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828 NE 99 St (6)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 8a g of E. 9 9 Tax Folio Legal Description '/ ,�j / / Historically Designated: Yes No Owner/Lessee / Tenant / ?7a f� a.. / ' Z S77 / Master Permit # 7 / • • Owner's Address t) 23 a / 9 s Phone c'5 — '7 5 - 9 — a.7 Contracting Co. S t4 N T y I S 4/C- Address 15 3 / N. v) - o Si • Qualifier ?v46 t_o ►/ E 4 2 W-S ,f t2 . SS# Phone 305 S SL/-- 5333 State # L ► r CO 51 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN MECHANICALAROOFING PAVING FENCE SIGN WORK DESCRIPTION R - p / u cT Square Ft. Estimated Cost (value) -0 9 75. o 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. ,s/iloo /a/1,4%., FEES: PERMIT APPROVED: Signature of owner and/or Condo President ondo President Notary Public State of F orioa TINA ZAGERMAN Commission # CC742809 Expires 8 / 28 / 2002 Date Si ture of Contractor or Owner -Buil Y'.,• SANDRAUGALDE /40 MY COMMISSION # CC 917445 I u' EXPIRES: March 9, 2004 • •"���''` Public Underwriters .;� of ;;d;; Bonded Thru Notary u Notary as to Contractor or Own My Commission E RADON C.C.F. ' 4' 0 NOTARY 0 — BOND TOTAL DUE a Date 2b0 D: to Zoning Building Electrical Mechanical e:e • dJ Plumbing Structural Engineer Dateg J'7 kr1 Job Address Signature of Date: ;' ";: }a4; TF7`el - ** * � c* FEES: PERMIT APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Legal Description S ( no (e l L( I/1! rvu. Owner / Lessee / Tenant Anna_ Lee r1CL r, dl i n s Master Permit # /117 Owner's Address R2R K E qQ Stree-f-. Contracting Co. CeriR Ar(c r i Cr) • Address cD ( , ) 1(- I St t* (() ()Tcpct Qualifier Pt-inert <T C1 r jsJ ss# ( Phone (SD J)CoR `(D)qq State #CACO2(91(4Municipal # Competency #(18202 Ins.Co. PVIAr7JIa Architect /Engineer Address `J Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANIC 1 ROOFING PAVING / FENCE SIGN WORK DESCRIPTION c XQC ( (141 QQ (yL Li - k r &rr I C.r �- ha �,� Aer �2 rc�J o Square Ft. Estimated Cost(value) ta 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 construct>on z ning. Furthermore, I authorize the above -named contractor to do the work stated owner an /or Condo Pry -ident PPMELA J. LONG MY COMMISSION # CC438959 EXPIRES I J I ^ February 14, 1999 EDNDED TNRU TROY FAN INSURANCE, NC. Notary to Owner •nd /or Condo President My Co Exp'�: @- lq -019 Tax Folio Signature o Date: Phone - 1ST - (0 sq a. ntractor or Owner- Builder i :: %se;:L'\ J. LO e a r i:i;��,i:''rl:•;S ON fi CC4S8959 EXPIRES Feb WAY FAIN INSURANCE, 1999 � ICI�� t. ^.';:CiD 1}IRU INSURANCE, INC. Notary as to Contractor or er- Builder My • ssion pires: c9 /( q * * ** RADON C.C.F. / 1-114- NOTARY TOTAL DUE Fire Other Zoning Building Electrical Mechanical i 7 Plumbing Engineering Date 4 Mortgagor �i, 4 My Commission Expires: ** * FEES: PERMIT APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 4 Tax Folio /1 32,06 0/Li �f q 0 Legal Description / Lessee / Tenant /)1n Y\ C1 Lee. / / / ci ✓► t1 ► ✓t ) Owner's Address &28 ! Contracting Co. C"�" 1� � �!'� . c�v►c � � Address .212 ( N W (al 17 ect y Qualifier 2 /` P b � 1 � SS# Phone 6 O S _ 6 3 1 � State #04Z$ Municipal # Competency 4i CACO hve/'v► Architect /Engineer Address Bonding Company Address Permit Type(circle one • BUILDING ELECTRICAL PLUMBING( MECHANICAL )ROOFING PAVING FENCE SIGN WORK DESCRIPTION I� 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 -.struc ion a j zoning. Furthermore, I authors -ze the above -named contractor to do the work stated Signature ,, a • /or Condo ` esident � S 'P V Date: /V F;. PA ^ ELA J. LONG - Etri ��! : *_ MY COMMISSION N CC438959 EXPIRES +'•�pa� February 14, 1999 ( •,,, F `° BONDED TNRU TROY FAIN INSIIRAUrr Notary as to Owner and /or Condo President Zonin Mechanical 8 ,28 Negg-3 1- Address - 14'OO •° ° Master Permit # -37 -7 Phone 7S� -0342 Signature o p ,�ontr r � W L L &er- lder Date: MY COMMISSION 8 CC438959 EXPI a: February 14, 1999 • OF '1�:• BONDED TNRU TROY FAIN INSURANCE, INC. Notary as to Contractor or Owner- Builder My Commission Expires: * * * * * * * * * * * ** RADON C.C.F. ' NOTARY TOTAL DUE Y/'V4 l5 Fire Other �Building Electrical Plumbing Engineering X 1 3 45) ' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 15 '1 Permit No - Date � j 7 3 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:lda, 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. Q p Q Owner's Name and Address N 6- No Q..g.. Street... r ..£ .l ! JY ........ Registered Architect and /or Engineer L 4 . Employing Electrician's Name $.. h.C.rha. 4x:- L1 No 4/90 Street 5. 4 /g ! jj '�' jj ay Location and Legal Description Lot Block Q Subdivision Street and Number where work is to be performed —No p : V Street /v • 9 n 9 Si. State work to be performed and purpose of building (By Floors). #6.0k - a 4 /G New Building Remodeling AdditionC it " OPt.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 S (Signed) Ele.' rical 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, I l COUNTY OF DADE. (Signed IA. .. . ..... . Master Electrician. ss. 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 RANG! OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST S � — CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST /S /� J /� p. .