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ELECTRICALPERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY ( OWNER TO RETAIN COPY) - - 09 ��� (Tax Folio �� Date Job Address -� % 141 7 A�j 2 �if%.�Jj� Master Permit d� J Legal Description 1 ■ `rr'' nn 6C. k �'S C � [ Y Owner / Lessee / Tenant k 4-y- 6 Phone Owner's Address �'- -� 3 S ` Address ` 7 Contracting Co. - J '' ��� L �- 6-� 3 o Phone Qual if ier ✓" '�L e S 7 3 S ICI. Ins. Co. St Competency# l Address Architect/Engineer Address Bonding CMPa:zy Address Mortgagor PAVING FENCE SIGN Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL WORK DESCRIPTION Estimated Cost j 3 O Square Ft. YOUR FAILURE TO TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (I YOU WARNING TO OWNER: YOU MUST RECORD NOTICE OF COMMENCEMENT ATTORNEY DO SO MAY RESULT IN YOUR PAYING RE IN TEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTO RECORDING YOUR NOTICE OF COMMENCEMENT)- work and installation as indicated above, and 3► permit to do performed to meet the Application is hereby made to ablicable). I certify that all work will be P on the attached addendum (if Opp construction in this jurisdiction. I understand that separate elating SIGNS, POOLS, ROOFING, and MECHANICAL work. standards of aluiredsfor ELECTRICAL, PLUMBING, permits are required and that all the foregoing information is aconstructiont and azo ing- OWNER'S AFFIDAVIT: ll work I certify applicable laws regulating will be done in compliance with all I authorize the above -named contractor to do the work stated. Furthermore, Signature of Owner and/or Condo President Date: , F } {�IWA President Narysas to Owner and/or Condo M� Commission Expires Signature of Contrac or or owner Builder ate: N ary as to Contractor r caner -Builder My Commission Expires* 1 Other Fire �Jf PERMIT FEE' APPROVED: Electrical 1:091 L' �G Zoning Building �, pe Mechanical PplumbingEngineering ADDENDUM TO BUILDING PERMIT APPLICATION IF A MASTER Ap � CA ONSE� ST ACCCMP� THIS ADDENDUM ON SUBSEQUENT (AN APPLICATION FOR B SILDTAIN R ZED SIGN TURF NEED NOT BE PRESENT OBTAINED, THE OWNER MECHANICAL PLUMBING ITEM BATH TUt3 BIDET D ISi iwASHER DISPOSAL DRINKING FOUNTAIN FLOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER sI-IowER POT/3 COMP SINK, RESIDENCE SINK, SLOP TEUPORARY WATER CLOSET HATER CLOSET INDIRECT WASTES WATER SUPPLY TO: A/C UN I I FIRE SPRINKLER HEATER -NEW INST. NEATER -REPLACE LAWN SPRINK�R ELECTRICAL UNIT FEE ITEM SWITCH OUTLETS L ICI OUTLETS RECEPTACLES SERV ICE TEMPORARY SERVICE SIZE IN +S SERVICE REPAIR/I+f£EIER CHANGE APPLIANCE OUTLETS RANGE TOP W TA ER SERVICE SEWER CONNECTIONS UTILITY -SEWER UTILITY -WATER SEPTIC TANK RELAY ORAINFI£LD, 4" TILf/RE$. PUMP & ABANDON SEPT IC TANK 993AKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL eRFA MAIN SOLAR WATER HEAltx FIRE STANDPIPE p� PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) ras PIPING ___� WATER HEATER 1 }ROTORS 3 MOTORS OVER 1- IF MOTORS OVER 3- 5 HP MOTORS OVER 5- 8 HP MOTORS OVER B- 10 HP WTORS OVER 10- 25 HP MOTORS OVER 25-1 0 VP MOTORS OVER 100 HP A/C WINDOW AIR CONDITIONERS SIRIP HEATER GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS SPECIAL PURE OUTLETS 0KRCIAL SIGN TUBES SIGN TRANSFORMERS SIGN I, CLOCK FIXTURES ANTENNA TELEVISION OUTLETS VIOLATION REINSPECTION UNIT FEE ITEM SPACE HEATERS CENTRAL HEATING A/C (WIC) AIC (CENTRAL) DUCT WORK REFRIGERATIO PRESS PIPING PROCESS ANO UNDERGROUND TANKS ABOVE GROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS KLCHANICAL VENTILATION TRANSPORTING ASSET"ES ELEVATORS/ESCALATORS FIRE SPRINKLER SY5IE COOLING TOWERS VIOLATION RE INSPECT ION UNIT ] FEE MIAMI SHORES VIL ,AGE �RTMENT ELECTRICAL INSPECTION d F© ELECTRICAL AL PERMIT ERMiT APPLICATIC3 �} —L� Date........�.......1.6 �. .............. o: other �• Eons and specifications herewith submitted for the building ' Other Permit No...... with the Building Ordinance of Miami Shores Village, Division lt�uon is hereby made for the apProv" of the detcomPli� Errand �oltmi the APP application is made in comp specifications must be kept at struc U re herein described. This PP of Florida, all ordinances of Mramt S nt es� Village and plan srand asp ns of the Building and all provisions of the Lava of the flied with, whether herein specified Or n of Miami Shores Village shall be complied ,.•� �' •--••• ress of work. Street.. {!+- building during P0g .NO... ........