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1279 NE 98 St (9)16wner's Name and Address J 4 r1$ O n ?✓ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 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 the work. Date 1a /.A n a 19 $g No is 79 Street U 7 r S/ c i Registered Architect and /or Engineer i 11 ✓fVame and address of licensed contractor F A 0. \ L4 \ to rt ; &. C c r,ci1. P. 0. Sca a0 , Po r1 pin a F \ 3 3 to Location /(/i // and legal description of lot to be built on: n , / /, �� _ a / f / i� Lot P o / 7 Block Subdivision 1/11./. 1/�,L iii4 1� 5 ' � 0? L c---Street and Number where work is to be done valet 'n . . 9 lS 5*. nz,..)AIC. L State work to be done and purpose of building (by floors), state exterior colors (submit samples) }oINS 10YS and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements S ‘'t300 ." Amount of Permit S q ( A5 Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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 subcontractors. on work to be performed under this permit, as are licensed by Miami Shores Village. R .�— Remarks (Signed) 'O STATE OF FLORIDA COUNTY OF DADE. } ss. 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, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. Date N ' Read, Sworn to and Subscribed before me. Disapproved ' r Date (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Date Disapproved Date Council Approved Notary Public. State of Florida NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship. 7 1 J-V7UU U - / /UV LUD 491 -5133 944 -7489 DALE OF ORDER Q2-_ CUSTOMER'S ORDER NO. PHONE MECHANIC HELPER STARTING DATE / / BfCPTO ^ li r 4::," ORDER TAKEN BY ADDRESS Ei DAY WORK El CONTRACT ❑ EXTRA CITY JOB NAME AND LOCATION 9 8o c /r/, laii WORK ORDERED BY JOB PHONE FLORIDA HEATING & AIR . CONDITIONING SERVICES P.O. Box 5820 POMPANO BEACH, FLORIDA 33064 Signature y a- S N p' ome ❑ Total amount due /i(y' for above work: or I hereby acknowledge the satisfactory completion of the above described work. JOB WOOa O. OC Q 73247 Total billing to be mailed after completion of work TOTAL MATERIALS TOTAL LABOR TAX DATE COMPLETED / / WORK ORDERED BY TOTAL AMOUNT $ FLORIDA HEATING & AIR . CONDITIONING SERVICES P.O. Box 5820 POMPANO BEACH, FLORIDA 33064 Signature y a- S N p' ome ❑ Total amount due /i(y' for above work: or I hereby acknowledge the satisfactory completion of the above described work. JOB WOOa O. OC Q 73247 Total billing to be mailed after completion of work • Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 7s /- �a9� 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, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation. 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 wo or rk � /// / , l 4-- Owner's Name and Address.F ` ] fit/ 1 � /�SQ N� ? f/ No / ° 1 Street i ' �Q V �� 7 . ' �i Registered Architect and /or Engineer c ,„,..---Eriployi Eotrici s r 2 �L(f F. �, �f No Street Location and Lega Description L / A / Block... Subdivision f a2� 5 —Street and Number where work is to be performed —No /a . .. � . x /11- c - 9 �� Street m Mau' ate work to be performed and purpose of building (By Floors) 11 Fo n Ce+vi `^ A • C. New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground P Type of Installation — Conduit Tubing.. ... B.X.L.. Metal Moulding Amount of Permit $ O 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. f a. Before me, the undersigned authonty, a notary public, duly authorised 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. (Signe (Signed) 1-14))0 s✓� to administer oaths and take acknowledgments, personally SWITCH OUTLETS LIGHT OUTLET[ PLUG RECE'P'T S FIXTURES NO LAMPS RE /RIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CORN. WATER H W. HEAT. CONN. SPACE H STRIP H TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEM•. SERVICE PERM. � 4 MOTORS 0.1 HP MOTORS 1.1 NP NEON TRANS. RADIO TOTAL GLIII LIST 1 CHECK • Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 7s /- �a9� 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, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation. 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 wo or rk � /// / , l 4-- Owner's Name and Address.F ` ] fit/ 1 � /�SQ N� ? f/ No / ° 1 Street i ' �Q V �� 7 . ' �i Registered Architect and /or Engineer c ,„,..---Eriployi Eotrici s r 2 �L(f F. �, �f No Street Location and Lega Description L / A / Block... Subdivision f a2� 5 —Street and Number where work is to be performed —No /a . .. � . x /11- c - 9 �� Street m Mau' ate work to be performed and purpose of building (By Floors) 11 Fo n Ce+vi `^ A • C. New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground P Type of Installation — Conduit Tubing.. ... B.X.L.. Metal Moulding Amount of Permit $ O 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. f a. Before me, the undersigned authonty, a notary public, duly authorised 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. (Signe (Signed) 1-14))0 s✓� to administer oaths and take acknowledgments, personally Audi BROWARD COUNTY. CENTRAL EXAMINING BOARD OF ELECTRICIANS-. has awarded a CERTIFICATE OF COMPETENCY • To N° . 146 • 4' 84-CJE-1822-X IAKANTINV as a JOURNEYMAN ELECTRICIAN to rate as such throughout BRO RD COY ,„19-01-86 08-31 • Issue ■Now xiA 411111 P— . utho zed • rd gn&ture t4 - -)*A- 'PALM BEACH COUNTY' JOURNEYMAN - 4 - CERTIFICATE OrCOMPETENCY NAME . JOHN J TARANTINO. . • 3204 NE 7TH PLACE, APT #3. • POMPANO BEACH, FL 33 EXPIRES SEPTEMBER 30, 19 • AA [ AUDIT CONZROL NUMBER C-0.7 82 CERTIFICATE NUMBER ;s3 J . '.t