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567 NE 96 St (9)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 2 Time Type Insp'n : 11�. .� . .. • ' ' Permit NK L O Name Address Company Phone # For Inspect6f: / / 0 3 E Name & Approved Correction Re- Insp'n Fee 9 ,07_ c c e MIAMI SHO ILLAGE BUILDING DEPARTME 305- 795 -2204 Buildin: Inspection Reques Dated V 0 Time Type Insp Permi Name Address S '� • < • g Company Phone # 6 -3 For Inspector: FI Name & D Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date O D e I i Type Insp'n Permi ► . 6.. 2-Z Name Address , Company Phone # For Inspector:) 0/22-10R oR FN Approved Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 2 . Time Type Insp'n f/47(g...6 Permit No. Name Address Company Phone # Approved Correction Re- Insp'n Fee ❑ ,r67 rr sY ?-2(4.6 eme, 799 a$/3-7I7)? For Inspector: ( _3 -002, Notary My Co Qualifier State# - - /2 Signature of owner an or Con PEA 1l is 2C APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 - Tax Folio . l :v , - ?: �® -ter f i Historically Designated: Yes No Job Address Date Legal Description Owner /Lesseerrenet r ° a < ��� Master Permit # Owner's Address Contracting Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING WORK DESCRIPTION: ' J. !_ � Municipal # ELECTRICALS ♦ s ,/ GC S ssion Expires ; - �� Commission # CC 979234 :. Expires Nov. 2 2004 %. �II `� ` Bonded Thru � t i ?A` Atlantic Bonding Co Inc, FEES: PERMIT .. � � Fed' RADON C.C.F. SS# �= Phone Address �L � 317 Phone it Competency # Ins. Co. Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work yG`II be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the ork stated. Date as/to Owner and/or Condo PZoside t L ate ,� Tom Chandler Signature f Contractor or 0 Notary . ' to Contractor or OwneF UWi r T C ha ndler Date My j immission Expires PLUMBING MECHANICAL ROOFING q "/ OTARY Commission # CC 979234 Expires Nov 2,2004 r ' Bonded Tyr Date BOND APPROVED: Zoning Building Mechanical Plumbing Structural Engineer TOTAL DUE Electrical, /%i ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLET$. UNIT '� FEE ITEM SPACE HEATERS CENTRAL HEATING UNIT FEE BIDET LIGHT OUTLETS Ke, V_i ^`�� DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR MAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE (MOUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP / STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP a,, HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEM3LIES SINK, SLOP MOTORS OVER 8- 10 If ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS UR I NAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: - ERS //4 u.9 A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS - LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIM1ING POOL OUTLETS COM,YRCIAL . WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUW & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL • DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER =IRE STANDPIPE POOL PIPING _AWN SPRINKLER SYSTEM 1AS RANGE AETER SET (GAS) 1AS 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 uuau NE 2nd Avenue Phone: 305- 795 -2204 7 Printed: 9/26/2002 Applicant: ANA BYRD Owner: BYRD ANA JOB ADDRESS: 567 NE 96 ST Electrical Permit Permit Number: EL2002 -311 " ontractor FIRELINE POOL EQUIPMENT Contractor's Address: Local Phone: Parcel # 1132060171580 Legal Description: MIAMI SHORES SEC 4 AMD PB 15 -14 LOTS 17 & 18 BLK 99 LOT SIZE et o, 00 Total Fees: Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 3/25/2003 Construction Value: $1,000.00 Work: WIRE POOL EQUIPMENT AS PER PLANS Page 1 of 1 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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 at 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 responsibility for work done by his agents, servants or employees. Sign e _ / f /�i��' ' BY: 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, staterryants 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 oyv mployes. Signed: (Contractor or Builder) BY: CL" : 1 THOMAS J. ASTA, JR. 08-98 2436 HAYES ST. HOLLYWOOD, FL 33020 -3416 P o e ! /Lj f f /e�') 6.41 s 14147- iti)rtt_rly 014 BankofAmerica. For ACH Alt 063100277 4 e0-QI 4063 L00 2? ?1: 00 34 308 57911 311' LOi6 9 Date 10( A01-.„. Dollars 1069 63- 17/631 FL 794 Are Inclueed Oelsne 61 bed, f1.D]NG - LUMBING :OOFING ?wner of _wilding Architect Contractor or Builder - i .ega1 Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA n ' PERMIT 'N? 11009 I n Work to be performed under this Permit Bl. Subdi- vision Value of Project $ DATE Contractor's License No. Amt. of Permit $ 195 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 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 responsibility for work done by his agents, servants or employees. Signed• " ,A . 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER 1 BY AUTHORITY lUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA 1 N? 10605 Work to be performed under this Permit Bl. Subdi- vision Value of Project $ DATE 195.E Contractor's License No Amt. 