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915 NE 96 St (5)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE *. t Date ° / °`" 7Job Address Legal Description '1 1 ✓s 1J L3 • 9'6-6 ST Tax Folio / Owner / Lessee / Tenant S) L' jl),J ‘S HeC P L LL/ DT T Master Permit # 1 /0$3 �. Owner's Address 9) 5 A) L' . S T Phone 7 S - ' oo . Contracting Co.ALL ` /6L bS F C . $/V C . Address <S ) S sce./ t'6 QualifierKCJ /N C ` i ?'et © SS# € - Phone State # Pt # Competency #6/q 1 1 Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION e)8'3'• m v7 ie-t /, APL /'o a L v>1" ie45 9 6- Sc4.} 1. c 4e5 —/bb C. - 4 +S -- Square Ft. Estimated Cost(value) 43/ 5 .--6,61 :9 - 5 0 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 Date: Zoning Building Signature o Date: Electrical or or Owner- Builder Notary as to Owner and /or Condo President Notary as to Contracto or Owner-Builder My Commission Expires: My Commission Ex, 4rz s 2i FEES: PERMIT RS';c9© RADON C.C.F. NOTARY TOTAL DUE APPROVED: Fire Other Mechanical Plumbing Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT Ae) FEE 2 eP, ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS J T r, CENTRAL HEATING DISHWASHER RECEPTACLES 7 /3.,rA/C (WIN)) DISPOSAL. SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN MPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/IETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS I/ .2/ PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP / 42P UNDERGROUND TANKS LAVATORY OVEN / %LS ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP / 4,i !moo 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 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 SWIMAIrG POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES Jg 2); SEPTIC TANK ANTENNA , RELAY TELEVISION OUTLETS < GRAINFIELD, 4' TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. 2477410? • 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 t/0 ADDENDUM TO BUILDING PERMIT APPLICATION (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 ELECTRICAL MECHANICAL GA X fr0/7Mw crs s9 CC r 07 rh »c fl - - te_a =Mi n1r!oh'dSt . -a !r/ ` T 4e 4e i • X - .1v1�,7u 9N /•Y ?owT��VDT39N 77T ; - ._---. j.-71- ~• ;'2s/- *- D�' 4S • s �r� �. s -- oga- -- p ysw�yy 7 • e 40� pe- av3a ...x.'0■11•1 ... 1= 41 7411EaliEWIM IftgeosSWMMIVIUMMUUMIS 11111M10•1111•111AMIBMII NAMMAIX.MME.M.MM.MM MIME NOMMEIMI121111111.11 0111.11MEMIIMIMMEM•••••1•111.• •OVII.MIMMUOMMEWM ,, 1111111111.111.• , ••••*e=lr•L. IMMO.PldELU l itrarlj ale M mOlain=l4 • ! /401 ••••••••!! 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L , - - - — '-. _!. . • ' , ..;...4.446._ • 1 ' _ . • t 1_ __ _1.14X-,#g0.Itic:a...Z. - -•" - -1--- 2 0. 4 " 014 .4.- 44 ; 11 : be_ra.s4 tirst T .,1x4 I 1 I 1 1 1 1 ; -•',4 1 1 1 1 1 1 • ' . • ''','" ! , 1 ■ RE= 1 1 _ j_ 1 1 1 1 1 ,_ 1 1 .1 . . , , __I • . i 1 111 , 1 1 1 1 c 11 , ; • I• . 1 , . ; 111 1 1 1 1 1 ,_ 1 1 • 1 ' 11 --- -4 — 1 Permit No Amount of Permit $ ELECTRICAL INSPECTION DEPARTMENT MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT e f Date f 5 Application is hereby made for the approval of the detailed statement of the plans and specifications herewit.a 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, Fww: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 /' L Gr 'V c 1 Registered Architect and /or Engineer Employing Elcctriciafi's Name........ 4NJ 7 . ALE `T / e. • No /d / ) BS. e d (Signed) (Signed) No Street Location and Legal Description Lot Block / / Subdivision. Street and Number where work is to be performed —No ... 9.�^ Street ' ° ' State work to be performed and purpose of building (By Floors) ........ __.. New Building (7 Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses . Amps Underground Type of Installation — Conduit Tubing...... B.X.L.. Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid$ 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 suh•contractors, n work to be performed under this permit, as are licensed by Miami Shores Village. Street.. Notary Pub: ic, State of Florida Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths anc. 