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ELECTRICAL PERMIT
Permit No STATE OP FLORIDA, l COUNTY OF DADE. ! j 88. Owner's Name and Address.., ...w. s/ 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. Registered Architect and/or Fngineet ,...,.// . c Street. .:::er.:.I. Location and Legal Description Lot Subdivision Block Street and Number where work is to be performed —No 6 `' Street MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT State work to be performed and purpose of building (By Floors) New Building Remodeling Addition No (Signed) e.; Repairs No. of Stories Ohead Servi ver ce Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding l � Amount of Permit $ "L (Signed) 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 La of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractor" or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub. contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Electrical Inspector. 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 H ATER STRIP HEATER TOTAL ` G' CONTR. LIST /�- /'" CHECK ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST j CHECK Permit No STATE OP FLORIDA, l COUNTY OF DADE. ! j 88. Owner's Name and Address.., ...w. s/ 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. Registered Architect and/or Fngineet ,...,.// . c Street. .:::er.:.I. Location and Legal Description Lot Subdivision Block Street and Number where work is to be performed —No 6 `' Street MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT State work to be performed and purpose of building (By Floors) New Building Remodeling Addition No (Signed) e.; Repairs No. of Stories Ohead Servi ver ce Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding l � Amount of Permit $ "L (Signed) 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 La of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractor" or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub. contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Electrical Inspector. 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. STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No i 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 No Street Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories No f Street Servi Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ (Signed) Electrical Inspector The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. (Signed kz: — " ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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. Notary Public, State of Florida Master Electrician. 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 RaCE'P'T'S FIXTURES NO. LAMPS REPRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HCATER STRIP F,I LATER TOTAL CONTR. LIST �9E�� Q CHECK CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N ON TRANS. RADIO TOTAL CONTR. LIST CHECK STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No i 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 No Street Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories No f Street Servi Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ (Signed) Electrical Inspector The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. (Signed kz: — " ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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. Notary Public, State of Florida Master Electrician. 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 Registered Architect and /or Engineer Street and Number where work is to be performed —No STATE OF FLORIDA, COUNTY OF DADE. I �' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Amount of Permit $ ' = (Signed) 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 T- SA 1 1 N 3B 1 \) (.7 0 S Street Yi ' C ( Employing Electrician's Name.AST St, SStA . LN No Street J Location and Legal Description Lot Block Subdivision Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Am s Main Fuses Amps Underground p Type of Installation— Conduit Tubing B.X.L Metal Moulding Electrical spector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo /da 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) 1 %% 0 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. H EAT. CONN. SPACE H EATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O -I HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST o 1 'w'' , 1 S' CHECK Permit No Registered Architect and /or Engineer Street and Number where work is to be performed —No STATE OF FLORIDA, COUNTY OF DADE. I �' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Amount of Permit $ ' = (Signed) 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 T- SA 1 1 N 3B 1 \) (.7 0 S Street Yi ' C ( Employing Electrician's Name.AST St, SStA . LN No Street J Location and Legal Description Lot Block Subdivision Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Am s Main Fuses Amps Underground p Type of Installation— Conduit Tubing B.X.L Metal Moulding Electrical spector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo /da 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) 1 %% 0 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 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 Owner's Name and Address C.