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ELECTRICALELECTRICAL PERMIT N. B. —This Permit must he on display on the premises during the construction. Owner of Building Contractor or Electrician NO. STREET aiami choresTillage F L 0 R D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla. 19 PART OF LOT NUMBER OF LO CATI 0 N LOT BL'K DESCRIPTION OF WORK SUBDIVISION N9 275 Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee A li This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, ant all rules and regulations of the Electrical Department of Miami S hores Village. Dated , 19 -- — (Seal) Date , 192 FOR FIXTURE WORK ONLY ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your Certificate of Approval, application is hereby made for an inspection of the electrical installa- tion in the premises stated below, for which the undersigned agrees to correct any infractions of the National Electrical Code and the City Rules pointed out by Inspector. LO CATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED, OR APPLICATION WILL BE RETURNED. Lot Number Block Number Street and Number Side Owner Occupant Occupied as Building —New or Old (underline which). Work— Additional or New (underline which). SPECIFICATIONS FLOOR Basement 1st Floor 2d Floor 3d Floor 4th Floor 5th Floor 6th Floor 7th Floor 8th Floor Attic NUMBER OF LIGHTS Received by Inspector CERTIFICATES Form 155 Progress Will inspect again Rough Wiring FINAL No Corrected Temporary Days Approved Letter Date Issued APPLICATION No CEILING OUTLETS REMARKS • Work will be started will be finished Address (Applicant sign here) { Street SPACE BELOW FOR INSPECTOR'S USE ONLY Inspected Correct Location Correct Equipment DEFECTIVE Time Allowed: Days BRACKET OUTLETS NUMBER OF CIRCUITS Electric Light Co Fee remitted Remarks • inspector FLOOR NUMBER OF SIZES OF INSULATioN OPEN OR CONCEALED Number of Cirenits Outlets Motor Gen. Main Sub ):ranch sem ent_ .St_ _ :ond -- ird____— urth y 0 i I ler Floors.__ r'orm 24( LO CATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICA- TI N WILL BE RETURNED Ba Fi Se Th Fo Ot REMARKS • Lot Nuutber 1 7 1 1 ,,1 Block Number t 5 Street and Number Owner Occupied as Building — New or Old (underline which). H. P. of each motor Number of Motors H P Volts Amps Phase Outlets I Motors Receptacles Generators Stoves Water Neaten Signs i I �400a I - .s o d Greatest Number of Lights on One Branch (Nature of Work) Open — Concealed Kno. Mldg.— Conduit Work will be starte (Applicant sign Received by Inspector CERTIFICATES Progress Will inspect again Rough Wiring FINAL No Corrected Temporary Approved Letter Date Issued DATE )27_0/ .192 y - Electrical Department of the City of Miami Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated be- low, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Rules pointed out by Inspector. /3/ N1 97 h ere) A !! Days SPACE BELOW FOR INSPECTORS USE ONLY 1� . Inspected — - - - Correct Location Correct Equip. DEFECTIVE Time Allowed Days APPLICATION No. t . SPECIFICATIONS Will be finishe } Fee remitted Address Street Electric Light Co. — _ .__ Iemarks______ _ _ 1 Occupant Side �'� Work — Additional or New (underline which). Billboards J Other Apparatus 1 )-? 'J-t# /� 1 _ _Inspector Permit No `? 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, a nd 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. A �. ' � Owner's Name and Address No Street Registered Architect and /or Engi Employing Electrician's Name.., .�. 4 , No Stre t- Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 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 Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or 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, , work to be performed under this permit, as are licensed by Miami Shores Village. O ., STATE OF FLORIDA, COUNTY OF DADE I 6S. Street (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 aterials and /or workmanship. SWITCH O UTLETS LIGHT OUTLETS PLUG R ECE'P 'T •S FIXTURES NO. LAMPS REFRIG. O UTLET IRON O UTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. SPACE H EATER STRIP H EATER TOTAL CONTR. LIST „ /�_ ( c , CHECK °NT. SW. GIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O. HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST IS T CHECK / r, Permit No `? 