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ELECTRICAL PERMITMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 r_ B (ding Inspection Request Dat ) Type Insp'n �I g( net Permit No. E l O5 Name Address /�/ /� • / Company �-/ IJ�JJ/� V Phone # Inspection Date . `L Approved ❑ Correction Re- Insp'n Fee ❑ [ri' /3 /f- /A L a t g6)"/�ho r9 ` • .71e ®p P,e,z1 -' ® t Ps � Lf ) 3- 7 (e,e, �, MIAMI SHORES VILLA BUILDING DEPARTMENT 305- 795 -2204 Buildi g Inspection Request Date Z Type Insp'n Permit No. Name Address , 0 cD 3 /v % c� Company Phone # Inspection Date / Approved Correction Re- Insp'n Fee , eked G-'te /rtQ'tc-A L 'u 4 )'.r.e. /re P l'7(.;,'7 ®) t)i- I c' / Date I Type Insp'n Permit No. Name Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request lC6( i cat na 3t C -25 Address I ghD3 N- Company 5FOrE at c Ic:- Phone # ( 2O Inspection Date ( k e aZ / . - `7 Gov cah /d r Axe tom 7 ko/ ie. P-r/ 6" / / /7■ .g e Date Type Insp'n Permit No. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildipg Inspection Request (;buLe t 90.&1 -L goo- Name ,(.JQ� -P Address / ? 403 A).6 q A Company 1 Phone # 3 0.6" aa3 --o67 Inspection Date T k Approved El Correction p ���) f> Re- Insp'n Fee CI /ive /t.4 / � 3814 ASS MIAMI SHORES VILLAGE/ BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date h JcS Type Insp'17 if--)C9 I &-)EIC)afl C I Permit No. I C) S — 2 --aCD Name A-1 CX r5 Address 12fl3 i 92"--)ct ST Company er— � Phone # (305) 8 c ) / - 52.43 Inspection Date 11 Approved LY Correction Re-Insp'n Fee 1263 NE 92 ST FINAL ELECTRICAL FOR KITCHEN Passed EZ Inspector • - d 7 (0,5 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -1788 Permit Number EL2005 -8 Inspection Date: 12/12/2005 Inspector: Devaney, Michael Owner: PUIG, ALEX Job Address: 1263 92 ST Project: <NONE> Miami Shores Village, FL 02_01)S-16r Contractor: SPARK ELECTRIC USA CORP Building Department Comments Friday, December 9, 2005 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phong: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number 305 - 807 -1883 Parcel Number 1132050270270 Lot: Phone: 305 - 223 -0672 Page 1 of 2 Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2005 -280 Printed: 8/11/2005 Applicant: TOMAS SUAREZ Owner: SUAREZ TOMAS JOB ADDRESS: 1263 NE 92 ST Contractor BEST POWER ELECTRIC, INC Local Phone: Parcel # 1132050270270 Signed: (INSPECTOR) Signed: (Contractor or Builder) Contractor's Address: Legal Description: BAY LURE Fees: FEE2005 -11008 FEE2005 -11009 FEE2005 -11010 FEE2005 -11011 FEE2005 -11012 FEE2005 -11013 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $150.00 $0.60 $5.00 $0.20 $3.75 $3.00 $162.55 Total Fees: $162.55 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 2/5/2006 Construction Value: $1,000.00 Work: MOVE ELECTRICAL SUBPANEL FROM CURRENT LOCATION 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: PB 44-63 LOT 16 Page 1 of 1 BLK 2 LOT SIZE 75.000 X 125 OR ,BUG 1 5 OK (23A�� BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) 11v1.4 S Owner's Address (2 ( 3 13 E q .. City M, 5(u)its Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Qualifier LA Zfk(aC r. MI-WEN`AQZ Describe Work: r Submittal Fee $ Notary $ 6. 00 Scanning $ 3- CO Total Fee Now Due $ (Continued on opposite side) State -c'L N> J Training/Education Fee $ 0 • Zd Radon $ Code Enforcement $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 5-2 0,2.55 AUG 15 PAID x.3.05).256.8972 19 V/ k" I (Ji 0 Cj Master Permit No. Plumbing Mechanical Roofing Sl7Gi /A2Z, Phone # j tic 2'67 I FF3 Zip .3 S$ Phone # NI 'f)aAm.k_ 4s Rop auct.s. County Miami -Dade Zip NO Contractor's Company Name -- P=.e-S4 - POwev 1 L • Phone # Contractor's Address I Cr) 9 1\ -1C:13 P° L City ul i p--wtZ State � Zip 'S3 State Certificate or Registration No. C * 0 5E0660 I Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # p� 0� - 6$ Value of Work For this Permit 1D b0 Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ 1...474P ( cs'7 Structural Plan Review. $ Zoning Bond $ Permit No. LC)5 — Z 30s= 310- (,9°7( Type of Work: ❑Addition ['Alteration sue, ['New ❑ Repair/Replace ❑ Demolition CCF $ D • CO /CC ■■ Technology Fee $ 3. 75 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 s ect to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspe io which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will no be a..roved and a reinspection fee will be charged. Signature The fore day of who is person NOTA Sign: Print: My Co mission E * * * ** * * * * * * * * * ** Chc 05/13/03 0 . Agent APPLICATION APPROVED BY: As identification and who did take an oath. lndel I h. i ^, �. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * t I ng in rument was acknowledged before me is The foregoing instrument -vas acknowledged .1 edd before me tthiCR 20 by day of GIST , 20() by LO G YO t y ' !t`" tl ,Jii"�`_ to me or who has produced who is personally known ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Contractor NOTARY PUBLIC: Sign: Print: My Com fission Expires: or who has produced as dent' ication and who did take an oath. *+ * * * * * * * ** Plans Examiner Engineer Zoning ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION,FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE•OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL 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 MAIN SERVICE REPAIR/NETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS QVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COW. 