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828 NE 97 St (11)BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9510 Work to be performed under this Permit Subdi- vision Value cf Project $ BY 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 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY BUILDING ELECTRICAL PLUMBING Architect Contractor .� or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA 1 PERMIT N° 9323 Work to be performed under this Permit Owner of Building Bl. Subdi- vision CONTRACTOR OR BUILDER BY Value cf Project $ DATE Contractor's License No Amt. of Permit $ AUTHORITY 195 / r. Thi; 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 agr 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 accepti.ig this permit I assume responsibility for all work .done by either, myself, my agent, s rte' ant or employee. Date f f ---g _ � Type Insp'n � � ���' "' Permit No. E / 0 07 9a Name A ` a74.1L--,e___ Address igag /v E- ''7 G Company / Phone # (505" ) (7 96 Inspection Date I ' 3-0 Approved L" Correction 4l5 . MIAMI SHORES VILLAGE BUILDING DEPARTMENT 9t5 305- 795 -2204 Building Inspection Request Re- Insp'n Fee ❑ Name Address Company Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date J 0 'ENTER Type Insp'n (/U 9 Permit No. O — c2S (LA k/egjK,,, Fa P ,lE q7 7 pie/ tea & �� z /c;)-A4/0)1 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for fly blinding or oftcr structure herein described. This application is made in compliance and conformity with the Building Ordinance of :Miami Shore's Village, Pork a, and all provisions of the LIAM'S of the State of :Florida, all ordinances of Miami Shores Village and a rtes and refmlations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of citnrovcd plans and specifientions must 1:c 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 Street State work to be performed and purpose of Euilding (By Floors) New Building Remodeling Addition Repairs CONTR. LIST CHECK CONTR. LIST CHECK SWITCH LIGHT OUTLETS OUTLETS ENT. Sw. DIST. CAB. Amount of Permit $ STATE OF FLORIDA, } ss. COUNTY OF DADE. PLUG RECE'P'T'S SERVICE TEMP. MIAMI SHORES VILLAGE NO. LAMPS SERVICE PERM REFRIG. OUTLET IRON RANGE OUTLET OUTLET MOTORS 0.1 HP (Signed) (Signed) MOTORS 1-5 HP N EON TRANS. No. of Stories RANGE WATER W. HEAT. 1 SPACE STRIP TOTAL CONN. HEATER CONN. HEATER H EAT, I; RADIO TOTAL Conduit Overhead Service Underg.round Size Feeders Main Sw Amps. Main Fuses Anips Type of Installation—Conduit_ Tubing B.X.L._ Metal Moulding :Electrical Inspector. The mai, rsigned applicant for this building permit does hereby certify that hc understands and accepts his obIipitian is al e of labor under the Florida Workmen's Compensation Act, being Section 5.106, Compiled Genf of Florida Pelante:ciit Suppl. has complied with the provisions thereof, and will require similar compliance from all can:ratters Al)-con.r.ict.:rs l'CI work to be performed under this permit; and will post or cause to be p‘; -.led for inspection on th.. site of the work such po notice in- s as are required by the Act. The undersigned agrees to employ only such sub-contractor., cn wad: to he performed ndui [his perylit, iis licensed by Miami Shores Village. Master Electrician. Before mc, the undersigned authority, a notary public, duly authorized to administer oaths and take acknov.it per:ion:11y appeared . to me well known, and who, being by me first duly sworn, upon oath deposes and says that hc is the _ of the above described constniction, and he has carefully read the fore appiicction, aid 1li.. he did Le :a 1;c, Aid thL.t :in uts therein by him stated arc true. My Commission Expires Notary Public, State of Florida NOTE: .- re-inspection fee of $1.00 will be made when such re-Mspection is made necessary by improper notice for inspection, or fnelty materials and/or workmanship. Permit No. ___— _____'!___ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION 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 kep_ at building during progress of work. Owner's Name and Address_ Architect and /or Engineer Employing Electrician's Name_ __________ Location and Legal Description Lot ___ —___— Block Street and Number where work is to be performed—No.