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145 NE 101 St (7)MIAMI SHORES VILLAGE BUILDING DEPART 305- 795 -2204 Building Inspection Requ Date ,Zi 4'7» 'ime Type Insp'n 4/ c t L 6A(74 Permit No. 03 " 1 r Name 7 � 7 � e e Address / /g°P/ 5 Company L y ('0 Phone # For Inspector: Name & Date Approved Correction ❑ ��U��j' Re- Insp'n Fee ❑ i�•t Lt e , Dat Type Insp'n Permit No. Name Address Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request 101_ C1 - Company f Q Phone # 3 os _ a For Inspector? ) 1-1 /D3 Name & Date Time Date. Type Insp'n MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Address Company , Approved Correction Re-Insp'n Fee Permit No. L� r -^ el S Phone # For Inspector /3/ 00 -0/2 - z oo - s 3� ,A - 41 9 /e y mmn A & 1' aP ff *lriyd,66 fyGPl - e , / / MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date C 0 Time Type Insp'n Permit No.F C � S Name Address l q S , 10 U A Company r 'T)- ate,L)k- phone# as_ a (1 V cpct. 1C � For Inspector: X0 ®tea /r Approved ❑ Correction 71/ / , y Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bui ding Inspection Request (� Date 15 I " 1 Time Type Insp'n +1 n3\ f 1e� . Permit No. ` 2o6?)-9s. Name 4, kb Address 1 lkS 1•t 01 U ! Company 9 f 1 Phone # /503 ao 1 - =609a _ For Inspector: )23 Approved Correction IJ Re- Insp'n Fee ❑ - c -- 63 tEx-ixLeecr 1-4\97- ,goy- MIAMI A l AT STTr \TlT[•'1 VILLAGE ‘ T A !1T " A D BUILDING lJ LLrl'•>it \( 1 '\ . - 305- 795 -2204^ Building Inspection Requ: % Date 5 --2 -z3 Time O Type Insp'n �% .� 01 C `laic 7 . Perm aao 3 1S"" qs Nam No. 7 `' / �' �(/ /0 /5 / ti 4j Addres 5 Company V Fe % c� Phone # ®S` P 6 7 - lS d72 D N o\S F or Inspector:. ) — ay Name & Date .. Approved 71 o /i N V' „ Correction 9 Fee Re / Z - Insp'ri 71 t►� 63 ( -k '. N. . ev - m� ) k ' - r A's7,4 i— L.409` mt2A.•. k „,-> - re, . fv ® i / /‘#°aC • ®/i Id • tlo 7 /z r /Mt',d`�1: 72 A. k 7 i A AGe, P'‘.Po7z e e X 5rr,s e;.7r,oeroh S7 - Y/ Ke a.oiM :cam 4 a-iI 5-694') 5 e, ,p�� Ge,/,,A,� Company Phone # D-9310 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date I I 0 ti0 Time Type Insp'n Permit No. E .Jl 53 — v0C Name (Y� Address MS PC )0 I SI- For Inspector: t I 17 ' (• - Nam Approved L`7 Correction Re- Insp'n Fee ❑ 3/ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date q 19 Time Type Insp'n W K W 141 eje.CiT IUUU Permit No. .�� C. aon.3 • q 5 Name PDX % S Address I t '}' S N E , O 1 6+ Company t', Phone # 305' C;(0 • 3o9 a For Inspector: q I to Approved ra Correction ❑ 7 5'1 ' Y Re- Insp'n Fee ❑ 313Co MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date vl Time Type Insp'n R 0 0 3 h E l ec1r 1 C aj Permit No. el a003 -a d Name 1-'«.1 I s Address 11+5 N E ) Q I S+ Company Phone # 305 3J L .8o9a For Inspector: q I (0 Approved 171 Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPART NT 305- 795 -2204 Building Inspection Requ Date 8/ Type Insp'n i - o\ E iec s [Cb I Permit No. G( c 1 - 1K Name P ua r Address ILA rn ? L 101 S+ Company a'ie(cQbl■ f 1 Phone # Inspection Date 8 Approved Correction Re- Insp'n Fee ❑ 45)2G- MIAMI SHORES VILLAGE BUILDING DEPARTMENT 1 , 1 4 \ Date Time 305- 795 -2204 Building Inspection Request F\nnI E\ex . Type Insp'n �v� 9 Permit No. i ` 2CJIJ) 1 S Name P e e \ Address t ` ,S V)l Company P , `, 4 Phone # 503 J 2C9 For Inspector: e ` G i Name & Date fX - I 9 L e J` 1 Approved Correction ❑ �7 sl°7'e Re-Insp'n Fee ❑ V' 11; 7" P/T / fee b977:oecx c� hex j . ev7 W1 77/ ®�f . »- tom._ , CONTRACTOR New Construction Name =R0 E EcM c, =tt G ( � License No. O00 icense No. ' / r t Address /O3G 5W / I g M /14Ni/' FL of 3 /e Telephone ' ) a 0) 0 6 , 4 . Fax )a 0 7 0 7 d' 6 Qualifier Name j oia6e C _ - 5...., TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete theoftIchgd aerpilt apDllc :d tvhipfltnust be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type toVorr ntrc ctuirt prod sing of your application. If roofing work will be done, a roofing application must be submit- ted along with j}As Qerl►it •agplicctigin.: • • • • • Step 2. Submit the completed