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1420 NE 101 St (3)
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER � TO RETAIN COPY) Job Address /4 A) C /0/ 5∎ 7 • Tax Folio //— .2 eAr^ 0 23 °00.ro 1 Legal Description/I L WL y /(Jt Ss / 7nsi /7 aster Permit # / / f l ' � G onhet r L v / . /w Owner / Lessee / Tenant WORK DESCRIPTION Signature of Owner and /or Condo President Date: PERMIT FEE: APPROVED: Fire Signatur Date: Owner's Address /44)-(3 / E / O / -14- phone Contracting Co. /9 E Az Q` {,i - Address / 4fl 7 ,(' /3 0 PJ )'7 / ;r i Qualifier aentypa (1. ( a 5. SS# / phone 5->4 --) & State# �Q CV/ 2- SL (o Competency# /P TO W-- - In �� Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle' one): BUILDING ELECTRICAL ~ , PLUMBING MECHANICAL PAVING FENCE SIGN Square Ft. Estimated Cost 1� O 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. 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. A,a Other b 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. Owner = Builder Notary as to Owner and /or Condo President N ary as to Contractor r Owner- Builder My Commission Expires: My Commission Expires:yf At * * * * * * * * * * * vd Zoning Building Electrical '1' ` y /Jlf A --- ;0 0 1 echanical Plumbing Engineering 5 Permit No ELECTRICAL INSPECTION DEPARTMENT 1 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 of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu :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... a e Registered Architect and/or Engineer L_f Employing Electrician's Name.., ..irp(9J Co No MIAMI SHORES VILLAGE (A,.13 /V/ Amount of Permit $ v (Signed) No. .1..x. 0 " 4 Street_... 0 / 4 �..� StreetV4. Notary Public, State of Florida G7 " 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 Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding Electri nsp titer. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma nt 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, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed). .J' TZTC.A "'t" o Muter Electrician. STATE OF FLORIDA, } COUNTY OF DADE. 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 NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECC' VT' e FIXTURES NO. LAMPS RCFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP H TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMF. SERVICE PERM. �� 46431$ f R MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO .. _ TOTAL CONTR. LIST CHECK Permit No ELECTRICAL INSPECTION DEPARTMENT 1 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 of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu :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... a e Registered Architect and/or Engineer L_f Employing Electrician's Name.., ..irp(9J Co No MIAMI SHORES VILLAGE (A,.13 /V/ Amount of Permit $ v (Signed) No. .1..x. 0 " 4 Street_... 0 / 4 �..� StreetV4. Notary Public, State of Florida G7 " 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 Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding Electri nsp titer. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma nt 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, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed). .J' TZTC.A "'t" o Muter Electrician. STATE OF FLORIDA, } COUNTY OF DADE. 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 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 Architect Contractor or Builder Legal Description Address of Building ❑ DATE 195 Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 5027 Contractor's License No. / BI Work to be performed under this 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 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 or in the statements specification at he assumes responsibility for work done by his agents, servants or employees. Signed Subdi- vision Value of I ( Amount of ,t Project $ I Permit $ BY X+, INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereun r 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 ac- cepting this it -I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY MIAM' SHORES VILLAGE, FLA. JOB e) ADDRESS ' ° 6l) / 0 INSPECTION Ic C t1 EI. c. TR i Q TIME READY Ro.s I ♦ /( REMARKS • _ - - 7- S- N° 5675 LTV` INSPECTOR DATE Zp MIAMI SHORES VILLAGE, FLA. JOB ADDRESS i4 2 O AI �- INSPECTION F, TIME READY g--/ - 4 REMARKS: N° 5754 tot t � o1L\ INSPECTOR 0-3,4 DATE 3-/--S1 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. �� 13 0-) Owner's Name and Address (PA-- � N a Y Street /1 © r Permit No Registered Architect and /or Engineer Employing Electrician's Name ' G` // e STATE OF FLORIDA, COUNTY OF DADE I es. APPLICATION FOR ELECTRICAL PERMIT My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Amount of Permit $ / � ' (Signed) 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 Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding 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 2_ fi _ N e Electrical Inspector. 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 Notary Public, State of Florida C.? 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. 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'T8 FIXTURES NO. LAMPS REPRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HEATER H STRIP HEATER TOTA L CONTR. LIST / / ' / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O.1 HP MOTORS 1.8 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK 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. �� 13 0-) Owner's Name and Address (PA-- � N a Y Street /1 © r Permit No Registered Architect and /or Engineer Employing Electrician's Name ' G` // e STATE OF FLORIDA, COUNTY OF DADE I es. APPLICATION FOR ELECTRICAL PERMIT My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Amount of Permit $ / � ' (Signed) 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 Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding 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 2_ fi _ N e Electrical Inspector. 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 Notary Public, State of Florida C.? 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. 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 ,14 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 V SQ lr No Street s��Q� Registered Architect and /or Engineer Employing Electrician's Name / r U!-1!- No Street Location and Legal Description Lot 1 1 STATE OP FLORIDA, } COUNTY OF DADE. 65. . MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date �1 4 (Signed) Block / Subdivision Street and Number where work is to be performed —No ,/ 0 / C. Street.... .. I c�......b State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Overhead � e� t/ Service Underground Size Feeders.. /... Conduit ;J.. Main Sw Amps Main Fuses Amps Type or InstaConduit Tubing B.X.L Metal Moulding Amount of Permit $ (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. 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 N• c A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty m . t '• 16 and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. SPACE H EATER STRIP H EATER TOTAL CONTR. LIST 3' 96 7// ,] � / / / I 1 3 � S� CHECK ) 214. j I�j \ to U ?-r 7r ? `� � ` /04.) / l ,s ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP N EON TRANS. RADI0 TOTAL. CONTR. LIST / ! V 0 ' 0 / - �'°'• 6 .w � C J i \ sow' O CHECK Permit No ,14 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 V SQ lr No Street s��Q� Registered Architect and /or Engineer Employing Electrician's Name / r U!-1!- No Street Location and Legal Description Lot 1 1 STATE OP FLORIDA, } COUNTY OF DADE. 65. . MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date �1 4 (Signed) Block / Subdivision Street and Number where work is to be performed —No ,/ 0 / C. Street.... .. I c�......b State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Overhead � e� t/ Service Underground Size Feeders.. /... Conduit ;J.. Main Sw Amps Main Fuses Amps Type or InstaConduit Tubing B.X.L Metal Moulding Amount of Permit $ (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. 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 N• c A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty m . t '• 16 and /or workmanship.