813 NE 97 St (5)r .
h,' .
.‘-'4;-. _ ,17 ,. 1
1,e L s /
/,L 1 / C« ee!t., (-1. r
..*r t4 v[..f r r t
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner
Buildin
Archite
Contrac
or Build
Legal
Descrip
Addres
Buildin
PERMIT N? 11576
e- N.nuxut OR BUIZ R
MIAMI SHORES VILLAGE, FLORIDA
Work to be performed under this Permit
,/ I fi l e ;40 tillot
AUTHORITY
195
Contractor's
License No
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 dra s rings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. 1 ,- ../
Signed ;F , . , 4 , r , BY ? • •
INSPECTOR /
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with a rdinances 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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner
Building
Architec
Contract
or Build
Legal
Descript
Address
Building
ERMIT N° 11408
1
MIAMI SHORES VILLAGE, FLORIDA
DATE
Contractor's
License No
Work to be performed under this Permit
1951_
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. 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, staternents 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
BY AUTHORITY
t
or
er
Lon.
Lot
B1.
Subdi-
vision
Of
•
%
t '
Value of
Project
$
Amt. of
Permit
$ j
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner
Building
Architec
Contract
or Build
Legal
Descript
Address
Building
ERMIT N° 11408
1
MIAMI SHORES VILLAGE, FLORIDA
DATE
Contractor's
License No
Work to be performed under this Permit
1951_
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. 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, staternents 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
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Budding
MIAMI SHORES VILLAGE. FLORIDA
0
DATE 195
❑ PERMIT N9 3774 Contractor s
License No.
0
❑ Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
Bl.
Subdi-
vision
Value of
Project $
Amount 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 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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY 6 _
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
❑ DATE 19
PERMIT 4 016 Contractors
❑ License No.
❑ Work to be performed under this Permit--
Architect
Contractor
or Builder
Legal Lot
Description
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Bl
BY AUTHORITY
Subdi-
vision
Address of Value of 11 Amount of
Building Project $ 11 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 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 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 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 ac•
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
ABBOT ',e:k-
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 9
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. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio: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 ,Vel-'..e2e.e.SX No
Registered Architect and /or Engineer
Employing Electriciaf's l/P c.trI No d �61 2 1 Street. )6(1 �.•r1' E' -t7� ��' 3'
Location and Legal Description Lot .. ....Block Subdivision
Street and Number where work is to be performed —No 5 /44 9 2. it Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $ (Signed). )..t11[...Y, .
�.�#. Con
Service Overhead Size Feeders `..� duit.. /' 4...Main Sw / O D Amps.../ 0 a Main Fuses.. /t7 rJ Amps
Underground
Type --
of Installation Conduit Tubing.........K B.X.L .Metal Moulding
P
Street../"� 3J v 9 ?It
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE. I °s.
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.
SPACE
H
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIET.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1 -5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
• „
/ v 1 / a
./'t
f
CHECK
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 9
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. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio: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 ,Vel-'..e2e.e.SX No
Registered Architect and /or Engineer
Employing Electriciaf's l/P c.trI No d �61 2 1 Street. )6(1 �.•r1' E' -t7� ��' 3'
Location and Legal Description Lot .. ....Block Subdivision
Street and Number where work is to be performed —No 5 /44 9 2. it Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $ (Signed). )..t11[...Y, .
�.�#. Con
Service Overhead Size Feeders `..� duit.. /' 4...Main Sw / O D Amps.../ 0 a Main Fuses.. /t7 rJ Amps
Underground
Type --
of Installation Conduit Tubing.........K B.X.L .Metal Moulding
P
Street../"� 3J v 9 ?It
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE. I °s.
