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ELECTRICAL PERMIT
CONTRACTOR Name 54 h' i C c/- /fr License No. Address 72 2 A '/ r� s T Telephone 24// 5 7 Fax Qualifier Name . /WelQ rio -1;11.1441 PROPERTY OWNER Name crix, ,, e_,A9 7 � Address / r Horne Telephone Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other • - INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step I. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: Subdivision l3� Address Lot Block Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other M /Alit Skor Apt. Folio Number Description of Work /266 74/Cox?. </3 PG Zoning Linear Feet Square Feet Value of Work PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection AR@CH!TECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. City State PERMIT APPLICATION Zip Units Floors FO Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. iu/n Address Telephone Fax Page 2 1 1-IPORTA NT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement., , . . 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for.applications involving sewers. - A.FFIDAVIT - =Please read carefully. Application is hereby made to obtain a permit to do work installation as indicated. I, the OWNER of the property, 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, POOL,. EXTERIOR .DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,• ROOFING and SIGNS and there maybe additional permits required from other governmental agencies. I, the .OWNER of the property, have disclosed fill information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure; the entire structure must meet the present federal flood criteria for finished floor °elevation.. I am also fully aware that if the total cost of work to my home or,business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to reco}d ..a NOTI OF 'COMMENCEMENT may result in you paying twice for improvements to your property. If you. are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22.N.W: 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must,be POSTED JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE Si t of Owner Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: Personally known OR, Produced Identification Type of Identification Produced: STATE Sign Signature of Notary Publi SEAL: PERMIT APPLICATION F MIAMI -DADE Contra tor / •ualifier HontIFFICIAL NOTARYSEAL '4' Ue ILIN4ATORRES * COMMISSION NUMBER Q CC840462 MY COMMISSION EXPIRES OF f‘- MAY 28,2003 Personally known OR, Produced Identification Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs � A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs -A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water IIeater Dishwasher Low -volt, Television Service, Number of Amps Water IIeater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBIN TYPE` A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water IIeater Drainfield, 4 " Tile/Res. Lavatory Septic Tank Water IIeater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply • '- Page 3 C PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zoning Electrical 0,"71/Axo Mechanical Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST 0 OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES • $3.00 per page (Scanning Fee) $ Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund $ State DCA (Radon) Code Enforcement Fine Zoning Review REVIEWED AND PREPARED BY: $ ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) (sq.ft. = x/1000 x ¢.60) (¢.005 / sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATIC11•1 ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL r CONDITION OF' APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL •,(305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Owner: O JOB ADDRESS: 133 NE Contractor SHINE MAINTENANCE ELECTRICAL Local Phone: If thorn o. --- PAY TO THE ORDER OF FOR Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/29/2002 Applicant: Ci#ARCES Parcel # 1132060133320 Permit Status: Approved Work: POOL HOOK UP '9(-q © ©a 6 ESSIG POOLS, INC. 1800 NE 151ST STREET NORTH MIAMI, FL 33162 to Mellon United National Bank Miami. Fiaiaa Electrical Permit Permit Number: EL2002 -249 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 OF LOT 18 & LOT 19 BLK 24 LOT SIZE Total Fees: Total Receipts: $0.00 Permit Expiration: 1/25/2003 N CHAREEs ST Contractor's Address: 7323 NW 8 ST Construction Value: 63 -9642 670 / $ /1. 