�..._..... ....... Address.- ....:.............. ............ ................ Owners Name and . �...._.�.........._.. . ineer............ ......_......._.._....................._... �..!"!. 5ueet_........ Registered Architect and/or Engineer ..... � .1.:.. f . Namef0" �..�-......•. ..._. 5ubdivssson...._. . Electrician's. . Employing .._....Black ............._. ....... .............1,....,........ j,prauan and Legal Description Lot— ................................�....... ...................... street -........ work is to be P Street and •Number W ere B gloors)•-••.................."_..�....... State work to be performed and purpose of building [ Y ,_....Na. of Stories .................... ...................::.::... ,_._.Addition................_.............Repairs..... STRIP TOTAL p ..fLemodeling.......••-....... ••••.•• W. HEAT, SPACE HEATER WATER r1eW Building.._.......-».-•••"••••.....• IRON RANGE RANGE CONK. HEATER PLUG FIXTURES REFRIO. CONN. HEATER OUTLET �.r ��- LIOHT IAPSi OUTLET OUP LET � SWITCH OUTLET6 REGE'P'T'8 NO LA OUTLETS CONTR- _�ti - L L1� NEON RADIO MOTORS MOTORS CHECK TRANS - SERVICE O.1 HP 1.8 HP �. �—• "IC ENT. DIST. SERVI E y SPERM ER E SW. CAB. TEMP. �. CONTR. 1� LIST CHECK ..........Main Fuses --------------------- .....Amps Ampc...._ ............. Overhead Site Feeders--------------•----•l,ondurt................ Main Sw ..............Metal Moulding .------ .._..---...... Service Underground .....BXL-- ............... .-•.. ....Tobin -• - - .. ................................. Type of Installation —Conduit----- ------------ ................. .... e13 riwl Inap � e r. .. (signed]-.... .......... ....................... , ................ .......... s as an employer o r~- • - • is his abli anent Supplement, and Amount of Permit 5 .......................... ermlt does hereby cclttfy that he understands and accepts him in the lieant for this huliding n belnit Section 5966, ComPiled Genera] Laws of Florida The undersigned aPPVlorkmcf,,, Compensation Act. the Florida and will req der permit, as are rider of a sled {or inspection on the site of thark such public Holler ar notices labor u there wire similar compliance from all contractors or sub•contractars employed la with she Provsslons post or causx to be Pa o ;irk t° be Performed has complied ermit; and well Pa such sub coritractars.; wont to be performed under this p ned agrees to employ only by the Act, The urtdtrslg _ as are requiredVillage. _.._..— �- z•�•-•�•••".... ...�. licensed by Miami Shores:..... ..„....... •Master Electrician• [Signed)Y STATE OF FLORIDA, ersonally COUNTY OF DARE• ublic, duly authorized to administer oaths and take acknowledgments, a notary p . the unrsigned authority, ......................._ deBefore me. . ....... ............... ... •.. ...... upon oath deposes and says that he is the.......... appeared ................••- •-•-•••'• -- sworn,and that be did sign the same, and that all acts b me first duly read the foregoing application, to me well known, and who, being Y of the above described construction, and he has carefully . therein by him stated are true. .................:................... ............ State of Flon a .................... Public, .......................................... -•-• Notary „........... or faulty .......... by improper notice for inspection, .............. i y C,ommissior, E=Pires NOTE A re -inspection fee of $l•� will be made �v:len such re•inspection is made necessary materials and/or workmanshiP• BUILDING ❑ ELECTRICAL CN PLUMBING ❑ ROOFING ❑ El MIAMI SHORES VILLAGE, FLORIDA _ 19 k Date — PERMIT Np 10041 Work to be performed under this Permit - Contractor's License No.y" -- Owner of ,-—A Building -- -- — Architect - - - - - Contractor or Builder Legal Description Lot Bl. Address of Building - f Subdi- vision — Sq. Ft. — Value of Project Amount 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with am• plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities, This Permit may be revokcd 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. Signed —, d y r},r ONSPECTORj } y ..::.: 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, mypagent, servant or employee. CONTRACTOR or BUILDER BY THORITY a MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No..JQ Date.._5.......G!'