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, a nd 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. A �. ' � Owner's Name and Address No Street Registered Architect and /or Engi Employing Electrician's Name.., .�. 4 , No Stre t- Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 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 Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or 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, , work to be performed under this permit, as are licensed by Miami Shores Village. O ., STATE OF FLORIDA, COUNTY OF DADE I 6S. Street (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 aterials and /or workmanship. CEILING BRACKETS RECEPTACLES SWITCHES STOVES WATER HEATERS SIGNS CEILING OTHER APPARATUS MAIN SUBS BRANCHES r r �_ - FLOORS FIXTURES ONLY NUMBER OF TOTAL OUTLETS SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS MAIN SUBS BRANCHES H BASEMENT- __ - FIRST -__-_ SECOND THIRD FOURTH ]+- A.13 LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION WILL BE RETURNED. LOT NUMBER OWNER BUILDING -NEW OR OLD (UNDERLINE WHICH) H. P. OF EACH MOTOR—_ KIND OF INSTALLATION REMARKS RECEIVED BY INSPECTOR_ PROGRESS WILL INSPECT AGAIN ROUGH WIRING FINAL No CORRECTED TEMPORARY DAYS. DATE ISSUED DATE__" / 193 ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by Inspector. BLOCK NUMBER REMARKS APPLICATION SUBDIVISION SPACE BELOW FOR INSPECTOR'S USE ONLY FEE REMITTED NO. STREET AND NUMBER � _ - _ �' " SIDE OCCUPANT OCCUPIED As WORK - ADDITIONAL, NEW, ALTERATION OR REPAIR SPECIFICATIONS VOLTS TOTAL AMPS PHASF OPEN OR CONCEALED KNOB. RX.. BX., MLDG., CONDUIT: METALLIC TUBING CONTRACTOR- • INSPECTION WANTED i }� BY ADDRESS _ \ INSPECTED INSPECTOR 1 /7 /fs3 Application is hereby made for the approval of the detailed statement of the plans and specifications h4ewith 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 a r`s Permit No Registered Architect and /or Enginee Employing Electrician's Name Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL. INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT My Commission Expires Date No /3/ NE' r(...7 Street $''■ N f- 3 ° /Y W (Signed) (Signed • k s ...rlc/luC. r Notary Public, State of Florida Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ' 91 Street.... / 4 Pi 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 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 subcontractors, . work to be performed under this permit, as are licensed by Miami Shores Village. M ter Electrician.` STATE OP FLORIDA, , l COUNTY OF DADE. I sa. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. A H ATER STRIP H EATER TOTAL CONTR. LIST CHECK , E NT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.S HP N EON TRANS. RADIO TOTAL CONTR. LIST 3 / iptw �/ � ` /- . /' /��,/ ' / ®� or. Q 3 CHECK /7 /fs3 Application is hereby made for the approval of the detailed statement of the plans and specifications h4ewith 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 a r`s Permit No Registered Architect and /or Enginee Employing Electrician's Name Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL. INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT My Commission Expires Date No /3/ NE' r(...7 Street $''■ N f- 3 ° /Y W (Signed) (Signed • k s ...rlc/luC. r Notary Public, State of Florida Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ' 91 Street.... / 4 Pi 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 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 subcontractors, . work to be performed under this permit, as are licensed by Miami Shores Village. M ter Electrician.` STATE OP FLORIDA, , l COUNTY OF DADE. I sa. