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1310 NE 101 StPERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date _ Job Address /.3.49 /J/ Tax Folio/7-0-r--23- 006 - Legal Description 1 I e az,A Owner / Lessee / Tenant / 1 /E"C/ & /J0,42 , ,4 Master Permit #1W Z2-- Owner's Address / /�� 1 / 0 1\) C 1 I ST • Phone 7.r 7 ' •J? ( L,� Contracting Co. C%/Tl 0/95 6 Z/ ) Address Alo` J . - 120/6 Qualifier ja440/' £. /E4)EL),W SS4# Phone a2-4= 14a. State #F�G'f004a2 ) cipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDIN ELECTRICAL LUMBING 141A MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION l /y Signature of owner and /or Condo President Date: ** * APPROVED: Zoning atur Date: Square Ft. Estimated Cost(value) Notary as to Owner and /or Condo President Notary as to My Commission Expires: WARNING TO OWNER: YOU MUST RECORD A NOTICE 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 regulatin:.- •••truction and zoning. Furthermore, I authorize the above -named contractor to do the work or o f tractokomoltpilder amovu aiebst mo at olatda /, l*Comm1ssion SEP 27,11 krA //_ %114.10 •t "70 AO My Commission Expires: fo ?O. * * * * * * * * * * * * * * FEES: PERMIT RADON C.C.F. NOTARY TOTAL DUE 4/ .x& 0 Fire Other � Ea Building' Ele trl 44 • 1 1 /b ))/illa Mechanical Plumbing Engineering ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) UNIT FEE ITEM SWITCH OUTLETS LIGHT OUTLETS )1/1 RECEPTACLES ,a, SERVICE TEMPORARY SERVICE SIZE IN AMPS SERVICE REPAIR/METER CHANGE APPLIANCE OUTLETS RANGE TOP OVEN WATER HEATER MOTORS 0- 1 HP MOTORS OVER 1- 3 HP MOTORS OVER 3- 5 HP MOTORS OVER 5- 8 HP • MOTORS OVER 8- 10 HP MOTORS OVER 10- 25 HP MOTORS OVER 25-100 HP MOTORS OVER 100 HP A/C WINDOW AIR CONDITIONERS 2. 3 704 STRIP HEATER - 7 K uJ GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS SPECIAL PURPOSE OUTLETS COMMERCIAL SIGN TUBES SIGN TRANSFORMERS SIGN TIME CLOCK FIXTURES ANTENNA TELEVISION OUTLETS VIOLATION RE INSPECTION UNIT go tit 22J IZ l FEE to ITEM SPACE HEATERS CENTRAL HEATING A/C (WIND) A/C (CENTRAL) DUCTWORK REFRIGERATION PROCESS AND PRESS PIPING UNDERGROUND TANKS ABOVE GROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS /ESCALATORS FIRE SPRINKLER SYSTEMS COOLING TOWERS VIOLATION REINSPECTION UNIT FEE ITEM PLUMBING BATH TUB BIDET DISHWASHER DISPOSAL DRINKING FOUNTAIN FLOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER SINK, POT /3 COMP. SINK, RESIDENCE SINK, SLOP TEMPORARY WATER CLOSET URINAL WATER CLOSET INDIRECT WASTES WATER SUPPLY TO: A/C UNIT FIRE SPRINKLER HEATER -NEW INST. HEATER - REPLACE LAWN SPRINKLER -WELL SWIMMING POOL WATER SERVICE SEWER CONNECTIONS UTILITY -SEWER UTILITY -WATER SEPTIC TANK RELAY DRAINFIELD, 4" TILE/RES. PUMP 8 ABANDON SEPTIC TANK SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ELECTRICAL MECHANICAL Permit No....!/..Qdl...7 Date it 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. Service Overhead Size Feeders Underground Type of Installation— Conduit y .. ,, . , �t_ iT Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT 65. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Tubing i Owner's Name and Address - — / 6/ 2 R # 4 // ' <rJ 9 ,y No // Street Registered Architect and/or En "in r u ! /._ L<( -7rl/� /� ��� � • e - Employing Electrician's NaName/ " 4' e/� � r-,� No 03 tr 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 Conduit Main Sw. Amps Main Fuses Amps B.?( L Metal oulding =' / V Master Elec i4 ian. 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 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) � �O 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. SPACE HEATER • STRIP 'HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP MOTORS 1 -3 HP N EON TRANS. RADIO TOTAL. CONTR. LIST / ■ CHECK i Permit No....!/..Qdl...7 Date it 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. Service Overhead Size Feeders Underground Type of Installation— Conduit y .. ,, . , �t_ iT Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT 65. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Tubing i Owner's Name and Address - — / 6/ 2 R # 4 // ' <rJ 9 ,y No // Street Registered Architect and/or En "in r u ! /._ L<( -7rl/� /� ��� � • e - Employing Electrician's NaName/ " 4' e/� � r-,� No 03 tr 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 Conduit Main Sw. Amps Main Fuses Amps B.?( L Metal oulding =' / V Master Elec i4 ian. 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 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) � �O 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 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 No Street Registered Architect and /or Engineer Employing Electrician's Name of 044.4 No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No / 3 / 0 f / Street State work to be performed and purpose of building (By Floors) New Buildings Remodeling Addition Repairs No. of Stories Amount of Permit $ T' 85. My Commission Expires MIAMI SHORES VILLAGE Date 1--. Service Overhead Size Feeders ' ( Conduit ' Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) 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 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). Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE: I Before me, tl>e 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. 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 ��11 i t ; 6 I / /.. 1 /6) / 1 7� ( 7s- / L°/\ CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS O. HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST / --L. wT� ® d ry - � �1 / 4 V / w , ' L 7 A ( ! / _3_ .. l L /:. _• 1 �, CHECK /) ) b I wo Permit No ELECTRICAL INSPECTION DEPARTMENT 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 No Street Registered Architect and /or Engineer Employing Electrician's Name of 044.4 No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No / 3 / 0 f / Street State work to be performed and purpose of building (By Floors) New Buildings Remodeling Addition Repairs No. of Stories Amount of Permit $ T' 85. My Commission Expires MIAMI SHORES VILLAGE Date 1--. Service Overhead Size Feeders ' ( Conduit ' Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) 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 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). Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE: I Before me, tl>e 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. 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.