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ELECTRICALDate Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oz other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu: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. Permit No . ). Owner's Nanie and Address .• Registered Architect and /or Engineer. ..� Q � / y Employing Electrician's Name .ales G�- ,�ect./_4-1c.... :../�i.ti titr Location and Legal Description Lot Block Subdivision r Street and Number where work is to be performed— No... / e State work to be performed and purpose of building (By Floors) �{ (�/rl�Cf.../� � t.�. (lam/ New Building Remodeling Addition....1/ Repairs No. of Stories Overhead Service Underground Size Feeders Conduit .(,(/ �,.:M .. STATE OF FLORIDA, 1 COUNTY OF DADE. I s. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ain Sw ' Amount of Permit $ (Signed) W' • (Si Street Type o f Installation— Conduit Tubing.. B.X.L Metal Moulding �l l Stteet.. s/ Amps .Main Fuses _....Amps 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 ite of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub -co on j, to be performed under thi, permit, as are licensed by Miami Shores Village. 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. anV � A -/ M OTORS 0.1 HP MOTORS 1•5 HP N EON TRANS. RADIO TOTAL *0 vv �� LIST CHECK Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oz other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu: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. Permit No . ). Owner's Nanie and Address .• Registered Architect and /or Engineer. ..� Q � / y Employing Electrician's Name .ales G�- ,�ect./_4-1c.... :../�i.ti titr Location and Legal Description Lot Block Subdivision r Street and Number where work is to be performed— No... / e State work to be performed and purpose of building (By Floors) �{ (�/rl�Cf.../� � t.�. (lam/ New Building Remodeling Addition....1/ Repairs No. of Stories Overhead Service Underground Size Feeders Conduit .(,(/ �,.:M .. STATE OF FLORIDA, 1 COUNTY OF DADE. I s. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ain Sw ' Amount of Permit $ (Signed) W' • (Si Street Type o f Installation— Conduit Tubing.. B.X.L Metal Moulding �l l Stteet.. s/ Amps .Main Fuses _....Amps 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 ite of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub -co on j, to be performed under thi, permit, as are licensed by Miami Shores Village. 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. . BUILDING p MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ PLUMBING ❑ PERMIT N° 9220 Contractor's ROOFING ED License No 1.274o ❑ Work to be performed under this Permit • Owner of ''' Building s. L ✓4x.+t' e t4 / 5 0 Architect Contractor ( r or Builder t jc1� Legal Lox Description 1 Bl B of /1 rj 2 ' e F r/ Bding / l CONTRACTOR or BUILDER Date —I ° ! . 1 96 7 Subdi- vision Sq Ft. Value of II Amount of J Project $ 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 applica- tion 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 respon- sibility for work done by his agents, servants or gmployees. Signed f i # (INSPECTOR) BY In consideration of the issuance to me of this permit agree to perform the work covered hereunder in compliance with all ordinances and regulation:, pertaining thereto and in strict conformity with the plans, d wings, 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, my agent, servant or employee. BY AUTHORITY Permit No Amount of Permit $ Owner's Name and Address STATE OF FLORIDA, 1 COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date f G 5 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. SS. Registered Architect and /or Engineer Employing Electrician's Name 2 C i'� —(ICFr No / / 7 Street Location and Legal Description Lot Block Subdivision 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 Am s Main Fuses Amps Underground P Type of Installation — Conduit Tubing B.X.L Metal Moulding (Signed) . 