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499 NE 102 St (10)
Date (1 1`'("f1 Job Address 3 - Owner / Lessee / Tenant PCL T o � I Master Permit # , Z Owner's Address tic l c b 7, Phone CV n Z7 Contracting Co. Q V-€1/. Address a 1P-r (''` " `5,7, Qualifier P73v LF( Fo4 SS# ( ? Legal Description Signatur Date: to Notary as My Commissi ** * WORK DESCRIPTION Square Ft. Estimated Cost(value) I-0 * * FEES: PERMIT , RADON APPROVED: Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE /or Condo President VJ n i TALTICRI P'CR4!i'fh Bonded By Service Ins No. CC406361 1 *'•r+uwlly K* ' 1 r L D. * qq lo?-51 Notary My Co * * * C.C.F. Tax Folio NOTARY Phone c h ° 4 y` -- Fire Other Building Mechanical Plumbing_ Electrical PI, State #n1 6g l Municipal # Competency # t tboza Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDI G ELECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN 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 au •rize the „abo = -named contractor to do the work stated. a titV Signature of Contractor or Owner- Builder Date: 70 /a.q 57 TWWItRFERIF MilmrBuilder firkFetsiiy Service Ins y n No. CC406361 V I:m 14 Kaown l 101ba L D. 77th * * * ** TOTAL DUE 6 '' 00 Engineering Permit No. ... /S ..7� Registered Architect and /or Engineer Service Overhead Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. I °° therein by him stated are true. I tary Public State of Fa c at 4 Large. 111 oy ! A { 1111 1l, 1 91 . 11'1 �`if fliiS " "t i Co mmission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 7 Date / 7.7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewit!(submitted for the building of 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. rk�' �J /� Owner's Name and Address V ©,V� � /� A/Zoov ---- Employing Electrician's Name./ • C8!2 iZ(/ /CtC. Location and Legal Description Lot Street and Number where work is to be performed —No No.. / 44 / — :Street / 577 LA efrt!'47? No.6i?6 S tPfri Street .,? S// Block A A-9 ASO 14Street State work to be performed and purpose of building (By Floors) r /< -� a/ New Building Remodeling Additiun Repairs No. of Stories Underground Site Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation -- Conduit Tubing B.X.L .Metal Moulding 0 (Signed)t014 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 sub - contractors, on work to be perfo mxd un this permit, as licensed by Miami Shores Village. (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared /9X X / to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the • 0/ 7,4 ? lY of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts Subdivision T' 73 Notary Public, State of Florida Muter Electrician. NOTE: A re-inspection fee of $1.00 will be made when such re•inspe•..on is .ade necessary by improper notice for inspection, or faulty materials and /or workmanship. • 1 SWITCH 0 LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK • ENT. SW. LIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 MP MOTORS 1 -5 MP NEON TRANS. RADIO . TOTAL CONTR. LIST CHECK Permit No. ... /S ..7� Registered Architect and /or Engineer Service Overhead Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. I °° therein by him stated are true. I tary Public State of Fa c at 4 Large. 111 oy ! A { 1111 1l, 1 91 . 11'1 �`if fliiS " "t i Co mmission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 7 Date / 7.7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewit!(submitted for the building of 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. rk�' �J /� Owner's Name and Address V ©,V� � /� A/Zoov ---- Employing Electrician's Name./ • C8!2 iZ(/ /CtC. Location and Legal Description Lot Street and Number where work is to be performed —No No.. / 44 / — :Street / 577 LA efrt!'47? No.6i?6 S tPfri Street .,? S// Block A A-9 ASO 14Street State work to be performed and purpose of building (By Floors) r /< -� a/ New Building Remodeling Additiun Repairs No. of Stories Underground Site Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation -- Conduit Tubing B.X.L .Metal Moulding 0 (Signed)t014 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 sub - contractors, on work to be perfo mxd un this permit, as licensed by Miami Shores Village. (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared /9X X / to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the • 0/ 7,4 ? lY of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts Subdivision T' 73 Notary Public, State of Florida Muter Electrician. NOTE: A re-inspection fee of $1.00 will be made when such re•inspe•..on is .ade necessary by improper notice for inspection, or faulty materials and /or workmanship. • 1 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building • MIAMI SHORES VILLAGE, FLORIDA (� DATE - 19 PERMIT N? 5155 s :t: Architect Contractor 1 or Builder s;r'..: Legal Lot Description Bl Contractor's ; .1 a License No. Work to be performed under this Permit s,+ Subdi- vision Address of Value of 11 Amount of Building 'a/c ,r 'e f i' s - Project $ II Permit $ ' 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER BY AUTHORITY Signed . INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with (fill 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. ABBOT BUILDING ELECTRICAL I I PERMIT iN? PLUMBING ROOFING Owner of Building II MIAMI SHORES VILLAGE, FLORIDA 12709 Ii Work to be performed under this Permit_ Architect ; ontracto or Builder t Legal Lot Bl. Description Address of Building CONTRACTOR OR BUILDER Subdi- vision Value of Project $ i DATE `: 195 Contractor's License No Amt. of Permit $ 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, _ , , ,� 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY °" AUTHORITY /' BUILDING ❑ ELECTRICAL I PE RMIT 1ST? 12552 PLUMBING ❑ ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description_ Address of Building ❑ Work to be performed under this Permit_. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 1 +I • 2 7" 4-4 195 Bl. +a. Subdi- vision Contractor's License No BY AUTHORITY ( Value of Amt. of ' 4 ) "�` Q. f • . Project $ Permit $ 3 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. ...... i iJ. t 1, � BY L_J, Sfgned• V ,_� %,..... .,.... - •` 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. . Permit No a 6 . Owner's Name and Address ' Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No New Building STATE OF FLORIDA, 1 COUNTY OF DADE. T 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. Registered Architect and /or Engineer - State work to be performed and purpose of building (By Floors) Remodeling Addition ef: �6�' / ® s s s. - No 7 A' Block 9 ?-- e - _ # ft 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 $ / � se. (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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. No d/, .c<?" <'" Street.... ... Repairs.. �...a No. of Stories _ /J•. -S. . Date / ��' 5 Str Subdivision Street v 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 and /or workmanship. SWITCH QLTLETi LJ H 8. ,_R PLUG CG ;MT,'S FIXTURES N O. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. SPACE HEATER STRIP H EATER TOTAL CONTR. LIST 4 „ (C / / /7 / b / _L I t ` CHECK ENT. a, Sf„ DIST. F SERVICE T / SERVICE /sem. MOTORS 0.1 HP MOTORS 1•5 HP N EON TRANS. RADIO TOTAL CL ST LIST ''� CHECK Permit No a 6 . Owner's Name and Address ' Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No New Building STATE OF FLORIDA, 1 COUNTY OF DADE. T 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. Registered Architect and /or Engineer - State work to be performed and purpose of building (By Floors) Remodeling Addition ef: �6�' / ® s s s. - No 7 A' Block 9 ?-- e - _ # ft 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 $ / � se. (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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. No d/, .c<?" <'" Street.... ... Repairs.. �...a No. of Stories _ /J•. -S. . Date / ��' 5 Str Subdivision Street v 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 and /or workmanship.