55 NE 100 St (2)YLKMl I AYYL1'. 1'UN r UK 1VII MVIUOITU CL7 YIi kttrr.
Date — / 8 'l p (Job Address 53 I/E- IOC/ Tax Folio 11 J 2-0 6 —0 /3 — / 1
Legal Description el
Historically Designated: Yes 7
m Owner/Lessee / Tenant l I } -- �5 r LZC� Master Permit # 9,3
Owner's Address 5'5 4/, E • /'t ✓ Phone V 5 75 FJ 7/ /
Contracting Co. ADT SECURITY SERVICES � TNC, Address
der. 1 . 1 x/5 .�f 0-4 624 -7770 x 5254
State # Era° 1085 Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDIN ELECTRICAL: PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
LOW VOLTAGE SECURITY SYSTEM
WORK DESCRIPTION
c93 d&/e5
Square Ft. Estimated Cost (value) / ` £ ' / ` 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 WTTH 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.
e of owner and/or Co o President Date Si a of Contractor or Own uilder
4 JANET M. GRAHAM
COMMISSION # CC604991
it EXPIRES DEC. 3, 2000
Notary as to Owner and/or Corilo President Date
My Commission Expires: - i - c: :-- 3 Q-- 0 .1
44 :
CAREEN A. HUTCHINSON
MY COMMISSION # CC 648710
t " EXPIRES: May 19, 2001
i • 19 enuri,ers
�": ad T hN Notary Public Und
� ` ;e cF Bond —
Plumbing
•1.
tary as • Co s : c or or Owner - Builder
My Commission Expires:
ate
Date
FEES: PERMIT. RADON C.C.F. 2 0 NOTARY BOND
TOTAL DUE .573.70
APPROVED:
Zoning Building Electrical
Mechanical
Engineering
ITEM
BATH TUB
UNIT
FEE
ITEM
SNITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS .
UNIT
FEE
BIDET
LIGTT OUTLETS
CENTRAL BATING
DISHWASHER
RECEPTACLES
A/C (WHO)
0ISFOSAL
SERVICE TEWORARY
A/C (CENTRAL)
OR INKING FOUNTAIN
SERVICE SIZE IN AWS
DUCT PERK
FLOCK DRAIN
SERV ICE REPA IRA ETER CIHANI:'E
REFR IGERAT ION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AN) PRESS .PIPING
INTERCEPTOR
RANGE TOP
UUNDERGROUI0 TANKS
LAVATORY
OVER
ABOVE GROIAIO TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSIPE VESSELS
CLOTHES WASHER
MOTCRS 0- 1 If
STEAM BOILERS
SHOWER
SMTORS OVER 1- 3 if
HOT WATER BOILERS
SINK , POT /3 COW .
IVCTCRS OVER 3- 5 if
VECHAN I CAL VENTILATION
SINK. RESIOENCE
140TCRS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
ICTCRS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEWORARY WATER CLOSET
VCRS OVER 10- 25 If
F IRE SPRINKLER SYSTEMS
URINAL
ICTCRS OVER 25-100 If
COOLING TOWERS -
WATER CLOSET
SOTCRS OVER 100 If
VIOLATION
INDIRECT WASTES
A/C WINOOW
RE INSPECTION
WATER SLPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
F IRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFOA RS
HEATER -REPLACE
GENERATORS TRAISFtR RS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMSIING POOL
OUTLETS COI,ERCIAL
WATER SERVICE
SIGN TLBES
SEWER CONNECT IONS
SIGN TRANSFOAIERS
S
UT ILITT-SEWER
SIGN TIME CLOCK
•
UTILITY -WATER
F IXTLRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
ORAINFIELO, 4' TILE/RES.
VIOLATION
PUP & ABANDON SEPTIC TANK
RE INSPECT ION
_
SOAKAGE PIT CU. FT.
, 4 2zii 7,1" 'el.
/
CATCH BASIN
LoI L'G 1a S
,Z?
Ili!
O
OISClHARGE WELL
DOMESTIC WELL
AREA DRAIN
_
4
yl
ROOF INLET
S
SOLAR WATER HEATER
S
FIRE STANDPIPE
POOL PIPING
.
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANT THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
e
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date % - a / t% S Job Address 3 N E / 0 0 •SZ - Tax Folio /1 - - o ( - 0 / 3
M et—M;
Legal Description L * / 8 / f3 / K i o - S( - es Sec / Historically Designated: Yes No
Owner/Lessee / Tenant
v
Owner's Address S `S /VC / 4J° 'S • Phone 7 f 7 - 3 ((0 V
Contracting Co. rs,j. ��a�_ Address 7 ? 0 P6 -K
Qualifier by R r 7� rL SS# - — 7 6
State # e k- a o--6 - 1 It / Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILD I �L CTRICAL MBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 0'1 a i _.
