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ELECTRICAL PERMITMiami Shores Village 10050 NE 2nd Avenue Applicant: MARY Owner: BERRY JOB ADDRESS: 464 NE 91 Parcel # 1132060190030 igned: ?<_<)y\-(J fee is $50.00, which must be ~-'-" _ - This Permit is granted to the contr ordinances pertaining thereto and wit and approved by the proper municipa authorization. A further condition upc ordinances and regulations pertaininc by his agents, servants or employees Signed � " In consideration of the issuance to with the plans, drawings, statements myself, my agent, servants oLe{nploy z PAY TO THE ORDER OF 00 14 Electrical Permit Phone: 305- 795 -2204 Permit Number: EL2003 -11 Printed: 1/10/2003 Page 1 of 1 BERRY MARY ST Contractor HOME ELECTRICAL SERVICE OF CENTRALIVbAtit tor's Address: 8754 SW 129 ST Local Phone: Legal Description: EL PORTAL PB 9 -101 W1/2 LOT 4 & LOT 5 BLK 1 LOT SIZE 75.000 X 135 Permit Status: Approved Permit Expiration: 7/9/2003 Construction Value: $400.00 Work: RE -WORK EXISITNG A/C ELECTRICAL FOR CHANGE OUT If there is no permit package accessible on the job -site for inspectors to verify, there will be nn � ncnor+inne- HOME ELECTRIC SERVICE OF SOUTH FLORIDA, INC. PHONE (305) 254 -6778 8754 S.W. 129TH STREET MIAMI, FL 33176 -5916 s AA( ,c6r/.3 43QO0 $ . Total Fees: Total Receipts: $0.00 DATE SUNTRUST SunT t Bank L FOR v" T S - - -- 11'008383 1:06600 041:06990• 0 L84 28H' 8383 63- 60/660 DOLLARS ILI �« CONTRACTOR Name Home Electric Service License No. EC0000651 Address 8754 SW 129 Street Miami, FL 33176 Telephon 254 -6778 14 ' 1 (305)254-3390 Qualifier Name Randall J. Thomas PROPERTY OWNER Name Millard Berry Address 464 N.E. 91 Street Miami Shores, FL Home Telephone (305) 762 -6263 Business Telephone Fax 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 INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLICATION Job Address: 464 N _ 91 Street Address Apt. City State Zip Folio Number 1132060190030 Desc�li'ption of W rk A — t 4 €)4 's�- /N f' 4 Lot Block g /eC7✓i'Ga/ 4/ ,,. cAdq" — O ✓ c. Subdivision PB PG Zoning Linear Feet Current Use of Property R P S i r1 P n t i a 1 Square Feet Units Floors n � Proposed Use of Property Value of Work 90 Ay Bldg Value Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other X PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. Subsidiary Permit No. Miami Shores FL Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 I IPORTANT NOTICES 1. 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. 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, P 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 Construction Lien Law and Choosing a Contractor. STATE OF , " , OU ' Y IAMI -DADS Signat :f Ai/764 &.l Print Name Sw orn to and subscribed before me this day of: /, Si ture of Nota ry Public tate of Florida James C. Thom. EAL: `, Commission # DD 023458 o Exp ires J une 22, � ' #i Fess.. Bonded Tbrp ' tnnitl` tie Bonding Co., Inn. Personally known _ OR, Produced Identification STATE :F ..' of Con Signa 4A8)4 - -11;44,..1-5" Personally known / Qualifier PERMIT APPLICATION A, CO OF MIAMI -DADE Print Name Sworn to and subscribed before me this __IL day of --- Zoo 8f OR, Produced Identification Type of Identification Produced: Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. 'rvl'i Dryer QTY. 'TYPE Outlet, Appliance QTY. 'Fl PE Service Repair QTY. A/C Central 1 -3 Ton , Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No of Amps A/C Window FPL - Load Central Posts Swim Pool, Conunercial Air Conditioners Garbage Disposal Range/Range Top 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. Tl'1'1: Generator QTY. 'I YPE Refrigeration, Tons Q'rY. A/C Central, Tons 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 Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TvI'li A/C Condensate (fry. TYPE Drains, Roof QTY. TY1'E Miscellaneous Fixture QTY. 'rvii; Soakage Pit QTV. 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 Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 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 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: SECTION BY DATE Zoning Electrical - At> Mechanical Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $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 Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ (Xq..ftt. = x/1000 (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL o (305) 795 -2207 o FAX (305) 756 -8972 a http : / /www.miamishoresvillage.com Date Type Insp'n_ Permit No. Name Address Company Phone # Approved Correction Re-Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request For Inspector: j 9 3 Time Permit No VS 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 ot other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiurida, 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.. i. '$ hroopRelf No 4'- IF. Street 9 / Registered Architect and/or Engineer Employing Electrician's Name....g. ... .77:74C/q L. No. 6 S Street 5 / 9- -5 j, Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No Z"-- 6 et-- Street /N/ i- c 7 1 57 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs... se _," Overhead '" Underground Site Feeders Conduit Main Sw Amps Main Fuses Amps '' Type of Installation—Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ ..Cte (Signed) RACie 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 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. STATE OF FLORIDA, } ss. COUNTY OF DADE. (Signed). No. of Stories Master Electrician. &fore 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 $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE' VT' 5 FIXTURES NO LAMPS ROMIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE H STRIP HEATER C a = l CJ- ,----;./ /415 TOTAL CONTR. LIST I A.