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680 NE 97 St (4)Permit No 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 wor Owner's Name and Address Registered Architect and /or Engine Employing Electrician's Name... Location and Legal Description Lot MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ■?.41.:1.d 47 No lef Block Street and Number where work is to be performed— No.... Street State work to be performed and purpose of building (By Floors) New Building ee.."' Remodeling Addition Repairs Service Overhead Size Feederel ✓i1.V ..Conduit..2 ' .Main Sw Amp 2.L.? C.) Main Fuses Amps Underground Type of Installation — Conduit. Tubing B.X.L Metal Moulding Amount of Permit $ S A. 13 Q' (Signed) '4 • STATE OF FLORIDA, l COUNTY OF DADE. I SS. Noll /4f Street (Signed)Qr Date °° t Street 92 .2/=. Subdivision 41 7 No. of Stories eectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accep f lats obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of :16rida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or i .•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. 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•in>pection 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 REPRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE H CATER STRIP HEATER TOTAL ` O ST aZ.3 AO 36, / ® / / / DJ / / } /- rfsEZE4 CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.0 HP NEON TRANS. D^ A�tR RADIO TOTAL CONTR. LIST 20 „° _R �'yI �/ G / d� / CHECK _ _ Permit No 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 wor Owner's Name and Address Registered Architect and /or Engine Employing Electrician's Name... Location and Legal Description Lot MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ■?.41.:1.d 47 No lef Block Street and Number where work is to be performed— No.... Street State work to be performed and purpose of building (By Floors) New Building ee.."' Remodeling Addition Repairs Service Overhead Size Feederel ✓i1.V ..Conduit..2 ' .Main Sw Amp 2.L.? C.) Main Fuses Amps Underground Type of Installation — Conduit. Tubing B.X.L Metal Moulding Amount of Permit $ S A. 13 Q' (Signed) '4 • STATE OF FLORIDA, l COUNTY OF DADE. I SS. Noll /4f Street (Signed)Qr Date °° t Street 92 .2/=. Subdivision 41 7 No. of Stories eectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accep f lats obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of :16rida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or i .•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. 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•in>pection 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 S H ORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERM IT / Date. ... .1&l,l 3 ice 0 Application is hereby made for the approval of the detailed statement of the plans and specifications herewitl'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 wor /� .,.Le• Owner's 1 dy s Name and Address... ' ' „, - -. 7� No G9 SS✓... Street Y C Registered Architect and /or Engin iy Employing Electrician's Name. .� �. -/..d 6:�� No i9 Location and Legal Description L�( 1 a, ... Block ,1 STATE OF FLORIDA, l COUNTY OF DADE. JI Service Overhead Site Feeders Conduit Main Sw Underground Type of Installation— Conduit Tubing B.X.L Amount of Permit $ (Signed) SS. Street.L 4 ..7 . r yy ///�� �7 Subdivision . r • r - 0/9. efvele Street 9.2..I (Signed) Street and Number where work is to be performed —No e ., State work to be performed and purpose of building (By Floors) New Building ✓' Remodeling Addition Repairs The undersigned applicant for this building permit does hereby certify that he understands and accepts his labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid has complied with the provisions thereof, and will require similar compliance from all contractors or sub.cont work to be performed under this permit; and will post or cause to be posted for inspection on the site of the as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be per licensed by Miami Shores Village. No. of Stories Amps Main Fuses / "Amps Metal Moulding Electrical Inspector. o igations as an employer of Permanent Supplement, and ctors employed by him in the rk such public notice or notices rmed under this permit, as are 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'8 FIXTURES No. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.8 HP NEON TRANS. RADIO TOTAL CONTR. ST LIST CHECK ■ MIAMI S H ORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERM IT / Date. ... .1&l,l 3 ice 0 Application is hereby made for the approval of the detailed statement of the plans and specifications herewitl'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 wor /� .,.Le• Owner's 1 dy s Name and Address... ' ' „, - -. 