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916 NE 96 St (2)ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No....... 3 3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith se,bmitted 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 Registered Architect and /or Engineer Employing Electrician's Name H✓ feD . �F° @ �� p N l) s �� y �� � ' 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 X. Addition Repairs No. of Stories Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ,e7y c No....d" / 47 /- 1 ' (Signed)... ':' (Signed)_ Date h 1� Street C.. Street (z 7 ' d l Street. _..//.. ':/ i Service Berg- nd Size Feeders. .Conduit.i Main Sw Amps Main Fuses Amps Type of Installation — Conduit �� Tubing.... B.X.L Metal Moulding.. lectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. 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, a,,d he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLEY IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. H EAT. CONN. SPACE HE!. 'ER STRIP HEATER TOTAL CONTR LIST CHECK ENT. SW. DIST. CAB. SERVICE Tr-; "P. SERVICE PERM. M OTOP0 0.1 HP t. :OTORS 1.3 HP N EON TRANS. RADIO TOTAL CON': R. LIST °' �.,. -» ! 3' : \.i C L CHECK v g..• ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No....... 3 3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith se,bmitted 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 Registered Architect and /or Engineer Employing Electrician's Name H✓ feD . �F° @ �� p N l) s �� y �� � ' 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 X. Addition Repairs No. of Stories Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ,e7y c No....d" / 47 /- 1 ' (Signed)... ':' (Signed)_ Date h 1� Street C.. Street (z 7 ' d l Street. _..//.. ':/ i Service Berg- nd Size Feeders. .Conduit.i Main Sw Amps Main Fuses Amps Type of Installation — Conduit �� Tubing.... B.X.L Metal Moulding.. lectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. 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, a,,d he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot / . F" Street and Number where work is to be performed —No STATE OF FLORIDA, } COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 24/ (Signed) /37 Date SEA 17 /- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub 1 fitted 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 ani specifications must be kept at building during progress of work. No teP Y / Street.. • 6 No ,dr._4 e Street. Le Block /...(Q Subdivision Street State work to be performed and purpose of building (By Floors) New Building V 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 Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or 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. PP • L Il I-. e- -e ter Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, Sate of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials .4nd /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANG[ CONN. WATER H W. HEAT. CONN. SP /■CE HEATER STRIP H TOTAL CONTR. LIST CHECK ENT. SW. DI$T. CAS. IC TEMP. ERVICE ERM. MOTORS 0.1 HP MOTORS t -f HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot / . F" Street and Number where work is to be performed —No STATE OF FLORIDA, } COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 24/ (Signed) /37 Date SEA 17 /- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub 1 fitted 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 ani specifications must be kept at building during progress of work. No teP Y / Street.. • 6 No ,dr._4 e Street. Le Block /...(Q Subdivision Street State work to be performed and purpose of building (By Floors) New Building V 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 Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or 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. PP • L Il I-. e- -e ter Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, Sate 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 .4nd /or workmanship. Permit No 1. Amount of Permit $ APPLICATION FOR ELECTRICAL PERMIT 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 ' • X • No Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) STATE OF FLORIDA, 5 COUNTY OF DADE. } Z Q Before me, the undersigned authority, a appeared My Commission Exp MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 0. (Signed) Date Street.....: a • E i i ! Registered Architect and /or Ehdineer ` :t •�- : ... ..,: • > //- ' Employing Electrician's Name ( , ( r r � . ° t. r •� Street «.:.�/ Location and Legal Description Lot ! ...I . { . _... . . (,,`■ snbd;r S treet. .. .,4.'..._. 7r......1......_,::.L' .. New Building Remodeling Addition Repairs No. of Stories f Service Overheads/ Size Feeders U Conduit. A. Main Sw Amps Iviain Fuses Amps nderground Type of Installation — Conduit Tubing B.X.L tal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or 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 agregs o employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. �/ag e / S S 1 0 0 (Signed) j �� ` Master / ectrician. ry public, duly authorized to administer oaths and take acknowledgments, personally 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. Notary Public, State of Florida NOTE: A reins ection fee of $1. 