248 NE 98 St (12)Date:WI / Job Address Z Q ,x/6 Tax Folio / foreV �J '5'/7t91
Legal Description / "i!. g/ g)
Owner / Lessee / Tenant ✓ !d Master Permit # (A1&
Owner's Address �� / f / � � � �/ Phone
Contracting C
Qualifier l/i/�G' ,/ IC G /* SS# ` 7 Phone
State 4 0 Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING E . 11ItAL A PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Si ? ure of owner and /o
Dat .
5/s'93
Notary as Gto Owner a
My Commission Expires:
** *
FEES: PERMIT RADON
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Square Ft. Estimated Cost(value)
a/110) 47
o President
OFFICIAL SEAL
O Pi hiafieLES
My Commission Expires
June 4, 1996
'x; cR`O Comm. No. CC 205953
* * * * *
Address � � " ` 3 7 '
/ >i
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 d ne compliance with all applicable laws regulating construction and zoning, Furthermore, I
auth6raCze the above -named c9ntractor to do the work stated. v f
Signature of Con
Date:
3 /7)5
Notary as tb' Coot
My Commission E
'' FFICIAL SEAL
} „ ; �
�,�,., qr Ow44�$ii4�1$ €
My Commission Expires
„ � � June 4, 1996
.�;.. .. '....” C omm. No. CC 205953
er- Builder
**
NOTARY TOTAL DUE
C.C.F.
Fire Other n s
Zoning Building electrical'
Mechanical Plumbing Engineering
for , j 4 4
Size of Service j
MIAMI SHORES VILLAG
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
THIS CERTIFIES T AT�ie
by / f'' // Address
PP rs
d apparatus installed at A. zze
owner, and occupied as
i-ar
PERMIT
h
has been inspected and current is authorized to be turned on, until otherwise notified, for:
Number of Lighting Circuits
watts. Water Heater
Range
Power: Connected load H. P. Space Heaters
Other Apparatus X
x
watts
watts
ELECTRICAL INSPECTOR.
OUTLETS
7RWffi!
RECEPTACLES�g
INSULATION
STOVES
WATER H'TER•
SIGNS
BILLBOARDS
OTHER APPARATUS
MAIN
SUB
1 �r
Basement
) 7
First
b:
t'
A--1_ A—
, I C
FLOOR
NUMBER OF
SIZES OF
INSULATION
OPEN OR
CONCEA L'O
NUMBER OF
CIRCUITS
OUTLETS
MOTOR
GEN.
MAIN
SUB
BRANCH
Basement
First
b:
t'
A--1_ A—
, I C
Second
T e'1••
Third
Fourth
Other
Floors
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:
Owner
Building Contractor
Electrical Contractor
Location of proposed work: Lot', J - 6 ' Block ' - 1
Building: Old or new /I tt"Number of stories / Used as
Description of proposed work
Details of proposed work:
Number of Mors H.
Additional Information
l
Signature of Applicant
Address (if other than owner or contractor)
Miami Aiores
F L O R I D
Address
Volts Amps
SPACE BELOW FOR INSPECTOR'• USE ON
Date 193?
y� � C '-
F (4 /V .52 C . `C . e. a ....� 1 ( 2.
Subdivision c
Phase
///„V /7)
Work begun Inspected �Z'`L
I
Work finished Final inspection
, Inspector
Additional information:
APPROVED BY:—
Remarks:
PERMIT NO.
MIAMI SHORES VILLAGE, FLA.
APPLICATION FOR SEPTIC TANK PERMIT
DIVISION OF PLUMBIN NSPECTION
Date:
I herewith submit the following application for a permit covering
the installation of a Septic Tank
Soakage Pit: : Relaying: New:
Feet of drain tile: 7jr
Installed by: Address: ,j ° 1 449
(NEW: / Old: Story: / Addition: Remodeled:
For a (Store: Garage: Apt: Hotel: Office Bldg.
(Res: I/ Garage wash floor: /aste water from a:
Building has: Stores; Offices; Apts; Hotel Rms;
Bedrums 9-
Owner or Agent: Address: / '4' 77I /o/ y)1
Lot No.7 -K4 Block No. 3/ SUBDIVISION hgr P4142
Address of work: st4c6
No. of Plumbing Fixtures: 7 Laundry Tubs: / Floor Drains:
Nature of water supply: City: 11 Well: Feet Distant from all
wells: Type of tank installed: Tank capacity in
gallons: 346
Size of Soakage Pit: Purpose of same:
Ready for Inspection: Date: Time:
CONDEMNED BY:
0
'sty
• i■
' • I7
9
1
1
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal ' Lot
Description
E
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 6287
Work to be performed under this Permit
Bl.
Subdi-
vision
DATE
Contractor
License No.
t
1942
Address of i i ' " , Value of Amt. of ` J C_
Building ` / - ' Project Permit
This permit is granted to the contractor or build: na ` ed a ' o ' e to construct the building or to install the equipment or device described in the appli-
cation 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 assumes respon-
sibility for work done by his agents, servants or employees. ,
im` `` �`"'
Signed. /' A, i /` ' , ' /((1 e:i -C. B Y,, �,. v
INS ECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with nil ordinances and5regylJions
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR SI UILDER BY
AUTHORITY
Permit No._
Street and Number where work is to be performed —N
State work to be performed and purpose of building
MIAMI S H E S VILLAGE
ELECTRICAL INSP :CTION DEPARTMENT
APPLICATION FOR'ELECTRICAL PERMIT
Application is hereby mac/ for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described This ap *oprtion 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 ' _ f .____
Registered Architect and /or Engineer ._–____ ____
Employing Electrician's Names" —" ' No i
Location and Legal Description Lot__ ________
________�_�___
No . -- - -----
c w _ '
Subdivision_____..___
Street 1 L �_�____�
New Building Remodeling Addition.. v Repairs_______________________ No. of Stories
Service Overhead Size Feeders Conduit
Underground
Type of Installation— Conduit Tabing
Amount of Permit S --
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966.
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is
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.
NOTE: A re- inspection fee of $1.00 will be made when such
materials and /or workmanship.
ss.
My Commission Expires
Main Sw.
B.X.L Metal Moulding —__________ ________—___________________r__
- (Signed)
Amps. Main Fuses__________________Amps.
Electrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has coin-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
(Signed) - --
Notary Public. State of Florida
Master Electrican.
authorized to administer oaths and take acknowledgments, personally
re- inspection is made necessary by improper notice for inspection, or faulty
SWITCH
OUTLETS
LIGHT
OUTLETS
/
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPy
1 `J S
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
$PACE
HEATER
•
/ I
c STRIP
5HEATER
TOTAL
CONTR.
LIST BT
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No._
Street and Number where work is to be performed —N
State work to be performed and purpose of building
MIAMI S H E S VILLAGE
ELECTRICAL INSP :CTION DEPARTMENT
APPLICATION FOR'ELECTRICAL PERMIT
Application is hereby mac/ for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described This ap *oprtion 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 ' _ f .____
Registered Architect and /or Engineer ._–____ ____
Employing Electrician's Names" —" ' No i
Location and Legal Description Lot__ ________
________�_�___
No . -- - -----
c w _ '
Subdivision_____..___
Street 1 L �_�____�
New Building Remodeling Addition.. v Repairs_______________________ No. of Stories
Service Overhead Size Feeders Conduit
Underground
Type of Installation— Conduit Tabing
Amount of Permit S --
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966.
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is
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.
NOTE: A re- inspection fee of $1.00 will be made when such
materials and /or workmanship.
ss.
My Commission Expires
Main Sw.
B.X.L Metal Moulding —__________ ________—___________________r__
- (Signed)
Amps. Main Fuses__________________Amps.
Electrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has coin-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
(Signed) - --
Notary Public. State of Florida
Master Electrican.
authorized to administer oaths and take acknowledgments, personally
re- inspection is made necessary by improper notice for inspection, or faulty
NO. L
,' STREET
PART OF LOT
LOT
BL'K
SUBDIVISION
Signs
Billboards
f
Permit Fey mo
Outlets
Motors
Receptacles
filiontrrifiiii
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fey mo
.
/
ELECTRICAL PERMIT
B. —This Permit must be on display on the premises during
the construction.
Owner of Building
Contractor or Electrician
dd�iami Azores91llage
Miami Shores Village, Fla ,
F L 0 R 1 D A
OFFICE OF ELECTRICAL DEPARTMENT
LO CATI O N
DESCRIPTION OF WORK
NUMBER OF
19
N? 722
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 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 , 19
Electrical Inspector.
(Seal)
NO.
STREET f
PART OF LOT
7.. ,„,,,,,:-
,.. , ,....
LOT
i
(...
.7., •
/
45N 4 _
ft
,-,...
ther paratus
Outlets
1
Receptacles
IlittrATSTr
Stoves
Water Heaters
Signs
Billboards
ther paratus
Permit Fey/
-
r %
•
/
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction. "
Owner of Building
C actor.,Q iectrician_l
ciami cfhores9llage
F L O A 1 D A
OFFICE OF ELECT 'CAL DEPARTMENT
Miami Shores Village, Fla " 19-
LO CA . 0 N
DESCRIPTION OF WORK
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 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 eb_ n charige'in the plans and specifications unauthorized by
•
thi 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 ,tine Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
Shores Village. ! f )
r
r
Dated l;" /4 ( ✓ f
19 ""`
NUMBER OF
, Electrical Inspector.
"At /AA /
N° 722
(Seal)
PERMIT APPL FOR MIAMI SHORES VILLAGE
Date 9 . & Job Addressc7 O f " 1- Tax Folio
Legal Description Historically Designated: Yes
Owner/Lessee / Tenant %Lx' /4.' Master Permit # ( 95:\ g
Owner's Address
Contracting Co. C CJ /Q 1Z E CT
/.E. Phone
FEES: PERMIT RADON C.C.F.
No
E 'C 'J C Address /1 / : (,f J 3 7i2-'
Qualifier / _ / �r .�!%'� tEL1 A SS - ` .�' ) Phone ; '.J - 4 c q z
State # Municipal # /Y4/ 2 Competency # 7 Ins. Co. /2)
Architect/Engineer Address
Bonding Company Address
Mortgagor . Address
Permit Type (circle one): BUILDING `ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION .L/
xfie
Square Ft. Estimated Cost (value) / .0 0 c24 '
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 construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of owner and/or Condo President Date Signature of Contractor or Owner- Builder Date
Notary as to Owner and/or Condo President Date No . as to Contractor • Owner - Builder
My Commission Expires: M 'omrpt..on Expires.
e • \ NOTARY PUEILIC. STATE OF FLC rn
• 014nA:4:::1r; t;. ^.C-658023
MY CC,Fii4E31C k +' r.'t'igE9
AAA. 21, 1988
NOTARY
Building
Electrical' ' /
7/
TOTAL DUE
Date
APPROVED:
Zoning
Mechanical Plumbing Engineering
Date (- A
Legal Description
Owner/Lessee / Tenant 5 A G C Swi" C�l)
Owner's Address (-1, -V_% Phone
Contracting Co .&� sCt , % - " Z V SS kdNKB. <", Address \ 'S� Cq \VW F1N `\ .'VNtik
Qualifier C \�o�s SS # Phone 34 akt`
State # c')K vk. J"'j Municipal # Competency # Ins. Co.
Address
Address
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDLECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION p O,@. � N CS,'NklN ■11
Square Ft. Estimated Cost (value) \ \�
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 al
construction and zoning. Furthermore, I authorize the above -named contractor to do
Q �
Date Signa
ignature of owner and/or Condo President
Notary as to Owner and/or Condo President
My Commission Expires:
FEES: PERMIT fie age RADON
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address ��� N � Tax Folio
Historically Designated: Yes
or
work stat
Date Notary a to Contractor or
My Commission Expires:
Master Permit #
C.C.F. NOTARY .�
4PPROVED:
mg Building Electrical
deal Plumbing
BOND
'11 be done in compliance with all applicable laws regulating
d.
7) -e e /
ntractor or Owner- Builder + + 4 Date
Pu
: \ %7 - J
w
r- Builder: • `. py'-' %Y ,�; Date
� P
oftlat
!l� 911 � p � 19,'tAa►
TOTAL DUE
Structural Engineer
CERTIFICATE OF RE- OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described
in the application has been inspected for the purposes of re- occupancy pursuant to Sections 901
and 902 of the Miami Shores Land Development and Zoning Code and that such property may be
re- occupied by the applicant for single- family residential purposes.
MIAMI SHORES VII.L FLORIDA
By
Date of Certification:
THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY
HAS BEEN INSPEC'1 ED BY MIAMI SHORES VILLAGE AND HAS BEEN
DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF
REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT
CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH
ONE - F DWELLING IS USED AND INTENDED TO BE USED FOR
A ONE-FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS
CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR
WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER
STRUCTURES ON 1•HE PREMISES DESCRIBED HEREIN, OR ANY
ASPECT OF SUCH CONDITION, AND INTERESTED PARTIES ARE
ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION
OF THE PREMISES IN ORDER TO DETERMINE ' THE CONDITION
THEREOF.
I,
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
hereby apply for a certificate to re -occupy the single farniiy residence known as: (address)
aiff/✓6 7�
Applicant:
Print Name:
Comments:
, vfiarni Shores, Florida.
Date:
I hereby certify that I understand that the zoning of the property is for single- Family residential use
and that it is unlawful for more than one family to reside therein. I also understand that any
Certificate of Re- Occupancy that may be issued by Miami Shores Village, Florida, certifies only
that the referenced property is being used for single- fa *niily purposes and that such Certificate does
not constitute any representation, warranty or certification as to the coaditon of the dwelling or
other structures on such property.
For the purposes of conducting the inspection required by Soon 902 of the 1Tiami Shores
Development and Zoning Code, contact
Contact Name: Telephone: ?2' - 757 /97o t7
Buyer: Seller. Realtor. Company Name:
Application Fee (S50) Paid: Cash: Check'! Number:
Inspection: B - ppraved: Denied: Daze: l (i 1.1
tit . ( 442 Lit-be-4)
1"-Lernit _ 411))L) F- AJI
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