285 NE 100 St (8)Miami Shores Village
" ° f tIV °1 r Building Department
pEC 0 7
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)
MS Owner's Address L ` S t
City \ \. . 4 _ Q'ESS State
Tenant /Lessee Name
Job Address (where the work is being done) CAS (V t
City Miami Shores Village County Miami -Dade Zip 2 ) ' ;l
is Building Historically Designated YES NO
Contractor's Company Name A.6
Contractor's Address 17 c 6 5 /J WA-y 0 4-J
City / I State /
Qualifier A
State Certificate or Registration No.
Architect/Engineer's Name (if applicable) � \(1A{‘ (.Pre - Phone # $ (2 a,790
$ Value of Work For this Permit � ,/040 Square Footage Of Work:
Type of Work:
Describe Work:
3 13S
❑Addition ®Alteration ❑New
Cc CC��l t6�
Submittal Fee $
Permit Fee $ • e 0
Notary $ 5 Training/Education Fee $
Scannin ning
Radon $
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
1E )? (3 0 /255 Certificate of Competency No. 2 L 9 2 9 '1 3
* * * ** * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
v O
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Plumbing Mechanical Roofing
\,Q- -C (JQt3€ Phone # 7 'O Z j R(11
(O
� CJ 4 L SA-
Zip
f2 (p0
Master Permit No. j (26u /251
Phone #
Phone #(305/ 2t‘ 0
Zip
Structural Plan Review. $
Permit No. et air (313
33/55
❑ Repair/Replace
❑ Demolition
CCF $ /. CO /CC
Technology Fee $
Bond $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a pennit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment: Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature , /•-• Slgnatl
Owner or Agent
The foregoing instrument was acknowledged before me this The fore ing instrument was acknowledges
day of , 206 — f , by , day of , 20 by _ - _ , /
V ho is personally known to me of who has produced who is personally known to • s w to as p•
As identification and who did take an oath. A-LW -6a9 =-6;)"da en fication and who did take an oath.
NOTAY PUBLIC:
Sign:
Print: f� E
My Commission Expires:
* * * * * * * * * **
APPLICATIO
Clic 05/13103
■
r C
NOTARY PUBLIC:
Sign:
Contractor
Print: ��q'., cr" %1'
-�
Ft Sl /i
My Commission Expires: P� Expires: May 26, 2008
Thru
*********************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * *'4tS * AetBtt
** Bonded
ii•iBblfitib� ir76.,
IRENE a DAKOTA
la 441114I6SKJii.Pli 255056
EXPIRES: Octobor t, 2007
F)on&d Thu Notary Pubic Urxi '+rigors
before me
* * * * * * * * * * * ** * * * * * ** *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
Gonell
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12/10/2004
Applicant: BOB
Owner: BOURNE
JOB ADDRESS: 285
NE 100
Contractor ABLE ELECTRIC OF SO FLORIDA INC
Local Phone:
Parcel # 1132060134700
Electrical Permit
Permit Number: EL2004 -343
BOURNE
BOB
ST
Page 1 of 1
Contractor's Address: 7005 N WATERWAY DR 304
Permit Status: APPROVED Permit Expiration: 6/4/2005 Construction Value: $3,000.00
Work: GARAGE CONVERSION ELECTRICAL WORK BP2004 -1251
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 OF LOT 21 & LOTS 22 & 23 BLK 34 LOT
Fees:
FEE2004 -12392
FEE2004 -12393
FEE2004 -12394
FEE2004 -12395
FEE2004 -12396
FEE2004 -12397
Description
Building Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Submittal Fee
Total Fees:
Amount
$225.00
$1.80
$5.00
$0.60
$5.63
($50.00)
$188.03
Total Fees: $188.03
Total Receipts: $0.00
ea...:41
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 accepting this permit I assume responisibility for all work
gone by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
B uilding Inspection Request
Date 6 I2 D.3 Time
Type Insp'n n
Permit No. L X 003 // '/33
J £
Name 1G;t9 �i8�t/
02C5 Aaeg
Approved
Correction
Re- Insp'n Fee
Address //ff ��-
Company NO04 r- ` .t
Phone # 30) / / /S 76 .2ave
For Inspector: 6 a j: e3
7f e41 ti) h) _341 /? 7/T5/
Date
s(/ b3
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204
Job Address r5 f C� (X' S* __ Ct* Tax Folio
Legal Description Historically Designated: Yes �+ No
Owner /Lessee/Tenet (2lcwd t Q H f 1 `( I n 'i 1 00 Master Permit # t E 2 - / Address S c 7 N. F ) 0 0 1 Phone 3 0 .S) 7s 9—actg.?