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 assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plays or drawings or 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 4, 1- STATE OF FLORIDA, l COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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. Date Owner's Name and Address No Street Registered Architect and /or Engineer Employing Electrician's Name No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street 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 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. ss. (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 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. DI8T. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK � - ---.� 4, 1- STATE OF FLORIDA, l COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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. Date Owner's Name and Address No Street Registered Architect and /or Engineer Employing Electrician's Name No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street 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 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. ss. (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 materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date 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 here:in specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No "' ' Street.../-....' • Registered Architect and /or Engineer , Employing Electrician's Name — ' ' - No Street....,. :t :..E Location and Legal Description Lot i Block 7 ' Subdivision ''ll t. Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building 7 Overhead Service Under{ r�uud Site Feeders Conduit... /1... ✓, _ .Main Sw..,. Amps Main Fuses Amps Type of Installation — Conduit Tubing ^ B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I S Remodeling Addition Repairs No. of Stories H (Signed) The undersigned applicant for this building permit does hereby certify that he unl erstands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled ,General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to licensed by Miami Shores Village. Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are (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 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 G Y' o � , ! / �' �i / CHECK . - 2O I 0 r: C � " ' ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.3 HP N EON TRANS. RADIO TOTAL CONTR. LIST . L _ CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date 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 here:in specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No "' ' Street.../-....' • Registered Architect and /or Engineer , Employing Electrician's Name — ' ' - No Street....,. :t :..E Location and Legal Description Lot i Block 7 ' Subdivision ''ll t. Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building 7 Overhead Service Under{ r�uud Site Feeders Conduit... /1... ✓, _ .Main Sw..,. Amps Main Fuses Amps Type of Installation — Conduit Tubing ^ B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I S Remodeling Addition Repairs No. of Stories H (Signed) The undersigned applicant for this building permit does hereby certify that he unl erstands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled ,General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to licensed by Miami Shores Village. Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are (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 materials and /or workmanship. 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. C Owner's Name and Address (. L Registered Architect aind /orE ee n er Employing Electrician's Name - u'sd Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street 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— Condpit J Tubin B.X E STATE OF FLORIDA, COUNTY OF DADE. I �' APPLICATION FOR ELECTRICAL PERMIT Amount of Permit $ r MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT f '4 ei g e No .� , Street Date Street go _ z3 - ((( ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and ac o pts 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, •n work to be performed under this permit, as are licensed by Miami Shores Village. a/ 76 fi 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 materials and /or workmanship. SWITCH OUTLETS LIGHT O UTLETS PLUG RECL•'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIOT 6- CHECK 0 B ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS N EON 1.5 HP TRANS. RADIO TOTAL CONTR. LIST I [X g 4' O tA.�� CHECK 4 \ 4, Cam Ca�ll/% 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. C Owner's Name and Address (. L Registered Architect aind /orE ee n er Employing Electrician's Name - u'sd Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street 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— Condpit J Tubin B.X E STATE OF FLORIDA, COUNTY OF DADE. I �' APPLICATION FOR ELECTRICAL PERMIT Amount of Permit $ r MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT f '4 ei g e No .