1183 NE 99 St (10)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 9 Job Address / /1_3 /2 ET 9 Tax Folio
Legal Description Historically Designated: Yes No /
Owner/Lessee / Tenant Ujtll a- /iii 7 7 7 - & - 7 - 7 /7 67- �f Master Permit # Y 3 a G
Owner's Address / /S'3 / 9,. 5-6_ • / Phone •
Fontractin Co. /2 x 2L)9/' F. L C 7724 C- T" C- Address , /7 w 5'0 S
Qualifier Sp ih f l 5' 01 OC I) SS#
Phone 305: 8 /
/ 3 7V
State # �'G G DO 1 / 9 9 Municipal l W # Competency # O ?/ Ins. Co. / 12TF0/Q/) F
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION - l.t/C� (
L>
Notary as to Owner and/or Condo Ptetident
My Commission Expires: NOTARY SEAL
O �PRY p�e NICOLE L A BERGERT
2 w z 0 COMMISSION NUMBER
-•� < CC661267
7, i, m' 0 MY COMMISSION EXPIRES
OF . O JULY 2 2001
APPROVED:
Zoning
Mechanical
(01'ck&
Date
Z 6 SZJ/ 41 - 19 .
Square Ft. Estimated Cost (value) 4 / ! o C, , e, 0
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FA
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND T
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO
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 construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of Contractor or Owner- Builcr Date
Notary as to Contractor or Owner- Bilrlder
My Commission ExpireKs
PaY P� e�i OFFICIAL
NOTARY SEAL
NICOLE A BERGERT
0 COMPASSION NUMBER
W CC661267
O 0 MY COMMISSION EXPIRES
OFR
FEES: PERMIT '95 0 0 RADON C.C.F. / 2 0 NOTARY BOND
Building Electrical
I RE TO DO SO MAY
c TAINT FINANCING,
•
ENCEMENT.)
TOTAL DUE
0q7/41:`
Date
Plumbing Engineering
2 " - g t gip ?hry rbo.P
3 z06
o2-O
1'9�"TE/'�
/11/? /r'
60476
9u C
/ J 4- 4 TH#il •
2" Errir
w/ 3 # 2 7' #,1 /✓
1
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/-1-, 5'/?0263 33/3 5
( cu /CE ue -3y4")
•
MOODY# ELECTRIC, INC.
669 N.W. 90 STREET
MIAMI. FL 33150 -2166
TEL: (305) 891 -1374
FAX: (305) 758 -2000
PaY PU OFFICIAL
NOTARY SEAL
B G NICOLE A BERGERT COMMISSION NUMBER
N . . CC661267
e^ F MY COMMISSION 2,2 EXPIRES
WSW // 7e7v
//13 AM 99.
/l2/ ,;�,`l4/
RESIDENTIAL DEMAND
LOAD CALCULATIONS
3 W / SQ. FT p
REFRIGERATOR
APPLIANCES
DISHHWASHER
GARBAGE DISPOSA L
MICROWAVE
CLOTHES WASHER
DRYER 570
RANGE /Z,
WATER HEATER 545
OVEN
FREEZER
TRASII COMPACTOR
GARAGE DOOR MOTOR
JACUZZI
JACUZZI BOOSTER HTR.
IRONING BOARD
POOL EQUIPMENT
SPRINKLER PUMP
LANDSCAPE LIGHTS
SPARE CAPACITY
6,6
/6
K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
/)? K.W.
K.W.
K.W.
�p2 K.W.
,Q K.W.
K.W.
/,p., K.W.
K.W.
K.W.
}.W.
L/
`�`� K.W.
TOTAL CONNECTED LOAD
FIRST 10 K.W. @ 100 % 10.0 K.W.
REST @ 40 % /3, K.W
A/C @ 10 % 0 K.W.
TOTAL DEMAND LOAD
- 35.6 K.W. / 240 V. =
336co
.33 b K.W.
AMPS
� / 40 a.A-A/ 0 5
c 9-60a-yyLp Sei
SUBJECTTf COMPLIANCE ALL
AND REGULATIONS. ERA TATE 'ID COUNTY
MIAMI SHORES VILLAGE R RESULTS r�0�11 RESPONSIBILITIES
PLANS.
OR ACCURACY
O�
COMPLIANCE vol THE SOUTH FLORIDA BUILDING COD SBB
MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER
CONTRACTORS ARE CHARGED D WITH KNOWLEDGE I E AT D HERE.
MG
REGULATIONS WHETHER
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PLUG
RECE`r•T'S
CONTR.
LIST
CHECK
CONTR.
LOST
CHECK
SW. rrCH
ounsTs
I,U GHT
OUT4ETs
scene ids
oaths and take
•441,444.,,1041
•••••••••••
Permit No........L.Q........ Dom...:......
Application is hereby made for the approval of the detailed etatteaent of the plane and specification h able ' for
structure herein described. This application is is in compliant, and conformity with the Bti of Miand Mores
and all provisions of the Laws of the Stake of Florida, all erdigpses of Miami Shoos Village and a* ruke and tegulaftws of the
of Miami Shores Village shall be complied with, whether Ionia specified or no A copy of `appsoved pbos and e wins
building during progress of work.