Contracting Co. l ' 1C'X'x� C �'C -`� `� \%1\ L Address \$ d�_ 9 C3 v'`��
Qualifier � �� �, �c� � L SS# ? \ Phone
State #CC-ea) l (.0 Municipal # Competency # Ins. Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle
WORK DESCRIPTION:
C I . Vif
one): BUILDING ELECTRICAL
r To ! - 6.r_9t.
Square Ft. Estimated Cost (value) r/`DO" d
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 ANY 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 all disciplines.
OWNERS AFFIDAVIT: 1 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.
Signature of owner and/or Condo President
N otar as to O t„A:MekCor .��
•
My Commissioi 'Jto��
1 � * COMMISSION NUMBER
`, �9 1r. Q DD033052
7 .. � ��' MY COMMISSION EXPIRES
FEES: PERMIT OF F\ JULY 2,2005
®f 1(72 RADON
*30,00 -f' Pc
APPROVED:
Zoning Building
Mechanical
Da e
Date
C.C.F
3
Plumbing
PLUMBING MECHANICAL ROOFING
Signature of Contractor or Owner Builder
7,s
1is7o3
Date
1 e.
.4
p .� ,
as to Co : =
E�res U <
ARY SEAL
NICOLE A BERGERT
CI
* COMMISSION NUMBER
Q DD033052
4�O MY COMMISSION EXPIRES
OF fL JULY 2,2005 _
BOND
TOTAL DU
Electrical _may/ �/` �/4
Structural Engineer
Notary
My Co mmissio
Date
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
•
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIN))
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS 1
4.00
DUCT WORK
FLOOR GRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE CUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 FP
STEAM BOILERS
SHOWER 0
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
MOTORS OVER 8- 10 HP
TRANSPORTING ASSEMBLIES
ELEVATORS/ESCALATORS
3INK, SLOP
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
JRINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET- - •
•'
- '
MOTORS OVER ' 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
•
CATER SUPPLY TO:
-AIR CONDITIONERS
A/C UNIT - •
..
• -
STRIP HEATER
FIRE SPRINKLER
..
GENERATORS TRANSFORMERS
"
1
HEATER -NEW INST.
'::_
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL-
SPECIAL PURPOSE
_
SWIMMING POOL
WATER
OUTLETS COMMERCIAL
4
SERVICE
EWER
SIGN TUBES
'
CONNECTIONS
TILITY-
SIGN TRANSFORMERS
SEWER
T I L I TY
SIGN TIME CLOCK
-WATER
=PTIC
FIXTURES
TANK
_LAY
IAINFIELO,
ANTENNA
TELEVISION OUTLETS
4" TILE/RES.
VIOLATION
,'MP E ABANDON SEPTIC TANK •:
IAKAGE
• •
REINSPECTION
PIT CU. FT.
. • •
.
JOH BASIN
'SCHARGE
WELL
.
IMESTIC WELL
-
;EA DRAIN
OF INLET
.
LAR WATER HEATER
RE STANDPIPE
OL PIPING
'I'M
SPRINKLER SYSTEM
S
RANGE
TER
SET (GAS)
3
PIPING
_
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL
MOODY# ELECTRIC, INC.
www.moodyelectric.com
669 N.W. 90 Street • Miami, FL 33150 -2166
Tel: (305) 758 -2000 Fax (305) 754 -1333
�7 t /6 S / z2 M � l Sr
/t��LCL1nI .'J.i�7D� �GA.
