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MECHANICAL PERMIT• PERMIT APPLICATION FOR' MUNICIPALITIES OF DADE COUNTY // r� (OWNER TO RETAIN COPY) Date N �99 Job Address ` 150 I. • O \ * S -2: T Tax Folio // 4Ra4 M o C* e'' Legal Description / a. / eg illigAtf Master Permit 0 3 1W Owner / Lessee / Tenant rA Y les SQ t - Wer lard Owner's Address 0 5 0 I∎I. E- /0/54 S-I-rPe Phone 0 5 / %.; Contracting Co ANnrCi.0 a le_ ,A r 1 Address 5 ALE. /qC'f A, Ss). ;✓��' f Qualifier Or) n 7E w,a 1/1 Phone q ( A) - ();) State¢ p [O 146 Competency 0 Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE WORK DESCRIPTION IILL -U- / li -l� 14 5 76 ,a) I. /J . , 77,1- �t) CIY Square Ft. Estimated Cost 2d .6C +DARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE D0 SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF `_'C INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE 'ECORDING YOUR NOTICE OF COMMENCEMENT). '.pplication is hereby made to obtain a permit to do work and installation as indicated above, )n the attached addendum (if applicable). I certify that all work will be performed to meet t:. standards of all laws regulating construction in this ,jurisdiction. I understand that separa: permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. WNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all vo: i11 be done in compliance with all applicable laws regulating construction and zoninK_ 'urthermore, I authorize the above -named contractor to '8 the work stated. ignatur f Owneran 4 ond Presiders 51 gnat re o ate: T1 y) 1/ �� rc ,,7 r ,,i� ^,(�A � N g �r� /' r Date: �.. ' ', v r F ?i� r ° °° ° CP6 ?I Fi�! iG D.TE 9Fl`�i'�A otary as to Owner `. / 1' Condo res d'en Notary as to Cont-' OJ ` 13 i 3t 3 y Commission Expires: My Commission Expire • ?: " "mP JAM. 12,'ies7 * . * . * * * * * * * * * * :.:RMIT FEE: 'APPROVED: Zoning Fire Building Other ractor or Owner - Builder electrical Mechanicai � 4 - 00 bing E BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA ❑ PERMIT N° 7314 CONTRACTOR OR BUILDER Work to be performed under this Permit Bl 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 drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed Subdi- vision Value of„ II Amount of Project $ 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 ac- cepting `, thi,. permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY DATE AUTHORITY 195 Contractor's License No. Permit $ BY • 6- MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. Owner's Name and Address...... �.. • A. 1..!1{-. - No. 7 Street -/C Registered Architect and /or Engineer. -.... __.... 0 ,c./ 7��'/ Name and address of licensed contractor State work to be done and purpose of building (by floors) STATE OF FLORIDA, i COUNTY OF DADE. ss Date ,L eL7 ,19 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done ? and for no other purpose. New Building .. Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ �t% i -Gf9 --•— Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit 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 sub -con tors 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 t work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractor, work be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) )( fie ✓� Notary Public, State of Florida Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 tru . Permit No 7 _ •l Date__..' - .-' " Read, Sworn to and Subscribed before me. Disapproved D (Signed) -- uilding Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Service Overhead Site Feeders Underground Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I SS. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 ; No Street Registered Architect and /or Engineer Employing Electrician's Name No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed--No 1 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Conduit Main Sw. Amps Main Fuses Amps Type of Installation - - Conduit Tubing B.X.L /- Metal Moulding / Date (Signed) , l 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, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signecle)- 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 therein by him stated are true. sign the same, and that all facts 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 REPRIG. OUTLET IRON OUTLET RANGE OUTLET RANG[ CONN. WATER HEATER W. HEAT. CONN. AC[ H TER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. / / MOTORS 0.1 HP MOTORS 1•I! HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Service Overhead Site Feeders Underground Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I SS. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 ; No Street Registered Architect and /or Engineer Employing Electrician's Name No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed--No 1 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Conduit Main Sw. Amps Main Fuses Amps Type of Installation - - Conduit Tubing B.X.L /- Metal Moulding / Date (Signed) , l 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, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signecle)- 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 therein by him stated are true. sign the same, and that all facts 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.