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. NO. STREET PART OF LOT LOT BL'K SUBDIVISION Signs Billboards Other Apparatus Permit Fee Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building/ ractor or Electrician._ ,— Dated �+ — — 19_ f dd�iami flhores F L O 1 1 D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , NUMBER OF LO CAT1 0 N DESCRIPTION OF WORK 19 N° 275 • This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by th Department. , Electrical Inspec or. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. �' (Seal) BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA ❑ DATE____' ' 195 ❑ PERMIT Ns? 2697 Contractor's License No. ❑ Work to be performed under this Permit Bl. Subdi- vision Value of Project $ Amount 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 assume s the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawing3 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY a. Date— Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of ocher structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Plucida, and all provisions of the Laws of the State of Florida, all ordinance 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. Permit Owners Name and Address... ) 4 0 / r' / 7 No .!/ Street. to / Registered Architect and /or Engineer Employing Electrician's Namc4 s� Amount of Permit S h/ MIAMI 5HURES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT •(-4e.--, , �t;,ZA-G /IJo Location and Legal Description Lot Sate work to be performed and purpose of building (By Floors) .. . ...... ......... .........._._... (Signed) Block (Signed) (_ ......_Street. _»..»..Subdivision. Street and Number where work is to be performed--No— New Building.... _.... Remodeling. ...... ...Addition .Repairs.. Size Feeder Conduit.... .......Main Sw.. L .. ... Amp..,. P . -.�... _..._........ � .__. .Main Fuses.. • .Amps Type of Inatalladon -- Conduit.... Tubing ..................... -BA . L ......Meal Moil ding......... _._.......�... �...,.. ,. �..,_._....... ._ .. .No. of • Stories... Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accept his obligations u an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection • . the site of the work such public notice or notice u are required by the Act. The undersigned agrees to employ only such subcontractors, •n work to be performed under this permit, as are licensed by Miami Shores Village. .. Maste Electrician. STATE OF FLORIDA. COUNTY OF DADE. Its. Before. me, the undersigned authority, a notary public, duly authorised to administer oaths and take acknowledgment, 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 desaubcd construction, and be has carefully read the foregoing application, and that be did sign the same. and that all facts therein by him sated 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 LION? OUTLETS PLUS Racrw s FIXTURES No. LAMPS REFRI OUTLET IRON OUTLET R OUTLET RANGE CONN. WATER NEATER W. NEAT. CONN. SPACE NEATER STRIP NEATEN TOTAL Cowrie. LIST CNECR S W . . SW. CA•. CAS. TEMP. TEMP. PICNIC ERM. MOTOR! 0.1 NP M t.s NI NEON TRANS. S. ' /' 4 RAO10 - /J, _ TOTAL CONTR. LIST CNECX .�7 / :0701.5 Date— Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of ocher structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Plucida, and all provisions of the Laws of the State of Florida, all ordinance 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. Permit Owners Name and Address... ) 4 0 / r' / 7 No .!/ Street. to / Registered Architect and /or Engineer Employing Electrician's Namc4 s� Amount of Permit S h/ MIAMI 5HURES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT •(-4e.--, , �t;,ZA-G /IJo Location and Legal Description Lot Sate work to be performed and purpose of building (By Floors) .. . ...... ......... .........._._... (Signed) Block (Signed) (_ ......_Street. _»..»..Subdivision. Street and Number where work is to be performed--No— New Building.... _.... Remodeling. ...... ...Addition .Repairs.. Size Feeder Conduit.... .......Main Sw.. L .. ... Amp..,. P . -.�... _..._........ � .