�." Application it; hereby made for the approval of the detailed statement of the p ans and specif'cations her with submitted for the building or other structure herein described This application is made in complia and conformity with the Building Ordinance of Miami Shores Village, Flo ida, and all ro istons of the Laws of the State of Flor.= a all Ordinances ` Miami Shores Village and all ules and regulations of •.h• Building Division of Miami Shor _ Village shall be complied with, whe.her he ein spec: ied or not. A copy of approved plans and spein ications must be kept at building during ,.ogress of wor _ Owners Name and Address. . J.s%/ / - --_ ._ ___No...�--�••/y---- -Street___. . Registered Archi�'ect :: d; or Engim er _ 4 . ^. %/.. _ No. fJ �fe M-W ._Street. d- S-�...._ _ ..... ...... _ Employing Electricians Name_ Pi/� f�/`� Location and Legal Descriptioi )_ot - _ ......... Block.. _ Subdivision_ .. Street and Number where work is to be performed —No _2 _3 ./V 4� - -Z i -- •Street_ State work to be perfo med and purpose of building (By Floors) ------ •••• .. Remodeling -----Addition- ._Repairs.._ „ ------------ SWITCH CONTR. LIST CHECK ENT. DIS1, SE V -E SERViC.F $, I -AB T MP. PERM Co NT L. T CHE K Service Ovcrhead Size Feeders Co dolt Underground Type of Installation --Conduit_ Tabing MOTORS 0.1 HP WATER HEATER W. HEAT. CONN, SPACE. HEATER STRIP HEATER TOTAL MOTORS 1-5 HP Nr-rN TRAN^. R`DIO TOTAL ...Main Sw ---- -• -,,Amps. - . _B.X L Metal Moulding .Main uses ...... _Amps !�1 (Signed)-..C�fJ... .... _. .... . Amount of Permit $ --• -- -•- Elects.=a1 Inspector. The and rs'gned applicant for t; i, building permit does hereby ce-tify that he understands and accepts his obligations as an employer of iabo und- r the Flo; ida Wz)rkmen s Compensation Act being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has ompl _d ,•ith the provisions thereof; and will require similar compliance from all contractors or sob contractors employed by him in the work to be p rformed under this permit-, and will post o cause to be posted for inspection on the site of the wo k suc public notice or notices as are requir d b% the Act The undersigned agrees to iplo7 only such subcontractors, on work to be -rfor. ed under this permit, as are ';ceslsed by Miami Shores Village Master Electrician. STATE OF FLORIDA, i 17 ss. COUNTY OF DADE. 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 . _. _ e --- of the above described construt-tion, and he h, carefully read the foregoin application, and that he did sign the same, and that all fads therein by him stated are true. _ Notary Public, State of Florida My Commission Expires 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 workma-.ship. �o MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT. Permit No 1] ..te.........r ,..�. .� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su ed 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, N•hc her herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. 0 Owners Name and Address._...... ........ No.._....... ..5treet ............. Registered Architect and/or Engineer ---••----------------•------...----------------•--------------------•-------•--......._.._........_....._._....---......._._..........._........_.._...._ Employing Electrician's N Locationand Legal Description Lot -------------------------------------------------------------------- Block ------------------------------------------ Subdivision .----------------------------------------------- Street and Number where work is to be performed —No ----------------------- - ...... •-........ --- ........---- --------- Street...-».--.........._..� _..__...._.... _._.._ ... State work to be performed and purpose of building (By Floors) .............................. .... .. ... ......... .._... .--- ........... _................. _------ ............ New Building -------------------------------- Remodeling -------------------------------- Addition ........ - ,.,. ----Repairs....--------------------------------.-No. of Stories -------------------- SWITCH I LIGHT PLUG FIXTURES REFRIG. IRON RANGE I RANGE I` WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T'S N❑ LAMPS OUTLET ` OUTLET OUTLET CONN. I -LE HEATER CONN. HEATER HEATER LIST LIST 3�5 CHECK ENT. I 1 DIST. SERVICE SERVICE $W. CAB. TEiA P. PERM. I CHECK Service Overhead Site Feeders .................... Conduit --------------- Main Sw.___ Underground Type of Installation= Conduit......._.-........