750 NE 96 St4
Date 1 /
Owner/Lessee / Tenant
WORK DESCRIPTION
Signs
No
My
to Owner and/o mm
oission Expires:
FEES: PERMIT At ®o RADON
APPROVED:
Zoning
Mechanical
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address
25 F f CsT
62,,9R►'-e/ go5R & L-
i
Condo'' 1°T3 1 • ,
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC714103
MY COMMISSION EXP. MAIL 1
e
. /
igna of +wn• = and/or !) do /
/i //
• l oP
7r3�2 5-Slag/ 2/o
Tax Folio
Legal Description Historically Designated: Yes No
Master Permit # �e . 'T / 9
Owner's Address 7S ' 4/6. e l ,6-.5 I Phone
Contracting Co. c v 12O R, "294 7et-7 iz,9t. L-1) Address 30 /tZ S t 't /DZ // #2-4410 •/
Qualifier J 0 140,- 1_ 4 /O Phone _7cli( G?
State # L D 011?-08 Municipal # Competency # � � /c f Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
- logy 4 i of Azo Z7 f.4 6 is ,(4.Q41
Square Ft. Estimated Cost (value) // 0 , t7Q
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.
Building
Plumbing
as t
My Commissi
• rY "ARV SEAL
eks ANGELA LI BECKER
00a SS O1 RILIfit2ER
CC786697
9l `C OF fLO * ` �Y WOV COPACSSIORI 2002
00
•
C.C.F. b 0 NOTARY � + 7) 6 BOND
TOTAL DUE
Electrical !) E a0
Structural Engineer
ITEM
BATH TI8
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
V.
FEE
ITEM
SPACE HEATERS
UNIT
FEE
3IOET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
CRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
F OCR DRAIN
SERVICE REPAIR/1€TER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUFO TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 FP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
I-OT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 FP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 FP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 FP
ELEVATORS/ESCALATORS
TEMQORARY WATER CLOSET
MOTORS OVER 10- 25 If
FIRE SPRINKLER SYSTEMS
URINAL
MDTCRS OVER 25-100 FP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 FP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
--'
AIR COPO I T I ONERS
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 COMIERCIAL
WATER SERVICE
SIGN TUBES
3EWER CONNECTIONS
SIGN TRANSFORMERS
.----,
~-
frILITY -SEWER
SIGN TIME CLOG(
JTILITY -WATER
FIXTLRES
iEPTIC TANK
ANTENNA
IELAY
TELEVISION OUTLETS
iAINFIELD, 4' TILE/RES.
VIOLATION
'LIP & ABANDON SEPTIC TANK
REINSPECTION
;OAKAGE PIT CU. FT.
`
:ATCH BASIN
IISCHARGE WELL
AMESTIC WELL
%REA DRAIN
IOOF INLET
DLAR WATER HEATER
'IRE STANDPIPE
COL PIPING
_
AWN SPRINKLER SYSTEM
AS RANGE
ETER SET (GAS)
AS PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
•
JOB:
BUILDING
ELECTRICAL
PLUMBING
•
•
•
•
•
•
:
Inspector's Report
AD:
The following is ready for Inspection: -
•
•
•
• •
• WORK
•
• •
DOME BY: 1
•
• :REQUESTED WILL BE READY
•
• •
• •
( 1/ i./ 1 -
3A4
,
JOB:
BUILDING
ELECTRICAL
PLUMBING
Inspector's Report : -
•
•
AD:
WORK
DONE BY:
:REQUESTED
The following is ready Dr Inspection: -
2
•
WILL BE READY
A
41 y
ION
JOB:
BUILDING
ELECTRICAL
PLUMBING
Inspector's Report :
AD:
• • WORK
• • DONE BY:
• • :REQUESTED • WILL BE READY
•
• • I , -1 ii d
• • i .', L. - , i
• •
• • :.
The following is ready for Inspection: -
• •
•
•
Permit
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PPLICATION FOR ELECTRICAL PERMIT
Date /
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submi(ted 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 bectin specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. 1
Owner's Name and Address ' No._—__ —_ ______ Street_ - -__
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot ______ _________________ __.Block
Street and Number where work is to be performed —No °'" _ _ Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Service Overhead Size Feeders_ —_ -- Conduit._ Main Sw
Underground
Type of Installation—Conduit _____ ________ Tubing __ B.X.L._______________Metal Moulding
Amount of Permit $
My Commission Expires
No. Street__
(Signed)
Subdivision___
Repairs — ______ No. of Stories___—_ —__
Amps. Main Fuses Amps.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he undeastands 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 com-
plied 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 under signed agrees to employ only such sub - contractors. on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Master Electricaa.