0.087L56 1:0670096461: 002LL3302011' .�,�..¢cmn'"- 'ter= ^'at�� a ^. cim "„ ^ �"`.a�3'vRV�. � �- $900.00 87156 DOLLARS 8 Page 1 of 1 te- inspection ation herefor in strict compliance with all ications that may have been submitted to or if the plans are changed without 3nsibility for a thorough knowledge of the lat he assumes responsibility for work done pertaining thereto and in strict conformity ;ponisibility for all work done by either D -7- 7 'dam Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Sept. 12, 1960 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 I.....I ..... Wle.ins te.in No 133 Street N • E. 91s......Street Registered Architect and /or Engineer Employing Electrician's Name Interstate Electric CO. No 6444 Street N. E. 4th Avenue Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1 . 3 . 3 Street N. E. 91.s .t S t.re.e.t State work to be performed and purpose of building (By Floors) Repa.i.r New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 2,00 STATE OF FLORIDA, COUNTY OF DADE. I 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 subcontractors 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. (Signed).. 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 OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. 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. ST LIST ^ A 100 A. CHECK D -7- 7 'dam Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Sept. 12, 1960 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 I.....I ..... Wle.ins te.in No 133 Street N • E. 91s......Street Registered Architect and /or Engineer Employing Electrician's Name Interstate Electric CO. No 6444 Street N. E. 4th Avenue Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1 . 3 . 3 Street N. E. 91.s .t S t.re.e.t State work to be performed and purpose of building (By Floors) Repa.i.r New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 2,00 STATE OF FLORIDA, COUNTY OF DADE. I 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 subcontractors 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. (Signed).. 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. MIAMI SHORES VILLAGE THIS CERTIFIES THAT the wiring and apparatus installed at by Address for owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Range watts. Water Heater watts Power: Connected load H. P. Space Heaters watts Other Apparatus 1 Office of Electrical Inspector CERTIFICATE OF INSPECTION PERMIT No. ELECTRICAL INSPECTOR. BUILDING ELECTRICAL PLUMBING Owner o Building Architect Contract or Builde Legal Descripti Address Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 1816 Work to be performed under this Permit 4 4. DATE 194 Contractor's - License No. 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: B INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. Ili accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. . 7 CONTRACTOR OR BUILDER BY AUTHORITY or r t1:: +`. s- .1 Dn Lot • gl Subdi- visio t i f + )f ::3 } . I 4/ .`.. .f Value of Project Amt. of Permit - / - BUILDING ELECTRICAL PLUMBING Owner o Building Architect Contract or Builde Legal Descripti Address Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 1816 Work to be performed under this Permit 4 4. DATE 194 Contractor's - License No. 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: B INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. Ili accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. . 7 CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of f' Building ,J , PERMIT 11T° 1564 Work to be performed under this Permit Architect Contractor or Builder ,- ''' s► Legal Lot .