828 NE 99 St (4)Date 3 3 ' 79 Job Address 2- a //f 79 5 t Tax Folio �/ .it��p / get, O
Legal Description140 #) 7 / p)6 [l
01 4 AK iAfq
U � i ,- / r y /VI A�t/01j
Owner's Address O i�T ire: y r 5 /` //frorp■ �,�Q7.d 2 S Phone
Contracting Co. gieV/VeS ,CLe -7 [4(c Address 2_./2 -
Qualifier
** *
/ Lessee /
State #DD06P/fi�P Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
P ermit Type(circle one): BUILDING Rt.RCTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
fr ORK DESCRIPTION ! ■ , : I G vol-'L
/Ieshl ems- /1Z1-lttrim. es7 .�S
Square Ft. Estimated Cost(value)
Q,G1d
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
ay.thorize the above -named contractor to do the work staled.
Signature of owner a • /or Condy- /President
Date:
Notary
My Co >�i
APPROVED:
/ / A �i �ii 2 /t/eS SS4��I �/- , Phone 9f6 fi d T
andkomf j rfresident
Aft Commission Expires
''� March 15, 1997
•y o Comm. No. CC 266591
* *
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Tenant
FEES: PERMIT 4 e 5 RADON
Zoning
Mechanical
* *
C.C.F.
No
My
Master Permit
0 AALG
NOTARY TOTAL DUE
itcgrf
1
ignature of Co or or Owner- Builder
Date:
) ! �,- = t'p Cohttr* VRSON Owner Builder
!;
jaire Expires
�.�ill�jr• * = March 15, 1997
• P" ft �
. Comm. No. CC 266591
* * * * *
**
Fire Other
Building Electrical
Plumbing Engineering
097
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 co lied 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 an or E in e�
Employing Electrician's Name., ` --?
ame. , ��
Service Overhead
Underground Size Feeders
Type of Installation— Conduit
Amount of Permit $
STATE OF FLORIDA, l
COUNTY OF DADE. j
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
G- Co-s
65.
MIAMI SHORES VILLAGE
o
(Signed)
(Sign
No .. .l1
Date
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
Conduit Main Sw Amps Main Fuses Amps
Tubing.... B.X.L � j� Meta ulding
lr� ......: �v c
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 subcontractors, on work to
licensed by Miami Shores Village.
Street
Street....A/C j
E 1 Inspector.
ccepts his oblig
ns as an employer of
of Florida P 3n anent Supplement, and
subcontract s employed by him in the
of the wor such public notice or notices
be performed under this permit,
as are
Master Electrici
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.
A CB
H TER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIET.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O. HP
MOTORS
t•5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
___
097
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 co lied 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 an or E in e�
Employing Electrician's Name., ` --?
ame. , ��
Service Overhead
Underground Size Feeders
Type of Installation— Conduit
Amount of Permit $
STATE OF FLORIDA, l
COUNTY OF DADE. j
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
G- Co-s
65.
MIAMI SHORES VILLAGE
o
(Signed)
(Sign
No .. .l1
Date
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
Conduit Main Sw Amps Main Fuses Amps
Tubing.... B.X.L � j� Meta ulding
lr� ......: �v c
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 subcontractors, on work to
licensed by Miami Shores Village.
Street
Street....A/C j
E 1 Inspector.
ccepts his oblig
ns as an employer of
of Florida P 3n anent Supplement, and
subcontract s employed by him in the
of the wor such public notice or notices
be performed under this permit,
as are
Master Electrici
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.
Permit No
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
t5
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 n _.�!.. / ..g` '�
�%
Registered Architect and /or Engineer
Employing Electrician's Name...L . Y .,. ,.. 4 ; /1 % ) .',//_ A ' ., No (- ( treet....
fi
Location and Legal Description Lot f fy k .. 4 Block � -% � l Subdivision
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) 4 /1
New Building Remodeling Addition Repairs No. of Stories
ea
Service Overhead Size Feeders. / Conduit ..� Main Sw / ® 0 Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $
STATE OF FLORIDA, l
COUNTY OF DADE. I
s s.
MIAMI SHORES VILLAGE
e G.. .No Street
(Signed)
Date Date
Street 6 ; ')
- � r 4/:
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 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 sub - contractors, work to be performed under this permit, as are
licensed by Miami Shores Village.
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
7-7F
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
LIST
k )'
1
�.r.�-
CHECK
� � ��.
p�
O V
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
(b 0
' 6
Permit No
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
t5
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 n _.�!.. / ..g` '�
�%
Registered Architect and /or Engineer
Employing Electrician's Name...L . Y .,. ,.. 4 ; /1 % ) .',//_ A ' ., No (- ( treet....
fi
Location and Legal Description Lot f fy k .. 4 Block � -% � l Subdivision
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) 4 /1
New Building Remodeling Addition Repairs No. of Stories
ea
Service Overhead Size Feeders. / Conduit ..� Main Sw / ® 0 Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $
STATE OF FLORIDA, l
COUNTY OF DADE. I
s s.
MIAMI SHORES VILLAGE
e G.. .No Street
(Signed)
Date Date
Street 6 ; ')
- � r 4/:
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 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 sub - contractors, work to be performed under this permit, as are
licensed by Miami Shores Village.
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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building J
Architect
Contractor
or Builder
Legal
Description
Address of
Building
❑ DATE ..i0 V 195.
PERMIT 'N° 11599 Contractor's
❑ License No
❑ Work to be performed under this Permit
Lot ` t y r t
t i � j � �
•
Value of Amt. of )
• Project $ Permit $
■ This permit is granted to the contractor dr 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 qr in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. 11 ' R
e
Signed • INSPECIO$° BY
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 accepting this pec it I assume responsibility for all work done by either, myself, my agent, servant or employee.
• F /
MIAMI SHORES VILLAGE, FLORIDA
Bl.
•
Subdi-
vision
3
BY AUTHORITY