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369 NE 97 St (5)Architect /Engineer Bonding Company Mortgagor N My C ** * APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 9.‘ Tax Folio Legal Description 1-64- Owner / Lessee / Tenant �;'`� =�� Master Permit # ' 3 -7 /g - , 2 Owner's Address 56 //,;..' Phone 7 5-7! 7 7G r v Contracting Co l- Ai o Qualifier i � /. i iv SS# Phone ‘L State i5 F D04F ?3 Municipal # Competency # Ins.Co. S 4- l � 77 Permit Type(circle one): BUILDING LECTRICA WORK DESCRIPTION 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. understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING a d MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is ac rate and that all work will be done in compliance with all applicable laws regulating constructi• a • zoning. rmore, I authorize the abo a c• act • to do the work stated. 4' 44 gnat r _I, er and /or C 4bX'PW Comm. Exp. 4 r• 5 Bonded By Service Ins. CO. or Condo President * * * * * oc) FEES: PERMIT - RADON s ides►tr --� Zoning Building Mechanical Plumbing Address ,�� � ��� / 3 7 > ir Address Address Address PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Signature of Contrac Date: Notary as My Commission tx g v NOTARY * * * C — Electrical Engineering •''' y June 4, 1996 omm. No. CC 205953 * * ** Y TOTAL DUE 3 * C.C.F. - Fire Other NO. STREET PART OF LOT LOT BL'K SUBDIVISION 1 f 1 J 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 Contractor or Electrician Dated aiami cShores9' llage FL O R I D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla., DESCRIPTION OF WORK NUMBER OF LO CATI 0 N 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 specifications1 a thorized by this Department. �. 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. f �. 2 N° 556 trical Inspector. , 19 ; 4, 1 •,l: `' .� (Seal) OUTLETS MOTORS RECEPTACLES GENERATORS STOVES WATER H'TERS SIGNS BILLBOARDS OTHER TUS MAIN SUB BRANCH Basement First FLOOR NUMBER OF SIZES OF INSULATION OPEN OR CONCEAL'D NUMBER OF CIRCUITS OUTLETS MOTOR GEN. MAIN SUB BRANCH Basement First Second Third Fourth , Other Floors APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for issuance of permit for electrical installation as described below, and for { inspection of same after installation: Owner Building Contractor Si Electrical Contractor of," ,t Location of proposed work: Lot Block Details of proposed work: Number of Motors Additional Information Garf'��s G c 4liarni Shores'lillage F L 0 A 1 D A Date 0 193 Address d Gr � _ (4 / 4 7 �+rg H. P. Volts Subdivision Building: Old or new Number of stories Used as Description of proposed work Amps Phase Signature of Applicant Address (if other than owner or contractor) (SPACE BELOW FOR INSPECTOR•. USE ONLY) Work begun Inspected Work finished Final inspection , Inspector NO. STREET PART OF LOT LOT BL'K SUBDIVISION Billboards Other Apparatus Outlets Motors Receptacles i Generators Stoves Water Heaters Signs Billboards Other Apparatus ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. , Owner of Building Contractor or Electrician , 19 iami =fhores9 llage FL O R I D OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , — 19 DESCRIPTION OF WORK NUMBER OF LO CATION N? 556 Permit Fee 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 u. s n aIy change in the plans and specifications �I nathorized by this Department.� / rr� In consideration of the issuance to me of the foregoing Electrical Permit, I hereby a do the proposed construe ton 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. Dated ctrical Inspector. (Seal) BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N? 4765 Work to be performed under this Permit 4 . le/ •s.G+Gw�- BI. Subdi- vision • "7 r Contractor's License No. "el"' 194L. Address of j Value of Amt. of 7 Building < _ 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- cation 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. " Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder compliance with all ordinances an regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. A(rOR OR BUILDER BY AUTHORITY BUILDING_ ELECTRICAL PLUMBING Owner of Building PERMIT N° 4765 Work to be performed under this Permit 1 Architect Contractor or Builder Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA DATE 7- )-, 1 944 _ Contractor's License No. Bl. Address of / ♦ ^� Value t of I g 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- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wil 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. Cr d.. ' INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with 1 dinances and legt�a5ns pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper author' of Miami Shores Village. In accepting this permit I assume responsibility for all rk done by either myself my agent, servant or employee. CdtRACl1'OR Q{ e le,D d Y \ BY Signed. Subdi- vision //c Amt. of '' ,S Permit / By AUTHORITY MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit C/ -'– 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. ? —f_ -- ___. Street_. �w, Owner's Name and Address - -: / No._ _i.