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261 NE 102 St (6)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date lv - P S - 94 Job Address N_ E: •\ . Tax Folio Legal Description o _ Owner / Lessee / Tenant C\l -\ S 61 I S Q7 Master Permit # C / ( 1_3 Owner's Address c-U I I-4L 1,0 9_ Phone 1�. - a- � (0O x 383 Contracting Co. S Cf /I1 C- �=C c_ +- NC Address Qualifier a SS# Phone c-t. g -'q 0 State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 0 Square Ft. Estimated Cost(value) w A OFFICIAL NOTARY SEA TRACEY C PEREZ BLIC STATE S fPent P• UNE 30,199 • re of owner Sign Date 'otary as to Own My Commission Expires: APPROVED: ALAI or Condo President FEES: PERMIT r" RADON * * * * * * * * /ooh 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 cone ructio an zoning. Furthermore, I authoriz the above -named contr: tor to do the work state ctor or Owner- Builder OFFICIAL NOTARY SEAL TRACEY G PEREZ A Notary a to Contrac r amawseanftitdamvA My Commission Expire 'MYCOMMISSIONEXP. UNE 30,1997 C.C.F. r NOTARY TOTAL DUE 5 Fire Other Zoning Building Electrical 14010 Mechanical Plumbing_ Engineering_ Olt ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WINO) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN — SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN — SERVICE REPAIR/METER CHANGE a • ._ � REFRIGERATION GREASE TRAP APPLIANCE OUTLETS - RANGE TOP OVEN ��' — • PROCESS Alm PRESS PIPING UIUERGROUIU TANKS ABOVE GROUND TANKS INTERCEPTOR LAVATORY LAUNDRY TRAY WATER HEALER MOTORS 0- 1 IP u— U.F. PRESSURE VESSELS STEAM BOILERS CLOTHES WASHER SHOWER MOTORS OVER 1- 3 IP HOT WATER BOILERS SINK, POT /3 COW. MOTORS OVER 3- 5 IP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 IP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 IP ELEVATORS /ESCALATORS TEMPORARY WATER CLOSET URINAL = MOTORS OVER 10- 25 1P MOTORS OVER 25-100 IP FIRE SPRINKLER SYSTEMS COOLING TOWERS WATER CLOSET = MOTORS OVER 100 IP A/C WINDOW -_ - — VIOLATION REINSPECTION INDIRECT WASTES WATER SUPPLY TO: AIR CONDITIONERS - — A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER- REPLACE LAWN SPRINKLER -WELL GENERATORS TRANSFORMERS SPECIAL PURPOSE -= SWIMMING POOL OUTLETS COM,CRCIAL . �— • WATER SERVICE SIGN TUBES - — SEWER CONNECTIONS SIGN TRANSFORMERS . - — , UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS , DITAItNFIELD, 4" TILE/RES. VIOLATION -� FUM'' & ABANDON SEPTIC TANK REINSPECTI011 ' SOAKAGE PIT CU. FT. CATCH TCH BASIN = De. � � — - — DISCHARGE WELL - DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER == FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM =- GAS RANGE 41111 METER SET (GAS) " "11111 GAS PIPING • 41/ -� ADDENDUM TO BUILDING PERMIT APPLICATION • � (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEN•. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby ,ade for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein descri ed. 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 .1t . Registered Architect and /or Engineer Employing Electrician's Name !' . 1 `� '` Location and Legal Description Lot Street and Number where work is to be performed —No r 1 No 4t ' /7 S treet Block Subdivision v Date 41' ; Street Street State work to be performed and purpose of building (By Floors) New Building Remodeling s� Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ (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 sub-contractors 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. , �2 x -12 ( Signed).. C ° 2 -t Master Electrician. STATE OF FLORIDA, 4 !.(4 ' t- � u , . i COUNTY OF DADS. ) 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 RECC'P'T'8 FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST e Y,y / CIL, Kip / /al" /al" �' (/ � '\ V 4 -- CHECK Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby ,ade for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein descri ed. 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 .1t . Registered Architect and /or Engineer Employing Electrician's Name !' . 1 `� '` Location and Legal Description Lot Street and Number where work is to be performed —No r 1 No 4t ' /7 S treet Block Subdivision v Date 41' ; Street Street State work to be performed and purpose of building (By Floors) New Building Remodeling s� Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ (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 sub-contractors 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. , �2 x -12 ( Signed).. C ° 2 -t Master Electrician. STATE OF FLORIDA, 4 !.(4 ' t- � u , . i COUNTY OF DADS. ) 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. BUILDING ELECTRICAL PLUMBING Lot CONTRACTOR OR BUILDER PERMIT ork to be performe MIAMI SHORES VILLAGE, FLORIDA DATE N9 2570 udder this Permi Owner of Building Architect Contractor or Builder Legal Description Address of Building" 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 iti'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 s are changed without authorization. A further condition BY Subdi- vision Value of Project upon which this permit tics granted"rs` the understanding that the contractor or builder na ed a the ordinances and regulations pertaining to the work covered, hereby whether shown o e,p that he assumes responsibility for work done by his agent, servants or employees. Contractor's Lic se No bve assumes the responsibility for a thorough knowledge of np o ,dra or in the statements or specifications and Signed: ...