-- ° t e = Registered Architect and /or Engineer .. , s c Employing Electrician's Name.... ...! _...4'A^'._..?.. 4.. e"� Location and Legal Description Lot Block Subdivjsion 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 STATE OF FLORIDA, 1 COUNTY OF DADE. I 55. F0 7 Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding r 4., Amount of Permit $ i (Signed) � Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and ace pts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws /o{ Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors oi!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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Date -' Street. cf= 7 Street.. .. 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 HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.3 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK 1 -- ---{{l 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 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 Owner's Name and Address C.-- ° t e = Registered Architect and /or Engineer .. , s c Employing Electrician's Name.... ...! _...4'A^'._..?.. 4.. e"� Location and Legal Description Lot Block Subdivjsion 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 STATE OF FLORIDA, 1 COUNTY OF DADE. I 55. F0 7 Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding r 4., Amount of Permit $ i (Signed) � Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and ace pts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws /o{ Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors oi!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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Date -' Street. cf= 7 Street.. .. 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 $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. ♦' Legal Description i4h4 / Lessee / Tenant Owner's Address Contracting Co. State # Architect /Engineer Bonding Company Mortgagor Permit Type(circle one): WORK DESCRIPTION 4 c9<5 ?ate ** * * FEES: PERMIT APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date V -,-,) 93.Tob Address Y.S ! N Sind Tax Folio ) ! " 3 ,206 —v' 3 - 653 4 4 motes c . 1 vv; )! Ar P Il, 014 9/ 'Si 3(5'$ /11-2; Cie_ Fl ecflrrc /0i' Qualified J4md £ -( Vireo SS# Phone 3-C,-7 Municipal Or` id/99 Competency # Ins .Co. 6fiJt / ACcr c°",/ /v4 Square Ft. 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 Signature of 9ontractor or er- Builder Date: Date: 4 far 4) Notary as to Owner and /or Condo President My Commission Expires: BUILDING ELECCTRICAL ) PLUMBING MECHANICAL ROOFING PAVING FENCE / SIGN �5 c ,`)../Air r 9 or/�- , 2 - 7 - 0,i A c S {rte,,, - -& Estimated Cost(value) /4494 00 * * * RADON Mechanical jnrl . Alec/ P Master Permit # / 106- ,S4C. -27( Phone 75 ©'/ Address 0 /V /// h Orr' Address Address Address Notary as to My Commission * * C.C.F. Fire Other Zoning Building 10 -- 70 y. 71s a 0- ,241 Rye yrf' OFFICIAL Nularty a oft acc:Or oRAWWWMWMIcie N ,. COMMISSION NUMBER C255237 C F 41 e 9 NAY COMMISSION EXP. OF f'- JAN. 26,197 NOTARY TOTAL DUE 44 Electrical )4P *50 Plumbing Engineering DADE COUNTY TAX COLLECTOR 140 W. FLAGLER fr. 14th FLOOR r• MIAMI, FL 3313Q w, . 44 ,.1 f,4'._i OWNER ORME ELi CTRIC INC Sec. Type of Business 196 ELECTRICAL THIS IS AN OCCUPA• TONAL TAX ONLY. IT DOES NOT PERMIT THE LICENSEE TO VIOLATE ANY EXISTNO REGULA• TORY OR ZONING LAWS OF THE COUNTY OR crnrs NOR Does IT EXEM THE LICENSEE FROM ANY OTHER LI- CENSE OR PERMIT RE- OUIRED BY LAW THIS IS NOT A CERTIFICATION OF THE LICENSEE'S OUALIFI- CATION. PAYMENT RECEIVED DADE COUNTY TAX COLLECTOR; 09/14/92 250000/87 000040.00 SEE OTHER SIDE DADE COON ry 1AX COLLECTOR 140 W Fl AGl_ER ST. 14th FLOOR MIAMI, I=1_ . {, 130 Licensee must register in the city where work is to be done. PAYMENT REC D DADE CNTY TAX COLLECTOR: 09 /14192 25000031:1 000200.00 ORME ELECTRIC, INC. 284 N.E. 118 Terrace • Miami, Florida 33161 • (805) 895-1849 060202 -0 BUSINESS NAME /LOCATION GRM2 ELECTRIC INC 284 NE 118 TERR 33161 UNIN DADE COUNTY NOT VALID IN: HIALEAH VILLAGE OF KEY b.1SCAYI' E DO NOT FORWARD CRME ELECTRIC INC JEAN MARIE ORME 284 NE 118 TERR MIAMI FL 33161 lk;EhistNu. 