Maim Oac
n
�3 d
� a
urA14N
Pu
r
8 fo
k) i�ou.ap
"•, Notary Public PAT ate
ot of
Public - State of Florida
. My Corrableato EXpreS May ,200B
Commission i DD 104873
Bonded By National Notary Assn.
MOODY* ELECTRIC, INC.
www.moodyelectric.com
669 N.W. 90 Street • Miami, FL 33150 -2166
Tel: (305) 758 -2000 Fax (305) 754 -1333
49Vo
rA) 97e, A) /5
RESIDENTIAL DEMAND LOAD CALCULATIONS
W /SQ.VP
REFRIGERATOR
APPLIANCES
DISHWASHER
GARBAGE DISPOSAL
MICROWAVE
CLOTHES WASHER
DRYER
RANGE
WATER HEATER
OVEN
FREEZER
TRASH COMPACTOR
GARAGE DOOR MOTOR
JACUZZI
JACUZZI BOOSTER HTR.
IRONING BOARD
POOL EQUIPMENT
SPRINKLER PUMP
LANDSCAPE LIGHTS
STEAM SHOWER
A/C WALL UNIT
SPARE CAPACI=TY
SPARE CAPACITY
TOTAL CONNECTED LOAD
FIRST 10 K.W. @ 100%
REST @ 40%
A/C @65% /HEAT@ 100%
eig . SG
32
/=6X L )
TOTAL DEMAND LOAD �o�S
K.W. / 240 VOLT = AMPS
0Sa0
K.W.
- - - -- K.W.
= U K.W.
/•S
K.W.
1
/• K.
K.
5 ":". 6 K.
/c,1) K.
V 5 K.W.
K.W.
/' K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
6Zt K.W.
o�•o� K.W.
K.W.
K.W.
K.W.
7, S K.W.
/. K.W.
qD • �4 {.W .
10.0 K.W.
/s5K.w.
/D K.W.
9)-5 K.W.
MARY PAT BRIGGS
Notary Public - State of kty Co �� 1 Florida
• Commission S DD 104873
Bonded By National Notary Assn.
c 9DO 52A ii;ee
IP
r., DATE
TO THE ORDER OF. - -
ACCTS. PAYABLE
_
DISC.
OTHER
CHECK
NUMBER
910
/ U
i63 —
0
A
a
2
0
_
0
a
0
0
0
a
0
a
a
m
0
A
0
0
a
0
a
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 5/21/2003
Applicant: \ 14 �4
Owner: SEN I ,y 4\ ng +O r)
JOB ADDRESS: 285 NE 100
Contractor MOODY ELECTRIC INC
Local Phone: (305)758 -2000
Parcel # 1132060134700
Electrical Permit
Permit Number: EL2003 -133
Contractor's Address: 669 NW 90 ST
p ouri - o t. 0, oo
C c
Total Fees:
Total Receipts:
Permit Status: APPROVED Permit Expiration: 11/17/2003 Construction Value:
Work: 200 MAP SERVICE UPGRADE CHANGE FUSES TO BREAKERS
C N
Signed
In consideration of the is
conformity with the plans, c
done by either myself, my
Signe
PAY
AMOUNT
HATTESEN 1 M r & ne- OY
c 14; �
ST
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 OF LOT 21 & LOTS 22 & 23 BLK 34 LOT
B ORIGINAL DOCUMENT PRINTED ON CHEMICAL REACTIVE PAPER WITH MICROPRINTED BORDER - SEE REVERSE SIOE FOR COMPLETE SECURITY FEATURES a
MOODY ELECTRIC, INC.
669 N.W. 90TH STREET
MIAMI, FL 33150
(305) 891 -1374
atut_obo
-/3 3
TOTAL BANK
MIAMI, FLORIDA
1z-
11'0) ':066009)55':
$2,000.00
EXPLANATION
AMOUNT
A's 35 L0307911'06
3 1 . 4 , - 0
DOLLARS 1
63-915/660
CHECK
AMOUNT
•
16342
I 39.ot) l
MIAMI SHORES VILLAGE
BUILDING DEPARTM
305- 795 -2204
Building Inspection Reques
Date' c 1 I'0 Time
Type Insp'n
Permit No. L— - zoo / R 3
Name
Address a2$ I V P ✓�.