4 0 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 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 sub-contractors, on work to be performed under tie -- permit, as are licensed by Miami Shores Village. (Signed). , No 6 Street /t tl� // 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 PLUO RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEAIER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE SERVICE TEMP. PERM. MOTORS O.1 HP ) /Gj� G /VN MOTORS 1•5 HP /, A Cl/� NEON TRANS. G.) ..•�_ . RADIO TOTAL. ..›It ,� CONTR. LIST ,� � �: / .f .�L- CHECK 3 013 Permit No Amount of Permit $ Owner's Name and Address STATE OF FLORIDA, 1 COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date f G 5 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. SS. Registered Architect and /or Engineer Employing Electrician's Name 2 C i'� —(ICFr No / / 7 Street Location and Legal Description Lot Block Subdivision 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 Am s Main Fuses Amps Underground P Type of Installation — Conduit Tubing B.X.L Metal Moulding (Signed) . 4 0 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 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 sub-contractors, on work to be performed under tie -- permit, as are licensed by Miami Shores Village. (Signed). , No 6 Street /t tl� // 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. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No J 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. Owner's Name and Address / As 4 Registered Architect and /or Engineer Lr vi y iC 6 Employing Electrician's Name .#01 S / F c7 Type of Installation — Conduit Tubing STATE OP FLORIDA, } COUNTY OF DADE. 8 s. Location and Legal Description Lot Block Street and Number where work is to be performed —No // 7 No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service n eground Size Feeders Conduit sin S Amps /" ' Main Fuses Amps �f ✓l/ Amount of Permit $ (Signed) The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. B.X.L Metal Moulding (Signed) /1 2 No / Street Street XE 1 ST Street Subdivision /G �'8' 57 Electrical Ins cctor. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be pe , • ed under this permit, as are r 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 R ECE•P•7'S FIXTURES N O. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. H EAT. CONN. ACE HATER STRIP H EATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO TOTAL CONTR. L ST / /f1/ CHECK 2 • J MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No J 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. Owner's Name and Address / As 4 Registered Architect and /or Engineer Lr vi y iC 6 Employing Electrician's Name .#01 S / F c7 Type of Installation — Conduit Tubing STATE OP FLORIDA, } COUNTY OF DADE. 8 s. Location and Legal Description Lot Block Street and Number where work is to be performed —No // 7 No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service n eground Size Feeders Conduit sin S Amps /" ' Main Fuses Amps �f ✓l/ Amount of Permit $ (Signed) The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. B.X.L Metal Moulding (Signed) /1 2 No / Street Street XE 1 ST Street Subdivision /G �'8' 57 Electrical Ins cctor. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be pe , • ed under this permit, as are r 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. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 11 Permit No 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. Overhead Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. My Commission Expires MIAMI SHORES VILLAGE Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name (7 ' 4, K.�.✓! ti.rll� No Location and Legal Description Lot Block Street and Number where work is to be performed —No / ...1 7 State work to be performed and purpose of building (By Floors) (Signed) .No / / 1 Street e " e 97 New Building Remodeling Addition Repairs 4 - Subdivision Street.A // Underground Service 7 Size Feeders Conduit... • ;Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L .Metal Moulding 3/ S/ Street._ .fl' ,) d i— No. of Stories 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. 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. 