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59 NE 101 St (7)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 2 1 I (X) Job Address 5q I U f s r c • Tax Folio Legal Description Historically Designated: Yes Owner/Lessee / Tenant *(I HI V dolrastcl'e Master Permit # Owner's Address CiK i ,.€1.0 Phone Contracting Co. F ' j0A \ echric Address / 4E T �• /1/1Q -(4Pw State # 00/06.6 Municipal # 3 0— 6/?Io Competency # 6906 Ins. Co. 4 "/4 Architect/Engineer Bonding Company Mortgagor Address Qualifier Permit Type (circle one): BUILDIN ELECTRICAL ,PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESC RHT ON i ' " �y GG,c- Zee 4541j y r ozci.i.ier Agae oleiA ett.p"-e, Square Ft. Estimated Cost (value) 7 , 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. Furtlfermore, I authorize the above -named contractor to do the work stated. Signs o owner and/or Condo President APPROVED: Zoning Mechanical and/or Condom OFFICIAL NOTARY SEAL O pp 8 5 MARGARITA MONTIEL coi MSSION NUMBER *„ g t � h� ^ U m K l y, Q CC79727 v1•F O e MY COMMISSION 7 200 OFF S W Q� F 20 FEES: PERMIT L4' 4 0' RADON 17R 749 Date Address C.C.F. 1 ° NOT PhoneClo/ f ?T'freme Address Si ture of Contract Owner- Builder 011721 �.a 8 Notary as to Co ctor or Owner- Builder Date My Commission Expires: Building Electrical No 7 /D/ Of'RAL.Lt, .3t:.. O` P [[ RY PU / e( / S MAR LM MO ITIE L * � ' colour:- NUMBER vl / CC797277 9 MY COR;MI . FIRES O O r r .� TOTAL DUE Plumbing Structural Engineer PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date O Job Address / .- /O / Tax Folio //' 3 / ( (3 Ai7og Legal escription /9 -z0 -, - / i , A Owner / Lessee / Tenant ' l 'a Gd,,2i . Master Permit #,..327,00 7 Owner's Address fq 72 /0/X ' Phone Address 440/ SGPAS Qualifier State #C/? 0004(-3.3 -ipal PP Competency 4P /Ob 7 •Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING IELECTRICALI PLUMBING MECHANICAL ROOFING PAVING FENCE SIGP WORK DESCRIPTION a „ 2 AV Q0 , D �4 GQJ, � �j ,• /QAC_ 3 �zy / 0 (2)9-- e-4,4 , _v-4 0 /2 4 7 1 Square Ft. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUF NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, an, on the attached addendum (if applicable). I certify that all work will be performed to meet th. standards of all laws regulating construction in this jurisdiction. I understand that separat( 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 wit= be done in compliance with all applicable laws regulating construction and zoning. Furthermore, authorize the above-named contractor to do the work stated. Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: * * * * * * * * * * 4/7` t X3 Estimated Cost(value) Z O ,5-W, o Si ature of APPROVED: Fire Other Zoning Building lectrical Mechanical Plumbing Engineering tractor or'Oivner- Builder , � Notary as to Contractor or Owner- Builder My Commission Expires: //■/euA 1' NOTARY PUBLIC STATE OF FLORIDA MY COMMISSION EXPIRES 5/09/94 * * * * Bondedkhru Stenrbler -Adam & Sweep* FEES: PERMIT 1 ', RADON C.C.F. NOTARY 15. TOTAL DUE b PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address .59 a4g /0/ STitoxr Legal Description/m:4-n; srnn0s sFc. Owner / Lessee / Tenant /rl,?X PRA,$cHAV /K Owner's Address S9 ,vg /0/ ,ST/ta.T Contract in Qualifier State# e 4413r Architect/Engineer Bonding Company Mortgagor WORK DESCRIPTION ,4 ' O Permit Type (circle one): BUILDING Competency # i 4117,0 P1549/76 <6TS /9 -0n &K. K. // Address Tax Folio / /3a 66 — ti /3 - /5 Master Permit # go /043 phone .3 erg - 37 /5/ ?) phone 8 — o': 9Lt, /O6 2e W � Ins. Co. Address Address Address Square Ft. Estimated Cost /000 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of ` - Od V aud /.Jr 'Condo Pre .ident Date: Notory Public, State of Florida N11► Conuniision Expires April 20, 1 flr.nded'T iu Trow Frint Inb#LAnte Notary as =to Owner -and'/'or C My Commission- Expires: * * • * r `k' * * * PERMIT FEE: APPROVED: ing echanical LECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN Fire Building Plumbing S$nature o Date: No My Contractor or Owner- Builder egV4eA( ry a to Contractor or Owner - Builder ommiss ion Expires: NOTARY PUBLIC. STATE OF FLORIDA * * M*COMMISS;QN EXPIRE *APRIL 16*1992 • BONDED TNRU STEMBLER - ADAMS & SWEET Other Electrical' 1P �T l 11 Engineering l Permit No. /.4 _._ /4K 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 th to of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall •e complt d with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wo Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot —. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Service Overhead Size Feeders Underground Type of Installation— Conduit Tubing Amount of Permit $_ APPLICATION FOR ELECTRICAL PERMIT STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly SS. Remodeling Addition.. Conduit. Main Sw _____ ___________ Amps. __________________ Main Fuses__________ — ____Amps. The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT a/tail/4041V No. – No. Block B.X.L. Metal Moulding Electrical Inspector. rtify that he erstands and accepts his obligations as an employer of Labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, cad' work to be / performed under this permit, as are (Signed) Master Electrican. _(Signed) Date _______L_ /. - Street ./ of ___ —_ -- Street— St et Repairs ____ No. of Stories Notary Public. State of Florida 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, 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. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER W. AT. HEATER �Y SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 4EF CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP i NEON TRANS. RADIO TOTAL. CONTR. LIST CHECK l Permit No. /.4 _._ /4K 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 th to of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall •e complt d with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wo Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot —. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Service Overhead Size Feeders Underground Type of Installation— Conduit Tubing Amount of Permit $_ APPLICATION FOR ELECTRICAL PERMIT STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly SS. Remodeling Addition.. Conduit. Main Sw _____ ___________ Amps. __________________ Main Fuses__________ — ____Amps. The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT a/tail/4041V No. – No. Block B.X.L. Metal Moulding Electrical Inspector. rtify that he erstands and accepts his obligations as an employer of Labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, cad' work to be / performed under this permit, as are (Signed) Master Electrican. _(Signed) Date _______L_ /. - Street ./ of ___ —_ -- Street— St et Repairs ____ No. of Stories Notary Public. State of Florida 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, 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. OUTLETS MOTORS RECEPTACLES GENERATORS STOVER WATER H'TERB SIGNS BILLBOARDS OTHER APPARATUS MAIN SUB BRANCH Basement First FLOOR NUMBER OF SIZES OF INSULATION OPEN OR NUMBER OF CIRCUITS OUTLETS MOTOR GEN. MAIN SUB BRANCH Basement First Second Third Fourth Other Floors L APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for issuance of permit for electrical installation as described below, and for inspection of same after installation: Date q 7J F / 93 ® GL / Owner .° �'2 -.4( Address �, 2/. /6 Buildin Contractor " Electrical Contractor -� -. y''�1 �� " Location of proposed work: Lot Block Subdivision iami cShorescllage F L 0 R 1 D A. Building: Old or new Number of stories Used as Description of proposed work ! 6 7 Details of proposed work: Number of Motors H P Volts Amps Phase Additional Information Work begun Work finished Signature of Applicant th,‘ / (SPACE BELOW FOR INSPECTOR'S USE ONLY) Vt- Address (if other than owner or contractor) /! i Inspected Final inspection Inspector NO. STREET PART OF LOT LOT BL'K SUBDIVISION Signs Billboards Other Apparatus Permit Fee Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Contractor or Electrician c 7Y iami cShores91llage F L o R ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , +f' 19 LOCATION DESCRIPTION OF WORK N? 345 its Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with nd specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code 'iores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time •lation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by -'nt. , Electrical Inspector. :ideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the s, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami , 19 (Seal) ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. J Owner of Building *actor or Electrician K> t NO. Outlets Motors Receptacles STREET iami �horescIllage F L o R ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, LO CATI O N PART OF LOT LOT BL'K DESCRIPTION OF WORK NUMBER OF Generators Stoves Water Heaters Sign I s Billboards f Other Apparatus SUBDIVISION i N9 345 • il Permit Fee This Permit is granted upon the express condition that all facts stated in the Application a 1 the plans and specifications submitted and are in a ditio nchwith the Electrical Laws of th e and Village ti and the rules and regulations in cco da the Electrical Departments Miami re true Florida that the the Electrical al complies s a d y with he State of Vi d and with the tmay Ordinances at and Code upon violo of any provisions of said laws, ordinances, or rules and regulations, or uo Shores Village. This Permit may be revoked t on the tioatiati P any change in the plans and specifications unauthorized by the o In consideration he issuance to me of the foregoing Electrical Permit, I hereby are-' the Application n In and the of by me submitted, and in compliance with all provisions of all and specifications thereof heretofore b State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and y g to do the proposed construction in Shores Village. g , all rules and regulations of the Electrical Dated , 19 , Electrical Inspector. strict conformity with Electrical Laws of the Department of Miami (Seal) Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards , Other Apparatus 14 / 14-49_, 1 - 'AP AVOID DELAY BY Lot Number____. Street and Nber Owner _ Occupied as Building —New or Old (underline which). /No 32* /—e1/4-, Date _, 192_ Electrical Department of the City of Miami Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Rules pointed out by Inspector. LOCATION GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLI- CATION WILL BE RETURNED / � a B lock Number /7 , , �. Side Occupant 3ClA Work— Additional or New (underline which). SPECIFICATIONS H. P. of each motor — - - - - -- — - -- - -- — — ______ -_____---_ - - — -- Number of Motors_ _________ H. P._ Volts Amps._____— __________ Phase Greatest Number of Lights on one Branch_ FLOOR Basement First Second_ Third Fourth Other Floors. Outlets (Applicant sign here)_ CERTIFICATES NUMBER OF Motor REMARKS: Work will be started___ -___ Progress Will inspect again Rough Wiring FINAL No Corrected Temporary ______ Days Approved Letter __________— _ Date Gen. DEFECTIVE Time Allowed Days Main __(Nature of Work) Open — Concealed Knob— Mldg.— Conduit SIZES OF Sub Electric Light Co. Fee remitted Remarks: Branch Will be finished Address Street / ACE BELOW FOR INSPECTORS USE ONLY Received by Inspector____ — ____ —_ —_ Inspected Correct Location Correct Equip. INSULATION OPEN OR NUMBER or CONCEALED Cincurrs 61- — - - - -- — -- — - -- - - - - Inspector LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLEt OR APPLI- CATION WILL BE RETURNED s Lot Number_,_ __ Street and N umbero Owner __ Occupied as Building —New or Old (underline which). H. P. of each motor _ Number of Motors H P ___ Volts_______________ Amps._____________ Phase Outlets •FLOOR Basement First_ Second Third_____ —___ Fourth_ Other Floors Motors Outlets (Applicant sign here) APPLICATION No. as-A4 Date__ lectrical Department of the City of Miami Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Rules pointed out by Inspector. Receptacles /y• / Greatest Number of Lights on one Branch_ _V NUMBER OF Motor REMARKS: _______________ Work will be started CERTIFICA Progress Will inspect .again Rough Wiring 1 FINAL No Corrected _________ ___________________ Temporary Approved Letter ____________—__ Date Days Generators Gen. Stoves Main Correct Location Correct Equip. DEFECTIVE Time Allowed - - -- Days Side Occupant SPECIFICATIONS Water Heaters SIZES OF Sub SPACE BELOW FOR INSPECTORS USE 0 Received by Inspector ��' ��! In Electric Light Co. Fee remitted Remarks Work— Additional or New (underline which). Signs _(Nature of Work) Open — Concealed Knob Mld�. Conduit Branch _Will be finished • Address 4/ —21- 4 — Street LY Billboards Other Apparatus INSULATION OPEN OR COIPCEA'LLH NUMBER OF '1 CIRCUITS Inspector