Company
Phone # D ( Z D b D
For Inspect D3 Name & D
Approved
Correction ❑ 3o trl ey
Re- Insp'n Fee ❑
f,� � ,/a#.7/ d rte,
zsgq_
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 6— ?- 43 Time
Type Insp'n
Permit No. J L .2O73 — t3 ' 3
Name /Li NE/00 c
Address '26s J [-
Compan X100
Phone # 3Z5 7 S DOD
For Inspector: ' -4 _ 3 Na
Approved ❑
Correction M AO Ju� -e Pf7
Re- Insp'n Fee ❑
/"®
•
Date
Inspection Date
Approved
Correction
Re-Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT /)(
305- 795 -2204
Buildin:- Inspection Reque
is I
Type Insp'n
Permit No. F' /! o ct— 3 y 3
Name j d
Address g5 __
/ `J e 00 S 1.
Company Z'e
Phone # ` O� ? e3
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
Type Insp'n ti nct 1
Permit No. ✓ tO I 34
Name
Address eiE5 U
Company
Phone #
Inspection Date
Approved
Correction
Re-Insp'n Fee
\ h i - 5
L.
c.
ycitsce G
Pi
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buil.ing Inspection Request
Date .- 10
Type Insp'n (i 6
Permit No.
Name �-
Address a�S /- re- u s/
Compan pL
Phone #
Inspection Date U 11
Approved
Correction ❑ / / / -e W
Re -Insp' n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMEN
305- 795 -2204
Building Inspection Request
Date /R. - Z • U' y
Type Insp'n t old V G)-1 aD E irec,,
Permit No. F L 70o(--\-
Name 'C -c' � jc uti
Address
Company
Phone # 1 -1c
Inspection Date
Approved l�
Correction ❑
Re- Insp'n Fee ❑
Electrical Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: EL2004 -352
Printed: 12 /22/2004
Applicant: BOB BOURNE
Owner: BOURNE BOB
JOB ADDRESS: 285 NE 100 ST
Contractor SHINE MAINTENANCE ELECTRICAL Contractor's Address: 7323 NW 8 ST
Local Phone: 305 - 269 -1151
Parcel # 1132060134700
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 OF LOT 21 & LOTS 22 & 23 BLK 34 LOT
Fees: Description Amount
FEE2004 -12977 Building Fee $150.00
FEE2004 -12978 CCF $0.60
FEE2004 -12979 Notary Fee $5.00
FEE2004 -12981 Training and Education Fee $0.20
FEE2004 -12983 Technology Fee $3.75
FEE2004 -12986 Submittal Fee ($50.00)
Total Fees: $109.55
Total Fees: $109.55
Total Receipts: $0.00
Permit Status: APPLIED Permit Expiration: 6/12/2005 Construction Value: $1,000.00
Work: Low voltage surround systeam
Signed: (INSPECTOR)
.DEC 2 2 PAID
CS:)
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
Miami Shores Village
Permit Type (circle): Building
Building Department
10050
BUILDING C 1 4 I Permit No. el 611 - 5L
PERMIT APPLICATIO Master Permit No. 13 PAo (-1 -( L - I
FBC 2001
• Owner's Name (Fee Simple Titleholder) � d`r )�Qt� r) Phone #
Owner's Address �) � ' ap v 7
City NI 1\ii ( ' /1V( State et Zip ?) k 3g
Tenant/Lessee Name Phone #
Job Address (where the work is being done) a IV I f , 1 OD
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name f) feet: �!4� �& Ci 6 1(4`
Contractor's Address w tL g
Cit AI! A.144 1 State rw
Qualifier f_1!.
State Certificate or Registration No. �� 000 ( I Li
-
$ Value of Work For this Permit
Total Fee Now Due $
(Continued on opposite side)
ores, Florida 33138
5) 756.8972
Plumbing Mechanical Roofing
Phone # 0S 2 1 1 I
Zip 12=6
Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
000 Square Footage Of Work:
Type of Work: ❑Addition ❑Alteration , New ❑ Repair/Replace ❑ Demolition
Describe Work: l 1. Pi nC C ;i! i 'V1
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ : } • 00 Permit Fee $ ti9i CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS.