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 NEON TRANS. RADIO TOTAL CONTR. LIST CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 11 Permit No 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. Overhead Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. My Commission Expires MIAMI SHORES VILLAGE Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name (7 ' 4, K.�.✓! ti.rll� No Location and Legal Description Lot Block Street and Number where work is to be performed —No / ...1 7 State work to be performed and purpose of building (By Floors) (Signed) .No / / 1 Street e " e 97 New Building Remodeling Addition Repairs 4 - Subdivision Street.A // Underground Service 7 Size Feeders Conduit... • ;Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L .Metal Moulding 3/ S/ Street._ .fl' ,) d i— No. of Stories 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. 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. 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. BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Description Address of Building Lot AMI SHORES VILLAGE, FLORID► DATP.' CZ PERMIT 4N?. 11589 n ROOFING ❑ Work to be performed under this Permit Owner Buildin _\ ,. This permit is granted to the contra or builder named above herefor in strict compliance with all ogdinart s pertaining thereto and drawings, statements or specifications that ma have been submitted to time if the work is not done in compliance with such ordinances or if th granted is the understanding that the contractor or builder named ab pertaining to the work covered hereby whether shown on the plans o done by his agents, servants or employees. CONTRACTOR OR BUJLDER BL Subdi- vision Value of Project $ to construct the building or to install the equipment or device described in the application with the understanding that the work will be performed m compliance with any plans, and by the proper municipal authorities. This Permit may be revoked at any e changed without authorization. A further condition upon which this permit is assum the responsibility for a thorough knowledge of the ordinances and regulations awin in the epents or r eeifications and that he assumes responsibility for work BY Contractor's License No Amt. of Permit 195 Signed • ' y INSPECT BY t 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 responsibi for all work done by either, myself, my agent, slant or employee. ir AUTHORITY NO. STREET PART OF LOT LOT BL'K SUBDIVISION Signs `/� Other Apparatus Permit Fee Outlets Motors Receptacles Generators Stoves Water Heaters Signs Other Apparatus Permit Fee � c Billboards i ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building •ntractor or Electrician OFFICE OF ELECTRICAL DEPARTMENT Miami Sores Village, Fla, /tee", 19 LOCATION aiami Aorefillage F L O A I D DESCRIPTION OF WORK NUMBER OF This Permit is granted upon the expre con ditiohat all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by • Department. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. ` 1 Dated 19cu/' t.�►.+nt...� �I ,1 = It ' sc (s'e' al) , Electrical Inspector. N° 488 NO. Motors STREET PART OF LOT LOT BL'K SUBDIVISION 7 J / ('c . (,/ ''� d • of Other Apparatus Permit Fee Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee (r,. +dIF L! f r y r , ,f` ,j r° « , 1 r +. C V 1 le .L s AsAss,„„, • j ./ ELECTRICAL PERMIT \ N. B. —This Permit must be on display on the premises during \ the construction. Owner of Building t „ ' Miami Shores Village, Fla , Contractor or Electrician ,./' iami Jhores Nllage F L o A ID A OFFICE OF ELECTRICAL DEPARTMENT LO CATI 0 N DESCRIPTION OF WORK NUMBER OF 0 19 N° 488 • This Permit is granted upon the expresy con d hat all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted! and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules! and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. Dated t r , 19 � '- _.