STATE OF FLORIDA,
COUNTY OF DADE. u.
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, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
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
RECEVP'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
6
+
^
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1-5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
.
CHECK
Permit
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PPLICATION FOR ELECTRICAL PERMIT
Date /
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submi(ted 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 bectin specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. 1
Owner's Name and Address ' No._—__ —_ ______ Street_ - -__
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot ______ _________________ __.Block
Street and Number where work is to be performed —No °'" _ _ Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Service Overhead Size Feeders_ —_ -- Conduit._ Main Sw
Underground
Type of Installation—Conduit _____ ________ Tubing __ B.X.L._______________Metal Moulding
Amount of Permit $
My Commission Expires
No. Street__
(Signed)
Subdivision___
Repairs — ______ No. of Stories___—_ —__
Amps. Main Fuses Amps.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he undeastands 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 com-
plied 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 under signed agrees to employ only such sub - contractors. on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Master Electricaa.
STATE OF FLORIDA,
COUNTY OF DADE. u.
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, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
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.
Permit No
Registered Architect and/or Engineer
Employing Electrician's Name ------
Location and Legal Description Lot____________
Amount of Permit $ ' J
Bs.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby m de 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
No_
.a...aa....aLa
__Block_ , -,...—_____________ Subdivision______________
Street and Number where work is to be performed—No l.r-O- .9_ Street CI 1
---i---(
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition. Repairs No. of Stories____________
. Overhead
Service Und Size Feeders Conduit.... Sw. Amps. Main Fuses
erground
Type of Installation—Conduit_ ____ ______ Tubing B.X.L. .Metal Moulding
(Signed)
(Signed)
Street
The undersigned applicant for this building permit does hereby certify that he understands and accepts bis obligations as an employer of la
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied 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 under signed 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,
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, that 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
Electrical Inspect
alaa.
Master Electrican.
Date ..
_Amps.
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
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.
a l
MOTORS
0-1 HP
MOTORS
1-5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
'
CHECK
Permit No
Registered Architect and/or Engineer
Employing Electrician's Name ------
Location and Legal Description Lot____________
Amount of Permit $ ' J
Bs.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby m de 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
No_
.a...aa....aLa
__Block_ , -,...—_____________ Subdivision______________
Street and Number where work is to be performed—No l.r-O- .9_ Street CI 1
---i---(
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition. Repairs No. of Stories____________
. Overhead
Service Und Size Feeders Conduit.... Sw. Amps. Main Fuses
erground
Type of Installation—Conduit_ ____ ______ Tubing B.X.L. .Metal Moulding
(Signed)
(Signed)
Street
The undersigned applicant for this building permit does hereby certify that he understands and accepts bis obligations as an employer of la
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied 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 under signed 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,
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, that 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
Electrical Inspect
alaa.
Master Electrican.
Date ..
_Amps.
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.
BUILDING
ELECTRICAL
PLUMBING
Legal Lot Bl.
Description
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 2721
DATE
Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Subdi-
vision
194_1_
Contractor's
License No.
Address of Value of Amt. of .,+«�w
Building Project 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 regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shpres
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
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR, ELECTRICAL PERMIT
Permit No.____— _�__,____ Date 7 ` — "�_
Application is hereby m e for the approval of the d`�' tement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made yiFt *F I and conformity with the Building Ordinance of Main Shores Village, Florida,
and all provisions of the Laws of the State of Florid71i,at ces of Miami Shores Village and all rules and regulatii ii o1 the Building Division
of Miami Shores Village shall be complied with, "t►helh i 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
Location and Legal Description
Street and Number where work is to be performed —No
ss.
My Commission Expires
MIAMI Sir-MIRES VILLAGE
ELECTRICAL INSPl'ECTION DEPARTMENT
Registered Architect and /or Engineer !
4 _
Employing Electrician's Name
State work to be performed and purpose of building (By Floors)
New Building Remodeling_ _ __________—
ti
No.______ -- —_ _ Street
ffI 1,
No , . ... • Street
— _ _____ __ L_�____________ Subdivision_ - -�__
1 ____4 ___:--- __ _1 Street__ ,-__a --- -_______- ________________
Addition —____ Repairs ___ No. of Stories__—
Overhead su„
Service Underground, ,Size Feeders_____________ Conduit___________ Main Sw. — Amps. Main Fuses _dips.
Type of Installation- Conduit______ Tubing___________ B.X.L Metal Moulding
(Signed) , -;1,, .014
Electrical Inspect • r.