7� No G9 SS✓... Street Y C Registered Architect and /or Engin iy Employing Electrician's Name. .� �. -/..d 6:�� No i9 Location and Legal Description L�( 1 a, ... Block ,1 STATE OF FLORIDA, l COUNTY OF DADE. JI Service Overhead Site Feeders Conduit Main Sw Underground Type of Installation— Conduit Tubing B.X.L Amount of Permit $ (Signed) SS. Street.L 4 ..7 . r yy ///�� �7 Subdivision . r • r - 0/9. efvele Street 9.2..I (Signed) Street and Number where work is to be performed —No e ., State work to be performed and purpose of building (By Floors) New Building ✓' Remodeling Addition Repairs The undersigned applicant for this building permit does hereby certify that he understands and accepts his labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid has complied with the provisions thereof, and will require similar compliance from all contractors or sub.cont work to be performed under this permit; and will post or cause to be posted for inspection on the site of the as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be per licensed by Miami Shores Village. No. of Stories Amps Main Fuses / "Amps Metal Moulding Electrical Inspector. o igations as an employer of Permanent Supplement, and ctors employed by him in the rk such public notice or notices rmed under this permit, as are 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. CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAS. TEMP. PERM. 0.1 HP 1.5 HP TRANS. CONTR. LIST CHECK Amount of Permit $ Permit No 4 SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT PPLICATION FOR ELECTRICAL PERMIT 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 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 Tay Registered Architect and /or Engineer Employing Electrician's NameS STATE ELECTRIC , INC . No 9709 N . W. 27 tr AVe . 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 P P Type of Installation — Conduit Tubing • B.X.L - Metal Moulding (Signed) Electrical Ineeetfor. 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 subcontractors 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 bg— p,:eiform t der this permit, as are licensed by Miami Shores Village. (Signe. _ .. No 680 N. E. Street 97 vl ter Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. 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. SWITCH L LIGHT P PLUG F FIXTURES R REFRIG. I IRON R RANGE R RANGE W WATER W W. HEAT. S SPACE S STRIP T TOTAL CONTR. 2 2 4 1 1.5 Amount of Permit $ Permit No 4 SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT PPLICATION FOR ELECTRICAL PERMIT 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 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 Tay Registered Architect and /or Engineer Employing Electrician's NameS STATE ELECTRIC , INC . No 9709 N . W. 27 tr AVe . 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 P P Type of Installation — Conduit Tubing • B.X.L - Metal Moulding (Signed) Electrical Ineeetfor. 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 subcontractors 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 bg— p,:eiform t der this permit, as are licensed by Miami Shores Village. (Signe. _ .. No 680 N. E. Street 97 vl ter Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. 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. Type Insp'n Approved Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date I/231 Time Re- Insp'n Fee ❑ N Permit a� Name ' L. r 6 4 Address U C1 0 / u \ . r, 92,P)c Company Y \ E.2- �-c Phone # For Inspector: /Z Q 3 Name & Date S I Date L_ 1 Time Type Insp'n J 1rli Permit No. _ L 0 Name -- ti°1/4AM* Address 0 .C, Company tip V\ Phone # Tt:‘ 3 For Inspector/ / / Approved ❑ Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Re- Insp'n Fee ❑ Name & Dat �t J2 `e lei ei. cePIZS e 1. -4, s Date '3191 Ot Architect/Engineer 1 A Bonding Company N) 1 P Mortgagor l(� 1 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address b$0 S Tax Folio Legal Description Owner/Lessee / Tenant G1-ec>,c Master Permit # fI)OO Owner's Address <dgC NN E., 9 — 1 3 -J212_ - Contracting Co. M vt, e cr d c \ Qualifier . W�Qx x State # 1 Q ( \ S Municipal # Permit Type (circle one): BUILDING LECTRICA WORK DESCRIPTION Square Ft. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR LMPROVEMENTS 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. Signature of Notary as to • er an My Commission Expir APPROVED: Zoning Mechanical d t caner and/or Condo sident p��LN• I e; P BRIGG 0 COMPASSION NUMBER CC7418 Co?AI:AISStO N EXPIRES O FtO "n' V 1 1 ,0n7 FEES: PERMIT) f' RADON Historically Designated: Yes No SS# -) Phone 3US— 8 9 / — I `.7-( Competency # Ins. Co. A - 4 *rc-\ Address Address Address PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN cin �iz� ODD ainio 5 6 ate DI Notary as to My Commissio Plumbing Structural Engineer Phone 3v3 -7S —7 Address kaki t vJ SO S - \ Estimated Cost (value) ''c, 60 Signature of Contractor or Owner -Build g � L MARY P BRIGGS 0 COMMISSION NUMBER sill' - • ' CC741860 T.. N� M Y COMMISSION EXPIRES OF OP ® IV ?.1V 11,2002 3/2//ey Date 3M/0/ Date 2 C.C.F. /. -' NOTARY (J BOND TOTAL DUE 4 1 , 0 Building Electrical MOODY9 ELECTRIC, INC. www.moodyelectric.com 669 N.W. 90 Street • Miami,FL 33150 -2166 Tel: (305) 891 -1374 Fax: (305) 758 -2000 a 014 4140 50 (26 ikkAto L{Oar asof.) Loge Cennba /1le wiA 02s_e At)/ Goa ,✓� 9 zeo, � .6/ )4 - CO /A1T 91OTltti4 1tia I s - v7 o rt!#N. COP O�PRV PUve, OFFICIAL SEAL P BRIGGS $ C COMMISSION NUMBER CC741860 9 t �� MY COMMISSION EXPIRES e 0 1 MAY 11,2002 D in) iiod5e C Coo o x/999' 4 MOODY# ELECTRIC, INC. 669 N.W. 90 STREET MIAMI, FL 33150 -2166 TEL: (305) 891 -1374 FAX: (305) 758 -2000 TOTAL CONNECTED LOAD RESIDENTIAL DEMAND LOAD CALCULATIONS W /SQ. REFRIGERATOR APPLIANCES DISHWASHER GARBAGE DISPOSAL MICROWAVE CLOTHES WASHER DRYER RANGE WATER HEATER OVEN FREEZER TRASH COMPACTOR GARAGE DOOR MOTOR JACUZZI JACUZZI BOOSTER HTR. IRONING BOARD POOL EQUIPMENT SPRINKLER PUMP LANDSCAPE LIGHTS STEAM SHOWER A/C WALL UNIT SPARE CAPACITY SPARE CAPACITY CaO 0 FIRST 10 K.W. @ 100% REST @ 40% .9419 A/C @ 10% /0 X i TOTAL DEMAND LOAD 7 6) K.W. / 240 VOLT = AMPS 25 K.W. ►S K.W. 30 K.W. /5 K.W. K.W. / Z5:1 K.W. 45: K.W. K.W. K.W. K.W. K.W. K.W. K.W. K.W. K.W. K.W. K.W. . K.W. /-5" • K.W. K.W. K.W. K.W. K.W. # 10.0 K /76 K. /0 K.W. 376 K.W. OFFICIAL TO ARY SEAL MARY P BRIGGS COMMISSION NUMBER CC7418 t3Y COMMISSION O EX E XPIRES coc�o // 1I_UMBING I A ECHANICAL !ROOFING i BLDG. OFFICIAL :JRAL WHAM g SHORES VULLAGE RICAL SUBJECT TO COMPLIANCE MTH ALL FEDERAL, STATE AND COUNTY MIAMI SHORES VILLAGE AS. Ijr1Es NO P. ;PONSIB1LITIES FOR ACCURACY OF OR RESULTS FROM THESE PLANS. COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & SUB CO'1TRACTORS ARE CHARGED WITH THE KNOWLEDGE OF ALL BUILDING REGULATIONS WHETHER ORNOT SPECIFICALLY INDICATED HEREIN. ro 1 Name Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1 k )'0) Time Type Insp'n,� L Permit No. L Address 'Po . 7 J x C JA P. t` � �JV"u° Phone # For Inspector: / / / �3 L. N ame & Approved !� Re- Insp'n Fee ❑ CONTRACTOR "pd___ Name �- ` C ' - 11 1 C . C ' License No. Er ne3e/) ! I O . Address .. q , /U � 1 > ( N.01, t , 31 g( Teleph i . . j1 AP l -- ax 'EVE Qu+ 'per am 0 CA I , I' i / S L° o PROPERTY OWNER New Construction Name • k 1 .. - , (A _ IL."e--. Address / . O /1/E E- q7 $fr i n am 5C90 5 F . . Home Telephone 30�..._ 75 -4, _ ' ,,7 6,& Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior IV Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other .. .. • • • .. .. • • • • • • • • • • • • • • ... • • • • • • • • • • • • • • . ... . . • • • .•• • • • • .. •. • • ... • • • • • . • •. • • . • . • • PERMIT APPLICATION Q Master Permit No. ,D RE-A_L__02 Subsidiary Permit No. INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached pjfftt wplbb n:atebe by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for 3 i oritctrat cractsst►tg of yegr application. If roofing work will be done, a roofing application must be submit- ted along with this permit applicat+iont • • • • • • 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. Job Address: Folio Number Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax City State Zip Descrip 'on of Work J )o Cc ,41 d r 1! of Wa r .kye otl i A-I- -ef-s Zoning Linear Feet Square Feet Units Floors Value of Work £CJnn % ©7 Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 IN'IPORTA NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VAI:1D44D3 ERM:TAND PERMIT:CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Mondayethrough Pliday from 7:30 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 DtaRe • : : • • • 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMEN,'1 l ' IIe1, S,AAt WA ( 115T BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. e G , • • • • • • • • • • • • •• • • 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. STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Owner Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: SEAL: • •• •• • • • •• •• o • • • • 0 0 0 • • • • • • , • • • PERMIT APPLICATION • • FL ) Print Name Contractor / ualifier � A aae v Sworn to and subscribed before me this ■ Signature of Notary Public - State of Florida DA O OF M ° I -DADE day of Personally known OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: ELECTRICAL TYPE. Minimum Fee QTV. TYPE Diyen • • • • • • QTY. TYPi.: Outlet, Appliance QTY. 