0 �1 ill be made when such re-inspection is made necessary by improper notice for inspection, or fault P 9 P Y terials and /or workmanship. 1 SWITCH OUTLETS LIGHT OUTLETS PLUG RECEE'P•T'S FIXTURES NO. LAMPS REFRI6. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST �J /1 v U °� `7 . " J �� !I/ ' / / / / / PO / 4 1 l ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.S NP NEON TRANS. RADIO TOTAL CONTR. LIST J / / / f...` CHECK Permit No 1. Amount of Permit $ APPLICATION FOR ELECTRICAL PERMIT 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 ' • X • No Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) STATE OF FLORIDA, 5 COUNTY OF DADE. } Z Q Before me, the undersigned authority, a appeared My Commission Exp MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 0. (Signed) Date Street.....: a • E i i ! Registered Architect and /or Ehdineer ` :t •�- : ... ..,: • > //- ' Employing Electrician's Name ( , ( r r � . ° t. r •� Street «.:.�/ Location and Legal Description Lot ! ...I . { . _... . . (,,`■ snbd;r S treet. .. .,4.'..._. 7r......1......_,::.L' .. New Building Remodeling Addition Repairs No. of Stories f Service Overheads/ Size Feeders U Conduit. A. Main Sw Amps Iviain Fuses Amps nderground Type of Installation — Conduit Tubing B.X.L tal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or 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 agregs o employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. �/ag e / S S 1 0 0 (Signed) j �� ` Master / ectrician. ry public, duly authorized to administer oaths and take acknowledgments, personally 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. Notary Public, State of Florida NOTE: A reins ection fee of $1. 0 �1 ill be made when such re-inspection is made necessary by improper notice for inspection, or fault P 9 P Y terials and /or workmanship. 1 BUILDING ELECTRICAL PLUMBING - ROOFING Owner of Building Architect Contractor or Builder Legal Description. Address of Building Lot 1 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA t - DA TE_. Cotatrocioe's rogyPERMIT iN? 13380 ❑ Work to be performed under this Permit Subdi- vision Value of Amt. of 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 herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in cotaphiutce drawings, statements or specifications that may have been submitted to and approved by the proper munidpal authorities. This Permit may time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upce N granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the orb' att�ta:�l pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or spedfications and that he asntmes r done by his agents, servants or emp yap. Signed. By% *olk 0,41260. . In consideration of the issuance to me of this permit I agree to pee&iii the work covered hereunder in compliance with all ordinancN smtd pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Mimi Sens In accepting this permit I assume responsibility for all work done by either, myself, my ages, servant or employee. BY Ff AUTHOR= BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building • PERMIT N9 7733 MIAMI SHORES VILLAGE, FLORIDA B1 Value of Project $ DATE Contractor's License No Work to be performed under this Permit `' Subdi- vision Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specificatione, and tha he assumes respon- sibility for work done by his agents, servants or employees. — -, Signed. � INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunde in compliance with all ord ances 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 as cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MOT '' allt 2 �Q o / f Date 3 '�6' C, v Job Address / � tD A' E 5 e v' s Tax Folio Legal Description lea i JO t ili 0 ' 5 Bal 7 ( Historically Designated: Yes No Owner/Lessee / Tenant 0 C e C7 ./d /..S' iJ Master Permit # ( � Z l Y ) ei y Owner's Address 5/ 6 N - < . "4"' , S' ,-- Phone 7-' 7 C 6 cc' Contracting Co. F fi/'�t/li r,s 7 C',,t /./ t i 4 1 t Address E 2 7% S' c ti 1 f/ Qualifier 4Ztd/ a/4 Cam 7 .4e/ C SS# Phone 3') 3 6 ES di.i "5' State # Ft aQ v fl 7 L Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ; 2C'c l Square Ft. a3 Estimated Cost (value) ig Vet 40 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 INTENT) 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 ce_tify 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 .'undo President Date Notary as to Owner and/or Condo President Date " Commission Expires: FEES: I ERMIT y� / d" RADON PERMIT APPLICATION FOR MIAMI SHORES VILLAGE c 0 Signature of Contractor or Owner- Builder Notary as to Contractor or Owner - Builder My C P' �XJ ;ikli.. !' C T AI ;°r S'-',;: • O 1 �.