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1135 NE 99 St (8)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address /4{ A/ E. 95 S / ∎ Tax Folio // ,if 459D Legal Description God` /3 ' /7, A 101 9 Lessee / Tenant (3 Master Permit # Owners Address / l &3� N E 9 9 s Phone / •/ — 9� �� Contracting CO. d ' 1 e "eC J C ) -�-YIC • Address 19 . �;. (1 1 E.' D 3 1 r Qualifier 1 avt I C. gl C'.ZCPs€rt SS4t 65 f I -TY k Phone 9`719 CQ 37 3 State #0 /O5 # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDIN ELECTRICAL UMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION k'eFa i r d W Square Ft. Estimated Cost(value) © 0 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 c ruction and zoning. Furthermore, I authorize the above -named contractor to do the work st Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: w -7 y- ct Yr J a e Signature of Contractor or Owner Builder Date: Notary as to Contractor or Owner- lder My Commission Exp i r/iIIHARY PUBLIC, STA OF FLORIDA. MY COMMISSION EXPIRES: Dec. 29, 1995. BflNnFD THRU NOTARY PUBLIC UNDERWRITF.R4. ** * * * * * * * * * * * * * * * ** FEES: PERMIT 3e- RADON C.C.F. /`� e NOTARY TOTAL DUE j APPROVED: Fire Zoning Buildin Mechanical Plumbing_ Other Engineering_ ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS 'UNIT FEE BIDET LIGHT OUTLETS ��"j /4 CENTRAL HEATING DISHWASHER RECEPTACLES / A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN MPS 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 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 1 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 /3 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 POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PER IT /� Q Date..1.I..L1 (Q 1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building ot other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fit, :Ida, 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. y-n�y /' Q f � )re cs -6 No qo� Street .� Q nl�i... .`..Y� ...... Owner's Name and Address... a ..... Permit No Registered Architect and /or Engineer l . ` p�. I1 , Employing Electriciah's Name...1�..1. CIYYI. ��dr�s� ����*' t � No 6.5 �. 1 W t Street )Cb 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 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 S.. I Street 65. ( Si g ned ) .....OIJ ‘A )1\\D. Nsbi 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. (Signed).. Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. 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. CAR. SERVICE TEND. SERVICE PERM. 1` di l i�' .'i MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST 3. Cr CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PER IT /� Q Date..1.I..L1 (Q 1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building ot other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fit, :Ida, 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. y-n�y /' Q f � )re cs -6 No qo� Street .� Q nl�i... .`..Y� ...... Owner's Name and Address... a ..... Permit No Registered Architect and /or Engineer l . ` p�. I1 , Employing Electriciah's Name...1�..1. CIYYI. ��dr�s� ����*' t � No 6.5 �. 1 W t Street )Cb 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 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 S.. I Street 65. ( Si g ned ) .....OIJ ‘A )1\\D. Nsbi 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. (Signed).. Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. 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. 2-P t4 2 ? 7 APPLICATION FOR ELECTRICAL PERMIT Permit N o Amount of Permit S :.7 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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 1.9 6 CA. No....... . /...41 Street... 4t s�lr• 1 ll . Registered Architect and /or Engineer ' ? h t.L ,...... t7 - Employing Electrician's Name 0 Y-- No Street Location and Legal Description Lot /3 Block / 7 . Subd ivision ....i....Cc:vxil..SkScr.'4..4,-s' Street and Number where work is to be performed —No 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 Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding (Signed) (Signed) Date Z 71 Main Fuses.. Amns Elect al Inspec The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati° as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm nt 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. Master Electrician. STATE OF FLORIDA, l 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. 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 H STRIP H EATER TOTAL CONTR. LIST V-- CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•8 HP /I /44 L■ N EON TRANS. RADIO TOTAL CONTR. LIST .F.- CHECK 2-P t4 2 ? 7 APPLICATION FOR ELECTRICAL PERMIT Permit N o Amount of Permit S :.7 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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 1.9 6 CA. No....... . /...41 Street... 4t s�lr• 1 ll . Registered Architect and /or Engineer ' ? h t.L ,...... t7 - Employing Electrician's Name 0 Y-- No Street Location and Legal Description Lot /3 Block / 7 . Subd ivision ....i....Cc:vxil..SkScr.'4..4,-s' Street and Number where work is to be performed —No 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 Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding (Signed) (Signed) Date Z 71 Main Fuses.. Amns Elect al Inspec The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati° as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm nt 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. Master Electrician. STATE OF FLORIDA, l 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. 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 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. a . ;, % Owner's Name and Address p ; – No Street 4 /1 1 4.,. Registered Architect and /or Engineer Employing Electrician's Name • (� < < !^ No ` � Street - ` 4 " ti r_ Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No , S Street State work to be performed and purpose of building (By Floors) r'i: ` >` `" New Building Remodeling Addition Repairs No. of Stories l Overhead rvice Underground Size Feeders Conduit Type of Installation— Conduit .Tubing..._ ... B.X.L Metal Moulding Amount of Permit $ ....................... (Signed) Electri�•.' Inspector. The undersigned applicant for this building permit does hereby ce tify that he understands and accepts his obligatio..s an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Peal,. nt Supplement, and has complied 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 undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, l COUNTY OF DADE. I ss. 7 - Main Sw Amps f Main Fuses.. Amps (Signed) 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 HEATER STRIP � � tr,�A' TOTAL CONTR. LIST ` CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO TOTAL CONTR. LIST j • -.+ CHECK Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 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. a . ;, % Owner's Name and Address p ; – No Street 4 /1 1 4.,. Registered Architect and /or Engineer Employing Electrician's Name • (� < < !^ No ` � Street - ` 4 " ti r_ Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No , S Street State work to be performed and purpose of building (By Floors) r'i: ` >` `" New Building Remodeling Addition Repairs No. of Stories l Overhead rvice Underground Size Feeders Conduit Type of Installation— Conduit .Tubing..._ ... B.X.L Metal Moulding Amount of Permit $ ....................... (Signed) Electri�•.' Inspector. The undersigned applicant for this building permit does hereby ce tify that he understands and accepts his obligatio..s an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Peal,. nt Supplement, and has complied 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 undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, l COUNTY OF DADE. I ss. 7 - Main Sw Amps f Main Fuses.. Amps (Signed) 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. • k�^f r M 6 [