— State work to be performed and purpose of building (By Floors) New Building _Remodeling_ g___ —__ -- --__ -- _ -- g____ -- __Addition _Repairs No. of Stories Service Overhead Underground ___ A Size Feeders Conduit_ — ___Main Sw. ____r______ mps._— __________________Main Fuses Amps Type of Installation — Conduit________ — ___Tubing B X L. Metal Moulding Amount of Permit $ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ,obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. U ss. (Signed) _ # (Signed)._ No. Street—_ _Street__ _No Street_ Subdivision 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 farts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 wlll be made when such re- inspection is made necessary by improper notice for inspection, or fau.ty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES No. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST / �f - , CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS I -S HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No. ___— _____'!___ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION 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 kep_ at building during progress of work. Owner's Name and Address_ Architect and /or Engineer Employing Electrician's Name_ __________ Location and Legal Description Lot ___ —___— Block Street and Number where work is to be performed—No.— State work to be performed and purpose of building (By Floors) New Building _Remodeling_ g___ —__ -- --__ -- _ -- g____ -- __Addition _Repairs No. of Stories Service Overhead Underground ___ A Size Feeders Conduit_ — ___Main Sw. ____r______ mps._— __________________Main Fuses Amps Type of Installation — Conduit________ — ___Tubing B X L. Metal Moulding Amount of Permit $ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ,obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. U ss. (Signed) _ # (Signed)._ No. Street—_ _Street__ _No Street_ Subdivision 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 farts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 wlll be made when such re- inspection is made necessary by improper notice for inspection, or fau.ty materials and /or workmanship. BUILDING PERMIT APPLICATION FBC 2001 City Qualifier C 141 - , . r V - b'l e s 4 Miami Shores Village ‘. Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 is Building Historically Designated YES NO Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical Roofing 4 Owner's Name (Fee Simple Titleholder) '" , -_� • � ,. s- Phone # Py - --`� -., j Owner's Address ' lit " � \k. , t,' - __, c--,1\_\-%:.2- 1/4. s . - / City ` . -, e ; ` \. „-.c State "\ Zip ` / Tenant/Lessee Name Phone # Job Address (where the work is being done) g 3-X /-,,c Cit< Miami Shores Village Comity Miami -Dade Zip Contractor's Company Name f 7 ', SyS l • Cv , Phone # !:.t Contractor's Address w r (iJ ` State Zip ?-) ( Co.1 State Certificate or Registration No. GZC 12 Y4 Certificate of Competency No. G c c c Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 1 Square Footage Of Work: Type of Work: ❑ Addition 14Alteration ❑New ❑ Repair/Replace Describe Work: .S /2.-t4Ct /44)i.ii2 / C ? irya,l cd "Jc Si',dc• <! Total Fee Now Due S (Continued on opposite side) ❑ Demolition �. 0 W;;) ****************************Fees****************************** �� �lj Submittal Fee Cf Permit Fee $ /> '� � CCF $ CO /CC Notary $ Training/Education Fee 5 Technology Fee 5 Scanning S Radon $ Zoning Bond 5 Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip 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 82500, 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 an4ia reinspection fre.fdyl be charged. , - -- i, �� ' Signature ,r =/V Signature Owner or Agent Chc 05/13/03 NOTARY PUBLIC: Sign:N . if Print: a. APPLICATION APPROVED BY Contractor The foregoing instrument was acknowledged before me this �°L'� The foregoing instrument was acknowledged before me this J 3 ....-A day of OCT" , 20 (2Y, by t'/ti haTT 1ev2 day of © C—T , 20 0L, by L „4- 1 L i, s 1Z i-i e i 4 , who is personally known me or who has produced who is personally known to me or who has produced 4e- ' �� N I`(..., - 5�� I \B As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLI sign. �,� p K PK) ✓ - Print: 1���2) O &l.