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ELECTRICAL PERMITType Insp'n t1- 11141 MlrJa- Permit No. Et ZOo �b y Name t3vIck� Q ST \ hoWAQ, Address 'AO OE q( - �` �° -� Company GA C(L 1 €I(! (T{ICW, CIPtl (CLC` S) ikC' Phone # 1 1 . 3 n - S 1 Inspection Date 01 1051 0,5 Approved LY Correction 26 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request D Re- Insp'n Fee ❑ ///7 `4Z-- 0 j am° 3846 qp MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date g l 1 a /06 Type Insp'n I 1■11 Permit No. EL-CS ISe! Name Ez1.� Address 32 ° 11-e 9 L 5T Company Cali COAL. Phone # )388 " tef,e5o Inspection Date 11 1 13 1 c Approved Correction Re- Insp'n Fee L4' Type Insp'n "C 1'q roc.), Permit No *1— — I S C 1 Name �r I �i r) )S - r Address 380 Nom. 9 I ST CompanyOn Co 11 ( CG Phone # 27.38 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date CS / (186) 355 -5580 Inspection Date 0 t/ZS / Approved LK Correction ❑ Re- Insp'n Fee ❑ Y,e, -e1 /`s a24-- /iL' 1 /4 , 6 �Fc c,cz. Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2005 -159 Printed: 5/23/2005 Applicant: BRIAN WOLSTENHOLME Owner: WOLSTENHOLME BRIAN JOB ADDRESS: 380 NE 91 ST Contractor ON CALL ELECTRICAL CONTRACTORS INCContractor's Address: Local Phone: Parcel # 1132060190200 Fees: Description Amount FEE2005 -6466 Building Fee $150.00 FEE2005 -6467 CCF $0.60 FEE2005 -6468 Training and Education Fee $0.20 FEE2005 -6469 Technology Fee $3.75 FEE2005 -6470 Scanning Fee $3.00 Total Fees: $157.55 Total Fees: $157.55 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 11/12/2005 Construction Value: Work: RELOCATE SERVICE FROM OVERHEAD TO UNDERGROUND (150 AMPS) Signed: (INSPECTOR) Page 1 of 1 Legal Description: EL PORTAL PB 9 -101 LOT 3 & W1/2 LOT 2 BLK 2 LOT SIZE IRREGULAR 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 permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building (E�ca Owner's Name (Fee Simple Titleholder) Owner's Address 3 E) '' E • (.2 City /p- , j �� State Job Address (where the work is being done) City 46 1 j ,Q:nE Qualifier 044.4.„ State Certificate or Registration No. gf,.x oo — y' 7 Architect /Engineer's Name (if applicable) $ Value of Work For this Permit eao. Describe Work: 12el oc.. k 5E tCE /S��Lh �t). Submittal Fe Notary $ Scanning $ j - CL) Code Enforcement $ Total Fee Now Due $ I J . 5> (Continued on opposite side) Radon $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 umbing Zip Tenant/Lessee Name x Phone # 3' dos OE. ell S4- City _ Miami Shores Village County Miami -Da Is Building Historically Designated YES NO 7 P Permit No. EL 65'15 Master Permit No. Mechanical Roofing Phone # 3 7 V 3' / 7 ) S'8' Zip Contractor's Company Name w p Y � c,orle-16 IC..A ( C Phone # 7S0 _�i`�s'• Sig Contractor's Address 7513 J6':_. -,J `` Permit Fee $ Training /Education Fee $ u'�.� State Pt Zip 33 f Z Zoning Structural Plan Review. $ Certificate of Competency No. Phone # Square Footage Of Work: Type of Work: ['Addition ❑Alteration [New ❑ Demolition tT/e rr✓L Ft C-i I) -4 ecj .;-,4 0 * * * * * * * * * * * * * * * * * * * * * * * * ** *: F ees * * * * * * * * * * * * * * * * * * * * * * * * *, * * * ** CCF $ CO CO /CC Technology Fee $ Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City _ State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: 1 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature � i _ Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 , by , day of who is personally known to me or who has produced id take an oath. NOTARY P Sign: Print: My Commis * * * * * * * * ** chc 05/13/03 E 'Pi ;;pril 8, 2006 " ° a . J).-A!0,4 ∎,ELENDEZ , 'rest ? ;r4 ;' D 8D 2006 107200 APPLICATION APPROVED BY, • v NOTARY PU Sign: Print: My Co * * * * * * * * * * * * * * * * * * * * * * * * * ** ,20_,by who is personally known to me or who has produced as identification and who did take an oath. ,S! it D t 107200 200 X p �EeS, ,.r.derwriters ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** /l/1* Plans Examiner Engineer Zoning (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.) METE; SE (GAS .ADDENDUM TO BUILDING PERMIT APPLICATION PLUMBING 1 ELECTRICAL MECHANICAL UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE ITEM BATH TIE BIDE1 LICIT OUTLETS CENTRAL HEATING DI 1 RECEPTACLES A/C (WIND) DISPOSAL 1 SERVICE TEMPORARY 1 A/C (CENTRAL) DRINKING FOUNTAIN 1 I SERVICE SIZE IN AMPS DUCT WORK FLOOD, DRAIN SERVICE REPAIR/METER CHANGE X 1 REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS C- 1 HP STEAM BOILERS SHOVER MOTORS OVER 1- 3 FP HOT WATER BOILERS SINK,, POT /3 COMP. MOTORS OVER 3 - 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 If TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 If ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMG URINAL MOTORS OVER 2E -100 HP COOLING TOWERS HATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES- 1 A/C WINDOW REINSPECTION WATER SUPPLY TO: 1 AIR CONDITIONERS A/C UNIT I I STRIP HEATER FIRE SPRINKLER I I GENERATORS TRANSFORMERS HEATER -NEW INST. 1 GENERATORS TRANSFORMERS I HEATER- REPLACE 1 I GENERATORS TRANSFORMERS 1 LAWN SPRINKLER -WELL I SPECIAL PURPOSE I 1 1 SW I hM I NG POOL OUTLETS COMM,ERC I AL I I I 1 WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, ;' TILE/RES. VIOLATION PUMP A ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCHY BASIN DISCHARGE WELL DOMESTIC WELL 1 1 AREA DRAIN 1 ROOF I M E" SJ_AF. WATER, HEATER. FIRE STANDPIPE POO PIPING LAWN SHRINK! EF. SYSTEM GAS RANGE I (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.) METE; SE (GAS .ADDENDUM TO BUILDING PERMIT APPLICATION PLUMBING 1 ELECTRICAL MECHANICAL SECTION BY DATE Zoning e LZ/��- d V 7t1OFax %v -,,:✓ a 7747 Qr & M V A -il Electrical -7," „/ /p P.60e' Mechanical — Demolish Plumbing Home Telephone Fire Business Telephone Public Works Add'I Attachment e7./_ ((�// C Structural Add'I Detachment Building Official Other CONTRACTOR Name & & g4 0,7, e._ License No. 9 5 000 9 < Q Address G c^" 1 4,-e__44,- �% 44 :l A- -g;c e LZ/��- d V 7t1OFax %v -,,:✓ a 7747 Qr & M V A -il PROPERTY OWNER New Construction Enclosure Name n.-- Alteration Exterior Repair Address E 2 — Demolish 38 e 9/ -$ -, / �''/X -7 '. / �1G.� ' Home Telephone Shell Only Business Telephone Add'I Attachment e7./_ ((�// C Fax Add'I Detachment TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) $ Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) Code Enforcement Fine Zoning Review ISSUING OFFICIAL REVIEWED AND PREPARED BY: ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑'OTHER (Specify & Attach) PERMIT FEES I Fo (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ 113, -s DATE: /� CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com INSTRUCTIONS - The following steps must he taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which print or type to allow for a more accurate processing along with this permit application. Step 2. Submit the completed application with all necessary processing of your application, you may be asked to APPLICATION 3k') /f '3 /s . r / - .. /L4 - J) Address / � s Apt. City State Zip Folio Number I / ° ! CA l) JV ��j i ) V r1 Description of Work , / C Ge j rf'�G � Lot Block �. j /t -p�.li ld��G £ 5 . G�'c r Job Address: Subdivision PB PG Zoning Current Use of Property GS /7e/ Square Feet Proposed Use of Property �Sldsrkc ,17.0=-6 }Value of Work %` Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. 2- s -7- -- - -_ Subsidiary Pe o. e2 .� l must be signed by the property owner and qualifier. Both signatures must be notarized. Please of your application. If roofing work will be done, a roofing application must be submitted documents to the Building, Planning and Zoning Department for processing. During the submit additional information. 362 Linear Feet ( (le)0 Units ' Floors ENGINEER Name License No. Address Telephone Fax ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. t TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton - Heating Strips, each Fan Outlet, Wall Service, Temporary Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch Op Signs A/C Central 8 -15 Ton Fixture - Fluorescent - Process/Pressure Piping Oven Space Heater (kw) A/C Central 16-20 Ton Pressure Vessel Fixture Light Parking Lot Lights Spas/Hot 'Nibs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top 1 Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic / Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps / ) Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE. Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. - A/C Central, Tons QTY. Cooling Tower - Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of - Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System - Process/Pressure Piping Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Gas - Appliance PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE. Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump 1I isposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainhield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 2 PERMIT APPLICATION IIIPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. Signa WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Con _ on Li Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE Print Name Sworn to and subscri . d before m. this -7/ day of 2 , Signature of Notary Public - State of Florida ert Carla Datorre * =I *My Commission CC733829 "?anr Expires Apr1114, 2002 SEAL: Personally known OR, Produced Identification Type of Identification Produced: STATE OF gnature of Contractor / Print Name Sworn to and subscribed before me thi� ,avt _ OF .. i. G . "A ignature of N.. Pu , SEAL: Flori -DADE O �P1ty PU0 . d NGEL A ._, t1 =CSEFt 2 1 �r.( 0 .33:A NU' a:a w + c CC7t;6b97 p a �,�� c. r v co ::.:1suoN eap eS le�� Personally known --I 0 OR, Dtattaced1Tc; T ' ati ic c J n Type of Identification Produced:) D)-.. )� l}43A, yo) v) ''D Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: 0 PAY TO THE ORDER OF Look for blue background•on thd front of thistheck, and the inutgeSafe® logo ot•back. If not present, do not cash. Bank of Americas ACH FUT 063100277 FOR 47 Oire 9/- EASY ON ELECTRIC INC. 305-558-0900 8022 W. 18 LN. HIALEAH, FL 33014 07-00 1841 63-27/631 Ft 961 DOLL • 1141 " P 000 LEI 4 LH° 17,0 3 LOO 2 ? ?I: 00 3 ? 30 ? ? 611 611 el 3 r 2. .mmui.,..t.rcumuardAt.azu iummromr,...sc Humum.0,3,-_cwargq.a...7..r.r.zwra.v..z...army141,4Aruxtu....-1.7,3uunrarat,1.1.,0numnmcm,..r. Salaop 401.■•■■ liclufsd dtes pi M._ NP ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS Y 24 CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS f. 5 O 1 4g0 DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE / REFRIGERATION GREASE TRAP APPLIANCE OUTLETS Z. /0,4 -,: PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP 1 3 UNDERGROUND TANKS LAVATORY OVEN 1 ;; ?,„ ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER / ;.A5 U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS EWER 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 MOTCRS OVER 8- 10 If ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTCRS OVER 10- 25 HP ' FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 If 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 SWIMMING POOL OUTLETS COM,¢RCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY-SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. _ VIOLATION PUP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. . CATCH BASIN DISCHARGE WELL OOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) _ 3AS PIPING ADDENDUM Tp,BWAdNG 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 1 L I 7 � Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT" 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, Flu :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. Owner's Name and Address... r. eos 1/ a•e h No. .. /' Street i Registered Architect and /or Engineer a Employing Electricialt's Name... e rk 0 `� 6 ! 7 e' No 3 k Street ov,,- Location and Legal Description Lot Block Subdivision. Street and Number where work is to be performed —No Street VII 4-1f State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses . Amps Underground Type of Installaeion— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, I t (Signed) ectric41 Inspector. The undersigned applicant for this building permit does hereby celtify that he understands and accepts his oblig{ons 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 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Date ( 7 — ) 3 I Gin Notary Public, State of Florida Master Electrician. COUNTY OF DADE sa. 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 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 fl CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.8 H• NEON TRANS. RADIO TOTAL LIST 1.5' y� CHECK 1 L I 7 � Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT" 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, Flu :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. Owner's Name and Address... r. eos 1/ a•e h No. .. /' Street i Registered Architect and /or Engineer a Employing Electricialt's Name... e rk 0 `� 6 ! 7 e' No 3 k Street ov,,- Location and Legal Description Lot Block Subdivision. Street and Number where work is to be performed —No Street VII 4-1f State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses . Amps Underground Type of Installaeion— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, I t (Signed) ectric41 Inspector. The undersigned applicant for this building permit does hereby celtify that he understands and accepts his oblig{ons 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 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Date ( 7 — ) 3 I Gin Notary Public, State of Florida Master Electrician. COUNTY OF DADE sa. 