^Tubia MOTORS MOTORS NEON RADIO TOTAL 0.1 HP 1-6 HP TRANS. -------------------Amps--------------- ---------- Main Fuses ............................ Amps ...._ :.:._:...::::...... ::: �-......:_�.... :_..._................. :: �..::_ ...... -............517...1 � :�::: i......_..»....__..... (Signed).-...3we,.. Amount of Permit �...............•.�,... _....._ .....__...............:�.... E ctricai Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obllgitt-1 ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe anent 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 ale licensed by Miami Shores Village. (Signed)_ .. �•�::�G;E�e,.�+►f�'�_�y�= dj Master Electrician. STATE OF FLORIDA, Il ss. COUNTY OF DADE. 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 ryad the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ................................_..................._..........._......_.... _-•..............._........ .......................... ........._.._..........._........._.....�.._ :....... Notary Public, State of Florida My Commission Expiresres 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. MIAM-I SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL r� DATE 195 ❑ P E 1� 1VI I T N0 9 4 8( Contractor's PLUMBING License ]Vo._— ROOFING ❑ ❑ Work to be performed under this Permit_._ — Owner of f - Building -- Architect Contractor S or Builder r 1 t +1 Legal Lot I� Bl. Subdi- ❑escription vision ScI. Ft, Address of Value of Amt. of Building r7 _ + i Project $ _ 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 tb the work covered hereby whether shown on the plans or drawings or in the statements or,speciffc ions and that he assumes responsibility for .work done by his agents, servants or employees. / SignedBY 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. CONTRACTOR OR WELDER BY AUTHORITY _- 17 All/ %9IV/ ,< VILLAGE OF EL- FLORIDA PERMIT NO. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERNII'd' `, 00 l+ 1d I hereby make application for an electrical permit to install, remove or change electrical wiring in or on the premises described below, and I agree to comply with all the ordinances, rules and regulations governing electrical installations, changes or removals in the Village of El Portal. Date.— Owners Name and Address rifl Registered Architect and/or Engineer Licensed Contractor's Name and Address�r L Address and. Legal Description of Proposed Work `Y New Building Remodeling_ 1/ Addition Repairs No. of Stories T?rITTC,F7 WMTNr. r TOTAL CEILING BRACKET { RECEPTACLE I SWITCH STOVE WAT OUTLETS ER HEATER SIGN OTHER OUTLETS SERVICE FEKTURES MAIN SWITCH SIZE SERVICE I SIZE SERVICE No. CIRCUITS TOTAL LIGHTS OTHER FIXTURES WIRES CONDUIT EQUIPMENT Amount of Permit $ Penalty 5- STOVES III WATER HEATERS SIGN TRANSFORMERS 1jII MOTORS (LIST AND GIVE H. P. OF EACH MOTOR1 y�+y The undersigned applicant for this building permit dues 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 compplied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to he performed under this permit; and will post or cause to be pasted 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 perfor ed under this permit, as are licensed by the Village of Pl Portal. . (Signed). _..:....._............................... r........... Y Application received by Owner or Master Electrician. STATE OF FLORIDA, se 195— COUNTY OF DADE. Dat 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 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 SNORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date... -�••. ............... r Permit No ....... ................ ent of the and ing or other Application a hereby made This the -approval at on is made netailed compliancemand conformityswith thecBuilding Ordinance ofrnMiami Shoitted for lresbVilage, Florida, structure herein described. PP and and all provisions of the Laws f h State of with,Florida, all specifiedordinanCes o orShores of eSA co1pY of approved splans rand aspecifications tions of the Bmust being keptoat of Miami Shores Village building during progress of work. ..... ...Street... .......................................... Address..-_........:-_ -- Registered Arrhitea and/or Eng Employing Electricians Name_ ..jDIo..+.d�l.�i ��..........._..Street._..__..__._.._�.................».. ...-_-----.-._..... _............. ...... ....... ...Block .-•-----........._......