ELECTRICALAmount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
(Signed)
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 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
Employing Electrician's Name No — _______._________ _Street -_
Location and Legal Description Lot —_ — Block Subdivision
Street and Number where work is to be performed—No. , T Street__ _____________
State work to be performed and purpose of building (By Floors)__ _________._
New Building ____ — ____Remodeling Addition .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
( 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.
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared_
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0 -I HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
(Signed)
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 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
Employing Electrician's Name No — _______._________ _Street -_
Location and Legal Description Lot —_ — Block Subdivision
Street and Number where work is to be performed—No. , T Street__ _____________
State work to be performed and purpose of building (By Floors)__ _________._
New Building ____ — ____Remodeling Addition .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
( 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.
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared_
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
Amount of Permit S
Owner's Name and Address
Registered Architect and /or Engin, r
Employin; Electrician's Name. }t .
Service Overhead Size Feeders.
Underground
Type of Installation—Conduit.
STATE ATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI I S HEl?' Ea ',
ELECTRICAL INSF C'flOI -9 OlfIrAdWrildENT
PLItATI®N FOR — Et3 :`!11,',FSah.. 'Er:« 1
�7�ate
(Signed)
4,
Application is hereby made for the approval of the detailed staterner. • of the plans :.tun sp..cifications he,r.::ti r.ib.ni,Led for cl . cit i °d' ; or
structure herein described. This application is made in compliance and d •i. :ormity wits: the Building Ord.!mo...re of Mica: Shore; V' .plc:,•: �:IZ r +r,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Wage and all riles and regul:x:ono of r.tic Ft.ildi ?t;, Ti
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved Mahe an•l bpecificata,#:-, must !re 'r. ;•e
building during progress of work.
/ 3 Street.. y .7
Street
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
Conduit .Main Sw Amps .Main Fuses Amps
Tubing B.X.L .Metal Moulding
Ele n� Inspector.
The undersigned applicant for this building permit does hereby certify that he understands anddcoepts his obligations as an employer of
l under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Latin 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
brewed by Miami Shores Village.
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths
apaear
en me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the._ . ._.... _._....._...___..._.... _.
oc 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.
and take acknowledgments, personally
My Commission Expires Notary Public, State of Florida
NOTE: A rein ze :don fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspe Lion, or faulty
n''aterials and/or workmanship
SWITCH
OUTLETS
OUTL_ ' °3
RECE'i"T *8
NO. LAMPS
OUTLET
OUTLET
CVTLE7' r
I4).dNE NEATER
CONN.
H EATI1.r
1' tu r n?
4 ~ f
,., TOTAL
CL
LIST
tBT
4 '
C ". -0ECcs
5
� .
ENT.
SW.
O IBT.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
di id
ec A,
D `'
r��
A L
p
t ( j t
...-7.7.:
p�
� " � p g' A Y� p '
/�
pMOTORS
0.1 HP
'
M OYORB
1.0 HP
NEON
TRANS.
RADIO
TOTAL
CoNTc.
LIST
CHECK
Permit No
Amount of Permit S
Owner's Name and Address
Registered Architect and /or Engin, r
Employin; Electrician's Name. }t .
Service Overhead Size Feeders.
Underground
Type of Installation—Conduit.
STATE ATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI I S HEl?' Ea ',
ELECTRICAL INSF C'flOI -9 OlfIrAdWrildENT
PLItATI®N FOR — Et3 :`!11,',FSah.. 'Er:« 1
�7�ate
(Signed)
4,
Application is hereby made for the approval of the detailed staterner. • of the plans :.tun sp..cifications he,r.::ti r.ib.ni,Led for cl . cit i °d' ; or
structure herein described. This application is made in compliance and d •i. :ormity wits: the Building Ord.!mo...re of Mica: Shore; V' .plc:,•: �:IZ r +r,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Wage and all riles and regul:x:ono of r.tic Ft.ildi ?t;, Ti
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved Mahe an•l bpecificata,#:-, must !re 'r. ;•e
building during progress of work.
/ 3 Street.. y .7
Street
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
Conduit .Main Sw Amps .Main Fuses Amps
Tubing B.X.L .Metal Moulding
Ele n� Inspector.