� r ..; .e. Bl. ,» Description CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 194 Contractor's License No. Subdi- vision Address of W ' , Value of Amt. of ..J Building # °' ....t :` 4..' , i ' 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 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. r . p Signed. '-y t - • a B ,yam T . i " is 1� ; INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. Iq accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. r BY AUTHORITY Owner/Lessee / Tenant PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address / 'OE 9"1 g Tax Folio / 3 2- 0 (O Legal Description ,/� C .11-0 - - / Er /1 p,t .c,..L 46/_,,D Owner's Address / 33 A.15 6 7 ) Contracting Co. 4. 7& - ?L i Address Historically Designated: Yes No 4 fl7 r lb( Sb2 '7 // Master Permit # Phone g e 2 , Qualifier ; )2.7,G /.Sr0 de d!e/a SS# { - - . Phone .tea 4-4, 0 State # Architect/Engineer Address Bonding Company Address Municipal # Square Ft. Estimated Cost (value) Competency # 7,f� 000i L4ns. Co. Address Mortgagor Permit Type (circle one): BUILDING CLECTRICA) PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN � WORK DESCRIPTION POLO d ye, (/e 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 authorize the above -: contractor to do the work stated. Signatur Notary as to My Commissi APPROVED: Zoning Mechanical President Date aria V. Butcher u` MY COMMISSION # CC749756 EXPIRES 8^pt:)mber 12, 2002 • UU! YI'I" I TPOY FAIN INSURANCE, INC FEES: PERMIT /®/ 'RADON — ® C.C.F. Signature of Co Building Plumbing Notary as to Contractor or Own f Builder My Commission Expires NOTARY — 0 Electrical - Builder BOND TOTAL DUE Date P , a Y Poo °F LUIS RNANDE2 , , * COMMISSION NUMBER CC972745 Ste cP MY COMMISSION EXPIRES OF FV NOV.7,2004 Date Structural Engineer ITEM BATH TIB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN MPS DUCT WORK FLCOR DRAIN SERVICE REPAIR/IETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE CURETS PROCESS AND PRESS PIPING . INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY , OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEM3LIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS �� A/C UNIT / STRIP HEATER j FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELO, 4' TILE/RES. VIOLATION PUMP S ABANDON SEPTIC TANK _ REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) - , GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL char /& f pr :20, -, 9 - /,�.� /l/! 9/ ' 2 41 a /al ,_.Q2 0 re. ////076 • g°!ia /ZOc ' ✓'&irulGp� GCISGUl4/!o/1 /000 3 &Qtf6S4 Ff 480o h?e. l9P,rator / 9-O0 d1. hwa /g It2a.. i ¢.r49a chi /16 /500 &al'�r. Malt 1 , 450 v lA/ Load I-oad e it-01 rala ry /0,000 Gr> Ca7 /c0_ woo .0�r-eic7/.2 4° o y¢oo G- f "0 /oo v 7goo12.7.6co 7 otq / 6or r�1 one qoo �ar'ts G7 /Sec/ 1-4004 ,24?oo it) /cA e) V = x /4..0 7 Qgp gxlslio - L'ry /Gv /�6 0 �G 4 7/75. 7,e k g). /-/aotY Ga)I re. - - o . ► orI � GoS0i 11.)tr4 &ri- Gorc/a/ orGo✓ ed s,(iY PL G` LU F E ER RNANDEZ 0 COMMISSION NUMBER , CC972745 Q� MY COMMISSION EXPIRES OF f%. NOV. 7.2004 6 Pay to tli Order of Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/16/2002 Applicant: 'I°tES Owner: GAN N JOB ADDRESS: 133 NE 91 Contractor SHINE MAINTENANCE ELECTRICAL Local Phone: Parcel # 1132060133320 )?&& - a, o Total Fees: $089 $0.00 Total Receipts: Permit Status: Approved Work: Service upgrade If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. SHINE MAINTENANCE CORP. ELECTRICAL SERVICE 7321 N.W. 8TH STREET MIAMI, FL 33126 -2921 3400 CORAL WAY GULF BANK MIAMI, FLORIDA 33145 For if Z -20th 2 -22 / Permit Expiration: 1/12/2003 Construction Value: $1,000.00 6 1:0660 L 19 L01: 0 100 1 506 5 II' LO 2 260 Electrical Permit Permit Number: EL2002 -231 Contractor's Address: 7323 NW 8 ST Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 OF LOT 18 & LOT 19 BLK 24 LOT SIZE Dollars 2260 63- 1191/660 0I I he equipmentor device described in the application herefor in strict compliance with all with any plans, drawings, statements or specifications that may have been submitted to s not done in compliance with such ordinances or if the plans are changed without ctor or builder named above assumes the responsibility•for a thorough knowledge of the igs or in the statements or specifications and that he assumes responsibility for work done BY: BY: Page 1 of 1 n compliance with all ordinances and regulations pertaining thereto and in strict conformity es Village. In accepting this permit I assume responisibility for all work done by either USING OPTIONAL CALCULATIONS FOR ADDITIONAL LOADS IN AN EXISTING DWELLING (NEC 220.31) ADDRESS : EDWIN LOPEZ 133N.E91stST MIAMI SHORES,FLA COLUMN 1 CALCULATING EXISTING LOADS GENERAL LOADS Step 1 General Lighting Load NEC Table 220.3 (A) 3000 WATTSx3W /sq.ft. 9000 WATTS Step 2: Small A pliance and Laundry Load.NEC 220.16 (A).; (B) S.A.Ckts. 2 X1500WATTS. 