( e s
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
laws regulating construction and zoning. Furthermore, I authorize the above -named contr
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
f - 2 �j �cYc LLs
Signature of Contractor or Owner- Builder Date
Notary as to Contractor or Oerter -: o lder Date
M Z LA RI� TARY PUBLIC
y
STATE OF FLO
?lEa „a • M. INO. CC 28368P RIDA
My Comm. Exnir�s P :w 5 I C'”
Master Permit #
to to o wofk st
be done_in/Co 1 lance with all applicable
FEES: PERMIT 3 .s ' •= RADON C.C.F. •�' NOTARY TOTAL DUE - —
APPROVED:
Zoning Building Electric
Mechanical Plumbing Engineering
SEP 12 '95 08:16 FR WSS POMPANO BEACH FL 13059700334 TO MIAMI P.01/01
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 7/ Job Address 5 /16 /0 5 7 — Tax Folio J / — 3 A o E, – 0(3_ / ./A b
Legal ocscription & / (al i✓io f h to,e-4'' 1 f o icallyDesignated Yes No
Owned ssee /Tenant
Owner's Address �� C /00 S7 Phone 75 0/69
Contracting Co. -e_ S-� L_J
Queer R K e _— i ss# r q 0-o 3_0
State # eFe-6-0 —7c_f Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDIN ELECTRIC PLUMBING MECHANICAL ROOFING PAV]NG FENCE SIGN
WORK DESCRIPTION �, , S �� 77 — - (
Square Ft Estimated Co n (value) ' 0 e7,.5
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MA
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCIN
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).
certify that all work will bc performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that sepal:
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 a1 . will bc done in
laws regulating construction and zoning. Furthermore, I authorize the above -named contra
Si of owner and/or Condo President
FEES: PERMI �s RADON
Date
Notary as to Owner and/or Gondol'resident Date
,.OrAcmmistiittigliOirai LADY
• •
NOTARY PUBLIC
ter STATE OF FLORIDA
`•:` an°'' COMM. NO. CC 28369P
• My Comm. Exnirnc M' , 5 1 r• `
C.C.F.
Signature of Contractor or Owner - Builder
NOTARY
APPROVED:
Zoning Biding Electric
Mechanical Plumbing
Address 3 - 19 o fct -ILK
Notary as to Contractor or Owner Build 6 Date
My C _on K. LADD
OTARY PUBLIC
•
STATE OF FLORIDA
''�F°•` NO. CC 28369F
My Comm. Expires May S 1 r"
Master Permit #
TOTAL DUE
ce with all applical
Date
Engineering
** TOTAL PAGE.01 sac
, 4 •
•
MIAMI SHORES VILLAGE, FLORIDA
BUILDING 0
ELECTRICAL TM'
PLUMBING PERMIT
ROOFING 0
0
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description 71 r B1
Address of
Building A*4:7— (00 sz .„-
NTRACTOR ant BUILDER
N2 38431
Work to be performed under this Permit
Lik_3 4:2\,f
A Ava_E4iuiee
Date C1/— 01. 19
f_r
// .39e.0 0_13
Contractor's
License No.
Subdi-
vision 00
Project Amount f P ermit Sq Ft.
Value of
This permit is granted t 1 (
the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion 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 s ecifications 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 clime in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understrinding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the wo7k covered hereby her shown on the plans.or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agetits, servants o mp
NOTICE:
RESULTS OF INSPECTIONS MUST
r
Signe _o
(INSPECTOR) BE REPORiiD TO WESTINGHOUSE
In consideration of the isuuance to me of this permit I agree to perform the work covered hereun&F ji14/41;114TIEgginances and regulation,
pertaining thereto and in strict .ronformity with the plans, drawings, statements or specifications submitted to thel of Miami Shores Village.
In accepting this permit I assurt) responsibility for all work done by either, myself, my agent, servant or employee. ta o 6473
BY
AUTHORITY
OCTOBER 10, 1995
MIAMI SHORES VILLAGE
10050 NE 2 AVE.
MIAMI SHORES, FL 33138
TO WHOM IT MAY CONCERN:
THE PURPOSE OF THIS LETTER IS TO CANCEL THE ENCLOSED
ELECTRICAL PERMIT FOR A BURGLAR ALARM LOCATED AT 55 NE 100
ST. THE PERMIT WAS BEING PULLED BY WESTINGHOUSE SECURITY AND
THE PERMIT NUMBER IS 38431. THE NAME ON THE PERMIT IS
HEGEDUS. THE REASON THE PERMIT IS BEING CANCELLED IS THAT
THE OWNER OF THE HOUSE DECIDED NOT TO BUY A SECURITY SYSTEM
AT THIS TIME THROUGH OUR COMPANY. THANK YOU IN ADVANCE FOR
YOUR COOPERATION IN THIS MATTER.
ENCLOSURE
PERMIT DEPARTMENT
Westinghouse
Security Systems
3790 Park Central Blvd. N. • Pompano Beach, FL 33064
305 - 970 -0300
.. DEBRA K. LAD
�L y NOTARY PUBLIC
l..r STATE OF FLORIDA
' a` '' Comm. NO. CC 28389
Av Comm. Fxniraq Um, G •