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ELECTRICAL• PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date '7 -ZD- Job Address I X06 q Z ST , Tax Folio Legal Description Historically Designated: Yes No O w n e r / L e s s e e / T e n a n t C " 1 1 C i 1 1 /A , P a r4-11-1 Master Permit # # 44 Q e7 Owner's Address I (D6 Contracting Co. 33 Qualifier 1 ' D . 3Lr — )'S State # 00)2.1 (70 Municipal # 30) 7 r 7 b (- 1 3 Competency # 1 3 - 1 Ins. Co. -IA c.1Zfl iZb Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING (ELECTRICAL/PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION LCC-cT' -' TN ZEE L) a.L146 S tU STALL TWD(Z ) 1� I �HT Cl. C s d UD ` 14 E / 3) StLl iTCH OUTL TS 01 -1ERE FR F.�.IC i // �+ZS 1 ki 5T1L Square Ft. Estimated Cost (value) rD CO s CO 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. 71144/ / 7 /zi /f 4 Signature o r and/or Con President Date Notary as to Owner and/or Condo President Date My Commis}on Expires: OFF CI ALNOT HERMAN NOTARY PUBLIC STATE OF FIARID►A COMMISSION NO. COT27979 "' COMMISSION EXP. MAR. 25 ss# Phone (WO) 02 I CO3 Phone A d d r e s s 3 Q i5 I ( 0 4 . s € , , ssion 1 . FADYS l VILLAR NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR. 1,2002 FEES: PERMIT 3s ov RADON C.C.F. 6° NOTARY BOND APPROVED: Zoning Building Mechanical Plumbing Electrical 1 of Contractor or Owner- Builder Date oe 5. -22 -9/ TOTAL DUE o f) 6 Tv Date Engineering • ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BE OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ITEL BATH 11.13 BIDET D ISHWASHER DISPOSAL CRINKING fUUNTAIN FLOOR MAIN GREASE TRAP INTERCEPTOR LAVATORY LAUI:RY TRAY CLOTHES WASHER s PLUMBING SINK, POT/3 COMP. SINK, RESIDENCE SINK, SLOP TEbFORARY WATER CLOSET t.R I NAL 4ATER CLOSET INDIRECT WASTES MATER SLPPLY T0: A/C UNIT FIRE SPRINKLER NEATER -NEW I HEATER- REPLACE LAWN SFR I M ER -EL.L SWIMMING POOL WATER SERVICE SEWER CONNECTIONS 1TILITY -SEWER IT 1 L I TY-WATER EPTIC TM( SLAY 3AINFIELD, 4° TILE/RES. �P & ABANDON SEPTIC TAM( IAKA(E PIT CU. FT. ITCH BASIN SCHARGE WELL. *EST IC WELL :EA GRAIN OF INLET LAR WATER HEATER RE STANDPIPE OL PIPING AN SPR INKED SYSTEMi S RANGE TER SET (GAS) 3 PIPING UNIT FEE UNIT 3 Z ITai1 SWITDI OUTLETS LI OUTLETS MOTORS OVER 25-100 if RECEPTACLES SERVICE TEWORARY SERVICE SIZE IN AAPS SERVICE REPAIR/METER CHANGE APPLI OUTLETS RANGE TOP OVEN WATER HEATER MOTORS 0- 1 FP MOTORS OVER 1- 3 If MOTORS OVER 3- 5 If MOTORS OVER 5- 8 If MOTORS OVER 8- 10 HP MOTORS OVER 10- 25 If MOTORS OVER 100 If A/C WIKOW AIR COOIT IONERS STR IP HEATER GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS SPECI PURPOSE CURETS COMMERCI SIGN TUBES SIGN TRANSFORMERS SIGN TIME CLOCK FIXTURES ANEW TELEVISION OUTLETS VIOLATION RE INSPECT ION 1 FEE I TEM SPACE HEATERS CENTRAL HEATING A/C (WIND) A/C (CENTRAL) I1CT WORK REFRIGERAT PROCESS AND PRESS PIPING U CERGROUtO- TANKS ABOVE GROW) TANKS U.F. PRESSLRE VESSELS STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRMISPORTING ASSEMBLIES ELEVATORS/ESCALATURS F IRE SPRINKLER SYSTEM 000LING TOWERS VIOLATION REIMSPECTION 1 1 UNIT FEE ELECTRICAL MECHANICAL Date Job Address /% /f/4- 92 S7" Tax Folio Legal Description 6 V 7 /2 ' 2 y / ;r4i5 6see s Historically Designated: Yes No O w n e r / L e s s e e / T e n a n t � Y / A , f / N 1 1 Y 1 t C i k 6,61 Master Permit # ( ) Lt cj J 3 % L Owner's Address / G /' 72 5/ - Phone / C o n t r a c t i n g Co. G aNN4 e 4 i C /i (C Address /o? /o 5 3 51/ ri t•o Qualifier 3,P- P4 /5 SS# Phone 95Y- 7S5 -017°/ State # Municipal # Competency # 734-(1 4 /o 34 X Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING LECTRICA 1 PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ,4a/ 47ec/er PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Square Ft. Estimated Cost (value) 5 06 • QO 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 ' 11 be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do - wo stated. 2 4 % m $lp /94 Signature $o er and/or Condo President Date $ o?G - 96 My Commission Expires: da l pue ?ot 4 .i. �o David B Walker J� < - My Commission CC601526 Expires November 14, 2000 9lF OF FL FEES: PERMIT) 37 ...1 RADON Signature of Con : q wner- Builder Notariv as to Owner and/or Condo President Date Notary as 'to Contractor or Owner j er My Commission Expires: Date David B Walker My Commission CC601526 Expires November 14, 2000 O. 4 C.C.F. NOTARY — 0 BOND TOTAL DUE APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering JOB NAME CONNECTOR ELECTRIC I N C O R P O R A T E D 1210 SE 3 Street Pompano Beach, Florida 33060 (954) 785 -2701 ELECTRIC PANEL LOAD CALCULATION CKT No. Trip Pole KVA Description Wire CKT No. Trip Pole KVA Description Wire 1 Ri G- ct 8' 2 A tZ ett .2_ * L, 3 4L-0 4 Ai 4 5 S Pt-y- 1/ - )c:, 6 1 G A c A it,- ly ' 12 7 30 li/ 8 26 P.. o o .