3000 WATTS Laundry Ckt. 1 X1500WATTS. 1500 WATTS Step 3: Appliance Load NEC 220.30(B) (3);(4) Range 12000 WATTS Refrigerator 1000 WATTS Dishwasher 1200 WATTS Disposal • • 300 WATTS Compactor•_ •_: _ _ ,_ WATTS NACrt�vave ... • • • • • 1500 WATTS Washer '....• • • 1200 WATTS Dyer • .•. ■•. 5000 WATTS Wattotheater • • • • • • 4500 WATTS SpifiklerpUTnp• • • • • • ' • • 1920 WATTS O ven •••••: . • • ' • . WATTS €tti4 o p . •. WATTS NAVg Pool L. • 160 WATTS New Filter PAR • • •• 1920 WATTS New Clorinator+ _ - • - : 180 WATTS New Filter OptitS WATTS New pool Pump s) WATTS Total Appliance Load Step 3 29680 WATTS. Subtotal(Step 1 +Step2 +Step3) 43180 WATTS. Step 4: Applying Demand Load NEC 220.31 First 8000 WATTS @ 100% 8000 WATTS REMAINDER 35180 W. @ 40% 14072 WATTS Column 1 Total Load 22072 WATTS Column 2 LARGEST LOAD BETWEEN HEATING AND NC LOAD. Step 5:Selectin9 Largest Load NEC Table 220.30 (C ) (1);(2);(3);(4). A/C Load A/c Heating Load 100% 10000 WATTS New Heat Pump 100% Purl WATTS Column 2 Total Load 10000 WATTS TOTALING LOADS ( COLUMN 1+ COLUMN 2) 32072 WATTS FINDING AMPS FOR PHASES I =W./V. 133.6333 WATTS NEW ELECTRICAL SERVICE ( 200 ) AMP IS ADEQUATE FOR NEW LOAD. 1 1 1 ALLEY A? W NFTEA GUM() .. . . • •• ••• � 0 PJW 6kIP POOL 200 AMP AIEW UNDERGROUND TO FPL 4 GU. MINIM MEM MEM WRING LEGEND t EDWIN LOf1Z•• •: ••• ...'. '133 ICE 9l .. • • • • • • . • MIAMI,SHOIRE'S,FL•• . .•• A- (1) - #8 SOLID BONDING. B -(2) #1Q (P),(1) - #10 (N) &(1) - #10 (G),IN 3!4 "C. C- (2) - #12 (P),CONNECT TO TIMER 8(1) #12(G),IN1 f2 "C. F- (3)- #12(P) &(1)- #12 (G),IN1 /2 "C • • ••• • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • ••• • • • • • • •• • •• • • • • ALL WIRES TO BE THHNff - MN.CU. H- (2)- #12(P &N)(1) -# 12 (G),IN1 f2"C. I -WET NICHE APPROVED FLEXIBLE CORD &(1) #8 (G),IN1 "C. • • OFC1 1 •• • • • EQUIPMENT LEGEND 1- 125AMP.UL.APPROVED AQUADYNE PANEL K 2- CHLORINATOR CLORMATIC III MODEL 301 3- FILTER PUMP MOTOR 2 eRT; D..1 H p 4- TRASFORMER 120- 12V.300 WATTS. 5- SWIMMING POOL JUNCTION BOX. 8- SWIMMING POOL LIGHT FIXTURE I400WA g i S 12- BREAKER(1)20A- 2P(FILTER PUMP)VERIFY WTH NAMEPLATE. 9 14-BREAKER(1 P(LIGHTS) P F.E. SANTOS P.E. 7323 NW 6 ST MIAMI FL 33126 305 - 2691151 OL �^ ~ °° • • • • • • • • • °° °° = • • °°°° • • °°°° • • • • • °° • • • °° o ° • °° • °~°° • • =°° • • • °° o ° °°° • • .1 • • • • • • • °° o ° • =° • ° • °°°° ° • °°°° • • SECTION BY DATE Zoning /�� /0: Electrical Mechanical Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary REVIEWED AND PREPARED B $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) ( x . 1000 ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL PERMIT APPLICATION ISSUING OFFICIAL ATE: /C ✓ CONDITION OF APPRO\AL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ELECTRICAL TYPE; Minimum Fee Q'I-Y TYPE Dryer ) 'F' TYPE Outlet, Appliance (fry. TN pi.: Service Repair Q . I . V . A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits G Water Heater Dishwasher Low -volt, Television Service, Number of Ampp2m) (` ) Water Heater New MECHANICAL TYPE Minimum Fee QTY. .TYPE Condensate Drain QTY. TYPI�; Generator QTY. 'Fyn: Refrigeration, Tons Q'I'v. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY . I . YPE Miscellaneous Fixture Q TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: /› 'l COLyGv Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1° Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF ORIDA, COUNTY OF/MIAMI -DADE ys Signature of Owiier _Dl.Jzk) 4 v/��� - Print Name S and subscribed bee me this / day o 1-002 CIAL NOTARY IVAN AREVALO NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. DD113280 MY COMMISSION I7(P. MAY 14,2006 Personally known OR, Produced Identification ye 5 r n 1 ^ Type of Identification Produced: i )('i1 S Pt C,bL) AL: STATE OF A►s1IE Print Name SignasurEof Contractor / Qualifier Sworn to and subscribed befo PERMIT APPLICATION , COUNTY OF MIAMI -DADE me this /v day of 3-U // , pe,2 / A IVAN AREVALO NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. DDI13280 MY COMMISSION (P. MAY 14,2006 Personally known OR, Produced Identification Type of Identification Produced: D72. .LUCi I mo' 1 S J rC N S CONTRACTOR - "• • • ' Name / 1� - /) License No. G 000 1S ` ki t .• . 7 C Address Address 132-3" 8 M`atrhl L. ,iLU Telephone 30 it 1 Fax *,y 1 9_ 4 1 1 Qualifier NameE ,5 y Foundation Only PROPERTY OWNER ' Name / 1� - /) A/ Address Alteration Interior Home Telephone Relocation of Structure Business Telephone Foundation Only Fax Other TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLICATION Job Address: 13� �JE c f t "1- Address Apt. Folio Number -- •sDescription of Work - ae6 2f4-6 C- Lot Block Subdivision P PG Current Use of Property 6 r 1't Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other v PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. 1 cQ ' M1Rwil stoaE City State Zip Zoning Linear Feet Square Feet Units Floors Value of Work ICCO Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Bldg Value PERMIT APPLICATION ENGINEER Name License No. Address Telephone Fax Permit Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES - VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Registered Architect and /or Engineer Employing Electrician's Name sLr_ -'- . _a f_ '= No. 1 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 Floors) New Building____. Remodeling Addition Service Overhead Size Feeders Conduit Underground Type of Installation— Conduit Tubing My Commission Expires Main Sw Amps Main Fuses_..__. . __Amps. B.X.L. Metal Moulding (Signed) The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed Date Notary Public. State of Florida No. -- - - —. { r . __ __ ' __. Street _ 1 f2e... Street A"'` Repairs No. of Stories _ Master Electrican. Before me, the undersigned authority, a notary public, duly authorized 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. to administer oaths and take acknowledgments, personally 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. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST IST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit 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 Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES - VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Registered Architect and /or Engineer Employing Electrician's Name sLr_ -'- . _a f_ '= No. 1 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 Floors) New Building____. Remodeling Addition Service Overhead Size Feeders Conduit Underground Type of Installation— Conduit Tubing My Commission Expires Main Sw Amps Main Fuses_..__. . __Amps. B.X.L. Metal Moulding (Signed) The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed Date Notary Public. State of Florida No. -- - - —. { r . __ __ ' __. Street _ 1 f2e... Street A"'` Repairs No. of Stories _ Master Electrican. Before me, the undersigned authority, a notary public, duly authorized 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. to administer oaths and take acknowledgments, personally 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. Date Type Insp' Permit No. Name Address Company MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 B 'din _ Inspection Request Time ) ..e•. Lfbc--- mit = Phone # 3'0 b ' (°—C For Inspector: 1 O ■ Name & Date Ef Approved Correction Re- Insp'n Fee ❑ Name Address 13 Company Phone # For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bµilding Inspection Request D)- -Time O o MIAMI SHORES VILL BUILDING DEPARTM 305- 795 -2204 Building Inspection Reques Date P2 Time Type Insp'n Permit Nog/ . 