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262 NE 96 Sta / PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / rl —0 / Job Address 26 2 � J jr / 6 SJ Tax Folio 1. 1 ° 22 0 �j 6 l 3 37O Legal Description Historically Designated: Yes No y I ' '- Owner's Address 2 b Z /U `317 J Owner/Lessee / Tenant Master Permit # Phone Address O `( Z l <'O PC (z s5# 2Phone qS4- g /5 State # cOt. g7 Municipal # Competency # - 0C 002-3 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING LECTRIC PLUMBING � O MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION // S J A/ S r pe l (e•2 1 U Contracting Co. Y/ L° E Qualifier CA R- 1 V l N° cP 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 do, in compli. 'ce with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work s Signa No My Commissi owner and/or Condo President kit" er and/or Cond esident Tres: Huay S. Maloney MY COMMISSION # DDOI 7279 EXPIRES July 15, 2005 aONDfD TNRUTROYFANINSURANCE,INC FEES: PERMIT later RADON 1/ / Date e/3/4 Date Si APPROVED: Zoning Building Mechanical Plumbing Sign • f Contractor or Owner- Builder er- ; uil A �� �� P u h 24.2ri)2 +n J gpndBElhNttd C.C.F. b tl NOTARY O • ' BOND TOTAL DUE Electrical y9g g —08 —0 I Date ��- Ot ©r Date Structural Engineer ITEM BATH RU UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIOET LIGHT OUTLETS CENTRAL HEATING DIS- HASHER RECEPTACLES A/C (WIND) DI SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER GHA"GE 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 FP 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 FP 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 ;EWER CONNECTIONS SIGN TRANSFORMERS fTILITY -SEWER SIGN TIME CLOCK !TILITY -WATER FIXTURES :EPTIC TANK ANTENNA ELAY TELEVISION OUTLETS RAINFIELO, 4' TILE/RES. VIOLATION LIMP & ABANDON SEPTIC TANK REINSPECT ION OAKAGE PIT CU. FT. ATCH BASIN ISOHARGE WELL OMESTIC WELL AEA CRAIN CJF INLET JLAR WATER HEATER IRE STANDPIPE )01. PIPING . AWN SPRINKLER SYSTEM LS RANGE :TER SET (GAS) LS PIPING 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.) PLUMBING ELECTRICAL MECHANICAL Permit No 2°( Service Overhead Underground My Commission Expires MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. � �' Owner's Name and Address. 2 No.. cr ° > / % /, / Size Feeders Conduit.X"" °t.Main Sw ./ ;F Main Fuses "Liar. `S . ■'10 k / !� V .4e L I 0.t Amount of Permit $ ,( ' (Signed) Date Street /C i ( c� SI-St Notary Public, State of Florida 2 Ch Registered Architect and /or Engineer Ff Employing Electrician's Name.k ° L �' No. . Street Location and Legal Description Lot '' t j ! ® Block ?-/-- � Subdivision.... S ' Street and Number where work is to be performed—No 0: Street..) C J� 7 i� State work to be performed and purpose of building (B oors) New Building Remodeling Addition Repairs No. of Stories � Type of Installation— Conduit Tubing B.X.L Metal Moulding /Lid laclj� 1.f At ti ° $t ivle 4 �r 4 g e i � rw ea r 4 4. a., r......M4. 4,64. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and ac s his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws • Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors o sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed ...� Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. f ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. STRIP HEATER G - � �� DOTAL CONTR. CONTR. LIST 0 j 3 i CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP N EON TRANS. RADIO TOTAL CONTR. LIST --- CHECK , .,--- ../. , . 0 _ Permit No 2°( Service Overhead Underground My Commission Expires MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. � �' Owner's Name and Address. 2 No.. cr ° > / % /, / Size Feeders Conduit.X"" °t.Main Sw ./ ;F Main Fuses "Liar. `S . ■'10 k / !� V .4e L I 0.t Amount of Permit $ ,( ' (Signed) Date Street /C i ( c� SI-St Notary Public, State of Florida 2 Ch Registered Architect and /or Engineer Ff Employing Electrician's Name.k ° L �' No. . Street Location and Legal Description Lot '' t j ! ® Block ?-/-- � Subdivision.... S ' Street and Number where work is to be performed—No 0: Street..) C J� 7 i� State work to be performed and purpose of building (B oors) New Building Remodeling Addition Repairs No. of Stories � Type of Installation— Conduit Tubing B.X.L Metal Moulding /Lid laclj� 1.f At ti ° $t ivle 4 �r 4 g e i � rw ea r 4 4. a., r......M4. 4,64. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and ac s his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws • Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors o sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed ...� Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. f ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. UILDING LECTRICAL LUMBING twiner of11AI 4 L. , uflding rclutect ontract r Builde egal Lot tescription ti MIAMI SHORES VILLAGE, FLORIDA DATE ' 1 4— PERMIT Work to be perfor BL N 5656 Contractor's License No ed under this Permit a a.A.A3CZ4*%.".j Subdi- vision ddress of — /� [ � +�., . Value of Amt. of Ind uild' t .•► III111ia+a 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- ltion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance "rids any bans, drawings, statements or specifications that may have been submitted to and approved by the proper mu r' •'pal authorities. This Permit ma be revoked t any time if the work is not done in compliances with such ordinances or if the plans anged w this ermit is granted is the understanding that the contractor or builder named above a the .. sibiht + • o r gh and gulations pertaining to the work covered hereby whether shown on the pi : s o. bility for work done by his agents, servants or employe In consideration of the issuance to me of this per nit I agree to perform the work attaining th to and in strict conformity with the plains, drawings, statements or spec':' ratio ac epting his petn> es sytgnr responsibility for all % ork done by either myself, my agent, s rr' 1r IJJ # { BY A further con ugh knowled ecifications an By AUTHORITY respon- eunder in compliance with all ordinances and reulatlons bmitted to the proper authorities of Miami Shores Village. nt or employee. BUILDING ELECTRICAL PLUMBING Owner Building Architec Contrac or Build Legal Description Address o£,, Building cation herefor in strict compliance with all ordinances pertaining i ere o plans, drawings, statements or specifications that may have been submitted to and approv at any time if the work is not done in compliance with such ordinances or if the plan permit is granted is the understanding that the contractor or builder named above a regulations pertaining to the work covered hereby whether shown on the p sibility for work done by his agents, servants or employees. • By _.. In consideration of the issuance to me of this permit I agree to perform the work ered ereunder in compliance witc1111 ordinances a3t gclatib'ts pertaining th eto and in strict conformity with the plans, drawings, statements or specificatio submitted to the proper authorities of Miami Shores Village. In acceptin this pgrm' t assunw responsibility for all work done by either myself, my agent, servant or employee. F- ! Lot MIAMI SHORES VILLAGE, FLORIDA \ ‘ �1 DATE � 194_ � 1 PERMIT N° 5656 Contractor's N \ (I01 _ se No Work to be performed under this Permit w BI. Subdi- vision Value of Project onstruct the building or to install the understanding that the by the proper m chan es the :.e IVT �r + RAF' OR 4 BU�bE j ► ♦'. � "a`,,, v i f � . t « v Signed• thout e onsibil the BY CTOR / Amt. of / Permit r .1 7 the equipment or device described in the appli- work will be' performed in compliance with any icipal authorities. This P- • i be revoked . A further • .. • up. which this orough knowle.P e . • . . ' . ances and iiaeoidications . 4 that assumes respon AUTHORITY `A ` � APPLICATION FOR ELECTRICAL PERMIT Permit No._ ` ! 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. / - ---- r ,. Owner's Name and Address � ` r L� t 1 _ �_ l ( � No J 6 4 i-- Street f ' r �/ i l Registered Architect and /or Engin r 1 . I— __? _ ' l e) � , , -41 C I-- _, __R 4 ' 1. t No — -- Street - `` __ --4_- - I Employing Electrician's Name _�_______ � �_,________ _ Location and Legal Description Lot______________ ____________ ,i___________ _Block Su ____,__� —�. - ' - t- - -- et ) i C. J ' , .r 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 Service Overhead Size Feeders__.___!_ onduit__ Underground STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Type of Installation— Conduit__ ____ _______ Tubing_________ B.X.L. — ____Metal Moulding Amount of Permit $ (Signed) N.ac---""'4* Date Reps _—__ No. of Stories__ —__._— Main Sw.___ —_ _ Amps. Main Fuses — l imps. • Notary Public. State of Florida Electrical Inspector. __// The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of l6bor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 under signed agrees to employ only such sub- contractors, o9' work to be performed under this permit, as are licensed by Miami Shores Village. r ( — t Master Electncan. 