961 NE 96 St (2)ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
'
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIN))
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
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 If
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 If
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 s 1(91yc:J
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
FIXTIRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION ,
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
1
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RAKE
METER SET (GAS)
AS PIPING
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
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 1 4 :�` `1 7 Job Address
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant
Owner's Address * ' c<
Contracting Co..
Qualifier k - % " 4 .t SS #}:, -
WORK DESCRIPTION
APPROVED:
Zoning
Mechanical
fl. z 1 Tax Folio
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
Address
Square Ft. Estimated Cost (value)
Master Permit #
Phone
State # I L - 1 , Municipal # Competency # • C Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
_
•
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 ao the work stated.
Signature of Contractor or Owner- Builder Date
z r _ C .r - ,i ? a , ill ., 1 , , / —r.-7 2
Notary as to Contractor or Owner- Builder Date
My Commission Expires:
% 7
= >
I±'EkS: PERMIT // £ RADON C.C.F. NOTARY TOTAL DUE /
Building Electrical �' ' Je'2
•. --fret /r /5.7
Plumbing Engineering
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING a if`,Gc°-
Ira
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL) i
/
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
1
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
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 If
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.
HEATER - REPLACE
LAWN SPRINKLER -WELL
GENERATORS TRANSFORMERS
GENERATORS TRANSFORMERS
SPECIAL PURPOSE
•
_
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
_
SEWER CONNECTIONS
SIGN TRANSFORMERS .
_
UTILITY -SEWER
SIGN CLOCK
_
JTILITY -WATER
FIXTURES
SEPTIC TANK
ANTENNA
_
1ELAY
TELEVISION OUTLETS
_
JRAINFIELD, 4' TILE/RES.
VIOLATION • -
_
'LW & ABANDON SEPTIC TANK
REINSPECTION
_
SOAKAGE PIT CU. FT.
_
;ATCH BASIN
)ISCHARGE WELL
)OMESTIC WELL
+REA DRAIN
-
_
100F INLET
_
_
_
_
SOLAR WATER HEATER
'IRE STANDPIPE
'COOL PIPING
.AWN SPRINKLER SYSTEM
;AS RANGE
E TER SET (GAS)
IAS PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT RAS BE
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
BUILDING
ELECTRICAL
.PLUMBING
Owner of
Building
te
Contractor
or Builder
Legal
Description
•
Lot
MIAMI SHORES VILLAGE, FLORIDA
DATE /Ve 0 : 1 ) 3 194.4 \
P ERMIT N? 6024
)Work to be performed under this Perini
At
Architect
(IL( ttdieipv
BL
CONTRACTOR OR BUILDER BY
Contractor's
License
Subdi-
vision
Address of
Building
Value of
This permi granted to the contractor or • na med a. • e to cons th b or to insta t h e equipment
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be
plaza, drawings, statements or specifications that may have been submitted to and approved by the proper municipal au
at any time if the work is not done in compliance with such ordinances or if the plans are changed wit authorization. A.
permit is granted is the understanding that the contractor or builder named above assumes the - bilit •r a tho
regulations pertaining to the work covered hereby whether shown on the plans or '
Signed. savings or in
V11 dbikty for work done by his agents, or employees.
A dr
Amt. of
By
evice described in the appli-
ed in compliance with any
This Permit may be revoked
condition upon which this
dg of the ordinances and
t respon-
•■••
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
e
t • f e*" . • '
In accepting this permit I assume responsibility for ail work done b "ther myself,;vent, sent or em oyee.
-4
- two
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor `2]
or Builder
Legal
Description
Address of
Building
This . a „ is ted to + e contractor , builder named above to construct the building or to install the equipment or described in the appli-
cation herefor strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compllsrsae•'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 Vithout authorization. A further condition upon which the
permit is granted is the understanding that the contractor or builder named above assumes the • • for a thorn knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in • ents $ • cations and that assumes respan-
Signed. agility f _.ir .R By gr
for work done by his agents, servants or employees. au
•
'^c -, �_ -- ...•yam .. °' -.::
MIAMI SHORES VILLAGE, FLORIDA
DATE ,44 la 4/ 194
PERMIT N? 5933
Work to a performed under this Permit
BY
Contractor's
License
In consideration of the issuance to me of this permit I agree to perform the work covered hereun• compliance with all ordinances and regulations
• thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
pting this perm t I assume responsibility for all work done by ejer myself, my agenj, servant or employee.