Amount of Permit $-
The undersi?,ne p)tgrl this building permit does hereby certify that he understands and acceitif,hligations as an employer of la
under the Florida orftmen's C Sittpensation Act, being Section 5966, Compiled General Laws of F1oridee4tanent Supplement, and has com-
plied with the pitmitiOni. thereof, and will require similar compliance from all contractors or sub - contra is 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 gork Ouch public notice or notices as are
required by the Act. The under signed agrees: l ip10=.only such sub - contractors, on work 'be performed under this permit, as are
licensed by Miami Shores Village. ! :.-.
Master Electrican.
Before me, the undersigned authority: •.a, not1 dts, personally
blic, duly authorized to administer oaths and take acknowle y
dt
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
r of the above described construction, that he has carefully read the foregoing application. and that be did sign the same, and that all facts
therein by him stated are true.
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. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
•
TOTAL
CONTR.
LIST
CHECK
:1
ENT.
,SW.
DIST.
CAB.
SERVICE SERVICE
TEMP. P €RK1.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
���•••
!
/
CHECK
1
L: A.
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR, ELECTRICAL PERMIT
Permit No.____— _�__,____ Date 7 ` — "�_
Application is hereby m e for the approval of the d`�' tement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made yiFt *F I and conformity with the Building Ordinance of Main Shores Village, Florida,
and all provisions of the Laws of the State of Florid71i,at ces of Miami Shores Village and all rules and regulatii ii o1 the Building Division
of Miami Shores Village shall be complied with, "t►helh i 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
Location and Legal Description
Street and Number where work is to be performed —No
ss.
My Commission Expires
MIAMI Sir-MIRES VILLAGE
ELECTRICAL INSPl'ECTION DEPARTMENT
Registered Architect and /or Engineer !
4 _
Employing Electrician's Name
State work to be performed and purpose of building (By Floors)
New Building Remodeling_ _ __________—
ti
No.______ -- —_ _ Street
ffI 1,
No , . ... • Street
— _ _____ __ L_�____________ Subdivision_ - -�__
1 ____4 ___:--- __ _1 Street__ ,-__a --- -_______- ________________
Addition —____ Repairs ___ No. of Stories__—
Overhead su„
Service Underground, ,Size Feeders_____________ Conduit___________ Main Sw. — Amps. Main Fuses _dips.
Type of Installation- Conduit______ Tubing___________ B.X.L Metal Moulding
(Signed) , -;1,, .014
Electrical Inspect • r.
Amount of Permit $-
The undersi?,ne p)tgrl this building permit does hereby certify that he understands and acceitif,hligations as an employer of la
under the Florida orftmen's C Sittpensation Act, being Section 5966, Compiled General Laws of F1oridee4tanent Supplement, and has com-
plied with the pitmitiOni. thereof, and will require similar compliance from all contractors or sub - contra is 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 gork Ouch public notice or notices as are
required by the Act. The under signed agrees: l ip10=.only such sub - contractors, on work 'be performed under this permit, as are
licensed by Miami Shores Village. ! :.-.
Master Electrican.
Before me, the undersigned authority: •.a, not1 dts, personally
blic, duly authorized to administer oaths and take acknowle y
dt
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
r of the above described construction, that he has carefully read the foregoing application. and that be did sign the same, and that all facts
therein by him stated are true.
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.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA /
DATE 1944
PERMIT N9 2569 Contractor's
License No
Work to be performed under this Permit
Subdi-
vision
Legal Lot BL
Description
Address of �'
/ Value of Amt. of
,.� . � � !
Buildin / , �' e*- s r j Project Permit !.
g
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in
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. / i
}
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 regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Mianii Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
a
BY AUTHORITY
rl
the
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Job Address - 150 IY C I �e6 SD --_
P Legal Description I / !p b pey.fi master Permit # 3/5.6 2...
_39/1
Owner / Lessee / Tenant -- ��.
Owner's Address
Contracting Co.
Qualifier u�� L
State # 6 00 L L75
Architect /Engineer
Bonding Company_
Mortgagor
Permit Type (circle one): HUILDIN ELECTRICAL PLitlrffiING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION 61:50
N- , ry'a• to Owner and /or Co p do President
Hy Commission Expires: ifid /
PERMIT FEE: APPROVED:
Zoning
g 30
hanical
10/29/91 13:08 MSV 001
'795- aa ozf
S -,e..te
Address (Z5) S ! -/4 V 4 11;6
' C) ? phone
Competency # J3 Ins Co O,Ak&k C.
Ateicc*C4b. 644 : 1 4Lt .
Square Ft. OC 4D Estimated Cost 7 S O�
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. 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-n- ..d contractorr6o do the work stated.