► 9 % /i s .7 Frt,L1 eva 1 Lc.q 11} r L1 _, -< ► Y 10 z m A C._ +11 O 11 1 f ( S :7 12 30 C. J 'e b -r-e v 4/ 13 t) 1S . 1 14 \')I S . - 7 C.h e`eqj ( `.9't'A 11 t 1 15 li(S ,—] 16 t r✓Z a5 1 -S S -, ca -T lityct. 41 17 1 t)5 ,. 7 18 lip 1• S'vi-,..cd cTertlec5Ce /2 19 (111" . 20 16,E 1..g k c -� f, e v v 1 V- 1 Z 21 ( � l3" -7 22 a 10 /Q- 1 „ a1� cJ j�e v 23 Y2p (. /U i c v c) w .v.., ..q._ : ' (.Z 24 �U ,� J/ 25 26 27 28 29 1\. C.o l *1. 30 3 ,2, Go it. 2_ 31 32 33 34 35 36 37 38 39 40 JOB NAME In ce 4 1-, . AA. J 1c v e1' IR-e -6 ti lei 9- Y° e'cx / U CONNECTOR ELECTRIC I N C O R P O R A T E D 121 O SE 3 Street Pompano Beach, Florida 33060 (954) 785 -2701 6 c N - 1 P .e v •• is L - e �GGa S 'C1- k 2 wcrt--/ 7 (,Gc t ) . 1 C - ( ( gH ck Z 3.Z_ -C)/ 3 3 6 /O, ccc • 30 c. c w 3 3 ` ,3 a 0 wc,f 2 7a0 /v G G )3.fs -04pr 1 C. p a be/. G� r � '� y4 -�I Permit No. ,5 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, 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 AddressJ.pe....Dugo • No 166 N , k, . Street 9.2...S.tree.t Registered Architect and /or Engineer Em�loyi/n Ellecric am Prescott Electric Electric Co. Inc N 7939 N.W / Loeatif - and "ega1 escripti6n Lot 6 Street and Number where work is to be performed —No 166 N.E. State work to be performed and purpose of building (By Floors) outside New Building Remodeling Addition Repairs Amount of Permit $....l. (Signed)...... STATE OF FLORIDA, COUNTY OF DADE. I °° MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Block.. . Subdivision.27/ ,/.L,/91 Street .. 9.2...Street li ghts and new service Date.6 /..2.1/85 X 0 13Y (Signed) C- C.'t4G street ...6 t.reet....3316.6 No. of Stories 1 Over 1 15 . Main Fuses Underground Amps Service Site Feeders.. . /. Conduit Sw. -0 A Amps ...... Type of Installation -- Conduit Tubing X B.X.L .Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Muter 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 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 RE,RlG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE H STRIP HEATER TOTAL CONTR. LIST 4 1 1 4 ,e CHECK ENT. SW. D1ST. CAO. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.6 NP NEON TRANS. RADIO TOTAL CONTR. ST LIST 1 150A. .. CHECK 6 i Permit No. ,5 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, 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 AddressJ.pe....Dugo • No 166 N , k, . Street 9.2...S.tree.t Registered Architect and /or Engineer Em�loyi/n Ellecric am Prescott Electric Electric Co. Inc N 7939 N.W / Loeatif - and "ega1 escripti6n Lot 6 Street and Number where work is to be performed —No 166 N.E. State work to be performed and purpose of building (By Floors) outside New Building Remodeling Addition Repairs Amount of Permit $....l. (Signed)...... STATE OF FLORIDA, COUNTY OF DADE. I °° MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Block.. . Subdivision.27/ ,/.L,/91 Street .. 9.2...Street li ghts and new service Date.6 /..2.1/85 X 0 13Y (Signed) C- C.'t4G street ...6 t.reet....3316.6 No. of Stories 1 Over 1 15 . Main Fuses Underground Amps Service Site Feeders.. . /. Conduit Sw. -0 A Amps ...... Type of Installation -- Conduit Tubing X B.X.L .Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Muter 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 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. " ✓ MIAMI SHORES VILLAGE Permit No Employing Electrician's Nam `3 oca tion and Legal Description Lot aeet and Number where work is to be performed —No New Building Remodeling Amount of Permit $ STATE OP FLORIDA, 1 COUNTY OF DADE. I ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date. Application is hereby made for the approval of the detailed statement of the plans and specifications .herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all, rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work Owner's Name and Address :_-4i Registered Architect and /or Engineer • State work to be performed and purpose of building (By Floors) ss. /7, /9‘7 No / 6 • 6 Street G 9). 4 64-fe:-: '' 7fe Street /4./ 2 Z k 7 1 Block Subdivision ' q Street.'