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866 NE 99 St (4)• PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 5/22/96 Job Address 866 N.E. 99 Street Tax Folio <s,Ec— 3 Legal Description Lo 44e,Elz .y' ,..73 ?z Historically Designated: Yes No Owner/Lessee / Tenant Javier P i n a g e l Master Permit # 3171.< Owner's Address 866 N.E. 99 Street, Miami Shores Phone 758 -7993 Contracting Co. Adco Patch, Inc. Address 3091 NW 129 St., Opa Locka Qualifier Eddie J. Barnes SS# Phone 681-2196 State # Municipal # Competency # E -14 0 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. 704 Estimated Cost (value) $1,560.00 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 law regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Si ature of owner and/or Condo Presi Driveway Repair 457NO21 4 ./ cb s. - r,ea; Date Aft ± ` Q No t#A'ry as to Owner and/or Condo President My Commission Expires: ,°.1,PY P "OFFICIAL SEAL" °'*•�.: Diana Davila 111111 +� Ia q M Commission Expires 3/16199 ':'r op Commission #CC 445943 4 � LEES: PERMIT O. ©0 RADON APPROVED: Zoning Mechanical Date C.C.F. /. 4;rO NOTARY Signature of Contractor or Owner - Builder otary as to Co % - . .�� r Date My Commission ExpireEi» pc/ OFFICIAL NOTARY SL°AL O ei BEVERLY J MURPHY -111 y COMMISSION 6�U Li .e q: ( MY COMMISSION up. 5/22/96 Date 5/22/96 Vl.00 TOTAL DUE 440110rip Buil " ? .3S Electrical Plumbing Engineering 05/21/1996 13:42 3059495589 1: :6* £ l t: ' 2> L (' 7F6 // • 2/ f 1 . 0 S u1 Pc 41. Ila01,-I ' 1 FOVtfD rf w • P P'c 20 ScALE.i r ? �f/4 —4 ' 4 'd. oZ er a 46 1'AO SOUNDSHINE - 5V/04e-/!V ..0749 v/ 77'4/ ^/ //b /71 '- $f e1,7%( /l / t/5 A.D r c'O1/N7Y /1O . / VV 4 0 3 , e.. 5 ' 1 . - 47ia N 7 2 'r/i/rvp,) aA/ NE. 9‘ 7,11 $ 7 : AND we 6 9'/' - X O•0O 7 /lrl7e'S &)(11170 7 /0. &Fr / a�lo (07 r • GUR'A PAGE 02 Fouthp �� FE. tJ ,:-•..v • ;..: vv�yd. rc:iv .:,wy.i: •a ure ;...... . ,::.u.. �'t1 u�afa ,Sa. .. APPROV7,0 BY DATE ZONING IF STRIICTUIAL 11 ELECTRICAL , PLUM • . \.1.F.CHASTCAL MORO BLDG. CMCIAL VW 4 -H WET TO COMPLIRCE MTH AK FEDERAL, STATE AND COUNT Y HIES AND REGULATIONS. MIAMI SHORES VILLAGE ASSIXES i'M ESPONSIBILITIES FOR ACCURACY OF OR RESULTS I PLANS. COMPLEANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY MIAM: SNORES VILLAGE ES REQUIRED. THE ARCHITECT, BUILDER 81 SUB CONTRACTORS ARE CHARGED WITH THE ItNOWLEDGE OF ALL BUILDING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. — — — MOANd SHORES MIME Date ihh> Job Address (II 99 St Legal Description Owner / Lessee / Tenant Owner's Address 5.41 Contracting Co. t/f/�' Qualifier SS# - Phone 30s 2s - 7993 State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION 4 ' 4 Square Ft. 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 regulati g construction an zoning. thermore, I utho i ab ve -n -red contractor to do the work stated. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE /z ignatur f owner and /or Condo President ate: 5 Notary as to Owner and /or Condo President My Commission Expires: ** * * * /* * * FEES: PERMIT v v RADON C.C.F. Fire APPROVED: * * Tax Folio Master Permit # �7 O Phone gq 7- ff 7 Address S S - &q3 — Estimated Cost(value) nature of Contractor or Owner- Builder Date: . 0 7 9 m op A solEonsionametd Ao>; Owner- Builder * C N ; Q CC401261 c MY COMMISSION EXP. d FV * AUG. * 17,19 * * ** NOTARY 4 5 FENCE SIGN TOTAL DUE Other Zoning Building '(a/- l Electrical Mechanical Plumbing Engineering : • -4-414 • • . I I + '-• • • 4- ! 1 j ' ,' 4 . i • . i ' : --•• ) -t-- - -.-- - --- -1---1-.- -,- - -,-„•- -•,-- -,- -;-; •__,,. -, -•••- -. __J.. --- --,----,-,- --,- f-,---, -4.- a- + -.±. __, . ■ ' • : . -••- ,--- ( 1 t r 1-* -.4 -a- i I _4 . . .,.. - ,• --,. -,-- a- _. _,...--,- ..- .,,--;-•.-_.,.--, -+ . 