__. .Main Fuses.. • .Amps Type of Inatalladon -- Conduit.... Tubing ..................... -BA . L ......Meal Moil ding......... _._.......�... �...,.. ,. �..,_._....... ._ .. .No. of • Stories... Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accept his obligations u an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection • . the site of the work such public notice or notice u are required by the Act. The undersigned agrees to employ only such subcontractors, •n work to be performed under this permit, as are licensed by Miami Shores Village. .. Maste Electrician. STATE OF FLORIDA. COUNTY OF DADE. Its. Before. me, the undersigned authority, a notary public, duly authorised to administer oaths and take acknowledgment, 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 desaubcd construction, and be has carefully read the foregoing application, and that be did sign the same. and that all facts therein by him sated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. FIXTURES ONLY F SIZE OF S SIZE SERVICE N No. LIGHTS C CEILING B BRACKETS O MAINS S SUBS B BRANCHES C 3ASEMENT , , _ FIRST __ iECOND I � � Form 246 APPLICATION NO. DATE 193 ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION WILL BE RETURNED. LOT NUMBER BLOCK NUMBER SUBDIVISION I r . STREET AND NUMBER OWNER OCCUPIED As BUILDING —NEW OR OLD (UNDERLINE WHICH) WORK— ApDj]ONAL, NEW, ALTERATION OR REPAIR. H. P. OF EACH MOTOR VOLTS TOTAL AMPS PHASE_ LIGHTS CEILING BRACKETS RECEPTACLES SWITCHES STOVES WATER HEATERS SIGNS KIND OF INSTALLATION OPEN OR CONCEALED BY ADDRESS RECEIVED BY INSPECTOR ROUGH WIRING FINAL No CORRECTED TEMPORARY DAYS. DATE ISSUED OCCUPANT SPECIFICATIONS SPA$E BELOW FOR INSPECTOR'S USE ONLY SIDF OTHER APPARATUS KNOB, RX., BX., MLDG. CONDUIT REMARKS »� INSPECTED CONTRACTOR — i r INSPECTION WANTED PROGRESS REMARKS WILL INSPECT AGAIN FEE REMITTED INSPECTOR A -63 LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION WILL BE RETURNED. LOT NUMBER BLOCK NUMBER ; SUBDIVISION '� STREET AND NUMB R �' - SIDE i t • OWNER i f . OCCUPANT I OCCUPIED As # r' BUILDING —NEW OR OLD (UNDERLINE WHICH) WORK— ADDITONAL, NEW, ALTERATION OR REPAIR. CEILING KIND OF INSTALLATION OPEN OR CONCEALED FLOORS BASEMENT FIRST SECOND THIRD FOURTH BRACKETS y PROGRESS WILL INSPECT AGAIN DATE 193_ _. ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by Inspector. RECEPTACLES FIXTURES ONLY NUMBER OF LIGHTS CEILING 1 BRACKETS ROUGH WIRING FINAL No CORRECTED TEMPORARY DAYS. DATE ISSUED APPLICATION No. SWITCHES SPECIFICATIONS H. P. OF EACH MOTOR VOLTS TOTAL AMPS PHASE STOVES WATER HEATERS TOTAL OUTLETS SIZE OF MAINS 1 SUBS SPACE BELOW FOR INSPECTOR'S USE ONLY REMARKS SIGNS OTHER APPARATUS KNOB, RX., BX., MLDG., CONDUIT. METALLIC TUBING '� SIZE SERVICE No. BRANCHES i CONDUIT CIRCUITS FEE REMITTED REMARKS RECEIVED BY INSPECTOR INSPECTED INSPECTOR CONTRACTOR INSPECTION WANTED ADDRESS FLOORS FIXTURES ONLY NUMBER OF TOTAL. OUTLETS SIZE OF SIZE SERVICE I CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS MAINS SUBS BRANCHES BASEMENT FIRST SECOND THIRD FOURTH e r Form 246 LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION" ALL SPACES MIDST BE FILLED OR APPLICATION WILL BE RETURNED. LOT NUMBER BLOCK NUMBER SUBDIVISION f J STREET AND NUMBER � � ` ' SID OCCUPIED As OWNER BUILDING — NEW OR OLD (UNDERLINE WHICH) H. P. OF EACH MOTOR VOLTS TOTAL AMPS PHASF LIGHTS REMARKS CEILING APPLICATION No. DATE '' f 193_ ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI 1 BRACKETS KIND OF INSTALLATION OPEN OR CONCEALED Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by Inspector. r F' r r– ) f t ` e 4t OCCUPANT WORK — ADDITIONAL. NEW, ALTERATION OR REPAIR. SPECIFICATIONS RECEPTACLES I SWITCHES STOVES WATER HEATERS SIGNS I OTHER APPARATUS KNOB, RX., BX., MLDG. CONDUIT CONTRACTOR -`' - 'INSPECTION WANTED aP -. f BY ADDRESS t% r RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN ROUGH WITING FINAL ' , No CORRECTED TEMPORARY DAYS. DATE ISSUED SPACE BELOW FOR INSPECTOR'S USE ONLY INSPECTED J ai^ C f REMARKS FEE REMITTED / INSPECTOR NOTICE OF COMMENCEMENT A RECORDED 1 COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. LO q TAX FOLIO NO. � 1 - 52 - 2 -1 Tp STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: /a/i)1 ShD reS 5PC ! 