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ELECTRICAL PERMITType Insp'n Permit No. MIAMI SHORES VIL. A GE BUILDING DEPARTME 305- 795 -2204 Building Inspection Reques Dates E g-c o - $3 El Name -- 1C)SC� Address 11 C1 5 NE q j � s+ Company 0‘ El Phone # J 3q -GO a &3 Inspection Date vy Approved L�J Correction ❑ 4)iJy '. Re- Insp'n Fee ❑ Date Type Insp'n Permit No. Name Company Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Phone # Time Address 4 (5 q A*- For Inspector: it / ?l �o� t Name & Approved Tr 11 — 7a - der a°2g/ ,7hoL «dtL ,4- e-Ke_} C Bra/ war( ®0 ;E-' 7 e:/ /! Date Type Insp'n Permit No. Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES ,VILLAGE BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Re Name d./l.luct,son . Address 4ckY 1 5} Company De so C I eC Phone # 30s - gZ s i t°L (%% «e �P/Z Date Type Insp'n Permit No Name 'Address Comp Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Nit Ct) , 7, Phone # � �' & - 2 2F For Inspector: 1°; Approve Re- Insp'n Fee ❑ SEP I '3 2003 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Buildin Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) £ ru.0 e, Lauri ► e J)a J .Soh Phone # Owner's Address M (S NE 91" * S4-- City frilapvt1 S hares State FL..- Tenant/Lessee Name t4 ovt e- Job Address (where the work is being done) City Miami Shores Village City Ov " c44 , Qualifier /l4 • �c 4 .e c ( f-lax d a w $ Value of Work For this Permit 2O i 0 0 O Miami Shores Village Building Department L c NET 91St St- County Miami -Dade Permit No. P O —(503 Master Permit No. Zip 3 338 Phone # ►'► /a- Roofing 3or 7SI - b'979 zip 33 )3& Is Building Historically Designated YES NO x co "ti srn f"7c' .ZW Contractor's Company Namf b-2 d e}'e.r n i r eA Phone # 3 to s- 6 ''s /- 0J 2 G Contractor's Address l 2 ` � ` � O "‘'+) 1 State Zip 3 3 i d' 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Architect /Engineer's Name (if applicable) Ett WA fel A . Landers . Phone # 3 t. g.) 3 -393 g Architect/Engineer's Address ? S S a NO 1'4 6 ` St. S'L SO ' Cit ' i Q wi Lakes State F L Zip 3 301.6 Square Footage Of Work: O Number of: Bays Stories Families Bedrooms Baths Type of Work: ['Addition SAlteration ['New ❑ . Repair/Replace ❑ Demolition Describe Work: Re %oU a 'FL morn, hu;1d orho(, ali"er Walls itA Lei. bR. Replace. kit 4 - F1... raovy■ LOOnctouJS • atiek 0tAl-Stde. eta +o 1t, room relocate elech- LI sal - kites, otcile(s + (� k►tS as heeded 1 repIQ.� IC t 4 F L rvo MIN {loon and 1.-R- as heeriP * * * * * * * * * * * ** ** * *, ,�* ** ee * * * * * * * * * * * * * * * * * * * * * * * * ** 2 � /ivy ; County Escrow Fee $ ermit Notary $ 5 • CO Education/Training Fee $ Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ Minus Plans Check Fee $ Total Fee Now Due $ (Continued on opposite side) 4 app. $o &ttu est.. eis 2q . Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature chc7n /o3 Signatur Owner or Agent The foregoing instrument was acknowledged before me this t(0 day of )e.p1- , 20 (,t,7, by xue..' A - D dsc?1. , who is personally known to me or who has produced As identification and who did take an oath. JAR - 6 2O Contractor The foregoing instrument was acknowledged before me this day of 20 byq \ ! C () CJ who is ersonally kno T cJr . to me or who has produced Dg..— • s identification and who did take an oath. NOTARY PUBLI t Sign: ... 1 ` Print: ��y�tission #DD23198 J - ' . !�' _ alltdi •� ys gas � atgges jutt3Jt00 �� ,�:�:,� 1984 My Commission Expires: s' p pedThu My Commission Expires: ? 