ELECTRICALt • 71 •
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date O G - 0,- o f Job Address /o z 2 AC./067i/ e4 r 9/_.5 - // wheFT ax Folio
Legal Description Historically Designated: Yes No le
Master Permit # 9 q 1 k(
Owner/Lessee / Tenant
eutH 5f9A17a5
Owner's A d d r e s s /4%2 z .4 / rid GR3r 9 / %24. -kw, A 'givti FLT 447/9 Phone 3G5. 7,5 7. G /2 9
. Address G9oD Aioen/ E4.5r yn'
SS# Phone ___ .7.59 . / ( 4,5
e.
Contracting Co. G ;c./ Ez E2r
Qualifier
State # er - 0 5 Municipal # EC-6 ova G A S Competency #
Nanfcsg ' oN Fi.� W ,
Architect/Engineer ,c/ /i9
Bonding Company N 09
Mortgagor /(09
Square Ft
Signature of o er and/oiondo President 5/19
ate
v5 /Z /0 /
Notary as • and/or Condo President Date
My C nuns Exp
John M Farqu
* * My Commission CC908801
'• Pt.,/ Expires March 27, 2004
FEES: PERMIT 40,00 RADON
Address
Address
Address
Sign
No
C • ssion Expires:
Ins. Co.
Permit Type (circle one): BUILDIN a LUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION c3AG,2 /i .reHeA/ Oov,) >rl'e Fes. .ffcv/ >i/ /999
Estimated Cost (value)
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 authorze the above -named contractor to do the work stated.
Contractor o
6. /er- Builder
O nl f,L�
Date
ontractor or Owner - Builder Date
"Se John M Farquhar
* * My Commission CC908801
% „/ Expires March 27, 2004
C.C.F. ( �'� NOTARY — 'E7 `— BOND
TOTAL DUE
APPROVED:
Zoning Building Electrical o / .47.>"i - 60/
Mechanical Plumbing Engineering
IL. ,_e__ATH TUB
_�
SOAKAGE PH' CM.
- r. . I
a
CuTI -E'"S (switch & light)
` BIDET
CATCH BASIN
FIX ULES
.3
E DISHWASHER .
DISCHARGE WEI.
� �
� �
a�
RELEYI.&CLES
'
DUNK FO:JNTAI7;
AREA DRAIN
SEF.VICE SIZE•AMPS
FLOOR DRAIN
RGCF INLET
�,. - -.�_
SERV. REP /ME'TER CHG.
GREASE TRAP
SOLAR WATER
• TER
- _
SERVICE TEMP
M.
1NTERCEP
FIRE STANDPIPE
RANGE TOP
1 ----.-1-7---.
LAVATORY
LAWN SPP.K. SY
- •
OVEN
!
I LAUNDRY TRAY
' Y
POQL PIPING
WA ER HEATER
!
CL THES WASHER
SAS RANGE
MOTCRS 0 I HP
^d TEEP. SET (C- ')
MOTORS l - 3 HP
i .SHOWER
��_
MOTORS 3 - 5 HP V
SIN:: POT/3 COM?
GAS PIPING
Y
SINK RESIDENT
MOTORS 5 - H HP
SINK SLAP : .
MOTORS 8 - 10 HP '
T'EM.WATER 'LOS.
MOTORS 10 - 23 HP
URINAL
MEC iiAN!CAL
MGTO,•;', 2S -100 H?
i_s7J1F�i HEA G
1vi0TC7!.S OVER 100 HP
ii�
I
WATER CL�7'c'T'
___
INDIRECT WASTES
A.'C (WINC'OW)
A/C WINDOW
WATER SUPPLY TO:
A/C (CE JTRA. ; •
•
MR CONDITIONERS
DUC WORK
STRIP FIEATER
A/C Ur.'IT
FIRE ,PI:!NKLER
-
kEF JGERRY's.•1
GENER TRANSFCRM.
PROCESS/PRE.: • PIPE
SPECIAL PURPOSE
ilE.- i !R -NEW
L ! P1GErtGROuN ' F:LIsiR.
ABOVE GP.C'Jn s. TANK
OUTLETS- COMMERCIAL
HEATER- KEPI..
LAWN SPR WELL
SIGN TUBES
SIGN TRANSFORM.
PRESSURE_ V •EL -
SWIM. POOL
I
WATER SERVICE
STEAM BOIi.E
SIGN -TIME CLOCK •
-
SEWER CONNECT.
HOT WATER 3'1LliR.S
APPLIANCE OUTLETS
;
UTILITY -SEWER
MECFIAN. VEN rit.A.
j
ANTENNA
UT:LITY -WATER
TRANSPORT. SEMB.
TELEVISION
RELAY
ELEVATOR/ES ALATO
ALARMS
GRAINFIELD
FIRE SPRiivKL .R SYS.