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 5H ES VILLAGE
ELECTRICAL INSPECTION DEPANTMENT
APPLICATI N FOR ELECTR(i0 ,L 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 4/14/C �i/� • No v /3 Street
Permit No ri
Registered Architect and /or En er
Employing Electrician's Name G No "1 7 '
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 Underground
Size Feeders Conduit Main Sw
dg Amps Main Fuses Amps
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
rical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe ent 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 causa L r inspection on the site of the work such public notice or notices
as are required by the Act. The undo -- • ntractors, on wor to be
licensed by t.�t:- performed under this permit, as are
Village of Miami Shores
N0 4366
(Signed)
JOB
ADDRESS
INSPECTION
TIME READY
REMARKS y t
INSPECTOR
Master Electrician.
to administer oaths and take acknowledgments, personally
says that he is the
ration, and that he did sign the same, and that all facts
Notary Public, State of Florida
made necessary by improper notice for inspection, or faulty
SWITCH
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
L�`` • J Fes
CONTR.
LIST
•
CHECK
(, ,
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIBT
`, E
CHECK
, ?.
MIAMI 5H ES VILLAGE
ELECTRICAL INSPECTION DEPANTMENT
APPLICATI N FOR ELECTR(i0 ,L 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 4/14/C �i/� • No v /3 Street
Permit No ri
Registered Architect and /or En er
Employing Electrician's Name G No "1 7 '
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 Underground
Size Feeders Conduit Main Sw
dg Amps Main Fuses Amps
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
rical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe ent 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 causa L r inspection on the site of the work such public notice or notices
as are required by the Act. The undo -- • ntractors, on wor to be
licensed by t.�t:- performed under this permit, as are
Village of Miami Shores
N0 4366
(Signed)
JOB
ADDRESS
INSPECTION
TIME READY
REMARKS y t
INSPECTOR
Master Electrician.
to administer oaths and take acknowledgments, personally
says that he is the
ration, and that he did sign the same, and that all facts
Notary Public, State of Florida
made necessary by improper notice for inspection, or faulty
Village of Miami Shores
•
JOB (4n
ADDRESS
INSPECTION ) ^
TIME READY
REMARKS As
ti.
2' l
INSPECTOR
N° 4366
DATE
(
MIAMI SHIES VILLAGE
ELECTRICAL INSPECTION DEPAN7./ENT
STATE OF FLORIDA, }
se.
COUNTY OF DADE.
Amount of Permit $
My Commission Expires
(Signed)
iCPLICATi N FOR ELECTR PERMIT
Permit No ,/ E';)
Date
7 , ` '- - i l c /
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 c, must be kept at
building during progress of work.
No "3 Street 97, r 7 _,
Owner's Name and Address 4f4A . „,.../....-•----<1 .
Registered Arthitect and/or En v.''
Employing Electrician's Name tg, Ncr- 71-71- 1 71 Street
Loc.ation 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 No. of Stories
Repairs
Overhead
Service Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps
Type of Installation—Conduit Tubing B.X.L Metal Moulding
cal Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatiOn as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe ent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in thc
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 woi, to be performed under this permit, as are
licensed by Miami Shores Village. _
Notary Public, State of Florida
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.
NOTE: A re-inspection fee of $1.00 will be made when such re is made necessary by improper notice for inspection, or faulty
materials and/or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE•P'Y'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
H E A T E R
_,..
,,r3 \ 7' ,
TOTAL
CONTR.
LIST
V, l (■■
CHECK
(,
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1-5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
(
MIAMI SHIES VILLAGE
ELECTRICAL INSPECTION DEPAN7./ENT
STATE OF FLORIDA, }
se.
COUNTY OF DADE.
Amount of Permit $
My Commission Expires
(Signed)
iCPLICATi N FOR ELECTR PERMIT
Permit No ,/ E';)
Date
7 , ` '- - i l c /
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 c, must be kept at
building during progress of work.
No "3 Street 97, r 7 _,
Owner's Name and Address 4f4A . „,.../....-•----<1 .
Registered Arthitect and/or En v.''