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of ,20
who is personally known to me or who has produced
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05 /13/03
Signature
Contractor
The foregoing instrument was acknowledged before me this
! `�
day of 1 ` , 20 O 1 , by - lit (>0 ,
who is personally known t ie or who has prod ed 'F w
As identification and who did take an oath... 9 -c}j.- 7 entification and who did take an oath.
My Commission Expires:
NOTARY PUBL
— , `
��.._ 2(:,2008
'�
rl d My (.4.:y'FOb FAO ?',: Bonded Thni
Atlantic Bonding Co., Inc.
Ginny H. Gonell
• .`..6 Commission #DD' 2387C
, C4q 5 lans Examiner
Engineer
Zoning
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEM'ORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AIRS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 If
STEAM BOILERS
SHOWER
MOTORS QVER 1- 3 If
HOT WATER BOILERS
S INK, POT /3 COW .
MOTORS OVER 3- 5 If
IkCHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 If
TRANSPORTING ASSEIELIES
SINK, SLOP
MOTORS OVER 8- 10 if
ELEVATORS/ESCALATORS
TD.PORARY WATER CLOSET
MJTCRS OVER 10- 25 If
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 If
COOLING TOWERS
WATER CLOSET
MJTC%S OVER 100 If
VIOLATION
INDIRECT WASTES - '
A/C WINDOW
RE INSPECT ION
WATER SUPPLY TO:
AIR CONDITIDNERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
.SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
F I XTLRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4 TILE/RES.
VIOLATION
PUIR & ABANDON SEPTIC TANK
REINSPECT ION
SOAKAGE PIT CU. FT.
LOO 1)0,r&,
CATCH BASI
R.Ca Q /
DISCHARGE WELL
V46
L
DOMESTIC WELL
ze W Ell
1�
AREA DRA I N
i''o'r Rinrz-1
0 2
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RAKE
MATER SET (GAS)
GAS PIPING
1
!
1
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
�.Cll)-" /0014 -
ELECTRICAL
MECHANICAL
Permit No 3 .. 11 3/
STATE OF FLORIDA,
COUNTY OF DADS. I j
es.
0
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
,Q
Date
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, 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 sp fications muirbe -kep`t
building during progress of work.
Owner's Name and Address... ,/...a -
Dr, .. /'e...e....n No .. ci? Q p
Registered Architect and /or Engineer
Employing Electriciad's Name , l ie. .n .Y
Location and Legal Description Lot 7/�''
Street and Number where work is to be performed— No....
•- • .7. 'p .047
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
`i-e4 L No.. /
Amount of Permit $ / O (Signed) .. (...... M.
Block Subdivision
(Signed) 14
+
Street
Street //
0
Street ... 7.� .. ....4..
f o �.•
Serviu
Underground Size Feede Conduit Main Sw � ps Main Fuses.. a Amps
Type of Installation — Conduit `""-.. Tubing B.X.L Metal Moulding
?>"J k\k\SAi
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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
Iiceneed by Miami Shores Village.
O
Muter 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, bcing 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
0
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.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•11 HP
NEON
TRANS.
RADIO
-
TOTAL
CONTR. I ST
LIST
3 U U
4 .,W
CHECK
Permit No 3 .. 11 3/
STATE OF FLORIDA,
COUNTY OF DADS. I j
es.
0
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
,Q
Date
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, 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 sp fications muirbe -kep`t
building during progress of work.
Owner's Name and Address... ,/...a -
Dr, .. /'e...e....n No .. ci? Q p
Registered Architect and /or Engineer
Employing Electriciad's Name , l ie. .n .Y
Location and Legal Description Lot 7/�''
Street and Number where work is to be performed— No....
•- • .7. 'p .047
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
`i-e4 L No.. /
Amount of Permit $ / O (Signed) .. (...... M.