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" I 1 r i i • 11 1110, 4t11,H01. !! , ,_ ; 41•1 1 1 ' i 1 ' 1 i • 1 1 1 r•-•,- t t t I I .H---1 1- 1 : I I ; •!-I• 1 ; • • 1 I -t11: • • • • • - • • t t t 1 • • 1 I • --I- • -- r i ti I • I ; • • • . - • 1: i/i■ , , , t ''44 • 4j I r!. ; • • : • !--1-J.-•-•--•-•- ' t 411/ I , I • -44 F . I I 11! '• ; • • , , ! , 1 • ■ _-_ , • , ; • . ;-;-; •-!--- • •-• . • _ ,_ ___ _ _ • • SKETCH OF BOUNDARY SURVEY 0 20 G vG0■ rOGE SC " ZO r 5.4 IO.tU r f 20 Pa Y m f OWES 1 op 'L \ 2OGO � 70 r ' PLd�1 /5 ?0 / Z E30 �r- 1 g7o,e 2E -lO • 8e. to.cI C.I dI� ): EL E Cry rice c) 8q' 0 10 c . FooiU M O r 1=7 PF R 3.° i FOR ; - a&.4 1E - :.. --P1 o bQ- E- L. P / L LI L PL 'J) PROP. ADD. BLS . ,C,lld, -41, . FL LOCATION SKETCH, LEGAL DESCRIPTION: SCALE: 1 " = /OO LOT - - - `"d: D Two E4T lz o LOT 5 BLCGK- 7Z o ' 1-t / & I-11 � SECT I o � J 110. � AZGOOplllG l O T a . PLdT T14 E -op rE G?WE ' 11-I FLAT 800IG / o a 7 PbGE OF 71+E ? JC. KECOr1;* Of DAVE Cot) ;fry rtOc / vo 1 eL FREEDOM OF LAND CORP. SURVEYING SERVICES P.O. BOX 65 -3706 MIAMI, FLORIDA 33265 PHONE (305) 266 -4451 7575 W. FLAGLER ST. SUITE 207 MIAMI. FL. 33126 pH 266 -4451 , 30 W :4 SURVEYOR'S NOTES: THE SURVEY OF THE PROPERTY SHOWN HEREON IS IN ACCORDANCE WITH THE DESCRIPTION FURNISHED BY CL/ ,iJ T NO SEARCH OF THE PUBLIC RECORDS HAS BEEN MADE BY THIS OFFICE FOR ACCURACY OR OMISSIONS. NO UNDER GROUND INSTALLATION OR IMPROVEMENTS HAVE BEEN LOCATED ExCEPT AS NOTED. THERE ARE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE SHOWN. ACCORDING TO THE NATIONAL FLOOD INSURANCE PROGRAM THE SUBJECT PROPERTY LIES WITHIN FLOOD ZONE: I HEREBY CERTIFY THAT THE ATTACHED SKETCH OF BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY IS A TRUE AND REPRESENTATION OF A FIELD SURVEY MADE UNDER MY DIRECTION AND MEETS THE. MINIMUM TECHNICAL STANDARS AS SET THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 21HH -6 FLORIDA ADMINISTRATIVE CODE. PURSUANT .SEC.TION 472.027. FLORIDA STATUTES. JOB N` //- / -9/ -Z F BOOK F LE DATE: / /- /D -A I.E_R- . j17s - L. :::P -?s l :Gbi : 14! :..tVLF ; SURVEY CERTIFY TO E/Ct14 D M• FE-Z VEZ,. :_.E Q 2Si�'O` 4rri -1' 'TITLE - CORRECT FORTH BY.. TO ERNESTO ELTRAN REG. L ' D Sl1R N! 4885 STATE . FLOR NOT VALID UN ESS SEALED WIT AN EMBOSSED SURVEYOR'S SEAL. 50' 20....7/ er ► g 75 /1 r j0 1 02 Z a/ r i so. v N 50 ? rr a °-- 12 SKETCH OF BOUNDARY SURVEY 0 20 G vG0■ rOGE SC " ZO r 5.4 IO.tU r f 20 Pa Y m f OWES 1 op 'L \ 2OGO � 70 r ' PLd�1 /5 ?0 / Z E30 �r- 1 g7o,e 2E -lO • 8e. to.cI C.I dI� ): EL E Cry rice c) 8q' 0 10 c . FooiU M O r 1=7 PF R 3.° i FOR ; - a&.4 1E - :.. --P1 o bQ- E- L. P / L LI L PL 'J) PROP. ADD. BLS . ,C,lld, -41, . FL LOCATION SKETCH, LEGAL DESCRIPTION: SCALE: 1 " = /OO LOT - - - `"d: D Two E4T lz o LOT 5 BLCGK- 7Z o ' 1-t / & I-11 � SECT I o � J 110. � AZGOOplllG l O T a . PLdT T14 E -op rE G?WE ' 11-I FLAT 800IG / o a 7 PbGE OF 71+E ? JC. KECOr1;* Of DAVE Cot) ;fry rtOc / vo 1 eL FREEDOM OF LAND CORP. SURVEYING SERVICES P.O. BOX 65 -3706 MIAMI, FLORIDA 33265 PHONE (305) 266 -4451 7575 W. FLAGLER ST. SUITE 207 MIAMI. FL. 33126 pH 266 -4451 , 30 W :4 SURVEYOR'S NOTES: THE SURVEY OF THE PROPERTY SHOWN HEREON IS IN ACCORDANCE WITH THE DESCRIPTION FURNISHED BY CL/ ,iJ T NO SEARCH OF THE PUBLIC RECORDS HAS BEEN MADE BY THIS OFFICE FOR ACCURACY OR OMISSIONS. NO UNDER GROUND INSTALLATION OR IMPROVEMENTS HAVE BEEN LOCATED ExCEPT AS NOTED. THERE ARE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE SHOWN. ACCORDING TO THE NATIONAL FLOOD INSURANCE PROGRAM THE SUBJECT PROPERTY LIES WITHIN FLOOD ZONE: I HEREBY CERTIFY THAT THE ATTACHED SKETCH OF BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY IS A TRUE AND REPRESENTATION OF A FIELD SURVEY MADE UNDER MY DIRECTION AND MEETS THE. MINIMUM TECHNICAL STANDARS AS SET THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 21HH -6 FLORIDA ADMINISTRATIVE CODE. PURSUANT .SEC.TION 472.027. FLORIDA STATUTES. JOB N` //- / -9/ -Z F BOOK F LE DATE: / /- /D -A I.E_R- . j17s - L. :::P -?s l :Gbi : 14! :..tVLF ; SURVEY CERTIFY TO E/Ct14 D M• FE-Z VEZ,. :_.E Q 2Si�'O` 4rri -1' 'TITLE - CORRECT FORTH BY.. TO ERNESTO ELTRAN REG. L ' D Sl1R N! 4885 STATE . FLOR NOT VALID UN ESS SEALED WIT AN EMBOSSED SURVEYOR'S SEAL. 19 20....7/ 2 23 OZ ZQ/ ' a4 Z v u% 50 1f rr 1t ,.0 SKETCH OF BOUNDARY SURVEY 0 20 G vG0■ rOGE SC " ZO r 5.4 IO.tU r f 20 Pa Y m f OWES 1 op 'L \ 2OGO � 70 r ' PLd�1 /5 ?0 / Z E30 �r- 1 g7o,e 2E -lO • 8e. to.cI C.I dI� ): EL E Cry rice c) 8q' 0 10 c . FooiU M O r 1=7 PF R 3.° i FOR ; - a&.4 1E - :.. --P1 o bQ- E- L. P / L LI L PL 'J) PROP. ADD. BLS . ,C,lld, -41, . FL LOCATION SKETCH, LEGAL DESCRIPTION: SCALE: 1 " = /OO LOT - - - `"d: D Two E4T lz o LOT 5 BLCGK- 7Z o ' 1-t / & I-11 � SECT I o � J 110. � AZGOOplllG l O T a . PLdT T14 E -op rE G?WE ' 11-I FLAT 800IG / o a 7 PbGE OF 71+E ? JC. KECOr1;* Of DAVE Cot) ;fry rtOc / vo 1 eL FREEDOM OF LAND CORP. SURVEYING SERVICES P.O. BOX 65 -3706 MIAMI, FLORIDA 33265 PHONE (305) 266 -4451 7575 W. FLAGLER ST. SUITE 207 MIAMI. FL. 33126 pH 266 -4451 , 30 W :4 SURVEYOR'S NOTES: THE SURVEY OF THE PROPERTY SHOWN HEREON IS IN ACCORDANCE WITH THE DESCRIPTION FURNISHED BY CL/ ,iJ T NO SEARCH OF THE PUBLIC RECORDS HAS BEEN MADE BY THIS OFFICE FOR ACCURACY OR OMISSIONS. NO UNDER GROUND INSTALLATION OR IMPROVEMENTS HAVE BEEN LOCATED ExCEPT AS NOTED. THERE ARE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE SHOWN. ACCORDING TO THE NATIONAL FLOOD INSURANCE PROGRAM THE SUBJECT PROPERTY LIES WITHIN FLOOD ZONE: I HEREBY CERTIFY THAT THE ATTACHED SKETCH OF BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY IS A TRUE AND REPRESENTATION OF A FIELD SURVEY MADE UNDER MY DIRECTION AND MEETS THE. MINIMUM TECHNICAL STANDARS AS SET THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 21HH -6 FLORIDA ADMINISTRATIVE CODE. PURSUANT .SEC.TION 472.027. FLORIDA STATUTES. JOB N` //- / -9/ -Z F BOOK F LE DATE: / /- /D -A I.E_R- . j17s - L. :::P -?s l :Gbi : 14! :..tVLF ; SURVEY CERTIFY TO E/Ct14 D M• FE-Z VEZ,. :_.E Q 2Si�'O` 4rri -1' 'TITLE - CORRECT FORTH BY.. TO ERNESTO ELTRAN REG. L ' D Sl1R N! 4885 STATE . FLOR NOT VALID UN ESS SEALED WIT AN EMBOSSED SURVEYOR'S SEAL. Amount of Permit $ t1� MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No... a4oqCs 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, Fite :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 Delores Simons N 866 NE 99th S treet Mismi Sbore.. ^;, ':^T, N/A Registered Architect and /or Engineer Employing ElectriciaA's Name Miami Shores Electric, Inc. N 651 NW 106th Street ..... T`], am.�,._.11.....3.J �f;...... Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 866 NE 99th Stree Street..Miami.. Shores, ...F.L State work to be performed and purpose of building (By Floors) Repair wiring of outdoor lighting, Residential use New Building Remodeling Addition Repairs XXX No. of Stories 1 Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses . Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed).... .s... VC:Fa -20 / 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) did July 22, 1980 Date Master (Z'lectrician. STATE OF FLORIDA, } COUNTY OF DADE. 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 *laser. Electrician of the above described construction, and he has carefully read the foregoing application, and that ht did sign the same, and that all facts therein by him stated are true. Notary Public, State of Rorida at Large My Commission Expires September 8, 1984 Bonded. .