44335 (2)r
Date 3--/-2 `9 kb Address l Oa Am PG Si Tax Folio //- ..a ?o(, A ,700
Legal Desertion / - /0 Mx- 04 41. %' ITistorically Designated: Yes No
Owner/Lessee / Tenant W.,t�rxi JJJi�0u5 yP. ela/J Master Permit # (94:1 S.5 ) 4/04y
Owner's Address 4 /✓E .j<, Phone
Contracting Co. i 1. „ Address 9,0 / 4e,) / ..fit` • " gtes,
Qualifier 7l"a th/i•Ot SS# Phone 9$'— ' e17- 538/
State # cC OOOe 7Z•9 Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
PernMit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION /eey(eir.4 7 paat.�� - Z., 7 %' doete0.ylllir/ /�' .0f�D4/:3
Square Ft. Estimated Cost (valve) I /
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 JNTEND 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 perfonned to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for FT.FCTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK
OWNERS 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.
S'�f /yl9a1 c
Signature downer and/or Condo President
Notary as to Owner and/or Condo President
My Commission Expires:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Signature a
Notary
My
s ly_ /'11:_;11:,
May 3, 1999
VW mum en.
FEES: PERMIT / /O'er RADON C.C.F. NOTARY BOND
APPROVED: TO DUE
Zoning Building Electrical
Mechanical Plumbing Structural Engineer
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BUILDING MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL ❑ °°t°
PLUMBING ❑ PERMIT
ROOFING ❑
❑
N° 44335
Contractor's
License No
Work to be performed under this Parntit„,1h5 �� 1 �!'1 �S"
�I
I r
41(Q4iw �fiore S c � rps 4/l ria-LL e „p,mo /li/ - s• el 1 Misoft. addLet
uj
Architect
Cont
or B Me!t...4 .ec 1f choo10j S
Legal Lot
Description 1 /D .MC . j Bi bti
Address of
Butoding
l� A)e, 94 �f
su�a
vision /
Sq. Ft.
Value of
Project $2.6
e
2 Q 6 0 c� NW:
=Cl :
11 Amount of " qv
Permit $ 33 -----
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 appliea•
Lion berefor 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 msy have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time it the work it not done in compliance with such ordinances or if the plans are changed without authorisation. A further condition upon which this
permit le granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
tegulatiou penalising to the work covered hereby wb r shown on the plants or drawings or is the statements or specification' and that be assumes reapon•
sibility for work done by hie agents, servants or nap
Signed " "�— (INSPECTOR) BY
In consideration of the issuance to me of • is permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation,.
pertaining *bent • a n ice co ormity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
in aeeepti •..t , . , sa responsibility for all work done by either, myself, my agent, servant or employee.
JA67/6"iat
,N 57
BY AUTHORITY
permit: 2 /3, 14
CCU': _ 1 4490
0.04
y
iY
ITEM
BATH MB
UNIT
•
FEE
ITEM
SWITCH mum
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
B 1 ShYIASER
RECEPTACLES
A/C (WINO)
DISPOSAL
SERVICE TIS P AARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS 4 , 0VQ
/
DUCT WORK
FLOOR BRAIN
SERVICE REPAIR/METER CHAWGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
IINOEMPARC TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUIL'RY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
IOTCAS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT/3 034 5 .
MOTORS OVER 3- 5 IP
MECHANICAL VENTILATION
SINK. RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK. SLOP
MOTORS OVER 8- 10 HP
_
ELEVATCIS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
_
FIRE SPRINKLER SYSTE3G
URINAL
MOTORS OVER 25-103 HP
COMING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
_
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CON O IT IONERS
'
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
•
•
'NEATER -NEW INST.
GENERATORS TROMUIMMERS
i
HEATER - REPLACE
GENERATORS Titer
LAWN SPRINKLER -HELL
SPECIAL PURPOSE
OUTLETS COMMERCIAL
SWIMMING P001
•
WATER SERVICE
•
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS •
UTILITY - SETTER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
•
SEPTIC TANK
ANTENNA • •
RELAY
TELEVISION OUTLETS
ORAINFIEL.0. 4' TILE/RES.
VIOLATION'
PUMP & ABANDON SEPTIC TAN(
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
,
, P" Coale.
OISCMARGE WELL
PIYove LM F.S -
3
pauESTIC WELL
AREA CRAIN
"
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
_
POOL PIPING
-
LAWN SPRINKLER SYSTEM
.
GAS RAKE
METER SET (GAS)
.
GAS 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
Page 1 of 2
11/Luni, /Itote/J-Ttliar
BUILDING AND ZONING DEPARTMENT
10050 N.E. SECOND AVENUE
MIAMI SHORES. FLORIDA 33138 -2382
TELEPHONE (305) 795-2204
FAX (305) 756 -8972
AFFIDAVIT FOR 30 DAY TEIVIPORARY ELL CTRIC SERVICE
(To be executed by Owner and/or Ted Building & Electrical Contractor)
NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE"
UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED
It is understood that the temporary- electrical approval by the Miami Shores Village, Building & Zoning Department
given in connection with the budding being constructed under.
Building Permit No. 4/1/114r Electrical Permit No. 4 /4/4/ 0 ./
at address: Cv 4.2 A/6 94 Je
for owners: /Vi p .21.41 l ✓ citti..ed -
is being given only for construction purposes or for testing the following installations being made in said structure:
00 /Eves 4,4 .0t1Z) gei 1
Sub-paragraph 4501.3 (d) (3) of the South Florida Building Code provides for a 30 day maximum approval only in an
URGENT NECESSITY for electric current exists. Necessity shall include the use of current for irrigation, security,
humidity control, emergency power and lighting, such as for testing or construction purposes, provided the Electrical
Contractor and owner do hereby agree to assume the responsibility of maintaining the instal>afion in such a manner that
there is no hazard to life and property.
Such approval is in no event to be considered a release of said structure for purposes of use and occupancy, and no
occupancy shall be granted or permitted until final inspections have been called for and awed by the inspection
divisions concerned, and an occupancy permit obtained.
The undersigned also understand that the temporary - electric approval is subject to rescission and cancellation, and
electric power can be cut off at the diseretion of the Budding and Zoning Department and will be disconnected ifthe
building concerned is occupied before final inspections are approved and occupancy permit obtained.
t �S e5 j/ eisw ezz . being first duly sworn,
depose and say that 1 am the owner of the above property, and that I agree that the structure covered in this
agreement shall not be occupied until the budding contactor has obtained appro of lit inspections.
Sworn and subscribed before me this Jr/ / --=��-
/� [`sNAr • O
day o f .,o.� , O C
Notary Public, Std of Florida at Large �
My Commission Expires: ��. •
= �� ma
am J. Smith
K. MY c ION 91x',4!9074 D(FIRES
May 3, 1909
BOATED THAA TROY FAIN MANSE, I .