---•---••-- Sulodivisi ----- ............... .»�_.... Location and Legal Description Lot..-----».•--•••YI �7• �/ __ _ ..'Street......./_�. ................._., Street and Number where work is to be performcd�-No••....•. ---•• » r ....... .__... State work to be performed and purpose of building (By Floors)--- C..." ••� •• -'�` --T---------------- — .........No. of Stories -------------------- New Building -------------------------------- Remodeling______ _____ ___ ___ _____ ------•--Addition-•-• --- Repairs............................. SWITCH LIGHT PLUG FIXTURES 11 REFR IG. I IRON RANGE 1 RANGE WATER W. HEAT• SPACE STRIP TOTAOUTLETS OUTLETS RECEPNO. I_",PSI OUTLET OUTLET OUTLET l CONN_ HEATER CONN. HEATER HEATER CONTR. LIST CHECK ENT, DIsT. SERVICE SERVICE Sys, CAB. TEMP. PERM. MOTORS MOTORS NEON 1 Y RADIO TOTAL 0.1 HP 1-B HP TRANS. 11 1! CONTR. LIST r CHECK Overhead Size Feeders -------------------- Conduit ................ Main Sw------------------------------- Amps. ----------------•••-••----Main Fuses .................. Service Underground --------------------- Metal Mouldin -------- ""--""-"'"-- ..'.................. Type of Installation—Cconduit------------------------ Tubing ------------------------ ..............•..._.._....._..._.....-.......... _....._....._-..._._... -- ... (Signed) ................................._».....»._�........................_.._........_...._....... Amount of Permit $.......» -------- ...................... _..................... .. ........................ ).._.... 1?Iectrical inspector. The undersigned applicant for this building permit does herebycertifythat he understandeneva,s and accepts his obligations as an employeand r of labor under the Florida Workmen's Compensation illAct, being similarSection complia6. nce from frame all OcantractvraI'awar sub coo tdraRors employed bya permanent l him is the has complied with the provisions thereof, a the ces work ro be performed under this permit; and will Post ar caosa n only such o be tsubed -rontractot16 vnnwork s to oe perforf the mkedu undech r this Permitlic notice , asare as are required by the Act. The undersigned agrees to employ fe licensed by Miami Shores Village. (Sign »� » luiaster Electrician. f STATE OF FLORIDA. ss. COUNTY OF DAD IE. authorized to administer oaths and take acknowledgments, personally Before me, t}j2 undersigned authority, a notary public, duly appeared-------------------------------------- ........... ........ _............................................. �_.......__.._..... says t he to me well known, and who, being by me first duly sworn, upon oath deposes anda and isthe he did sign the same, and that all facts of the above described construction, and he has carefully read the foregoing application, therein by him stated are true. _........................... _ __ "" """ " _ia Public, State of Florida Notary _•••,•. »............. y Commission Expires 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, FLORIDA r BUILDING DATE 194 ELECTRICAL Contractor's Licence No — PLUMBING 5 ❑ork to be performed under this Permit." Owner of- II Building Architect Contractor or Builder Legal Hot rll Bl. Description IJ Address of - Subdi- vision 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 appli- cation 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 wort: is not clone in compliance with such ordinances or if the plans are changed without: authorization. A fiutlier condition .upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsib.iiity for a thorough knowledge of the ordinances -and regulations pertaining to the work covered hereby whether shown on the plans or drtiwiugs or.sr4.ti &statamemts on. cificatiuns and that he asses respon- sibility For work done by his agents, servants. or employees. Signed. �y . B48PECTOR 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 pfans, drawings, statements or specifications submitted to the proper authorities of Miami Shores 'Village. In accepting this permit I assume respond iNty for all work done by either myself, my agent, servant or employee. Value of Prnipnt CONTRACTOR OR BUILDER BY AUTHORM MIAMI SHORES VILLAGE--FLORIDA- r��f - DATE-iBUILDING f DATE4 ELECTRICAL PERMIT N° 4853 Contractor's 6 f License No. PLUMBING Work to be performed under this Perrni Owner &�- Building Architect Contractor or Builder - Legal nescri tion Lot Bl. Subdi- Vhsion P _ Value of Address of 