► y . , ,. 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 regula- tions pertaining thereto and in strict conformity w th the plans drawings, statements or specifications submitted to the prop r authorities of Mi ores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employe AUT " ORITY 19 2 6 BUILDING ELECTRICAL PLUMBING 4 The following is ready for Inspection: Inspector's Report : • ▪ WORK • DONE BY: • • • :REQUESTED • -A'. • • • • • : /,'; AD: . X/ = Ole WILL BE READY ‘,/ • Permit Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. 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 Location and Legal Description Lot __ Block Subdivision_________ Street and Number where work is to be performed —No � i Street i ce' 4 w�______ State work to be performed and purpose of building (By 'Floors) New Building Remodeling Addition .._______________________ Repairs Street_________________ ___ _ _ Service Overhead Size Feeders Conduit._ Main Sw Amps. Main Fuses __Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding __ .___ _________-__________________._ (Signed) 4/ Date 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 com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. / / (Signed) ri"? Notary Public. State of Florida No. of Stories 0 Jr lectrical Inspector. Master Electrican. 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, that he has carefully read the foregoing application, and that be 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. W BR EATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK • Permit Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. 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 Location and Legal Description Lot __ Block Subdivision_________ Street and Number where work is to be performed —No � i Street i ce' 4 w�______ State work to be performed and purpose of building (By 'Floors) New Building Remodeling Addition .._______________________ Repairs Street_________________ ___ _ _ Service Overhead Size Feeders Conduit._ Main Sw Amps. Main Fuses __Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding __ .___ _________-__________________._ (Signed) 4/ Date 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 com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. / / (Signed) ri"? Notary Public. State of Florida No. of Stories 0 Jr lectrical Inspector. Master Electrican. 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, that he has carefully read the foregoing application, and that be 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. building during progress of work. . 1 `tom Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name __________ ___ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT -ef Date_ 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 No. No __ Street_ Location and Legal Description Lot_____ ____________— __________________ ___Block Subdivision________ � . Street and Number where work is to be performed—No � Street ' s State work to be performed and purpose of building (By Floors) New Building Remodeling_________ Addition Repairs No. of Stories Service Overhead Size Feeders Conduit_ Main Sw. Underground Type of Installation— Conduit Tubing — B.X.L. Metal Moulding Amount of Permit $ €70 licensed by Miami Shores Village. STATE OF FLORIDA, I COUNTY OF DADE. es. (Signed) Amps. Street__ Main s� I (Signed) — –� \ iS . ai My Commission Expires Notary Public. State of Florida lectrical 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 com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are Master Electrican. 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, that he has carefully read the foregoing application, and that be 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. W R ATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK building during progress of work. . 1 `tom Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name __________ ___ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT -ef Date_ 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 No. No __ Street_ Location and Legal Description Lot_____ ____________— __________________ ___Block Subdivision________ � . Street and Number where work is to be performed—No � Street ' s State work to be performed and purpose of building (By Floors) New Building Remodeling_________ Addition Repairs No. of Stories Service Overhead Size Feeders Conduit_ Main Sw. Underground Type of Installation— Conduit Tubing — B.X.L. Metal Moulding Amount of Permit $ €70 licensed by Miami Shores Village. STATE OF FLORIDA, I COUNTY OF DADE. es. (Signed) Amps. Street__ Main s� I (Signed) — –� \ iS . ai My Commission Expires Notary Public. State of Florida lectrical 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 com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are Master Electrican. 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, that he has carefully read the foregoing application, and that be 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.