9 E �� pires: ul 13,2007 �' ;,� o?,: Boni • Thn, * * ** ** * * ** * * * * * ** *** * * *** * * *Ww4} * ** fr 43 **** * * 1ID** ************ * * *** ** *** *** * ** * *,t * * * * * * * * * ** '�r'�k * * *' Inc. +3 1ow410., (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. APPLICATION APPROVED BY: 23AL Thth 3 . Plans Examiner Engineer ��1�� / /( Zoning R BUILDING PERMIT APPLICATION FBC 2001 Describe Work: (Continued on opposite side) 1V1 1 41111 31101 CS V 111 ag e Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing • Owner's Name (Fee Simple Titleholder) Phone # Owner's Address City State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit a ©.J 9OC7 Square Footage Of Work: 0 Type of Work: ❑Addition Alteration ❑New ❑ Repair/Replace ❑ Demolition * * * ** ** * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ eel 5 Permit Fee S 0 L a `2 'Notary S Training/Education Fee 5 `T Permit No. PV° 7 Master Permit No. CCF Technology Fee S .1 Scanning $ 7 Radon S �� B 11 ond S 300 — Code Enforcement S Structural Plan Review. $ ,�a ('°� Total Fee Now Due S 3 , o 6 CC\ C 0 • • Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be. charged. • Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 _, by , day of , 20 by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: Chc 10/14/03 My Commission Expires: ***************************** *** * * * ** *s * * * * * * ** * * * * * ** * * * * ** dirt*************** * * * * * * ** * * * * * ** ** * * * * ** ** * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * ** # * * * * * * ** ! * n l * * * * * * * * * * * * * * * * ** '� Q� APPLICATION APPROVED BY: � � ` ��� Plans Examiner Engineer Zoning MIAMI SHORES' VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Req Date 61 i y 10 Y Type lnsp'n Permit No. E L p vu(7 53 Name Q V I dSo Address 2/ 96" /VG 9/ ST Phone # Company Inspection Date • 5 d Approved -- Correction ❑ / -s `rG'A-. Re- Insp'n Fee ❑ Date Job Address Tax Folio Legal Description f Historically Designated: Yes Owner /Lessee/Tenet thl/a Owner's Address 4 Al 9/ l Phone Contracting Co. Die`' /� /e 4 is % 2 NG' Qualifier /)�n'3 8 Dr.30 ���i State # /� / Municipal # � �/ / 446 7 I AI .�. .�� 1 -4 Sign.ture of owner and/or Condo President Date Notary as to Owner and/or Condo President My Commission Expires FEES: PERMIT e P m' RADON PERMIT APPLICATION FOR MIAMI SHORES VILLAG f_____ 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 � �'� ��0� Date kSO 100 C +-- O 0* a.O C.C.F SS# OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work regulating construction and zoning. Furthermore, I authorize the above named contractor to do th C Master Permit # L ` 1 3 - /id, Address 4/ 1 Jb7 /2/ L.J$$ / Phone 36 Ai I /// Competency # 9 ^L v7U Ins. Co. f-/ /14.JIU 1- / IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING / B / UIIL /M DING EELECT PLUMBING 1 MECHANICAL ROOFING dt9i 7// WORK DESCRIPTION: K * i r e m i -0,0 � � ICAL � e r % e a1 ( 9 5 7, ✓�T I ,ti,g el reuse Cr ''i1i9 rho., ( cud Square Ft. Estimated Cost (value) " z elo'° WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. e done stat� Signature of Contractor or Owner Builder Notary as to Contractor or Owner Builder My Commission Expires d`�', "% Bruce B Gilman 3r * My Commission CC814459 0vni -$ - ,Au,.ia ExiresFebruary28,2004 O ' BOND mpliance with all applicable laws z Date Date L APPROVED: lT' ' 0 . `x.11( 6 TOTAL DUE Zoning Building Electrical Mechanical Plumbing Structural Engineer ITEM 3ATH TU3 UNIT FEE ITEM SWITC -I OUTLETS UNIT 7/ FEE ITEM SPACE HEATERS UNIT FEE 3IOET LIGHT CUTLETS b CENTRAL HEATING DISHWASHER RECEPTACLES /2 A/C (WIN)) DISPOSAL SERVICE TEMPORARY A/C (CENTRA DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK 'LOUR DRAIN SERVICE REPAIR.A€TER CHANGE REFRIGERATION SREASE TRAP APPLIANCE CUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY - WATER HEATER U.F. PRESSURE VESSELS :IOTHES WASHER MOTORS 0- 1 FP STEAM BOILERS SHOWER MOTORS OVER 1- 3 If HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 If TRANSPORTING ASSEM9LIES SINK, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 PP FIRE SPRINKLER SYSTEMS JR I NAL AOTCRS OVER 25-100 H' COOLING TOWERS PATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION MATER SUPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SW I W I