'ri ri•: Service Repair QT Y. A/C Central 1 -3 Ton Dryer Vents, Number of van • • • • • ••• •• Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of Signs A/C Central 8 -15 Ton Fixture - Fluorescent • 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 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 TYPP. QTY. Minimum Fee TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE QTY. Refrigeration, Tons 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 Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. "r\ IT Soakage Pit QTV'. 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 •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • GOO • • • • 000 INSTRUCTIONS: Please indic ate the type* of work be teg performed and quantity(ies) in the space provided below. •. • •• • ••• • PERMIT APPLICATION RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CHECKLIST U OWNER - BUILDER FORM (Attach) LI FIRE DEPARTMENT APPROVAL (Commercial / multi - family) • CONCURRENCY (New Construction) ® OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary LI PROOF OF OWNERSHIP' (Attach) (Septic / Sewer) ' °° ° °• ••• • 00 • 0 • • ® HRS / DERM APPROyAL e ® IMPACT FEE (New Construction) 01 OTHER (Specify & Attach) ( x .60 1000 ) $ (¢.005 / sq.ft.) $ (¢.01 /sq.ft.) SECTION Zonin Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE 17 s • • • • • • • • • • • • o e • • • • • • • • o 0 0 ••• • 0 o o 0 • • • 0 000 0 0 • • 000 0 • PERMIT APPLICATION • •0 CONDU IkSSOCIATION APPROVAL (Attach) •• • • • •• • • • ;0; BB 11 • P,I2OVAL (Restaurants) • • e • • • • 0 • 0 • • •• LI CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ ISSUING OFFICIAL CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL 0 (305) 795 -2207 o FAX (305) 756 -8972 o http : / /www.miamishoresvillage.com DRIP LOOP TO BE 30' AFC] (MIN) S • .. • 4 • • • • trrE - ER • • .. 10 MD< eUM Q�G l PLA1Ic I` eu� auc • • •• • • • •••• • • • •••. • •• •• • • • • • r. • • • •• • • CL.% P • • • •..•...•• • • U 2' ABOVE RDDF 1 F1I TSIIED GRADE f�aC .;L ='vE 1 MAIN CD PANEL 8 "U" )11N DE>a T11 1141' c11NP G Ru hl Qi1 ?U • M mu *0 14D45 A I SUB CD PANEL k1Jtk L!k ti c I - Conductor size "Conduit stir Conduit typ Thr-u r*oo c YES ___ _ NO RAIN •DISCONNECT R at np a Amps ^ _Amps Amp Maim Sub Breaker-s ^_ SUB FEEDER [I'1SEDE PANEL Rating A4 8ps Bond BL+s.s Yes No . L oc>a n PER S.F.Ii.C, 45n5,2(B) • _CONTRAS - 1 . 0 "-4- . -- S I GNATURI OF CONTRACTOR Ground wlrc 5:ze___ y -_ -_ -_ New Type Size Bond Si2 __ Ex i sbng�'-_- NOTARY B Y I — ( fl ( - `T Tr• A 1 T`, T' tT ('Trl1` I N 1C PI Pr Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2003 -6 Printed: 1 /8/2003 Applicant: ROBERT Owner:. FRAME JOB ADDRESS: 680 NE 97 Contractor P & M ELECTRIC INC V Local Phone: 305 - 949 - 6373 Parcel # 1132060171610 P c2--unttt:4 17 6 b.o c� Total /Fees: $@:AA. Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 7/7/2003 Construction Value: $380.00 Work: RELOCATE WASHER & DRYER AND WATER OUTLETS If there is no permit packag fee is $50.00, which must be F This Permit is granted to the contract ordinances pertaining thereto and with t and approved by the proper municipal a authorization. A further condition upon ordinances and regulations pertaining k by his agents, servants or employ Signe Signed: In consideration of the issuance to m. with the plans, drawings, statements or myself, my agent, se uaajs or employe: PAY TO THE ORQER OF Legal Description: 6 53 42 MIAMI SHORES SEC 4 AMD PB 15 -14 LOTS 1 & 2 BLK 100 LOT SIZE FRAME ROBERT ST P & M ELECTRIC, INC. 1936 N.E. 148TH STREET NORTH MIAMI, FL 33181 -1137 MEMO Electrical Permit Contractor's Address: 1936 NE 148 ST 441,&-2z) cy Page 1 of 1 Bank of America ACH RR 063100277 001 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 uilding Inspection Request Dal Tie Type Insp'rL_ Permit No. L 003 Name ` ..t Address hiCrO )11_ Company ec , • �� C h -.; For Inspector:OA / jName Phone # Approved Correction Re- Insp'n Fee »ir5> C, /,fie (77 �o ,e/e'>1 W T® 6%c4- ir at/ BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description II Bl CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 6248 Work to be performed under this Permit DATE 19 Contractors License No. ! ` ` Subdi- vision Address of Value of I Amount of / Building Project $— I 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 applica- tion 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 h 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- INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinancesd regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT