304 NE 99 St (12)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date lie 0/ Job Address C) N C 9 g S T Tax Folio
Legal Description
Owner/Lessee / Tenant C y pTR I A 1 Master Permit # 3 81 - I J
WORK DESCRIPTION 6i OU /V ID WP TES ff '9 r se
Notary : Owner and/o
My Co , ssion Expires:
9r
CIAL ditstaar SEAL.
ARY PATRICIA BRIGGS
• COMMISSION NUMBER
• CC335258
� /t4. q MY COMMISSION EXP.
OF f�� JAN. 31,1998
Historically Designated: Yes No
Notary as
My Co
✓
FEES: PERMITS mod RADON C.C.F. c SO NOTARY ---
Phone 7ST -�Gb�
Owner's Address 3 0 (/✓' _t s
Contractin Co. I Y n �1 D () �J 9 ri LE Li- c Address 66 9 /V) 90 r
Qualifier J O
State # C ; 4 1 0 / / (� Municipal # Competency # / (� 6D 2 Ins. Co. //2/91JC ,C S
Architect/Engineer
ss# - rPhone (f 9/ / 3 7
Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING
LUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Square Ft. Estimated Cost (value) ' 16,0 .
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 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.
o
JI
Signet re of owner andior Condo President Date Signature of Contractor or Owner- Builder Date
Contractor or Owner- Builder
ssion Expires:
�p nY Pt' OFFICIAL NOTARY SEAL.
O <• MARY PATRICIA BRIGGS
F * COMMISSION NUMBER
4a Q CC335258
• MY COMMISSION EXP.
OF f%. JAN. 31 19$8
7% 6/7/ —
Date
TOTAL DUE 35,
APPROVED: Y
Zoning Building Electrical \/ "'" 1f
Mechanical Plumbing Engineering
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 0/.3 3 7 10 S Date... / ".
Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building o1 other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fits.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 progreu of work.
Owner's Name and Address in R'- ih S
New Building Remodeling
f 6n
Amount of Permit $... L •
u.
My Commission Expires
MIAMI SHORES VILLAGE
fl -r c p s 1
RA AJ D
Registered Architect and /or Engineer
Employing Electrician's Name .. ;4. /7"'f
Location and Legal Description Lot / / c L
Street and Number where work is to be performed —No 3. ®..
State work to be performed and purpose of building (By Floors)
Addition Repairs No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
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 3966, 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 subcontractors _ on work to be performed under this permit, as are
licensed by Miami Shores Village.
No. /3'
Block Al /
(Signed) M, bcsRao
(Signed)
No J Ifl ( Street/ r ' S 'ice e e
Street.. t.. . -`T
Subdivision "1 rAr•t r s 11 e R e J'
Street .' 7 S R t?
Notary Public, State of Florida
Muter Electrician.
STATE OF FLORIDA, t
COUNTY OF DADE. I
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.
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
--a—
LIONT
0
PLUG
RECE•►'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANOE
OUTLET
RANGE,
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CL
LIST ISY
! O
CHECK
ENT.
Sw.
DIET.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
14 MP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
c
/
U V
CHECK
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 0/.3 3 7 10 S Date... / ".
Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building o1 other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fits.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 progreu of work.
Owner's Name and Address in R'- ih S
New Building Remodeling
f 6n
Amount of Permit $... L •
u.
My Commission Expires
MIAMI SHORES VILLAGE
fl -r c p s 1
RA AJ D
Registered Architect and /or Engineer
Employing Electrician's Name .. ;4. /7"'f
Location and Legal Description Lot / / c L
Street and Number where work is to be performed —No 3. ®..
State work to be performed and purpose of building (By Floors)
Addition Repairs No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
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 3966, 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 subcontractors _ on work to be performed under this permit, as are
licensed by Miami Shores Village.
No. /3'
Block Al /
(Signed) M, bcsRao
(Signed)
No J Ifl ( Street/ r ' S 'ice e e
Street.. t.. . -`T
Subdivision "1 rAr•t r s 11 e R e J'
Street .' 7 S R t?