NG P00L OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES ;EWER CONNECTIONS SIGN TRANSFORMERS rTILITY -SEWER SIGN TIME CLOCK ITILITY -WATER FIXTLRES ;EPTIC TANK ANTENNA ELAY TELEVISION OUTLETS RAINFIELD, 4' TILE/RES. VIOLATION UM' & ABANDON SEPTIC TANK REINSPECTION OAKAGE PIT CU. FT. .7167 / �� -e7 7 ATCN BASIN ISCHARGE WELL OMESTIC WELL REA CRAIN OOF INLET OLAR WATER HEATER IRE STANDPIPE COL PIPING - AWN SPRINKLER SYSTEM AS RANGE ETER SET (GAS) AS PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. O3TAIN ±ED;v'THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/25/2004 Applicant: BRUCE & LAURIE Owner: DAVIDSON JOB ADDRESS: 495 NE 91 Contractor DESO ELECTRIC INC Local Phone: Parcel # 1132060140150 Fees: FEE2004 -1927 FEE2004 -1928 FEE2004 -1929 F E E2004 -1930 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $100.00 $0.60 $0.20 $2.50 $103.30 Total Fees: $1 ,3.30 Total Receipts: W60 X3. 0 Permit Status: APPROVED Permit Expiration: 8/21/2004 Construction Value: $700.00 Work: SMALL KITCHEN REMODEL SOME RELOCATES INSTALL 1 SUB PANEL REUSE EXISTING LIGHTING CIRCUITS Signed: Legal Description: 6 53 41 MIAMI SHORES SEC 2 PB 10 - 37 LOTS 23 & 24 (INSPECTOR) Signed: (Contractor or Builder) Electrical Permit Permit Number: EL2004 -53 DAVIDSON BRUCE & LAURIE ST Contractor's Address: 7801 W 25 CT Page 1 of 1 BLK 49 LOT SIZE In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. BY: Q - `6c ti MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT - APPLICATION FOR ELECTRICAL PERMIT 11 9 I Date. // — ,� 70 Permit No ... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address STo U T Registered Architect and /or Engineer Employing Electriciati's Name / % v� iePry ( G Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No e t 9 ( t No 'Y 96 Ai c 9 / ff Street No /0.3 ..3 �t/ Street Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition x 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) The undersigned applicant for this building permit does hereby certify that he understands and accepts his ..ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid 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, } COUNTY OF DADE. (Signed) Electrical Inspector. r Electri ci cV 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 H W. HEAT. CONN. SPACE H STRIP HEATER TOTAL CONTR. LIST i a e ff . I. -1 ' .,./, CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. 77/I9 E el �OGA /(/ I. 1 J MOTORS O -I HP / MOTORS I -S HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK (- Z") ti MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT - APPLICATION FOR ELECTRICAL PERMIT 11 9 I Date. // — ,� 70 Permit No ... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address STo U T Registered Architect and /or Engineer Employing Electriciati's Name / % v� iePry ( G Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No e t 9 ( t No 'Y 96 Ai c 9 / ff Street No /0.3 ..3 �t/ Street Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition x 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) The undersigned applicant for this building permit does hereby certify that he understands and accepts his ..ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid 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, } COUNTY OF DADE. (Signed) Electrical Inspector. r Electri ci cV 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. JOB DATA BUILDING 4033$9 ELECTRICAL PERMIT NO. PERMIT NO. TYPE NUMBER FEE OUTLETS, ROUGH WIRING NAME DATE Murray Electric, Inc. CONTRACTING FIRM SERVICE CAPACITY 10343 SW 120 St., Miami 235 - $5$5 CONTRACTOR'S ADDRESS PHONE RANGE SLAB RANGE TOP Stout OWNER'S NAME PHONE RECESSED OVEN ROUGH 495 NE 91 Street, Miami Shores JOB ADDRESS DRYER AIR CONDITIONER (ROOM) LOT BLOCK AIR CONDITIONER (CENTRAL) SUBDIVISION MOTORS LIST BELOW 1 WATER HEATERS CLOTHES WASHER DISHWASHER Application is hereby made to obtain a permit to do