�_ s' .r' �:n,•,w..r�+► ,. .,I i <(SeA) , Electrical Inspector. OUTLETS MOTORS RECEPTACLES GENERATORS STOVES WATER H'TERS SIGNS BILLBOARDS OTHER APPARATUS MAIN SUB Basement 1 t First . , FLOOR NUMBER OF SIZES OF . :f may +∎ OPEN OR CONCEAL•D NUMBER OF CIRCUITS OUTLETS MOTOR GEN. MAIN SUB Basement 1 t First . , � '� Second Third Fourth Other Floors flf Building: Old or new bra aiami cShores91llage F L O a I D A /J �A Owner h� ` i � ' C° Address / Building C ontractor " kr Electrical Contractor A .r _ -w t r I 4. -1,. " Details of proposed work: Number of Motors H P Volts Amps APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for issuance of permit for electrical installation as described below, and for inspection of same after installation: Date 11 (SPACE BELOW FOR INSPECTOR'S USE ONLY) r ;i f- Work begun Inspected d Work finished Final inspection Location of proposed work: Lot Block Subdivision .442,1' L =t. 4,tt, Number of stories Used as . e.2-r- t�.�' • �. Description of proposed work (4 - c � _t " � v�-O t �- C.t -z -1 ( C ✓✓ ." 193 Phase Additional Information Signature of Applicant . : ( 2 % .. '' -t - 2 t tt `t4 d. Address (if other than owner or contractor) 11</Pfi , Inspector NO. STREET PART OF LOT LOT BL'K TOWN, ADDITION, OR SUBDIVISION 7 2/ 9, Permit Fee Outlets Motors Receptacles Generators Stoves Water Heaters' Signs Billboards Other Apparatus Permit Fee ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during t)e onstruc ion. r • Owner of Building.... atractor or Electrician 'RANGE PRINTING CO., MIAMI, FLA. I This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with he plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Cod, of the Town of Miami Shores and the rules and regulations of the Electrical Department of the Town of Miami Shores. This Permit may be revoked any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, o on ch in the plans and specifications un thorizedby this Department. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws o State of Florida, all the Electrical Ordinances and Codes of the Town of Miami Shores, and all rules and regulations of the Electrical Department Town of Miami Shores. • Dated 2 __ , 192 WADI SHORES VILLAGE Town of Miami Shores OFFICE OF ELECTRICAL D PARTMENT lti �i 139 Miami Shores, Florida, 1 .,/ , 1 PROPOSED LOCATION BANK D E PO S[ T NO. DESCRIPTION OF WORK NUMBER OF , Electrical Ins NO. STREET Receptacles PART OF LOT LOT BL'K TOWN, ADDITION, OR SUBDIVISION 1/7 ? I' '?P ' f l C Outlets Motors Receptacles Generators Stoves Water Heaters' Signs I Billboards Other Apparatus Permit Fee 7r f l C ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the pnstruction. Owner of Building... Co tor or Electrician This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Coi of the Town of Miami Shores and the rules and regulations of the Electrical Department of the Town of Miami Shores. This Permit may be revoked any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, o •n . ch i the plans and specifications tho d'fiy this Department. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of State of Florida, all the Electrical Ordinances and Codes of the Town of Miami Shores, and all rules and regulations of the Electrical Department Town of Miami Shores. Dated 0Z /I 471 , 192 STRANGE PRINTING CO., MIAMI, FLA. peG Ri 3�3 /3,d . 1y1AXi SHORES VILLAGE Town Miami Shores OFFICE OF ELECTRICAL D PAAR � 13 9 ale Miami Shores, Florida, _.,o/il , 1$ PROPOSED LOCATION BANK DEPOSIT NO. • DESCRIPTION OF WORK NUMBER OF , Electrical Ins • : ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your Certificate of Approval, application is hereby made for an inspection of the electrical installa- tion in the premises stated below, for which the undersigned agrees to correct any infractions of the National Electrical Code and the City Rules pointed out by Inspector. LO CATION AVOID DELAY BY GIVING FULL AND CCURATE INFORMATION. ALL SPACES MUST BE FILLED OR �TIQN W!LI.tBF/RETURNED. Lot Number / '7 Mock ber Street and N ber , / 7 it- ti l Owner ra4 ° + �` , �i q°" - 1 c t f Occupant Occupied as Building —New or Old (underline which). FLOOR Basement 1st Floor d Floor I 4th Floor 5th Floor 6th Floor 7th Floor 8th Floor Attic REMARKS • Work will be starte (Applicant sign here Received by Inspector NUMBER OF LIGHTS ,7 CERTIFICATES Form 155 Progress Will inspect again (; Rough Wiring \CO FINAL No Corrected Temporary Days - -moved Letter CEILING OUTLETS r � APPLICATION ) No C / 1 �% Work — Additional or New (underline which). SPECIFICATIONS FOR FIXTURE WORK ONLY Dat BRACKET OUTLETS Street