb5 WOOD FENCE. CHAIN LINK FENCE. C.B.S. WALL (C.B.W.) EXISTING ELEVATIONS. PROPOSED ELEVATIONS. REVISED ON REVI FED ON • 100z bz -nr Amount of Permit $ . MIAMI SHORES •VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTIR CAL PERMIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the built. Lg or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores ` '1: F ; , 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 Pu7r.; D;vision of Miami Shores Village shall be with, whether herein specified or not. A copy of approved plans and specifications musi : kept at building during progress of wor (,,� Owner's Name and Address //O �l"' . ' 1 Registered Architect and /or Engigeer Employing Electrician's Name ,. Location and Legal Description Lot )3d yD ' h /9 $ ' iJ y Block. . . 7' Subdivisio Street and Number where work is to be performed—No .../2i .,S , 7 1 / Street State work to be performed and purpose of building (By Floors) New Building ✓ Remodeling Addition Repairs No. of Stories No Street Street fee, Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding — 4' (Signed) (Signed). '% , / % ...a Electrical pector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 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. STATE OP FLORIDA, } COUNTY OF DADE. se. 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 REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE H TER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Amount of Permit $ . MIAMI SHORES •VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTIR CAL PERMIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the built. Lg or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores ` '1: F ; , 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 Pu7r.; D;vision of Miami Shores Village shall be with, whether herein specified or not. A copy of approved plans and specifications musi : kept at building during progress of wor (,,� Owner's Name and Address //O �l"' . ' 1 Registered Architect and /or Engigeer Employing Electrician's Name ,. Location and Legal Description Lot )3d yD ' h /9 $ ' iJ y Block. . . 7' Subdivisio Street and Number where work is to be performed—No .../2i .,S , 7 1 / Street State work to be performed and purpose of building (By Floors) New Building ✓ Remodeling Addition Repairs No. of Stories No Street Street fee, Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding — 4' (Signed) (Signed). '% , / % ...a Electrical pector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 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. STATE OP FLORIDA, } COUNTY OF DADE. se. 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. MIAMI SHORES VILLAGE, FLA. JOB k ev'xi ADDRESS / INSPECTION 75-fl io --c. -/-:A e __ TIME READY P , 5-- - ( 3 - REMARKS: INSPECTOR N? 6059 DATE Permit No 9 -7 L Owner's Name and Address .... Registered Architect and /or Engineer Employing Electrician's Name.., �:. (� .ti ` n ergro?nd Servic O ver a Size Feeders Type of Installation— Conduit 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. No it 4/..-44.446 / / T� Location and Legal Description Lot ) Block 7 Subdivision Street and Number where work is to be p erformed —No �/ C- y r Street 1/., ti~; State work to be perform and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories 4 Conduit...' Main Sw..... Amps Tubing B.X.L .Metal Moulding Amount of Permit $ Z3. 7 (Signed) a 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. (Signed) L Date., t S .1 2 Street Street Main Fuses.2 '� °Amps iV Muter 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 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'7'S FIXTURES NO. LAMPS REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. COMM. ACE HATER STRIP HEATER 7) fr C' �.� YYYY TOTAL CONTR. LIST / 1 V CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. 4, :� ■ dR� if f_.4$44 d m MOTORS // /s L w. O.1 HP Y �9 T MOTORS 1.6 HP / • NEON TRANS. ,/ r _ "A /"'�� • RADIO TOTAL CONTR. LIST / / / CHECK Permit No 9 -7 L Owner's Name and Address .... Registered Architect and /or Engineer Employing Electrician's Name.., �:. (� .ti ` n ergro?nd Servic O ver a Size Feeders Type of Installation— Conduit 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. No it 4/..-44.446 / / T� Location and Legal Description Lot ) Block 7 Subdivision Street and Number where work is to be p erformed —No �/ C- y r Street 1/., ti~; State work to be perform and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories 4 Conduit...' Main Sw..... Amps Tubing B.X.L .Metal Moulding Amount of Permit $ Z3. 7 (Signed) a 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. (Signed) L Date., t S .1 2 Street Street Main Fuses.2 '� °Amps iV Muter 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 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. /f`/ MIAf'II SHORES VILLAGE, FLA. JOB W14-/ 7-e-= ter, u J ADDRESS I Z 2 ert N• 6 ! 4.` ,0( INSPECTION E ec -T,z< - TIME READY Pc-o REMARKS: N? 6263 INSPECTOR DATE 4- 2-4-S) Permit No 47 '3 L 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....,,. Registered Architect and /or Engineer Employing Electrician's Name...,., . ," • " Pt y 1 Street Jr . . .. Location and Legal Description Lot * ! �A Block Subdivision Street and Number where work is to be performed —No 1 j Street , . mod,, State work to be perform and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Servic eiground Size Feeders Type of Installation — Conduit ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date. ,''` z } I .1 MIAMI SHORES VILLAGE (A) No 4 �d Conduit...,' Main Sw.. ...