the work and installations as hereon indicated. I certify that no such work or installation has been effected prior to the issuance of said permit and that all work will be performed to meet the standards of all laws regulating construction in Dade County, I further certify that I have checked and am responsible for the adequacy of any existing wiring systems to which the work described in this permit adds extension or makes changes. PERMANENT FANS SPACE HEATER DISPOSAL NUMBER OF LAMPS + pool light 1 MASTER ELECT IAN OR HOME OWNER INSURANCE DATE 6/$/76 ISSUED BY: ■ #$32$ DATE OF ISSUANCE: This permit does not become valid until signed by an authorized representative of the Director, Metropolitan Dade County Building and Zoning Department and all fees are paid and receipt acknowledged in the space provided. TEMPORARY SERVICE REFRIGERATOR Time clock 1 TOTAL FEE IN* LIST OF MOTORS PROPOSED USE OF BUILDING residence (swim pool) No. Same Floor Fee No. A.C. Fee NO. OF STORES FAMILIES METERS 1 1 —hp pool pump motor / ��� —,C1) OFFICES BEDROOMS BUILDING INFORMATION: OLD X NEW El TYPE OF WORK ADD A NEW ❑ ALTER. REPAIR of swim poo ■ FIELD CHECK REQUIRED APPLICATION APPROVED BY FINAL INSPECTION MADE DATE ELECTRICAL INSPECTOR O.K. TO CONNECT YES NO REMARKS: NOTE: Miami Shores BUILDING and ZONING 1351 N.W. 12th ST. MIAMI, FLORIDA 33125 ELECTRICAL PERMIT APPLICATION INSPECTOR'S REPORT Electrical Inspections FOR OFFICE USE ONLY List under ''REMARKS" above the date and type of all notices left, all verbal instructions to the contractor, and any other information pertinent to the inspection of this job. 123 -03 -8 (Rev.) INSPECTOR'S COPY APPROVED DISAPPROVED NAME DATE NAME DATE REASON TEMPORARY SLAB ROUGH OTHER REMARKS: NOTE: Miami Shores BUILDING and ZONING 1351 N.W. 12th ST. MIAMI, FLORIDA 33125 ELECTRICAL PERMIT APPLICATION INSPECTOR'S REPORT Electrical Inspections FOR OFFICE USE ONLY List under ''REMARKS" above the date and type of all notices left, all verbal instructions to the contractor, and any other information pertinent to the inspection of this job. 123 -03 -8 (Rev.) INSPECTOR'S COPY PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 'r Date /0 /G/e4,— -Yob Address 495 N.E. 91 Street Tax Folio 1132060140150 Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Bruce Davidson Master Permit # ME 2002 -139 Owner's Address 495 N.E. 91 Street Phone L' a o a • 3 Contracting Co. Home Electric Service Address 8754 SW 129 Street Qualifier Randall J. Thomas SS# Phone ( 305) 254 -6778 State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION AlP.co55 0 ^y (e -c_47^ I! "c'(/ C , . e 440,ar} See- a c5Ier Square Ft. Estimated Cost (value) S / C9 O ,,577 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 cntractor to do the work ated. Signature of owner and/or Condo President Date otary as to Owner and/or Condo President Date My Commission Expires: � OY Pt/ JAMES C. THOMAS _ � � i � 0 COMMISSION # CC 657746 v� ^ IN BONDED TMRU EXPIRES JUN 22, 2001 +� OF ATLANTIC BONDG CO., INC. FEES: PERMIT �� /. RADON S p Signature of Contract or Owner- Builder N9Cary as to Contractor or Owner- Builder My Commission E P is JAMES C. THOMAS <- COMMISSION # CC 657746 EXPIRES JUN 22, 2001 BONDED THRU 10 ATLANTIC BONDING CO., INC. TOTAL DUE LJ , APPROVED: Zoning Building Electric Mechanical Plumbing Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TCP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URIC MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 If VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: - ' AIR CONDITIONERS . A/C UNIT STRIP HEATER FIRE SPRINKLER - GENERATORS TRANSFORMERS HEATER -NEW INST. : GENERATORS TRANSFORMERS HEATER - REPLACE - . .. GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK .' ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP S. ABANDON SEPTIC TANK REINSPECTION - SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM 3AS RANGE METER SET (GAS) 3AS PIPING (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL ADDENDUM TD BUILDING PERMIT APPLICATION MECHANICAL Miami Shores Village 10050 NE 2nd Avenue - Phone: 305 - 795 -2204 Printed: 10 /16/2002 Applicant: BRUCE & LAURIE Owner: DAVIDSON JOB ADDRESS: 495 NE 91 Parcel # 1132060140150 Signed' Electrical Permit Permit Number: EL2002 -337 DAVIDSON BRUCE & LAURIE ST Contractor HOME ELECTRICAL SERVICE OF CENTRALFbAttftiCtor's Address: 8754 SW 129 ST Local Phone: Page 1 of 1 Legal Description: 6 53 41 MIAMI SHORES SEC 2 PB 10 -37 LOTS 23 & 24 BLK 49 LOT SIZE & -.44 ■ 4 .. ) c � ,a,aD 4O -oi6 Total Fees: WW1 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 4/14/2003 Construction Value: $1,000.00 Work: NECESSARY ELECTRICAL If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is 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. SPECTOR) BY: In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants oR. np • es. Signed: V11.6 (Contractor or Builder) BY: 0 ._.^'�.. PAY TO THE ORDER OF FOR HOME ELECTRIC SERVICE OF SOUTH FLORIDA, INC. PHONE (305) 254 -6778 8754 S . 129TH STREET MIAMI, FL 33176 -5916 SUNTRUST SunTrust Bank et 4 --5' 0008 /7 1:0660006044069900 LO /8428H• DATE DOLLARS 8174 63-60/660 $ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 2 ./ Job Address [ sN F 9/ sive �,�ax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant L Q 1 LL S , l 6 is v.. u 0. Master Permit # 3 q / 7 7 Owner's Address k / r NE. E. ' ( S f v - P . e. Phone Contracting Co. /9 // E / ' C 7'm L. ` C_- Address Qualifier LA- k UPS e cL U S ss# 3 7JT S 7-r 7 State # EXL 61 ` ( Municipal # ' '='" Competency # l 32 31 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL>PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 4„o — o - ' a—e rt Square Ft. Estimated Cost (value) (0 (2 C7 -� 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 Date My Commission Expires: Signature of Contractor or Ow r- Builder Date Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder My Commission res: O �P(2 Y P�� O Expi I�I ICIAL L'�OTARY SEAL e ce��,. (7,7.<6 SANDRA l'_7 tORITICL 441,,1 11. COMMISSION RIUPa�1E4� 41 S' CC401261 c. Y COMI :SSION •E P. t_ . Or MY r t : .._ -_,L2 '' ..,:., TIT' 'rl FEES: PERMIT �''l RADON C.C.F. t NOTARY TOTAL DUE fry NEs 7 P f- c —/34 -6 APPROVED: � Zoning Building Electrical 113 1 i' 4 d q Mechanical Plumbing Engineering ;UILDING ❑ LECTfCAL PERMIT 0 'LUMBING ❑ N . 9 419 1OOFING ❑ ❑ Work to be performed under this Permit Iwner of uilding . V%,) rchitect ontractor r Builder w '' =gal Lot escription ddress of gilding This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application -refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, awings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ne 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 anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough'knowledge of the ordinances and regulations }raining to the work covered hereby whether shown on the plans or drawings or in the yfatements or specifications and that he assumes responsibility for work one by his agents, servants or employees. ' t, Signed • ` _. ".i, , -. f BY INSPECTOR `7 In consideration of the issuance to me of this permit I agree to perform the work covered e eunder in compliance with all ordinances and regulations rtaining thereto and in strict conformity with the plans, drawings, statements or specifications s omitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either, myself, my agent, se vant or employee. i CONTRACTOR OR BUILD ?* MIAMI SHORES VILLAGE. FLORIDA ,c`,3 Jri� • Subdi- vision Sq. Ft Value of Project $ DATE 195_— Contractor's License No ,_,. tJ {tai• Amt. of Permit $ BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building_ Architect Contracto or Builder Legal Descriptic Address Building PERMIT N? 9628 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A, further condition upon which this permit is 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, f d. - a '`' r . 