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ELECTRICAL PERMITvYy: C 1 l J am - (34, MIAMI SHORES VILLAGE BUILDING AND ZONING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138 -2382 HOMEOWNERS ELECTRICAL TEST cRc.a -icy C ROZ LA NO Switches shall be so wired that all switching is done only in the 15 conductor. (a) ungrounded (b) grounded (c) neutral (d) black 2. Hanging fixtures, where located directly above any part of the bathtub shall be so installed that the fixture is not less than 11, C feet above the top rim of the bathtub. (a) 4 (b) 6 (c) 8 (d) none of these A conduit tubing is permitted a 60o conductor fill when used 1) (a) in a hazardous (classified) location (b) when lead conductors are used (c) it meets the requirements for a 24 inch or less nipple (d) none of these 4. Where nipples 24 inches or less are used, the ampacity adjustment factors for more than 3 current carrying conductors it to this condition. (a) does not apply (b) shall be applied 5. The combined cross - sectional area of four or more conductors shall not exceed A % of the interior cross - sectional area of the raceway. (a) 40 (b) 50 (c) 70 (d) 80 .-6. Conductor sizes are expressed in 21) or in circular mils. (a) voltages g (b) American wire gauge (c) Browns wire gauge (d) kcmil 3 7 Where the outlet box will provide adequate support, a fixture weighing up to $ pounds may be supported C by that box. ..---' (a) 6 (b) 30 (c) 50 (d) 75 8 Where conductors of different insulations are run together, the maximum operating temperature is f' . (a) the temperature of the lowest conductor temperature rating (b) the ambient temperature (c) the ultimate insulation temperature (d) limited by the ampacity 9. A small appliance circuit in a dwelling unit shall not supply an outlet for the 6 e . (a) dining room (b) pantry (c) hallway (d) refrigerator 10. At least 3 inches of free conductor shall be left at each outlet, junction, and switch point for splices or connections. (a) 4 (b) 6 (c) 8 (d) 10 ]pf. Service conductors: 240 volt, terminated at a through -the roof- raceway, and less than 4 feet conductors pass over the roof overhang. The minimum clearance above the roof is) . (a) 12 in. (b) 18 in. (c) 2 feet (d) 3 feet 12. Insulated conductors of No. -t_ or smaller, intended for use as grounded conductors of circuits, shall have an outer identification of a white or natural gray color. (a) 2 (b) 3 (c) 4 (d) 6 (e) 8 The tables in A ticle 310 are based on temperature alone and do not take, into consideration. (a) continuous loads (b) voltage drop (c) insulation (d) wet locations 14. Made electrodes shall have a resistance to ground of 4 ohms or less. (a) 25 (b) 50 (c) 100 (d) 200 4 15. In kitchens and dining areas, a receptacle shall be installed at each countertop space wider than .1 . (a) 12 inches (b) 18 inches (c) 2 feet (d) 30 inches 8 In multiwire circuits, the continuity of the 2-, conductor shall not be dependent upon the device f connections. I. hot II. neutral III. ground (a) I only (b) II only (c) III only (c) I, and II An outlet box contains two cable clamps, six no. 12 wires, and one single pole switch. The minimum size box for this combination would be C. cubic inches. (a) 12 (b) 13.5 (c) 14.5 (d) 18 Receptacles rated amperes or less and directly connected to aluminum conductors shall be marked CO /ALR. (a) 15 (b) 20 (c) 30 (d) 50 When six current carrying conductors are run in the same conduit or cable, the ampacity of each conductor shall be reduced by G %. (a) 90 (b) 60 (c) 40 (d) 80 20. No point along the floor line in any useable wall space may be more than (■ feet from an outlet in a dwelling unit. (a) 2 (b) 10 (c) 6 (d) 3 Name Of.1.k1 CL92 S L. 4 Date 2722-0 Completely black out circle of your choice with pencil. If you change an answer, completely erase old answer. Double marked answers are counted "wrong." 