�. Street Main Fuses. —10 () Amps Amps ai Tubing B.X.L .Metal Moulding Amount of Permit $ 23. �S (Signed) ..e H, rh 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 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. _ .t C (Signed) Master 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 4-o FIXTURES NO. LAMPS f REPRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER _l_____ W. HEAT. CONN. ACE HATER V STRIP HEATER � k el cipI TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. {„� ° F �' M OTORS ,,,A � . O.1 HP I� ��111 MOTORS 1•S XP I . NEON Masts. RADIO at., TOTAL CONTR. LIST / / / CHECK Permit No 47 '3 L 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....,,. Registered Architect and /or Engineer Employing Electrician's Name...,., . ," • " Pt y 1 Street Jr . . .. Location and Legal Description Lot * ! �A Block Subdivision Street and Number where work is to be performed —No 1 j Street , . mod,, State work to be perform and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Servic eiground Size Feeders Type of Installation — Conduit ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date. ,''` z } I .1 MIAMI SHORES VILLAGE (A) No 4 �d Conduit...,' Main Sw.. ...�. Street Main Fuses. —10 () Amps Amps ai Tubing B.X.L .Metal Moulding Amount of Permit $ 23. �S (Signed) ..e H, rh 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 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. _ .t C (Signed) Master 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. MIAs I SHORES VILLAGE, FLA. JOB eJ £, 7 (= -;7 a-,fi ADDRESS I Z 2 -/ N' c:- 9 �x INSPECTION E ^ TIME READY Pcsm 6 - REMARKS N° 6263 INSPECTOR DATE 4- zv_) t s_ Permit No 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, Fioada, 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 Rc eexr /-# A4S e No /,,”2.-'1 Street iVe.. 5 5 Registered Architect and/or Engineer Employing Electriciaft's Name....StW 61E-CM/6fl . I-d rip° 57c// $ 411 Street. .13.4 ST Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No /A A Street. T S r State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Amount of Permit $ 2) <2 RES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT (Signed) (Signed) Date Repairs No. of Stories / Service Overhead Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation—Conduit Tubing B.X.L Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accep 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 or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be perform under t is perniit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } U. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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•1 8 FIXTURES No. L REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H STRIP H 41.00P-Ptta-/ TOTAL CONTR. LIST 6 i V 7 / CHECK - ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1-8 HP NEON TRANS. RADIO . TOTAL CONTR. LIST CHECK t s_ Permit No 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, Fioada, 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 Rc eexr /-# A4S e No /,,”2.-'1 Street iVe.. 5 5 Registered Architect and/or Engineer Employing Electriciaft's Name....StW 61E-CM/6fl . I-d rip° 57c// $ 411 Street. .13.4 ST Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No /A A Street. T S r State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Amount of Permit $ 2) <2 RES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT (Signed) (Signed) Date Repairs No. of Stories / Service Overhead Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation—Conduit Tubing B.X.L Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accep 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 or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be perform under t is perniit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } U. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date:09 /12/92 Job Address: 1224 North East 96th St. Tax Folio:11- 3206 - 014 -3931 Legal Description: b W/0 // / g y P l g f Master Permit# ”/' Owner /Lessee /Tenant: Hanson Owner's Address: Same Phone (305) 758 -9499 Contracting Co.: Bennett Electric Serv. Co. Address: 6900 NE 69th St, Miami Qualifier: John P. Higgins '/ State# EC0000625 Competency# 000013233 yj/ Ins. Co.: Architect /Engineer: Address: Bonding Company Address: Mortgagor Address: Permit type: Electrical Work Description: Meter replacement, due to hurricane damage. Square Ft: Estimated Cost: $ 675.00 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 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, as on the attached addendum ( if applicable). I certify that all work will be performed to meet the standards of all laws regulating constructyion in this juresidiction. I understand that seperate 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 authorize the above -named contractor to do the work stated. Signature of Property Owner or Condo Pres. Date: Notary as to Owner /or Condo President My commission expires: * * PERMIT FEE: APPROVED: p,;0 tiee: hynic :isl SS# Phone: (305)759 -1665 Fire • .oQ� ; Zoning Building or Owner - builder Notary as'••,.®0 1'0' '� = or a Owner buildei My commissi&fsre p± : Mary Public State of*Ftoruti Commigpon Expires Dec. 12. 1992 Other &a'dfiro� ti CO, Electrical / /1 Plumbing Engineering \./ BUILDING ❑ ELECTRICAL 31 PLUMBING PERMIT ❑ ROOFING ❑ ❑ , Owner of ,fir 1' Building - •' Architect Contractor or Builder Legal Description Address of Building �; "t i MIAMI SHORES VILLAGE. FLORIDA f L n wt ! / 4 Lot CONTRACTOR OR BUILDER B1 N? 5676 Work to be performed under this Value of Project $ Permit DATE --•' 195.. Contractors / l License No. ..-{ r i F" j - f • Subdi- vision II Amount of I Permit $ BY AUTHORITY 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 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 statemen o? special lions and that he assumes responsibility for work done by his agents, servants or employees. " '�/ , • 4" Signed • 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. BY •