AUTHORITY
Permit No.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT .
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
Registered Architect and /or Engineer
Employing Electrician's Name ff - 1 t /
Location and Legal Description Lot 1
Service Overhead ✓ Size Feeders
Underground
f
-- _- - -- -- _____ —_ Block
Street and Number where work is to be performed—No
State work to be performed and purpose of building (By Floors)
No._
No.
New Building Remodeling Addition Repairs —___ No. of Stories
Date _ —_/ - -__ / - - -`, __ ///
Street_
-1,
' '4 La='
Street_ t 0` � r , ..
1 �� NO-.+
Subdiivisio _ �! �: L'_�'_� ' '�_ °__� __,_
Street__ ! , ,t_
1
Conduit__ 1 **" — Main Sw.[ — Amps.
Main Fuses__.0
Type of Installation — Conduit__ r Tubing_1___ B.X.L _________ ___ Metal Moulding
Amount of Permit $ / 1
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.
STATE OF FLORIDA,
COUNTY OF DADE. ss'
Before me, the undersigned authority, a notary public, duly authorized to administer
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
(Signed)
(Signed)
Mast ctrican.
Notary Public. State of Florida
oaths and take acknowledgments, personally
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
r
PLUG
• T'S
RECE'P
FIXTURES
NO.LAMPS
/
` / . '/ /,
J CHECK
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
( / v
- -^°'•�
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT .
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
Registered Architect and /or Engineer
Employing Electrician's Name ff - 1 t /
Location and Legal Description Lot 1
Service Overhead ✓ Size Feeders
Underground
f
-- _- - -- -- _____ —_ Block
Street and Number where work is to be performed—No
State work to be performed and purpose of building (By Floors)
No._
No.
New Building Remodeling Addition Repairs —___ No. of Stories
Date _ —_/ - -__ / - - -`, __ ///
Street_
-1,
' '4 La='
Street_ t 0` � r , ..
1 �� NO-.+
Subdiivisio _ �! �: L'_�'_� ' '�_ °__� __,_
Street__ ! , ,t_
1
Conduit__ 1 **" — Main Sw.[ — Amps.
Main Fuses__.0
Type of Installation — Conduit__ r Tubing_1___ B.X.L _________ ___ Metal Moulding
Amount of Permit $ / 1
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.
STATE OF FLORIDA,
COUNTY OF DADE. ss'
Before me, the undersigned authority, a notary public, duly authorized to administer
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
(Signed)
(Signed)
Mast ctrican.
Notary Public. State of Florida
oaths and take acknowledgments, personally
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.
= • • •
// (C
7/ 6/
;..
91e
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder GG��
Legal Lot
Description
Address of l � �. ,,;/ Value of
Building / 0 1 ' / c4- Project
This permit granted to the contractor or bu er named above to construct the building or to install the equipment or device described in the appli-
cation 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 or a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or dY�v ings or • jsat ents o -s ec'fications and that hsumes respon-
sibility for work done by his agents, servants or employees. �� '
,. "
Signed: � ;� i ` ✓''�. By !�
IN ECTOR /
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all apdinances a g tigns
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoritiess�j--oof Miami 5 o e5 lake.
In /accepting this permit I assume responsibility for all work done b ither myself, my a ent, sery pnt or em oyee.
y g f eg
t C t'''
/
( ) '- ) Cl-3
CONTRACTOR 011 BUILDER
MIAMI SHORES VILLAGE, FLORIDA, ,
DATE (1 / 3 1944
ERMIT N° 6024
Work to be performed under this Permi
/(-6,) 7 ,;.(24
Bl.
Subdi-
vision
Contractor's
License No.
Amt. o
Permit
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building_
MIAMI SHORES VILLAGE, FLORIDA //
DATE , a2' 4/ 4( . 194
PERMIT N2 5933
Work
be performed under this Permit
Lot /Q
Contractor's
License No.
Sisson Q 3
Value of
Project
This pe i r.0 ted • h contracto •r builder named above to construct the building or to install the equipment or . evice described in the appli-
cation herefor . strict compliance with all or inances 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 respo • sib' ity for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in t ' s ements - specifications and tyat 1 assumes respon-
sibility for work done by his agents, servants or employees. /
Signed:
INS
BY
By
In consideration of the issuance to me of this permit I agree to perform the work covered hereund in compliance with i siiirdinances andteg)la.aions
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoritieg of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by ether myself, my agent, servant or employee.
AUTHORITY
1