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ELECTRICALMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 B ilding Inspection Reque Date i k (� Time Type Insp'n Permit No. EI 03-575c Name (Y Ne L Address 1 G 1`I NE_ RCA . Company P (ci — O ' cry (, $. Phone # For Inspector: II �3 Name a Approved Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTM: T 305- 795 -2204 B ilding Inspection Reg - st ) Date 1 i 1 . Time Type Insp'n W • W Permit No. El 03- 11U Name O `E`' Address 1 D t - l PE 9c151- Company 4 r n t • Phone # For Inspector: (1 Name & D Approved L7 Correction ❑ /g Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTME 305- 795 -2204 Building Inspection Requ Date L0130/03 Time For Inspector: 7 ' 67 t / /#1- Approved Correction Re- Insp'n Fee Type Insp'n - E t Ct—C - Permit No. G-L' 05- i $ Name Address Uq vl -1 l 57 Compan — SOALLLLSL.L) Phone # �j�S - 9 iLiV42t2 a2/( t 0-494/e/2— „ef-z / Tg,z _ 7,-47 it- ga ,Z ( Pc/. s IY:6' v QT 41(4v,2/1)p 42.s1(- ). 6 P.Z re :AZ Prpia t° S p ge.P,47; MIAMI SHORES VILLAGE BUILDING DEPARTM 305- 795 -2204 Building Inspection Requ Date / ■›i-fre k r Type Insp'n Permit No. ,L ` �6' ' f Name 19< Address /a 7P /°'' 9-F / Company /2—/ ' / G Phone # Inspection Date Approved Correction Re- Insp'n Fee 73 f .,z ,�� 4-72 MIAMI SHORES VILLAGE BUILDING DEPARTMENT Type Insp'n Name Address Company 305- 795 -2204 Building Inspection Reque Date - /02 'o7i iher �i 3 Permit No. ..PL- 4loD3-/ 7 g yed ,a 1f N 'f 5'7 43'14 0 6- � / J � Phone # j",1 — et9/6 Inspection Date / - /3 - o/ Approved ,❑ Correction LvJ7;a""/ Re- Insp'n Fee ❑ Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPART E 305- 795 -2204 Building Inspection Reques Date _ Type Insp'n IYIQ J . Permit No. E l nn Name V 1 el I . Address 13 ! (] S- . Company bil• (2O !' Phone# 30S- - 7`1(c. - 4 0 1G BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Miami Shores Village Building Department Master Permit No. Plumbing Mechanical Roofing 1 S nil /i /e 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No 4I/ ? /9 0 Owner's Name (Fee Simple Titleholder) () L) e \ Phone # Owner's Address City State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) IO I) • E. C 9 ST City Miami Shores Village County Miami -Dade Zip a a1 g Is Building Historically Designated YES NO Contractor's Company Name 13r 1 Y1 CC) E\c4 rtCAA Cord. Phone # 305 2.7s GoB4 Contractor's Address M7S SW 5F� k City M lea vv ^ State 1: Zip 33 6,5 Qualifier V ter 1-! rj !aS Architect/Engineer's Name (if applicable) Phone # Architect/Engineer's Address City State Zip $ Value of Work For this Permit 9000. 00 Number of: Bays Stories Families Bedrooms Baths Type of Work: @c Addition 1 ['Alteration ['New ❑ Repair/Replace ❑ Demolition Describe Work: �le,GA i v19 "Pric S C+r\i C 2 TV tx) * * * * * * * * * * * * * * * * * * * * * * * * * ** *Fee Calculation -Mist Permits * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** County Escrow Fee Permit Fee $ Fee Totals $ Minus Plans Chec Fee $ Education/Training Fee $ Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ (Continued on opposite side) Square Footage Of Work: Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure wilt be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 _ , by As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: chc6/13ro3 ontr The foregoing instrument was ac day of y ().e. , 20 U3, b who is personally known to me or who has produced who is personally known to me or who has produced fz. L 1) L 0 f�- 2 �ds identification and who did take an oath. - �. . , as gb My Commis •II Exp e� Expires November 15, 2008 (Certificate of Competency Holder) State Certificate or Registration No. e 000\ Certificate of Competency No. ************************ * * ** * * * * * * * * * * * * * * * ** * * * * * * * * * ** ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: : i , -L l _ -�� Plans Examiner Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT 19 FEE 3,j ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS 43 4,( CENTRAL HEATING DISHWASHER RECEPTACLES 27 N/O,S" A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS Z O Ap