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ELECTRICALPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 2 —6— Job Address / 2 - 98 A/6" 9,9E7 Tax Folio / / 3 a--O J 0 D 9 4 'Z Legal Description Historically Designated: Yes No / Tenant 8- Master Permit # ea Owner's Address / 2 618 4) C Phone 7 S —5'905' Contracting Co. lit es/4' E2C G SYS TC'4I S C6 R-P• Address 112. - 0 SW '- sr /1i"..r, r 3 3 /65 Qualifier CI i2 (o tC Phone 2 Z G1- --,1"tF 9 & State # 00(z. 82 3 Municipal # CC (9O S°j Competency # (Q0 .5 Ins. Co. Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING Address Address Address PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION £. e, & fvsE E/ c- is , 4-W4/ toe tt, (JV C(E r'r" .eweeP PA w el C C p`e 7 -/C (,v r'i / 72- Ja-t / 3' Square Ft. " Estimated Cost (value) $ f ( 0 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 tha . •.rk will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named at or t•,. • ; work stat ;d at Signature bf owner and/or Condo President My Commission Expires: Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder My Commission Expires: 777" ' A ' ' O/ © OFFICIAL NOTARY SEAL 0 ei SANDRA 1/ MONTIEL _ ,r,V)) n COMMISSION NUMBER tiV Q CC401261 � 4 59 4 MY COMMISSION EX?. (�c Of F\ AUG. 1? ?t3 43 FEES: PERMIT /' RADON C.C.F. NOTARY TOTAL DUE Date Signature of Contractor or Owner- Builder Date Date 9-94 6 a APPROVED: Zoning Building Electrical t )' Mechanical Plumbing Engineering BUILDING ELECTRICAL PLUMBING Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 7574 Work to be performed under this Permit 4 $ Owner of Building e Architect Contractor or Builder Legal Description II Address of Building This permit is anted to the contractor or b der named above to construct the building or to install the eq__ cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work witl 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 respobsibility for a thorough knowledge of the,ordinan regulations pertaining to the work covered hereby whether shown on the plans • drawings or is >s w statements or specifications and ,` . `R w assumes sibility for work done by his agents, servants or employees. CONTR OR OR : UILDER Subdi- vision Value of Project DATE , - Contractor's License No u Amt. e fermi Signed: In consideration of the issuance to me of this permit I agree to perform e ; ►rk covered hereunder in compliance ... pertaining thereto and in strict conformity with the plans, drawings, statements a specifications submitted to the proper au In accepting this •ermit I assume responsibility for all work done by eith raysglf, my agent, servant or employee. JL ent or device described in the appli- The enteral under the Flscido plied with the performed- under- required by die Asit licensed 1py STATE OF F LO, OF Before me, appeared to me well knot, d who, of the above des ed s therein by him 'mated nee and Registered its&itett t. 'Employing Eleettitian'i Load" and i.,e0 DeseripttnitiLa , Soto and P4nmber witate i State work thi- Bel; New ft...067:4r,zr ma: BUILDING ELECTRICAL PLUMBING Architect CONTRACTOR Olt UILDER MIAMI SHORES VILLAGE, FLORIDA DATE 4,2 Contractor's cense o ERMIT N? 7352 Work to performed under this Permit of Building 1' r • v� s��vr.�v Contractor or Builder - — Legal Lot �I B Subdi- vision Description Address of Building This permit is : I nted to the contractor or buil. -r named above to construct the building or to install the equipment t or ; etice desoYtb in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work w be p ormed in compliance with anx 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 assu a es he r , po a :ibility for a thorough knowledge dinances and regulations pertaining to the work covered hereby whether shown on the plan . dra or ' ' : statements or specifications and . es respon- sibility for work done by his agents, servants or employees. Signed: �'f 4 L._ By In considerati n of the issuance to me of this permit L agree to perfo.0wor' covered hereunder in compliance with all ordinances and regulations pertaining thereto d in strict conformity „ith the plans, drawings, state;, m or specifications submitted to the proper authorities of Miami Shores Village. In accepting s p it 1 assume re r_ : ty for all work done by either myself, my agent, servant or employee. Value of Project I b_ G 194 BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA } BUILDING DATE � ` / 194 ELECTRICAL PERMIT N. 7343 PLUMBING Owner of Building Architect Contractor or Builder Value of Project In consideration of the pertaining ther In accepting +' i CO A OR 0 • BUILDER Work to be a erformed under this 'Permit ua e o me of this permit I agree to pe o - o : ity with the .. ns, drawings, s e a� ibility ork done by ei' is PO Subdi- vision BY Contractor's License No Legal Lot Bl. Description Address of 7 Building This permit is gra ted to the contractor or build named above to construct the building or to install the equipment or :"do described m the appli- cation herefor in strict compliance with all ordinances iertaining thereto and with the understanding that the work will be per rmed in compliance with an plans, drawings, statements or specifications that may have been submitted to and approved by the pro er municipal authorities. This Permit may be revoke at any time if the work is not done in compliance with such ordinances or if the g1a's are : ged if out authorization. A further co n•t: son which this permit is granted is the understanding that the contractor or builder named above a _ r =o +ibility for a thorough blowier) ' . rdinances and regulations pertaining to the work covered hereby whether shown on the plans or i'' statements or fications an ssumes respon- sibility for work done by his agents, servants or employees. INS P OR the work covered hereunder in compliance with all ordinances.and regulations ements or speoifications submitted to the proper authorities of Miami Shores Village. er myself, my agent, servant or employee. AUTHORITY