The undersigned applicant for this building permit does hereby certify that he understands anddcoepts his obligations as an employer of
l under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Latin 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
brewed by Miami Shores Village.
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths
apaear
en me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the._ . ._.... _._....._...___..._.... _.
oc 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.
and take acknowledgments, personally
My Commission Expires Notary Public, State of Florida
NOTE: A rein ze :don fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspe Lion, or faulty
n''aterials and/or workmanship
Permit No
Owner's Name and Address._. .... �O.f.ftllSflla.
Registered Architect - 'd /or Engineer . ....
Amount of Permit $
$5.
READY FOR FINAL.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION 'T.E[PARTMENT
PPLICATDON FOR ELECTRIC L PERMIT
D.:te
4/7/66
Application is hereby made fo: the approval of the detailed statement of the p -.ns and specifications ner .with submitted for the building or other
structure herein described. This application is made in compile :. and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all liro"isions of the Laws of the State of Flori;.a all ordinances : Miami Shores Village and all .-ules and regulations of thr 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 • rogress of woo-
.No . 1.30 . .................... N. E.97 th. Street.
Employing Electrician's Name- ..... -. N 387 N. W. 54th. S.t. ef
Brother!- s---- Elee-t.- Corp•. o re
Location and Legal Description :.ot Block Subdivision
Street and Number where work is to be performed —No 1 - 30.- . Street. N. iE..97 th.....S.tree.t........ .
State work to be performed and purpose of building (By Floors) Res.
New Building Remodeling . _ . Addition
Repairs.......... No. of Stories Old..
Service Overhead Size Feede - .Co duct. .. ..Main Sw
Undergr find ' .. °'
Type Installation — Conduit.
.T b .g.. .. .B.X L . . .. . .Metal Moulding.
(Signed). .
(Signed). .
. Amps.... ...... ..Main 'uses.....
$ ... 1 . 50
The undersigned 'pplicani or this building pe' - it doe. hereby ce. tify that he understands and -
labor under the lo.ida Wjrkmen s Compensation Act, being Section 5966, Compiled General Laws
has complied v.'th the provisi'ns thereof and will require simiia compliance from all contractors or
work to be performed under this permit; and will post of cause to be posted for inspection on the site
as are required b,' the Act. The undersigned agrees to cinplo'T only such subcontractors, on, work to
licensed by Miam' Shores `pillage.
STATE OF FLORIL-A,
COUNTY OF DADE.
Before me the undersigned authority, a notary public, duly authorized to administer oaths and
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 constru,tion, a .d he ha carefully rrad the foregoin application, and that he did sign the
therein by him stated are true.
— ��
......Amps
El al Inspector
.crept i s obl:gatic.ns as an employer of
of onda P.rmanent Supple ent an,t
so - contractors employed by him in the
of the work sue,: public notice or notice:;
be .,erf9rmed under this perms;, as a e
Master Electrician.
take acknowledgments, personally
same, and that all facts
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
LIGH
OUTLETS
PLUG
REC_.'P'T'S
' iXTUnES
NO. LAMPS
REFRIG.
Or'TL:
IRON RANCE
OUTLET OU'LET
RANG.
CUNN.
WAT:R
HEAT :R
i- !•'•:'.
CONN
SPAC.:
HE ER
STRIP
HEATE :'
TOTAL
CONTR
LIST
CH ;Ca
ENT.
Sly.
DI'.', .
C.C.B.
'E: V CE
. . P.
SERV■C'
P
`"OfO
0 -I HP
. 'TORS
1 -S HP
N:-:7 N
TRAN".
RADIO
TOTAL
Cos :
1-.1.7T
1
1
CHE_.i
Permit No
Owner's Name and Address._. .... �O.f.ftllSflla.
Registered Architect - 'd /or Engineer . ....
Amount of Permit $
$5.
READY FOR FINAL.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION 'T.E[PARTMENT
PPLICATDON FOR ELECTRIC L PERMIT
D.:te
4/7/66
Application is hereby made fo: the approval of the detailed statement of the p -.ns and specifications ner .with submitted for the building or other
structure herein described. This application is made in compile :. and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all liro"isions of the Laws of the State of Flori;.a all ordinances : Miami Shores Village and all .-ules and regulations of thr 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 • rogress of woo-
.No . 1.30 . .................... N. E.97 th. Street.