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONT CTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Work to be performed under this Permit t , j d DATE ' 4 195 Contractor's License No BY Jy AUTHORITY 17 r r n Lot Bl Subdi- vision ,f c8 1.... r _ i1 / , ,,,, Sq. Ft Amt. of Permit $.Y . c . ,+ Value of Project $ BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building_ Architect Contracto or Builder Legal Descriptic Address Building PERMIT N? 9628 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A, further condition upon which this permit is 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, f d. - a '`' r . 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONT CTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Work to be performed under this Permit t , j d DATE ' 4 195 Contractor's License No BY Jy AUTHORITY 17 Permit No Amount of Permit $ 4 STATE OF FLORIDA, t COUNTY OF DADE. J j 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. /t, Owner's Name and Address �X�` �f No � 7S —4/C 1 �j / d Street Registered Architect and /or Engineer `• ...,../.7 4... ....... 4 ,' Employing Electrician's Name No Street Location and Legal Description Lot � �" s 1 , Block... ..7 Subdivision )Tt • --74( '. Street and Number where work is to be performed —No ?t' / ( 2i 'Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories U. Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his •bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori y/ Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub -con actors 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) aster 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 RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE H ATER STRIP HEATER TOTAL CONTR. L ST ?;t / C , f'• 1 , OUTLET Ala / f p.' I, 1 <�v - Z/ CHECK ENT. SW. D1ST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No Amount of Permit $ 4 STATE OF FLORIDA, t COUNTY OF DADE. J j 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. /t, Owner's Name and Address �X�` �f No � 7S —4/C 1 �j / d Street Registered Architect and /or Engineer `• ...,../.7 4... ....... 4 ,' Employing Electrician's Name No Street Location and Legal Description Lot � �" s 1 , Block... ..7 Subdivision )Tt • --74( '. Street and Number where work is to be performed —No ?t' / ( 2i 'Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories U. Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his •bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori y/ Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub -con actors 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) aster 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. Owner's Name and Address Service Overhead Feeders.. Underground Amount of Permit $ STATE OP FLORIDA, l COUNTY OP DADE. j . 1d SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT C Permit No 1 b Z sL c / Date.. Pal - /' 5 Y 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. Conduit. / ./....Main Sw (Signed) No 95 Type of Installation— Conduit 1'I/- Tubing B.X.L Metal Moulding a Street Registered Architect and /or Engi eer /, `/. Q pQ Employing Electrician's Name. 0/.6..5 �G..l " ✓I c. 5..e,l - No A. Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street/ t ' State work to be performed a - purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Amps Main Fuses Amps Electrical Inspe • or. The undersigned applicant for this building permit does hereby certify that he understands and acce is obligations as an employe of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws o Iflorida 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 sub-contractors, 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 ODUTLETS PLUG RECE'PT'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONNN. WATER HEATER W. HEAT. COONN. S{ACE H ATER STRIP HEATER dryer / TOTAL C L STR 3 ^ 3 7 'T j 2— / et 2 / / CHECK ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. / �✓ a S hit- ij J ( f t MS I (J 1 w 4 5 b 1 MOTORS 0.1 HP MOTORS 1.6 HP NEON TRANS. RADIO TOTAL CONTR. LIST -/-� / ` / / CHECK Owner's Name and Address Service Overhead Feeders.. Underground Amount of Permit $ STATE OP FLORIDA, l COUNTY OP DADE. j . 