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ELECTRICAL
Permit No.. /. 0 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv: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 progress of wor Owner's Name and Address Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT yy�� Date 1J My Commission Expires Registered Architect and /or Engineer 1 ,,. n Employing 1 ctricia6 l �j am e W d L T t� c-. No Street..�C 77 47 7 5 • u a eg 1 �n d / es ( criipti n Lot... ....C Block , Subdivision � '� rte' /( 7/ .� ..�/.... 1 Street and Number where work is to be performed —No F State work to be performed and purpose of building (By Floors) New Building Remodeling X Addition Repairs No. of Stories Serviu Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding //�� l"t` � (Signed) .. ©V .... ( V ( f 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, ,find 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 su h public notice or notices as are required by the Act. The undersigned agrees to employ only such sub•contracto . ork to be pert ,e•' under this permit, as are licensed by Miami Shores Village. (Signed) Street .7 V C1 1 Notary Public, Stem of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspect materials and /or workmanship. No Street. WE 9% Master Electricia and take acknowledgments, personally Before me, the undersigned aut o1 I ca c, � uly such appeared to me well known, awt who being by me first duly sworn, upon oath deposes and says that he is the therein by elate c° s ssl err o c° ha�rcaa fu at ly Large the foregoing appl ion, and that h id sig , the same, and t t all fact* Son Exoires Octob 27 t hru Huckleb 1 990 & As sor_iates SWITCH OU LIGHT OUTLETS PLUS RECE•••T'8 FIXTURES NO. LAMPS REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE NEATEN STRIP HEATER TOTAL CONTR. LIFT I� a 3 CHECK ENT. SW. D18T. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK ■ Permit No.. /. 0 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv: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 progress of wor Owner's Name and Address Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT yy�� Date 1J My Commission Expires Registered Architect and /or Engineer 1 ,,. n Employing 1 ctricia6 l �j am e W d L T t� c-. No Street..�C 77 47 7 5 • u a eg 1 �n d / es ( criipti n Lot... ....C Block , Subdivision � '� rte' /( 7/ .� ..�/.... 1 Street and Number where work is to be performed —No F State work to be performed and purpose of building (By Floors) New Building Remodeling X Addition Repairs No. of Stories Serviu Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding //�� l"t` � (Signed) .. ©V .... ( V ( f 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, ,find 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 su h public notice or notices as are required by the Act. The undersigned agrees to employ only such sub•contracto . ork to be pert ,e•' under this permit, as are licensed by Miami Shores Village. (Signed) Street .7 V C1 1 Notary Public, Stem of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspect materials and /or workmanship. No Street. WE 9% Master Electricia and take acknowledgments, personally Before me, the undersigned aut o1 I ca c, � uly such appeared to me well known, awt who being by me first duly sworn, upon oath deposes and says that he is the therein by elate c° s ssl err o c° ha�rcaa fu at ly Large the foregoing appl ion, and that h id sig , the same, and t t all fact* Son Exoires Octob 27 t hru Huckleb 1 990 & As sor_iates W1,L.0D 5CXer 2-tc rMc 464 .a8 t MIAMI SHORES VILLAGE Amount of Permit $ 2 ` i 00 STATE OF FLORIDA, t COUNTY OF DADE. I as. Before me, the undersigned authority,, appeared therein by him.stated are true. otary Public, State of Florida at Large My Commission Expires October 27, 1990 11otlded..tt -- y H AS ul:lates My Commission Ezpiree ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT t Permit No ! 13 X Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of 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's 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. • O Q Owner's Name and Address Q RA C t O (At 1'Z 12-E: No a60 NE - I65TStreet Registered Architect and /or Engineer �) Employing e �� i Electucii 2 �,� me bt / No 7 f S �(/ Street y,{�� p �� .f 1 ') Sv r / / L`6eavoh'ar/ Legal / Descriiption Lot ..14/' ....5 f. 6 t Block AO/ SubdivisionhliA.M/ E C 4 .4M... 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 Service Underground Ste Feeders 4 % Conduit.Peq.1...Main Sw Type of Installation — Conduit /Tubin ...... ............B.X.L Metal Moulding bl'c, duly , e®, 2LScT,o,e Lt ace f•vc N,o G .548 Date 4€5 Amps 455 Main Fuses °` Amps (Signed) (Signe (1)RACV 9s` to me well known, and who, being by me first duly sworn, upon oath deposes and sa s that he is the of the above described construction, and he has carefully read the foregoing appl ion, a!td that he / 7 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 the site of the wor public notice or notices as are required by the Act. The undersigned agrees to employ only such sub•contrac .