... /f/ ;/ .STAG J" 4v 2r — ��G-� s c � cf£,-- E v Addition Repairs No. of Stories Service Underground Overhead Size Feeders � Conduit Main Sw.,!G. -?Amps Main Fuses Amps Type of Installation — Conduit 1 S ' Tubing B.X.L Metal Moulding (Signed) '— J The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors work to be performed under this permit; and will post or cause to be posted for inspection o the site of the work su as are required by the Act. The undersigned agrees to employ only such sub - contractor. • ork to be perfor, licensed by Miami Shores Village. ■ rical Inspector. as an employer of nent Supplement, and employed by him in the h p c notice or notices tl}is permit, as are Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET w 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 N EON TRANS. RADIO TOTAL CONTR. LIST Bury p /' / / /2F CHECK " ✓ MIAMI SHORES VILLAGE Permit No Employing Electrician's Nam `3 oca tion and Legal Description Lot aeet and Number where work is to be performed —No New Building Remodeling Amount of Permit $ STATE OP FLORIDA, 1 COUNTY OF DADE. I ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date. Application is hereby made for the approval of the detailed statement of the plans and specifications .herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all, rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work Owner's Name and Address :_-4i Registered Architect and /or Engineer • State work to be performed and purpose of building (By Floors) ss. /7, /9‘7 No / 6 • 6 Street G 9). 4 64-fe:-: '' 7fe Street /4./ 2 Z k 7 1 Block Subdivision ' q Street.'... /f/ ;/ .STAG J" 4v 2r — ��G-� s c � cf£,-- E v Addition Repairs No. of Stories Service Underground Overhead Size Feeders � Conduit Main Sw.,!G. -?Amps Main Fuses Amps Type of Installation — Conduit 1 S ' Tubing B.X.L Metal Moulding (Signed) '— J The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors work to be performed under this permit; and will post or cause to be posted for inspection o the site of the work su as are required by the Act. The undersigned agrees to employ only such sub - contractor. • ork to be perfor, licensed by Miami Shores Village. ■ rical Inspector. as an employer of nent Supplement, and employed by him in the h p c notice or notices tl}is permit, as are 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 ❑ Date ELECTRICAL in 19 PLUMBING ❑ PERMIT N° 9147 Contractor's 4110z ROOFING ❑ License No. Owner of Building C..i9 ❑ Work to be performed under this Permit Architect Contractor D L 1 } or Builder / C+'�- / a e • Legal Lat Description 11 B1 t. Address of f ! B 7 uilding ■ +�I` CO TR CTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA Cc . v rL dip O-.r BY AUTHORITY 1 J ■ Subdi- vision Sq Ft. i Value of I I Amount of Project $ 11 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining.thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants,„ r empl. ees. 11 l k Signed • " ` (T•I■SPECTOR) BY In consideration .f the issuance to me of this per . I agr to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto an n strict conformity with the a.ra n , statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting t pe it I assuwe responsibilit o .1 - ork a by, either, myself, my agent, servant or employee. Permit No STATE OF FLORIDA, 1 COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work Owner's Name and Address 4.c7x , on 1 No /G C Street... 2 - 5 Registered Architect and /or Engineer -L Employing Electrician's Name.- fY. SS. Service Size Feeders J / Conduit i / ' Main Sw tV Underground 0 3A mount of Permit $ (Signed) eQ r No / �. .. ..[ ... 1.9 Street ._.Sr{r fL —�-s' Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No / .. G ...E Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition 1 Repairs No. of Stories Amps /D Type of Installation — Conduit Tubing B.X.L Metal Moulding Date 3 (4, Main Fuses Master Electrician. Ele cal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per... t Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors •.loyed 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 su 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. 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. Amp SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST i f CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. UST CHECK 0 4 Permit No STATE OF FLORIDA, 1 COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work Owner's Name and Address 4.c7x , on 1 No /G C Street... 2 - 5 Registered Architect and /or Engineer -L Employing Electrician's Name.- fY. SS. Service Size Feeders J / Conduit i / ' Main Sw tV Underground 0 3A mount of Permit $ (Signed) eQ r No / �. .. ..[ ... 1.9 Street ._.Sr{r fL —�-s' Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No / .. G ...E Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition 1 Repairs No. of Stories Amps /D Type of Installation — Conduit Tubing B.X.L Metal Moulding Date 3 (4, Main Fuses Master Electrician. Ele cal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per... t Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors •.loyed 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 su 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. 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. Amp BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot PERMIT N9 7555 4. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA B1 DATE '' 19 Contractor's License No. Work to be performed under this Permit Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. . X •- Signed- t {' , r - A - 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 regu''atfons pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit, I assume responsibility for ell work done by either, myself, my agent, servant or employee BY t" AUTHORITY 411EOT Permit No PPLICATION FOR ELECTRICAL PERMIT —__ ___ Date / — Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address --V -- —�. — _ - --- k_ C No. 2 9 !v - -- ----�� l Registered Architect and /or Engineer _ T) r_ &L / s Employing Electrician's Name _012_51t_ S _ No 23 ( 9 1 Street � v __ s_ !_ Location and Legal Description Lot �_�-J — Block Z. L I Subdivision__ (( har__10 Street, and Number where work is to be performed—No ._____ `__ 6___C QQ StreetiV.L >__ - -av_ 2 -________ State work to be performed and purpose of building (By Floors) l�___i_ _ New Building Remodeling Addition Repairs Service verhea Size Feeders / Un erground Type of Installation— Conduit Tubing Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT B.X.L. Metal Moulding (Signed) My Commission Expires Notary Public, State of Florida Street_1l.1_C: ' No. of Stories / Conduit__ _l _ j Main Sw.__� 0 ? Amps. Main Fuses Amps. ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared — - -- — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ____ ____ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 0 20 ./ . ` v / / ' CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O -I HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / O ` `7 j U` g ,�6 c . • r_ CHECK Permit No PPLICATION FOR ELECTRICAL PERMIT —__ ___ Date / — Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address --V -- —�. — _ - --- k_ C No. 2 9 !v - -- ----�� l Registered Architect and /or Engineer _ T) r_ &L / s Employing Electrician's Name _012_51t_ S _ No 23 ( 9 1 Street � v __ s_ !_ Location and Legal Description Lot �_�-J — Block Z. L I Subdivision__ (( har__10 Street, and Number where work is to be performed—No ._____ `__ 6___C QQ StreetiV.L >__ - -av_ 2 -________ State work to be performed and purpose of building (By Floors) l�___i_ _ New Building Remodeling Addition Repairs Service verhea Size Feeders / Un erground Type of Installation— Conduit Tubing Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT B.X.L. Metal Moulding (Signed) My Commission Expires Notary Public, State of Florida Street_1l.1_C: ' No. of Stories / Conduit__ _l _ j Main Sw.__� 0 ? Amps. Main Fuses Amps. ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared — - -- — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ____ ____ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No.__ ' Application is hereby made for the approval structure herein described. This application is and all provisions of the Laws of the State of of Miami Shores Village shall be complied building during progress of work. Owner's Name and Address Amount of Permit $ U SS. MIAMI SHORES VILLAGE 6 My Commission Expires ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERM 0 of the detailed statement of the plans and specifications herewit submitted Zr the building or other made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division with, whether herein specified or not. A copy of approved plans and specifications must be kept at Registered Architect and /or Enginee I n_ - Employing Electrician's Name No Street Location and Legal Description Lot Street and Number where work is to be performed —No. Block' 7 State work to be performed and purpose of building (By Floors) New Building Remodeling (Signed) No / 6 Street (Signed) Street Subdi Notary Public, State of Florida 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 . 1_ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 1 -ti ,f I aster Electrican. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'8 FIXTURES NO.LAMPS REFRIG. 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.__ ' Application is hereby made for the approval structure herein described. This application is and all provisions of the Laws of the State of of Miami Shores Village shall be complied building during progress of work. Owner's Name and Address Amount of Permit $ U SS. MIAMI SHORES VILLAGE 6 My Commission Expires ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERM 0 of the detailed statement of the plans and specifications herewit submitted Zr the building or other made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division with, whether herein specified or not. A copy of approved plans and specifications must be kept at Registered Architect and /or Enginee I n_ - Employing Electrician's Name No Street Location and Legal Description Lot Street and Number where work is to be performed —No. Block' 7 State work to be performed and purpose of building (By Floors) New Building Remodeling (Signed) No / 6 Street (Signed) Street Subdi Notary Public, State of Florida 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 . 