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ELECTRICAL PERMITMIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date L 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 d c L3 0 , 7 �/ No /l. Registered Architect and /or Engineer Employing Electrician's Name AA/ ?,.. ;...1 �� S :.., No.... 0 Street. M. /// Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1/' 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 Amps Main Fuses Amps Underground Type of Insta:lation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed).....0 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and pts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General La f Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractor .r 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. STATE OF FLORIDA, } COUNTY OF DADE. ss. My Commission Expires (Signed) 1 Street. ?'/ is ¢ Street /e.,f ..t. 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. 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 RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE H ATER STRIP HEATER TOTAL CONTR. LIST / / % . - -� '' / / Q b J C� CHECK i ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. / C MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date L 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 d c L3 0 , 7 �/ No /l. Registered Architect and /or Engineer Employing Electrician's Name AA/ ?,.. ;...1 �� S :.., No.... 0 Street. M. /// Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1/' 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 Amps Main Fuses Amps Underground Type of Insta:lation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed).....0 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and pts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General La f Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractor .r 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. STATE OF FLORIDA, } COUNTY OF DADE. ss. My Commission Expires (Signed) 1 Street. ?'/ is ¢ Street /e.,f ..t. 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. 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. Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 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 / / . j--/Z/5'E`16/ No Registered Architect and /or Engineer Employing Electrician's Name. Location and Legal Description Lot t STATE OF FLORIDA, 1 COUNTY OF DADE. I 88. No/ ; .Block Subdivision Street and Number where work is to be performed—No // Street ,t' State work to be performed and purpose of building (By Floors) New Building Remodeling Additiun 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)...�� • Street Street .../c /Z - l ':Iettricall Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts ht obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Plori a Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sy}b tractors 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 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. (Signed) C U ' 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 OUTLETS LIGHT OUTLL'T3 PLUG RIME' P'TS FIXTURES N O. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. Sp ACE H EATER STRIP H EATER TOTAL CONTR. LIST I �- r . , CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 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 / / . j--/Z/5'E`16/ No Registered Architect and /or Engineer Employing Electrician's Name. Location and Legal Description Lot t STATE OF FLORIDA, 1 COUNTY OF DADE. I 88. No/ ; .Block Subdivision Street and Number where work is to be performed—No // Street ,t' State work to be performed and purpose of building (By Floors) New Building Remodeling Additiun 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)...�� • Street Street .../c /Z - l ':Iettricall Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts ht obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Plori a Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sy}b tractors 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 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. (Signed) C U ' 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. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 10 - 6 - 00 Job Address 1116 N.E. 91 Terrace Tax Folio Legal Description Owner/Lessee / Tenant Notary as to Owner and/ c Cando Preidnt My Commission Expires:, l pry, , Patricia Stover ;.; :.; MY COMMISSION # CC839914 EXPIRES June 28, 2003 BONDED THRU TROY FAIN INSURANCE, INC FEES: PERMIT Rose Schwartz RADON APPROVED: Zoning Building Mechanical Plumbing ti( Historically Designated: Yes No Master Permit # 1 "/ 71, 6/ Owner's Address 1115 N.E. 91st Street, Miami, Fl 33138 Phone 305 - 754 -1822 ContractingCo. Coastal Plumbing Co. of Miami Address 285 N.E. 185th Street. Miami. F1 33179 Qualife: Robert E. Brincefield ss# Phone 305 - 651 -4429 V State # CFCO -19042 Munecipal # 6264 Competency # 6264 Ins. Co. Collinsworth, Alter, et al. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Replace existing electric water heater Square Ft. Estimated Cost (value) $2Q0.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUE 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 :_s hereby made to obtain a p rnit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performol to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFIN i and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. C.C.F. (00 NOTARY Signature of Contractor or Own Notary as to Contractor or Owner- Builder My Commission Expires: ..••••.,,, ��+ Patricia Stover :.; r�• •.: MY COMMISSION # CC839914 EXPIRES MIA June 28, 2003 BONDED THRU TROY FAIN INSURANCE, INC Electrical 'lder Da /0 ate BOND TOTAL DUE a Structural Engineer INS."ECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION ROUGHING 1 $ ROOF ROUGHING I $ BEAIIS & LINTELS 1 $ POOL I $ FRAMING a AIR COND. FINAL CLEAN UP SEPTIC TANK SLAB FIXTURES & FINAL SOLAR HEATER SLAB SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE BY I $ SEPTIC TANK ROUGHING 1 $ SEWER ROUGHING I $ SOLAR HEATER 1 $ GAS I $ a INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING I $ RANGE CONN. ROUGHING $ MOTORS TUB & TOP OUT FIXTURES I $ IS SEWER SEPTIC TANK FIXTURES & FINAL SOLAR HEATER FIXTURES GAS SPECIAL PERMITS PERMIT NO. DATE I FEE TEMPORARY SERVICE RE - INSPECT BY I $ H. W. HEATER CONN. I $ RANGE CONN. ROUGHING $ MOTORS I $ FIXTURES I $ IS INSPECTIONS DATE BY RE - INSPECT BY RE - INSPECT BY TFMP SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL CONTRACTOR PERMIT NO. NEW BLDG. BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS PHONE FEE $ DATE I ALTERATION I ADDITION ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR J2 rIC� C . cL7/ ! /� PERMIT NO.4:3t- '2I . 1 DATE NEW BLDG. I ALTFRATION 1 ADDITION APPROVAL TO POWER CO. FOR SERVICE DATE REPAIRS PHONE FEE $ REPAIRS