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 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 C % 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 \ D e.. STATE OF FLORIDA, 1 COUNTY OF DADE. ! j APPLICATION FOR ELECTRICAL PERMIT Registered Architect and /or Engineer r Employing Electrician's Name 1 �l". .. %/ ,; �� /. {! �••• No ,! Street i' Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street..L.F.. . / State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs:,.... _._ No. of Stories 68. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 7{' No Servi Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit..,, -- Tubing B.X.L Metal Moulding .J Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be/ 1:4'e-formed under this permit, as are licensed by Miami Shores Village. (Signed) Date Street 4 »� • /f 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. ACE HA TER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No C % 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 \ D e.. STATE OF FLORIDA, 1 COUNTY OF DADE. ! j APPLICATION FOR ELECTRICAL PERMIT Registered Architect and /or Engineer r Employing Electrician's Name 1 �l". .. %/ ,; �� /. {! �••• No ,! Street i' Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street..L.F.. . / State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs:,.... _._ No. of Stories 68. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 7{' No Servi Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit..,, -- Tubing B.X.L Metal Moulding .J Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be/ 1:4'e-formed under this permit, as are licensed by Miami Shores Village. (Signed) Date Street 4 »� • /f 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 Owner's Name and Address Registered Architect and /or tngineet` Employing Electrician's Name MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No. Street....; ? Location and Legal Description Lot Block Subdivision , Street and Number where work is to be performed —No Ey l Street..' State work to be performed and purpose of building (By Floors) New Building Remodeling Addition «� Amount of Permit $ Date Street..l 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 (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. 65. My Commission Expires (Signed) Notary Public, State of Florida t. 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. 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 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP N EON TRANS. RADIO TOTAL CONTR. LIST ' / CHECK Permit No Owner's Name and Address Registered Architect and /or tngineet` Employing Electrician's Name MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No. Street....; ? Location and Legal Description Lot Block Subdivision , Street and Number where work is to be performed —No Ey l Street..' State work to be performed and purpose of building (By Floors) New Building Remodeling Addition «� Amount of Permit $ Date Street..l 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 (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. 65. My Commission Expires (Signed) Notary Public, State of Florida t. 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. 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. CONTR. LIST SWITCH OUTLETS , La OUTLE 6 u , i PLUG RECE'P'T'S ! ;--, % FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEAT:.R TOTAL / / / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST / �} CHECK Permit No 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 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 __.' / r No.___________.._` -_ _ Street Registered Architect and /or Engineer Employing Electrician's Name r�.�o No. ' Street __/'_ Location and Legal Description Lot Block Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building Amount of Permit $ - 5 (Signed) STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. Remod�lieg Addition ,__, ,Repairs (Signed) Subdivision Street Service Overhead Size Feeders Conduit Main Sw Amps. .