00- 0602020 CC NO: BUSINESS NAME /LOCATION ORME ELr.CTRIC INC 284 NE 118 TEkR OWNER :ORME ELECTRIC iNC ELECTRICAL 1992 MUNICIPAL CONTRACTOR'S 1993 OCCUPATIONAL LICENSE DADE COUNTY — STATE OF FLORIDA PURSUANT TO DADE COUNTY ORDINANCE 66 -2 EXPIRES SEPT. 30, 1993 ORME ELECTRIC INC 284 NE 118 TERR MIAMI FL 33161 DO NOT FORWAIED EMPLOYEES 10 FIRST CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 RENEWAL LICENSE NO. 060202 -0 C C # 000012199 FIRST Cl ASS LI S POSTAGE PAID MIAMI, FL PERMIT NO 231 000012199 IS FIEIiEBY I ICENSED TO DO BUSINESS AS A CONTRACTOR AS SPECIFIED HEREON. DADE CC12199 BRWD. 71- GME•49•X • ,744.0 LAW1ON CHILES GOVERNOR . _ . COtiefLNCI 4fliEz; UN QLjt_ K INC Ccd JOac,1?1 ALAN ORME ELECTRIC, INC. 284 N.E. 118 Terrace • Miami, Florida 33161 • (305) 895-1849 Mu! fopohlan Dade Cotiiily, Miami, 1 londa 4:LciikICAL AND ZAJNA11 0142 .190111 (0 A ) 111■1,1 ,I■ifiUr V ILO. till tiel :ir ;OIsI:o wi WRAY. ALAN EARL II ORME ELECTRIC INC 1194 SW 149TH TERR FT LAUDERDALE FL 33326 DISPLAY IN A CONSPICUOUS PLACE TRADE CATEGORY(S) MACULAR ALARM elt(C: ALAKei SPECL Sionalulo of Oijtrj Agent (2, (:AHLOS F i3ONZON. Ph 0 . PE t;ectuLoy, Coaish Board • ' • 1 Ac#1817937 STATE OF FLORIDA DEPARTMENT OF PROFESSIONAL REGULATION ELECTRICAL CONTACTORS LICENSING UOARO LICENSE NO.' 06/04/92 1 ER 0012228 THE REGISTERED ELECTRICAL CONTRACTOR NAMED BELOW HAS REGISTERED UNDER THE PROVISIONS OF CHAPTER 4F9 FS, FOR THE YEAR EXPIRING AUG 31. 1994 (MUST MEET ALL LOCAL COMPETENCY RE4UIREMENTS PRIOR TO CONTRACTING IN ANY AREA) BATCH NO. 41992 GEO STU SECRETARY NEAUE PHYPERS OF FLORIDA 529 N. MAGNOLIA P.O. BOX 2789 ORLANDO FL 32802 2789 ORME ELECTRIC INC 284 N.E. 118 TERRACE MIAMI FLORIDA 33161 ,AOL::ANLE c. LOW HAVE BEEN ....8SUED TO THE ABOVE L. PERIOD I:'[D:eCATED. NOTWITHSTANDING ANY REUIREMENT. TERM OR 3ACT 1 AHICH Y:A1 :=JED :3( TO Al OF 2.LE PHID CL2:11MS. :7 TY' ri fl C i 7F DTE EXP DATE LIMITS _IALILITY MCP 0914800 02 05/22/93 05/22/94 SEN AGE:REG. 1; X :01ERCIAL LE:.;ERAL LIABILITY WNER'S iTCNTRACTOR L'TDMOBILE LIAB ALT: OWNED AU SCHEDULED AUTOS HIRED AUTOS :1ON-OWNED AHTOS GARAGE LIABILITY CITHER JRM 75-8 (7/Oc • EXCESS LIABILITY UMBRELLA 70RM OTER THAN LMDRELLA TORM WORKERS' COMPEN- WC 0137446 02 SATION AND EMPLOYERS' LIABILITY 05/03/93 7 C SLED • • ' " ' i. / I CATE HCLDL.-. . •, • - 1'4.0 OR ALTER CCV,..L...HGL BE; OW. COMPANIES iii"--T:=1;Nt.;: CarPANY A GENERAL ACCIDENT INS CO IOMPANY _ETTER COMPANY Li COMPANY 05/22/93 'I OF nP7RATION3/LOCATIONS/VEHICLE9/SPECIAL ITEMS 4UALIFYING AGENTS - - 7 - 777t. - 1 -- t 7 t7c?ALAN EARL WRAY,II HoLER IETRO — DADE BUILDING AND ZONING !EPARTMENT A7NTRACTORS SECTION 1TTN: S. BROWN ill N.W. 1 STREET #1010 IIPFII FLORIDA 33128 1987 SHOULD ABOVE POLICIES BE CANCELLED DEFORE EXPIRATION DATE COMPANY WILL ENEY=AVOR TO MAIL 30 DAYS WRITTEN NOTICE TO LLNFJ..-(:AI HOLDER (AT LEFT); FAILURE TO MIL NOTICE SHALL IMPOSE NO OBLIGATION OR LIA OF- NY RIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE: MICHAEL SIMONELLI PR-CM/CP AG PERS&ADV INJ EA OCCLRR. FIRE DAMAGE MED. EXPENSE COMBINED SINGLE LIMIT BODILY INJ. (PER PERSON) BODILY INJ. $ (PER ACCIDENT) PROPERTY DAMAGE EA OCCURR. AGGREGATE 2500000 1500000 500000 500000 50000 5000 05/22/94 X STATUTORY LIMITS EA ACCIDENT $ 100000 DIS-POL LIM. $ 500000 DiS-EA EMPLY $ 100000 Permit No 1 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date /'Y `f ` 4 6 " 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 a of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be com ied with whether herein,,Specified or not A copy of approved plans and specifications must be kept at building during progress of work- �� , I b Owner's Name and Address. Registered Architec' and /or ngineer Employing Electrician Location and Legal Description Lot 6... 1' STATE OF FLORIDA, COUNTY OF DADE. I 85. Street and Number where work is to be performed —No .t No. _..,`/ No 0 Block Street State work to be perform and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories t. Servic ergzo d Size Feeders Conduit.. / Main Sw.......y ...1 Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit S (Signed) Street Street Subdivision 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. (Signed) ' 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER { j Y1A.. f;.. TOTAL CONTR. LIST .) ice 4 �' / t� fy L// I" t': ° -A .. CHECK J, 6- te a- ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. . 