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ELECTRICAL PERMITPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date C Job Address y . 1 /� � %�' ;� �'°' i'S�� � , �: � ° , C 3+ Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant 1 1 4 Master Permit # Owaer's Address cJ`' / fc0 E G a S Phone 7-C C o n t r a c t i n g Co. (Y,)1 (q.e f ; l C r C Address [ L t ( -- Qualifier F(i J f O_{i 6 SS# — T-S2 -Lo Competency # P � ' Ins. Co. State, # Municipal # Architect/Engineer Address Bonding Company Address 1 101,1 ?- Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION • / /t ) Square Ft. G / 722"//vim Z x"14 Estimated Cost (value) ®„® WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date SignTul°e c Contractor Or Owner Builder y ate Notary as to Owner and/or Condo President Date . ary as to Contract. or Owner - Builder My Commission Expires: Commission Expires: FEES: PERMIT 11 ° COQ RADON C.C.F. b Ku74 .augUL2.ETfllr,;ss FLDA M/.f. 21, t3:3 TOTAL DUE NOTARY Date APPROVED: Zoning Mechanical Plumbing Engineering Building Electrical ..030 o • 0 oe- 0. 0 o A P e, - o o oo o ..0 00.0 0 °V 0 G Cave Of 11 I 4 Ott . omt eitoco“.41 +. I 0 co/ goo/ cow oo..c000 0' 0 . 0! 0' ell • • c N■ 0 0 pool,/ 0070.1, a o . , I , 1,00.'0 moo-. o o e 0 • t ((i7 ii(J)</ ( /\.) •i / C oo / < ji ,14 A7 ( / 7/EPO (pt) E / t■ITZ 4,_ In J ft< c tEoris,06 t - c a c 2 , L R P Al 0 Zi'ig/'197:1A}2 ) JO L7( ,)Q G)/ "Cr /0 -- 1-;L:Or - t4/6UL 5 (.. - _ - _ --1 /,02 L i7([77 1 7, fX.) Lr2i . 100cX ,, L.a . //2/■ 1 4 1 - 7 : / -[/171-114") ( 4)--- t"" ) ) /00 7 4-4 L ••• (.) I/ 0o / 7a0C / 6 ° 6 0 4 5 - (2e - __? / C c._.31,7 tQ4=57 l c J. /I oco / z<i/4; c5/ prione,ni nniv c,vicv,12 r , u 1 - •-•:'''' - , r• - 7, 11 .4 7 - - '•••••t . • ,‘ 7:7:1,7 • E;T) CC Ufff.lr 0177,F:•;,1i‘i rf67^`Aii,,t,G. ; Date ' : Address p9- r s/ Tax Folio Legal Description /4 4141 F,1,� PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Owner / Lessee / Tenant (?1,7)Ae 12pr Master Permit # J ¥fI Owner's Address 2 77 E 11 " Phone Contracting Co. 'a1 h4co rri 6'6; irlC[pr`. Address /u/4 4'P ' ? Qualifie ©S` 4 6 ' i P.4/SS4E 2Phone 45 "S/ -O $ State ti/9CUA 84nicipal # Competency # ' 0 39 / I s Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 7 // e0 /'J ? 4/7 1-974 GTE I / c- / & a� Square Ft. Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authori e the above -nay =d contractor to do the work st: / it Signature Date: / Notary as to Owrer=•an�i /o.. Condo` resident otary as to Co �ract or �. er-Builder My Comudseion- Fires: My Commission Expires: kY PUBLIC STATE OF V:Ot31�A M I,A"► ` , ;;. WY 510N EXPIRES 5E ?YE ?Ai.53 1' • 1 „ . , D. ** * * LTV :: � bt.Nikt# U.AU AC In WARY BRO.LSAA.i- ; FEES: PERMIT /b1CAr RADON C.C.F. t' NOTARY TOTAL DUE APPROVED: Zoning Mechanical nd President fro-7 gnatu ate: n r or or - Builder Fire Other � d gBuuvilding Electrical /�� mbing Engineering r� { I6' Permit No Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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. Owners Name and Address (4644 4 -QCliZ, No –2 -' .6 /LIE– Street Registered Architect and /or Engineer Employing Electrician's Name L..lfL f a-/-z Pe.aJ'I No.L33.ik.Ad(A) Street...(. ... Location and Legal Description Lot / G Block Subdivision F' 1✓ "" ?l ci p sr Street and Number where work is to be performed —No e A✓tL Street State work to be performed and purpose of building (By Floors) New Building ✓ Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders0 :Conduit... . ` r Main Sw v---®0 Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. M9, gi ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 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 inspectio the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, ork to be performed under this permit, as are harmed by Miami Shores Village. m��,7 Master Electrician. 0 E(.—ecT l c, Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ................ My Commission Expires MIAMI SHORES VILLAGE (Signed) R., DRACva (Signed) r'r 9 fa-'4 Notary Public, State of Florida 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. 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 0 LIGHT OUTLETS PLUO RECE'P'T'8 FIXTURES NO L REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP H TOTAL CONTR. 20 �� , $'0 _i30_,_ � T w d � . _/ b 1 �oo A1[ /c f ce.r -- CHECK �1 15i ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•11 HP NEON TRANS. RADIO TOTAL CONTR. LIST Z.-del/10'V cif bb CHECK r� { I6' Permit No Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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. Owners Name and Address (4644 4 -QCliZ, No –2 -' .6 /LIE– Street Registered Architect and /or Engineer Employing Electrician's Name L..lfL f a-/-z Pe.aJ'I No.L33.ik.Ad(A) Street...(. ... Location and Legal Description Lot / G Block Subdivision F' 1✓ "" ?l ci p sr Street and Number where work is to be performed —No e A✓tL Street State work to be performed and purpose of building (By Floors) New Building ✓ Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders0 :Conduit... . ` r Main Sw v---®0 Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. M9, gi ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 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 inspectio the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, ork to be performed under this permit, as are harmed by Miami Shores Village. m��,7 Master Electrician. 