- 1 i 1? / & L — CHECK - I i ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. 1 MEL 5 p,,f4 m OTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. L i C__, RADIO TOTAL CONTR. LIST 0–,C ... Q() 2. . CHECK k (. 6 / 96 4' II Permit No VS MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building ot other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiurida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address.. i. '$ hroopRelf No 4'- IF. Street 9 / Registered Architect and/or Engineer Employing Electrician's Name....g. ... .77:74C/q L. No. 6 S Street 5 / 9- -5 j, Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No Z"-- 6 et-- Street /N/ i- c 7 1 57 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs... se _," Overhead '" Underground Site Feeders Conduit Main Sw Amps Main Fuses Amps '' Type of Installation—Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ ..Cte (Signed) RACie 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 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. STATE OF FLORIDA, } ss. COUNTY OF DADE. (Signed). No. of Stories Master Electrician. &fore 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. ;UILDING LECTRICAL 'LUMBING )caner of . uilding .rchitect : ontractor r Builder MIAMI SHORES VILLAGE, FLORIDA DATE 194— PERMIT N° 5600 Work to be performed under this Permit Contractor's License No .egal Lot Bl. ( . , Subdi- )escription vision _ddress of , _ ° Value of Amt. of. '- ' -: DAN _. Building • c` y Project 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 appli- ation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding. that the work will be performed in compliance wi€h any lans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked t 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 ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and egulations pertaining to the work covered hereby whether shown on the plans drawings or in the statements or specifications and that he assumes respon- ibility 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 ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. a accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUIRER BY AUTHORITY ;UILDING LECTRICAL 'LUMBING MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 5490 Work to be performed under this Permit ./ )caner of ; uilding architect : ontractor ,r Builder .egal Lot Bl. )escription 'address of o . iuilding a ; � Subdi- vision Value of Project DATE 194 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 appli- ,ation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any clans, drawings; statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked ,t 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 iermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- s ibility 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 )ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting• this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY Permit No i 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 __.:! -� / / �'v .4415 No Street_____ sT ��E e Registered Architect and /or Engineer 'l e , Employing Electrician's Name __A 'l e�! - eallo �� a _ Street__ ✓ sL ( ' __ Location and Legal Description Lot t>'_______�_______ _Blocck 1 Subdivision__Z o _f *. Street and Number where work is to be performed —No t ___. /- 9f '2 Street � e State work to be performed and purpose of building (By Floors) New Building �! ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT �� Od Remodeling Addition.. Repairs No. of Stories Overhead • Service Size Feeders 3 _/__ Conduit____ Main Sw.__ -fU ____! Amps. _ _ Main Fuses____L 0 4 -_- _Amps. Underground Type of Installation— Conduit Tubing ' B.X.L. Metal Moulding STATE OF FLORIDA, I COUNTY OF DADE. ss. nri MIAMI SHORES VILLAGE My Commission Expires Amount of Permit $_ _(Signed) - - -__W- �— -- Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Date_IJ / 2 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personalty appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the__ ___________________ of the above described construction, that be 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 Electrican. J • NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. i SWITCH OUTLETS LIGHT OUTLETS PLUG RECEE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL. C L STR / % /LE /� ' le. / / / / / CHECK • ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0 -1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK • Permit No i 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 __.:! -� / / �'v .4415 No Street_____ sT ��E e Registered Architect and /or Engineer 'l e , Employing Electrician's Name __A 'l e�! - eallo �� a _ Street__ ✓ sL ( ' __ Location and Legal Description Lot t>'_______�_______ _Blocck 1 Subdivision__Z o _f *. Street and Number where work is to be performed —No t ___. /- 9f '2 Street � e State work to be performed and purpose of building (By Floors) New Building �! ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT �� Od Remodeling Addition.. Repairs No. of Stories Overhead • Service Size Feeders 3 _/__ Conduit____ Main Sw.__ -fU ____! Amps. _ _ Main Fuses____L 0 4 -_- _Amps. Underground Type of Installation— Conduit Tubing ' B.X.L. Metal Moulding STATE OF FLORIDA, I COUNTY OF DADE. ss. nri MIAMI SHORES VILLAGE My Commission Expires Amount of Permit $_ _(Signed) - - -__W- �— -- Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Date_IJ / 2 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personalty appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the__ ___________________ of the above described construction, that be 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 Electrican. J • NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. i - • 3 4 1 0 7 ) ;A • • • 1 / ::1 ,11/ / "?4: _ - /7/7-er4 / 0 Pt ) f • ' • . /: - C 'BUILDING ELECTRICAL PLUMBING Owner of / /I „� Building / � G'U Contractor or Builder Legal V Lot Description Address of f Building g6 sibility for work done by his agents, servants or employees. (.r TRACTOR Ma TRACTOR OR BU ER MIAMI SHORES VILLAGE, FLORIDA zi DATE 1 y4_ Contractor's /5'/S License No PERMIT N° 5600 Work to be performed under this Permit "` Architect Bl y ( q?-ei 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 appli- cation 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 ab a ssumes the,r ponsibility for a thorough kno ge of th ances and regulations pertaining to the work covered hereby whether shown on the .�� r d ;a ings;or! th24at ien r specificatio e mes respon- Amt. c � /0 'U Perm:{{" By INSPE ry OR In consideration of the issuance to me of this permit I agree to perform the work covered her nder in compliance with ordinance ar3 rig tiops pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper aut t 'es of Mian S1�lb W1lag . In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY a' BUILDING ELECTRICAL PLUMBING Owner of Building v Architect Contractor \ ) or Builder ' 1A t- ° -41 Legal Lot Bl. Description B Ad uilding r ) �� sof. 46/ �9f t 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 ar°cfrawings.or,in the statements or specifications d that he aumes respon- sibility for work done by his agents, servants or employees. �''" / " � i +�- ' e , R Signed. (O (r) r l?s;�+s B ' / / INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance wi, ordinances aqd {e ations pe thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper author 'es of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. k/ qoN ACTOR OR BUILDFA1 MIAMI SHORES VILLAGE, FLORIDA DATE // 194 PERMIT N? 5490 Contractor's License No Work to be performed under this Permit Xerc 4J/q Subdi- vision Value of Project U C Amt. oft ( 4 Permit 1 BY AUTHORITY Permit Employing Electrician's Name V •M I SHORES VILLAGE 1 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date___,? Z/ %t 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. S - No. Street__ / S Owner's Name and Address _ Street--__ _4 Registered Architect and /or Engineer Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No __ t• -"IV' - -' Street__ ?, r , State work to be performed and purpose of building (By Floors) ____� �� /0 e2 y , rr � �/__L �Le.. __________ New Building Remodeling Addition.. Repairs —___ No. of Stories______________ Service Overhead Size Feeders Conduit Main Sw . Amps. ____ Main Fuses__ Underground Type of Installation — Conduit Tubing B.X.L. Metal Moulding _____________ _________ _______ —______ Amount of Permit _(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 Laws of Florida Permanent Supplement. and has com- plied with the provisions thereof, and will require similar compliance from all contractors.or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be - performed under this permit, as are licensed by Miami Shores Village. (Signed) My Commission Expires Notary. Public. State of Florida Electrical Inspector. Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that be 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'8 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 NEON TRANS. RADIO TOTAL CONTR. LIST • CHECK • Permit Employing Electrician's Name V •M I SHORES VILLAGE 1 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date___,? Z/ %t 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. S - No. Street__ / S Owner's Name and Address _ Street--__ _4 Registered Architect and /or Engineer Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No __ t• -"IV' - -' Street__ ?, r , State work to be performed and purpose of building (By Floors) ____� �� /0 e2 y , rr � �/__L �Le.. __________ New Building Remodeling Addition.. Repairs —___ No. of Stories______________ Service Overhead Size Feeders Conduit Main Sw . Amps. ____ Main Fuses__ Underground Type of Installation — Conduit Tubing B.X.L. Metal Moulding _____________ _________ _______ —______ Amount of Permit _(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 Laws of Florida Permanent Supplement. and has com- plied with the provisions thereof, and will require similar compliance from all contractors.or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be - performed under this permit, as are licensed by Miami Shores Village. (Signed) My Commission Expires Notary. Public. State of Florida Electrical Inspector. Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that be 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.