- My Commission Expires: Sandra J. Pedroso -Smith My Commission a � Sandra J. Pedroso.Smifh �. Expires ' Commi�� a Expires � 17 2008 April 17 2008 Plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE / / REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS 7 LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 If STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MDTCRS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 If VIOLATION INDIRECT WASTES - A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GA$ RANGE METER SET (GAS) GAS PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT H OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICAT MECHANICAL • DRIP LOOP [0 BE 3 0' �r� =a (JAIN) . .• •• • 2.00A HE TER 2' MOVE ROOF • • • • ay aornn�: ecro a to PLAT'11C sun Oita F rRiVBE • L MAIN C)3 PANEL ("IC Sly 1 (113 11 IN 11E1' Tl1 • 1 w. v4 )41)41 TEN! loali• J !N U.Q"XU' fiRL'I.II-at Alta at11u SUB CL PANEL • _...L._t...� S 1(IIItTI/ E 0 NOT Ki �L12 Ut< mN 1" �=z - •1- 10 Conductor srre L 774ctl f> Conduit stz t Condutt -t PV c- • Thru ro of Y f __ 1 Ground wire e_ HAIN. DISYQNNECT Rolno Hain • SUB FEEDER COIITRACTO j Pops 'Q Amps Sub 13realcer-s _ Amps New _� F�clsUnp 1'svr._ •rypQ k t.ER 0 DD _ __ size tf AwG Bond :ale L _ s • INS [DE PANEL Rnttng /-t ' Am'as Bond Bus Yes hlo [_oou A.- PER S.F.t).C, 11505, ?(0) -- Commis Q Expires: '• ;Nei FL• BO 1 \z/ I- 1 . ' H. Gonell ion #DD323870 May 26, 2008 ded Thru onding Co., Inc. Miami Shores v lllage Building Department ELECTRICAL CRITIQUE SHEET ,?/, t#0, c_ft/ic e (r / t/cf ev-0 3 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. c.4'_ 25-. Job Name f69A, --/, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date D Job Address go I V E, % 7 s-' Tax Folio SIC; c)- b Historically Designated: Yes No Owner/Lessee / Tenant Ep`` -' ay 002-4 Z Master Permit # q 77 Owners Address (5 g /V q 7 5 Phone O c 7s / - "06 SC Contracting Co. Mai r E L' c4 r i c tAA 64; 1-1 Address 6 /i'a/ `7 3 �-tiv. Qualifier V C ©Y acc?dl24 -e`Z- SS# Phone(3 S S7 t 37 S� r 4- 4 ,4,14 . State # 5RCO/ <-/ 7 Municipal # Legal Description Square Ft. Competency # 97EDoea3 / Ins. Co. Architect/Engineer �--'' Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING LECTRIC PLUMBING MECHANICAL / ROOFING PAVING FENCE SIGN WORK DESCRIPTION � DDG` S (!;r p /'- ! D X -' Estimated Cost (value WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR 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 owner and/or Condo President Notary as to Owner and/or Condo President My Commission Expires: FEES: PERMIT 6 ® ®�✓' RADON Date Signa or Owner- Builder Date Notaiy as to Con .? to or Owner- Builder My Commission Expires: C.C.F. "E7 ® NOTARY BOND TOTAL DUE APPROVED: Zoning Building Electrical Mechanical Plumbing Structural Engineer " 1 Architect Ul Contractor or Builder BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA PERMIT 0 p Owner of E A I 7OLJ€J7 z � Building a eleerric ```'" Legal Description E-625' /a.. Address of Building 9 g 9f 6 97 -57 �/ ` CONTRACTOR or BUILDER o` N_ 48277 Work to be performed under this Permit BY Date Contractor's License No. AUTHORITY • /Air- i h. .p. >.5 / Ps /4/ 2 , - 19,E >74 Te>c tyi, Permit: 0 1 o 3 7CCF: , 6 Subdi ( . D 90 Notary: .r. 0 D vision 11 r,,7?® Bond: Sq. Ft.: Radon: Value of Amount o f Project $ 1 j e 0Q Permit: (C 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 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 respon- sibility for work done by his agents, servants or employees. Signer; d / > ' </ :r/ / (INSPECTOR) BY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation. 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. Date . / —200 d /Job Address 2f y1i - 5 ( Tax Folio ea Q 5 ; C Y ice. 1 Owner/Lessee / Tenant L w-Gf ✓ + P 9 Y✓ — G Owner's Address g� g P.c. C I- / 57 n Contracting Co. M 4 5 eV Pd ¶ rV f /1I X J0.e..- Address a 04 2ct, Lez_ ss# Legal Description Qualifier i C Y State # /2 0/4377 Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 532 Y V IC -rL o, r M, z v- .5" ) x /.rO4L . Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY OF 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. Furthennore authorize the above -named contractor to do the work stated. of owner and/or Condo President S No as to Owner an '.r Condo Pres My Commission Expires: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Municipal #3 O - cif °,+ Competency # '97 ' 0A Ins. Co. 6 i"""q5 r'� 5 . (3 ;‘)96) �� °... Date 2 -2-e 2 - FEES: PERMIT dr- 42 RADON C.C.F. Historically Designated: Yes No I-- Signature of Contra APPROVED: Zoning Building Mechanical Plumbing Electrical Master Permit # Phone ' 75/ — 906 f 7 /(( 4 / 6 V• /7 *n' Structural Engineer - Phon \ STP /.S 7 s-- t/ j TOTAL DUE S 7 / ITEM PLUMBING BATH TUB BIDET DISHWASHER DISPOSAL DRINKING FOUNTAIN FLOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER SINK, POT /3 COMP. SINK, RESIDENCE SINK, SLOP TEMPORARY WATER CLOSET URINAL WATER CLOSET INDIRECT WASTES WATER SUPPLY TO: A/C UNIT FIRE SPRINKLER HEATER -NEW INST. HEATER - REPLACE LAWN SPRINKLER -WELL SWIMMING POOL WATER SERVICE SEWER CONNECTIONS UTILITY -SEWER UTILITY -WATER SEPTIC TANK RELAY DRAINFIELD, 4' TILE/RES. PUMP 8 ABANDON SEPTIC TANK SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE DOOL PIPING _AWN SPRINKLER SYSTEM 3AS RANGE 4ETER SET (GAS) 3AS 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.) ELECTRICAL MECHANICAL UNIT FEE ITEM SWITCH OUTLETS LIGHT OUTLETS RECEPTACLES SERVICE TEMPORARY SERVICE SIZE IN AMPS /S"Of/ir . SERVICE REPAIR/METER CHANGE APPLIANCE OUTLETS RANGE TOP OVEN WATER HEATER MOTORS 0- 1 HP MOTORS OVER 1- 3 HP MOTORS OVER 3- 5 HP MOTORS OVER 5- 8 HP MOTORS OVER 8- 10 HP MOTORS OVER 10- 25 HP MOTORS OVER 25-100 HP MOTORS OVER 100 HP A/C WINDOW AIR CONDITIONERS STRIP HEATER GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS SPECIAL PURPOSE OUTLETS COMMERCIAL SIGN TUBES SIGN TRANSFORMERS ANTENNA TELEVISION OUTLETS VIOLATION REINSPECTION UNIT FEE ITEM SPACE HEATERS CENTRAL HEATING A/C (WIND) A/C (CENTRAL) DUCT WORK REFRIGERATION PROCESS AND PRESS PIPING UNDERGROUND TANKS ABOVE (MOUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS M ECHANICAL VENTILATION T RANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS GENERATORS TRANSFORMERS UNIT SIGN TIME CLOCK FIXTLRES VIOLATION FIRE SPRINKLER SYSTEMS COOLING TOWERS R EINSPECTION FEE /o�a� tip✓ a �{ SIP/ Al w /e k�wc \"dti Flap.,,,, ,, 5 IA.a. 3 r(0: 1- " �' c�M \I `V Njni„ V �c 3 -4 Ji ti W Vie„ N -Lw. Alc w0,6 uv\;T\ Q (Q sfo 3° c )Yy-ev bye 3 0 ( -J 0 sYJk".of k 4\ Y4 n 2 V�-v � e 'Z � S;$0 Avy CN ` 1 2 , vti„, 1, 1 4 I v\In t . e 7A.1) /Jew C �,. -�.�.� A z ��I� 6� Ar 1 o s 000 5 0 0 0 1500 \S00 kS 3000 (0 \) V loo (.1,4 �+ W giu 2'6022 VAX tO 4,4$.6 V 2L'( 0 8.8 20L(0).$ VA CK,(cAkitJ (A.A \`.1!" Z-Lt(4°" ki • PUMPING MECHANICAL (ROOFING CE t;ti ITH I FED RAL, STATE PD COUNTY SUBJECT TO CG ll�: ; ;..1.1) nzauf, :itov.S. R�JLIw S t t n r �t 1 S P.C�Ei�h� y 1 MliVa1 SHORES .1,.... 4SSU iES W; RESPONSIBILITIES FOR �r1f if OF OR RESULTS FROM'MESE P'.ANS. { ! 1^ BUILDING CJCE ,�a f�C�RCY O ',RIP CE Vii.?�i ',Ili_ ;C:1TH FLO �t.r B E�R C C , t.;;! O ti: SUS a c ;f El. Y11.1i` ..GE IS REOU (RED 11 a:�ir' - J f fJ n S ,�,, rI,ht WE 4■t'G:1LEDGE OF ALL BUILDING •J RrvU' P;;1uYaSWHETHER OR 1I0'i SPECIFICALLY CALI,Y If'dCtCrliCC 6�E °Eil' a DMZ SNORES M.LAGE, BY Interest in property: Owner Name and address of fee simple titleholder: N/A Amount of bond $ 0 6. Lender's name and address: N/A I Q - AK OF FLORIDA, COUNTY OF DADE g : 7 uUV(C Ohot this is o Oruo copy 00 tho 0/0.g .f 0Ji'od olfico ora dcgo ' VI Titi'FFS m+,''h n,7 enrr COGicte4 Soo0. 'n reu9P ocd County Correa D.C. NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: 828 N.E. 97 Street 2. Description of improvement: Install new Tile Roof. 3. Owner(s) name and address: Edward Prellwitz 4. Contractor's name and address: Quality Roofing Contractor, Inc. 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: N/A Miami Shores, Florida 33138 95R289652 1995 JUL 20 12:43 828 N.E. 97 Street Miami Shores, Florida 33138 251 N.W. 99th Street Miami, Florida ''3150 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: N/A 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: N/A 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Signature of Owner Print Owners Name rd ward g Pfeil W I" 2 - Swo•n to and subscribed before me this Q day of Notary Public Print Notary's Name My Commission Expires: /It ,19 96. s 'cric ''Y HERNANDEZ ._ MY COM ION # CC 324212 . d EXPIRES: October 10, 1997 f,:g " ' Bonded Pint Notary Public Underwrfters Prepared by: Carlos Arocho Quality Roofing Contractor Address: N.W. 99th Street Miami, Florida 33150 123.01 -52 2/99