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816 NE 99 St (12)Date 7 - /(0 - 96 S t a t e # Q© ? D a/ Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING PERMIT APPLIC FOR MIAMI SHORES VILLAGE Job Address g /6 N. Tax Folio Legal Description Historically Designated: Yes No / Owner/Lessee / Tenant / /� 7 e G / ?/// fl C/2 7 Master Permit # 11C / oZ-b Owner's Address S / Phone C o n t r a c t i n g Co. E - 2 L 6 ' C ° 7 , Q i � , 9 / ( o V % 1 e % , % _ Z / C Address i? d . 6 O X c 5 5' /' 7 Qualifier ER /& S7 `. -%1A✓4 ' 6e Z SS# G -lam - -Th Phone c 2 2 / - 3/ a F • Municipal # / '/ l Competency # Ins. Co. Address Address Address LECTRICAL WORK DESCRIPTION Re/yea/91e /n&./62 p' f /ec'7`/l9C/,/ /-"9/v yA/ /) 9 bv iv ri v/rre /1 Square Ft. Estimated Cost (value) % / 3 o v 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 Notary as to Contractor or Owner - Builder My Commission Expires: My Commission Ex uuNALD BELLOWS o'pr P1/ 49 COMMISSION • CC 516594 : ` - ° EXPIRES DEC 06, 1999 4: 7 ' BONDED THRU Of f‘-` ATLANTIC BONDING CO., INC. FEES: PERMIT `3s v 0 RADON APPROVED: Zoning Mechanical PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN (7 4‘ Date O° 7-/b -IUD C.C.F. /, o v NOTARY TOTAL DUE ■36. pop Building Electrical Plumbing Engineering el17 Co v Ou,T TNNM /$ CONJ) ai r 3 # 2/0 ref Aid • come NA Pom ,-7 agrt �s coNe C �- ZOO 4- 64it C%! Gi S . •r : v i. c • C4 ✓ a A5 6 v _L.. FJ r 1 El p rn r. CD I s: • m ? d I E m o rn 6 G3 4 wA m E -Z Electrical Contractor Inc. P.O. Box 654407 Miami, FL. 33265-4407 /` co n/!)!/! r / / C 1 - / / 9 6 ' Z A 4 '-`L r � S7 // 'z 5' 4o/�� S • ERNESTO <E2,4A /ape ee wit/se/7/z e12 7 DOO90 2/ OFFICIAL NOTARY SEAL DAGOBERTO H VALDES * COMMISSION NUMBER • CC249001 7 � MY COMMISSION UP. OF E�� JAN. 1 1997 • BUILDING ELECTRICAL PLUMBING ROOFING Legal Lot Description. Address of Building Owner of Building "' " • NfttAISTOR'OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT IT? 11600 Work to be performed under this Permit • Architect Contractor or Builder 1 - . It DATE f 195 Contractor's License No I Bi Subdi- t 0 .—_ 1^, , 1 te vision t . i 1 Value of • 1 ,,1 7 Project $ Permit $ i s r i This permit is granted to the contrtctortor 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 k1 granted is the understanding that the contractor or builder named above• u es the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawing qr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. �. Signed • i ,i � '± ` 9 BY . k... 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 regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In acceptingthis permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 5 w Amt. of 1 Permit No I C‘° MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 Registered Architect and /or Engineer Employing Electrician's Name Q;; s . 1 w l c �L Location and Legal Description Lot . / y�:....; c. j Block /) Street and Number where work is to be performed —No a State work to be performed and purpose of building (By Floors) eP 7 � // No Street No Street -3 i I Subdivision sw'`" Street IC New Building Remodeling Addition Repairs No. of Stories er Service Overh Size Feeders. Conduit.. ..Z.....Main Sw Type of Installation— Conduit Tubing B.X.L .Metal Moulding 0 fa Amount of Permit $ (Signed) The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws 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. (Signed STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. Amps Main Fuses Amps • Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors 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. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST IST �1 ( ^ ^ l ` f � - �, ' /' / f / � c / rY � �. 1, � CHECK G . (.�' 1 1 ] / 0 0 ! � ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP M OTORS 1.5 HP N EON TRANS. RADIO TOTAL. CONTR. LIST CHECK 1 K /, Permit No I C‘° MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 Registered Architect and /or Engineer Employing Electrician's Name Q;; s . 1 w l c �L Location and Legal Description Lot . / y�:....; c. j Block /) Street and Number where work is to be performed —No a State work to be performed and purpose of building (By Floors) eP 7 � // No Street No Street -3 i I Subdivision sw'`" Street IC New Building Remodeling Addition Repairs No. of Stories er Service Overh Size Feeders. Conduit.. ..Z.....Main Sw Type of Installation— Conduit Tubing B.X.L .Metal Moulding 0 fa Amount of Permit $ (Signed) The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws 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. (Signed STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. Amps Main Fuses Amps • Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors 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.