4 Jr D p 3 to -70 for 2 I t., E %a Lo ao 81 k lA Lai 5i 2.e, 75 • oo x- 115 2. Description of improvement: 3. Owner(s) name and address: MI A/t 97 (5f- lons,,,1, (...1641)5 Ft 33 ia8 Interest in property: f)Id,7r/1 Name and address of fee ' le titleholder: 4. Contractor's name and address: 51e v h 51,A ' 5 Prffat 1, SQ r J ice CC, j 7 /o lA/ 'R CT / [a dv► i EL- 3 31 57 5. Surety: (Payment bond required by owner from contractor, if any) Name and a}regs: Amount of bond $ 6. Lender's name and address: JV 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713. 3(1)(a)7., Florida Statutes, Name and address: I' i 54-ef A r 4[o_Ki ti e al a P7, IN vC0t71-h 5 iki a wtj sJc g) .( 33(3E. 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a diffe nt date.- speci . ed) nature 0 ner Pr nt 0 -r's Name Sworn to and subsc Notary Public Print Notary's N me My commission expires: 123.01 -52 PAGE 4 8/02 Commission IDD231984 Q= Expires: Jul 13, 2007 ; ' FLOQ: lnnded Thai Anantic Ronding Co , Inc f<ZhJ - A)-Ke x) ed before me this day o Mabel \ /AY' as , 20 Prepared CFN 2005R0023604 OR Bk 22981 Pss 4692 - 4693; (2pss) RECORDED 01/07/2005 13:25:13 HARVEY RUVIFI, CLcRK OF COURT MIAMI -DADE COUHT7r FLORIDA 111111111111111111111111111111111111111111111 Address: 1 31 ✓U E q / /Yl a.m 6hc s Pc_ 3 313R 6047F, CF FLORIDA, GOUC3iY Oh Dtil;c 1lif , JV CERTIr7!I !!hr, tryC\COry rl the fk t abed Date: December 14 , 2004 To: Kristy Hernandez (Hereinafter "owner") From: Stevenson's Electric Service Co., Inc. (Hereinafter "contractor ") Subject: 131 NE 97 Sired, Village of Miami Shores, FL Contractor proposes to ft,rnish materials and perform labor necessary to complete work at the above address. Hid price includes the following: -Rewire entire house to basic code with wiring to be rumex typc. !�1 -New boxes are to be put for switches and meeeptacics. •Permit to be paid fbr by owner. -No wall patch work to be done by Electrician. iS All plugs/plates/switches (electrical or tvftclephonc) to be selected by Electrical Contractor. Owner to purchase all lighting fixtures. Prices are subject M change due to changes that may be required by Village fAi of Miami Shores Inspectors. Owner to provide digging, concrete cutting and removal as necessary. All to be in working order. All of the above work is to be completed in a substantial and workman -like manner according to standard practices for the sum of: Six Thousand Dollars ($6,000.00) Prngress payments to be made as follows to the value of 100% of all work completed: Start (33%) $2,000.00 Rough (33 %) $2,000.00 Finish (33%) S2,000.00 The remaining balance of the contract is to he paid within ten (10) days after completion. Title of ownership of any material remains with contractor until bill is paid in dill. Any costs incurred as a result of non- payment of invoice, fecs, plus legal rate of interest charged from date of billing will be sustained by customer, Including court costs and attorney fees. This proposal is valid for two months from the above date, and if accepted on or before that date, work will commence when Job site is ready and will be substantially completed within a reasonable amount of time, subject to delays caused by acts of God, stoney weather conditions or unforeseen contingencies. Any changes from the above specifications will be executed only after both parties approve and sign the change order. Additional charges, if any, will be added to the price of this contract. AU changes or "extras" must be paid 100% upon completion of rough. Ibis contract shall serve as a notice to owner with the intention to claim a lien under State of Florida statutes. Sieveason's Electric 5 7 Co., Inc, by Gregg Stevenson, #EC0001685 (Date). /. Kristy Hernandez 00TS9SLS02 Z3aNUNd3H N3)I1I15 A.SIhDI 12:20 17002 -22 -tiT r r. Proposal and Contract ( bate ) . 