Employing Electrician's Name tg, Ncr- 71-71- 1 71 Street
Loc.ation 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 No. of Stories
Repairs
Overhead
Service Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps
Type of Installation—Conduit Tubing B.X.L Metal Moulding
cal Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatiOn as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe ent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in thc
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 woi, to be performed under this permit, as are
licensed by Miami Shores Village. _
Notary Public, State of Florida
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.
NOTE: A re-inspection fee of $1.00 will be made when such re is made necessary by improper notice for inspection, or faulty
materials and/or workmanship.
•
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
a rr APPLICATION FOR ELECTRICAL PERMIT
Permit No U� 6 Date 7�/ 6 / �
STATE OF FLORIDA, , l
COUNTY OF DADE. j
85.
Amount of Permit $ (Signed)
(Signed);
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
Owners Name and Address 1 " - ' 1,2• ` � r2 � 7 r/ No. St reet . ,
Registered Architect and /or Engineer if/ 7 .i-
Employing Electrician's Name...5� �Q�' � '� ��-- .:�,t N �``- Street..G1i % �i ' �a
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
Overhead
Service Underground Site Feeders Conduit Main Sw Amps Main Fuses Amps
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
lectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his tgations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo ' 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 subcontractors, yn 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•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. H EAT.
CONN.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
.tae
6�
)
,
CHECK
rt i C
d.
. ,
i
0.-
���.F2„
•
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
a rr APPLICATION FOR ELECTRICAL PERMIT
Permit No U� 6 Date 7�/ 6 / �
STATE OF FLORIDA, , l
COUNTY OF DADE. j
85.
Amount of Permit $ (Signed)
(Signed);
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
Owners Name and Address 1 " - ' 1,2• ` � r2 � 7 r/ No. St reet . ,
Registered Architect and /or Engineer if/ 7 .i-
Employing Electrician's Name...5� �Q�' � '� ��-- .:�,t N �``- Street..G1i % �i ' �a
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
Overhead
Service Underground Site Feeders Conduit Main Sw Amps Main Fuses Amps
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
lectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his tgations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo ' 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 subcontractors, yn 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•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`s /
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 2
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot Block
No ff Street g
40 VII
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition •
Service Overhead Size Feeders
Underground
Amount of Permit $ ... -,A.. ^.
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, }
COUNTY OP DADE
88.
Street
Repairs No. of Stories
Conduit Main Sw Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
Electrical Inspector
/ ,!7
(Signed)
Date t%t
Street
Subdivision
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
sub-contractors employed by him in the
of the work such public notice or notices
be performed 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'rS
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HATER
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
dad
� i,-6 .:C:
,,f.60
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No`s /
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 2
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot Block
No ff Street g
40 VII
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition •
Service Overhead Size Feeders
Underground
Amount of Permit $ ... -,A.. ^.
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, }
COUNTY OP DADE
88.
Street
Repairs No. of Stories
Conduit Main Sw Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
Electrical Inspector
/ ,!7
(Signed)
Date t%t
Street
Subdivision
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
sub-contractors employed by him in the
of the work such public notice or notices
be performed 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 $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
4. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 7 / 2� r$ 7 Job Address ' 5?/ 3 JJE 9 ST Tax Folio
Legal Description Historically Designated:, ,f y'es No
O w n e r / L e s s e e / Tenant C T 414-iv N A-L.) Master Permit # H i! 7,g
Owner's Address D f 3 NE: /15r 57 Phone !!cz,, 3 -/ /66
Contracting Co.
66 ) G • Address
Qualifier ■ Aild 2 '7- DD SS# - «/ Phone i 9 / — ("174-
State # �.- Ob U 1 i 4' Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDIN ELECTRIC PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 266 Arbwe 5 cam () jz e )
Square Ft. Estimated Cost (value)
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT 7 ( Ve; RADON
C.C.F. // NOTARY
1— ' ,/v-r J A-fr
2345'. try
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
'IESULT 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 pennit 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�.henamed contractor to do the work stated.