Block Subdivision
(Signed) 14
+
Street
Street //
0
Street ... 7.� .. ....4..
f o �.•
Serviu
Underground Size Feede Conduit Main Sw � ps Main Fuses.. a Amps
Type of Installation — Conduit `""-.. Tubing B.X.L Metal Moulding
?>"J k\k\SAi
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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
Iiceneed by Miami Shores Village.
O
Muter 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, bcing 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.
., 3 2 o y
2_ 2-
(7))--1(5
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Street and Number where work is to be performed—No
APPLICATION FOR ELECTRICAL PERMIT
Date 4 TV 40
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, Fio: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 t ?4# 771.70'1 ' No 2e‘• Street A jt --- /t ii
Registered Architect and/or Engineer
Employing Electrician's Name CZ-A/A g /AJC No 1 4 7 4 4 4 i
Location and Legal Description Lot Block
XeC
State work to be performed and purpose of building (By Floors)
Street 4 - 77iAi E. A .
/Oo
Subdivision
Street
147//e/A4 ,%,e
New Building Remodeling Addition Repairs No. of Stories
Service Size Feeders Conduit Main Sw Ampe Main Fuses Amps
v. 0 erhead
Underground
Type of Installation—Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ [12 OV
(Signed). SkkG06(3.) 0
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 thc
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, }
ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgmenu, 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'VT'S
FIXTURES
NO. L
REPRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. HEAT.
CONN.
SPACE
HEATER
STRIP
H
TOTAL
CONTR.
LIST
1. 454
CHECK
if 80
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
141 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
/ s ' 3 7
CHECK
9( 60
.
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Street and Number where work is to be performed—No
APPLICATION FOR ELECTRICAL PERMIT
Date 4 TV 40
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, Fio: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 t ?4# 771.70'1 ' No 2e‘• Street A jt --- /t ii
Registered Architect and/or Engineer
Employing Electrician's Name CZ-A/A g /AJC No 1 4 7 4 4 4 i
Location and Legal Description Lot Block
XeC
State work to be performed and purpose of building (By Floors)
Street 4 - 77iAi E. A .
/Oo
Subdivision
Street
147//e/A4 ,%,e
New Building Remodeling Addition Repairs No. of Stories
Service Size Feeders Conduit Main Sw Ampe Main Fuses Amps
v. 0 erhead
Underground
Type of Installation—Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ [12 OV
(Signed). SkkG06(3.) 0
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 thc
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, }
ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgmenu, 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 SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby snnde 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.
State ww k to be done and purpose of building (by floors)
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Date.. /.�
_.. ._— ....... , 19
Owner's Name and Address ......... • .. ........._ 8. .. �� No r � . Street_kio- W.9.
R egistered Architect and /or Engineer ,. . ............ .......... . ......
Name and address of licensed contractor .�f5.1Yt.i � e. col- .L...._. it-°f ../.t 6 S > r' /
Location and legal description of lot to be built on: / Y-o- KTV/
Lot Block Subdivision
Street and Number where work is to be done a.. -_ . p.p. ," 0 s t- — -
�• , e 1 .. b e f?, �a%,..c - pp" At c Q
and for no other purpose.
New Building Remodeling s'""
To be constructed of Kind of foundation oof5.overing
Estimated Total cost of improvements $ •... -Q. - - Amount of Permit Si......1 11
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 permit does hereby certify that he understands and accepts his obligations as an employer
of labor under theFlorida 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 , the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontr o •, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed).
Addition Repairs No. of Stories
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 y�
Permit No.._.g' 12 Date 4 Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed)
Notary Public, State of Florida
Building Inspector My Commission Expires
PLANNING BOARD 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 at faulty
materials and /or workmanship.
Permit No
Service
Overhead
93 L _
Owner's Name and Address.. r .
Amount of Permit $ Ca
STATE OP FLORIDA, 1
COUNTY OF DADE. I j
66.
MIAMI SHORES VILLAGE
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 wor
,71V
Registered Architect and /or En in r. /�
Employing Electrician's Name /�� t �4.- ` "� No .1/
Street
Location and Legal Description Lot Bloc
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
AA , wL� / %�/ v Cy' -�' r Underground Size Feeders // Conduit._ Main Sw {' a� Amps 1 Main Fuses
Type of Installation — Conduit Tubing B.X.L Metal Moulding
(Signed) .W' `
Street.
Date. .L
Street Z
Subdivision
�
al
Amps
P
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts h ..ligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo '•a Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub tractors 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 ,formed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re•inspcction 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
LIOHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
IoMT[
STRIP
HEATER
TOTAL
CONTR.
v LIST
_ 7
Ac g
, QM ECK
� 0;),0
•
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
' IS R
------
C ECK
.
Permit No
Service
Overhead
93 L _
Owner's Name and Address.. r .
Amount of Permit $ Ca
STATE OP FLORIDA, 1
COUNTY OF DADE. I j
66.
MIAMI SHORES VILLAGE
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 wor
,71V
Registered Architect and /or En in r. /�
Employing Electrician's Name /�� t �4.- ` "� No .1/
Street
Location and Legal Description Lot Bloc
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
AA , wL� / %�/ v Cy' -�' r Underground Size Feeders // Conduit._ Main Sw {' a� Amps 1 Main Fuses
Type of Installation — Conduit Tubing B.X.L Metal Moulding
(Signed) .W' `
Street.
Date. .L
Street Z
Subdivision
�
al
Amps
P
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts h ..ligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo '•a Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub tractors 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 ,formed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re•inspcction 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.
Owner's Name and Address
Amount of Permit $
53.
Registered Architect and /or Engine
•
Street and Number where work is to be performed —No...
S'
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date
Application is hereby �ade for the approval of the detailed statement of the plans and specifications herewith submitted for the building r o her
pp pp p p t d o t e o t
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.
Employing Electrician's Name No ®e Street..
Location and Legal Description Lot Block Subdivon
Street
Street✓2
e 44
State work to be performed and purpose of building ()doors)
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
(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 sub-contractors, 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. ! 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•7'S
FIXTURES
NO. LAMP-
' EFRIG.
•UTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEAT/
r �
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
7-S
r
4
/ I
` '
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
s- / 6,-- r
I
p �'�+
y
-4,
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
_ _ ^
O
RADIO
( "w�
r �- �'= TOTAL
vZ 1 ^:',_�'_
i
CONTR.
LIST
CHECK
6
'1 .
7.) ,
Owner's Name and Address
Amount of Permit $
53.
Registered Architect and /or Engine
•
Street and Number where work is to be performed —No...
S'
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date
Application is hereby �ade for the approval of the detailed statement of the plans and specifications herewith submitted for the building r o her
pp pp p p t d o t e o t
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.
Employing Electrician's Name No ®e Street..
Location and Legal Description Lot Block Subdivon
Street
Street✓2
e 44
State work to be performed and purpose of building ()doors)
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
(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 sub-contractors, 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. ! 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.
Permit No )(?/
New Building Ref U ing Ad
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTR ICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subiVtted 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 / 77,7 No � 5' 1\r1:" U Street
Registered Architect and /or Engineer
�,,
Employing Electrician's Name. -- " -
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No C pp `c.-
No. .. ` �.. 7.Q..I.._NE A ONANc
State work to be performed and purpose of building (By Floors)
on Repairs No. of Stories
Street
g. Isr,Szi
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 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.
1)
STATE OF FLORIDA, j
COUNTY OF DADE. I
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.
88.
(Signed).2,,,
�. Master Electrician.
1
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
FIXT RES
NO. LAMPS
REFRIG.
OUTLET
IR•
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.
MOTORS
0.1 HP
MOTORS
1 -3 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No )(?/
New Building Ref U ing Ad
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTR ICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subiVtted 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 / 77,7 No � 5' 1\r1:" U Street
Registered Architect and /or Engineer
�,,
Employing Electrician's Name. -- " -
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No C pp `c.-
No. .. ` �.. 7.Q..I.._NE A ONANc
State work to be performed and purpose of building (By Floors)
on Repairs No. of Stories
Street
g. Isr,Szi
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 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.
1)
STATE OF FLORIDA, j
COUNTY OF DADE. I
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.
88.
(Signed).2,,,
�. Master Electrician.
1
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 SHORES VILLAGE
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
PERMIT
No..