12 /e , 9L965Z50£ 0 1- 30S ATV 3 17 (305)253.1500 Sz :oZ I700Z'TiI 3�G • 1 BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Building Department 10050 N.E.2nd Aveue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756,8972 Permit No. Master Permit No. Permit Type (circle): Building Electrical / Plumbing Mechanical Roofing • Owner's Name (Fee Simple Titleholder) { l 5 C H - Pi)1 61 b t lhone #�jl:- (L�, f �' Owners Address 's , � L `' City 1 111!1[( � )State j— Tenant/Lessee Name • C. ty Miami Shores Villa County Miami -Dade Zip i' "� - . c ' Is Building Historically Designated YES NO Job Address (where the work is being done) Cite Qualifier Contractor's Company Name t ,'',:,,.7r <* ��.- \ / J r s ; , .•;�' - +✓ Phone # : °�� ` „ � Contractor's Address .. � �. ) L.--) B p " - r',.- State . — Zip '; 1 Lk State Certificate or Registration No. S Value of Work For this Permit Architect/Engineer's Name (if applicable) Type of Work: ['Addition ❑Alteration ❑New e air/Re lace �� p p ❑ Demolition Describe Work: ,7 „z) lr�- �' ? ' - d/ / d y' , Notary S g ° Training/Education Fee $ t Cn 1 Zip ”) Phone # Phone # Certificate of Competency No. Square Footage Of Work: ** * ** * * * * *** * * * ** ** * * * ** **** F ees *, * * * * *** * ** * * * * * **** * * * * * * * ** 1 Submittal Fee S Permit Fee S e. C ' e'L' CCF 5 2 • / 'L/ CO / Scanning S Radon $ Code Enforcement 5 Structural PPla ew . �J ‘"1# Total Fee Now Due $ 1 ( .(r r aQ (Continued on opposite side) Technology Fee $ Zoning Bond 5 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 m 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 of be approved and a reinspection fee will be charged. Sign NOTARY PUBLIC: Chc 05/13/03 w er or Agent The foregoing instrument was ac owledged before me this G" The foregoing ins • � day of / _( , 20 °A-b i known who is ersonally to me_efwho has pr.duced who is personally known to me or who has pro ced As identification and who did take an oath. $ 3/`� s identificat and who did take an oath. Ex ly t1. ionelu mmtsslon ° I 1 2387,0' • •s• u . 2008 - Bonded Thru antic Bonding Co., Inc. Sign: My Commission Expi es: 1 5 /3 ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY Signature NOTARY PUBIC: gn . Print My Commission Expires. ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** I MO' 41 111IP "was acknowled g ed before me this t✓ Contractor [ "b � F ~ * *** * * * ** * * * * ** ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * ** ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 3 ; 4- ; i-1 " - ' Plans Examiner Engineer Zoning (orre1 0 2008 ., Inc. ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT /5 FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS /0 . CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS 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 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP 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 HP VIOLATION INDIRECT WASTES- .. A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUW & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN 0 I SCHARGE WELL Q e w !b,41_ A as f e DOMESTIC WELL R. p,,., :s2 a // C,7orI, AREA DRAIN C.e) /dam > ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED,4HE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) • PLUMBING ELECTRICA MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1/6/2005 Electrical Permit Permit Number: EL2004-371 Applicant: KRISTY MOORE AITKEN Owner: AITKEN KRISTY MOORE JOB ADDRESS: 131 NE 97 ST Contractor STEVENSONS ELECTRIC SERVICE COMPAMbllltfactor's Address: 19710 SW 99 CT Local Phone: 305 - 253 -1500 Parcel # 1132060132470 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 21 & E1/2 LOT 20 BLK 18 LOT SIZE Fees: Description Amount FEE2005 -162 Building Fee $200.00 FEE2005 -163 CCF $2.40 FEE2005 -164 Training and Education Fee $0.80 FEE2005 -165 Notary Fee $5.00 FEE2005 -166 Technology Fee $5.00 FEE2005 -167 Submittal Fee ($50.00) Total Fees: $163.20 Total Fees: $163.20 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 6/28/2005 Construction Value: $4,000.00 