application, with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other • • • • • • • • • •.. • • • • • • • • • • • • • • • • • ..... • • • • • • •••. • • • •.. • • • • ••• • • • • • • • • • • ••• • • • •• • • ••• •••• • • • • • ARCHITECT Name License No. Address Telephone Fax PROPERTY OWNER Name Address Home Telephone Business Telephone Fax Master Permit No. Subsidiary Permit No. fOt PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection Apt. City State Folio Number Description of Work pl 1 i t7t761k OC7TCcT lb ( GCS i- rS Lot Block _214C GSA- q ,) 50 fill to Subdivision PB PG Zoning Current Use of Property ! Square Feet Proposed Use of Property •Value of Work /j C Value Tenant Information Tax Assessed/Appraised Value Linear Feet Units PERMIT APPLICATION Floors Zip Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED 4441141D PER4IT' 1pp' for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday throegh Frit lay from 730 a.Tn. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT ANrj13$BltI!l: • : • • • : : • • • 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND Y MSEU FOR STORAGE. A bond is required for work in or near the street/sidewalk. • • • • • • • • • • • • • • • • • • • 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, P' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. Signature of Notary Public - State of Florida SEAL: Print Name Sworn to and subscribed before me this day of Personally known OR, Produced Identification STATE OF FLO j , COUNTY OF MIAMI -DADE Signature o Contracto Qualifier Print Name Sworn to and subscribed before me this a7 day of 11 , j IA . 1, 3 Signature of Notary Pub 'c -- State O orida SEAL: Personally known Type of Identification Produced: Type of Identification Pr • •• •• • • • • • • • • • • • • • • • • • • • • • P ,ERt HT APPLICATION aufh O 3 :: MY COMMISSION # CC 91 .. Bonded Dire Notary P ublic Unde tere Prod 0 SOX./ loon. ore Inclue•I Nub al ea Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/15/2003 Applicant: MARIO Owner: PEREZ JOB ADDRESS: 145 NE 101 ki Contractor IRO ELECTRIC INC Local Phone: n i Parcel # 1132060131940 P&H ADDITIONS INC. PAY TO THE 7448 N.W. 8th Street Miami, Florida 33126 Phone (305) 264 -8092 5722 SW 8th Street Wet Miami, Florida 33144 u ■0SOL5Se C:0670L52741: 02LOL9L211 Electrical Permit Permit Number: EL2003 -95 PEREZ MARIO ST Contractor's Address: 525 NW 27 AVE Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 20 & E1/2 LOT 19 BLK 14 LOT SIZE 2 Total Fees: Total Receipts: $0.00 4 0 2 ; pS n Permit Status: APPROVED Permit Expiration: 10/12/2003 Construction Value: $1,800.00 Work: 27 ROUGH OULET 10- LIGHTS INC SEAR 150 AMP DATE _May 21 , —20D3— ORDER OF VILLAGE OF MIAMI SHORES I1 S. SO 50155 One ho , r() G V G 5-2 ueH�' f t 10e 010/14(s AhG -►� 1 DOL S INTERCONTINENTAL DANK 63- 1527/670 02 Page 1 of 1 101 1- inspection tion herefor in strict compliance with all ations that may have been submitted to ir if the plans are changed without isibility for a thorough knowledge of the it he assumes responsibility for work done pertaining thereto and in strict conformity ;ponisibility for all work done by either ELECTRICAL TypE Minimum Fee ; Vi V �)�. .J,\,J'I -; • QTY. TYPE Outlet, Appliance Q.I,\' .l,I.l,l,; Service Repair t SO QTY. A/C Central 1 -3 Ton • r�' • • • Fan Outlet, Wall A7 Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light 70 /6 Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Conunercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New NIECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYI'l•; A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. 'I'YI'E Soakage Pit QTY. Bath Tub Drinking Fountain . Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French 'Miscellaneous Equipment Sink Well, Supply Page 3 RECEIVED AND REVIEWED BY: • • • ••• • .t • • • • • • • • • .... • • ... • ... PERMIT APPLICATION INSTRUCTIONS: Please insiciteghe tyi a of work being performed and quantity(ies) in the space provided below. DATE: /4 P�a3 Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) O FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) (sq.ft. = x/1000 $ (¢.005 / sq.ft.) $ (¢.01 /sq.ft.) SECTION Zonin Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE REVIEWED AND PREPARED 12L .,7: —r fk • • • • •. • .