11 � � - •^' ' Project Building0111 This permit is granted to the contractor or buhMer named above to construct the building or to instO wo cation here£or in strict compliance with all Ordinances pertaining thereto and with the understanding that plans, draw°ings, statements ox specifications that may have been submitted to and approved by the propper manic at any time if the work is not done in cvmpliance with such ordinances or if the plans a changed witho _ autht permit is granted is the understanding that the contractor or builder Warned shove aes thy, onsibi tyor regulations pertaining to the work covered hereby whether shown on the plans or dWnrwi ; sibility for work done by his agents, servants or employees. s�� �Amt. ipment or device described in the appli- ill be performed in compliance with any authorities. This Permit may be revoked ion. A further condition upon which this ❑r. �h knowled a of the ordinances and secitications and that he assumes res7n011- By 41% - 7 ce In consideration o£ the issuance to me of this permit �agr ng ° m or pk ifcoirva 'Onssubmitted to ereunder in the proper thuri�ties�a Miami $ces oress Village. pertaining thereto and in strict confarinity with or a w s, In accepting this permit I assume respansib' ' fora work done by either myself, my agent, servant or employee - In CONTRA� a Bu�� B� Arrrxaarrx MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date--•'•---------�-�� Other Pe Na.-�� - A Application is hereby made for the approval of to detailed iancestate aandt conformity with tof the plans and he Building Ordinance cifications herewith sofmMiami Shores bVillage, oFlorida. strupp application is made in comp and all herein described. This specifications must be kept at er herein specified or not. A copy of approved plans and spec' and all provisions of the Laws of the State of Florida, ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, building during progress of work._, - No1 Street_ Owner's Name and Address__._ Registered Architect and/or Engineer —- No------- --- ---- -- -- Employing Ele trician's Name ----•- _ Subdivision I cation ant Legal Description r Sheet__ Street and Number where work is to be performd No._..- - --- - ~ - -� State work to be performed and purpose of building (By Floors) Remodeling-----___------ - - Addition. ------------ - - Repairs - -- -- - No. of Staries.—_._.-_- New Building ------ — $-------------- - -- STRIP TOTAL j PLUG FIXTURES REFRIG., "IRON RANGE RANGE WATER �W&HF.A.1- SPACE$WITCH LIGHT jOUTLETS I OUTLETS RECE'P'T'SI t'l0�IOUTLETOUTLETOUTLET I CONNHEATER ONHEATER HEATER LIST kl` j� I j CHECK ll 1 { MOTORS SPERM E I}} 0-1 HP MOTORS NEON RADIO TOTAL 1� TRANS. SERVICE - ENT. I . SW. 11 + TEMP. CAB CONTR. CHECK I i • Main Sw.__--- —Amps. _- Main Fuses_ ---BPS' Service Overhead Size Feeders---------------- Conduit._ �- �. Underground Type of Installation —Conduit---_---------- Tubing--__-___--- B.X.L--------- -" Metal Moulding --•-- -- 7 �r i� .-----•-•----- - -------•-.--- - r ; � - — -- - �— (gigned] -- ------ •--..— Electrical Inspector. Amount of Permit $ µ " employer Of labor permit does hereby certify that he understands and accepts his obligations alementan t,, and has corn - The undersigned applicant far this building p Section 5966, Compiled General Laws of Florida Permanent Supplement, be under the Florida Workmen's Compensation Act, being t the P red for inspection an the site of the work such public not,, or notices as ate plied rein Provisions tbereof. and will require similar compliance pliance from all contractors or sub -contractors employed by him in the work to pll Post or cause to psuchperformed wader this permit, as are performed under this permit, and will p to only such subcontractors, On work to be required by the Act. The under signed agrees to employ licensed by Miami Shores Village.-�� (Signed) —A01 L:S2=— Master );lectricaa. STATE OF FLORIDA, j 69, Personally Before me, the undersigned authority, a notary public, COUNTY OF DADE. f duly authorized to administer oats and take acknowledgments, - appeared ---••-.... ---- - -- and says that he is the - — - ; ~ ` to me well known, and who, being by me first duly sworn. upon oath deposes application, and that he did sign to same. and that all facts therein by hlal staled =rn auction, that he has carefully read to foregoing ---- --••--------- _ Notary Public. State of Florida ---- -.