Work: REWIRE HOUSE AND REMOVE ALL CLOTH WIRE. ROMEX Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder, 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Vi MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buil Inspection Request Type Insp'n a ;� Permit No. 11� Name yTMWU tr Address . N r�.0U - , Company ((3 O\ sA� ps E 1e iy Date Phone # Inspection Date b Approved ❑ Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date --''i� Type Insp'n u 9 1 Permit No. 1 � Name .:athas Jf ti : S� �� 1` Address S �-' L\r! C1171,_ I; Company C.,- ' Ei, Phone # n Inspection Date if Approved Correction Re- Insp'n Fee 1 r Type In Permit Name Addre Comp. Phone Inspec MIAMI SHORES VILLAGE BUILDING DEPARTMENT 0\ Name Apprn Corrt Inspection Date Re I Approved yy�� Correction /_ Re- Insp'n Fee 2. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 30 5- 795 -2204 Building Inspection Request Date 69 '7 Type Insp'n 39 e E. lg_e , Permit No. 0 e 0 3 ' Address /� S Company Phone # C,S -75c-1 SSA MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bui in Inspection Request Date Type Insp'n f 11 Permit No. oLA o 3 � Name A Address Company (O S oS E e Phone # Inspection Date 611,7 Approved ❑ Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date - ! , Type Insp'n e Permit No. , '\ Name ‘r" Address Company , r Phone # Inspection Date Approved Correction Re-Insp'n Fee MHAMI SHORES VILLAGE BUILDING DEPARTMENT O\ 305- 795 -2204 Building Inspection Request Date 5 \ i�� Jf Type Insp'n 1�,/11 Permit No. v l 0 33/ /ice Name Inspection Date Approved Correction Re- Insp'n Fee Address Company 7 /110 Phone # o .e./1 3 .>°12e(r-ey ( /' - J9 kzX' L Z 0)10 �� - 1 C ) M AMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 ,, /rt> Building Inspection Request ' Date 5>\ >N0- Type Insp'n Permit No. -I y�D Name 4k) �` � r � �' Address �> /1 9/ Company ' 7 056 %O Phone # Inspection Date 0 V Approved Correction ❑ ��F e: Re- Insp'n Fee ❑ 7 / j / _ • MIAMI SHORES VILLAGE ) BUILDING DEPARTMENT 305- 795 -2204 � Bui ding Inspection Request Date , 1 Type Insp'n 1 no, S a cl —% Permit No. O4 3 Name e C pp Address � � . S4 Company SC-- Phone # � ' CJW - Inspection Date Approved Correction Re- Insp'n Fee ❑ / ®I`1frA 6 Name MIAMI SHORES VILLAGE r BUILDING DEPARTMENT /S. 305-795-2204 Buijding Inspection Request Date. , : de. Type Insp'n Permit No. 71) \ ,;. • .; Address ) — ?..; Company - Phone # , Inspection Date Approved Correction Re-Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n TtA; Permit No. D q- Name Address ji t q/ c9r Company Phone # Inspection Date Approved Correction Re- Insp'n Fee 7 ❑ �i �� ems_ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date ,"' • Type Insp'n , • ,-;"<, Permit No. , • • Name Address „) /-, Company ;;/) / Phone # Inspection Date ° )`,/ Approved • Correction Re-Insp'n Fee Phone # Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Build 'mg Iection Request / � Date i Type Insp'n ��,� ��A7Ti boa , Permit No. Name Address / t G q cfro. Company Inspec ion Date p roved C T��j /mow sSsg V;Yle-i/s,t /Z6"/,— "AC X17 C/ � /42)✓ MIAMI SHORES VILLAGE t\,9 BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date - f Type Insp'n / Permit No. - Name 2 , Address , i ._,./ 6 Company Phone # ( 06 rr Inspection Date / e \ L.....-,y'A>? •_;.) Correction il /17 e° Re-Insp'n Fee rl /2 1 ,/'/ 1 7 - / 7 / } / ) , oPY- MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 B ildi Inspection Request Date Type Insp' n l iZD U R V ° Permit No. F 10LI I Name " v Address B 3 ` /� 1+ Company New (i \ J c'o r � � c 4 . Phone # -17S(6, 44 -7 °`' a nspection Date Approved Correction Re- Insp'n Fee 7 v BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. e (3 fr 2t1S t laster Permit No. )) S (;, Li f 1 ) Permit Type (circle): Building Electrica Plumbing Mechanical Roofing s Owner's Name (Fee Simple Titleholder) �[ 6 - 6 1 — Owner's Address City !I 111 i S l t C'(' ')State Tenant/Lessee Name d� Job Address (where the work is being done) , ? ) C - 44i.