Fire
Building
Plumbing
Address
Address
Address
Da
Notary as
My Corwuissio
*
Tax Folio ii3C2(7b - /7 'o
phone
Other
Electrical
Engineering
la- a 9- q/
or or Owner-Builder
tractor or owner Builder
NOTARI PUBLIC. STATE OF FLORIDA.
1r . COMWI ?SSIO . 1
EXPIRES: PRIL 23994.
BO * ED THFU N ARY PUBL1 NDERWRIT B.
ITEM
BATH TUB
UNIT
/
FEE
ITEM
SWITCH OUTLETS
UNIT
/
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
,3O
A/C (WINO)
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
a
10.,0
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
/
la,15 la,
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
1
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
1
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
=
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
,?
MOTORS OVER 100 HP
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
1
SIGN TUBES
SEWER CONNECTIONS
-
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
Jr
UTILITY -WATER
FIXTURES
/5
'9 ,
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
c/
1 "
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
-
GAS RANGE
METER SET (GAS)
GAS PIPING
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL
Date � Job Address 75) 1961 �� Tax Folio ,!// 3 ,24,6 / 2 t /
SeCZDO
Owner / Lessee / Tenant ( TA 13 R l ca Master Permit 33#4?
,c4 y6 4
Legal Description
Owner's Address
Phone
n 1:3 'w, eenwAi2I Qua
Contracting Co. t��R r- 7- 9 °vr'/ /7 S y$ 5 Address fc g16 4-44. p�4I>
rice
Qua lifier P' ogEL � Re40.5 F � Phone 94[ Y(31f
ODOocQ vs
State # Munie -i-pa '# Competency # Ins . Co .
Architect /Engineer Address
Bonding Company Address
Mortgagor , f Address
Permit Type(circle one): BUILDING ELECTRICA ELECTRICA PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION II� -t_
SAPIt. , L9 1.c� L Ui 4 � Lt A ftu
)-11-./e bb Caw v a U� (e s
Lid
Square Pt. / Estimated Cost(value) C;
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
autho • e the ab�.4amed contractor to do the work stated.
Signature of o
D e:
byec✓ -'9 4-c��'n -- R
Notary as to Owner and/
My Commissi n Expir
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
DoT /;- o C•
L- e I VEZ
4i
- a '/
. - • —_fit • nt
< ,,RY P& OFFICIAL NOTARY SEAL
O �i JOE ISRAEL
Z x AI * COMMISSION NUMBER
ta g+N_ Q CC2S6280
** * * * j *' "�• M* COMMI EXF
• . Quo
OFF. FEB. 2" 1997
FEES: PERMIT RADON
APPROVED:
Zoning
Mechanical
* *OF * * **
FE B. 23 1997 y�
C.C.F. 1[ NOTARY TOTAL DUE ` 7 (6d
•
Fire Other �,�(
Building Electrical I '
Plumbing
No
My
Signature of ,� o i der
Date: J7/0 oc
3 Ze.Hoia C�`o'1A
as to t'er
( i �iss�tc ' F &VAR sl' - �17`C 3
i JOB ISRA�eL
* COMIJISSION WADER
a CC256280
O tar co&mISSION E*P.
Engineering_
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 1 1-14 Job Address `3 v / ST: Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant
/�� /cam / E __i?r,_ C/ ~ .-- Master Permit # 3 Y7 MeN'5
Owner's Address 1 7-5 -- O N q--6 5T Phone
Contracting Co. __( K� C C gr, 1)C • Address ///0a i 25 / j 7
Qualifier /2 c 7q L 7 Phone
State # Municipal # Competency # //1/5 Ins. Co. i/nag-ye )0
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
e v ,A / ( la x/90 4)o Ni ):
Square Ft. Estimated Cost (value)
WORK DESCRIPTION
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 - nacre . o r actor) c 7the work st ed.
t ai
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT 4' ®Q RADON
C.C.F. NOTARY TOTAL DUE 5
Signat
Building
/1/
Contractor or 0 er- Builder
Notary as to Contractor or Owner- Builder
My C° 11: .Expire ,, y r�
J
Electric
APPROVED:
Zoning
Mechanical Plumbing Engineering
Date
sa
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
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 TCP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 IP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTCRS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
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
SWIMAING POOL
,OUTLETS COMMERCIAL
WATER SERVICE
SIGN TLCES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION CUTLETS
ORAINFIELD, 4' TILE/RES.
VIOLATION
PUMP E ABANDON SEPTIC TANK
REINSPECTION -
.
SOAKAGE PIT CU. FT.
r:575:0_0)4/8.4e2 y 0 oo 1)
, �f
/
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
'
METER SET (GAS)
GAS S PIPPING
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL