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ELECTRICAL PERMITPERMIT APPLICATION FOR MIAMI SHORES VILLAGE - - Date / / / ro / 97 Job Address Q 0 t- � / � 7 � � 9/ Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant 5 4 1 -t S (4 /- f r Master Permit # Owner's Address e- . I Phone Contracting Co. .....5 se) N 6 - G (Ai ell ( ?! l -r -2r`e Address 3C4/ $ - /Z Qualifier SS# Phone 4 4- 3-- 8 80 6' State # Municipal # Competency # j��G��s Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING I LECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 5 e 1 - CJ < C.P Square Ft. Estimated Cost (value) L. 5:,1 1 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 zo g. Furthermore, I authorize the above -named contractor to do the work stated. 4 y) Signature of owner and/or Condo President Date Signature of Contractor or Owner- uilder Date Not My C President . • ... . 1 • • • • • mF� Rmdi'iigxpi1ICIAL NOTARY SEAL i n COMMISSION NUMBER ? . 'NP• .o Q CC606964 -� `� 2- COMMISSION EXPIRES OF F'- DEC. /0,2000 p �� ARY MORENO t * FEES: PERMIT 13/ � RADON APPROVED: Zoning Mechanical Date ‘"Sk\C.`0tk ∎`\ ifS/,r -tiJ Notary as to Contractor or Owner - Builder My C C.C.F. NOTARY oe:OF: U FACIAL NOTARY SEAL MARY MORENO COMMISSION NUM3ER CC60696 t a MY COMMISSION EXPIRES �� DEC. 10,2000 Building Electrical BOND Date Plumbing Engineering •••••■••■■ fa- .7 tc?- i I e 4 to / // 2--- c: Uj A le-k. Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date / /2/-7 - &V /9/ <, Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for tle 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.. 5 6-5 A7 4 I No ' f Street ..eV , S Registered Architect and /or Engineer... Employing Electrician's Name —1 40' = No 0 Street. Location and Legal Description Lot Block Subdivision Street../ o 5 ' Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Underground Type of Installation — Conduit Tubing Amount of Permit $ 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 sub-contractors, on work to licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. II 001 - 0-- ss. . 7O Main Sw Amps Main Fuses Amps B.X.L Metal Moulding (Signed) gzQ- /Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed uny tSis permit, as are ' ` r 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 <ntpection, 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 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS MOTORS 0.1 HP 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / f r CHECK Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date / /2/-7 - &V /9/ <, Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for tle 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.. 5 6-5 A7 4 I No ' f Street ..eV , S Registered Architect and /or Engineer... Employing Electrician's Name —1 40' = No 0 Street. Location and Legal Description Lot Block Subdivision Street../ o 5 ' Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Underground Type of Installation — Conduit Tubing Amount of Permit $ 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 sub-contractors, on work to licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. II 001 - 0-- ss. . 7O Main Sw Amps Main Fuses Amps B.X.L Metal Moulding (Signed) gzQ- /Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed uny tSis permit, as are ' ` r 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 <ntpection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Lot 0 '.1 Address of Value of Building - Project $ CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 5139 Contractor's License No. DATE ..e. i " t.. / 19 Work to be performed under this Permit B1 Subdi- vision Amount of 7 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with 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 respon- sibility for work done by his agents, servants or employees. Signed : �CTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with, ordinances lattona pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoritied of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY t. AUTHORITY ABBOT 1AI II SHORES VIL EMIT N? 5300 Ike* to be performed under this Permit e, "C. .c� "• iii,.w Subdi- vision ar builder named above to construct the building thereto and with the ma y , v submitted to and a pproved ` d with such ordinances or if the plans are the contractor or builder named above the hereby whether shown on the plans or dra o or employees. FLORIDA DATE Contractor's License No. or to install the equipment or device described i the appli- that the work will be performed in compliance with any ae �; er municipal authorities. This Permit may be revoked authorization. A further conditt . upon which fpr.a thorough knowledge of ordinances m or spepifications and a "= assumes respon- t is permft I° q se to perform the wort cov : in compliance with all ordinancbt'and regulations the , statements or : _, ,, . submitted to the proper authorities of Miami Shores Village. for : ► . done by either myself, my agent, servant or employee. BUILDING v i.ECTRICAL PLUMBING ;Owner of :Ootilding Architect 'Contractor ;ter Builder Legal Lot Description 'Address of MIAMI SHOR S VI LLAG PERMIT ° 5230 Work, to be perfo d under this Permi This permit , anted to the contractor , ,udder named above to construct the building cation herefor in • compliance with all ordinances pertaining thereto with the lan ndt ps, drawings, statements or specifications that may have been su to and approv anir time if the work is not done in compliance with such ordinances at if the plans 'mit'is granted is the understanding that the contractor or builder named above pertaining to the work covered hereby whether shown on the ity for work done WI* agents, servants or employees. Signed: In consideration of the issuance to me of this permit I agree to perform the work • ` _ in corn "pertaining thereto and in strict conformity with the .plans, , statements or ' a u .a = < , au to the n accepting " a't I assume r ,.onsibility for all work done by Other myself, my agent, servant or employee. vs BY Permit No. APPLICATION FOR ELECTRICAL PERMIT Owner's Name and Address A 2-- .___� -Z- td No. Registered Architect and /or Engineefi _____�___� _____—______ ______ __ ____ ____ _________�___ Employing Electrician's Name <-.�) LL� Location and Legal Description Lot__Cf Street and Number where work is to be performed— No.___ State work to be performed and purpose of building (By Floors) Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Block .. J (Signed) (Signe4) Date / �� J 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 a-Li_ Street___ _ Street _______________________—__ Subdivision___22: ._s Street .l_____, New Building Remodeling Addition Repairs ____ No. of Stories // " Service Overh F3rlder re Size Feeders /__ Conduit_f, Main Sw._ /� 4 Amps. Main Fuses___ —_ Amps. Type of Installation— Conduit Tubing____ B.X.L. Metal Moulding 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, wk.-work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public. State of Florida Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ _____.________�__�.______ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 , / , / [ Y O / g 7 / / / CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -S HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No. APPLICATION FOR ELECTRICAL PERMIT Owner's Name and Address A 2-- .___� -Z- td No. Registered Architect and /or Engineefi _____�___� _____—______ ______ __ ____ ____ _________�___ Employing Electrician's Name <-.�) LL� Location and Legal Description Lot__Cf Street and Number where work is to be performed— No.___ State work to be performed and purpose of building (By Floors) Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Block .. J (Signed) (Signe4) Date / �� J 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 a-Li_ Street___ _ Street _______________________—__ Subdivision___22: ._s Street .l_____, New Building Remodeling Addition Repairs ____ No. of Stories // " Service Overh F3rlder re Size Feeders /__ Conduit_f, Main Sw._ /� 4 Amps. Main Fuses___ —_ Amps. Type of Installation— Conduit Tubing____ B.X.L. Metal Moulding 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, wk.-work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public. State of Florida Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ _____.________�__�.______ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. ti 2 7 A/2 12 2— , A% )",,,''' - 2 , --. I ii ,s , ,-.., / ,?, • (. It Permit No Name and Address Registered Architect and /or Engineer Employing Electrician's Name Amount of Permit $ 1 ss. MIAMI. SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT y2 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted fd the b ding or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores illage, 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. 4'4`,42.7.,1,41-5d/Y No._ No Street ______ Location and Legal Description Lot �� _Bllock jT Street and Number where work is to be performed —No " / L_-1__!Jc_ .&____ / / - � _ Street State work to be per orrled and purpose of building (By Floors) (Signed) (Signed) Service Overhead Size Feeders Conduit____ Main Sw.______ — Amps. Underground m p Type of Installation— Conduit Tubing — B.X.L. Metal Mouldi Date Street New Building Remodeling Addition Repairs No. of Stories Master Electrican. Amps. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. i •4 • 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. SWITCH OUTLETS LIGHT OUTLETS ' PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE H EATER STRIP H EATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE T / P. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -S HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No Name and Address Registered Architect and /or Engineer Employing Electrician's Name Amount of Permit $ 1 ss. MIAMI. SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT y2 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted fd the b ding or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores illage, 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. 4'4`,42.7.,1,41-5d/Y No._ No Street ______ Location and Legal Description Lot �� _Bllock jT Street and Number where work is to be performed —No " / L_-1__!Jc_ .&____ / / - � _ Street State work to be per orrled and purpose of building (By Floors) (Signed) (Signed) Service Overhead Size Feeders Conduit____ Main Sw.______ — Amps. Underground m p Type of Installation— Conduit Tubing — B.X.L. Metal Mouldi Date Street New Building Remodeling Addition Repairs No. of Stories Master Electrican. Amps. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. i •4 • 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. BUILDING ELECTRICAL 'PLUMBING Owner of Building Architect / MIAMI SHORES VILLAGE, FLORIDA PERMIT N2 5230 Work to be performed under this Permit //-1.- �!��•'� -� �. � r I Contractor - - --k...-e,-1.., ,,. - ,, or Builders Legal Lot Description Address of / �_. Building 3 / • This permit Subdi- vision Value of Project DATE Amt. of Permit anted to the contractor dF builder named above to construct the building or to install the equipment or device dd'scribed in the appli- cation herefor in s ct 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 withouluthorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above sponsib' ity fo thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the p1. :. s em is r specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed- By ECTOR 4/ — 194 Contractor's L icense No. • In consideration of the issuance to me of this permit I agree to perform the work cov €d hereunder in compliance witlydinances an egyittions thbfftI pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper au s of Miami Shares In accepting pei assume responsibility for all work done by either myself, my agent, servant or employee. CONT$A7✓Z QR `bIt BV ILDER BY .; */ / AUTHORITY