�____1_________— ' - --` ________�? Registered Architect and /or Engineer _ y ... Employing Electrician's Name _______ 1t% 1 , / ! � `� No y Street New Building Remodeling Addition 4- Repairs Service Overhead Size Feeders ______________ Conduit Main Sw._________ —__ Amps. _ —_____ Main Fuses__ Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $_ (Signed) (Signed) — +1� My Commission Expires Notary Public. State of Florida Location and Legal Description Lot ___- -___ —_ —__— ___Block Street and Number where work is to be performed —No _ _ - -____ Street__ / State work to be performed and purpose of building (By Floors) _= __- _��`__:�_Z No. of Stories 1 4r ) - - 67 Ekctrical 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 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, on work to be performed under this permit, as are . licensed by Miami Shores Village. Master Electn n. Amps. STATE OF FLORIDA, COUNTY OF DADE. 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 t h e _ of the above described construction, that be 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. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST / / CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -3 HP NEON TRANS. ' RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit C/ -'– 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. ? —f_ -- ___. Street_. �w, Owner's Name and Address - -: / No._ _i.�____1_________— ' - --` ________�? Registered Architect and /or Engineer _ y ... Employing Electrician's Name _______ 1t% 1 , / ! � `� No y Street New Building Remodeling Addition 4- Repairs Service Overhead Size Feeders ______________ Conduit Main Sw._________ —__ Amps. _ —_____ Main Fuses__ Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $_ (Signed) (Signed) — +1� My Commission Expires Notary Public. State of Florida Location and Legal Description Lot ___- -___ —_ —__— ___Block Street and Number where work is to be performed —No _ _ - -____ Street__ / State work to be performed and purpose of building (By Floors) _= __- _��`__:�_Z No. of Stories 1 4r ) - - 67 Ekctrical 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 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, on work to be performed under this permit, as are . licensed by Miami Shores Village. Master Electn n. Amps. STATE OF FLORIDA, COUNTY OF DADE. 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 t h e _ of the above described construction, that be 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. 'LOOK NUMBER OL` SIZES OF INSTTL�1'i'UoN OPEN OR CONCEALED Number of Circuits Outlets Motor Gen. Main Sub Branch ment_ — l -- nd — ____4 — —a_ — d— 'th- -- — — — — i I I }' � I i I � } r Floors_ r'orm 241; LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICA- TION WILL BE RETURNED Lot Number lilock Number Street and Number s Side - Owner _ Occupant Occupied as Building —New or Old (underline which). Work— Additional or New (underline which). H. P. of each motor Number of Motors H P Volts Amps Phase Outlets Motors Receptacles Generators Stoves Water Heater: Signs Billboards Other Apparatus Greatest Number of Lights on One Branch (Nature of Work) Open —Cow .1W Knob— Mldg.— Conduit Bas e Firs Seco Thir Fou Oth REMARKS: -- — Work will be started —__ (Applicant sign here) . Y Received by Inspector CERTIFICATES Progress Will inspect again Rough Wiring FINAL No.—_ Corrected_ Temporary _Days Approved Letter_ _ _ — Date Issued APPLICATION 4 DATE - - - -- - -. 192 Electrical Department 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 correct any infractions of the National Electrical Code and the pointed out by Inspector. SPACE BELOW FOR INSPECTORS USE ONLY inspected— Correct Location Correct Equip. ____ DEFECTIVE Time Allowed _Days SPECIFICATIONS Iemarks Will be finished -9 • Address j l Street Electric Light Co. ___ Fee remitted _ / SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T's FIXTURES N O. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. RACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK e ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. // � v /, � // /C'% M OTORS 0.1 HP - ` -� M OTORS 1•5 HP N EON TRANS. RADIO TOTAL CONTR. p f) / � � _ LIST ,'U9& Q ((((. -. ,/$ CHECK APPLICATION FOR ELECTRICAL PERMIT / Permit No Date. :aa 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 (. 7;1 Z- ( . / No c V Street Registered Architect and /or Engineer Employing Electrician's Name Service Overhead Underground Size Feeders Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I . E.lr:. 88. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT y ).No (Signed) Location and Legal Description Lot Block Subdivision Street and Number where work is to be ) P � performed—No ! Street. ./2 A ' State work to be performed and purpose of building (By Floors) !Ue' .;... 1._ G', 'Z/ - ` , - L'. .. elf: ,.j New Building Remodeling Addition ' �' / Repairs No. of Stories Street. /V ( / A ' Amps Conduit %/ Main SwG Am /,� S �'' p 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- bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid 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 subcontractors, on work to be performed this permit, as are licensed by Miami Shores Village. / ti- Master Electrician. %.i /�,_�_ , Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.