DUCT WORK FLOOR DRAIN SERVICE REPAIR/IETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS 4 y/, PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP 1 UNDERGROUND TANKS LAVATORY OVEN ABOVE MOUND TANKS LAUNDRY TRAY WATER HEATER 1 si 4" 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 MOTCRS 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 1 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 3 2 0 ORAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. ;ATCH BASIN )ISCHARGE WELL )OMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER =IRE STANDPIPE 'COL PIPING • .AWN SPRINKLER SYSTEM AS RANGE aETER SET (GAS) AS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPI;ICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED,'THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot ❑ DATE / I ! • 195 P' - PERMIT N° 14191 Contractor's ❑ License No. ❑ Work to be performed under this Permit 4 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project $ Amt. 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 or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. 1 }-'q t r ...' I . 1 d, 1 t, Signed.' ' . A„ k ,,, BY r 14w, : 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 accepting this permit I assume responsibility for all work done by either, myself, ;ay agent, servant or employee. BY AUTHORITY Permit No / , 9 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 JQhn...,3...aorro.11 N 371. N E Street 103rd Street Registered Architect and /or Engineer Employing Electrician's Name MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Lewis 0 Wagner Location and Legal Description Lot 15 Block 178 Street and Number where work is to be performed —No 1099 • N B State work to be performed and purpose of building (By Floors) Amount of Permit S wire residence Subdivision y 8 Jan/ 1910 No 9930• Street Central Blvd Street 99th St New Building Remodeling Addition Repairs No. of Stories Service 2:P Main Underground Size Feeders.... # ...1 Conduit Main Sw Amps Main Fuses. Amps Type of Installation — Conduit = Tubing B.X.L Metal Moulding (Signed) Electrical Inspector. The undersigned applicant •r this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Work en'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, • work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. J j 4/' 88. (Signed) Master &dlectrician. 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 7 3 13 7 0 10 2 3 23 1 3 13 1 ♦ 1 1 I 4 2 - CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / 1 1 1 CHECK / 6(3 / O v f ./ / 7 Permit No / , 9 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 JQhn...,3...aorro.11 N 371. N E Street 103rd Street Registered Architect and /or Engineer Employing Electrician's Name MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Lewis 0 Wagner Location and Legal Description Lot 15 Block 178 Street and Number where work is to be performed —No 1099 • N B State work to be performed and purpose of building (By Floors) Amount of Permit S wire residence Subdivision y 8 Jan/ 1910 No 9930• Street Central Blvd Street 99th St New Building Remodeling Addition Repairs No. of Stories Service 2:P Main Underground Size Feeders.... # ...1 Conduit Main Sw Amps Main Fuses. Amps Type of Installation — Conduit = Tubing B.X.L Metal Moulding (Signed) Electrical Inspector. The undersigned applicant •r this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Work en'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, • work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. J j 4/' 88. (Signed) Master &dlectrician. 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. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reque Dateij p Type lnsp'n nn E1 !-1' Orr Permit No. ei act - a Name o n l Q Address Company ( CI \a Yo Phone # SOS 6 :1 ( 4 c u ' Inspection Date IS Approved Correction Re- Insp'n Fee / MIAMI SHORES VILLAGE r BUILDING DEPARTMENT .� 305- 795 -2204 B Ming Inspection Request Date 1 5 Time Type Insp'n Permit No. Name Address Compan (Act 1 sE 99,(q_ PhOne # ?1 U,er rm For Inspector: ( ( l ta Name & ate Approved 71 Correction Re- Insp'n Fee