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 NOTE: A re- inspection fee of $1.00 will be made v::en 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 RANG[ CONN. WATER HEATER W. HEAT. CONN. SPACE 84 EATER STRIP HEATER TOTAL CONTR. LIST 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 Permit No Amount of Permit $ ELECTRICAL INSPECTION DEPARTMENT MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT e f Date f 5 Application is hereby made for the approval of the detailed statement of the plans and specifications herewit.a 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, Fww: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 /' L Gr 'V c 1 Registered Architect and /or Engineer Employing Elcctriciafi's Name........ 4NJ 7 . ALE `T / e. • No /d / ) BS. e d (Signed) (Signed) No Street Location and Legal Description Lot Block / / Subdivision. Street and Number where work is to be performed —No ... 9.�^ Street ' ° ' State work to be performed and purpose of building (By Floors) ........ __.. New Building (7 Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses . Amps Underground Type of Installation — Conduit Tubing...... B.X.L.. Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid$ 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 suh•contractors, n work to be performed under this permit, as are licensed by Miami Shores Village. Street.. Notary Pub: ic, State of Florida Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths anc. 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 NOTE: A re- inspection fee of $1.00 will be made v::en such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fi.,.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 E, eft; C' ��/ No Street 46E . • (/(" i le---- ' Service Overhead Site Feeders Underground STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT 86 . MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Registered Architect and /or Engineer _ p Employing ElectriciaA's Name g 1, :' c� / e - - : -. �� No � jl � `'' Street ' � 't I f Location and Legal Description Lot . I Block / Subdivision. ,- � • tit Street and Number where work is to be performed— No .............. . 1 i " Strect. /. - A ti t .. State work to be performed and purpose of building (By Floors) New Building Remodeling Additwn Repairs No. of Stories �� C / t� Z. C' t Conduit.. Main Sw Amps Main Fuses . Amps Type of Installation -- Conduit Tubing... .. B.X.L.. Metal Moulding Amount of Permit $....... . .... - 5 5 The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ' ations as an employer of labor under the Florida 'Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contr.rors employed by him in the /1 2 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 S licensed by Miami Shores Village. 7 v �. (Signed) Master Electrician. Date ectrical Inst cedr, 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 adorn, 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 Pubic, State of Florida NOTE: A re-inspection fee of $1.00 will be made w'•cn 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 > (' /.J �' L z Y g CHECK ENT. SW. DIST. SERVICE SERVICE CAB. TEMP. PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL .. CONTR. LIST CHECK • ......�... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fi.,.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 E, eft; C' ��/ No Street 46E . • (/(" i le---- ' Service Overhead Site Feeders Underground STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT 86 . MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Registered Architect and /or Engineer _ p Employing ElectriciaA's Name g 1, :' c� / e - - : -. �� No � jl � `'' Street ' � 't I f Location and Legal Description Lot . I Block / Subdivision. ,- � • tit Street and Number where work is to be performed— No .............. . 1 i " Strect. /. - A ti t .. State work to be performed and purpose of building (By Floors) New Building Remodeling Additwn Repairs No. of Stories �� C / t� Z. C' t Conduit.. Main Sw Amps Main Fuses . Amps Type of Installation -- Conduit Tubing... .. B.X.L.. Metal Moulding Amount of Permit $....... . .... - 5 5 The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ' ations as an employer of labor under the Florida 'Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contr.rors employed by him in the /1 2 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 S licensed by Miami Shores Village. 7 v �. (Signed) Master Electrician. Date ectrical Inst cedr, 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 adorn, 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 Pubic, State of Florida NOTE: A re-inspection fee of $1.00 will be made w'•cn such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.