ELECTRICAL PERMITDate / /Job Address 2 /16- � ` �'t Tax Folio
{ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Legal Description /,z) 0 Z 7 � � / LA) 4'I storically Designated: ,.,
/ Tenant ,3 `, iUS , / =// , --h , • /c-S
State #
Owner's A d d r e s s 3 c 2 4/6 9 / a . c -4. " / 1 :, e . 4 0,— c / Phone , `•cf )_ % - S - 7 (f) �, �' /
Contracting Co. T({ . kt,(2- c_a�- l� Address `l i(/o A Joiyt, $ G.va A , g 3 ?lqo
Qualifier "j GOI co/1 d_f`/ ss# ( 53 61-5 % - 3 ;//
Municipal # Competency # ! 1 16 6 00 t i gins. Co. 2— C I,S U l'4,t'c
Architect/Engineer
Bonding Company
Mortgagor
Address
Address
Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION &pieta._ cSevv/ e-e. w ? �l . n "1-(74p
1 1
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 authorize the above -named contractor to do the work stated.
gnature o
die 5K
er and/o ondo President Date
S ` 4 4//419e
Notary as to er and/or Condo President Date
My Commission Expires: 1 3 /l 99 9
LlJlA CRrsra.4.4-
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IN3T/.:.' '■ i•i - ni,
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FEES: PERMIT S 0 0 RADON
Signature of Contrac or or or er- Builder
Notary as to Contractor or Owner - Builder
My Commission Expires:
C.C.F. li 2 0 NOTARY
APPROVED:
Zoning
Mechanical Plumbing
Building
Yes
Master Pernut # 9 2,7
, -„4P7 i")260-&-ZITZ
c•)- c P " ?,11 f.13K 1:
P_;" S
,.Ei.
No
Date
Date
BOND
TOTAL DUE 3Q 2
Engineering
DRIP LOOP
0 BE ]0'
r (MIN)
CL.111P
' 200A
METER
2' ABOVE RD17F
1
FII ITS) JED GRADE
ANN
e ao raIK;
C L �
rt. nrl IC
tlt�l laic
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MAIN CD
1
PANEL
O'Er MIN IWEPTlI
•
MAI Mr
CLAW
3.41" X u
GRflJts(fl
Ruff Ott)u
J
SUB C.
PANEL
BY
K1:Lk Ui<
I - {c ljht
Conductor sizes __a
Conduit siz � r
Conduit type •
Thr roof Y E5 __ NO
VAIN. DIS ONNECT
Ratlnp - D Amps
Het pc'
:Tub Sub Breolcer-s — 10— Ares
SUB FEEDER
New
Type
SIGNATURE OF CONTRACT � R
.1
Ground wlr-c :tee
- -- - - - - --
Exl stm0 '--_
Stre
Bond :s'tz4� __ -
I1dSEDE PANEL
Rating ; ip J APIps
Bone! Bess Yes _No
Loc � - tifln_ 1'
PER S.F.II.C, 4505.2(B)
•
NOTARY
API'Pl I\'I— D
t . ' - r
P,AgAm6 SHORES MBLLAG
C rRICAL
�.c)sti4riING
MECHANICAL
SUBJECT TO COMPLIANCE WITH ALL FEDERAL, STATE AND COWRTY
RULES AND REGULATIONS.
MIAMI SNORES VILLAGE ASSUMES NO RESPONS!BILITIES FOR ACCURACY
OF OR RESULTS FROM THESE PLANS.
'MPLI.etAICE WITH THE SOUTH FLORIDA BUILDING CODE AS ADORED BY
. .A! Si1ORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & SUB
t ` �fVACTORS ARE CHARGED WITH THE KNOWLEDGE OF ALL BUILDING
Fii•. iJLA1IONS WHEEITIER OR NOT SPECIFICALLY INDICATED HEREIN.
APPLICATION FOR ELECTRICAL PERMI
Permit No 2— Date
/960
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su mitted 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
STATE OP FLORIDA, 'l
COUNTY OF DADE. J t
65.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
eSCd E 7' - /7D iv/Soy/ 3
Registered Architect and /or Engineer
No /1P / f/r Street... / J:5" 7`
Employing Electrician's Name :. .� l..C...t.1.P. /..
INSaF 8 A 9 r1 N
Location and Legal Description Lot..i.o.r..1.0
Street and Number where work is to be performed —No 3 z ' Street
Block . Subdivision q'//1-97/ S
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Amount of Permit $ 2 (Signed)
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
Street ' ,
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and acce s his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or ub•contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, are
licensed by Miami Shores Village.
(Signed). ' ,y`�r t�'f 7C — �'�"' l•�%�l �b�
Muter E rician.
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
RECC'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
H TER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
L1sT
CHECK
_
APPLICATION FOR ELECTRICAL PERMI
Permit No 2— Date
/960
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su mitted 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
STATE OP FLORIDA, 'l
COUNTY OF DADE. J t
65.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
eSCd E 7' - /7D iv/Soy/ 3
Registered Architect and /or Engineer
No /1P / f/r Street... / J:5" 7`
Employing Electrician's Name :. .� l..C...t.1.P. /..
INSaF 8 A 9 r1 N
Location and Legal Description Lot..i.o.r..1.0
Street and Number where work is to be performed —No 3 z ' Street
Block . Subdivision q'//1-97/ S
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Amount of Permit $ 2 (Signed)
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
Street ' ,
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and acce s his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or ub•contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, are
licensed by Miami Shores Village.
(Signed). ' ,y`�r t�'f 7C — �'�"' l•�%�l �b�
Muter E rician.
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.