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 If FIRE SPRINKLER SYSTEMS URINAL IIOTCRS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP 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 SWIMAING POOL OUTLETS COMdERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTIRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. 1 C O 4 Of at, CATCH BASIN so - Et- DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION,FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE•OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Date Job Address /cS g /4c f Tax Polio Legal Description_____ Owner / Lessee / Tenant Owner's Address Contracting Co. Qualifier ,7j 'y Notary as to Owne My Commission Expire * APPROVED: Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE /3 G Square Ft. Estimated Cost(value) 33/3, * * * * * * Master Permit Ik 9/ /3 Phone 10 $ Address .5'7e -5 /1141 /.56P *7 SS# Phone ���.66o State &67 0106 J 77 - 3 Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDIN 'LEC,'I PLUMBING MECHANICAL ROOFING PAVING FENCE SIG WORK DESCRIPTION - 4A - 4 ' Ai WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO D. SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEN TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, an on the attached addendum (if applicable). I certify that all work will be performed to meet th standards of all laws regulating construction in this jurisdiction. I understand that separat permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is • curate and that all work wil be done in compliance with al ap icjle �ws regulating construct on and zoning. Furthermore, uthorize the above- named, oc nt -gctor io do the work stated. .-- 1 ignature or - o er and /or Signature of Con'ractor or er- Builder Date: _ 1 / - • Date: Notary as ilder My Commis Other FEES: PERMIT -31c" ' ' RADON C.C.F. i 4 NOTARY TOTAL DUE Fire Building Electrica Mechanical Plumbing Engineering Permit No 0e, MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT i Date..L�..' 6 v 7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith au mined for the building of 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 plane and specifications must be kept at building during progress of work. ��AA V / /� r� Owner's Name and Address Al g • �l 0L -. No / Street � - ��i`' sr Registered Architect and /or Engineer Employing Electriciati's Name k6191 .. -A. ... -. - 6 No se 6 3 Street ... /ye. -... P -. - -.- ir' ... -.... Location and Legal Description Lot Block Subdivision 5� Street and Number where work is to be performed —No 1 5 Street L .. % e g 0 State work to be performed and purpose of building (By Floors) ... ftri4E, I • C' • r.....WQUES PNA 5 M.c.e New Building Remodeling Addition Repairs V No. of Stories CAE Service Overhead Size Feeders a�A Conduit Main Sw Amps rd 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 budding permit does hereby certify that he understands and accep •/ ie obligations u an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Electrician. STATE OF FLORIDA, } COUNTY OP 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, 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 RRCE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. H EAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIRT. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EOM TRANS. RADIO TOTAL CONTR. LIOT I/D CHECK Permit No 0e, MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT i Date..L�..' 6 v 7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith au mined for the building of 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 plane and specifications must be kept at building during progress of work. ��AA V / /� r� Owner's Name and Address Al g • �l 0L -. No / Street � - ��i`' sr Registered Architect and /or Engineer Employing Electriciati's Name k6191 .. -A. ... -. - 6 No se 6 3 Street ... /ye. -... P -. - -.- ir' ... -.... Location and Legal Description Lot Block Subdivision 5� Street and Number where work is to be performed —No 1 5 Street L .. % e g 0 State work to be performed and purpose of building (By Floors) ... ftri4E, I • C' • r.....WQUES PNA 5 M.c.e New Building Remodeling Addition Repairs V No. of Stories CAE Service Overhead Size Feeders a�A Conduit Main Sw Amps rd 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 budding permit does hereby certify that he understands and accep •/ ie obligations u an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Electrician. STATE OF FLORIDA, } COUNTY OP 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, 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. Registered Architect and /or Engineer Employing Electrician's Name ,_�caCGf Location and Legal Description Lot Street and Number where work is to be performed—No .... .(a Amount of Permit $ V E s. MBAMB SHORES <HU.. GE ELECTRICAL INSPECTION DEPARTMENT AFPLICATIO F 3 ' ELECT [(SAL PERMIT / C/ Permit No ` a i ) 0 1 ‘,,) i? .2_ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, 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 of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be building during progress of work. (Signed) (Signed) r_, Owner's Name and Address .L,1. /.... k. 4. no No P4 Date Street... .a9aS Master Electrician. or other Florida, Division kept at No ..fC , V.1 7 Street. )2...1.