Side , 192(' NUMBER OF CIRCUITS i PAkE BELQW FOR INSPECTOR'S USE ONLY Inspected Correct Location Correct Equipment DEFECTIVE Time Allowed: Days Electric Light Co Fee remitted Remarks FLOOR NUMBER OF SIZES ON INSULATION INSULATION OPEN OR Number et Circuit* Outlets Motor Gen. Main Sub Branch asement— first /7 - hard -��� i , C I ,'- — ourth ther Floors orm 246 APPLICATION o. / / 7_4_ DATE , 192 Electrical Department of th City of Miami Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated be- low, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Rules pointed out by Inspector. LO CATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICA- TION WILL BE TURNED Lot Number j( el /7 Rloc) Nu s fiber Street and umber Owner 40 Occupied as �..t Building —New or Old (underline which). Work— Additional or New (underline which). SPECIFICATIONS H. P. of each motor Number of Motors H P Volts —Amps Phase Greatest Number of Lights on One Branch (Nature of Work) Open — Concealed Knob— Mldg. —Conduit F s T F 0 Outlets REMARKS Work will be starte (Applicant sign here) Received by Inspector CERTIFICATES Progress Will inspect againio - V Rough Wiring V FINAL No Corrected Temporary Approved Letter Date Issued Motors I Receptacles Generators Stores Water Heater Signs Billboards Other Apparatus Days SPACE BELOW FOR INSPECTORS USE ONLY e Correct Location Correct Equip./ lE ■,s: DEFECTIVE Time Allowed Days Occupant MOP ,7 0.11042 Will be finishe Address Street Inspecte 1 Electric Light Co Fee remitted r^ � 3emarks ._Inspector Form 246 Lot Number ' / 7 Block Number Street dd Number Owner I ! '� / Occupied as Building —New or Old (underline which). H. P. of each motor Volts Lights FLOORS Basement_ First Second Third Fourth REMARKS Contractor By Ceiling Lights Brackets FIXTURE ONLY NUMBER OF Ceiling /D Receptacles Brackets Progress (/ Remark Will Inspect again Rough Wirin FINAL l No Corrected - \led /71' /Li .Days APPLICATION Electrical Department of t ' e City of Miami Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated be- low, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by Inspector. LO CATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICA- TION WILL BE RETURNED /7 � )7/ 9e Subdivisio SAT No i° (C' Side Occupant Work— Additional, New, Alteration or Repair. SPECIFICATIONS Switches 193 Total Amps Phase Stoves I water Heaters Signs Other Apparatus Kind of Installation Open or Conceal nob, RX., BX., Mldg Conduit Total Outlets ddr SIZE OF Mains Subs Branches SPACE BEL s W FOR INSP OR'S USE ONLY Received by Inspector > " I Ins ected , / a Size Service Conduit �7// / inspec on Wanted J // g atril (. L No. Circuits Fee remitted Inspector FLOOR NUMBER OF SIZES OF INSULATION OPEN OR CONCEALED Number of Circuits �� A°Iigi Motor Gen. Main Sub Branch asement__ illM first ' ' � � t r' 4 mond— hird ourth ther Floors. F 5 T F 0 V01111 246 LO CATION AVOID DELAY BY GIVING FULL AND ACCURATE INFO ATION. ALL SPACES MUST BE FILLED OR APPLICA- TION WILL RETURNED r"*-? Occupied as Lot Number ' lock Nuj Street a Number 1! 7 Owner ( t�l'" t ) 1�, Building —New or Old (underline which). H. P. of each motor Number of Motors H P Volts Amps Phase Outlets Motors I Receptacles Generators Stoves (Water Heaterk Signs i Billboards Other Apparatus Greatest Number of Lights on One Branch (Nature of Work) Open — Concealed Knob— Mldg.— Conduit REMARKS• Work will be started Will be finished (Applicant sign here) Received by Inspector CERTIFICATES Progress Will inspect again Rough Wiring FINAL No Corrected Temporary Approved Letter Date Issued DATE 1 Electrical Department of the City of Miami Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated be- low, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Rules pointed out by Inspector. Days SPACE BELOW FOR INSPECTORS USE ONLY Correct Location Correct Equip DEFECTIVE Time Allowed Days APPLICATION Occupant Work— Additional or Newer a which). SPECIFICATIONS' Address ( f �' Street / ( ( !r t Electric Light Co. _______ Fee remitted lemarks____ _ _ __ Side AI \. No. Inspected — Inspector FLOORS FIXTURES ONLY NUMBER OF TOTAL OUTLETS SIZE OF SIZE SERVICE CONDUIT NO. CIRCUITS LIGHTS CEILING BRACKETS MAIN SUBS BRANCHES BASEMENT FIRST t SECOND THIRD FOURTH A•69 CEILING REMARKS BUILDING -NEW OR OLD (UNDERLINE WHICH) BRACKETS CONTRACTOR tt.� RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN ROUGH WIRING FINAL No CORRECTED TEMPORARY DAYS. DATE ISSUED ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION WILL BE RETURNED. LOT NUMBER BLOCK NUMBER >�r SUB (VISION STREET AND NUMBER // !( 7 SIDF AV' OWNER �q � ' f# _ OCCUPANT e OCCUPIED As H. P. OF EACH MOTOR VOLTS TOTAL AMPS PHASF RECEPTACLES SWITCHES D OF INSTALLATION OPEN OR {CONCEALED FEE REMITTED APPLICATION WORK — ADDITIONAL. NEW. ALTERATION OR REPAIR SPECIFICATIONS STOVES WATER HEATERS KNOB INSPECTION WANTED SIGNS BY ADDRESS SPACE BELOW FOR INSPECTOR'S USE ONLY .p ..r �i , INSPECTED REMARKS �I NO )- DATE_ - 193 - 1 OTHER APPARATUS BX., MLDG., CONDUIT, METALLIC TUBING INSPECTOR RECEIVED JAN 0 F 2004 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical ,,Q Plumbing Mechanical Roofing C Owner's Name (Fee Simple Titleholder) N (J) l fL(S W 1V Owner's Address . ` l � / (/E- 98 f .STA City //) m• 51/0 /2..,ES State fLc)s / Zip 3) /) S Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO�_ $ Value of Work For this Permit Number of: Bays Stories Type of Work: ❑Addition ['Alteration Describe Work: Cyr? t2 • County Escrow Fee $ , \-1 D Education/Training Fee $ , 8 Miami Shores Village Building Department State Permit Fee $ iZ o 4/ Tech $ Scanning $ Struct. $ 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. F; X0 1 1' 3 Master Permit No. Phone # ( $ n s) s; 5Z NE 9i STMT Zip 33 /3V Phone # Tenant/Lessee Name Phone # Contractor's Company Name 504 Pv" s v u4 - c 4L (4-s Phone # 3 OS 44. `3 9 $ 0 Contractor's Address _21 5 ez---,¢ City hn c._.4. vvJ- State F/69- Zip 3 3 e"-3 Qualifier ED/oh L./re. (A a 1 g(Q Architect/Engineer's Name (if applicable) Architect/Engineer's Address City Zip Square Footage Of Work: Families Bedrooms Baths ['New ❑ Repair/Replace El Demolition 0-4 /5 (t—A—e--2-yy . * ** * * * * *. « * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Notary $ Radon $ Code Enforcement $ Bond $ Minus Plans Check Fee $ Total Fee Now Due $ (Continued on o CO\ h . Bonding Company's Name (if applicable) s 'V/ $ C 12 L 6 c-1 4 k( G4 ;39 4 c Bonding Company's Address City L oyv) Mortgage Lender's Name (if applicable) t4)4 J/ / J /'N )i( /a Mortgage Lender's Address City e..I4 Alt. L. 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 will 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 inspectio which - . rs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not . .pprov d d a reinspection fee will be charged. Signa d', 7• •r Agent The foregoing instrument was acknowledged before me this day of 744• , 20 p4, by C-.4 . 3 O who is personally known to me or who has produced t As identification and who did take an oath. NOT Sign: Print: My Co ` We'ary . of Fcrext € c 10, 71'0 t Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. 0 5 i 103 State F6-2 Zip .3 ( j .x State /Old, Oa". Lj /71//4 Signature 11 ontractor The foregoing instrument was acknowledged before me this -C day of e-3- 51-,,4-; , 20 , by who is personally known to me or who has produced r -0 as identification and who did take an oath. NOTARY PU,IC,. Sign: Print: My C APPLICATION APPROVED BY: d eer �, .��� Zip a G" d2 Tv t� j 02 l+R'f t4OR10 Certificate of Competency No. 0 000 sse /cr Plans Examiner Engineer Zoning DRIP LOOP 1 BE 30' .6,f=G (MIN) cv; (:CHIP / 200A ;NETER 1 2' ABOVE 12OOF 1 . • • FIPITSIIED CRA7)E • . Iwo f^vc MAIN 63 PANEL r 7D ro(Ki El PLATIIE fa -10116 WO' MN II&T11 1 • • Woos 1 44 • SUB C PANEL NOTARY It1:1L1< UI • Mti::i r •1- Icfphh•t: /- Conductor sue • Conduit sfzc Coadu 'LT p e' Thu roof Y E5 -- NO Ground wire HAM. I IS YONI1ECT R atino .AMPS Hain O� AnpS Sub 13raolcers �AMI�s S UB FEEDER Ne,r ExlsUno -- Type Size Bond Zitze• .. INSIDE PANEL PER S.F.D.C, 4505,2(3) Rating Bond Buss . Yes _No n . L oGc.