638 NE 97 St (14)Date 03 -10 -93 Job ddress 638 N.E. 97th STREET
Legal Description
Owner / Lessee / Tenant MR. DAVID GERRITS Master Permit #
Owner's Address 638 N.E. 97th STREET Phone 756 -5578
Contracting Co. WILLIAM R. NASH, INC.
Qualifier LESLIE E. SEIGLE SS# 417 - 70 - 8337 Phone(305) 592 -5473
State #CM CO 20182 Municipal # Competency #40/0 Ins.Co. AETNA
Architect /Engineer ROBERT HUTCHESON & ASSOCIATES Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING ICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION INSTALL DUCTWORK FOR NEW MASTER BEDRROM ADDITION
41
Square Ft. Estimated Cost(value)$600.00
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.
-,& `k /
Signature of owner and /or Condo President Signature of CQntraam or Owner-Builder
Date: Date: -10 - 93
Notary as to Owner and /or Condo President Notary as to Contractor or Owner-Builder
My Commission Ext \ PU BLIC STATE OF FLORIDA
MY COMMISSIOiN EXP. SEPT 9,1993
BONDED Tt:2U GEI ERr'.L IBS. ui' ?I).
** * * * * * * * * * * * * * *
FEES: PERMIT RADON C.C.F. NOTARY TOTAL DUE
APPROVED: Fire Other
My Commission Expires:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Tax Folio / e�4 / 57 / #/
BLOCK 441
Address 7861 N.W. 55 STREET
1)2.9„ga
Building Electrical
Plumbing Engineering
Permit No-f/e
Application i3 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, Fiu:ida,
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.
Gar Peh No 43 Street A/6 /7 rr
Owner's Name and Address
Registered Architect and /or Engineer
STATE OF FLORIDA, }
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
Date 6-i-ec
Employing Wctri,y1) Na C . i' --'-'
.,..- . r sfl&E,
/ Van a LegaP vescri non Lot 17 i 7
A ,i
Street and Number where work is to be performed—No 6 i„/ 6
State work to be performed and purpose of building (By Floors)....
Service Overhead
Underground Size Feeders Conduit Main Sw
Amount of Permit ,
ao.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No Xif
(Signed)
(Signed
/ I
New Building Remodeling Addition Repairs./
Subdivision
de* ofm,
Type of Installation—Conduit Tubing... B.X.L. 00/ Metal Moulding
Amps Main Fuses 442.Amps
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understan s 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 inspectio on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, Jon work to be p rforn ed •er this permi s are
licensed by Miami Shores Village.
ttcxze 6)91
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared f C 14o.C.0 o..w.Ati
to me well known, and who, being by me first duly morn, upon oath deposes and says that he is the./1 A 7
of the above described and he has carefully read the foregoing application, and that helf
n the same, and that all fact*
therein by him stated are true.
1;OTARY PPLIC STATE OF FLORIDA
M CLW=TOU EYT JUNE 24,1989 4 AA
- I ..
' My Commisaion pm Public, State of Florida
NOTE: A re-inspection fee of SLOG will be made when such re'anspecion is •y improper notice for inspection, or faulty
materials and/or workmanship.
Street.. 6 5 fl7 igh
Street
No. of Stories
Master Ele
SWITCH
0
LIGHT
OUTLETS
PLUG
RECUI
FIXTURES
NO LAMP.
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
NEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
14
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.11 HP
NEON
TRANS.
RA010
TOTAL
CONTR.
LIST
If
CHECK
Permit No-f/e
Application i3 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, Fiu:ida,
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.
Gar Peh No 43 Street A/6 /7 rr
Owner's Name and Address
Registered Architect and /or Engineer
STATE OF FLORIDA, }
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
Date 6-i-ec
Employing Wctri,y1) Na C . i' --'-'
.,..- . r sfl&E,
/ Van a LegaP vescri non Lot 17 i 7
A ,i
Street and Number where work is to be performed—No 6 i„/ 6
State work to be performed and purpose of building (By Floors)....
Service Overhead
Underground Size Feeders Conduit Main Sw
Amount of Permit ,
ao.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No Xif
(Signed)
(Signed
/ I
New Building Remodeling Addition Repairs./
Subdivision
de* ofm,
Type of Installation—Conduit Tubing... B.X.L. 00/ Metal Moulding
Amps Main Fuses 442.Amps
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understan s 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 inspectio on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, Jon work to be p rforn ed •er this permi s are
licensed by Miami Shores Village.
ttcxze 6)91
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared f C 14o.C.0 o..w.Ati
to me well known, and who, being by me first duly morn, upon oath deposes and says that he is the./1 A 7
of the above described and he has carefully read the foregoing application, and that helf
n the same, and that all fact*
therein by him stated are true.
1;OTARY PPLIC STATE OF FLORIDA
M CLW=TOU EYT JUNE 24,1989 4 AA
- I ..
' My Commisaion pm Public, State of Florida
NOTE: A re-inspection fee of SLOG will be made when such re'anspecion is •y improper notice for inspection, or faulty
materials and/or workmanship.
Street.. 6 5 fl7 igh
Street
No. of Stories
Master Ele
'l,1- PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date tO = 7- 9 c l Job Address 6 3 g °\ Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant Ac-\
Owner's Address 6.38 ■ t E. 9 7 `\ •
Contracting Co. "P;RIN / bEmO5S -I C Address )9;7 2 1 (D8
Qualifier `S MFS T . �R1��.� SS# 2101 - ` (o -489 Phone 3 0S - 23c `7 (
State #CAC Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Q146,C� -3, 5 ' -c t.1RCt?c�Dl CID
WORK DESCRIPTION
Square Ft. Estimated Cost (value) aD
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 re sting construction • d zoning. Furthermore, I authorize the above -named contractor to do the work stated.
gnature of owner an Condo President Date
7 n
Dat
Notary as to Owner and/or Condo President
My Co ; TPZ• _
ttik: MY COMMISSION NATASHA 874820 I
-
V EXPIRES: September 27, 2003
Bonded Thru Notary Public Underwriters
FEES: PERMIT C'7 v RADON
Notary as to Contractor or Owner - Builder
My Commission Expires:
Master Permit # Y- 5— C6 —
Phone 30 - 7 -- Z 1 1 t-'\
; ; � : ; _ P. 1 / 4 . C i : . M A! R
. . .. XHii. _ •
/01- I qq
Dae
NATASHA MAIR
MY COMMISSION # CC 874820
• EXPIRES: September 27, 2003
• Bonded Thru Notary Public Underwriters
C.C.F. c y � NOTARY ✓ BOND
TOTAL DUE - `fC.J
APPROVED:
Zoning Building Electrical
Mechanical e /6- 2 Plumbing Engineering