•. • • • • • • • • . • • • • • ' •• • • • • • P RMIT APPLICATION • .•• • • • b CON)O ASSOCIATION APPROVAL (Attach) •• ••• •• • • • •• • • • • • • • • • •' ❑ • $ PRPPPI4JtAL (Kestaurants) • • • • • • • • • •• ••• • • • • • •• ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ISSUING OFFICIAL DATE: /46/ ') CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Date t q 6,/ .7 7 Job Address / 1.E iJ„E- / O / _ Tax Folio Legal Description Historically Designated: Yes No PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Owner/Lessee / Tenant ,.r r R A L D O /•l O 1.. _ AJ 4 Owner's Address / £ , j F _ , l O Contracting Co. S Master Permit # Phone (.3 oS) 933 A t L n J L f i c Z A& 5 t ( c S ; ,.) c Address 2 , o / 72 c% 4? J M r L Qualifier C r( A 2 . 0 M A 2 i ,, N 4.'- SS# Sot 91-1e 9 .3 9 O 9 State # / C O o c ((o 3 2 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /1 £ P L c r c L O if"' uv r R z G Al ,s W I L L A- C A .. 4 S Lot % c N41 1 4,40 c �P i/-1 C Crf 99 Square Ft. Estimated Cost (value)4 I h 00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Sign4&e° of owner and/or Condo President Date rp ,lAt`i�T McCOY •APR. o- ,�, ;�� CJMt�RISS1oN #ACC 688135 / / Ia 4 'EXPIRES -NOV 14, 2001 ao/ 9 7 & th • R sident Date My ommissio n Expires: 90 ''` ' . O ° I JANET Mt �oy FEES: PERMIT -a RADON APPROVED: Zoning Building Mechanical Signaat a of Conti .car c 4 COMMISSION # CC 688135 IUII s" r- Builde r EXPIRES NOV 14, 2001 BONDED THRU �Or �� LT IC BOP IDING CO , P C Notary as to Lo ntr AN actor o r Owner - Builder My Commission Expires: WV /y, a oo/ ( /720 1 "Date ao /9 7 ate JAM ET t coy C.C.F. 1 6-1-1) " NOTARY BOND TOTAL DUE Electrical Plumbing Engineering "�Y ��_� =Y6 : — - -_ u--- - G.:' ==_ �_ = - c a: •- - = - ---- �, c c -r - N __ ?c_ -Y= CIPI gm S: C = : 3Airi TLB 3ICET J t_ -rStL 1N1C11.G .z3.21ti IN CIA IN --- , L i3iT TRAY 3IA. . SIA. AS Ma _ --PN RY ?Ju c tN'.L 3&T ;241IRE" TASaL 3; , �. SIFF_ u_ s,C Of T IRE 5-1:1 I ALS :-ZIT . ' INS. MINING . IA a V1C c:.41e 1136 TtLi T'f -E ITILi i (-TATE —1C i»tl( : IT :tc∎II No' ii_.!). i mice- WW 1 =CON TTC ( `c�C ?IT Cl. 7r. '.S �.3;C : •�c ` .':4A IN „ye. -Ci:14:7 �� .;}r . !M<Lt.. L !I ME I ING ;N :UM I U! L 0 N1. i'ERM ELECTRICAL MECHANICAL rzi !MIT I E4 lErr I L!Ers? aifl_iS /4- I C^.-.TRAl. iEATTG I I ! ..+ET: IS 15 +3t-� 111Q) I I E'EN: la TT e I :G ;i YI= SIZE IR �S - i I `�•+ C U I :54 !ANC CUTLETS 2 f .-saJ -z Xi AM ?!PIRG I I ate I ate l I i .'c i I TA a :ears I/ I ! ' V.S I I ',CT= WE :, i . ,..z I I`- : -MtICZ YE{TIL;Ti I SIItIA. MS 3- 3 ' ! I ! "rte - TIM !E 1 ICITCZ (17E 3- al 'r1 I f I _IAITIMS�. rS.11 ! !..1:37M rVE IQ- = s ' I I ! ;:A nlitES. 315.174 I 1ITMS VS 3-:C3 : 1 I =ING iM;S AVMS uVE ICC i- I I 17iQ.:11Qt I :/C llMad I I I :r I . irRI I =:R IIlTIC ES I i i I 377 IP ;EaE } I i I r0.:ia3s IRA. u .,�T I I f I Z4EA1, attentleS I I I I y-_.:;1. ARM I I . I alTL_Ts ::. = 1 I VG G i t I I SIG( 1' ( I I I SIG, 7174 CL= 1 I i I ; N11. NA ! I I 1 7c= J151M CIIILES i I i '1t1 ''i@I I I I 1 liE 1. r-�T 1Qi i _J_ I s ---- - % I I I 1. . DI I 1 I i -2_I IU" I T I 'CATION ON Owner's Name and Address MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No.. / { \+ 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, 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. \, No f7 S 1 7C C /Q. /..Street Registered Architect and /or Engineer ��( (� /r� Employing Electrician's Name - £ &C.- No.1 1907 ./ 4? �'/ "/.l t —'e Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1 r f... / ° 1 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition P _ 6, L/r Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OP FLORIDA, } COUNTY OF DADE. ss. (Signed)_.. Gam/ Wee Master Electrici 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 N9TE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty ma ter Is 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. H EAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST ppp — {` —�--. ✓J . y� s < CHECK � ..f . 