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, that 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 O UTLETS PLUG RECE'P'T'S FIXTURES N O. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP H EATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0-1 HP M OTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK `A ` � APPLICATION FOR ELECTRICAL PERMIT Permit No._ ` ! 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. / - ---- r ,. Owner's Name and Address � ` r L� t 1 _ �_ l ( � No J 6 4 i-- Street f ' r �/ i l Registered Architect and /or Engin r 1 . I— __? _ ' l e) � , , -41 C I-- _, __R 4 ' 1. t No — -- Street - `` __ --4_- - I Employing Electrician's Name _�_______ � �_,________ _ Location and Legal Description Lot______________ ____________ ,i___________ _Block Su ____,__� —�. - ' - t- - -- et ) i C. J ' , .r 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 Service Overhead Size Feeders__.___!_ onduit__ Underground STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Type of Installation— Conduit__ ____ _______ Tubing_________ B.X.L. — ____Metal Moulding Amount of Permit $ (Signed) N.ac---""'4* Date Reps _—__ No. of Stories__ —__._— Main Sw.___ —_ _ Amps. Main Fuses — l imps. • Notary Public. State of Florida Electrical Inspector. __// The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of l6bor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 under signed agrees to employ only such sub- contractors, o9' work to be performed under this permit, as are licensed by Miami Shores Village. r ( — t Master Electncan. 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, that 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. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 2- 6' )f C 9 Jr. Tax Folio Legal Description / Historically Designated: Yes No Owner/Lessee / Tenant ee 12K Ate 14 __ Master Permit # V /.33 D Owner's Address ; 9‘,4 Contracting Co. 465y %(eL /i( /C, Qualifier • a. 7 ' State # Municipal # CC/ ?34' Z Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Phone ! ,5 `! ' O15 Address 6 O (A 0 Sk) /6214/1 Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 00 /1 Seed/ t° /2e A Square Ft. Estimated Cost (value) /0 ° • D P 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. FEES: PERMIT .F,J / 00 RADON Signature of owner and/or Condo President Date .' gnature of Contractor or Owner- Builder Notary as to Owner and/or Condo President My Commission Expires: Date Notary as to Contractor or Owner - Builder My C Date . • • : '.:. (iV P� OFFICIAL NOTARY SEAA 2 7 4 / /-642 0 B OF e, SANDRA M MONTIEL x COMMISSION NUMBER Z 71. a; .,,. Q CC4012 7,. QF MY COMMISSION .EX?. Qr F \ o '10 97 1 ,. _: Date APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/c (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS 2 cO' I DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGEZVOT 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 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSE46LIES 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 FP 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 t SAIMAING POOL OUTLETS COM,ERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS ORAINFIELO, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION . SOAKAGE PIT CU. FT. CATCH BASIN f 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 ADDENDUM TO BUILDING PERMIT APPLICATION •. (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL SECTION BY DATE Zoning Electrical -:%;)----- . Mechanical Plumbing Fire . Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond ❑ PROOF OF OWNERSHIP (Attach) ❑ FIRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERn1IT FEES Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review $ (sq.ft. = x/1000 x0.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL o ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2" AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. Typl.; Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps r— / A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QT y. TYPE Generator QTY. 'I'ypE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1°` Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STA.EOFFLO A, UNT OF MIAMI -DADE wne Meearidter Print Namj Sworn to and subscribed before me this 4 day of • 4 4 • 4 4 State of Florida w•V ••t;t r A • • 1.015 E. LINDLEY CommiSSION 0 CC078S68 EXPIRES DEC 13 2004 bosom ntlt u A!* I14T It NO MY enti Ica on Signature of Notary Public SEAL: Type of Identification Produced: (t• • • • •.