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361 NE 101 St (10)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 6- r Z / - 93 Address J /v f /V , E. 7O / s7 A°EJT Tax Folio Legal Description /� Historically Designated: Yes No Owner/Lessee / Tenant O�1/ 9 77/1L 4 E5/ R LI k y DielkoOx Master Permit # 3 7 /'� Owner's Address .-3 6 / h/. E JO / 3 7 E Phone 7c2 9 ( 7 Contracting Co. ,e, E. . , ENT- Aofig /sE 5 Address 73Q A! w, /38 Sri(°E'CT Qualifier � ' seGU/ n/ f7- PE rSe, SE State # C oo oo / 9 G Municipal # Competency # Ins. Co. 4 /?ATE TT 7/v5_ Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION / /'57, G /¢T/ o iY OA 4 TO 4 e E'NTA", 1 ��� L / T t( /D /' /-0 //ex / SS# //. Phone !v g/-0.57/ Square Ft Estimated Cost (value) Qd 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. Signature of owner and/or Condo President Date Signature of Contractor or Owner- Builder Date d'o/iLd/u4) t(L,Q,e Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder My Commission Expires: My Commission Expires: ... +...ter .., +« *� OFFICIAL SEAL • 39:11 t SANDRA KIIHNL COOK It My Commission Expires 4 • �: : A:):11 21, 1996 • :r.' Comm. No. CC 188809 FEES: PERMIT / ''4"O RADON C.C.F. . STS NOTARY TOTAL DUE Date 391) APPROVED: Building Electric / ✓G�l' 95 Zoning g rte"` Mechanical Plumbing Engineering istes Dwoy t ITEM BATH 1L8 UNIT • FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WINO) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN MPS DUCT WORK FLOOR CHAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUIC TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNCRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTCRS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 If TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATCRS TEMPORARY WATER CLOSET MOTCRS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS _h 32),_ A/C UNIT , STRIP HEATER / P- FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE - GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL _ _ SPECIAL PURPOSE SWIIIiING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TIKES SEWER CONNECTIONS SIGN TRANSFORMERS _ UTILITY -SEWER SIGN TIME CLOCK - UT I L I TY -WATER F I XTI,RES SEPTIC TANK ANTENNA RELAY TELEVISION CUTLETS ORAINFIELO, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION 1 SOAKAGE PIT CU. FT. CATCH BASIN 3? DISCHARGE WELL DOMESTIC WELL AREA DRAIN - ROOF INLET SOLAR WATER HEATER - FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA Date ?' 2 " 2 - " ELECTRICAL ❑ PLUMBING ❑ PERMIT N? 10382 ROOFING ❑ Thr .1 1 :. Owner of Building Architect Contractor -" or Builder be - 4 t C # A C t t'. •', Legal Lot Description 11 B1 / ` t Address of 3l� t N J r 0 f _3 ci Buildig Work to be performed under this Permit Contractor's 1 ? f License No. Subdi- vision Sq Ft. Value of 11 Amount of Project $ 11 Permit $ 9� 19 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 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 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 plan or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants employees. /- / Signed • tr), ( INSPECTOR BY In consideration of the issuance to me of this permit I agr e,to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawi • _ ";statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work d by either, myself, my aget}t, servant or employee. BY AUTHORITY CONTRACTOR or BUILDER MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No /• 3.(p - z- ffd X No 3 Date 8 -- o- 6 sa 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. Street ire / s Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's . -r6 Q._D Street... Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 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. Underground Type of Installation — Conduit Tubing B.X.L Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I SS. (Signed) The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. (Signed). Amps Main Fuses Amps Metal Moulding 1 Elec I szector. ccepts his � igations as an employer of of Florid. Permanent Supplement, and sub-con ractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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 REFRIO. OUTLET IRON OUTLET RANGE OUTLET R ANGE CONN. WATER HEATER W. H EAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP M OTORS 1.5 HP N EON TRANS. RADIO TOTAL CL,sr LIST i SO 'fr1 M Off) �` �,A f: E . TeV rz 0 n U r- /J' ` 3 oz CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No /• 3.(p - z- ffd X No 3 Date 8 -- o- 6 sa 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. Street ire / s Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's . -r6 Q._D Street... Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 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. Underground Type of Installation — Conduit Tubing B.X.L Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I SS. (Signed) The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. (Signed). Amps Main Fuses Amps Metal Moulding 1 Elec I szector. ccepts his � igations as an employer of of Florid. Permanent Supplement, and sub-con ractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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. BUILDING ELECTRICAL PLUMBING Owner of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? . 1052 Work to be performed under this Permit Architect Contractor or Builder Legal Lot Bl. Description Address of Building 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wil 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 respon- sibility for work done by his agents, servants or employees. Signed• By , • 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. } I Subdi- vision Value of Project !1. BY i r DATE 194 Contractor's - License No. Amt. of Permit AUTHORITY FLOORS FIXTURE ONLY NUMBER OF Total Outlets SIZE OF Size Service Conduit No. Circuits Lights Ceiling Brackets Mains Subs Branches asement— irst :cond hird ourth �� ' LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE 'INFORMATION. ALL SPACES MUST BE FILLED OR APPLICA- TION L BE RETURNED Lot Number Block Number Subdivision 1 t ' :. `•` Street and N tuber 3 G / ‘11 C f fl r „C/f ' Side Aerilk_Crtrg ,,,, / Owner Occupied as a9( Building —New or Old (underline which). H. P. of each motor Kind of Installation Open or Concealed Knob, RX., BX., Mldg. Conduit F S By Lights REMARK Contractor Progress Will Inspect agaiiii Rough Wirin Ceiling DAT ak ` , 1 /.7 Electrical Department. of the ity of Miami Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated be- low, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by Inspector. Brackets FINAL //-I No Corrected Temporary .Days Date Issued 1s Receptacles APPLICATION Volts Switches Occupant Work— Additional, New, Altersltion or La Total Amps Phase Stoves I Water Heaters Inspection Wanted fir► ' z 7r ti Address 12 1 /" C, ..�" SPACE BELOW FOR INSPECTOR'S USE ONLY Received by Inspector ty r2 Inspected Remarks / Fee remitted �J N o. Signs Other Apparatus Inspector