1155 NE 102 St (9)7
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date:09 /12/92 Job Address: 1155 North East 102 St. Tax Folio:11- 3205 - 019 -0080
Legal Description:44fff / / ' 7YI 5 Master Permit #LU /
Owner /Lessee /Tenant: Halbert
Owner's Address: Same Phone (305) 756 -8895
Contracting Co.: Bennett Electric Serv. Co. Address: 6900 NE 69th St, Miami
Qualifier: John P. Higgins SS#
State# EC0000625 Competency# 000013233
Architect /Engineer: Address:
Bonding Company Address:
Mortgagor Address:
Permit type: Electrical
Work Description: Meter replacement, due to hurricane damage.
Signature of Property Owner or Condo Pres.
Date:
Phone: (305)759 -1665
Ins. Co.:
Square Ft: Estimated Cost: $ 675.00
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 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, as on the attached addendum ( if applicable). I certify that all
work will be performed to meet the standards of all laws regulating constructyion in
this juresidiction. I understand that seperate 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.
a oeee 000 eoe ee ,
, ° p. HOGG
o • •
i /
r cwaer- builder
• z
Owner- builde?
Notary as to Owner /or Condo President Notary as to Con
My commission expires: My commission expi wi
* * * * * * otary hat MAO Fiord
My Commission Expires Dec. IY. 19;1
PERMIT FEE: APPROVED: Fire Other Bonded Thru Regency Ns. C4
__...- Building Electrical_f__� -PO/
Mechanical Plumbing Engineering
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM •
SPACE HEATERS
UNIT
FEE
BIDET •
LIGHT OUTLETS
CENTRAL HEATING
DISH ASHER
RECEPTACLES
A/C (Wilt)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN MPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/IETER CHANGE
I
-p:-
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE (MOUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 FP
STEAM BOILERS
SHOWS
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP •
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 HP
COOLING TOWERS
WATER CLOSET
MORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO: =
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
•
FIRE SPRINKLER
GENERATORS TRANSFORMERS
•
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
•
■•
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
•
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
0
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
•
UTILITY -SEWER
SIGN TIME CLOCK
•
UTILITY -WATER
F I XTLIFRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
•
DRAINFIELD, 4' TILE/RES.
•-
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
•
SOAKAGE PIT C1. FT.
CATCH BASIN
brie Go, IMPACT F .
I
a50
DISCHARGE WELL
DOMESTIC WELL
- TA L
• •
AREA DRAIN
•
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
•
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
• v ADDENDUM TO BUILD ING 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
ELECTRICAL
•
MECHANICAL
Permit No 1110 '1 1
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
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 ./1/ ,/ S No Street
Registered Architect and /or Engineer ��/
Employing Electrician's Name S P /� l�wi C No 7°$/
Location and Legal Description Lot Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building V Remodeling Addition Repairs No. of Stories
Amount of Permit $
APPLICATION FOR ELECTRICAL PERMIT
Vf zzf 79
Servi «Overhead . Sias Feeders ° C"! Conduit Main Sw 2 '� Amps Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing 5 B.X.L .Metal Moulding
0
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
/ /S :1 .pl c
(Signed) 0 0
Date
Street
5 )c%`
Street
Subdivision
/Q •?.
E5 r> E-
(Signed).... �. .
OPP i3y
2
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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 sub contractors, on work to performeg under this permit, as are
licensed by Miami Shores Village.
cater Electrician.
STATE OP FLORIDA, i
COUNTY OF DADE. j es
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 $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUO
RECE'P'T'S
FIXTURES
NO. LAMPS
R[FRIO.
OUTLET
IRON
OUTLET
RANG[
OUTLET
RANG[
CONN.
WATER
H
W. HEAT.
Comm.
SPACE
HEATER
STRIP
H
TOTAL
CONTR. LIST
J f1
3 �
I C /
ry I �j/�
Z /'f6
ey 1 �p
' 6 MO
I
'10®
/..) s � � u➢
q /"/D
CHICK
_S
44 t 1W
ENT.
SW.
DIET.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
.8
1 HP
NEON
TRANS.
/J
to c.
/ b
- re WI
! l
Z1 lr✓
D
RADIO
..
TOTAL
CONTR.
LIST
CHECK
rJ �f
G� �r�
Permit No 1110 '1 1
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept,at
building during progress of work.
Owner's Name and Address ./1/ ,/ S No Street
Registered Architect and /or Engineer ��/
Employing Electrician's Name S P /� l�wi C No 7°$/
Location and Legal Description Lot Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building V Remodeling Addition Repairs No. of Stories
Amount of Permit $
APPLICATION FOR ELECTRICAL PERMIT
Vf zzf 79
Servi «Overhead . Sias Feeders ° C"! Conduit Main Sw 2 '� Amps Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing 5 B.X.L .Metal Moulding
0
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
/ /S :1 .pl c
(Signed) 0 0
Date
Street
5 )c%`
Street
Subdivision
/Q •?.
E5 r> E-
(Signed).... �. .
OPP i3y
2
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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 sub contractors, on work to performeg under this permit, as are
licensed by Miami Shores Village.
cater Electrician.
STATE OP FLORIDA, i
COUNTY OF DADE. j es
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.
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT p D
305- 795 -2204
Building Inspection Request
Date1 Time
Type Insp'n - Fe1 ti. CI CA
Permit No. OP 03-
g
'✓
Name 000
Address ( 1 SS NE ld2d 54- .
Company
Phone #
For Inspector: U 10IO2 ., Name & Date
Approved
Correction
Re- Insp'n Fee