1d SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT C Permit No 1 b Z sL c / Date.. Pal - /' 5 Y 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. Conduit. / ./....Main Sw (Signed) No 95 Type of Installation— Conduit 1'I/- Tubing B.X.L Metal Moulding a Street Registered Architect and /or Engi eer /, `/. Q pQ Employing Electrician's Name. 0/.6..5 �G..l " ✓I c. 5..e,l - No A. Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street/ t ' State work to be performed a - purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Amps Main Fuses Amps Electrical Inspe • or. The undersigned applicant for this building permit does hereby certify that he understands and acce is obligations as an employe of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws o Iflorida 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 sub-contractors, 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. BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ Cam Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot r CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA DATE ` t ° PERMIT N? B1. 9646 Work to be performed under this Permit - 17' Subdi- vision ' f Sq. Ft Value of :> Project $ Contractors 6 , License No K Amt. of Permit $ A BY AUTHORITY O. C >. 195 CI This permit is granted to the contractor or builder named abo a to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is 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 0A-- '«. d °sr� ;� ,e� • dY � M 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. 17 Ply Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. Owner's Name and Address BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Registered Architect and /or Engineer %- Name and address of licensed contractor f Location and legal description of lot to be built on: Lot MIAMI SHORES VILLAGE Date 11- - I �° No 4. . ._S et Block Subdivision Street and Number where work is to be done 4-S - n State work to be done and purpose of building (by floors) __. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To he constructed of Kind of foundation Roof Covering 00 Estimated Total cost of improvements $ 2- ✓ti?_Lt Amount of Permit $ 1 Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to 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 subco tractors, on work to be performed under this permit, as are licensed by Miami Shores Village. l Remarks (Signed ) STATE OF FLORIDA, COUNTY OF DADE. J ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No c A 4 ALT- Date 9 x.- - S.\ Read, Sworn to and Subscribed before me. Disapproved Date n (Signed) Vtn ^ Building Spector Notary Public, State of Florida My Commission Expires LANNING BOARD DATE Chairman Member Member Member Member .... -.- Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. CABLE ADDRESS "MCDONAIRE" Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, Florida Gentlemen: Cyril B. Smith Administrative Assistant CBS: id Enc l s . MoDONAT TRRnE AIfi CONOITIO [11116', It 4 r. 261 N. W. 26TH ST.. MIAMI. FLORIDA December 14th, 1959 Very truly yours, McDONALD AIR CONDJTIONING, INC. Enclosed please find a drawing in duplicate and a personal check in the amount of :10.00 to cover the O.W. Brady permit. .'V 41'IT JNI;�NI.' x" r= s' as1 F iF; R, I t G p A 3T`` 176 N r 3C C? , i v 1 A OALIIO — RG AHRUR 3 -7881. MIAMI SHORES VILLAGE, FLA. INSPECTOR Aelk N o 141 JOB ADDRESS 7 , /W- - % / Si 1 t INSPECTION 6, 0Z(L e. , TIME READY 11/0-`'U REMARKS• DATE 0