-tb n t-r-E tt I_L `'_ke. 000d �' -- -- , rtPr MARYMQRBdO • . i tiotaryPulsc- Stareot it-try • carg&inifttegraME � F CortrRACTQ, -, CLM If' r ER El \// Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1 /7/2004 Applicant: CONRAD Owner: BROWN JOB ADDRESS: 117 NE 98 Contractor SANSON ELECTRICAL PLUS INC Contractor's Address: 3995 SW 4 ST Local Phone: 305 -443 -8808 Parcel # 1132060132300 Fees: FEE2004 -146 FEE2004 -147 FEE2004 -148 FEE2004 -149 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $204.75 $2.40 $0.80 $5.11 $213.06 Total Fees: $21406 Total Receipts: $0.60 j p , . , 16 3, D 6 Permit Status: APPROVED Permit Expiration: 7/4/2004 Construction Value: $3,200.00 Work: INCREASE SERV 200 AMPS WIRING HOUSE SMOKE DETECTORS, WATER HEATER, STOVE, OUTLETS, SWITCHES GFI Signed: (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 1 assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) Electrical Permit Permit Number: EL2004 -3 BROWN CONRAD ST Page 1 of 1 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 LOT 16 & ALL LOT 17 BLK BY: iEM ATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT /g. FEE ITEM SPACE HEATERS UNIT FEE • IDET LIGHT OUTLETS j4 CENTRAL HEATING 'WASHER RECEPTACLES at A/C (WIND) ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) 1INKING FOUNTAIN SERVICE SIZE IN APS / ° DUCT WORK LOOK DRAIN SERVICE REPAIR/IkTER CHAAE REFRIGERATION REASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING NTERCEPTOR RANGE TOP 1 UNDERGROUND TANKS AVATORY OVEN / ABOVE GROUND TANKS AUNORY TRAY WATER HEATER / U.F. PRESSURE VESSELS LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS HOWER MOTORS OVER 1- 3 H' HOT WATER BOILERS ;INK, POT /3 COMP. MOTORS OVER 3- 5 IP MECHANICAL VENTILATION ;INK, RESIDENCE MOTCRS OVER 5- 8 HP TRANSPORTING ASSEMBLIES :INK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS 'EhPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS IRINAL MOTORS OVER 25-100 HP COOLING TOWERS iATER CLOSET MOTORS OVER 100 FP VIOLATION 'NDIRECT.WASTES A/C WINDOW REINSPECTION 1ATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSF(MERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE _ • SWIMMING POOL OUTLETS COM,€RC I AL WATER SERVICE SIGN TUBES ;EWER CONNECTIONS SIGN TRANSFORMERS JTILITY -SEWER SIGN TIME CLOCK JTILITY -WATER _ FIXTURES ;EPTIC TANK ANTENNA IELAY TELEVISION OUTLETS IRAINFIELO, 4' TILE/RES. VIOLATION klf & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. 1 1, :ATCH BASIN IISCHARGE WELL 30MESTIC WELL AREA DRAIN 10OF INLET 1 • SOLAR WATER HEATER `, 'IRE STANDPIPE . 'OOL PIPING _AWN SPRINKLER SYSTEM 3AS RANGE 4ETER SET (GAS) 3AS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION AN' APPLICATION 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 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. L :,).0'/- 4 TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and streebaddrss: s�- /53 (1/ (F .s )/,.z ratitlif; 5 _t) s e..C. /14 ip Pf3 %U Jt 1. / 7 -0716 J- /9// r 1 2. Description of improvement: U o i — 3. Owner(s) name and address: C©it- /e/ g �-10' 1/7 /d Sr /T t/ � j� �O ( 2s 33 /. Interest in property: �1 Name and address of fee simple titleholder: / 4. Contractor's name and address: .cR /1. 6 ft) / -L t = t,°t' ��� L /`, S 00t109+) L/ 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: ,94 Ol YJ /7( v ht Di 04`7 22 7. Persons within the state of Florida designated by yglixAA%4 ' IF sV r documen provided by Section 713.13(1)(a)7., Florida Statute ®v C ERTI Y C har tltts 1s a rru � opy to of Name and address: / l. 1 , _ ,n,1 filed In thioffice on 8. In addition to himself, Owners designates the fol in Section 713.13(1)(b), Florida Statutes. Name and address: Notary Public Y IT . • Ord C cm: y % tg(• = . s ' f c opy of the tienor's 9. Ex.' . date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a .%e is specified) � -ture of Owner �� int Owner's Name 0 /7 tQ I 737 -w /� t =' Prepared by Cam' • /2.V u.�I Sworn to and subscribed before me this day of X r v (1 720 Address: L'O Ng IA) "O ti,./ Print Notary's Name N1 1 e¢ /on 1 5 to ,d.e.) $33/ 3 r My commission expires: 123.01 -52 PAGE 4 8/02 Fritz cti PuO � � : Commission # DD 012646 E App 23,2005 eaded Thrn Atlantic Bonding Co., Inc. CFN 2 r•04R007 - 69 OR Bk 22018 P9 4097; (lug RECORDED 02/03/2004 12 :28 :48 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST F'AGE a 111111111111111111111111111111111111111111111 CC s Notiee_a •rovided