3 ENT. SW.1 1ST.. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST I I CHECK / (5-6 Owner's Name and Address MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No.. / { \+ 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, 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. \, No f7 S 1 7C C /Q. /..Street Registered Architect and /or Engineer ��( (� /r� Employing Electrician's Name - £ &C.- No.1 1907 ./ 4? �'/ "/.l t —'e Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1 r f... / ° 1 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition P _ 6, L/r Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OP FLORIDA, } COUNTY OF DADE. ss. (Signed)_.. Gam/ Wee Master Electrici 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 N9TE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty ma ter Is and /or workmanship. NO. STREET PART OF LOT LOT BL'K TOWN, ADDITION, OR SUBDIVISION Signs 1 4 /5 6 1 7 1,F , io i '' A A Other Apparatus Permit Fee Outlets Motors . Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee 3So ELECTRICAL PERMIT Town of Miami Shores N. B. —This Permit must be on display on the premises during the construction. Owner of Building Contractor or Electrician... *�. Dated , 192 STRANGE PRINTING CO., MIAMI, FLA. OFFICE OF ELECTRICAL DEPARTMENT Miami Shores, Florida, S4 , 19 '. PROPOSED LOCATION DESCRIPTION OF WORK NUMBER OF N° 109 This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of the Town of Miami Shores and the rules and regulations of the Electrical Department of the Town of Miami Shores. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the .lans and specifications unau- thorized by this Department. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the it State of Florida, all the Electrical Ordinances and Codes of the Town of Miami Shores, and all rules and regulations of • jElectrical Department of the Town of Miami Shores. (Seal) , Electrical Inspector. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNTAINS TOTAL FIXTURES 3 ) I 3 ) )0 A -244 5 -35 5M Employing Plumber Lot No. 1 4. r'" p Block No. Address Sewer Connections At center of St. ❑ At curb ❑ DIVISION OF PLUMBING INSPECTION DEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA " 3 19 I herewith submit the following plan of plumbing for approval: New Old ❑ V Story ❑ Addition ❑ Remodeled ❑ For a Dwelling Store ❑ Garage XJ Apartment ❑ Hotel ❑ Office Bldg. ❑ Owner or Agent 14 1 Address �- _ _ ) Builder or Contractor is • - • Address 91 0 I • \r"\ • -11 0 „„-IL S 1 _ Subdivision 14, At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑ To septic tank j'c Existing bldg. drain ❑ To dry well ❑ A charge of $1.00 will be made for correcting any inaccuracies in the foregoing information. DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. Date ROUGH -IN INSPECTION Ground Rough -In Rain Leader AM PM. Approved by— Condemned by REMARKS Date_ SEWER INSPECTION A M P M Approved by Condemned by REMARKS Work executed by Plan No. Sewer Permit No Date FINAL INSPECTION AM PM. Approved by Condemned by REMARKS Sketch position of building and lot lines in square (which represents an entire city block), showing on which street the building and lot faces; also show exact location of "Y" in street and position of lateral or septic tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accurate layout of all underground pipes for future references. WEST NORTH A EAST Remarks : NORTH SOUTH CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING • FOUNTAINS TOTAL FIXTURES 3 ) ) 3 ) ) i0 Sketch position of building and lot lines in square (which represents an entire city block), showing on which street the building and lot faces; also show exact location of "Y" in street and position of lateral or septic tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accurate layout of all underground pipes for future references. WEST NORTH A SOUTH EAST Remarks : NORTH SOUTH t>y 1 H A -244 5 -35 5M Owner or Agent Builder or Contractor is - Lot No. 11 4, �" D Block No. Address Sewer Connections Ground A M P M. Approved by Condemned by REMARKS DIVISION OF PLUMBING INSPECTION 1 DEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA �-v 3 19 3 ' I herewith submit the following plan of plumbing for approval: Employing Plumber _ (� u„r-- Work executed by ( ,� • New Old ❑ St ory El Addition ❑ Remodeled D For a Dwelling R Store ❑ Garage X Apartment ❑ Hotel ❑ Office Bldg. ❑ Subdivision G, p � �. 