• on . ork to be perforn cal his .e it, as are licensed by Miami Shores Village. rize ad is r oaths and take acknowledgments, personally Notary Public, State of !Florida _ 8 7 Muter ' ectriaan. e tame, and j t all facts NOTE: A re-inspection fee of $1.00 will be made when such re•inepection is made necessary by impel,' pet notice for inspection, or faulty materials and /or workmanship. SWITCH 0 LIGHT OUTLETS PLUG RECE'P'T'e FIXTURES NO LAMPS RE ►RIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE HEATER STRIP NEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO TOTAL CONTR. LIST VQ1 AMP , �� { I CHECK W1,L.0D 5CXer 2-tc rMc 464 .a8 t MIAMI SHORES VILLAGE Amount of Permit $ 2 ` i 00 STATE OF FLORIDA, t COUNTY OF DADE. I as. Before me, the undersigned authority,, appeared therein by him.stated are true. otary Public, State of Florida at Large My Commission Expires October 27, 1990 11otlded..tt -- y H AS ul:lates My Commission Ezpiree ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT t Permit No ! 13 X Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of 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's 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. • O Q Owner's Name and Address Q RA C t O (At 1'Z 12-E: No a60 NE - I65TStreet Registered Architect and /or Engineer �) Employing e �� i Electucii 2 �,� me bt / No 7 f S �(/ Street y,{�� p �� .f 1 ') Sv r / / L`6eavoh'ar/ Legal / Descriiption Lot ..14/' ....5 f. 6 t Block AO/ SubdivisionhliA.M/ E C 4 .4M... 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 Service Underground Ste Feeders 4 % Conduit.Peq.1...Main Sw Type of Installation — Conduit /Tubin ...... ............B.X.L Metal Moulding bl'c, duly , e®, 2LScT,o,e Lt ace f•vc N,o G .548 Date 4€5 Amps 455 Main Fuses °` Amps (Signed) (Signe (1)RACV 9s` to me well known, and who, being by me first duly sworn, upon oath deposes and sa s that he is the of the above described construction, and he has carefully read the foregoing appl ion, a!td that he / 7 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 the site of the wor public notice or notices as are required by the Act. The undersigned agrees to employ only such sub•contrac .• on . ork to be perforn cal his .e it, as are licensed by Miami Shores Village. rize ad is r oaths and take acknowledgments, personally Notary Public, State of !Florida _ 8 7 Muter ' ectriaan. e tame, and j t all facts NOTE: A re-inspection fee of $1.00 will be made when such re•inepection is made necessary by impel,' pet notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE 194_ PERMIT N9 3919 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Subdi- vision Contractor's License No. Legal Lot Bl. Description Address of Building 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 application 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 responsibility for work done by his agents, servants or employees. Signed• By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, 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. Value of Project Amt. of Permit CONTRACTOR OR BUILDER BY AUTHORITY Permit No ! 7 Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date /f 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 appro ed plans and specifications must be kept at building during progress of work. No Owner's Name and Address Registered Architect and /or per Employing Electrician's Nam e. /? Street 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 Service Overhead Size Feeders Conduit Main Sw Amps Underground Type of Installati — Conduit .Tubing... 04.. / a in p lam (a (Signe / 1 (Signed) L-1 ` l The undersigned applicant for this building permit does hereby certify that he understands and labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General La has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to licensed by Miami Shores Village. Street 1 Ar Fd• Main Fuses Amps . Electrical Inspector. cepts his obligations as an employer of of Florida Permanent Supplement, and sub •contractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. AC It H ATER STRIP HEATER TOTAL CONTR. L IST / / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. a MOTORS 0.1 HP MOTORS 1•5 HP N EON TRANS. RADIO TOTAL CONTR. LIST q �/ CHECK Permit No ! 7 Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date /f 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 appro ed plans and specifications must be kept at building during progress of work. No Owner's Name and Address Registered Architect and /or per Employing Electrician's Nam e. /? Street 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 Service Overhead Size Feeders Conduit Main Sw Amps Underground Type of Installati — Conduit .Tubing... 