---- »----------- -'My-Commission Expires~ ton, or faulty NOTE:- A re -inspection fee of $1.o0 will be made when such re -inspection is made necessary by improper notice for inspect materials and/or workmanship- MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date' - Permit No.� Application is hereby made fox the approval of the detailed statement of the plans and specifications herewith sut�itted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance i Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all r and regulations f thesBmudingg Division of Miami Shores Village sbail be complied with, whether herein specified or not. A copy of approvedP building during progress of work. Owner's Name and Address Registered Architect and/or Engineer -- — e,,�.c:-ate Employing Electrician's Name .__.'"'`_-�" �._Block�.--------- -- SubdivisiarL�.— Location and Legal Description 1-ot._---- — Street and Number where work is to be performed— No. "State work to be performed and purpose of building y _Floors) -----.- -------------------------- Repairs -�--------------r--------------- No. of Stories New Building------------------------- Remodehi _---------- Addition SWITCH LIGHT PLUG FIXTURES REFRIG. IRON 'RANGE RANGE WATER W. HEAT. SPACE TRIP TOTAL OUTLETS OUTLETS REC E'PT'S NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CL ONTSTR '01. �+ CHECK ENT, DIST, V SERVICE I SERVICE Sw. CAB. 11 TEMP. PERM. MOTORS MOTORS I NEON 0-1 HP 1-5 HP TRANS. CONTR. I I� LIST jlll jlj-� I` CHECK / �� Overhead ,-- Main Sw.J �� - Amps. ------------ ------- Main � Service mSize Feeders_-.� ___-- Conduit__.1 d - Tub, Metal Moul '81 Type of Iastalia6400nduit_.— RADIO 1 ' TOTAL — — (Signed) Amount of Permit $------------- - — —--- ------- �—_.—.. ding es reby rtify at he ands accepts his ons as an The undersigned amen'snCompensationlActt, beingtSecotone5966CeCompled Ge eralrLaws ofdFlo da PermanlenttSupplementl andehas comx under the Florida Workmen's plied with the provisions nliteTand will post owill r causeuire oil be compliance o edafor inspec all on on the ste of the sub -contractors such employed publicb notice fn the or noticeskasobe are performed under this p [formed under this ermlt, as are required by the Act. The under signed agrees to employ only such sub•c tractors, on I '� .b P licensed by Miami Shores Village. r 1! (Signed) ran. STA-OF FI ORIB i ss. � COUNTY OF DADS. ( , Before me, the undersigned authority, a ry 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 he did sign the same, and that all facts therein by him stated are true. .............----••-•--...----_..._.... --- ----- ------ -•--------------_--------,,------ .------------ -- ------ ------ ---- -__. �_-- NotaryPublic, State of Florida My Commission Expires 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. 11LDING _LECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA PERMIT NV 2065 DATE 194.-� Contractor's License No._ Owner of Building _ Architect Contractor or Builder_ LegaI Lot Work to be performed under this Permit_ M S) ubdi• % ision Address of V alue of �� Amt. of Building Pi roject Permit This permit is granted to the conmetflr or builder named above to constru. �t the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto an d with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitt ed 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 ordinanc :es or if the plans are changed without anrhorixation. A further condition upon which this permir is granted is the understanding that the contractor or bu; ,lder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether sh own on the plans Or drawings or it, the- statements or specifications and that he assumes responsibility for work done by his agents, servants or employees <. Signed: INSPECTOR In consideration of the issuance to me of this permit I agree to perform th c work coveted hereunder in compliance with all ordinances and regula- ions pertaining thereto and in strict conformity with the plans, drawings, stater Tents or specifications submitted to the proper authorities of Miami Shores 7iliage. In accepting this permit I assume responsibility for aII work done by isi• -her myself, my agent, servant or employee_ CONTRACTOR OR BUILDER L AUTHORITY MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Ina a� Permit 1Vo.__— )]ate.