____ Main Fuses Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding No. of Stories - 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 i'1orida Workmen's Compensation Act, being Section 5:)66, Compiled Ceacral Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractor.; or sub-contractors employed by hlu it the work to be performed under this permit; and will post or cause to be posted for inspection on tho 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. Amps Before me, the undersigned authority, a notary public, duly authorized to administer oat :is and take acknowledgments, personally appeared to nlc 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 s.h,r 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 Service Overhead Underground Size Feeders STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement o f 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 ' ' No Street_ __ Registered Architect and /or Engineer Employing Electrician's Name No _ __Street__ Location and Legal Description Lot 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 __ __ Block Conduit Main Sw Amps. Type of Installation— Conduit Tubing B.X.L Metal Moulding F Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his objigations as an employer of labor under the Florida Workmen's Coinpensation Act, being Section 5a66, Compiled Ccr,cr;,1 Laws of Florida dkrrmanent Supp1:•n,eut, and has complied with the provisions thereof, and will require similar compl'ance from all coniractors or sub - contractors employed by biro in the work to be performed under this permit; and will post or cause to be po.,ted 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. ( Signed ) Subdivision Main Fuses --- - - - - -- -- ---- ---_ -- -Amps Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to Inc 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 ai;;n the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST / CHECK Permit No Service Overhead Underground Size Feeders STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement o f 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 ' ' No Street_ __ Registered Architect and /or Engineer Employing Electrician's Name No _ __Street__ Location and Legal Description Lot 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 __ __ Block Conduit Main Sw Amps. Type of Installation— Conduit Tubing B.X.L Metal Moulding F Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his objigations as an employer of labor under the Florida Workmen's Coinpensation Act, being Section 5a66, Compiled Ccr,cr;,1 Laws of Florida dkrrmanent Supp1:•n,eut, and has complied with the provisions thereof, and will require similar compl'ance from all coniractors or sub - contractors employed by biro in the work to be performed under this permit; and will post or cause to be po.,ted 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. ( Signed ) Subdivision Main Fuses --- - - - - -- -- ---- ---_ -- -Amps Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to Inc 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 ai;;n 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. BUILDING ELECTRICAL PLUMBING Owner of Building {_ :: fr if e f • Architect .. ontractor J - / or Builder Legal Lot Description. Address of Building f MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 10021 Work to be performed under this Permit f -'� Bl. o Subdi- vision Value of Project $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is 1granted 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 statement] or specifications and that he assumes responsibility for work Idone by his agents, servants or employees. r Signed •-•._. BY • / INSPECTOR DATE Contractor's License No In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all `o rdinances and regulations ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n aca g this permit I assume.. responsibility for all work one by either, m yself, m agent, servant or employee. 1 CONTRACTOR OR BUILDER BY AUTHORITY Amt. of Permit $ 195 J MIAI $HoRES VILLAGE, FLA. JOB ADDRESS INSPECTION TIME READY REMARKS 1 INSPECTOR N9 5617 - / / -2 2 - S 7 DATE BUILDING ELECTRICAL PLUMBING Architect Zontractor or Builder Legal Description. Address of Building Lot ' Fl Owner of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9833 Work to be performed under this Permit Bl. t` r Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is i granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulatio pertaining therrgto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Val/ In accepting this permit I assume responsibility for all work doi a by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building /\ • r ` - t -4 Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA ❑ J,i / 195 / JR DATF ❑ PERMIT N9 4922 Contractor's License No. ❑ O Work to be performed under this Permit �' ii,.., 1 ; > c e / P fr B1 Subdi- vision Value of Amount of Project $ II Permit $ .' This permit is granted to the contractor or builder named above to constrict the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assume s the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. ' , ' ' f , : ! ' BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. /' , CONTRACTOR OR BUILDER BY AUTHORITY 6 , y.