‘- S l City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO17 1\ Contractor's Company Name :---.A = vl.S0v■ - ac A _ Phone # - r . S \ S : cj Contractor's Address ‘ - 1 \() `1 t.s-: c's\ c\ c .;\ -. City \-k i cx. kfv-%.■ State R. Zip `_c 5 )\ \ Qualifier A 02. C1) \. -; .'� —`si.+ State Certificate or Registration No. E r_%c%w \ '2:C Certificate of Competency No. S — 's'- - SC Architect/Engineer's Name (if applicable) $ Value of Work For this Permit l i Cet Type of Work: ❑Addition ❑Alteration Describe Work: ❑New Phone # '- i ( i t : :3 . Zip � > l , Phone # Phone # Square Footage Of Work: Zip - 5312) ❑ Repair/Replace ❑ Demolition Total Fee Now Due S` S , Scanning S Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 77 L �� . �� 5 � ****************************Fees****************************** Submittal Fee $ JC l , al Permit Fee $ ,C;4 L.7( CCF $ 6 i9 CO /CC Notary $ Training/Education Fee $ • (� �} Technology Fee $ t - - (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address • City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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. Signature Signature NOTARY PUBLIC: NOTARY PUBL Sign: Sign: Print: Print: Chc 05/13/03 Contractor Owner or Agent The foregoing instrument was acknowledged before me this The foregoing i day of , 20 _, by , day of ,)- , 2031, by ° ;"-__,629a - 3 -(ki S .f who is personally known to me or who has produced who is ersonally known o me or who has produced As identification and who did take an oath. as, de 'fiction and who did take an oath. as acknowledged before me this g � "• ., �. ac son My Commission Expires: My Commission ExpiEas:/ t•iYCeA4IvIISSION 0D137335 EXPIRES **************************************************** * * * * * * * * * * * * * * * * * * * * * * * * *;±e ** l,ogust26, 2006 ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BYR �; � /�� s • lans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/25/2004 Applicant: KRISTY MOORE Owner: AITKEN JOB ADDRESS: 131 NE 97 Electrical Permit Permit Number: EL2004 -245 AITKEN KRISTY MOORE ST Contractor STEVENSONS ELECTRIC SERVICE COMPA/Coki1Qactor's Address: 19710 SW 99 CT Local Phone: 305 - 253 -1500 Parcel # 1132060132470 Signed: (INSPECTOR) Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 21 & E1/2 LOT 20 BLK 18 LOT SIZE Fees: FEE2004 -8599 FEE2004 -8600 FEE2004 -8601 FEE2004 -8602 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $100.00 $0.60 $0.20 $2.50 $103.30 Permit Status: APPROVED Permit Expiration: 2/16 /2005 Construction Value: $1,000.00 Work: INSTALL 5 FIXTURES, 5 OUTLETS, KITCHEN COUNTER Total Fees: $103.30 Total Receipts 0.00 5 3E D -It D717 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT 9 FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS .c CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AWS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS i 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 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP 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 If VIOLATION INDIRECT WASTES - ' A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMdING POOL OUTLETS COMdERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES 5 SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4 TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (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.) ELECTRICAL MECHANICAL MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 /\ Building Inspection Request Date \\ • 2 Z • d� Type Insp'n < ' Cf'1C. V. Permit No. � EP 00 L1 "a- its-- Name \,1C.�R\ CL A-e Address Company -� Phone ° 5\ Co C 1p)- 31A Ld �C9 Inspection Date Approved ❑ Correction Lf Re- Insp'n Fee ❑ s 6=P M ‘r V` e le're i3 'X e e'41 1, rp ,'iz- Ce4,07 ety .1-1,‘/ ?A$ 27Atof ce,,31,92,c ›-,4017-7-f05) ,c9Ae Af7 A) ;;`Vi • MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date • • • ' - ;- Type Insp'n Permit No. L • Name • Address Company Phone ## • Inspection Date Approved :2 ,"e24-..•,1,. 74 7 Correction Re-Insp'n Fee /,/(, ••• ,,,;?t-'?!' • (`-- c c ,/ • (dr.