Notary Public, State of Florida
Muter Electrician.
STATE OF FLORIDA, t
COUNTY OF DADE. I
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.
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
y
Permit No .l � 2 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 ) U (.1 No ° Street.. /Para ^ �(... q�,Il 7
Registered Architect and /or Engineer /
Employing Electrician's Name . !? A No 0 Street,'/27/ .6.
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 3 ® Street ...1v 7 6 ! .7 5
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. Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and ac .ts 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. I Ss.
(Signed)
(Signed)
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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
R ANGE
CONN.
WATER
HEATER
W. H EAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS MOTORS
0.1 HP 1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/.....
/
/ / a
/�
/7 /�
.
' # Gad
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
�
APPLICATION FOR ELECTRICAL PERMIT
y
Permit No .l � 2 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 ) U (.1 No ° Street.. /Para ^ �(... q�,Il 7
Registered Architect and /or Engineer /
Employing Electrician's Name . !? A No 0 Street,'/27/ .6.
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 3 ® Street ...1v 7 6 ! .7 5
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. Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and ac .ts 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. I Ss.
(Signed)
(Signed)
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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
G
ELECTRICAL
PLUMBING PERMIT N° 9026
ROOFING ❑
Owner of �
Building (7 #
Architect
Contractor
or Builder fr
Legal Lat C
Description B1
Address of
�'
Building j /f �s
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed L f ! r'. = � (INSPECTOR) BY
In consideration of the issuance to me of this permit ,, ��``�$ree to perform the work covered hereunder in compliance with all ordinances and regulation~
pertaining thereto and in strict conformity with the plans, dirWings, 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.
CONTRACTOR or BUILDER
y
�..��
BY AUTHORITY
Date 1 - .t.'
Contractor's
License No. � �' e,n i
Work to be performed under this Permit
Subdi-
vision
Sq Ft
Value of 11 Amount of ,►,
Project $ 11 Permit $
Permit No
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.. e e. 10 4/ 6-
Registered Architect and /or Engineer
APPLICATION FOR ELECTRICAL PERMIT
ss.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Employing Electrician's Name h P1 4. 4'c_, No tc6 0
Location and Legal Description Lot Block Subdivision
Street � #'4 � �" c �+
Street and Number where work is to be performed —No
9 An unt of Permit S
1f`
(Signed)
No Jo
Service Ovcr se
l3 vrtd Site Feeders. 4 /l'Conduit.l " —Main Sw
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Date
A mps C
o ,
Street ‘")
Street ..44<
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Main Fuses C Amps
lectrical Inspector.
lt The undersigned applicant for this building permit does hereby certify that he understands and accepts his obl' . tions as an employer of
or under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida rmanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contra •.rs 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 wo 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.
(Signe
er Electrician.
STATE OF FLORIDA, l
COUNTY OF DADE. I
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'8
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. H EAT.
CONN.
StACIE
H ATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE SERVICE
TEMP. PERM.
M OTORS
0.1 HP
MOTORS
1•5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
' /
CHECK
lVs/
t
Permit No
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.. e e. 10 4/ 6-
Registered Architect and /or Engineer
APPLICATION FOR ELECTRICAL PERMIT
ss.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Employing Electrician's Name h P1 4. 4'c_, No tc6 0
Location and Legal Description Lot Block Subdivision
Street � #'4 � �" c �+
Street and Number where work is to be performed —No
9 An unt of Permit S
1f`
(Signed)
No Jo
Service Ovcr se
l3 vrtd Site Feeders. 4 /l'Conduit.l " —Main Sw
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Date
A mps C
o ,
Street ‘")
Street ..44<
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Main Fuses C Amps
lectrical Inspector.
lt The undersigned applicant for this building permit does hereby certify that he understands and accepts his obl' . tions as an employer of
or under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida rmanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contra •.rs 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 wo 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.
(Signe
er Electrician.
STATE OF FLORIDA, l
COUNTY OF DADE. I
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.