TELEPHONE OUTLETS
PUMP.':'.IBANDON
SEPTIC TANK
COOLING TOWERS
1
ADDENDUM TO BUIL
(.-,N APPLICATION . 3 JR BUILDING PERMIT MUST ACCOMP
OWNER'S NOTARIZED SI2RNATT.'RE NEF.D NOT BE PRESET
PLi 1BG?G
NIT FEF
PLUMBING
ITEM
ING PERMIT APPLICATION
' THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED. TAE_...,
SUBSEQUENT APPLICATIO'sN`.
ELECTRICAL
UNIT FEE • i1 4
UNIT FEZ
Permit No E'^ c
Application is hereby made for the approval of the detailed s
structure herein described. This application is made in compli
and all provisions of the Laws of the State of Florida, all ordin
of Miami Shores Village shall be complied with, whether her
building during progress of work.
Owner's Name and Address
Registered Architect and /or En ineer
Employing Electrician's Name. /.�
) 14i! / y G/f'CJ/42/G No /e Street../1i . " ' . "64-
Location and Legal Description Lot ,, / 1//e Block Subdivision /
Street and Number where work is to be performed— No..../ v a ° Street.. ... f1... h.tese# oc .....
State work to be performed and purpose of building (By Floo s)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Site Feeders ...., /.(1 Conduit
Underground /
Typ of Installation— Conduit Tubing
, DU
Amount of Permit $
The undersigned applicant for this building permit does
labor under the Florida Workmen's Compensation Act, bein
has complied with the provisions thereof, and will require
work to be performed under this permit; and will post or ca
as are required by the Act. The undersigned agrees to empl
licensed by Miami Shores Village.
STATE OP FLORIDA, l
COUNTY OF
DADE.
U .
APPLICATION F
Before me, the undersigned authority, a notary pub ic, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, pon oath deposes and says that he is the
of the above described construction, and he has carefully re d the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires
MIAMI S
ELECTRICAL
ORES VILLAGE
INSPECTION DEPARTMENT
R ELECTRICAL PERMIT
D ata /' /�2u R/1 /`/ /C/ 7 '
tement of the plans and specifications herewith submitted for the building of other
nce and conformity with the Building Ordinance of Miami Shores Village, Fiv :ida,
noes of Miami Shores Village and all rules and regulations of the Building Division
n specified or not. A copy of approved plans and specifications must be kept at
1(
.Main Sw / �J`'� Amps Main Fuses . Amps
B.X.L Metal Moulding
(Signed)
Electrical Inspector.
hereby certify that he understands and accepts his obligations as an employer of
Section 5966, Compiled General Laws of Florida Permanent Supplement, and
imilar compliance from all contractors or sub-contractors employed by him in the
se to be posted for inspection on the site of the work such public notice or notices
y only such sub-contractors, on work to be performed under thi permit, as are
(Signed)
No /6d
Street.A' ' 7 / !F/ CE
Notary Public, State of Florida
Master Electrician.
NOTE: A re-inspection fee of $1.00 will be made wh n 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•8
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. HEAT.
CONN.
SPACE
H
STRIP
H
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.8 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
Z
41-137C73
CHECK
Permit No E'^ c
Application is hereby made for the approval of the detailed s
structure herein described. This application is made in compli
and all provisions of the Laws of the State of Florida, all ordin
of Miami Shores Village shall be complied with, whether her
building during progress of work.
Owner's Name and Address
Registered Architect and /or En ineer
Employing Electrician's Name. /.�
) 14i! / y G/f'CJ/42/G No /e Street../1i . " ' . "64-
Location and Legal Description Lot ,, / 1//e Block Subdivision /
Street and Number where work is to be performed— No..../ v a ° Street.. ... f1... h.tese# oc .....
State work to be performed and purpose of building (By Floo s)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Site Feeders ...., /.(1 Conduit
Underground /
Typ of Installation— Conduit Tubing
, DU
Amount of Permit $
The undersigned applicant for this building permit does
labor under the Florida Workmen's Compensation Act, bein
has complied with the provisions thereof, and will require
work to be performed under this permit; and will post or ca
as are required by the Act. The undersigned agrees to empl
licensed by Miami Shores Village.
STATE OP FLORIDA, l
COUNTY OF
DADE.
U .
