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152 NE 101 St (12)Signature Date: $ c PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Datec Job Address/ /i/4/ Legal Description / Owner / Lessee / Tenant /22 e / MAccit4- Master Permit # ((� )65 Owner's Address g /v4-/ / S`1'" ,ci-/2E e phone-7 G /6 7 7 Contracting , /XP Address Qualifier SS# - - State # Municipal # Competency # Ins.Co. Architect /Engineer Address . Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING // ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION /J)& 4/( Square Ft. Estimated Cost(value) 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 te above -named contractor to do the work stated. Condo President Notary as to Owner an / id 'f�§i4 Ti'[�Y SEAL U _ SCOTT W DAVIS My Commission Expires 1` g n COMMISSION NUMBER N II Q CC255237 y �` O MY COMMISSION EXP. ** * * * it * OF � if__ "y �. 6 99 27 Tax Polio Phone Signature of Contractor or Owner- Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: * * * * * * * ** FEES: PERMIT- RADON C.C.F. ..50 NOTARY - DO TOTAL DUE AV APPROVED: Fire Other Zoning Buildin: / Electrical Mechanical Plumbing Engineering rJ(' I of 6T NE 10\ sr NE too ST LoGMIOrJ rLt * 1's Zoo' 0 L. Xc sr,'7 6 t� I 1 9.4 NEW 4.4 N IGH MMur wfL.L j�C P,ES No, 1. 8 E. ff'LA\1•1 I )01 1 i. Use the supplied hardware to at- tach the twin -lead cable to the antenna's lead -in terminals, la- beled CONNECT LEAD -IN HERE. 4. Route the twin -lead cable down the mast and into the house using stand -off insulators about every 4 feet. Follow these hints as you route the twin -lead cable: • Be sure the twin -lead cable remains at least 4 inches away from all metal surfaces. • Twist the twin-lead cable about 3 tums between standoffs. • Use a 300 -ohm static dis- charge unit to ground the twin - lead cable at the point where the wire enters the house. Your local Radio Shack store sells all the necessary connection ac- cessories. 5. Attach the twin -lead cable to your TV/VCR's antenna terminals. iITED WARRANTY days from date of purchase from Radio Shack ack franchisees and dealers. Within this period, . Simply bring your Radio Shack sales slip as Narranty does not cover transportation costs. Nor cidental damage. .CK MAKES NO WARRANTIES, EXPRESS OR :HANTABILITY AND FITNESS FORA PARTICU- ltion or exclusion of implied warranties; therefore, ,t apply to purchaser. • have other rights which vary from state to state. Nhat We Sell ) SHACK andy Corporation , Texas 76102 Printed in USA Long -Range Super Color Special VHF HF/FM ANTENNA with Matching Transformer Cat. No. 15 -1718A convenience, plan each step of installa- tion and purchase the necessary hard- ware in advance. The order in which you perform the steps and the hardware required depends on the mounting and connection methods you use. The Long -Range Super Color Special VHF /UHF/FM Antenna is specially designed to provide improved perfor- mance compared to similar sized an- tennas. Radio Shack's engineers have accomplished this using two special design features: UHF Dipole-delivers more of the UHF signal to your TV. UHF signals are more difficult to receive than VHF sig- nals. This antenna gives UHF signals the extra boost they need. VHF /UHF Isolation Network - pre- vents the two types of TV signals from interfering with each other. This re- sults in cleaner signals and better pic- tures on your TV. BEFORE YOU BEGIN Before you begin installation, read this manual and the separate Consumer Product Safety Commission infor- mation sheet. For your safety and © 1992 Tandy Corporation. All Rights Reserved. Radio Shack is a registered trademark used by Tandy Corporation. Warning When you install your antenna, use extreme caution If `. the antenna starts to fall, ;let It • got It coul conta o verhe ad pow I mes > I f the antenna; touches the po line, contact with the antenna, mast, cable, or guy wires can cause electrocu tlon and death Call the power. company to remove the antenna DO NOT attempt to remove It yourself MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ,l Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buil ng or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Vil age, 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. r-7 % Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. j 55. My Commission Expires ,..11a 4,0 No (Signed) Owner's Name and Address Registered Architect and /pf'En neer U... e / (� Employing Electrician's Na ... G 1 / ., No ! Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No / 4), Street N / 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 ..,, Metal Moulding > a .Z - — . / 0 lint .0 1. Electri cly1 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. Street Notary Public, State of Florida Si Master Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re• inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE H ATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. ..:2.2 4 I f aipth . M OTORS fie___ e_�' 0.1 HP M OTORS 1.0 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK - _ _.. _. __ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ,l Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buil ng or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Vil age, 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. r-7 % Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. j 55. My Commission Expires ,..11a 4,0 No (Signed) Owner's Name and Address Registered Architect and /pf'En neer U... e / (� Employing Electrician's Na ... G 1 / ., No ! Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No / 4), Street N / 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 ..,, Metal Moulding > a .Z - — . / 0 lint .0 1. Electri cly1 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. Street Notary Public, State of Florida Si Master Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re• inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. .:.,. r BUILDING ELECTRICAL PLUMBING Building /./J f: Owner of Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE ... PERMIT N° 9724 �% Contractor's - License No Work to be performed under this Permit Architect Contractor ' ~ or Builder _,.