1_ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 1 -ti ,f I aster Electrican. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. APPLICATION FOR ELECTRICAL PERM Application is hereby made for the approval of the detailed statement of the plans and specifications herewl submitted £r 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. Permit No.- _ Owner's Name and Address MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No. C Street 4°' V` Registered Architect and /or Enginee Employing Electrician's Name - - - '. ___—_ 44"4.'K.IR.:MW�- — No Street -- Location and Legal Description Lot `°' _ Block ! "' S Subdivisioon_ Street and Number where work is to be performeed —No 14 Street _f____ 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 $ STATE OF FLORIDA, COUNTY OF DADE. e T r The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. Ss. Before me, the undersigned authority, a notary public, duly appeared to me well known, and who, being by me first duly sworn, upon oath of the above described construction, that he has carefully read the therein by him stated are true. My Commission Expires (Signed) (Signed) Electrical Inspector. rtify that he 'understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be perforrried under this permit, as are authorized to administer oaths and take acknowledgments, personally deposes and says that he is the foregoing application, and that he did sign the same, and that all facts Notary Public, State of Florida aster Electrican. 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 FI %TURES NO.LAMPS REFRI G. 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 APPLICATION FOR ELECTRICAL PERM Application is hereby made for the approval of the detailed statement of the plans and specifications herewl submitted £r 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. Permit No.- _ Owner's Name and Address MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No. C Street 4°' V` Registered Architect and /or Enginee Employing Electrician's Name - - - '. ___—_ 44"4.'K.IR.:MW�- — No Street -- Location and Legal Description Lot `°' _ Block ! "' S Subdivisioon_ Street and Number where work is to be performeed —No 14 Street _f____ 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 $ STATE OF FLORIDA, COUNTY OF DADE. e T r The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. Ss. Before me, the undersigned authority, a notary public, duly appeared to me well known, and who, being by me first duly sworn, upon oath of the above described construction, that he has carefully read the therein by him stated are true. My Commission Expires (Signed) (Signed) Electrical Inspector. rtify that he 'understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be perforrried under this permit, as are authorized to administer oaths and take acknowledgments, personally deposes and says that he is the foregoing application, and that he did sign the same, and that all facts Notary Public, State of Florida aster Electrican. 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. • L t1." June 17, 1981 All Concrete Service, Inc. (Mr. Woodall) has,permission to pour a concrete slab at my residence, 166 H. E. 92 Street (Lots 6,7, Block 24, Amended plat of }4iani Shores Section No. 1). 2 Mary . Dugoni _ - for MIAMI SHORES VILLAGE PERMIT Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at by Address has been inspected and current is authorized to be turned on, until otherwise notified, for: No. owner, and occupied as /. Size of Service Number of Lighting Circuits Range ' ,;, watts. Water Heater watts Power: Connected load ' H P. Space Heaters watts Other Apparatus ELECTRICAL INSPECTOR. A PPLICATION FOR ELECTRICAL PERMIT Date - --L 70 — - -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores .Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name h 1 Permit No Location and Legal Description Lot y _. Block ' f Subdivision__ g ,k.� _____. Street and Number where work is to be performed —No. 0 Street/ _ ___�I * d State work to be performed and purpose of building (By Floors) ,_I■gw_Building Remodeling Addition Repairs No. of Stories Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. 85. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT My Commission Expires No Z 3 Street_ILL r'••• Service Under o $ 0und Size Feeders • 1 Conduit t ,L Main Sw 1 Amps. Main Fuses Amps. 