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ELECTRICAL PERMITigra ure of Da e: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ---) Job Address G ) Date Legal Description Owner / Lessee / Tenant Owner's Address 2;4' /h 7/ Contracting Co. o -2// Permit Type(circle one ):3UILDING WORK DESCRIPTION Ae Quay iffier State �����`= Municipal # Competency 0 Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address 4 ` /• and /o;{ Condo President �„ ,„ % �y Notary as I to OwFOrmanOlor CofflafirdEident My Commission ex S JULIO ROBLES My Commission Expires June 4, 1996 "rF e 2 ax.��Na ° Comm No. CC 20595 FEES: PERMIT � ** * * Q^ P }� RADON C.C.F. r56 SS # - - - ©/ Phone W °t LECTR G PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Square Ft. Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of al: laws regulating construction in this jurisdiction. I understand that smear - — permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK, OWNER'S OWNER ° S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work ate__.. be done in compliance with all applicable laws regulating construction and zoning. Furthertnme, I arithorize above amed co ractor to do the work stated. �� ��� f �3 �✓y-� �_ � _ y' ,�� i%i�' r ter, `S i Da Address e Tax Folio /4 Notary as to My Commissio> n Master Permit 0 Phone 71 6r/E aneer- Builder / • i � �bFF� IAL SEAL r olouNpRSepp4lder Si My Commission Expires June 4, 1996 to;-=r,o Comm. No. CC 205953 p tltl006 G0 NOTARY TOTAL DUE C' '`5 APPROVED: Fire Other Zoning Building Mechanical Plumbing Engineering rJ � Electrical ** BUILDING ELECTRICAL x_11 PLUMBING [1 ROOFING Li Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA C_1 _ .' -.CTCR OR BUIL17-ER PERMIT N? 5735 Work to be performed under this Permit Bl. Subdi- vision Value of Project $ DATE 1 Contractor's License No. Amcunt cf Permit $ This pe:nit is granted to tho contractor or builder named above to construct the building or to install the equipment or device described in the ar.p ;ication hcre.for ins ici compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plar_; drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may bo reva at any time if he cork is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this pormit is granted is the understanding that tho contractor or builder named above assumes the responsibility for a thorough knowledge of tho ordinances and regulations pertaining to t::o work covered hereby whether shown on the plans or drawings cr in the statements or specificatons and that he assumes responsibi'ty fer rror ; 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 rcguiaiior. pertain° 'hereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Vil':age. In ac. pornut I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Permit No Owner's Name and Address Registered Architect and /or Engineer .`itnpioyin% Electrician's Name ViAN11 S -- ZL VILA :.AGE Street and Number where work is to be performed —No ELECTRIC F DEF'AIt'el State work to be performed and purpose of building By Floors) (Signed) 'i O f PLACATION F®R ;LEE '3T !.I .:,,q11- i En'31C application is hereby made for the approval of the detailed staterocu. of the plans and sDi.ciiict,ticns l 'ts� 6ab4.tec; for °L it i:: ; cr structure herein described. This application is made in compliance and zt•J::ounity with. the Building rd. iu ce sit Lam. Siiares .;nr: L11 provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and Je uI:T7ona of .:a: F ;. 4 i ; < .t. of Miami Shores Village shall be complied with, whether herein specified or n.ot. A copy of approved plans sr.i c,ecificzt_ .a.1: building during progress of work. Date.. Street. > Street l 7 Lcca,tion and Legal Description Lot Block Subdivision i- 11 Street._... ' 4 . / New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders. Conduit Main Sw Amps .Main Fuses Amps Underground Type. of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ (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 lic -.nsed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. J zS Before sate, 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 81.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCI3 OUTLETS LIGHT OUTLETS PLUG REC3'P•v'a FIXTURES NO. LAMPS REFRIc. OUTLET IRON OUTLET RANGE OUTLET RANCE CO NK. WATER WQ AVM W. NEAT. CONK. EA''ACV. teican.E 97:m' Iirf 7: �R Tom:. Cor4Tn. (TILT CHECK ENT. SW. MIST. CAD. &Envies TEMP. SERVICE PERM. PAOTORS 0.1 HP MOTORS 1.8 NP NEON TRANS. RADIO TOTAL COAT I. LIST / l G CHECX Permit No Owner's Name and Address Registered Architect and /or Engineer .`itnpioyin% Electrician's Name ViAN11 S -- ZL VILA :.AGE Street and Number where work is to be performed —No ELECTRIC F DEF'AIt'el State work to be performed and purpose of building By Floors) (Signed) 'i O f PLACATION F®R ;LEE '3T !.I .:,,q11- i En'31C application is hereby made for the approval of the detailed staterocu. of the plans and sDi.ciiict,ticns l 'ts� 6ab4.tec; for °L it i:: ; cr structure herein described. This application is made in compliance and zt•J::ounity with. the Building rd. iu ce sit Lam. Siiares .;nr: L11 provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and Je uI:T7ona of .:a: F ;. 4 i ; < .t. of Miami Shores Village shall be complied with, whether herein specified or n.ot. A copy of approved plans sr.i c,ecificzt_ .a.1: building during progress of work. Date.. Street. > Street l 7 Lcca,tion and Legal Description Lot Block Subdivision i- 11 Street._... ' 4 . / New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders. Conduit Main Sw Amps .Main Fuses Amps Underground Type. of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ (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 lic -.nsed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. J zS Before sate, 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 81.00 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 I FIXTURES I RECE'P'T'S NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. SPACE HEATER STRIP I TOTAL HEATER CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE SW. CAS. ' TEMP. PERM. MOTORS 0-1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL 1 l CONTR. L1ST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PiERMIT Permit No Dat, Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building U other structure herein decribed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, F;oid 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 Divisio of Miami Shores \'illage shall be complied with, whether herein specified or not. A copy of approved plans and specifications roust he 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 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 Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amp, 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 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 noticcs 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, t COUNTY OF DADE. 5 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, peronall 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. SS. (Signed) Master Electrician. My Commission Expires Notary Public, State of Florida NOTE: A re•irspection 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 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 Registered Architect and /or Enginee Electrician's Nam STATE OF FLORIDA, l COUNTY OF DADE. I ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT No Date Street ....:t fl.. ✓ ..,. tr 7.71/0 .!,r` _ Street � Location and Legal Description of 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 Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding /- Amount of Permit 5 � ( Signed) .....:::..... �.„. ..,...�..,�.�.. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 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 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. C___ (Signed).. f . r 4 /.L ` 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 facto 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 REPRIO. 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. so A 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. Owner's Name and Address Registered Architect and /or Enginee Electrician's Nam STATE OF FLORIDA, l COUNTY OF DADE. I ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT No Date Street ....:t fl.. ✓ ..,. tr 7.71/0 .!,r` _ Street � Location and Legal Description of 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 Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding /- Amount of Permit 5 � ( Signed) .....:::..... �.„. ..,...�..,�.�.. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 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 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. C___ (Signed).. f . r 4 /.L ` 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 facto 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.