347 NE 98 St (5)Date
Legal Description
Owner/Lessee / Tenant CA( ) b7
qt1 N,t."fsf
Owner's Address
Contractin Co.
Qualifier
State #
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDIN LE CTRICALOPLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
�(1 �k It'r Vl 1M Q I
l
WORK DESCRIPTION
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 all work will be done in compliance with all applicable
laws regulating construction and zoning. F urthermore, I authorize the abo7arned ntractor to do the work stated.
_01 .V11Ai
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• n xpireiGLADYS J vILLAR
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC714103
MY COMMISSION EXP. MAR. 1 002
Signature of o r Condo Pr - ident Date
5 /1 -43a, 23 - a/6
Not
My Co mmiss
Master Permit # 902, 9 `/ 7
Phone 757 — 3100
01 I El f C \C, V'1 C Address 1 93 1 V • EL . ! v st .
\J I , Pr 0 ( S - e SS# " /) - /Phone 949-6 3 / 3
Municipal # Competency # Ins. Co. Ma 3 jc&1c/ ( (44 ( j
Address
FEES: PERMIT J3 ,0 0 RADON
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 341 ! V '7 , E. 9,s/ 7 — Tax Folio
Date
-
Historically Designated: Yes No
Address
Address
Signs
APPROVED:
Zoning Building
Mechanical
0
f Contractor or Owner - Builder Date
; , : No : as to Co M e
y Commission
c/FFICIAL N6'I'AR` SEAL
xpire . GLADYS J vILLAR
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC714103
MY COMMISSION EXP. MAR. 12002
C.C.F. �. • L/ 0 NOTARY BOND
Electrical
TOTAL DUE
S)7
Date
Plumbing Engineering
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT CUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT MORK
FLOOR ('RAIN
SERVICE REPAIR/14TER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TCP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROIAJ TANKS
LAUNCRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
,
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
/
,J
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 IP
(/
TRANSPORTING ASSEMBLIES
SINK, SLOP
hOTCRS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTCRS OVER 10- 25 hP
FIRE SPRINKLER SYSTEMS
URINAL
hOTCRS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
.
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
'
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIWAING POOL .
OUTLETS COMMERCIAL
_
WATER SERVICE •
,
SIGN TUBES
SEWER CONNECTIONS
_
SIGN TRANSFORMERS
UTILITY-SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
ORAINFIELO, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
D I SCiARGE WELL
-
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR RATER HEATER
FIRE STANDPIPE
POOL PIPING
•
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
(ANN APPLICATION FOR BUILDING P=RMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
ELECTRICAL
MECHANICAL
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT rL - /s1 — L/
Date /›V/
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
Registered Architect and /or Engineer
Electrician's Name •
Street 4 1
No 2—% Street 21 5
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No < 7 72 Street
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
Amount of Permit $ (Signed)
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 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 t be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE.
85.
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
(Signed)
Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessaryy improper notice for inspection, or faulty
materials and /or workmanship.
Master Electrician.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•5 HP
NEON
TRANS.
RADIO
TOTAL
CL 1ST
LIST
CHECK
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT rL - /s1 — L/
Date /›V/
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
Registered Architect and /or Engineer
Electrician's Name •
Street 4 1
No 2—% Street 21 5
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No < 7 72 Street
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
Amount of Permit $ (Signed)
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 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 t be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE.
85.
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
(Signed)
Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessaryy improper notice for inspection, or faulty
materials and /or workmanship.
Master Electrician.
� `037.3
;(p MIAMI SHORES VILLAGE
e &
�, ELECTRICAL INSPECTION DEPARTMENT
p A tr APPLICATION FOR ELECTRICAL PERMIT
��
Permit No 18
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
88.
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 AL.[ 4"t � Ad � � � L 1� �,a No �� � Street /1
Registered Architect and /or Engineer 3A 6'6 ` c a
Employing Electrician's Name � L1'A E L t c.r K n e No ' r� Street /WC-
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building " Remodeling Addition Repairs No. of Stories
Overhead 4f' Conduit..2- t Sw �J.C� Amps Main Fuses G Amps
Size Feeders .. ... �� �'� « Am s
Type of Installation — Conduit Tubing. ... B.X.L Metal Moulding
(Signed)
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 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.
j
(Signed) Cl,
Date / d3
A d a
Master Electrician.
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'TS
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON'
RANGE
OUTLET
I:W*0 °
C N N.
0 �/ /��
/
WATER
HEATER
u
W. HEAT.
CONN.
A
H ATER
'
STRIP
HEATER
TOTAL
CONTR.
LIST
��
.3 7
Y
9
a
Q
y OUTt2T
V
9(1 LA
CHECK
ENT.
SW.
DIET.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1
�HP�('`'l
/ �"Wh%
MOTORS
1.8 HP
, Cc
NEON
TRANS.
RADIO
TOTAL
C L
LIST
/
/
i
, D11)
S
CHECK
� `037.3
;(p MIAMI SHORES VILLAGE
e &
�, ELECTRICAL INSPECTION DEPARTMENT
p A tr APPLICATION FOR ELECTRICAL PERMIT
��
Permit No 18
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
88.
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 AL.[ 4"t � Ad � � � L 1� �,a No �� � Street /1
Registered Architect and /or Engineer 3A 6'6 ` c a
Employing Electrician's Name � L1'A E L t c.r K n e No ' r� Street /WC-
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building " Remodeling Addition Repairs No. of Stories
Overhead 4f' Conduit..2- t Sw �J.C� Amps Main Fuses G Amps
Size Feeders .. ... �� �'� « Am s
Type of Installation — Conduit Tubing. ... B.X.L Metal Moulding
(Signed)
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 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.
j
(Signed) Cl,
Date / d3
A d a
Master Electrician.
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.