•thru.. Maynard- ..Bonding Agency My Commission Expires 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. Notary Public, State of Florida SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANOC CONN. WATER H W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHOCK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Amount of Permit $ t1� MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No... a4oqCs 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, Fite :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 Delores Simons N 866 NE 99th S treet Mismi Sbore.. ^;, ':^T, N/A Registered Architect and /or Engineer Employing ElectriciaA's Name Miami Shores Electric, Inc. N 651 NW 106th Street ..... T`], am.�,._.11.....3.J �f;...... Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 866 NE 99th Stree Street..Miami.. Shores, ...F.L State work to be performed and purpose of building (By Floors) Repair wiring of outdoor lighting, Residential use New Building Remodeling Addition Repairs XXX No. of Stories 1 Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses . Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed).... .s... VC:Fa -20 / 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) did July 22, 1980 Date Master (Z'lectrician. STATE OF FLORIDA, } COUNTY OF DADE. 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 *laser. Electrician of the above described construction, and he has carefully read the foregoing application, and that ht did sign the same, and that all facts therein by him stated are true. Notary Public, State of Rorida at Large My Commission Expires September 8, 1984 Bonded. .•thru.. Maynard- ..Bonding Agency My Commission Expires 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. Notary Public, State of Florida Permit No STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date July 8,1965 Application is hereby made fo 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 Dan Schmidt No 5775 Collins Street Ave Miami Bch Registered Architect and /or Engineer. L & M ELECTRIC CO. 99 N.W. 166th Employing Electrician's Name No Street #L' E of 1 #5 72 Miami Shres Sect #2 Location and Legal Description Lot 2 Block Subdivision N.E. 99th 866 Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building X Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type if Installation — Conduit ....Tubi„g.... .. . B.X.L.. Amount of Permit $ 2. 50 (Signed) Le 1 ctrical Inspee or. 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. SS. (Signed) 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. Metal Moulding. Master Electrician. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. oUTLG? IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HE CONN. SPACE HEA.'ER STRIP HEATER TOTAL CONTR LIST CHECK ENT. SW. DIST. CAS. SERVICE TCi'P. SERVICF PERM. MOTOR°, 0.1 HP W.OTORS 1.5 HP NEON TRANS. RADIO TOTAL CON.R. LIST 2 .50 CHECK Permit No STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date July 8,1965 Application is hereby made fo 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 Dan Schmidt No 5775 Collins Street Ave Miami Bch Registered Architect and /or Engineer. L & M ELECTRIC CO. 99 N.W. 166th Employing Electrician's Name No Street #L' E of 1 #5 72 Miami Shres Sect #2 Location and Legal Description Lot 2 Block Subdivision N.E. 99th 866 Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building X Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type if Installation — Conduit ....Tubi„g.... .. . B.X.L.. Amount of Permit $ 2. 50 (Signed) Le 1 ctrical Inspee or. 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. SS. (Signed) 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. Metal Moulding. Master Electrician. BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA DATE I t ' • ' 19 o PERMIT 0 N9 6663 ❑ Work to be performed under this Permit Owner of Building CONTRACTOR OR BUILDER BY Contractor's ...