-, .. ,� .✓ Legal L t ! Bl. Description ✓ ! Subdi- vision Value of Project $ Amt. of Permit $ f,✓ 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 draw' gs or in the statements r specifications and that he assumes responsibility for work done by his agents, servants or employees. r Signed: - BY i ✓ INSPECTOR In consideration of the issuance to me of this permit I agree to perfq"rm the work covered hereunder in compliance with all or" nances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities o Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. J BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description. Address of Building Fl • IA, PERMIT N° 9975 Wor CONTRACTOR OR .BUILDER MIAMI SHORES VILLAGE. FLORID e . bee performed under this Permit tiu► cse..__. Lot Os S E S This permit is granted to the contractor or builder named above herefor in strict compliance with all ordinances pertaining thereto an drawings, statements or specifications that may have been submitted to time if the work is not done in compliance with such ordinances or if t granted is the understanding that the contractor or builder named abo pertaining to the work covered hereby whether shown on the plans or done by his agents, servants or employees. Signed: In consideration of the issuance to me Of is permit I agree to pertaining thereto and in strict conformity with the i ,s, drawings, sta In accepting this permit I assume responsibility for all •. done by Subdi- vision Value of Project $ to construct the building or to install the equipment or device described in the applicatl with the understanding that the work will be performed in compliance with any plans, and approved 1:3,44 proper municipal authorities. This Permit may be revoked at an,y plans are c• e ithout authorization. A further condition upon which this permit is assumes t e res 6nsibility for a thorough knowledge of the ordinances and regulations rawings o in : e statements or specifications and that he assumes responsibility for work IN erform the work covered hereunder in compliant • all ordi ments or specifications submitted to the proper aut orities of ither, myself, my agent, servant or employee. BY DATE Contractor's License No Amt. of Permit AUTHORITY 1950. nces and regulations mi Shores Village. ....c SWITCH L LIGHT P PLUG F FIXTURES R REFRIG. I IRON R RANGE R RANGE W WATER W W. HEAT. S SPACE S STRIP T TOTAL C LIST R b b 1 / ' E 'TT'S N i$ / / / / • • / MIAMI SHORES VI LLAG E ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 9 /2' Permit No._ Date ry d Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of .•er 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 ___ A /_ �_I �� 5 CY No . Street ________ �_______________�_ Registered Architect and /or Engineer _ Employing Electrician's Name __ _ ___ I _ v' _ Street__ °),_:✓'_• g' e ` _ G ��' �� __ F' �' _ � • ' � No _t____._ -- - -- - -- ------- Location and Legal Description Lot_____________ performed—No �______ y____ ` Block A , — I-s Subdivision__���________ _____ —___ Street and Number where work is to be / r , �, Street 1.___ •,) - --- - - - - -- - -- — -- 6 State work to be performed and purpose of building (By Floors) 2 , New Building Remodeling Addition.. Repairs ____ No. of Stories 5 Service Overhead Size Feeders 3 / Conduit. / 1_L� Main Sw.__-1 ° f'y___ Amps. Main Fuses_ Underground Type of Installation— Conduit Tubing B.X.L Metal Mould' Amount of Permit $__ STATE OF FLORIDA, COUNTY OF DADE. GS. My Commission Expires (Signed) L— Notary Public. State of Florida Master Electrican. _Amps. Electric. nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of la. •r 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 public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are 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 _____ ____________� 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. 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. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No I 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. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name MIAMI SHORES VILLAGE C. ' �g �f� — No Street No - Street ______.:__.. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No. ._____' Street / rt. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs No. of Stories Service Overhead Underground Size Feeders.. Conduit Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L. Metal Moulding n ti Amount of Permit $ ' ' _—__ (Signed) = ' �7 „ .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 front 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 OF FLORIDA, 1 COUNTY OF DADE. I ss. (Signed) , 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- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1-5 HP NEON TRANS. RADIO TOTAL CONTR. LIST � CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No I 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. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name MIAMI SHORES VILLAGE C. ' �g �f� — No Street No - Street ______.:__.. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No. ._____' Street / rt. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs No. of Stories Service Overhead Underground Size Feeders.. Conduit Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L. Metal Moulding n ti Amount of Permit $ ' ' _—__ (Signed) = ' �7 „ .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 front 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 OF FLORIDA, 1 COUNTY OF DADE. I ss. (Signed) , 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- 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.