0 E(.—ecT l c, Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ................ My Commission Expires MIAMI SHORES VILLAGE (Signed) R., DRACva (Signed) r'r 9 fa-'4 Notary Public, State of Florida 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. 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. BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed statement or the plans and specifications herewith submitted for the build ins or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami Shores V anti 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 spccifications must be kept at building during progress of the work. Owner's Name and Address 6 / Registered Architect and /or Engineer Name and address of licensed contractor /1 4k. J:(2.11. i140 3(' d9t/ Location and legal description of lot to be uilt on: Lot 11. Block Street and Number where work is to be done Estimate Total cost of improvements $ Ire • Zone cubage required Distance .to next nearest building.. s t .ie c'C M °Re Maximum live load to be borne by each floor MIAMI SHORES VILLAGE NOTE: A charge of $1.00 will be made for the PI, nnir.g Iio.ird. A re fee of 51.00 will be charged materials anti /or workmanship. Chairman Nferr,ber Member .. _....._......_..._._...._....._ Council Approved Date Subdivision... eye ,v 9? 4 _��. ._. _ Date..._..._. L _ _.._ p _ 197 ,_ No...__.._ .._.. Street °xgA NZ 9/ 7 f State work to be done and purpose of building (by floors) .14/C .....1 y 'il-ze.9i/ o Ai CO t!?{✓ZEZ4- _..._r (IC Zge . t Ze 5 ESC Amount of Permit plan Cubage Size of Building Lot New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. The unulersicncd applicant for this building permit does hereby certify that he understands and accepts his obligations as an eiiipinyer of labor under the Honda 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 sub - contractors employe 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 • a ors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remuks (Signed) PLANNING BOARD DATE (eft- 777 and for no other purpose. R c oi 8 7 STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared - -. • — _.. 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.. Permit No.._.__._ /tie' Date I l ( Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida w• (Signed) Building Inspector My Commission Expires Member Member Member ...._ __.._....._ Disapproved Date making corrections or changes to this application after approval has been obtained frrnn when such re- inspection is made necessary by Improper notice for inspection or faulty Permit No Owner's Name and Address MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 777//6 44 AR PER No ?- ... 9._. 63.... rye Street / S Block S Subdivision Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio:ida, 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. Registered Architect and /or Engineer Employing Electrician's Name g0 hi 1 E. G No o N l-U Street....(.. f.. 1 Location and Legal Description Lot. Street and Number where work is to be performed —No A!V- Street State work to be performed and purpose of building (By Floors) ............. .A,,,•„ LA,./1.a... S.X 41.0 7 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 5... . .. (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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 o e site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, o k to be performed under this permit, as are licensed by Miami Shores Village. STATE OP FLORIDA, } COUNTY OF DADE. a. (Signed) 92 / oaths and take Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer 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 0 LIGHT OUTLETS PLUG RECE'P'T•S FIXTURES NO.LAM ►S REFRIG. OUTLET •IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. 015T. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.6 HP NEON TRANS. RADIO TOTAL CONTR. LIST • CHECK . Permit No Owner's Name and Address MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 777//6 44 AR PER No ?- ... 9._. 63.... rye Street / S Block S Subdivision Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio:ida, 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. Registered Architect and /or Engineer Employing Electrician's Name g0 hi 1 E. G No o N l-U Street....(.. f.. 1 Location and Legal Description Lot. Street and Number where work is to be performed —No A!V- Street State work to be performed and purpose of building (By Floors) ............. .A,,,•„ LA,./1.a... S.X 41.0 7 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 5... . .. (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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 o e site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, o k to be performed under this permit, as are licensed by Miami Shores Village. STATE OP FLORIDA, } COUNTY OF DADE. a. (Signed) 92 / oaths and take Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer 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.