1. pO®® 2. ® ®® ©® 3.. ®Op1®© 4 ® ©© ©® 5. ® ®O ©® 6. ®gyp•® 7. ®IDAS© c 8.o®©©® ®®0©® 10.®®©®® 11. ®, 50N® 12.®®Oair® 13. ®Ig® ©® 14.0 (DOO M 15.E ®O©® 16. ®7 17 ® ®40 5® 18. ®5©.® 19. ®®®'1)® 20. ® ®•©® 21. ® ®O©® 22. ® ®O ®® 23. ® ®O ®® Score 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 Fuilding Division of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specifications must: i '` kept at building during progress of wo Owner's Name and Address O re 1.5. 2 " No ) 1.-iii Street ‘ / Registered Architect and /or Engineer � / a Employing Electrician's Name k Yk40` LL " -t. , - i`i,:, ,- 0 Street �/ / LJ — Location and Legal Description Lot Block- /J /1 Subdivisio C Street and Number where work is to be performed—No 1 '7 % Street... . . .. 7/ 2/ 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 Type of Installation -- Conduit Tubing B.X.L .Metal Moulding Underground Amount of Permit $ 1 17 (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts hi obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo a 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 erformed under this permit, as are licensed by Miami Shores Village. (Signed) (,). Electncdl Inspector. Master Electrician. STATE OP FLORIDA, } COUNTY OF DADE. s' ' 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 RE ►RIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HEATER STRIP HEATER TOTAL CONTR. LIST -J _ � / 1 CHECK ENT. SW. DIET. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -3 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 Fuilding Division of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specifications must: i '` kept at building during progress of wo Owner's Name and Address O re 1.5. 2 " No ) 1.-iii Street ‘ / Registered Architect and /or Engineer � / a Employing Electrician's Name k Yk40` LL " -t. , - i`i,:, ,- 0 Street �/ / LJ — Location and Legal Description Lot Block- /J /1 Subdivisio C Street and Number where work is to be performed—No 1 '7 % Street... . . .. 7/ 2/ 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 Type of Installation -- Conduit Tubing B.X.L .Metal Moulding Underground Amount of Permit $ 1 17 (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts hi obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo a 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 erformed under this permit, as are licensed by Miami Shores Village. (Signed) (,). Electncdl Inspector. Master Electrician. STATE OP FLORIDA, } COUNTY OF DADE. s' ' 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, FLA. N9 6359 JOB A o c.76- fle ADDRESS IV/ Ai. L i , 7/''',S-7. / ,) -> INSPECTION C 6'4 AS C -&-- ECG c---7I v C- S g TIME READY ?../),‘ . 7 - / Y-- S REMARKS INSPECTOR / DATE PERMI T APPLICATION FOR MIAMI SHORES VILLAGE Date 0 :0 9/ Job Address / ( (Y . F/ 3 fr Tax Folio , ) 3) 0 0) 9 00 ,j ) Legal Description , ?� �/,/ w t Historicall Designated: Yes 1 Owner/Lessee / Tenant / ' R /2 / sue / Jc- Qualifier C M (os 44 State # / 000133° Municipal # Owner's Address Contracting Co. Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDIN WORK DESCRIPTION OWNER cons as to My Conunission 3 - 3o* of owner and/or Condo President Date —� y • ! i 11 • i -- 0,0 e� �� -'— . 7- :} RY SEAL Date 1 41 es 0 ANGELA M BECKER 2' Imo' g � n COMPAS90N NUMBER T. -4,t, a CC786697 7r .R. MY COMMISSION EXPIRES e OF F 0 PIOV. 15.2002 FEES: PERMIT va�� RADON C.C.F. ~ O v2. 