5 ,../ � • MOTORS HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / / / CHECK Permit No 1 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date /'Y `f ` 4 6 " 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 a of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be com ied with whether herein,,Specified or not A copy of approved plans and specifications must be kept at building during progress of work- �� , I b Owner's Name and Address. Registered Architec' and /or ngineer Employing Electrician Location and Legal Description Lot 6... 1' STATE OF FLORIDA, COUNTY OF DADE. I 85. Street and Number where work is to be performed —No .t No. _..,`/ No 0 Block Street State work to be perform and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories t. Servic ergzo d Size Feeders Conduit.. / Main Sw.......y ...1 Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit S (Signed) Street Street Subdivision 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. (Signed) ' 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. BUILDING ❑ MIAMI SHORES VILLAGE FLORIDA ,, Date 19 ELECTRICAL ET PLUMBING ❑ PERMIT N? 10615 Contractor's „6110 ' ROOFING ❑ License No. ❑ Work to be performed under this Permit Owner of Building s *) • Z. _ f t i j i G. I f 7' ,I C. Architect Contractor or Builder A i ! +--' CC ie { '� Legal Lot Description 1 Bl. Address of '7 VI / 5 Building "� 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 et>loyees. f l' (INSPECTOR) BY Signe CONTRACTOR or BUILDER w Subdi- vision Sq Ft Value of 11 Amount of d/ --' Project $ 11 Permit $ In consideration of the issuance to me of this permit ree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, dr ngs, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all wor one by either, myself, my agent, servant or employee. r f /a?-[--aS BY AUTHORITY BUILDING ❑ MIAMI SHORES VILLAGE FLORIDA ELECTRICAL in Date 1/ PLUMBING ❑ PERMIT N? 10278 Contractor's col r ROOFING ❑ License No. 9 Owner of Building w A %AO Architect Contractor or Builder c. ' f Legal Lot Description Address of • Building ' - " CONTRACTOR or BUILDER Work to be performed under this Permit C Subdi- vision r -y 'f c ti ;... Sq Ft. Value of 11 Amount of Project $ 11 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 tipon 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 or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or mployees. r s Signed- 4-�7 ..R ` "'NSPECTOR) BY In consideration of the issuance to me of this permit I agree o erform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawing tements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done y either, myself, my gent, servant or employee. AUTHORITY V-- BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA PERMIT N9 2927 Bl DATE Contractors License No. 1956_ Work to be performed under this Permit Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construc 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 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 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 a 416101' Permit No 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. l� A Owner's Name and Address /�'"-� 1 z- No "' s 5 `v Registered Architect and /or Engineer C y N Employing Electrician's Name.... ►..1-.1-..1... C,1„ G�e•l.�'...Cc =.No 43 b P� Street 3 C- Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No SA ) 1C Street State work to be performed and ur ose of building (By Floors) 1M P P g ).........�� — E- New Building Remodeling io o 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 $ Soo I � MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date S S. Street (Signed) .x a.. ...Fz�.�;�� Electrical Inspector. The undersigned applicant for this building permit does hereby ce-tify that he understands and accepts 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 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-contractor on work to be 1 rformed under this permit, as are licensed by Miami Shores Village STATE OF FLORIDA, COUNTY OF DADE. It Before me, he undersigned thority 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. ..C. O .&- o_.Q' 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. NOTARY PUBLIC. STATE OF FLORIDA AT LARGE MY COMMISSION EXPIRFS MAR. 9a . )-Q,jl "ty~ Commi ss ion 'Ex`p9tTeb' M n R 9 NOTE: A re-inspection fee of $1.00 will be made when such re•inspectiar, is made necessary by improper notice for inspection, or faulty materials and /or workmanship. - r5 d Master Electrician. S 'Notary Public, State of Florida 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. IST LIST 3 / (_ �'/ (� �7 / , - y 6 G 41.°1 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST '6 b . V C CHECK Permit No 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. l� A Owner's Name and Address /�'"-� 1 z- No "' s 5 `v Registered Architect and /or Engineer C y N Employing Electrician's Name.... ►..1-.1-..1... C,1„ G�e•l.