760 NE 96 St (9)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 7 Job Address IL ' j C: �~ V-� Tax Folio
v t /
1
07-- / / / (�. 6.11
1 Historically Designat
Legal Description
Owner/Lessee / Tenant 1)J /170(5 n2011/ L
Owner's Address - 76 , r; z.;•
l
Contracting Co. CT (-1 -- Po 471, J
SS# , - - Phone 3C'' 9\6 C '2'
State # e. O l `? 0 9 Municipal # Competency # Ins. Co. 41 E:
Q -/k) f C-
Architect/Enmineer . Pr, � -Q
Bonding Company
Mortgagor
Permit Type (circle on
WORK DESCRIPTION
J1
FEES: PERMIT
Square Ft. :3C () l r/C- ) SA - A, f) 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.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and,
laws regulating construction and zoning. Furthermore, I authorize the above -named
0
and/or Condo President
Commi ion xpires:
RADON
KENNETH SHERMAN
Notary Public, State of Florida
My comm. exp. May 24, 2003
Comm. No. CC819725
Notary as to
My Commis
(
: Yes No
Master Permit # Wg; 99
Phone :30 / . yG 0
A d d r e s s 60 / 1 /C/S1� . lh 'L i f . / _; 3
Address ? .1 - 7 A-C>L. G t v G
Address
Address
MECHANICAL ROOFING PAVING
will be done in compliance with all applicable
o the work stated.
ontractor or Owner - Builder
1
MARJORIE V BELLOWS
Notary Public • State of Florida
My Commission Expires Jul. 25, 2000
Commission / CC571112
FENCE SIGN
Date
C.C.F. NOTARY BOND 3W
TOTAL DUE 1 71Y.
Electrical , ..'7,6 e *,. ) C
Engineering
/11/te
Date
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: 7C O W . 9 f0 Sr ,7//10 / J -1 ' 2 LL(
2. Description of improvement: /JO () l / / a A C,o 4.8I / uCJ
6. Lender's name and address:
9. Expiration date of this Notice of Commencement: (the expi
different date is specified)
Notary Public-
nature of Owner
Print Owners Name
Sworn to and subscri
/
ei O ) ) A /
,u
) t et
d befo e me t• day of
P
/A ,40o
008071886 2000 FEB 15 12040
3. Owner(s) name and address: 4-l\i C 4 )/V I z J
& O eve- ( gi -.1 ( � '1 /� °`7/ 34 G6 t4Pj
Interest in property: n �
Name and address of fee simple titleholder: Iv�
4. Contractor's name and address: i < t 4 S
/ */ 57 A) . 4rri f 73 '3 I C; 2-
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
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: 4 t 5 rjl
8. In addition to himself, Owner designates the following persons) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address:
dais 1 year from the date of recording unless a
,-.e P v-e
a o
( boo is. s•r
KENT ?fl %AN M� (1 331‘1
Notary PuWac,State of Florida
My comrrAdp 24, 2003
Comm. No. CC819725
JO3
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CC‘)-.1:0;ITS
! PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date • Z170/97 Job Address 760 Az- 9c,6- Cr. Tax Folio ii 3 2C 4 6/51 2 c
Legal Description Historically Designated: Yes
Owner/Lessee / Tenant f Ut U /l' le- Master Permit # (909 - 0 L i 0 9c/7
Owner's Address ' (c t /) C - l f� S Phone
- 13c.: c_.3
C o n t r a c t i n g Co. &-t. , :I C,L 6 . , , c T I G l C_... Address 6:6r E. 12/ icy 4z. /- Iti-rt i t 1
Qualifier Du t . F : vti re SS# - ' / P h o n e 9.57 / 7/ - /:3 7
State # &l cwt.) !S?'� 7 Municipal # Competency # Ins. Co. S v24r/c.4" O 4 ►c:
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION CLEF rn. / �- t/;C> 6
Square Ft. Estimated Cost (value) a , :J, �3
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
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.
L frri5r- rift 2 / 20 A 7
Signature ofe'ontractor or Owner- Builder Date
Notary as to Contractor or Owner - Builder
My Commission Expires:
Date
t y7
FEES: PERMIT 7 4 C1 RADON C.C.F. d (ta V NOTARY 5 BOND C
TOTAL DUE
APPROVED:
E , ,.a-
Zoning Building Electrical <�f'�. ,�`L
Mechanical Plumbing Engineering
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To r /N6
PiWyCt-
6— (p !off el Go,ub
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Mgren. 6.r.48.0
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742o Ale 4Cof —`' Si
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GI 0 Et000 /52
OFFICIAL NOTARY SEAL
ARMANT,INA GUNTER
NOTARY PUBLIC STATE OF FLORID •
COMMISSION NO. CC476577
MY COMMISSION EXP. JULY 25,1999
r
421 -'
7
..JOB:-
BUILDING
ELECTRICAL
PLUMBING
• •
Inspector's Report :
The following is ready for Inspection:
•
/ A, •
'�VORiC f4 4-1,
DONE BY: ij
• • :REQUESTED : WILL B7, READY
•
• •
• • :
1
•
• r t
• a:
JOB:
ADD:
The Following is ready for inspectyon
Inspectorts Report: -
BUILDING •
ELECTRICAL : WORK
• • DOLE BY:
PLUNBI JG ,
EQSTjD : WILL EE h ADV
Permit
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 kept at
building during progress of work'.'
Owner's Name and Address _:_.__________ ____________— __— _______ No Street
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot___ ___ __— ______ _Block— ____— ______ —____ Subdivision _— __________— _____________
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. Repairs
No. — -- -- — Street_
Street__
Service Overhead Size Feeders________ Conduit___ Main Sw.___— — Amps. Main Fuses__._—______________Amps.
Underground
Type of Installation—Conduit _______ ________ Tubing _____ B.X.L Metal Moulding
Amount of Permit $ a,
(Signed)
(Signed)
My Commission Expires Notary Public. State of Florida
No. of Stories
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 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.
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
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
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.
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
+
1 f
I
4 f
.r
i
f 1
f
7
I
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
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 kept at
building during progress of work'.'
Owner's Name and Address _:_.__________ ____________— __— _______ No Street
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot___ ___ __— ______ _Block— ____— ______ —____ Subdivision _— __________— _____________
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. Repairs
No. — -- -- — Street_
Street__
Service Overhead Size Feeders________ Conduit___ Main Sw.___— — Amps. Main Fuses__._—______________Amps.
Underground
Type of Installation—Conduit _______ ________ Tubing _____ B.X.L Metal Moulding
Amount of Permit $ a,
(Signed)
(Signed)
My Commission Expires Notary Public. State of Florida
No. of Stories
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 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.
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
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
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.
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.