9o,lq Address Address Address Phone Square Ft. Estimated Cost (value) tary as to ontracto or My Commission Expir Building Electri 1 , er -Bui der 7s79 BOND No Master Permit # C C" . < A 110 Address 2-057, /l/t Z 2 - c—r - 1 6 (1Akti @ °S/ ‘3) 0 Competency # ac — 00 0 /331ns. Co. LUMBING MECHANICAL ROOFING PAVING FENCE SIGN 1/41e,t, enc .4 .2 /V.tl 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. VII: I ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating zonin ermore, I authorize the above -named contractor to do the work stated. e of Con . ctor or" uilder 03 O � PRV P Uj6e r ANGELA M Z I�/f n COMPASSION NUMBER w CC786697 9r �� . Mr COMMISSION EXPIRES ` F� NOV. ?:02 NOTARY s. 0 (� TOTAL DUE ate APPROVED: Zoning Mechanical Plumbing Structural Engineer 3o A-l�rz � ITEM BATH TU3 UNIT FEE ITEM SWITCH CUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIN)) DISPOSAL , SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE CUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TCP UNDERGROUND TANKS LAVATORY OVEN ABOVE (MOUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES . 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 FP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE . SWI4AING POOL CUTLETS COWERCIAL MATER SERVICE SIGN TUBES ;EWER CONNECTIONS SIGN TRANSFORMERS JTILITY- SEWER SIGN TIME CLOCK 1TILITY -WATER FIXTURES ;EPTIC TANK ANTENNA 'FLAY TELEVISION CUTLETS :RAINFIELD, 4' TILE/RES. VIOLATION UMP & ABAiD0N SEPTIC TANK REINSPECTION •OAKAGE PIT CU. FT. ITCH BASIN u.0 ISO-URGE WELL OMESTIC WELL REA DRAIN COF INLET OLAR WATER HEATER IRE STANDPIPE 301 PIPING ANN SPRINKLER SYSTEM ' AS RANGE :TER SET (GAS) AS PIPING • PLUMBING 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.) ELECTRICAL MECHANICAL 03/29/2001 11:36 3053629631 how brand Fax Transmittal Memo Gempany Location Rai Comments Gentlemen: gfephone # (owner's sigoaam) O ro C.Mi2 (print came) . . STATE OF FLORIDA COUNTY OF DADE: No. of Pages From Company Location Fez Original Disposition: ,.Miami Shores tiUlage Building and Zoning Department ivaiami Shores, Fl 31I38 SAFETY FIRST ELECTRI PAGE 01 ROLD HARPrfl2SS RE: Propel located at (address and legal description) `/Y NE- . 9/ 17 / /? 33/ Dept Charge Telephone d Destroy 0 Return As legal owe of sultiect property, I request the eon ea of permit aumbe: 4 to _ _ay E(SS•f _ fart= &limb* reason: pr e rcEA �? L.pe Tae AA- C717 Date of last uspetaon t'14 . > hereby ably as oavo,aleien Cr authorize (near coarraccor)_55. rC to apply for such permits as necessary to nos txx or complete the construction of subject property. I agrft to hold bfrand Shores Vfla ire agates and authorized pe rsoffie1 harmless aad reFeve theta from any respaasthey or 6abt'ay for any leag =non or daorsge, cost or e;cpesse Oactudmg attorney's fee) emitting from the caacdlation of the a permit or the issuaac° of a new permit I furthermore assume respondbay for the mot , /required, of work pas• brined cuter the permit � which I am requadag essscepaaon, No eleaxt4_2 ! 60". k ("<„,...11 rM4 Q 6 y Very �}'Y�� �lec�y�t�'t44(' Prime contractor (only if . subcontractot bolds pemit or ir . thane of qualifier). 1e* . (tom tee) TodaykDate Tlme The undersigned, bens; the first duly sawn, deposes and lays tiro: belshe is the legal owner of the above property. Sworn to and subscribed before me this of Ci%`l 4okary Puofc, State of Florida at Large Caf for pickup Dare »x.a �tme►/ t i: 30134d EL689SLSOE : Kdd -- -- 39ti l I 11 I L 1 W: Q I L I :Oi TO, 83'EO Z6t ° 1 3114 Miami Shores Village Building and Zoning Deparmient Miami Shores, Fl 33138 RE: Propery located at (address and legal description) / L /C NE-- 9/ ST /'?(A-tv? / 5 s 33 / '2,c / . Gentlemen: As legal. owner of subjem property, I request the cancellation of permit number y(c5) issued to - F 1 f7fST , for the following reason: P f C (C P aD rF• LAc z-Q c cA ( CO /..) T 211-CTO Date of last inspection: /44 I hereby apply as owner-builder, or authorize (new connctor) a • to apply for such permits as necessary to construes or complete the construction on subject property. I agree to hold Miami Shores Village, its agents and authorized personnel harmless and relieve them from any responsibility or liability for any legal action or ciamage, cost or expense (including attorney's fee) resulting from the canc°c.,.Iation of the existing permit or the issuance of a new permit. I furthermore assume responsibility_ for the cotrearon, if required, of work. performed under permit for which I am requesting cancellation. Very truly yours, (owner's signature) O 50A{) (print name) STATE OF FLORIDA COUNTY OF DADE: The undersigned, being the first duly sown, deposes and says that he/she is the legal owner of the above property. Sworn to and subscribed before me this 2 Notary Public, State of Florida at Lame HOLD HARMLESS da of Date Z %112 . Prime contractor (only if subcontractor holds permit or if change of qualifier). (gee (print name) N VILLAR AR? PUBLIC STATE OF COMMISSION NO. CCQ14410 A . MY COMMISSION EXP. MAR 1 0002 T (R t a'u Ckreis v ' /a y �� l�r t d ee :i. / t 4i t; q t Sf. a fy e/e r, - z - / 1 /4" Cems GJ & v e C/ 7 4 c( Ste. Heli) a% -rl?` , ee Xe44//K C.i -/es . /1, ZIT‘/ Cs) . Gv z �v-e r.-1 a f o e -/e Wks c,z / X1 /` WAS ?(&eater rey 'tuec Q ' �-r� Gv-e- w &u // uc-2. / 6-€c e (7-e7Yzu !aw < 5.1 cv�. ekuQa Oy r E 4 0'Dto 6 6:- ? Z ■ —e52 yyys2-- bLatAdcw BUILDING p MIAMI SHORES VILLAGE FLORIDA 9�, ELECTRICAL Date : 5 _ % � PLUMBING ❑ PERMIT t.° s3�� ROOFING ❑ Owner of ) ! � ` Building ( -k / S.i,f�`�t3 ( rti 7 iC? L� Contractor 1 i / e or Builder ch ? 7:2)24.7 lr26,7;e ,. Legal Lot Description ' �°' II Bl. Address of z�C�J �/ • r, r ` 1 Building ! /� 1 = 1 .7T Off NTRACT Architect / 0 BUILDER BY j Contractor's License No. Work to be performed under this Permit = �f' - s I ./` ;1- •r� f 'i� i • t V . t' T !'r�• 1/ 0,-> 1T7/ / l jJ.D •� �'ermit: �G Subd, -t 1 V t ( /]/ 0 ) J /� r l�� CCF: �� vision / �- 310 � ` 4 f "" o ) o • u • �1 . li Sq. Ft.: Value of .,' • e Project $ 7 ' Radon: Amount of Permit: 1 5: 7 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether !howl on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees: • Sighed • ` 'r<' r'/ /t.. f �:Y- (INSPECTOR) BY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this pe . , it I u , ronsibility for all work done by either, myself, my agent, servant or employee. 5993A900 °"1 AZ&Y 65.00, • °I 0 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 2 ^ g- ©( Job Address / yy /L' E 9/ sT Tax Folio Legal Description 9( /9/c //if ?/.1-7- Owner/Lessee / Tenant tA, o o ` e t u 2 — 1 /A,.—O Master Permit # 1'1S ?4 WORK DESCRIPTION FEES: PERMIT Owner's Address 3 F 9 5 t Contracting Co. s ly r/sif 571041i, Qualifier 3/ ✓ A y frt. .3.,-da t State # CC r o d9 ( Municipal # -- Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDIN ELECTRICAL UMBING MECHANICAL ROOFING PAVING FENCE SIGN nri CJ T .- Qc)J sc,r, ><c( Irth + - tot Pi IL+ Aerie( hi' 4 00 ,541143 Cllzu r4s Square Ft. Notary as : • Owne an My Commission Exp v i ture of owner and/or Condo President Date � • . t b,.. Pi -' • i y•' L NOTARY S ,L'8 �� A M BECK R +7 n OORKSSION NUMBER � Q CC786697 ct. tdY COMMISSION EXPIRES '-/ OF Pk NOV. q ti Historically Designated: Yes No Address SS# - Phone 3o S 3 9 3 cr f /Z 3) /ilv; 339rz / Phone Tat C17 4 1 Estimated Cost (value) .6 ; • t 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. OWNERS 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 aIJd zoning. Fjuthennore, I authorize the above -named contractor to do the work stated. ik . o% i dr t une of C : ctor or Owner - Builder - ... / i £► . 