1259 NE 97 St (8)Date
OWNER'S AF
be done i
autho
g
Da -e:
Notary
My Co>#nissi
APPROVED:
PERMIT APIPLICATION FOR MIAMI SHORES VILLAGE
Job Address ( g51 /V6 c97 •1 / Tax Folio
Legal Description
Owner / Lessee / Tenant lio6'rr -N 644/365 Master Permit # ` mi61951
Owner's Address /asq A) q-, SI" Phone 1.5 -6' J 3
Contracting Co. //? 2Oz I the ,e/C /�t/ C- Address (nl? (/ 9 i 94 ST
Qualifier D /f� „r. OOf. _ SS4t , Phone ?9,'/37V
O
State #t ��01�9q Municipal # Competency # l��p 7 / Ins.Co. gee/
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL "LUMBING MECHANICAL ROOFING PAVING FENCE SIGN
iktad
WORK DESCRIPTION 200 Ai P PANEL- L°¢f4A *C
Square Pt. Estimated Cost(value) k
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT ANI) 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.
D:.VIT: I certify t all the foregoing information is accurate and that all work will
mpliance wit. 1 applicable laws regulating construction and zoning. Furthermore, I
e abov to do the work stated. /
re of owner and /or Condo President
to Owner and /or/ '.do President
OFFICIAL NOTARY SEAL
MARY PATRICIA BRIGGS
* COMMISSION NUMBER
** * * . o * CC3a5258*
F 4 DIY COIWA,IISSION EXP.
OF F\.° JAN. 31 1998
FEES: PERMI !t
*
Signature of Contractor or Owner- Builder
Date:
Notary a
My Co
* 0
OF
NO ARY
Fire Other
Zoning Building Electrical
Mechanical Plumbing Engineering
- Builder
pU6 OFFICIAL NOTARY SEAL
4 i MARY PATRICIA BRIGGS
* COMMISSION NUMBER
* C633525% * **
4 . 141Y COMMISSION EXP.
FAO JAN. 1'9
Date �5 ^ ' / - X 24Job Address /7S I 5) 7 S 7' Tax Folio
Legal Description //-32 OS " ® � O 4 ,' O •- 4
Owner / Lessee / Tenant //f `✓ /I/Z �'. 1 a.. , G4 RR 6 ' Master Permit # 5 �c ?/
Owner's Address � /2s'7 M Ma: 2 7 �� Phone
�
Contracting Co. 2f4 -c �ac, 7Z /C e: Address %4'4500 // C
Qualifier ...a/4 'I 1 `JS W/plIU! SS4# Phone C 469 • /-Z. 3 a
State # . PI/0324o Municipal # Competency # 51 Y Ins.Co. l) 4 i 06
>r�ature of owner and /or Condo President
ate: 570/5LI/
Zoning
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Mechanical
Other
Architect /Engineer Address .�
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING 'LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRI PT ION '/z. de- L%. y Gr, /1. c - >c - 'mac' .c/
Square Ft. - Estimated Cost(value) "r 7a0 440
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 FINANCI 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 construction and zoning. Furthermore, I
_authorize the al3(iv med contractor to do the work stated.
Signature of Contractor or Owner- Builder
Date: slf'7 /ctf
Notary as to Owner a d/ ( fge? 69 SEAL Notary as
My Commission Expire Sf coM11NISSION NUMBER My Commiss
* CC255237
71 ` "w �,� MY COMMISSION EXP.
** * * * * Cr s ^ : * ■ A*? 26,V997
FEES: PERMIT 4 715 RADON C.C.F. NOTARY TOTAL DUE
APPROVED:
Expi ;es : SCOTT' W DAVIS
ly ' ?: C�
._ v1:: C Oi a MISSION NUMBER
CC255237
* Z ? 141t COM!MI` SION EX . **
OFF\ ;;i ?6 1997
Fire
Building Electrical
Plumbing
Engineering
BUILDING ❑
ELECTRICAL
PLUMBING (
ROOFING
Owner of
Building
E2' PERMIT IN? 13908
❑ Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot 11 BI.
Description
Address of
Building t
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Subdi-
vision
Value of
Project $
DATE
195
Contractor's
License No
Amt. of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with 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. ti /I j ~ --
Signe 4 BY _ i k 0. t 1..-
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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
Amount of Permit $
St 0
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 1 - 9 0 e
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work
Owner's Name and Address
•
No Street
Registered Architect and /or Engineer C
Employing Electrician's Name ?'■ No Street
Location and Legal Description Lot / Block Subdivision
I
Street and Number where work is to be performed —No c e 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 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 understa cis and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gener 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, 1
COUNTY OF DADE. J j
S S.
(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.
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
RP.NGE
CC)NN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
4
'
•-')..
r
(J)
---/-----
.. V
_.
- d
� �
3
�-
RADIO
TOTAL
CHECK
/ v
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1 -5 HP
N EON
TRANS.
CONTR.
LIST
/
1
CHECK
/ Vt)
v)
/ 0o
Amount of Permit $
St 0
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 1 - 9 0 e
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work
Owner's Name and Address
•
No Street
Registered Architect and /or Engineer C
Employing Electrician's Name ?'■ No Street
Location and Legal Description Lot / Block Subdivision
I
Street and Number where work is to be performed —No c e 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 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 understa cis and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gener 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, 1
COUNTY OF DADE. J j
S S.
(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.
My Commission Expires Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith ubmitted 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 En gineer..
Employing Electrician's Nam
b v , rv Overhead Site Feeders
9i o Underground
']�' / Type of nstallation —Con
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT /
63.
State work to be performed and purpose of building (By Floors)
New Building Remodeling
iC
. / /;9 (9 v'
Amount of Permit $ (1‘-
No
No
(Signed)
(Signed)
r
Tubing! B.X.L ,...Metal Mouldin
. v 0 L
i
Date
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
Street
Street
Addition � Repairs No. of Stories
Conduit Main Sw Amps Main Fuses Amps
Elect i 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 Florrp�,,'d�a Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•cafi ractors 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 de work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be perforated under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
STATE OF FLORIDA, }
COUNTY OP 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
PLUO
RECE'P•T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
143 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith ubmitted 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 En gineer..
Employing Electrician's Nam
b v , rv Overhead Site Feeders
9i o Underground
']�' / Type of nstallation —Con
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT /
63.
State work to be performed and purpose of building (By Floors)
New Building Remodeling
iC
. / /;9 (9 v'
Amount of Permit $ (1‘-
No
No
(Signed)
(Signed)
r
Tubing! B.X.L ,...Metal Mouldin
. v 0 L
i
Date
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
Street
Street
Addition � Repairs No. of Stories
Conduit Main Sw Amps Main Fuses Amps
Elect i 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 Florrp�,,'d�a Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•cafi ractors 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 de work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be perforated under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
STATE OF FLORIDA, }
COUNTY OP 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.