Employing Electrician's Name- ..... -. N 387 N. W. 54th. S.t. ef
Brother!- s---- Elee-t.- Corp•. o re
Location and Legal Description :.ot Block Subdivision
Street and Number where work is to be performed —No 1 - 30.- . Street. N. iE..97 th.....S.tree.t........ .
State work to be performed and purpose of building (By Floors) Res.
New Building Remodeling . _ . Addition
Repairs.......... No. of Stories Old..
Service Overhead Size Feede - .Co duct. .. ..Main Sw
Undergr find ' .. °'
Type Installation — Conduit.
.T b .g.. .. .B.X L . . .. . .Metal Moulding.
(Signed). .
(Signed). .
. Amps.... ...... ..Main 'uses.....
$ ... 1 . 50
The undersigned 'pplicani or this building pe' - it doe. hereby ce. tify that he understands and -
labor under the lo.ida Wjrkmen s Compensation Act, being Section 5966, Compiled General Laws
has complied v.'th the provisi'ns thereof and will require simiia compliance from all contractors or
work to be performed under this permit; and will post of cause to be posted for inspection on the site
as are required b,' the Act. The undersigned agrees to cinplo'T only such subcontractors, on, work to
licensed by Miam' Shores `pillage.
STATE OF FLORIL-A,
COUNTY OF DADE.
Before me the undersigned authority, a notary public, duly authorized to administer oaths and
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 constru,tion, a .d he ha carefully rrad the foregoin application, and that he did sign the
therein by him stated are true.
— ��
......Amps
El al Inspector
.crept i s obl:gatic.ns as an employer of
of onda P.rmanent Supple ent an,t
so - contractors employed by him in the
of the work sue,: public notice or notice:;
be .,erf9rmed under this perms;, as a e
Master Electrician.
take acknowledgments, personally
same, and that all facts
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, FLORIDA
111 D
ATE 19 4 '
0 PERMIT N? 7393 Contractor's Q -j
License No.
0
❑ Work to be performed under this Permit_
Owner of
Building ! 1 f" . t t_ f 1 (> l --i • f '
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Contractor
or Builder �*-
r�, t
Architect
Legal Lot
Description
CONTRACTOR OR BUILDER
f t._ 1. �. tr. t
11 B
r 7 rJ $
Subdi-
vision
Address of • Value of I; Amount of
Building f 7 t t ` * 1 i Project $ II 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 applica-
tion 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 respon-
sibility for work done by his agents, servants or employees. t .
Signed � L ' g . ` 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 as
cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee.
BY AUTHORITY
AGlo, V �/i'.p¢
BUILDING
ELECTRICAL
PLUMBING
ROOFING
CJ
0
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N? 5689
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description Bl
Address of
Building
CONTRACTOR OR BUILDER
DATE 195
Contractor s
License No.
Work to be performed under this Permit
Subdi-
vision
Value of II Amount of
Project $ II 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 tho 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.
BY AUTHORITY
UILDING
LECTRICAL
LUMBING
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N2 8610
Contractor's
License No.
Work to be performed under this Permit
Iwner of
uilding
rchitect
DATE 194__
: ontractor
- Builder
egal Lot BL Subdi-
escription vision
ddress of ! Value of Amt. of
ailding Project 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 appli-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
ans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
any time if the work is not done in compliance with such ordinances or if the plans are changed without authori7atioii. A further condition upon which this
:rmit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
,ility 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
-rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address J W i g7.7111 S I '€ i Tax Folio
Legal Description l,, " p�
Owne / Lessee / TenantLV!lrtS � /��' ZQ /°.& fC._1' Master Permit # r% G
Owner's Address re
e4- o N. & 7 " S4 4 Phone ��i Y Z5 -/ s
T )(l
Contracting Co. 1 tlt ? �1 � . 14 Address_ /; /(/
Qualifier U (r4 L CI'J I �� SSa _- ) )() Phone 9 "c; 7
State # Municipal # Competency lieCOO( /® (, (DIns.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDI
WORK DESCRIPTION c ve v`-4 fc S
ec 4e�.
