Loading...
790 NE 97 St (4)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date a� 1 t Job Address 79'0 Z? / � /. Tax Folio al S7ii2� r�G� D�f �� Legal Description LOT // c 0 , (e 6 Historicall 6 esi g nated. Yes No / o Owner/Lessee / Tenant \/ I i d� c� `� (,) Master Permit # ) 93` Signature/ or Condo President Notary as to ownerand/or Condo President My Conunission Expires: rIS: PERMIT `/X ��' RADON Owner's Address 2 ,// 7 ,VrePT 7i Phone 7 - Contractin Co. gee7k Address 7 ez2r Q ualifier 30,e7 (/q v / SS# - � yo —0/7_?) State # L r (X'()// L40 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMB G MECHANICAL RO FING PAVING FENCE SIGN WORK DESCRIPTION ' � `� fJA+t 6 67 i 31,2 To/ 4 6 ci /r/ r iex' rEia cka /�/ erre Square Ft. Estimated Cost (value). C cr C.C.F. lag Date 3 i s ig Date 31, c -5 s& -_ ? ,•%7 Signature of NOTARY Building 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 c.pplicable laws regulating construction and zoning. Furthermore, I authorize the above -named coctor to d the wor stated. i L Notary:is t• Contractor or Owner - Builder ` T = _ , s D 3 --ate My Commission E �•=�_ r ,, , 7 :.,:.,d �.."�:e.;:�s3 art =. �;�4^. 92, Sal Electric br or • er- Builder TOTAL DUE 0; APPROVED: Zoning Mechanical Plumbing Engineering Date jr ';,' ITEM BATH 'RS B IOET PLUMBING 81SINIASHER DISPOSAL DRINKING FOUNTAIN FLOOR [RAIN GREASE TRAP INTERCEPTKR LAVATORY UMW TRAY CLOTHES WASHER SHIER SINK POT/3 COIN'. SINK, RESIDENCE SINK, SLOP TEMII'QiARY WATER CLOSET IRINAL WATER CLOSET INDIRECT WASTES WATER SUPPLY TO: A/C UNIT FIRE SPRINKLER HEATER-1€w IHST. HEATER - REPLACE LAWN SPRINKLER -/ELI _ SWIMMING POOL WATER SERVICE SEWER CONNECTIONS UTILITY -WATER PUMP CH BASIN DISCIWIGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STAINPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS BARGE METER SET (GAS CAS PIPING 03/ ■ FEE MINIM 1� MEM 15:24 M • ADDENDUM TO BUILDING PERMIT. APPLICATION (AN APPLICATION FOR BUILDING PERHIT HUST ACCOMPANT THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE EED N NOT BE PRESENT on SUBSEQUENT APPLICATIONS.) MECHANICAL ELECTRICAL ITEM SWITCH CUTLETS LIGHT OUTLETS • RECEPTACLES SERVICE TEWORARY SERVICE SIZE IN RAPS SERVICE REPAIR/►ETER CHANGE APPLIANCE OUTLETS RANGE TOP OVEN WATER HEATER MOTORS 0- 1 if MOTORS OVER 1- 3 HP MITERS OVER 3- 5 FP LETERS OVER 5 8 HP IAOTCRS OVER 8- 10 HP MOTORS OVER 10 - 25 HD MOTORS OVER 25-100 NP MOTORS OVER A/C WINDOW 100 HP AIR COO I T IONERS STRIP HEATER GENERATORS MUMMERS GENERATORS TRANSFCRIERS UNIT PURP ■ SPECIAL PURPOSE SE Cpf(RCML FEE TELEVISION CUTLETS 1111111111 ITEM VIOLATION SPACE HEATIRS CENTRAL HEATING A/C RIM) -- A/C (CENTRAL) -- DUCT WORT( 11111 — PROCESS PRESS TAMS -_ 1 • r•u • 1 AB GROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS HN7T WATER BOILERS MECHANICAL VENTILATION F I TRANSPC TING ASSES MI Mil -- -NM COOLING TOWERS U VIOLATION RE INSPECTION 1' 11 ELEVATORS/ESCALATK S FIRE SPRINKLER SYSTEM 004 UNIT IMMO MI MI NI � r MUM WEAKEN SEPTIC TANK � ' SOAKAGE MIN INN PIT W. FT. El CAT / ` ��'' BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 9665 Work to be performed under this Permit Bl. Subdi- vision Value of Project $ DATE 195 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 an / 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 • 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 4 J 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 cept at building during progress of work. 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 b: 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 $ l The undersigned applicant for this building permit does hereby certify that he understands 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. STATE OF FLORIDA, l COUNTY OF DADE. I ss. (Signed) 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, a 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 fact: 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 faalty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 4 J 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 cept at building during progress of work. 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 b: 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 $ l The undersigned applicant for this building permit does hereby certify that he understands 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. STATE OF FLORIDA, l COUNTY OF DADE. I ss. (Signed) 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, a 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 fact: 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 faalty materials and /or workmanship.