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1470 NE 101 St (9)Date %) 9 Job Address 1410 NE E I v l ` t. /ol• /0 i 4/ i S' /6,7 .q ? 's / Lessee / Tenant S ` N Master Permit # 1r4 Phone 7s8 ' /� Z Legal Description Owner's Address Al 0 NL I Dls� Contracting C ��r COY1 Q) 1�i.Olr),'�'� Address �' `-" "�' "" �a�1�Y►a1 Ie Qualifier J ri4En1 . WEEVE SS # . Phone 7SU •V73 State # CACO ?. 3'Municipal # Competency # Ins.Co. 04 AR 7 L.4ND CAS vAI-T' ! � Architect /Engineer N I rA Address Bonding Company NIA Mortgagor NI Permit Type(circle one): C, BUILDING ELECT RICAL `UMBIN' MEC 'ICAL 'OO iNGPAVING FENCE SIGN WO K (:) DESCRIPTION V O OD(t1='n 6 t O`\ - 'r e�'^ 1v C - \"„sl) NCLVO € 10., _ .r 1f�14lltt w vnokc� tcLct Square Ft. Estimated Cost(value) '1:83°.!) 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: be done in complia ce authorize the a ignatu "o 'fir and /or Condo President Date: Nota- as to Owner and My Commissi ** * * APPROVED: arrEnFlIalkl5NOTARY SEAL' ROBERT C.ALBEA NOTARY PUBLIC NATE a FLORIDA My Ca mission Ems. JA.LY 1511 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ce ify that all the foregoing information is accurate and that all work will all applicable laws regulating construction and zoning. Furthermore, I contractor to do the work stated. or Condo President Address Address Tax Folio // 3 tZJ o 7 ' 42 G S'gna re of Con ctor or Owner- Builder Date: $• 2 0 - ** * * C.C.F. / NOTARY TOTAL DUE Fire Other Building Electrical Plumbing Engineering PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) [ 10 N Si Date ? // 2 / q' / Job Address Legal Description //) Qualifier (�Lt n{ WORK DESCRIPTION i 4 (2(c No ° ar-y ea My J Comm i ss * `� * PERMIT FEE: Zoning g 10 Owner / Lessee / Tenant 9 f • l 'ep/1 G W fr of h iL ' Owner's Address 1(-1 ' 0 Qv ! I C) 1 g fi 53'6/ Contracting Co. 104.P/ Lt t !n- IQ t ' (o,& -G' ' ' Address 1' t-f ) 3 6 w /2 l Y1 --e H k--/ (ti• 'Pi r Ar'- I State CA C D 2 S 11 7 1 Competency# i (0 S ' ) Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING SCHANICAL PAVING FENCE SIGN Square Ft . 2 ('gip p ? Estimated Cosi' .2 O C� 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 co pliance with all. applicable laws regulating construction and zoning. Furthermore, t/ - rize the abo - named contractor to do the work stated. S ature'of Twner and /or Condo President D. te: ovwner and /or Condo President N on Expires; Notar Public; State of Florida a t Large M *, * My Com fission Ex tes Feb. , 1992 - Bond iBru Huckleberry & A ocIItis APPROVED: Fire ss# Phone k E- f(si -�o ,�- g LL-7— ( � „ -t ¢t� Building Signature Date: Mechanic al/+' # / 1 41.4fnbing Tax Foliof (Y fk3 4 1 0e v� Master Permit # Phone Ins. Co. of Contractor or Owner -B .1dern ary°as to Contractor or Owner - Builder' Commission Expires: * * * i Other Electrical Engineering * * * t IAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT � l AP P PLICATION FOR ELECTRICAL PERMIT Permit No 3v� Date / ' / 5. l J 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 —C / No Street Registered Architect and /or Engineer ... .. lJe C.. ���� STATE OF FLORIDA, COUNTY OF DADE. I b$' Employing Electrician's Name - No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ..5 Stree State work to be performed and purpose of building (By Floors) -./ < (3 /l .) '. New Building' Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P P Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ .,- (Signed) 01) ... .,...?z E lectrical Insp ctor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his (o ligations 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-co actors, on rk to _ .is mit, as . licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O. HP MOTORS NEON 1.3 HP TRANS. RADIO TOTAL CONTR. LIST ' ,i'-. y,{/y ���777111"'/// CHECK t IAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT � l AP P PLICATION FOR ELECTRICAL PERMIT Permit No 3v� Date / ' / 5. l J Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address —C / No Street Registered Architect and /or Engineer ... .. lJe C.. ���� STATE OF FLORIDA, COUNTY OF DADE. I b$' Employing Electrician's Name - No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ..5 Stree State work to be performed and purpose of building (By Floors) -./ < (3 /l .) '. New Building' Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P P Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ .,- (Signed) 01) ... .,...?z E lectrical Insp ctor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his (o ligations 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-co actors, on rk to _ .is mit, as . licensed by Miami Shores Village. 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.