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 obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) d 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, therein by him stated are true. Notary Public, State of Florida Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared — — -- — and that all facts 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 LI GHT 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 i' a . y� WW1 - - y _ , °' / / CHECK �}�i� ^•"7l //k ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. , L. 7 il,414'2 /' MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST V v �' • '/ 6 - - - CHECK �+:� / ��� /� A PPLICATION FOR ELECTRICAL PERMIT Date - --L 70 — - -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores .Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name h 1 Permit No Location and Legal Description Lot y _. Block ' f Subdivision__ g ,k.� _____. Street and Number where work is to be performed —No. 0 Street/ _ ___�I * d State work to be performed and purpose of building (By Floors) ,_I■gw_Building Remodeling Addition Repairs No. of Stories Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. 85. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT My Commission Expires No Z 3 Street_ILL r'••• Service Under o $ 0und Size Feeders • 1 Conduit t ,L Main Sw 1 Amps. Main Fuses Amps. 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 obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) d 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, therein by him stated are true. Notary Public, State of Florida Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared — — -- — and that all facts 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. d ( 27 , '/2 , .te/ l 2 /2. - ffrd B441.L-13 ELECTRICAL PERMIT A N? _ 439 BUILDING INSPECTION DEPARTMENT , 19 4110Tner of Building_ ' , r ADDRESS LICENSE NO. ADDRESS PEttlY113ING . , Architect and/or Engineer Contractor or Builder $ AMOUNT Dated__ f Proposed Location ; y NAME NA NAME LOT BLOCK , /0 / ADE4tESS MIAMI SHORES VILLAGE NO. .,/ This permit is issued to To LICENSE NO. „e a • STREET r / the building above described, as pei, application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and e r gulations, or upon any change in ,,the plans and specifications unauthorized i lia the building inspector. ../ ,--. 6 zi' `,1,, . .. . RECD. PAYMENT ACCT. DEPT. .1. INSPECTOR Ilki consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and s and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village jid all rules and regulations of the building department of Miami Shores Village. , • .f.- / • 19_ (SEAL) 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 $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 Owner of Building Architect Contractor or Builder x s, ' v4.... l" d ) f. 'v°' ,,.f 1 1"- Legal • Lot Bi. Description Address of /6( V „g +, Building ! �/ /�.— `�' i! MIAMI SHORES VILLAGE, FLORID PERMIT N° 1109 � C Work to be performed under this Permit Subdi- vision Value of Project DAT Amt. of Permit 194 Contractor's „�e"” License No. G 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 plan or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employe s e % Signed " a . rte By INSPEC R In consideration of the issuance to me of this permit I agree to perform the work covered hereun er in compliance with all ordinances and regula- tions 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 asst responsibility for all work5one by ether myself, my, agent, servant or employee. ' C ACTOR OR BUILDER BY ", AUTH ITY .13.141tef IG ELECTRICAL PERMIT A N? 439 pturonsint Owner of Building NAME i ADDRESS Architect and /or Engineer NAME - ADDRESS Contractor or Builder_____ This permit is issued to RECD. PAYMENT ACCT. DEPT. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT f LICENSE NO. NAME ADDRESS .s._ • -. Proposed Location ./ -I —__ LOT BLOCK i SUB- DIVISION NO. STREET To _____ - ---__. -'- , .= the building abo'rr gibed, as per application. Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts' `be application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and cop building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and reguh department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said °' \d , regulations, or upon any change in the plans and specifications unauthorized b the building inspector. f . % . i 1 Y - LICENSE NO, INSPEOTOR \ce to me of this permit I hereby agree to the proposed construction in strict conformity with the applicatidaa and 'ofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the of Miami Shores Village d all rules and regulations of the building department of Miami Shores ViIlage. 19 __— - (EM.) ade for making corrections or changes to this application after approval has been obtained from the Planning ;Board. when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or worlcnilp.