� _, riANDRA t! Iii OW ( : * t�VE1l4i�iSlt1'� :J1R'��::' 2.: : Fly ° c3—/ PS' Date Date � C.C.F. , VC NOTARY ✓` BOND TOTAL DUE APPROVED: Zoning Building Electrical /,VII— fr# Mechanical Plumbing Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WINO) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN _ SERVICE SIZE IN AAPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHAFE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TCP UNDERGROUND TANKS LAVATORY OVEN ABOVE CADUNO TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER CTS 0- 1 HP 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 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 ORAINFIELO, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN C l ArM / /V DISCHARGE WELL (..-00 €19p•,4 / 4 -J' DOMESTIC WELL AREA GRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE - POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ENDUM TO BUILDING PERMIT APPLICATION 1 • (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, TIE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 9/4 ,44 A; 5T Tax Folio Legal Description Owner / Lessee / Tenant 0. -I Master Permit # ..?h/e2/ Owner's Address 14 4/ f 57T 53/3J Phone Contracting Co. / L/1 'J /me Address -5 /di /S 3 Qualifier i /Q,li'e SS# /�. - - Phone •, State #E # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor ' Address Permit Type(circle one): BUILDING E E RI«. PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION �f �/ 4t7/. ""/ /, C !'' 1 Square Ft. Estimated Cost(value /7/ 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, ROOPING and MECHANICAL WORK. OWNER'S AFFI +AVIT: I certify that all the foregoing information is accur :te and that all work will be done in c4mpliance with all applicable laws regulating construction - d zoning. Furthermore, I auth• • e th ab. -named contractor to do the work stated. g ature Date: • Notary as o ()Alb* My Commission Expires: APPROVED: oeo (mu). HRP 2664tAt Fire Zoning Build Mechanical Plumbing, do President Signature of C�pm gpctor Date: FFICIAL SEAL `" "'"` ' 0 ROBLES mission Expires Notary as My Commission E#'i ** * * * * * * * * * * * * * * * ** # a FEES: PERMIT 3a RADON C.C.F. e5 NOTARY TOTAL DUE 3 d s 4.lder OBLES Ion Expires 1Q96 oeo rem . Own Ce -159 fid e r Other Electrical Engineering_ Date `'b -ko ` State # G— C Li i 73 PERMIT APPLICATION FOR MIAMI SHORES VILLAG� Job Address c,1' (, IV (_; <I Tax Folio 2 o (aL 1 Legal Description l L \- AU ,,{{�� �, \ \c, \C ( - Owner/�..essee / Tenant `�-�Q Owner's Address ( 'k.1(o N < (--1 Contracting Co. _ k -r 1 e l 6;1 r Kr t r r (• (C`') y(� S.r,, c T Address r � ) \Twc^n 6 ,�' L Qualifier In ! C\ .c) ,A.k (p\ - y Q_-v1 z SS# - C 5 `� // - 9g 3 -e 7 C23 Municipal # Competency # (G,•-GNl i -ICe727 s. Co. Address Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WO ' DESCRIPTION k,m \ sc=- Q S 1 4A' Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT ; RADON S / Historically Designated: Yes ��To Master P- t #( Phone e e. v 3 F7: Square Ft. 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 authorize the above -named contractor to do the work stated. APPROVED: Zoning Building Electric Mechanical Signature of Co actor or Owner ilder Date A ../Y) Not as to Contractor or Owner - Builder My Commission Expires: 14 IF atliN *',3l *i' g690 eaKel 49, ROM .41N8.,2902 Plumbing Engineering TOTAL DUE ate C.C.F. NOTARY BOND ITEM BATH TLB UNIT 1 11 ' ITER SWITG4 OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS S I CENTRAL HEATING DISHWASHER REC2TACLES Ci A/C (WIND) _ DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOCK DRAIN SERVICE REPA1R/I€TER CHANGE REFRIGERATION GREASE TRAP _ _ APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUIO TAMS LAVATORY OVEN ABOVE max O TANKS LAUNDRY TRAY WATER DATER U.F. PRESSURE VESSELS CLOTHES WASHER MQTCRS 0- 1 HP STEAM BOILERS SHOWER MOTGRS OVER 1- 3 HP HOT WATER BOILERS SINK. POT /3 COMP. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIOENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEIELIES SINK. SLCP MUTCRS OVER 8- 10 HP ELEVATCRS/ESCALATCRS TEMPORARY WATER CLOSET / AS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MCTCRS OVER 25-100 H) COOLING TOWERS WATER CLOSET MflTCRS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER F IRE SPRINKLER GE'WERATORS TRAtSFORIERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORIERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL CUTLETS CIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME aDGK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA . RELAY TELEVISION OUTLETS ORAIHFIELD, 4 TlLE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN 0ISCMARGE WELL ODMEST IC WELL AREA GRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT 12,PLICATION MA6TEre O4- (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINEED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING mca 9'c. ELECTRICAL MECHANICAL • El k,‘/ " G,1 G PROJECT NAME : 0'2 et, /9/20‘,/ ' ' PROJECT ADDRESS 9/6 Ne 5 / PLAN REVIEW COMMENTS DATE: REVIEWER: fj /L��G � �L1/��i19L� f SHEET NUMBER: e3 89 3 3/ y , -F COMMENTS fo ic N/ /$ t2 n 6 /oc -o' 14-dQ ' e7 - G 72i s (5.?z e . Y • n ceiz e)z- 2, S e � UGC Gr /52. e i t vii s' 9 4 � ' ti e 4o Ar,e"i S . I ?A Zile 4 e4.: 1DN/ dat IffARK, ,b';D 4 V ehida4f y Ill Oka, JM /Ma CH» )) eA1414 /xh 49-4/07,_‹‘, ,getv 4/o ignature of Inspector Date Signed t //,(K ). /A- Title Total Number of Hours (PLEASE TURN IN A COPY OF THIS FORM AS YOUR TIME SHEET: FOR ALL PLAN REVIEW) t , 4 , lei r , , ', ,