1 . � F L D ary a Ito Con actor or i er -Bui der My Conunission Expires: z./e/i/ Date NOTARY 1PR P U6 e ANGELA M BECKER Z 1 + i� 00MMIS$ION NUMBER CC786697 1 ;;• . NO MY COMMISSION EXPIRES OF FAO NOV. i " -2002 RADON C.C.F. NOTARY .0 0 V BOND TOTAL DUE APPROVED: Zoning Building Electrical 6 Mechanical Plumbing Structural Engineer ate AzeHgtb ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT 3 FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS 3 CENTRAL HEATING DISHWASHER RECEPTACLES 6 A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN A1,PS DUCT WORK FLOOR DRAIN SERVICE REPAIR/1ETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE (MOUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 If HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES 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 FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIWING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER • SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION . SOAKAGE PIT CU. FT. A l oG.4 42 ex ti.k. ex 1,s4- -k'ta IN 01 CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN 100F INLET i0LAR WATER HEATER 'IRE STANDPIPE 'OOL PIPING .AWN SPRINKLER SYSTEM ;AS RANGE IETER SET (GAS) :AS 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 Cot-DE . - 1 q .. Nor, Sc.N 0r7 L20 and r' 2 ict - / flrvJoe A /!e s...) 2;ia,' 11 di. t r 7 dam >,L_i mt at- -f / .71 .. i J a a cs- va; � /n 4 Jr� J C- i 4- 4 N . c _ ci ZT Po" F" /%7 S,4 ct a f E3 . 5. I ,71 • /yJ•� s ✓e a ., Pe. / /� r�� '7 3 Z �, t��; d' s4?r 5S D I/ G] r /!� /lit S 444 et - �> �/a�j0 c•-64. a &/ Us v /.r- tc or s t e / c i . e".+1. [ d ge:,.g e. es- Co. /3. ern .4 S'eS Jh _._._._ KGCJpinyy - 1(4- 4.A.l.1.77_ ai12 ---- - - --_PP 1J_. LJo? -- - r -- _ - -- - 4 0 7.7 C[ Q. 6 aJG R f -far ri ca I sm_ �GSl _.4471 c ra.a�xcu.ot 2 � cJ o .; 14-�- 7a Id Z -23 -(. t. 7 32 6c ,7 ecL :o- '7 - -- Permit No err Registered Architect and /or Engineer Employing Electrician's Name_.._ -71 K T r L Service Overhead Size Feeders Conduit Underground Type of Installation — Conduit Tubing Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. SS. MIAMI SHORES VILLAGE •: ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ' 7 4-C° 3 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 ? L 1 ' / e � N 6 No 1 « T No ft ..e)/E 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 No. of Stories Main Sw Amps Main Fuses Amps B.X.L Metal Moulding (Signed) (Signed) Date The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. p�.J eal - 1s1 „Li r e J. 3 - j,- Street. .C.l / / J / e ricdl Inspector. ccepts his oblig ns as an employer of of Florida Pe anent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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 REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. H EAT. CONN. SPACE HEALER STRIP HEATER TOTAL CONTR. LIST 9 s 2 I Z CHECK ENT. SW. DIST. CAB. SERVICE T.P. E, SERVICE PERM. MOTOR.^. 