638 NE 97 St (7)T, `' PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date ///.��98 Job Address 6.J 8 JZ Tax Folio
L Description Historically Designated: Yes No
Owner/Lessee / Tenant
Owner's Address 08
Contracting Co. AA, /5424 eevva
Master Permit #
'1
Phone (jar) 7S % -
Address 2 71 ti/-" 91 � $ tdL de
Qualifier reoP.- C - Phone(JJOf) ?Sr — g3Z/
State # (', J C as- 7 V2 7 Municipal # Competency # Ins. Co.
Architect/Engineer (7�j. Os,. -� Address / °Z / ).14 9 g t:1"
Bonding Company Address
Mortgagor Address
Permit Type (circle one<I�UILDIDIt ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft. ( Estimated Cost (value) 1: 7 1 n:9= 0.0
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.
otary as to • • - and/or
My Commission Expires:
OFFICIAL NOTARY SEAL
KAREN ROBERTS
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC754659
MY COMMISSION EXP. JUNE 252002
FEES: PERMIT 0 RADON
APPROVED:
Zoning Building
Date
'Signature of Contractor or Owner - Builder
Date
INIotary as t Contractor or Owner - Builder
My Commission Expires:
OFFICIAL NOTARY SEAL
KAREN ROBERTS
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC754659
MY COMMISSION EXP. JUNE 252002
k,- C.C.F. NOTARY
;� )
Electrical
Date
BOND 0
TOTAL DUE efo 7_ g�
Mechanical Plumbing Engineering
S7 1 wi4OU;eel /4.679r' `�
1/
�� 491
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. Thio 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.
Owner's Name and Address °A 0 61E 7
Registered Architect and /or Engineer
Em lloyn Elecctriciah's m - eCO ' - No. : ,�2.7
aduyi�ion� ��
and t 2a1 6. pti �
on L � -�- 7 Block. . / .�C�
Street and Number where work is to be performed —No 6,
State work to be performed and purpose of building (By Floors)
New Building Remodeling V Addition
STATE OF FLORIDA, }
COUNTY OF DADE.
MI MI SHORES VILLAGE X--/
ELECTRICAL INSPECTION DEPARTMENT
LICATOON FOR ELECTRICAL PERMIT
Size Feeders Conduit d ((... Main Sw
(Signed).
D ata /./
No (9 Street A " 9 f
Repairs No. of Stories
Amps
erground
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
Street 0 - 1 E Qt 7 Sr
Main Fuses Amps
Amount of Permit S (Signed)..
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the underoigned authority, a notary public, duly authorized to administer oaths
appeared
to me well known, and who, being by me_fir_st duworn, upon oath sworn, deposes and says that he is the MA e(*w !!a •- ••••••••••••
of the above described construction, and he has carefully read the foregoing a applica : • and that he did sign the same, and that all facts
therein by him stated are tree. fan 1{ ]! STATE Of Fk.AIDA
. CnpyRli Jill EXD JL,'Ik 44„ I
1Q. ! Sl. T WOW P14:., t y.
My Commission Expires
NOTE: A re- inspection fee of 51.00 will be made when ouch re-inspection is m de n = -• ry •y proper notice for inspection, or faulty
materials and /or workmanohip.
Street k z ' 406 /`//
Subdivisioi /.,
ublic, State of Florida
and take acknowledgments, personally
SWITCH
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W. HEAT.
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TOTAL
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MOTORS
1•5 HP
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.
TOTAL
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LIST
.���EEEEVVVV
CHECK
1/
�� 491
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. Thio 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.
Owner's Name and Address °A 0 61E 7
Registered Architect and /or Engineer
Em lloyn Elecctriciah's m - eCO ' - No. : ,�2.7
aduyi�ion� ��
and t 2a1 6. pti �
on L � -�- 7 Block. . / .�C�
Street and Number where work is to be performed —No 6,
State work to be performed and purpose of building (By Floors)
New Building Remodeling V Addition
STATE OF FLORIDA, }
COUNTY OF DADE.
MI MI SHORES VILLAGE X--/
ELECTRICAL INSPECTION DEPARTMENT
LICATOON FOR ELECTRICAL PERMIT
Size Feeders Conduit d ((... Main Sw
(Signed).
D ata /./
No (9 Street A " 9 f
Repairs No. of Stories
Amps
erground
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
Street 0 - 1 E Qt 7 Sr
Main Fuses Amps
Amount of Permit S (Signed)..
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the underoigned authority, a notary public, duly authorized to administer oaths
appeared
to me well known, and who, being by me_fir_st duworn, upon oath sworn, deposes and says that he is the MA e(*w !!a •- ••••••••••••
of the above described construction, and he has carefully read the foregoing a applica : • and that he did sign the same, and that all facts
therein by him stated are tree. fan 1{ ]! STATE Of Fk.AIDA
. CnpyRli Jill EXD JL,'Ik 44„ I
1Q. ! Sl. T WOW P14:., t y.
My Commission Expires
NOTE: A re- inspection fee of 51.00 will be made when ouch re-inspection is m de n = -• ry •y proper notice for inspection, or faulty
materials and /or workmanohip.
Street k z ' 406 /`//
Subdivisioi /.,
ublic, State of Florida
and take acknowledgments, personally