� , Street Date Street go _ z3 - ((( ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and ac o pts 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, •n work to be performed under this permit, as are licensed by Miami Shores Village. a/ 76 fi 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 materials and /or workmanship. 3 T14- Date 42 to 2Job Address 6 7 /v E. 96' 54 Tax Folio Legal Description Historically Designated: Yes No X Owner/Lessee/Tehet Gel !'l cf' 1ne Owner's Address Contracting Co. i AI I► tie. t.i 1);'l r Qualifier State # 1 .- L \ IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE— INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle onne): BUILDIING \ ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: L1) ra mil c© J P� T P' /CQ ( s e e/(l7C -r✓bt , 25�4 4,3 3CC4, Cori i0co'4 -C✓oc/I head D' frYC1c d 4() e7d1v E�.X V? 7c 1 KEstimated Cost (value) ' «CC 1 U Square Ft. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138. 305- 795 -2204 J /3 0 62 o 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 ANY 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 all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all ork will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to the work stated. Signature of owner and/or ent - /o2. Z/2.0 Notary as to Owner and/or Condo President Date My Commission Expi St� � Cob , 77 )9• , )0Q • (12.4— Phone 56. 76 02 - 7 90c C6 L p Phone 5. ( "ticv • -�� Master Permit # Address A �° ss# Q )4ci. Municipal # Competency # Ins. Co) RENEE WOSS C MY COMMISSION #CC868109 o euifl EXFIRE.i: Aug. 31, 2. . Date Signaty 7'.r .��•�+ Not as to Contractor or My Commission Expires ntractor or Owner Builder Date tt7 P� o„ RENE WCSS MYCOMMISSION #CC868109 6rt�0` 1XF1RE.4:Au.31, 1-000-3-NOTARY Flu. Neu ^ S..' c.. & L'ortti:rtg Co ate � / � `� O TARY Fln. Not: n, Sarvim & Bonding Co ..... FEES: PERMI T�RDON C . C .F NOTARY APPROVED: c� l TOTAL DUE Zoning Building Electrical Mechanical Plumbing Structural Engineer BOND ITEM BATH TIE UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIOET LIGHT OUTLETS 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 CURETS 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 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SLPPLY 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 ANTENHA RELAY TELEVISION OUTLETS ORAINFIELO, 4° TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN 100F INLET 30LAR WATER HEATER =IRE STANDPIPE POOL PIPING .AWN SPRINKLER SYSTEM 1AS RANGE DETER SET (GAS) SAS PIPING - ' - � PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATM4 FOR BUILDINU PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL PLAN REVIEW COMMENTS PROJECT NAME: PROJECT ADDRESS: _.47" r 9 cr SHEET NUMBER: COMMENTS /3I )'J/ ®A' DATE : // , C REVIEWER: / -VX ea /,G1�J�"y�✓ Signature of Inspector Title // hV0 e' Date Signed Total Number of Hours ,za 6r-// / 0 6v1J P/ «Tyer. -t tsa , ?c/p - • /cam- f 2 I g~ - P i ce ��,�'�'•�- er°0(/I -7 ;; rfiAfrsp e,2- eaCLr/, 7 e-4 If/e(71 ALI c--� i AC= '/') $ J ea/ /722 °,7 v•. G -- ( 7 � A /'c) (PLEASE TURN IN A COPY OF THIS FORM AS YOUR TIME SHEET: FOR ALL PLAN REVIEW) Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Printed: 3/11/2002 Applicant: ANA Owner: BYRD Contractor FINE LINE CONSTRUCTION & ELEMEc}r WACDOING BUS IN DADE CO Local Phone: Parcel # 1132060171580 Job Address: 567 NE 96 ST Fees: FEE2002 -1439 Electrical Permit Permit Number: EL2002 -67 Cellular: BYRD ANA Legal Description: MIAMI SHORES SEC 4 AMD PB 15 - 14 LOTS 17 & 18 BLK 99 LOT SIZE Description Amount Building Permit Application Fe$60.00 Total Fees: $60.00 Permit Status: Approved Permit Expiration: 9/7/2002 Construction Value: $2,000.00 Work: UPGRADE ELECTRICAL SERV. CONVERT FROM OVERHEAD TO UNDERGROUND & ADD BUILDING EXT. If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the b ordinances pertaining thereto and with the understanding that the work will be perfol and approved by the proper municipal authorities. This Permit may be revoked at a authorization. A further condition upon which this permit is granted is the understan ordinances and regulations pertaining to the work covered hereby whether shown of by his agents, servants or employees. Signed: (INSPECTOR) Signed: Contractor or In consideration of the issuance to me of this permit, I agree to perform the work . 0 with the plans, drawings, statements or specifications submitted to the proper auth. 6g myself, my agent, servants or employes. Ana Byrd Michael Byrd Ph. SOS 587 Ni . 98th St. Mimi Shores, FL 88188-2785 Page 1 of 1 1 SOUTHTkGST BANK MIAMI SHORES, FL Total Fees: $60.00 Total Receipts: $0.00 Re- inspection 1 :063L094301: 49 Ill gAnn■ czar . • _. _. _ r .. »,. ...ikh , II 63- 943/631 �e ord of to-nt,L,;, I $ 5336 DOLL44RS 8 Meals on Be.