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ELECTRICAL!Jr Date Qualifier Contracting Co. PERMIT'APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 ?/] ob Address f 0 20 N E 6 I' 9k. - Tax Folio �`l No X Owner /Lessee/Tenet — Di_._ d) . pv , Lie z p Master Permit # 'C/ t . C3 . iii Owner's Address it >20 N 99 t> t Phone ((3d5) 7s /J 1 (D ( q 1-3 V, " � Address ?/ ( W 4 —')v SS# Phone,ny.F-3 0 ) 2- Legal Description Historically Designated: Yes State # C---41/4Z493>0.1) Municipal # Competency # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE BEFORE CALLIN 1 R ANOTHER INSPECTI i ► - - Permit Type (circle one): BUILDING PLUMB ING WORK DESCRIPTION: Square Ft. Estimated Cost (valu WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO A1AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY 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). 1 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 all disciplines. OWNERS 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. Signa ure of owner and/or Con o President to 74j2e,&. Sj3 g' Date Notary as to Owner and/or {:audel My Commission Expires r 14 VIOLETHAALEXIS t:• '1 MY COMMISSION # DD 087880 01;1 " a= EXPIRES: January 30, 2006 �� : " `' O Bonded Thru Notary Public Underwriters FEES: PERMIT ter RADON --- NOTARY APPROVED: Zoning Building Mechanics Plumbing Ins. Co. ROOFING otary as t r' Codtract. . r wner My Commission Expires c X I.' • BOND TOTAL DUE Electrica Structural Engineer �p 6'yp.- IJHIT l8 FEE ITEM UNIT SA I TCH OUTLETS FEE IT SPACE }EATERS . '. UNIT FEE LIGHT OUTLETS CENTRAL FEATING STIR RECEPTACLES A/C (WIND) . ;AL SERVICE TEMPORARY A/C (CENTRAL) NG FOUNTAIN SERVICE SIZE IH AWS DUCT ItAX GRAIN SERVICE REPAIRMTER D'A REFRIGERATION TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING TCR RAWA TOP UNDERGROUND TANKS IV OVEN ABOVE GROUND TANKS RY TRAY s RATER HEATER U.F. FRESSLRE VESSELS ES WASHER MNTCRS 0- 1 FF STEAM BOILERS • - I :R • MOTORS OVER 1 - 3 FP HOT HATER BOILERS POT/3 CON,P, MNTCRS OVER 3- •5 FP MECHANICAL VENTILATION • RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEIELIES SLOP MITCRS OVER 8- 10 FP ELEVATORS/ESCALATORS RAY WATER CLOSET MITCRS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS ti CTS OVER 25-100 FP COOLING TOWERS . CLOSET MlTCRS OVER 100 HP VIOLATION 1 ;ECT WASTES A/C WINDOW RE I NS?ECT ION I 7 SIFPLY TO: ` AIR CONDITIONERS ( C UNIT STRIP HEATER RE SPRINKLER GENERATORS TRANSFCRYERS ATER -NEW INST. ATER- REPLACE GENERATORS TR». FCRVrRS GENERATORS TRANSFCAVERS r I WX SPRINALER -WILL =_ S?ECIAL FLRPOSE [MAIM FOOL CUTLETS COhFRCIAL 1 TER SERVICE SIGN TLBES CONNECTIONS SIGN TRAuNSF rERS I TY -St: ZN'R SIGH T I1fE CLOCX ay-WATER FIXTURES IC TANG( Y ANTENNA TELEVISION CUTLETS NvIEL0, Al" TILE/RES. & A8A?GON SEPTIC TANK '- VIOLATION REINSPECTION AGE SIT CU. FT. 1 BASIN }LARGE L ST WELL ICRAIN -_ - ■ INLET kA MATER HEATER - - E STANDPIPE _ PIPING .. i S?RINER SYSTEM - WEE D1 SET (GAS) PIPING PLACATION FOR 3UILDI`G PERMIT MUST ACCOMPANY THIS ADDENDUM.. IF A MASTER PERMIT HAS B. =.ANEW, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL (ROPISAI SUBMITTED TO ' r 4 '..t Top ' l I. PHONE ac =— IS ` I CO 1 OATS 0 2 - STREET 102. Q at 1 S-r JOB NAME CITY. S ZIP CODE 1, r � JOB LOCATION _ ARCHITE r CT I DATE Of PLANS JOB PHONE I GENERAL CONTRACTORS STATE LICENSE # CG- CO38231 501 WREN AVE. MIAMI SPRINGS, FLORIDA 33166 (305) 883 -0121 We ne ar000se io furrusn rnareruh and labor necessary for rile compler,on o1. Contract Price 1 2..e 1 7 Terms of Payment: De—) C ill'( ) ( t20A_, )` I/We authorize you and /or any proposed signee to verify my /our credit standing as deemed necessary. This is not a credit sale. The balance due must be paid when the work is completed. Contractor is not a finance company. Buyer(s) may arrange a loan in the amount necessary to cover