0° ° 2/ Name �,P e z Address It /iVL° 9/ Company 5/Li 6 ' /Yo `1' Phone # 3�.5 — ∎ - Approved Correction Re- Insp'n Fee For Inspector: g-/v Name & Date A `Pca �® , la. V>"" MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 2-01/102i Time Type Insp'n ik /4 Permit No. EL r m09,z - 2 3 Name Address Company Phone # For Inspector: 9 . Approved Correction Re- Insp'n Fee ore z 5h 7 3473,W L_7 Name & Date -Fie 30,3 5 X/4' Type Insp'n Permit No. Name Address Company Phone # Date Q- �e Time Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request ? Deco ®y For Inspector: g o��d ®� Name & Dat Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building4nspection Request Date Type Insp'n Permit No G� Approved Correction Re- Insp'n Fee 0 Time 4 t ) tfi? f,)A0 Lio,\4Q 2 3 l 0. -) For Inspector:* 1 E 9 ,,0 2 -6;re72--- 0 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n . i h'k ,k e. /0. I a \- , � Permit No. ° �` Name Address Company Phone # Fx / �� For Inspector: r II PS Name & Dat p� Approver d � Correction Re- Insp'n Fee / ' &CC eAocc MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date( / Vial> Time Type In Permit No. Name Address J ♦ � T Company Phone # 3 DS - 1 Re- Insp'n Fee ❑ 2 5 L For Inspector:1 / Approved Correction ❑ Name & Date APPLICATION FOR ELECTRICAL PERMIT Permit No 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 i No. Street Registered Architect and /or Engineer _.,_____�______— Employing Electrician's Name Overhead Service Underground Size Feeders �1 Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. s s. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No StreeL__� Location and Legal Description Lot___L�i_. _ ; Block Subdivision Street and Number where work is to be performed —No 2 _ _ /� %�"a� - - ' Street .__( State work to be performed and purpose of building (By Floors) New Building g Remodeling Addition Repairs __ No. of Stories Conduit___ _ Main Sw _________ Amps. ______ Main Fuses Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding (Signed) 2-- 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 com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer orths 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. Notary Public, State of Florida Master Electrican. 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. LAM PS REFRI G. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL CONTR. LIST / 3 ; 1 ? - ', ; �� / � / ,. / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK APPLICATION FOR ELECTRICAL PERMIT Permit No 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 i No. Street Registered Architect and /or Engineer _.,_____�______— Employing Electrician's Name Overhead Service Underground Size Feeders �1 Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. s s. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No StreeL__� Location and Legal Description Lot___L�i_. _ ; Block Subdivision Street and Number where work is to be performed —No 2 _ _ /� %�"a� - - ' Street .__( State work to be performed and purpose of building (By Floors) New Building g Remodeling Addition Repairs __ No. of Stories Conduit___ _ Main Sw _________ Amps. ______ Main Fuses Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding (Signed) 2-- 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 com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer orths 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. Notary Public, State of Florida Master Electrican. 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._ - — Date_ - -- f - - — — — — 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. h Owner's Name and Address Registered Architect and /or Enginger l ,:_________ New Building 1 Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT -• - °f i —i No Employing Electrician's Name __.1 -2 _b___.:.: '__:— ___ °______ �r. No . _fit______ e` 4_ ______ Street _Ji' Location and Legal Description Lot___1__ 1 : r ��" ' Block l � ! • Subdivision_ ►., __ ✓_____t _.t ,/ _S,..rl _" Street Street and Number where work is to be performed —No. t _ State work to be erformed and purpose of building P P g (By Floors) ---- �- �.