04.. / a in p lam (a (Signe / 1 (Signed) L-1 ` l The undersigned applicant for this building permit does hereby certify that he understands and labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General La has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to licensed by Miami Shores Village. Street 1 Ar Fd• Main Fuses Amps . Electrical Inspector. cepts his obligations as an employer of of Florida Permanent Supplement, and sub •contractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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. APPLICATION FOR ELECTRICAL PERMIT 3/5/86 Permit No /frOlt-/ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of 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 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 H. Agui rr e Registered Architect and/or Engineer E1 75 /7 W. F. Hendricks t LoSt ( Ion and L(gal Description iot - 2.64 Block NE or H. Ferre 660 Street and Number where work is to be performed Street Connect air conditioners State work to be performed and purpose of building (By Floors) New Building Remodeling X Addition Amount of Permit $- STATE OF FLORIDA, } es. COUNTY OF DADE. YA; ` MIAMI SHORES VILLAGE ELECTRICAL. INSPECTION DEPARTMENT No 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 (Signed). NOTE: A re•inspection fee of $1.00 will be made when such re-inspection materials and /or workmanship. Street 98.th St. 7 NW Subdivision 98 S 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 sub-contractors employed by him in thc 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) *:y . W. F. Hendricks. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared WALLAC.E...F.... HENDRICKS to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. DiASTFR ET.tEcTRICIAN of the above described construction, and he has carefully read the foregoing application, and that he did sign the sante, and that all facts therein by him stated are true. PRUV.; Tti F Ft,NIAP. : r :XP. My R. n57 Street )4 9 Air. .5 Master Electrician. in 9 RA-4 1( otary Public, State of Florida is made necessary by improper notice for inspection, or faulty SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANO& CONN. WATER HEATER W. HEAT. CONN. SPACE H STRIP HEATER TOTAL coirra. L18, CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. . r^ hIL" MOTORS 04 HP MOTORS 1.8 HP NEON TRANS. RADIO L TOTAL CONTR. L IST , ..--•-• 4 CHECK APPLICATION FOR ELECTRICAL PERMIT 3/5/86 Permit No /frOlt-/ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of 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 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 H. Agui rr e Registered Architect and/or Engineer E1 75 /7 W. F. Hendricks t LoSt ( Ion and L(gal Description iot - 2.64 Block NE or H. Ferre 660 Street and Number where work is to be performed Street Connect air conditioners State work to be performed and purpose of building (By Floors) New Building Remodeling X Addition Amount of Permit $- STATE OF FLORIDA, } es. COUNTY OF DADE. YA; ` MIAMI SHORES VILLAGE ELECTRICAL. INSPECTION DEPARTMENT No 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 (Signed). NOTE: A re•inspection fee of $1.00 will be made when such re-inspection materials and /or workmanship. Street 98.th St. 7 NW Subdivision 98 S Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in thc work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) *:y . W. F. Hendricks. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared WALLAC.E...F.... HENDRICKS to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. DiASTFR ET.tEcTRICIAN of the above described construction, and he has carefully read the foregoing application, and that he did sign the sante, and that all facts therein by him stated are true. PRUV.; Tti F Ft,NIAP. : r :XP. My R. n57 Street )4 9 Air. .5 Master Electrician. in 9 RA-4 1( otary Public, State of Florida is made necessary by improper notice for inspection, or faulty PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date DtV /dc/ Job Address 6 ?PST' Tax Folio Legal Description Historically Designated: Yes Owner/Lessee / Tenant 146" /457P4/ Master Permit # Owner's Address 104/f' r1 Phone Contracting Co. Ada,o4.� GLE�'7- a4/' 13/ Address / O/ Sal /$T 42o 2 64Y/ 35/95 - Qualifier , �.I,r/j'a s SS# - -' Phone 3 4Z9 ?2.33 State # E /j- / 1 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL)PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 6(.,/41/1//4/4, ?ID/ Square Ft. Estimated Cost (value) 15 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 Notary as to Owner and/or Condo President Date Notary a ' . Contractor My Commission Expires: My Co ssion Expire FEES: PERMIT 6® 4 ' 0 RADON Date Signature o ,/ e C NOTARY SEA GLADYSIVILLAR NOTARY PUBLIC STATE OF FLORIDA COMMLSSION NO. CC714103 MY COMMISSION EXP. MAR 1 002 ID C.C.F. - D NOTARY BOND APPROVED: Zoning Building Electrical Mechanical Plumbing TOTAL DUE y g .27 -0/ actor or Owner -Buil c). _ tY 3(03 "of ate Structural Engineer ITEM U UNIT F FEE I ITEM U UNIT F FEE I ITEM U UNIT F FEE BIDET L LIGHT CUTLETS C CENTRAL HEATING DISHWASHER R RECEPTACLES A A/C (WIND) DISPOSAL S SERVICE TEMPORARY A A/C (CENTRAL) DRINKING FOUNTAIN S SERVICE SIZE IN AMPS D DUCT WORK FLOOR DRAIN S SERVICE REPAIR/METER CHANGE R REFRIGERATION GREASE TRAP A APPLIANCE OUTLETS P PROCESS AND PRESS PIPING INTERCEPTOR R RANGE TCP U UNDERGROUND TANKS LAVATORY O OVEN A ABOVE GROUND TANKS LAUNDRY TRAY W WATER HEATER U U.F. PRESSURE VESSELS CLOTHES WASHER M MOTORS 0- 1 HP S / H STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET M MOTORS OVER 10- 25 HP F FIRE SPRINKLER SYSTEMS URINAL M MOTORS OVER 25-100 HP C COOLING TOWERS VIOLATION W STRIP HEATER 7 TELEVISION OUTLETS RAINFIELO, 4' TILE/RES. VIOLATION _ _ PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT .APPLICATIONS.) 6 0/ 1 /E 76 (ELECTRICAL MECHANICAL