the price under this agreement, or prior to the completion date, request that Contractor arrange a loan for Buyer(s). Financing shall not delay payment of the balance due which shall be paid to the Contractor upon completion. There are no verbal agreements regarding this order, all verbal agreements made by any representative being merged herein, and it is agreed that the Contractor will be bound to do only what is written on the face hereof. Contractor warrants that all repairs and improvements or other work as above specified shall be done in a substantial and workmanlike manner. In the event the Buyer(s) request Contractor to obtain financing, the various methods of computing loan costs by the numerous financial sources make it impossible to furnish a full disclosure statement at this time. A full disclosure statement will be furnished immediately upon obtaining an "Agreement to Loan" from one or another financial source. All financial arrangements are exclusively between the Buyer(s) and the lender. If Contractor is required to institute legal proceedings to collect any amounts due under this contract, owner agrees contract, owner agrees to pay contractor the costs of collection including, but not limited to, attorney's fees and court costs. BUYERS NOTICE OF RIGHT TO CANCEL The law provides that either party to a home improvement contract may cancel the contract by notifying the other party, in writing, by certified or registered mail, by midnight of the third business day following the execution of the home improvement contract. If either party exercises this right, neither party will be liable to the other for damages, if the contract is cancelled after the aforementioned period, the Contractor is entitled to ten per cent (10) of the contract price, plus any other cost for goods or services incurred by the contractor. IN WITNESS WHEREOF, THE PARTIES HAVE HEREUNTO SIGNED THEIR NAME 11i iSJJI•dl'i< _ Repres CENTRY AIR DESIGNS, INC. = AIR CONDITIONING CONTRACT(1RS STATE CERTIFIED AND INSURED Page No. of AIR CONDITIONING CONTRACTORS State Lic.# CA- CO33620 PARTICIPATING INDEPENDENT CONTRACTOR PROPOSAL CONTRACT Pages Down Payment Balance Due IS 1,,• a �" OF ty Signed �` _ fi f - Owner Signed Owner Miami Shores Village 10050 NE 2nd Avenue N.3 Phone:.305- 795 -2204 Permit Number: EL2002 -149 00 Printed: 5/7/2002 Page 1 of 1 {� Applicant: BRIAN MASTERS t Owner: . MASTERS BRIAN y J JOB ADDRESS: 1020 NE 99 ST Contractor CENTRY AIR DESIGNS INC Contractor's Address: 501 WREN AVE Local Phone: 305 - 883 - 0121 Parcel # 1132050320020 Legal Description: AI, 0 0 Electrical Permit Permit Status: Approved Permit Expiration: 11/2/2002 Construction Value: $100.00 Work: CENTRAL REPLACEMENT HOOK UP ) TO EXISTING ELECTRICITY 5 53 42 KINNEY PARK PB 67 -78 LOT B LOT SIZE 103.720 X 125 OR Total Fees: $0.00 Total Receipts: $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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: (INSPECTOR) BY: 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. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: • 3 I,, PAY ,5, I ORDER OF I TO THE 4 ni-- .-L4'1"-/Vit.G9 ..r7ti'l7te --1-.0"-.4-*- 2 zi 0 ■Nr.,1 — ID:19S - 11:121:11.1Mae,FES".2123:1212.92:1137.. FOR CENTRY AIR DESIGNS, INC. Ph. 305-883-0121 501 Wren Ave. Miami Springs, FL 33166 DATE 51k- \ivi)10 e5 1 /• - LS I $ First Union National Bank ° firstunion.com 1Ai Org.003 R1T 0670t4_2 t C P 1.7(1 ' 000 50860 1:06 7006 21: 209000 26 S SO470 5086 63-643/670 BRANCH 13093 LLARS 7 5 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 R C L ST / / A 7 3 o O° ✓ AM / A / �C1sF- �/.e -/- CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST ___1____ J /�y �+ " � �J Q� �6J' , / - i J; ! a J�� ,.� ' �e /� . 0, v VL �C CHECK 4- Ch i a ' iL//t V / APPLICATION FOR ELECTRICAL PERMIT Permit No 1 ' 7 Date 4/42.0.