• �a= '=- �- ��----- a-- �- .�- .t -• � _- S.__�- ..�- -� - -r- ---fir Remodeling Overhead Underground Size Feeders 1 Conduit___i__ =.4._ Main Sw.___L_t __ ___ Amps. Type of Installation - Conduit- Tubing B.X.L. Metal .Moulding The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. Addition Repairs _______________________ —___ No. of Stories (Signed)„*, Eilttrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed lr, Street _ 10 Main Fuses Amps. Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and say.; that he is the of the above described construction, that be 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.LAM PS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST ' 1 %.01 „" / .. .. ti{ '► J - { 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._ - — Date_ - -- f - - — — — — 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. h Owner's Name and Address Registered Architect and /or Enginger l ,:_________ New Building 1 Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT -• - °f i —i No Employing Electrician's Name __.1 -2 _b___.:.: '__:— ___ °______ �r. No . _fit______ e` 4_ ______ Street _Ji' Location and Legal Description Lot___1__ 1 : r ��" ' Block l � ! • Subdivision_ ►., __ ✓_____t _.t ,/ _S,..rl _" Street Street and Number where work is to be performed —No. t _ State work to be erformed and purpose of building P P g (By Floors) ---- �- �.• �a= '=- �- ��----- a-- �- .�- .t -• � _- S.__�- ..�- -� - -r- ---fir Remodeling Overhead Underground Size Feeders 1 Conduit___i__ =.4._ Main Sw.___L_t __ ___ Amps. Type of Installation - Conduit- Tubing B.X.L. Metal .Moulding The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. Addition Repairs _______________________ —___ No. of Stories (Signed)„*, Eilttrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed lr, Street _ 10 Main Fuses Amps. Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and say.; that he is the of the above described construction, that be 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. JOB: / , 1/� l BUILDING ELECTRICAL PLUMBING • • • • • • • • • WORK DONE BY ' • REUESTED The following is ready for Inspection: Inspectors Report: - AD: • • • • WILL BE READY ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No _____ 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 1 f<__._:- _____— _____—. No. Street Registered Architect and /or Engineer f Employing Electrician's Name - - ` No. __Z—____,_,....... Street ____- _.____�_ ' � 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 Floors) New Building Remodeling Addition Repairs Service Overhead Size Feeders Conduit Underground Type of Installation— Conduit Tubing Amount of Permit $ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, 1 ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized My Commission Expires MIAMI SHORES VILLAGE Main Sw Amps. Main Fuses Amps. B.X.L. Metal Moulding (Signed) Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) Notary Public. State of Florida No. of Stories Master Electrican. 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. 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 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. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No _____ 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 1 f<__._:- _____— _____—. No. Street Registered Architect and /or Engineer f Employing Electrician's Name - - ` No. __Z—____,_,....... Street ____- _.____�_ ' � 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 Floors) New Building Remodeling Addition Repairs Service Overhead Size Feeders Conduit Underground Type of Installation— Conduit Tubing Amount of Permit $ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, 1 ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized My Commission Expires MIAMI SHORES VILLAGE Main Sw Amps. Main Fuses Amps. B.X.L. Metal Moulding (Signed) Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) Notary Public. State of Florida No. of Stories Master Electrican. 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. 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.