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525 NE 101 St (10)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 0 f 9 I Job Address ['1 Legal Description / 07 4 W Signature of owner and /or Condo President Date: C w nei / Lessee / Tenant ' V A�� \k C.b S Owner's Address ( -( \- C • \ ' SY Contracting Co. Notary as to Owner and /or Condo President Notary as to C My Commission Expires: My Commission ** * * * * * * * * * * * FEES: PERMIT ` N4 RADON C.C.F. -.5 NOTARY 'a APPROVED: 11 -320(0 - » /1O`1 Tax Folio Cb� S / 4, Address \c:3 ' ' -' ' Qualifier V `G �L� SS# Phone ' � ) G — ! (4 c 3 oa State # 7 G Q ' /-- Municipal # Competency # 1 G 1L Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION S' ` A_•/ • c - c: G 2A Square Ft. Estimated Cost(value) r 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 =nd that all work will be done in compliance with all applicable laws regulating construction and zo ng. Furth e authorize the above -named contractor to do the work stated. Signature Date: Fire Other Zoning Building Electrical Master Permit # M5915 Phone uilder Q. s(4tattnvrBlniiider * COMMISSION NUMBER CC255237 � trt COMMISSION EXP. Or i :. 0 1997 TOTAL DUE 14 Mechanical Plumbing_ Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPSX 0 4) / $ DUCT WORK FLOOR CRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 If TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 If COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SLPPLY TO: AIR CONDITIONERS (./ &71.) J i • A/C UNIT STRIP HEATER / 0 FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMAING POOL OUTLETS COMFOCIAL WATER SERVICE SIGN TUBES - SEWER CONNECTIONS SIGN TRANSFORMERS , UTILITY -SEWER SIGN TIME CLOCK _ UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION . PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN 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 _ 5 ?r( 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.) PLUMBING ELECT MECHANICAL BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA ❑ DATE - f — 19 , l0 PERMIT N9 4038 CI Owner of e ro . Building { Architect Contractor ., or Builder x , _,. Legal Lot Description Address of 4 1 Building Bl CONTRACTOR OR BUILDER BY Work to be performed under this Permit Contractor's License No. , 7 .t. t 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 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 plans or dra ings or. in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. w., Signed. Amount of Permit $ INSPECTOR In consideration of the issuance to me of this permit I agree td 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 as cepting this permit I assume responsibility for all work done by #either;, myself, my agent, servant or employee. AUTHORITY r R AII 0 0T Permit No 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 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 4 Date 0 .,! 3 No ` � ' 2 S Street / 1 • E. 1 0 No 116 Street — °• Location and Legal Description Lot Block Subdivision Q� Street and Number where work is to be performed —No ( ' • / U (� State work to be performed and purpose of building (By Floors) Amount of Permit $ 66. (Signed) t? �/ Street (Signed) /4/3,6 New Building Remodeling Addition Repairs ' No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Install . , on— Conduit.. , Tubi j g B.X.L .Metal Moulding ` s /.00 a — r — ' i p- lectrical Inspec The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi' ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida rmanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contr ors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the sit of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on w , k o •e performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE OP FLORIDA, 1 COUNTY OP DADE. I 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. S{ACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.6 HP NEON TRANS. RADIO TOTAL CONTR. LIST / t D D CHECK Permit No 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 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 4 Date 0 .,! 3 No ` � ' 2 S Street / 1 • E. 1 0 No 116 Street — °• Location and Legal Description Lot Block Subdivision Q� Street and Number where work is to be performed —No ( ' • / U (� State work to be performed and purpose of building (By Floors) Amount of Permit $ 66. (Signed) t? �/ Street (Signed) /4/3,6 New Building Remodeling Addition Repairs ' No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Install . , on— Conduit.. , Tubi j g B.X.L .Metal Moulding ` s /.00 a — r — ' i p- lectrical Inspec The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi' ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida rmanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contr ors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the sit of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on w , k o •e performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE OP FLORIDA, 1 COUNTY OP DADE. I 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. New Building Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. .... Date. / � ('` ....: � ! 4� 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 } and specifications must be kept at building during progress of work. o 0 Owner's Name and Address.. No i (Signed / eet Street D " Subdivision Registered Architect and /or Engi Employing Electrician's '1 A c. NCgWO. reet 1// Location and Legal Description k 17 Lot .�...i Block Street and Number where work is to be performed —No ••• v Alt. 6 • State work to be performed and purpose of building (By Floors) L . 0 Remodeling Addition Repairs No. of Stories ? ' Overhead / Service Underground Size Feeders �+—' Conduit... • Main Sw..... /...(d Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L .Metal Moulding (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 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 7o work to be performed under this permit, as are licensed by Miami Shores Village. 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: inspection fee of $1.00 will be made when such re' inspection is made necessary by improper notice for inspection, or faulty materials an 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 C LIST tsT /. V / /� �_.®�. / V 5 0 / l v A / ry �° 6 J / 'N' ® t °5 '021 6 ...57.) CHECK 5 3 ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST ) IPit7 CHECK �, / ej 0 / e, 6 , o New Building Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. .... Date. / � ('` ....: � ! 4� 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 } and specifications must be kept at building during progress of work. o 0 Owner's Name and Address.. No i (Signed / eet Street D " Subdivision Registered Architect and /or Engi Employing Electrician's '1 A c. NCgWO. reet 1// Location and Legal Description k 17 Lot .�...i Block Street and Number where work is to be performed —No ••• v Alt. 6 • State work to be performed and purpose of building (By Floors) L . 0 Remodeling Addition Repairs No. of Stories ? ' Overhead / Service Underground Size Feeders �+—' Conduit... • Main Sw..... /...(d Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L .Metal Moulding (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 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 7o work to be performed under this permit, as are licensed by Miami Shores Village. 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: inspection fee of $1.00 will be made when such re' inspection is made necessary by improper notice for inspection, or faulty materials an or workmanship.