— F, I, Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub itted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of.= iuliami 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 ------- r 2W aP+► Employing Electrician's Name --=--- '�"�^''`��'=- Now -- Street ` L'ication and Legal Description Lot Block---- ___ Subdivision — Street and Number where work is to be performed—Nv.. State work to be performed and purpose of building ( y Floors) — New Building--------------------------------- Remodeling.__--—.......... Addition.. ..--------------...... Repairs ------------ —---------- _---- No. of Stories ... SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'PTS FIXTURES I NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE WATER CON N. HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST—� CHECK I ENT, SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS NEON 1-5 HP TRANS. RADIO TOTAL CONTR. LIST CHECK Service Overt d Type of lnstaliatiar Size Feeders_- ----- —__ Conduit____! ____ Main Sw_ 1 o e—.-- Amps. Amount of Permit S-_-__-.. r. ........... _._...(Signed) .. Main F sgs_Au>ps. i The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Flq,Tida 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 word io^ be perfer. ed uade.r t is„ permit, as are licensed by Miami Shores Village. 44 14V� (Signed) 1G aT ? Fei'F. ciMcan.;, STATE OF } 1 DR1I III. _. COUNTY OF DADE.� 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 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. ELECTRICAL PERMIT N. B.—This Permit must be on display on the premises duri the cans ct. 0 Ownerof Buildin , C -tractor or Electrician L aiami Aores'::Xillage F L O S I D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla., - LOCATION N° 279 - NO. STREET PART OF LOT LOT BL'K SUBDIVISION DESCRIPTION OF WORK NUMBER OF Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Ap�paratu�s}Permit Fee �Other This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upgn any ch ge in the -plans and specifications unauthorized by th's Department. r Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all � els and gulat' ns of the Electrical Department of Miami Shores Village. Dated _ 19 Y (Seal) aiami JhorescYillage F L O S I D A ELECTRICAL PERMIT N. B.—This Permit must be on display on the premises during the construc(ion. Owner of Buiidi ng---�---- -- Contractor or Electrician_- -. Outlets Motors Receptacles Generators This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time Won the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by Department. Electrical Inspector. OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Ff i-. — I y PARTI LO CATI O N )F LOT LOT BL'K SUBDMSIOl DESCRIPTION OF WORK ATTTKARPR OF N° 279 Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with Application and the plans and specifications thereof heretofore by me submitted, and in compliance, with all provisions of all Electrical Laws of the of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and. all ru'Ies and gulati�ons of the Electrical Department of Miami .s Village. r• Dated_ —= - -- - - 19 � -- - — A-63 Cc, APPLICATION NO. - DATE y l9 ,r ELECTRICAL DIVISION OF THE CIT OF MIAM . Desiring your certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electric Code and the City Ordinance painted out by Inspector, LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST B FILLED OR APPLICATION WIL BE RETURNED LOT NUMBE� D BLOCK NUM13E U6DiVISION IPP STREET A i BSIDEV'�r nwWFR D ��� OCCUPANT r -- -- --... -- OCCUPIED ASBUILDING--NEW OR OR OLD (UNDERLINE WHICH) WORK --ADDITIONAL. NEW, ALTERATION OR REPAIR SPECIFICATIONS H. P. OF EACH MOTOR VOLTS TOTAL AMPS PHASE CEILING HRACICETS RECPTACLES SWITCHES STOVES WATER HEATERS SIGNS OTHER APPARATUS KIND OF INSTALLATION OPEN OR CONCEALED_ KNOB, RX., BX., MLDG., CONDUIT, METALLIC TUBING FIXTURES ONLY TOTAL SIZE OF 1I SI SERVICE I` FLOORS 1 NUMBERS OF OUTLETS 11 CONDU T CI CUITS LIGHTS I CEILING IBRACKETS11 MAIN SU6S BRANCHES BASEMENT_ FIRST._ -- SECOND- FOURTH REMARKS --- r� • JESS y AA" By ADof RECEIVED BY INSPECTOR -- PROGRESS WILL INSPECT AGAIN ROUGH WIRING FINAL NO. _ CORRECTED TEMPORARY .._ DATE ISSUED to SPACE BELOW FOR INSPECTOR'S USE ONLY te _ INSPECTED_-- • - fREMARK$ DAYS. FEE REMITTED a INSPECTOR 6 JOB AD:�s3 9�� 19- BUILDING ELECTRICAL • . WORK PLUMMING DONE BY: r REQUESTED WILL BE READY 47 E. The following is ready for Inspection: Inspector's Report: --