1 _ At center of St. ❑ At curb ❑ A charge of $1.00 will be made for correcting any inaccuracies in the foregoing information. DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. Date ROUGH -IN INSPECTION Rough -In Rain Leader Date— SEWER INSPECTION Address A M P M. Approved by Condemned by REMARKS Plan No. Sewer Permit No Address At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑ To septic tank Pc Existing bldg. drain ❑ To dry well ❑ Date FINAL INSPECTION A M P M. Approved by Condemned by REMARKS THIS SPACE FOR ELEVATION SKETCH In alterations to existing work show the old work in red ink and the new in black ink. Letter each stack to correspond with the opening shown in floor plan or ground plan on opposite page. A PERSPECTIVE SKETCH WILL BE SUFFICIENT PROVIDED THE WORK CAN BE CLEARLY SHOWN THIS SPACE FOR PLAN SKETCH Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the stock connections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of building showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in reference to same. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Legal Description Address of Building Lot ❑ DATE — et," , 1 95 PERMIT .N? 15498 Contractor's ❑ License No ❑ Work to be performed under this Permit Architect Contractor 1 r or Builder_ MIAMI SHORES VILLAGE, FLORIDA II BI. P71,.. ) l 0 / Subdi- vision Value of Project $ 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 • • + 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 responsibility for all work done by either, myself, my agent, servant or employee. f T % CONTRACTOR OR BUILDER BY Amt. of Permit 4./ i .1 AUTHORITY MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No .- Date....!! / � 2 T 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 � No/.4.1. . v.I..Street Registered Architect and /or Engineer / G Employing Electrician's Name MELRQSE /! ELECIa4LC,..1N.C. No a ' 7 ' , & Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No / 6:27 ` ./ ''.l 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 Amount of Permit $. ....... .r... (Signed) (Signed) Ele 'cal 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. My Commission Expires Notary Public, State of Florida Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. j ss ' Before me, the undersigned authority, a 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, duly authorized" tb administer oaths and take acknowledgments, personally 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 REPRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE NEA TER STRIP HEATER TOTAL CONTR. LIST � /, .1. CCU CHECK ENT. SW. 01ST. CAD. SERVICE TEMP. SERVICE PERM. /let A TJ MOTORS 0.1 HP MOTORS 1.8 MP NEON TRANS. RADIO TOTAL 2. .p O CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No .- Date....!! / � 2 T 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 � No/.4.1. . v.I..Street Registered Architect and /or Engineer / G Employing Electrician's Name MELRQSE /! ELECIa4LC,..1N.C. No a ' 7 ' , & Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No / 6:27 ` ./ ''.l 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 Amount of Permit $. ....... .r... (Signed) (Signed) Ele 'cal 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. My Commission Expires Notary Public, State of Florida Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. j ss ' Before me, the undersigned authority, a 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, duly authorized" tb administer oaths and take acknowledgments, personally 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.