- .. License No. (4 Architect II Contractor 1 n .1.4 1.4► " o , -woo or Builder i- Y�'1 r. r ‘ - : 1 I' t l,- _ 1 (e u l Legal Lot Subdi_ Description II Bl vision Address of r : i " 4 . - f Value of 1 Amount of ' t f ,��.+ Building a 1, Project $ Permit $ +� 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 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. L �'�/ j 0-- INSPECTOR �INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with 1 ordin a�ltti ance regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac. cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder ❑ 0 MIAMI SHORES VILLAGE, FLORIDA ❑ DATE . * 19 PERMIT 6624 Contractor's License No. j Legal Lot Description Address of Building t i CONTRACTOR OR BUILDER Bl Work to be performed under this Permit t; ' 1 t / f BY Subdi- vision Value of I Amount of Project $ I Permit $ v,. AUTHORITY 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 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. #' if w ;• ;# INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordces 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 ac• cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. • ABBOT *Sib' Permit No APPLICATION FOR ELECTRICAL PERMIT 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 T 4 achtaidt No 5775 Collins Street Liana Doh Registered Architect and /or Engineer. Employing Electrician's Name L e T LhCTVIC Location and Legal Description Lot i`; of ? MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 866 Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building X Remodeling Addition Service Overhead Size Feeders Underground Type if Installation — Conduit Tubi.ig.... .B.X.L m®.zzJC. No 99 Block Conduit Main Sw Amps Main Fuses Amps Metal Moulding. Amount of Permit $ 29.50 (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 subcontractors, on work to licensed by Miami Shores Village. STATE OF FLORIDA, l COUNTY OF DADE. I S S. (Signed) Date Before me, the undersigned authority, a notary public, duly authorized to administer oaths July 19,1965 Street 72 :fit ni Maros Soct1 2 Subdivision �.� .99th 0.12s. Repairs No. of Stories ectr'ca $ eeeea ccepts 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 aj.t. 166th Master Electrician. 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 RECC•P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE jMNJItl. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIPll1 HEATED., S hjga 5 y r'r ab_e._ hf,L 23.50 CONTR LIST 18 22 9 22 1 1 en 1 ' Sal CHECK ENT. SW. DIET. CAB. SERVICE TCi. P. SERVICE PERM. MOTORU 0.1 HP MOTORS NEON 1.5 HP TRANS. RADIO TOTAL C LIST ' 150 amps 1 3 i H . �' ' 6.00 CHECK Permit No APPLICATION FOR ELECTRICAL PERMIT 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 T 4 achtaidt No 5775 Collins Street Liana Doh Registered Architect and /or Engineer. Employing Electrician's Name L e T LhCTVIC Location and Legal Description Lot i`; of ? MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 866 Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building X Remodeling Addition Service Overhead Size Feeders Underground Type if Installation — Conduit Tubi.ig.... .B.X.L m®.zzJC. No 99 Block Conduit Main Sw Amps Main Fuses Amps Metal Moulding. Amount of Permit $ 29.50 (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 subcontractors, on work to licensed by Miami Shores Village. STATE OF FLORIDA, l COUNTY OF DADE. I S S. (Signed) Date Before me, the undersigned authority, a notary public, duly authorized to administer oaths July 19,1965 Street 72 :fit ni Maros Soct1 2 Subdivision �.� .99th 0.12s. Repairs No. of Stories ectr'ca $ eeeea ccepts 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 aj.t. 166th Master Electrician. 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.