MECHANICALACCOUNT
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PAYMENT
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BAL. DUE
1
•
•
DATE
RECEIVED FROM uccAY I / IC_
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- rocvicl riollprs or\olcclioo
Q FOR RENT 4 ^ _ p 11 a.
Q FOR �.JJ
No. 19r66
$40.00
DOLLARS
CASH
CHECK
O MONEY 1 B
ORDER
FROM TO
ar Mow
• 1182
{� 00 N.E. 2nd Avenue • Miami Shores, Florida 33J38 • Phone: 305- 795 -22
atd' e OlP1 1 ivie. Adl
Legal Description
vner /Lessee/Tenet
b'ner's Address
ontracting Co. /C) / ,8 4 Address
ualifier 6M / R-V SS ; -- 3 c4rC"i .ptr6ne ,62 V $ Z 7
State_# C.Akb 3(2 7 2,- # mpetency #
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING
WORK DESCRIPTION:
Square Ft. 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 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). 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 all disciplines.
OWNERS AFFIDAVIT: I certify th 11 the foregoing information is accurate and that all work will be done in compliance with all applicable laws
er and/or Condo
ri
4.0 Dar
nd dent Date
JEANNETTE K. PAY
MY COMMISSION # DD 040482
EXPIRES: August 8, 2005
t •OCO+NOTMY rI. Notary Awes & Bonding, Inc.
/
0
Furthe
resident
Date
20 1 0 3
Signature of Contractor or Owner Builder
•
0
wn
to
Builder
5
regulating construction and zon
Signature of
No ary as o Owner and/or C
My Commission Expires
PERMIT APPLICATION FOR MIAMI SHORES pot gAu II V E a
4 • gm 2
Historically Designated: Yes
Master Permit4
(Ogg NE, qqs-
5TnC AnS I l s ico , DuC
FEES: PERMIT
APPROVED:
Zoning Building
Mechanical '� Plumbing
PO • a3 10 3 ' 11
RADON
ore, I authorize the above named contractor to do the work stated.
C.C.
Sf ax Folio
Phone
as to Contractor
My Commission Expires
Ins. Co.
MECHANICAL
3 j 51)D . 1Q)
ROOFING
ate
+ o* 0 ` 1 ° L�i, - MAMA DEL ROSARIO HERNANDEZ
• * * MY COMMISSION # CC 968327
XPlPES Cr'!ober 31, 2004
Ps cle' 44nied Tnn 11104er Notary Services
NOTARY
TOTAL DUE 1� v )
Electrical
Structural Engineer
05
BUILDING
ELECTRICAL
PLUMBING
RO
Owner of
Building
Legal Lot
Description — � Bl
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
o PERMIT N° 5185
Architect
Contractor
or Builder
Address of
Building
Work to be performed under this Permit
Signed 1
Subdi-
vision
Value of
Project $
Contractor's
License No.
DATE ��- f % 195
. a
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 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 cr in the statements or spectficcifons and that he assumes responsibility for work
done by his agents, servants or employees.
BY •
INSPECTOR
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 ac-
cepting this permit I assume responsibility for all work done by either, myself, m}L.agei1t, servant employee.
( t
BY AUTHORITY
s skti`" ��
Permit No
v
7
Application is hereby made for the approval of the detailed statement of the plans and specifications herewitl✓submitt d 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.
STATE OF FLORIDA,
COUNTY OF DADE I
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
t
P.. €
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name /\ ✓1 ._... j. L ' G (/D No /r34— Street / �f 4.P /Z te-
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No A67 Street A/' . e� /...,e� J' J (7 len �yC
t i
/
New Building Remodeling Addition Repairs No. of Stories
State work to be performed and purpose of building (By Floors)
No. /6 77 Street
Service Overhead on
Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ 3_.. (Signed
cctrica lns pec or.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ' tions 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 sub•contra tors 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.
(Signed)
Q AvD
Date
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.
Air L' ff ee1L
� � J J
Master Electrician.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE•r•T•s
FIXTURES
NO. LAMPS
REPRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
SCADS
NEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIET.
CAO.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
0 7
O(
/
/. 0) .
CHECK
• 1.
Permit No
v
7
Application is hereby made for the approval of the detailed statement of the plans and specifications herewitl✓submitt d 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.
STATE OF FLORIDA,
COUNTY OF DADE I
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
t
P.. €
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name /\ ✓1 ._... j. L ' G (/D No /r34— Street / �f 4.P /Z te-
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No A67 Street A/' . e� /...,e� J' J (7 len �yC
t i
/
New Building Remodeling Addition Repairs No. of Stories
State work to be performed and purpose of building (By Floors)
No. /6 77 Street
Service Overhead on
Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ 3_.. (Signed
cctrica lns pec or.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ' tions 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 sub•contra tors 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.
(Signed)
Q AvD
Date
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.
Air L' ff ee1L
� � J J
Master Electrician.