Signature of Contractor or Owner- B Date
Notary as to Contractor or Owner -B er
My COmmissi . wrgsi OFFICIAL NOTARY SEAN.
!, NICOLE A BERGERT
ir
2 h ,r 0 COMMSSION HUMBER
�q CC661267
9 l � . MY COMMISSION EXPIRES
`' OF f�� JULY 2,2001
BOND
- 7/29/97
Date
TOTAL DUE . ") C.
APPROVED:
Zoning Building Electrical '
Mechanical Plumbing Engineering
St 3 me 91 sr
-t► rt 3313
eoot
)4-t 10 n{ Ai
• I 2 .
wo
s -3111/0 t o ( Dos ,i3s,C)
eitY PUB
NICOLE LA NOTARY SEAL BERGERT ,
= � Q
COAtM I Iiu 7
� Div C
�i Q 0 MY COMMISSION EXPIRES
ER
OF F�� r C JULY 2,2001
(1
� / / 9
Amount of Permit $
SS.
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 herewitja/sUbmitte for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinince 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 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 .; ,V - , 7 1. Street
State work to be performed anci Jaurpose of building (By Floors)
New Building 4(.0"*" Remodeling Addition Repairs No. of Stories
Service Overhead
und Size Feeders Conduit Main Sw Amps ...Main Fuses Amp
Undergro
Type of Installation—Conduit Tubing B.X.L Metal Moulding
(Signed)
Electrical Inspector.
The undersigned applic nt 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE.
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 LIGHT
OUTLETS OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEAR.,
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
.
CHECK
ENT. DIST.
SW. CAB.
SERVICE
TEMP.
SERVICE
PERM..
,.
J
7
MOTO
0.1 H
MOTOR S3
1.3 HP
, NEON
TRANS.
. ,
RADIO
TOTAL.
CONTR.
LIST
CHECK
Amount of Permit $
SS.
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 herewitja/sUbmitte for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinince 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 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 .; ,V - , 7 1. Street
State work to be performed anci Jaurpose of building (By Floors)
New Building 4(.0"*" Remodeling Addition Repairs No. of Stories
Service Overhead
und Size Feeders Conduit Main Sw Amps ...Main Fuses Amp
Undergro
Type of Installation—Conduit Tubing B.X.L Metal Moulding
(Signed)
Electrical Inspector.
The undersigned applic nt 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE.
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.
APPLICATION FOR ELECTRICAL PERMIT
Permit No 1 rj / Date i 3/ , .r
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subrffitted 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 6
Registered Architect and /or Engineer / f
Employing Electrician's Name 2�. [ , r' e. + /� q
p No......_ Street kV. q 4 � Au /e4.4 �'f
Location and Legal Description Lot / ` / s
Block 7 3 Subdivision , 1.
r Stre et and Number where work is to be performed —No /.. ..E- ¢. e er
1 3 Street , .iA
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Underground Size Feeders
STATE OF FLORIDA, 1
COUNTY OF DADE. I
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
-e D , �L i/
Conduit.j., Main Sw. ...... /.!/ 0 Amps
No. ..R_...1....1 ! 4.5._ e
/DU
.Main Fuses Amps
Type of Installation— Conduit Tubing v B.X.L Metal Moulding
Amount of Permit $ l (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 subcontractors employed by him in the
work to be performed under this permit; and will post or cans. 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.
,,,a
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
RECC
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL.
C L ST
,
/ S
/� E''P''T'S
f� /
/r
f
I
f
CHECK
ENT. D IST.