Owner's Name and Address... f� .... :. , No SLR. ....».........Skreet....��' :
Registered Architect and /or Bngir►eer .�,..... »... . —.
Employing Electrician's Name...:,.. /.r... r.... .eft
Location and Legal Description Lot
Street and Number where work is to be performed No,......
State work to be performed and purpose of building (By
New Building . ... . ».... ;Remodeling........... ».....
..
Service Overhead Size Feeder
Underground
Type of Installation— Conduit ' log .. ................ :�.:..IL :L
Amount of Per
$4 ......
STATE OF FLORIDA,
COUNTY OF DADSE.
MIAMI SMOKES VILLAGE
ELECTRICAL INSPIICTION DIPANTMEIHT .
APPLICATION . P'OR !ELECTRICAL Pembirr
65.
................. onduit., :..... . —Main Sw„. .......... »4444 ». »,.....,,imge... ».......... Main PUMA..
.... .'- ..........•.................... ...;..,...... . 4444..
•
The undersigned applicant for this building permit deem hereby certify that he understands
abor under the Florida Workmen's Compsnsa$ion Act, king Esc iot► 5986, CosapMtld ' Omni La
has complied with the provisions thereof, and will tetjtsire simliar compliance fora all some ci rs
work to be performed under this permit; and will post dr. saute to be posted for Mtpestion ,on the site of the work such public nab et,
as are required by the Act. The undersigned agrees xa employ Opiy such stilvcontractors, tlit = _ be performed under' this per;
licensed by Miami Shores Village.
Before me, the undersigned authority, a nobary .jsublie. dolt' authorised to tdminittsc
appeared
-----Addition.
to me well known, and who, being by me first duly eworn, upon oath deposes and
of the above described construction, and he has carefully reed the foregoing ap p
therein by him stated are true.
Floors) ....................».....,...,........... ...... ».,..,... »..... »....... », »1,1,1,4 »... ,...... ...,.......,.....,..� :.:.......
set......,.... ».. » .,...... ....., ..,..: .,�.......
( Signed
a fie"
) , : .. :.� , Y S .
•
. ........ ............................... »
ya that he am ... ,.. 1,444,
»..,» »4441,. »,. »... » .... „b.,,
4441, ... ....................» . . » .,.......1,b... ,
y Commission Expires Notary F
OTEc A re•inspection fee of $1 will be made when such gc'in eetlon is made nee ssary•by ;. improper notice
rialt and /or workmanship.
ou, and he did o She carne, and dot
t,
• (S SER VICE
CABS. MP.
PLUG
Ft EOE'P•T'S
MIAMI
ELECCIVINZAL
APPLHHAT! Q
Permit No
1 ��
Application is hereby made for the approval of the d statement of tie Ow arid
structure herein described. This application is made in anc and coefezi ty with
and all provisions of the Laws of the State of Ploridoi all� of Missal Sing V
of Miami Shores Village shall he complied with, ðer loran In siaecified or not. A
building during progress of work.
Owner's Name and Address.:....'. ». ..._.... .No
Registered Architect and /or Engineer..
Employing Electrician's Name ...... .. s...rR...i��rl� No
Location and Legal Description Lot. • .. »
ji Street and Number where work is to he
2
State work to be performed and purpose of building (By Floors) ._..__
Building......
, ed ......... Remodeling...... ..».. Addition
. � •-1►
O NTR.
LIST
CHECK
CK
S erv i ce O rhead Size Feeders.. «. OC�rrtl6it. r_._.l�tain 1111.
Underground
Type of Installation — Conduit.......... At .....'I'etbi .a.....Aor �......,B: c1
..., .......e.,. «.«...a ..••••••. m..,e.ii+.n.•ar ems+�ee .:.............e.,.ss
Amount of Permit $..•. ....
The undersigned applicant for th : a , F s g permit disc y csreify tie he ash his ,
labor under the Florida Workmen's. • .' °. h action 59 - . c
has complied with the provisions thereof, cud rewire slur elinsplisoce lo s* `tlp=
work to be perforated under this perm* an d will post on stye to be posted for iospeetais otibbfottlit et the
as are required by the Act. The undeesigaed egnee VA only such itia oar Se he perk
licensed by Miami Shores Village.
b •1►
a nobr? duly auttiorke4 to oaths and
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
Before me, the undersigned au
appeared
to me well known, and who being by ate first duly sworn, ton oath depose' and says that lte k t1te.;;. a ....,.w,.....>..„....,. ;....,.,
of the above described construction, and he has =shiny read the foregoing applleetiort, awl that he 4ki �
herein by him stated are true.
ssion .B �•
NOTEc A r speetion fee of $1 be
aterials and /o orkmanship.
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rR. ..... «...t tC Gt+.sue
sss..e..sss..n...
..»...» ...... ...............i..,....,�...... » »000„0,... .. _ .......,,,a+,...,a,+*�. *•�;.;..
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