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CON1'R. LIST // 40 iiJJ VV CHECK Permit No err Registered Architect and /or Engineer Employing Electrician's Name_.._ -71 K T r L Service Overhead Size Feeders Conduit Underground Type of Installation — Conduit Tubing Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. SS. MIAMI SHORES VILLAGE •: ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ' 7 4-C° 3 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 ? L 1 ' / e � N 6 No 1 « T No ft ..e)/E 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 No. of Stories Main Sw Amps Main Fuses Amps B.X.L Metal Moulding (Signed) (Signed) Date The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. p�.J eal - 1s1 „Li r e J. 3 - j,- Street. .C.l / / J / e ricdl Inspector. ccepts his oblig ns as an employer of of Florida Pe anent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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 No < 3 Service Overhead Size Feeders... Underground STATE OF FLORIDA, 1 COUNTY OF DADE. I APPLICATION FOR ELECTRICAL PERMIT SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) ■ 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. No.... / 1. y1. ..Street 9../�jr Owner's Name and Addres Registered Architect and /or Engi Employing Electrician's Name / 94 ,L .�G 7 ' .CNo.. /►',� Street 7eP Location and Legal Description Lot Block ,, // Subdivision Street and Number where work is to be performed —No /' � r`� Street f"'y State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs IC No. of Stories O Conduit._ Sw ./• Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ r (Signed) 1 i : �s -= . ° y ' 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 Floridarmanent 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST / J V 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 No < 3 Service Overhead Size Feeders... Underground STATE OF FLORIDA, 1 COUNTY OF DADE. I APPLICATION FOR ELECTRICAL PERMIT SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) ■ 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. No.... / 1. y1. ..Street 9../�jr Owner's Name and Addres Registered Architect and /or Engi Employing Electrician's Name / 94 ,L .�G 7 ' .CNo.. /►',� Street 7eP Location and Legal Description Lot Block ,, // Subdivision Street and Number where work is to be performed —No /' � r`� Street f"'y State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs IC No. of Stories O Conduit._ Sw ./• Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ r (Signed) 1 i : �s -= . ° y ' 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 Floridarmanent 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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. theta : - L 641 7 44%i •Li w 1 ! m . Ic.G .• $Jed w ilia M' • S4t Q..1 GILL 1 00 /w or 1 k clef,♦ /ley ^W ee 4. ' e . I. Salle_ The a cr.,,. ► G....l 4 Q• 6x1 'W., L 0.e C C ■r /6n-T 41.% 164..' 11%•I∎4'. 3 • 4 . Q i...rt QY.rrti,.••S evlj�{.;, us 0 0 T -30 G a y (, . . J t� €)'■ ,2_ - 1. c,. 1 . PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date /— 54:7 -o ( Job Address J �✓ 9l r/ Tax Folio • Legal Description Historically Designated: Yes No Owner/Less* Tenant Architect/Engineer Bonding Company Mortgagor o.� ait Q b G uZ- S$[A" -o Owner's Address •Ml�b fopwn APPROVED: Zoning Building Mechanical Plumbing Master Permit # z/gAil,2) Phone 3es Y3q 5/ L/ Contracting Co. 0 (,a,v P Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Address 1. Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 04,11. I /ll Cv u C 4' ' G S ; ' • C ! c F C lae(A cE 200.•, FL_ e7 (-4E3 4" tG.�illtivalm6 Square Ft. /5190 ° Estimated Cost (value) S 7C0 — 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 -named contractor to do the work stated. t .34 Signature of owner and/or Condo President Date � Signature of Contractor or Owner - Builder Date OFFICIAL N otary as to Owner and/or Cond PresidentG My Notary as to Contractor or Owner - Builder Date Commission Expires: NO TARY PUBLIC STA FLORIDA : • y COMMISSION NO. CC -14103 My Commission Expires: MY COMMISSION EXP. MAR• 1 002 FEES: PERMIT S RADON C.C.F. 3 NOTARY BOND TOTAL DUE 4)31/43