&.pt 1`. used` Personally known a o• STA OFFLO "3 Si _ atur of Con tor / Qualifier 4,ew /- Print Name�p� Sworn to and subscribed before me this tD _ day of , b9 C. 1 • • • • • �I • • • • • k•• •,Ara-.d . "AXIE SEAL: A, CO `= Signature o Notary Public - State of PERMIT APPLICATION Personally known L/ O R, Produced Identification Type of Identification Produced: CONTRACTOR Name e, l'� 1 . 5 - 6000,46 ? ..e'r h of C r' /1.c License No. Address , ,,, 4:)._ # . ✓kioratit Sia s, FL - 33/ Telephonf oi-) 7 Fax I f /,) Qualifier ame /�� 4 6,, rkq IA.. PROPERTY OWNER New Construction Name pe 12. A1��cxr� a r Address Z r 2 b q m - cu - ►stc, � � 31`$ ( 4 Home Telephone( � ) -- - _ o i { /J Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other '" INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: Address Folio Nu J ber ( 3r U � (5 3 ' 7 LotyV � ; ` mss Block Subdivisiolr l \S S€ , , t PB t Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 2(2 N Apt. - 0 PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. Subsidiary Permit No.-5 / 0_3 g Zip ( 0' 7 '4 -1— t CC_ 100A e - o r° 501770.n 2 (/5; Zoning Linear Feet Square Feet Units Floors Value of Work f 100. 00 Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Description of Work City State ENGINEER Name License No. Address Telephone Fax gyg G R O U N D P L A N (not to scale) Drawn: TBS 22 OCT 01 Electrical Contractor: Heffernan Electric, Inc ualifier: Matthew Heffernan President /Master Electrician roposal: Electrical Subfeed 00Amp /Exterior ubpanelboard SE Residence escription: Install 100A .ircuit Breaker at Main Service Panelboard, Supply .:xterior 100A Main Service Disconnect Subpanelboard with #3 AWG THHN Wire, supply Irrigation Pump with ?OA Two -Pole Circuit 3reaker and #12 THHN Wire Concrete Driveway Electrical Main Service Panelbcard One Story Structure N E 96th Street Concrete Sidewalk Original Coral Walkway Concr Slab Existing Air D Handler Exigting Electrical"' Conduit /J -Box Porch Parkway to Cement Fountain Two Story Residence Concrete Slab Iron Gate %Proposed Irritation Pump Proposed Electrical Conduit /Subparelboard AC Condensor PROPERTY OF: Alexander, Perry, P. 262 NE 96th ST Miami Shores, FL 33138 G R O U N D P L A N (not to scale) Drawn: TBS 22 OCT 01 Electrical Contractor: Heffernan Electric, Inc Qualifier: Matthew Heffernan President /Master Electrician Proposal: Electrical Subfeed 100Amp /Exterior Subpanelboard SE Residence Description: Install 100A Circuit Breaker at Main Service Panelboard, Supply Exterior 100A Main Service Disconnect Subpanelboard with #3 AWG THHN Wire, Supply Irrigation Pump with 20A Two -Pole Circuit Breaker and #12 THHN Wire Concrete Driveway Electrical Main Service Panelbcard One Story Structure N E 96th Street Parkway Concrete Sidewalk Original Coral Walkway Porch AC Co sensor Concr: to Slab Existing Air ElHandler Existing3 " Electrical Conduit /J -Box Two Story Residence Cement Fountain Concrete Slab Iron Gate %Proposed Irritation Pump Proposed Electrical ! Conduit /Subparelboard 111 AC Condensor PROPERTY OF: Alexander, Perry, P. 262 NE 96th ST Miami Shores, FL 33138 j 23 1 40 J O I�e 4>(//44i r• �I P� Zv 3 2 •Sh „„ x 7„ r l .4 aJ / 0. / C Vie, LEA/ 1 /¢ S© 1 . 6Q.-ii "_7e r4 � i /2, h/ C M : maoiedc,..•ed • - C o�.j • Cfietr/� , . / '° t ip ei ,' C.': PI)U- ocac4,-,s CGir'G - C■■7 7/--• 7C4 w7fr�°. 79.40 t ,/,‘/,,,d l•QOfr._iecad with Surveyor's Seal_ f Q! FLOOD ZONE: X FLOOD INFORMATION: Community I No.: 120652 Panel No.: 93 X Suffix: J Date of F.I.R.M.: 3 -2 -94 PROPERTY OF: Alexander, Perry P. r AOMMINI Nol valid unless embossed A BOUNDARY RAW t hereby molly that the survey repro• seined hereon meets the ~mum techmed wndards set lords by the Board of t on ch.pt.y51GV4 iler(d, Ad r pne C unwed to Sins . Fla Simla . The are no mwic nn. o r easemems app • a un the at other tFtrt as .h n henna land s. • rn• b 42 r,Z -e i6usw✓EJ L GCr`�+on �pid 4. (e, 'es OE. This property described as: The West 1/2 of Lots 3 and all of Lots 4 and 5, Block 29 AN AMENnED PLAT OF MIAMI SHORES SECTION NO. 1, according to the plat thereof, as recorded in Plat Book 10, Page 70 of the Public Records of Dade County, Florida. z Note: Underground encroachments and utilities, if any, not located. Fence ownership by visual means only, legal onwership not determined. Certified To: Alexander, Perry P. 262 N.E. 96th Street, Miami Shores, Florida LANNES and GARCIA, INC. ENGINEERS - LAND SURVEYORS - LAND PLANNERS Office address: 359 Alcazar Avenue. Coral Cables. Florida 33134 Mailing address: P.O. Box 561131, Miami. Florida 33155 (305) 666 - 7909 (305)523 - 8663 Ap TE , _ SCALE DRAWN BY / 0 G / URWG. n:O 37739