\C7 CHECK X 1 3 45) ' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 15 '1 Permit No - Date � j 7 3 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:lda, 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. Q p Q Owner's Name and Address N 6- No Q..g.. Street... r ..£ .l ! JY ........ Registered Architect and /or Engineer L 4 . Employing Electrician's Name $.. h.C.rha. 4x:- L1 No 4/90 Street 5. 4 /g ! jj '�' jj ay Location and Legal Description Lot Block Q Subdivision Street and Number where work is to be performed —No p : V Street /v • 9 n 9 Si. State work to be performed and purpose of building (By Floors). #6.0k - a 4 /G New Building Remodeling AdditionC it " OPt.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 S (Signed) Ele.' rical 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, I l COUNTY OF DADE. (Signed IA. .. . ..... . Master Electrician. ss. 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. MIAMI S Hl O R E S VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. Date _ ,19 Owner's Name and Address (N PI Al Al 1 Al U No 1 a < Street_. AL. • 9 S+ . Registered Architect and /or Engineer Name and address of licensed contractor S h cr.. '.b ... ( .r e!^- s........._._.._. D( I Ai/ - HOt I yt x Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done g g /1.1, Q. (9 9_ _L State work to be done and 1 purpose of building (by floors) C__2 _5.:.1 :AK t-e 5 1 ��- -n -C,- -- and for no other purpose. 'Notary Public, State of Florida New Building Remodeling Addition C Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $____1.1 v 1r Amount of Permit $. Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit 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, Pennanent 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. _J / Permit No i ® -- 7 Date / / (rte' 7 ... Read, Sworn to and Subscribed before me. Disapproved � p Dat (Signed) Zef r _ Building Inspector ,� My Commission Expires PLANNING OARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE ELECTRICAL ° PERMIT 4197 PLUMBING ❑ N 9 419 I Contractor's License No. ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Architect CONTRACTOR OR BUILDER BY AUTHORITY 19 Contractor t.' , w or Builder r .. +r Legal Lot. Description I Bl Subdi_ vision Address of Value of I Amount of Building °` 4V Project $ I Permit $ 4. r This permit is granted to the contractor or builder partied 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 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Permit No APPLICATION FOR ELECTRICAL PE Application is hereby made for the approval of the detailed statement of the plans and specifications here )th subm• ed for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance o iami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and re ulations of the Building Division of Miami Shores Village shall be c ed with, whether herein specified or not. A copy of approved at building during progress of work Owner's Name and Addres / Registered Architect arg/o. n ' eer_ Employing Electrician's Name.. .... ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Amount of Permit $ 7' (Signed) ii? plans and specifications must be kept Street .a ^ 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 4 (B Floors) 1` NP New Building Remodeling Addition `t E I � O,3 e i' g Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground J Type of Installation—Conduit u /p it //'�� /A/ T � ubing // B.X.L / Me al Moulding 3 / ctncal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accep . is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of ' •rida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or su••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, on work to be performed under this permit, are licensed by Miami Shores Village. (Signed) Master rician. STATE OF FLORIDA, 1 COUNTY OF DADE. j 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 RANGE CONN. WATER HEATER W. HEAT. CONN. ACE H ATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•3 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No APPLICATION FOR ELECTRICAL PE Application is hereby made for the approval of the detailed statement of the plans and specifications here )th subm• ed for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance o iami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and re ulations of the Building Division of Miami Shores Village shall be c ed with, whether herein specified or not. A copy of approved at building during progress of work Owner's Name and Addres / Registered Architect arg/o. n ' eer_ Employing Electrician's Name.. .... ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Amount of Permit $ 7' (Signed) ii? plans and specifications must be kept Street .a ^ 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 4 (B Floors) 1` NP New Building Remodeling Addition `t E I � O,3 e i' g Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground J Type of Installation—Conduit u /p it //'�� /A/ T � ubing // B.X.L / Me al Moulding 3 / ctncal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accep . is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of ' •rida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or su••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, on work to be performed under this permit, are licensed by Miami Shores Village. (Signed) Master rician. STATE OF FLORIDA, 1 COUNTY OF DADE. j 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.