APPLICATION F
Before me, the undersigned authority, a notary pub ic, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, pon oath deposes and says that he is the
of the above described construction, and he has carefully re d the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires
MIAMI S
ELECTRICAL
ORES VILLAGE
INSPECTION DEPARTMENT
R ELECTRICAL PERMIT
D ata /' /�2u R/1 /`/ /C/ 7 '
tement of the plans and specifications herewith submitted for the building of other
nce and conformity with the Building Ordinance of Miami Shores Village, Fiv :ida,
noes of Miami Shores Village and all rules and regulations of the Building Division
n specified or not. A copy of approved plans and specifications must be kept at
1(
.Main Sw / �J`'� Amps Main Fuses . Amps
B.X.L Metal Moulding
(Signed)
Electrical Inspector.
hereby certify that he understands and accepts his obligations as an employer of
Section 5966, Compiled General Laws of Florida Permanent Supplement, and
imilar compliance from all contractors or sub-contractors employed by him in the
se to be posted for inspection on the site of the work such public notice or notices
y only such sub-contractors, on work to be performed under thi permit, as are
(Signed)
No /6d
Street.A' ' 7 / !F/ CE
Notary Public, State of Florida
Master Electrician.
NOTE: A re-inspection fee of $1.00 will be made wh n such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
cA
APPLICATION FOR ELECTRICAL PERMIT
No � � '.
Date
SWITCH
OUTLETS
LIGHT
OUTLETS
ENT. DIST.
SW. CAB.
Coleman No 1022 N.E Street 91 Terrace
PLUG
RECE'P'T's
SERVICE
TEMP.
MIAMI SHORES VILLAGE
FIXTURES
NO. LAMPS
SERVICE
PERM.
ELECTRICAL INSPECTION DEPARTMENT
REFRIG.
OUTLET
I ION
OL TLET
en
RANGE
OUTLET
RANGE
CONN.
MOTORS
0.1 HP
WATER
HEATER
MOTORS
1•S HP
2HP
W. HEAT.
CONN.
NEON
TRANS.
ACE
H ATER
STRIP
HEATER
RADIO
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 her :in specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name STTN STATE ELDCTRIC s INC N 9709 N . W • Street 27 Avenue
Location and 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 Floo •s)
New Building Remodeling Addition Repairs No. of Stories
CONTR.
LIST
CHECK
CONTR.
LIST
CHECK
Service Overhead
Conduit Main Sw Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Underground Size Feeders
o �
Amount of Permit $
The undersigned applicant for this building permit does
labor under the Florida Workmen's Compensation Act, being
has complied with the provisions thereof, and will require
work to be performed under this permit; and will post or cat
as are required by the Act. The undersigned agrees to empl
licensed by Miami Shores Village.
STATE OF FLORIDA, l
COUNTY OF DADE. j SS.
Before me, the undersigned authority, a notary publ c,
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
therein by him stated are true.
My Commission Expires
NOTE: A re-inspection fee of $1.00 will be made wh
materials and /or workmanship.
TOTAL
TOTAL
2.00
(Signed) (4 (
Electrical Inspector.
hereby certify that he understands and accepks)his obligations as an employer of
Section 5966, Compiled General Laws of Florida Permanent Supplement, and
eimilar compliance from all contractors or subcontractors employed by him in the
se to be posted for inspection on the site of the work s ch– public notice or notices
cy only such subcontractors, on work to be perfo ed - un g.r permit, as are
(Signed). a �
Master Electrician.
duly authorized to administer oaths and take acknowledgments, personally
that all facts
Notary Public, State of Florida
such re-inspection is made necessary by improper notice for inspection, or faulty
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling
Street
Addition Repairs No. of Stories
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P•T'S
FIXTURES
NO. LAMPS
REPRICE
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HATER
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.
inc. to 100 AMPS
1HP
3.00
CHECK
Permit No
Owners Name and Address
Location and Legal Description Lot
Service Overhead Size Feeders Conduit
Underground
Type of Installation— Conduit Tubing
Amount of Permit $
The undersigned applicant for this building permit does
labor under the Florida Workmen's Compensation Act, being
has complied with the provisions thereof, and will require
work to be performed under this permit; and will post or ca
as are required by the Act. The undersigned agrees to empl .
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. I j
SS.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION F
Application is hereby made for the approval of the detailed st ement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in complia ce and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordina ces of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether here' specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Colman
R ELECTRICAL PERMIT
Date
No 1022 •• Street 91 Terrace
Registered Architect and /or Engineer
Employing Electrician's Name.. .SW1..Sta.te...Electric...Inc... N0. Street 2.7..AVMnue
Block Subdivision
Main Sw Amps Main Fuses Amps
B.X.L Metal Moulding
(Signed)
Electrical Inspector.
ereby certify that he understands and accepts his obligations as an employer of
Section 5966, Compiled General Laws of Florida Permanent Supplement, and
milar compliance from all contractors or subcontractors employed by him in the
e to be posted for inspection on the site of the work such public notice or notices
only such subcontractors, on work to be performed - u der this permit, as are
(Signed)...
Master Electrician.
Notary Public, State of Florida
Before me, the undersigned authority, a notary pub 'c, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me°first` duly sworn, on oath deposes and says that he is the
of the above described construction, and he has carefully re d the foregoing application, and that he 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 wh n such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.