>r / /5// Block Subdivision Street.. :.......9 R 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 p P Type of Installation— Conduit Tubing B.X.L Metal Moulding Elee tTft*1 Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts 'is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of da Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub••.ntractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T's FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. CAB, CAD. SERVICE TEMP. P. TEMP. PERM. E c9 �CZ ,L i ,, L 7i '2 ,4 M OTORS MOTORS O•I HP 1.8 HP a a NEON TRANS. RADIO TOTAL GLreTn CHECK e/y Registered Architect and /or Engineer Employing Electrician's Name ,_�caCGf Location and Legal Description Lot Street and Number where work is to be performed—No .... .(a Amount of Permit $ V E s. MBAMB SHORES <HU.. GE ELECTRICAL INSPECTION DEPARTMENT AFPLICATIO F 3 ' ELECT [(SAL PERMIT / C/ Permit No ` a i ) 0 1 ‘,,) i? .2_ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, 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 of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be building during progress of work. (Signed) (Signed) r_, Owner's Name and Address .L,1. /.... k. 4. no No P4 Date Street... .a9aS Master Electrician. or other Florida, Division kept at No ..fC , V.1 7 Street. )2...1.>r / /5// Block Subdivision Street.. :.......9 R 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 p P Type of Installation— Conduit Tubing B.X.L Metal Moulding Elee tTft*1 Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts 'is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of da Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub••.ntractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. 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. MOAMII SO=WIRE V L kGE BUILDING INSPECTION), DEPARTMENT APPLICATION FOR MOLDONM PERMIT 9i0T 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. Location and legal description of lot to be built on: Lot 1/4 Block �— Street and Number where work is to be done Remarks__ ss. Chainnan Member Member Council Approved Disapproved (Signed) / .2 C Building Insp or NNING BOARD _Date (Sign Owner's Name and Address ,e° 7 v /4 , g/v® - No Street Registered Architect and /or Engineer Name and address of licensed contractor_ Date_ Subdivision t - i Addition 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, therein by him stated are y� / Permit No / l �1 Date ` O ( � ( Read, Sworn to Amount of Permit $ .Plan Cubage_ Size of Building Lot - State w k be done and purpose of building (by floors) and for no other purpose. Repairs No. of Stories p f Covering New Building Remodeling________ To be constructed of Kind of foundation Estimated Total cost of improvements $.c.z2 C9-C70 ' Zone cubage required Distance to next nearest building 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 5968, Compiled General Laws of Florida, Pennanent 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 inspe on the site of th such public notice or notices as are required by the Act. The undersigned agrees to employ only such su ntra ors n work erformed under this permit, as are licensed by Miami Shores Village. My Commission Expires_. __ DATE Member Member Member Disapproved and Subscribed before me. Notary Public, State of Florida ,19 G G° r STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and that he did sign the same, and that all facts Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has bror obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper note for ins on or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Architect contractor or Builder Legal Lot Description Address Of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 10125 Work to be performed under this Permit Bl. Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Permit No" MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. b Owner's Name and Address � j o �� .3�To.1 ° b 3 Street Registered Architect and /or Engineer.. Employing Electrician's Name STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. No Street Location and Legal Description Lot Block Subdivision J� Street and Number where work is to be performed— No......./.v.. ...� e ) Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Overhead Service Uiidirgtoundr Feeders / ./c Conduit .a: �" ..Main Sw.... tO - Amps Main Fuses / 64. Amps Type of Installation— Conduit Tubing f B.X.L Metal Moulding Amount of Permit $ (Signed) y ' Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as ad employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance' from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ' ����1.. r/ Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRI0. 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 No" MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. b Owner's Name and Address � j o �� .3�To.1 ° b 3 Street Registered Architect and /or Engineer.. Employing Electrician's Name STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. No Street Location and Legal Description Lot Block Subdivision J� Street and Number where work is to be performed— No......./.v.. ...� e ) Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Overhead Service Uiidirgtoundr Feeders / ./c Conduit .a: �" ..Main Sw.... tO - Amps Main Fuses / 64. Amps Type of Installation— Conduit Tubing f B.X.L Metal Moulding Amount of Permit $ (Signed) y ' Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as ad employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance' from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ' ����1.. r/ 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.