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1150 NE 102 St (6)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date /d 3" Q Job Address 1 l P- C- ) ' V im/ 0 2 — '/"Folio Legal Description Historically Designated: Yes No Master Permit # 4'o (- 7Z Phone Owner/Lessee / Tenant Owner's Address � Contracting Co. J , Qualifier Sep d WORK DESCRIPTION 5eAA) Notary as to Owner and/or Condo President Date My Commission Expires: Address Building ss# State # i 4g®6)5' Z- 33Municipal # Competency # -�� Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL _ ROOFING PAVING FENCE SIGN czA c� 4 Re /n/, c `I� x2,1 c i f e-t, Square Ft. Estimated Cost (valid f 0 002) (1 l 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 -name• �•• j • to do the work stated. � .� Signature of owner and/or Condo President Date Signature of,fontraclr Owner- Builder N otary as to Contractor or Owner - Builder My Commission Expires: - : ,,, :r i:1V "i:b). FEES: PERMIT ,>6'a RADON C.C.F. ----- NOTARY (5 BOND TOTAL DUE APPROVED: Zoning Mechanical Plumbing Engineering Electrica ���/?� 2/ Date DRIP LOOP TO BE 3 0' AFG (MIN) -.5 6 , CV? CLAMP 200A 11E. TER 2' ABOVE ROOF 1 dB 1 FINISHED GRADE a" MOW< =DUNG a PLASTIC Bin MG -.1 PVC SL.FZVE MAIN 03 PANEL air MIN DEPTH $121146 MIR Mr CLAttP 11Er X 8• GREIJND Rlill QiU1 SUB CB PANEL KI:NLk "Height - 1/ i . Conductor size 310 Conduct stzt Conduit type. P Thru i-oof_2 (E_. r i T flT r' Ground wire 5rze 7iv//cc/Ai MAIN DI SITNIIECT Ratin j Ci O Amps maw% A fl.sub Breakers INSIDE PANEL Rating - 2- (3 App s Bond Buss Yes No L oca n PER S.F.B.C, 4505.2(B) CONTRAS T OR t_C_E /7 2? SIGNATURE �F CONTRACTOR NOTARY \/` T t A (AN A2Pr. CA.ION :QR 3II1Lbr4O " M:I MOST ACCOL AUT :HIS ADDENDUM. TF A KAST A PERMIT RAS LE o3TAI1roSD, TRI OW ' 3 NUTAhi;_'''D 3IGNAIVAZ NFL NOT AZ 2ASSICHT ON 3V$91r9=NT AULICATIQN3 4 ) PLUMBING s• I 7' MIMEO CENTRAL. NEAT 1 G WC (11110) Q REFRIGERATION ARC MS AM PRESS PIPING LNDERGia'O TANKS ABOVE GROG TAWS US . PRESStRE VESSELS STEAM 33ILEAS F>QT RATER bO i 4. s TRANSP+IAT RIG A,S.SZSL I ES •, MIEN KITCRS OVER 100 rP A/C R IN)xlli RE INSPECT ION A/C (CENTRIL VIOLATION ITM RATH XS a 1OET I SrAlILStiETi 0ISP05At CAM A CURTAIN FLU SIN GREASE TRW I MTERC7:PTT1l LOOM LAMY TRAY CLIMES OM S11E�. POT/3 SINK. ?MOM E SANK. SUP MOONY !ATV l CLOSET LA INAL I!A CLOSET IND IRECT !JLSTE$ IIATFlt 3PI y TO: A/C UiliT F IRE WV9IJ torim -'Ell J1 T. r[R -Aeuzz um gimmulioll S1TIii1 POOL MTIA ^ BMA_ SETEA U1ef.Cr tRd UTILITY UT IL IT/ •NATLR SEPTIC TN!, RELAT of t L 4' TILfi PULP i 1aAIOQI SFJTIC TAME SUAIVIE PIT cU. AT. I CATQ4 5A 0I W.L OCCtEST is AREA (;RAIN REJOF IIf_TT XtAA RAM IEATT E !!RE SiA1 PIP! vuz. PIPING _ARr4 SPR INKL:R 5 17.Y 'TER SU (G.S 1 ;AS PI `4C 10/04/g6 08:.32 ADDENDUM TO BUILDING PERMIT APPLICATION .3 «' WIT PEE • is I' TEM SWIM CUTLETS LIQ4T MISTS RECIZTADIS MN ICE TBA AARY SERVICES SIZE IN AIDS ISM! RFAAIR/IETFii Clw1 I APR, I MCI CUTLETS I 140T cPS AIR CPCITICHERS STRIP MATO C>ENERATCRS GENERA SPECIAL ROME QITLETS L'd1E ut S ;Gm TLBES S It,74 TWM6FCR#ERS SICV TIE CLMX irk/4ES ANTiHNA ELECTRICAL a 1M i 1 NOTCRS OVER I- 3 I bIOTG $ OVER 3" f If 1 1 I C T E R S OVER S" 1 1P )CTCR3 QY0{ 3- IQ FP ICTCRS 10- 3 FP 1cTC,RS CVEA 2S-1W rF TRAWCAtERS TRAMSFEFORRS GENERATQR$ TAAXVIA RS rtuv1SIm cm/Ts V I QUT I ON AE irSAECT1014 MSU ER1IT PEE • ITD( SP +SE 1ATERS *COMICAL YENTILATION EL NATCRS/ESCALAR RS MECHANICAL F IRE SPR INKIER STM36 COOLING TONERS _1 t 001 (BIT PO2 FEE PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date /drnoJ Job Address //CO A/C /O2 Sr Tax Folio 1/ 3205 /7 -6)17a2.. Legal Description 7iµ1 / it'd"" $ L w / z ' e l - L Bee* / t i , r , L S COr: ) 5 5 y ' / d / Lessee / Tenant O (-1 a `// Q' ( a f J Q Owner's Address Master Permit 31093 / /.L) NE /D 2 ST Phone SLO 7e 7Z. Contracting Co. r i ve- 1) CO YeL/t 1 )1 Address .19/0 /1/1--/ 3 2 iC 7 Qualifier A/iige /4*Ge`!G -Y7' SS4# Phone ,3 3 - 3 V �j State 1A. 000 Pr/ Municipal �k00 123/02/. Competency # )Wq /2 Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION , , A/ / / ei b / 4/v Notary as to Owner and /or Condo President My Commission Expires: ** * * * * * * Square Ft. Estimated Cost(value) 3 a0• G d 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 Signat Date: Date: /0/ff /9je FEES: PERMIT RADON C.C.P. 1.5 NOTARYrO O ,30s 00 APPROVED: Fire Zoning Buildin Mechanical •ft '6R ,-, m p name r o Notary P / .I � ��,,.� Q ,, O.. PrJ��«J LD. as to Cq c} ,4Q1on t rawl er y Commission Expires: �, DID rake an oath, or DID NOT take an oath. * * * * * * * * ** 5 .5-6 TOTAL DUET Plumbing Other Electrical y! S EPHINE CHURCH c, State ofFolds 0/ igh Engineering BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA DATE 195 PERMIT N° 1668 Contractor's — — License No. 0 ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER Bl Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construc 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. 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 6 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 Guy $iekman Registered Architect and /or Engineer Employing Electrician's Name Lewis C Wagner N 9930 Street Cent ral°B1vd Location and Legal Description Lot 7 Block 176 Subdivision R 2lat See 8 Street and Number where work is to be performed —No 11 50 ° B E.1 °`_u Street 102 ° rid St State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Amount of Permit $ .I. MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 4/27/55 No Street Service erhead and Size Feeders 33 1 0 Conduit 2 tt Main Sw 200 Amps Main Fuses Amps Type of Installation— Conduit X Tubing X 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, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. I (Signed) 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 d /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REPRICE OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER J TOTAL CONTR. LIST BT 29 34 34 34 1 1 1 / . • CHECK ?-r «..- ' `j.l `` /O0 Jj 7s � ?,�-° ` .� //��, 4-c) ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. 1 MOTORS 0.1 HP / MOTORS NEON 1•5 HP TRANS. RADIO TOTAL ` SST ' 11 1 0 /0 f 6 0 1 / 6 35 °E °P °AC /' _tp CHECK �! O V /, / Jo 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 Guy $iekman Registered Architect and /or Engineer Employing Electrician's Name Lewis C Wagner N 9930 Street Cent ral°B1vd Location and Legal Description Lot 7 Block 176 Subdivision R 2lat See 8 Street and Number where work is to be performed —No 11 50 ° B E.1 °`_u Street 102 ° rid St State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Amount of Permit $ .I. MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 4/27/55 No Street Service erhead and Size Feeders 33 1 0 Conduit 2 tt Main Sw 200 Amps Main Fuses Amps Type of Installation— Conduit X Tubing X 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, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. I (Signed) 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 d /or workmanship.