THIS CERTIFIES THAT the wiring and apparatus installed at
by '""'"+ Address
for owner, and occupied as
has been inspected and current is authorized to be turned on, until otherwise notified, for:
Size of Service Number of Lighting Circuit3 .--
Range watts. Water Heater watts
Power: Connected load H P Space Heaters watts
Other Apparatus
ELECTRICAL INSPECTOR.
BUILDING
ELECTRICAL
PLUMBING
PERMIT N9 1677
Work to be performed under this Permit f
Owner of
Buildings y y
Architect
Contractor
or Builder - e
Legal Lot Bl.
Description
Address of 2
Building
MIAMI SHORES VILLAGE, FLORIDA
Subdi-
vision
Value of
Project
DATE 194
Contractor's
License No.
Amt. of
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 or specifications and
that he assumes responsibility for work done by his agents, servants or employees.
Signed• t By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform f'he work covered hereunder in compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statdnients or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUI,LbER BY AUTHORITY
JILDING
- = LECTRICAL
PLUMBING
Owner of
Building
PERMIT N9 1674
Work to be performed under this Permit
Architect
Contractor
Builder
Legal Lot BI.
Description " •••
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
Subdi-
vision
Value of
Project
DATE 194
Contractor's
License No
Amt. of
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 or specifications and
that he assumes responsibility for work done by his agents, servants or employees.
Signed• B !
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform/he work covered hereunder in compliance with all ordinances and regula-
tions pertaining th*eto and in strict conformity with the plans, drawings, stt,atttements or specifications submitted to the proper authorities of Miami Shores
Village. In kce�_ttngiht permit I assume responsibility for all work done by either myself, my agent, servant or employee.
? t
•
f 1 r CONTRACTOR OR BUILDER BY AUTHORITY
Permit No 12 __ ___
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. rr /�/
Owner's Name and Address „e._ tir-1 ''t � ( �c%f � L 6/1!01�F 644, . Street
Registered Architect and /or Engine >!_t'_
Employing Electrician's Name __ No - Street
t o
Location and Legal Description Lot ' .� c Block __ Subdivision
‘6 t1 __�_ C/ — Street_____
Street and Number where work is to be performed —No
State work to be erformed and purpose of building P P g (By Floors) ...__
Amount of Permit $__L__ ) a
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed
Date
704<_-
Notary Public. State of Florida
New Building Remodeling Addition Repairs No. of Stories
Service
Overhead
Underground Size Feeders __ Conduit /L Main Sw.___L r e Amps. Main Fuses_ f: __L Amps.
Type of Installation— Conduit B.X.L Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his bligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied 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' notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, work to be performed under this permit, as are
licensed by Miami Shores Village. •
t 44.1
Master Electrican.
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, 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.
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
! it
PLUG
REC
2
FIXTURES
NO. LA
r2, V
REFRIG.
OUTLET
J —
IRON
OUTLET
I_
RANGE
OUTLET
/
RANGE
CONN.
WATER
HEATER
�/ as
W. HEAT.
CONN.
SPACE
HEATER
�J
4
STRIP
H EATER
TOTAL
C L STR
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No 12 __ ___
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. rr /�/
Owner's Name and Address „e._ tir-1 ''t � ( �c%f � L 6/1!01�F 644, . Street
Registered Architect and /or Engine >!_t'_
Employing Electrician's Name __ No - Street
t o
Location and Legal Description Lot ' .� c Block __ Subdivision
‘6 t1 __�_ C/ — Street_____
Street and Number where work is to be performed —No
State work to be erformed and purpose of building P P g (By Floors) ...__
Amount of Permit $__L__ ) a
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed
Date
704<_-
Notary Public. State of Florida
New Building Remodeling Addition Repairs No. of Stories
Service
Overhead
Underground Size Feeders __ Conduit /L Main Sw.___L r e Amps. Main Fuses_ f: __L Amps.
Type of Installation— Conduit B.X.L Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his bligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied 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' notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, work to be performed under this permit, as are
licensed by Miami Shores Village. •
t 44.1
Master Electrican.
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, 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.
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.