Square Ft. I� C S i
ELECTRICAL ,PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
"
Estimated Cost(value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
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 owner and /or C�p f President
Date: `
Notary as to O r and /or Condo President
My Commission Expires:
** *
FEES: PERMIT
APPROVED:
Signature of Contra r or 0194r-Builder
Date:
Notary as to Contractor or Owner- Builder
My Commission Expires:
* * * * * * * * *
RADON C.C.F. NOTARY TOTAL DUE
Fire Other
Zoning
Mechanical
�"� "_•= '' umbing Engineering
Building Electrical
**
M
Legal Description
PERMIT APPLICATION FOR MIIAMI SHORES VILLAG
'-- �% 9
Date Job Address 1 Q/ r . 7
(Owne / Lessee / Tenant c`/ez /S ToLYsV.8 0/_ad /C /
Owner's Address /30 .4/ 9 7' ST/L f r
Contracting Co. .�'A"04W,OAL g 77/&6&x.
Qualifier 4 /4 7 Z //AV S S # Phone 94/0 " 07 7 . 7
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company
Mortgagor
Permit Type(circle one): BUILDING ELECTRICAL 'LU13ING MECHANICAL ROOFING t':: FENCE SIGI`
WORK DESCRIPTION /%/2 6
/ ,/e ,/: 44 g
Tax Folio
Master
Phone
Address 57( / 4
2
Address
Address
Permit _
Estimated Cost(value) • 'J-C
Square Ft. cc J'• F
'
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOU . \ILURE TO DC
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY ;77? YOU INTENT
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE t CORDING YOU
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as ind. ^d above, anc
on the attached addendum (if applicable). I certify that all work will be perfc: :•:a to meet: the
standards of all laws regulating construction in this jurisdiction. I understar1C that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANIC WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and t ;: all work wil:
be done in compliance with all applicable laws regulating construction and zoninc. 'urthermor.e,
authorize th� above -name contractor to do the work stated.
Sign uffe of ewne and /* Zf dii ' President Sign t�ti re ` s ttt actor o.' ; (,,. :. z,- Builder
Dat » j�� �,1 -`.� .:� ) Date �, 8 ,50:1941
';‘,-),:r„, , i-L- ,,,,,-.- - `4'),,,, 6 p , /7.4/0, ' ' , ,,,
Notary as to Owner andfor Conde President Notary at to Coniact or :' Builder
My Commission Expires: My Commission Expires:
r
* * * tY * **
** * * * * * * * * * FEES: PERMIT RADON C.C.F. NOTARY TOTAL DUE
APPROVED: Fire Other
Zoning Building Electrical
Mechanical Plumbing Engineering
Date Job Address
Legal Description
Owner / .Lessee / Tenant (_+,VSTDPt1 G. ZRLESkJ i'KD
Owner's :Address
Contracting Co. DT ,
Qualifier w (i C Jiorw-- (G) If I ON ss# V- 7 7 2
State 14 Municipal # Competency I1 Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor --� Address
Permit Type(circle one): BUILDING CELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION l g q 9 ( J o f i - * -2Cvr
�� Cow Try I ,c- tees
Square Ft. Estimated Cost(value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
, TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
'Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed'to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. '
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.
Signatur of own and/or Condo President
Data
Notary as to Owner and /or Condo President
My Commission Expires
** * ' * *
FEES: PERMIT ✓r%'
APPROVED:
. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
15U NE. c m snzeti, i iPrMI St- 1vP. -FS pc_ 33►3R -Z33 ? Phone 3US 7a(450
1u�
1 30 PE_ 6 17 Sr
Vo)( k(b-1- ) '?1)\ ) \()\
IALNO`Y`AU S
11.2 NA ALVA14EZ
NUTARY FOLIC STATE OF FLORIDA
MY CO:J! ON1rXP. I. Y 1 I 3
RADON
Fire
Zoning Building
Mechanical Plumbing
Tax Folio )/2ao- 01.3-doO
M i Clore 5
Master Permit # 5 2r 3 V o
Address /0‘Cx ✓.IiCLTf1,
Notary as to Contractor or
My Commiss' •.�. ' ixges:
M. SANCHEZ
CCMM :, sioN I CC 383081
VIREO: Juns*4,1998 * **
8ondcd ihrn Notary Public � r
C.C.P. ' -• NOTARY
* *
TOTAL DUE
Other
Electrical
{ ice ;�� .-
Engineering