SW. CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR. /
LIST
CHECK
APPLICATION FOR ELECTRICAL PERMIT
Permit No 1 rj / Date i 3/ , .r
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subrffitted 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 6
Registered Architect and /or Engineer / f
Employing Electrician's Name 2�. [ , r' e. + /� q
p No......_ Street kV. q 4 � Au /e4.4 �'f
Location and Legal Description Lot / ` / s
Block 7 3 Subdivision , 1.
r Stre et and Number where work is to be performed —No /.. ..E- ¢. e er
1 3 Street , .iA
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Underground Size Feeders
STATE OF FLORIDA, 1
COUNTY OF DADE. I
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
-e D , �L i/
Conduit.j., Main Sw. ...... /.!/ 0 Amps
No. ..R_...1....1 ! 4.5._ e
/DU
.Main Fuses Amps
Type of Installation— Conduit Tubing v B.X.L Metal Moulding
Amount of Permit $ l (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 subcontractors employed by him in the
work to be performed under this permit; and will post or cans. 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.
,,,a
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.
r
Date
Type Insp'n
Permit No.
Name
Address
Company
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buildi�/g Inspection Request
vta
eL__0
. 4 ,
BUILDING 4,14 /
PERMI ♦ TTi i/"� A TiA1�T
PERMIT APPLICATION
FBC 2001
Owner's Address, y k.' C 1
Cite State • -{-- 1 . 1;
Tenant/Lessee Name
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (301) 795.2204 Fax: (305) 756.8972
1 ,t ,
Permit No. A 0,4 -
Master Permit No. ra17+-1 -1 , A4
Permit Type (circle): Building Electrical/ Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) A 4' t' :1�:� '< ! Phone #. '_
Zip
Phone #
Job Address (where the work is being done) -�
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name (11(
Contractor's Address I
City tr:a". 'i « t (b '_i t ' t? � ;)( State
Qualifier r(
State Certificate or Registration No. 1
Total Fee Now Due $
(Continued on opposite side)
It laN„ 1-
4 � ?i
Code Enforcement $ Structural Plan Review. $
Phone #
Certificate of Competency No.
Architect/Engineer's Name (if applicable) t •Yi' ' ' . ;, � �r t l Phone #
d
$ Value of Work For this Permit 5 � . ' Square Footage Of Work:
Type of Work: ['Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work:
****************************F
Submittal Fee $ kk Permit Fee $ /60 a° CCF $ CO /CC
Notary $ '—""" " Training/Educati Fee $ c� d Technology Fee $ )`--°—
Scanning S Radon $
Zoning Bond $
A
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
p )
101-
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
(
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this IL"
day o[a 1:)1 20Da, by
who is personally known to me or who has produced
As identification and who did take an oath.
My Commission
************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
Signature
Contractor
The foregoing instrument was acknowledged before me this 'C
day of I ''rlit "e , 20(1k, by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
is
Print:
My Com
4 JULIET IL OOLLADO
276278
15 itca Expi RrS: January 1. 2008
+m000auorARv FL Wavy Discount Assoc. co.
•
* * * * * * **
******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Vi e•• 4/ Plans Examiner
Engineer
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12/14/2004
Applicant: ROBERT
Owner: HANNAU
JOB ADDRESS: 813
Contractor CORO ELECTRIC
Local Phone: 305/957 - 9325
Parcel # 1132060142590
NE 97
Signed: (INSPECTOR)
Signed: (Contractor or Builder)
Electrical Permit
Permit Number: EL2004 -320
HANNAU
ROBERT
ST
Contractor's Address: 7101 SW 136 AVE
Permit Status: APPROVED Permit Expiration: 5/11/2005 Construction Value: $900.00
Work: ELECTRICAL FOR POOL
BY:
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 - LOT 14 & W1/2 OF LOT 15
Fees:
FEE2004 -12571
FEE2004 -12572
FEE2004 -12573
FEE2004 -12574
FEE2004 -12575
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Submittal Fee
Total Fees:
Amount
$160.00
$0.60
$0.20
$4.00
($50.00)
$114.80
Total Fees: $114.80
Total Receipts: $0.00
NOV 15
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 responisibility for all work
done by either myself, my agent, servants or employes.
BLK 73