-.7,/‘/ 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 S Ye / A � r�s � e A J No Street Registered Architect and /or Engineer Employing Electrician's Name 5 Es' /d' //' Amount of Permit $ SS. MIAMI SHORES VILLAGE My Commission Expires ELECTRICAL INSPECTION DEPARTMENT (Signed). No.....o�..s3 Street /./ L 4J /7 /,f of e . Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No /U A 0 Ai.." 1 9.E Street S 474° State work to be performed and purpose of building (By Floors) f7.� �° e, New Building k Remodeling Addition Repairs No. of Stories / Oes . / Servi Overhead Size Feeders V Conduit ' Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding ectncal 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. (Signed) A ... /f ..... . <:: : Notary Public, State of Florida Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. I 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. 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 /4 ? o 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.. ..�l ��,1�� � No Street Registered Architect and /or Engineer Employing Electrician's Name ....1v.....�.A /1 .I ..... Location and Legal Description Lot 4 Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADS 88. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT /a/17/ r ///A Block No G d� Street and Number where work is to be performed —No / U .c2 ie/ ... ?✓. fr .1Y � Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) The undersigned applicant for this building permit does hereby certify that he understands and acce labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of has complied with the provisions thereof, and will require similar compliance from all contractors or sub work to be performed under this permit; and will post or cause to be posted for inspection on the site of as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be licensed by Miami Shores Village. Si nedC Street )41 14) Subdivision_..�t�. :.G.d.. t.P sit Electrical Inspector. pts • bligations as an employer of Fl•''•. Permanent Supplement, and o ractors employed by him in the work such public notice or notices performed under this permit, as are 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, 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, 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. 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. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. IST LIST CHECK Permit No /4 ? o 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.. ..�l ��,1�� � No Street Registered Architect and /or Engineer Employing Electrician's Name ....1v.....�.A /1 .I ..... Location and Legal Description Lot 4 Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADS 88. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT /a/17/ r ///A Block No G d� Street and Number where work is to be performed —No / U .c2 ie/ ... ?✓. fr .1Y � Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) The undersigned applicant for this building permit does hereby certify that he understands and acce labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of has complied with the provisions thereof, and will require similar compliance from all contractors or sub work to be performed under this permit; and will post or cause to be posted for inspection on the site of as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be licensed by Miami Shores Village. Si nedC Street )41 14) Subdivision_..�t�. :.G.d.. t.P sit Electrical Inspector. pts • bligations as an employer of Fl•''•. Permanent Supplement, and o ractors employed by him in the work such public notice or notices performed under this permit, as are 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, 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, 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.