�'...Cc =.No 43 b P� Street 3 C- Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No SA ) 1C Street State work to be performed and ur ose of building (By Floors) 1M P P g ).........�� — E- New Building Remodeling io o 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 $ Soo I � MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date S S. Street (Signed) .x a.. ...Fz�.�;�� Electrical Inspector. The undersigned applicant for this building permit does hereby ce-tify that he understands and accepts 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 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-contractor on work to be 1 rformed under this permit, as are licensed by Miami Shores Village STATE OF FLORIDA, COUNTY OF DADE. It Before me, he undersigned thority 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. ..C. O .&- o_.Q' 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. NOTARY PUBLIC. STATE OF FLORIDA AT LARGE MY COMMISSION EXPIRFS MAR. 9a . )-Q,jl "ty~ Commi ss ion 'Ex`p9tTeb' M n R 9 NOTE: A re-inspection fee of $1.00 will be made when such re•inspectiar, is made necessary by improper notice for inspection, or faulty materials and /or workmanship. - r5 d Master Electrician. S 'Notary Public, State of Florida Permit No Employing Electrician's Name 0.5. AZ-- � - Street and Number where work is to be performed —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 1. 7- 1 N. % ‘sN No ; 6 Street ....% Registered Architect and /or Engineer No Street... Ssi. Li.e Location and Legal Description Lot Block Subdivision Street ‘\% State work to be performed and purpose of building (By Floors) A R.& \--A . .. \:k:. New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps .Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 9 (Signed) .(; • STATE OF FLORIDA, COUNTY OF DADE. S S. (Signed) lectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts. his ol>)tig ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida l'stmanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contracit5rs 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. 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 FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. ACE HA TER STRIP HEATER TOTAL CONTR. LIST '� ` ? 7 ? \ ?7 CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.6 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No Employing Electrician's Name 0.5. AZ-- � - Street and Number where work is to be performed —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 1. 7- 1 N. % ‘sN No ; 6 Street ....% Registered Architect and /or Engineer No Street... Ssi. Li.e Location and Legal Description Lot Block Subdivision Street ‘\% State work to be performed and purpose of building (By Floors) A R.& \--A . .. \:k:. New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps .Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 9 (Signed) .(; • STATE OF FLORIDA, COUNTY OF DADE. S S. (Signed) lectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts. his ol>)tig ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida l'stmanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contracit5rs 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. 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. q s PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 5- -9 ' Job Address < ei Tax Folio -r3 -4.313 - Co S s`U Legal Description s 3i-Ati I3i Owncr/Lessec / Tenant �� (C - L Cc[ td� be. 11 Owner's Address 315 ; t se e 1 Contracting Co. 1. ../\ -e - ---ft ..N__ , \ e.__ - e . ; ` n Qualifier M • r t • lrt n r „o a-, State # d- Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Address Mortgagor Permit Type (circle onc): BUILDIN ELECTRICAT PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION PiActiLro � i t � - 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 WITII 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 arc 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 re a ing construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signatf c of owner and/or Condo President D. tc Notary as to Owner an +r Condo Presidcnt My ; ' sion �G. TUCKER COMM SION # CC 63122 ;Tit .c EXPIRES MAY 5, 2001 BONDED THRU OF PT ATLANTIC BONDING CO., INC. FEES: PERMIT .,S � € RADON APPROVED: Zoning Mechanical Building Plumbing M l M Historically Designated: Yes Master Permit # � L% D tc C.C.F. SS!! Address 3 Phone t 1 et) 30c y Signature of Contractor or Phone T0S Notary as to Contractor or Owner- Builder ktominDEBRkitp TUCKER N5 COMMISSION #t CC 631227 EXPIRES t IP BO THRU OF P• ATLANTIC BONDING CO., INC. NOTARY TOTAL DUE Electrical No wner- Buildcr Dat'c i Engineering r D, tc