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ELECTRICALPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address `3 / 57 Tax Folio l f 37 Or ? Z7_50 Legal Description /W/0712/ J) // Owner /Tena / lv 1 — /� 6 Master Permit # 4 Owner's Address 2 . T fZl ST Contractin /ci T nenn / ,/ c nU /` Address Qualifier Ie, 03 ( ss# / { one State # %) ) 06 Municipal # X�-C1- # Ins. Co. Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDIN (( ELECTRICAL JPLUMBING MECHANICAL ROOFING PAVING FENCE SIGN ` C �) GF WORK DESCRIPTION L�.I (/G/ o G// Square Ft. 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. -7 — ^R Signature of owner and/or Condo President Date ICIAL NOTARY SEAL TAMMY T ROSS ., . OR1DA COMM ti NO. CC7516 MY COMMISSION EXP. UNE 15,200 OF SEAL Tres: TAMMY ROSS NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC75 MY COMMISSION EXP. UNE 15,2002 FEES: PERMIT 3j i OO o Pr Notary as to Owner -. d/or Co My Commission Expires: RADON C.C.F. Historically Designated: Yes No Address Address Address Phone Estimated Cost (value) (tog Signature of Contractor or Owner- Builder otary as to Con y Commission NOTARY BOND TOTAL DUE Date Date APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering ITEM 8A T H TIE UNIT FEE ITEM SWITCH OUTLETS UNIT !S FEE 221 ITEM FEATERS UNIT FEE 310E7 LIGHT OUTLETS /0 20 CENTRAL HEATING DISHWASHER - RECOACLES ,3 . 526 A/C (WIN)) DISPOSAL SERVICE TEMPCtARY A/C (CENTRAL) -jr 4 OR I HK 1 G FOUNTAIN SERVICE SIZE IN AMPS 4toc. DUCT WORK FLOCK DRAIN SERVICE REPAIR/6ETER CHANGE 1 3-li REFRIGERATION GREASE TRAP APPLIANCE OUTLETS 7.,/ PROCESS AN] PRESS PIPING INTERCOM RANGE TCP ► 5L. UlIDERGROUN) TANKS LAVATORY OVEN „ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER 4 3 U.F. PRESSLRE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS. SHOWER MOTCRS OVER 1- 3 FP HOT WATER BOILERS SINK. P0T/3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION SINK. RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES SINK. SLOP - MOTORS OVER 8- 10 FP ELEYAT0RS/ESCALAT(3tS • TBPCRARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS LU INAL MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES ckfdagW • . m/4. - . RE INSPECTION WATER SUPPLY TO: AIR CONDITIONERS Mali 1 76 • A/C UNIT STRIP HEATER /o04 / / FIRE SPRINKLER GENERATORS TRANSFORMERS • 'HEATER -NEW INST. GENERATORS TRANSFORMERS h• EATER. REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE ` SWIMMING POOL OUTLETS COMIERCMAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS • UTILITY-SEWER SIGN TIME CLOCK UTILITT.JATER FIXTtRES SEPTIC TANK ANTENNA /Id RELAY TELEVISION OUTLETS ORAINFIELO. 4' TILE/RES. VIOLATION' PUMP & ABANDON SEPTIC TAM( _ REINSPECTION SOAKS PIT CU. FT. 1:5 CATCH BASIN 0 I SGT+ WELL DOMESTIC WELL, AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING • LAWN SPRINKLER SYSTEM GAS Rh' GE METER SET (GAS) GAS PIPING 1 ADDENDUM TO BUILDING PERMIT APPLICATION „(AN APPLICATION FOR BUILDING PERMIT MUST ACCQHPAN: THIS ADDENDUM. I: A MASTER PERMIT HAS B. 03TAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL 0 0 0 o 0 CD 0 SAMSON ELECTRICAL PLUS, INC. 3641 S.W. 25 Terr. Miami, FL 33133 A a4- IA 3 2 i /lo _3c 22,5 N! cI3 57 I t1 /SD Aps p DAD W �4 - - OF FN.P Mona.k_ 10 OFi+CIAL NOTARY SEAL C.:i:FiY MORENO COMMISSION NUMBER CC606964 MV CCMSSION EXPIRES ;7.'11 C. 1 0,2000 ANao N li2c ` ur/ L. APrRGVED ------- BY LATE ZONING .� STRUCTURAL ELECTRICAL 49 PLUMBING MECHANICAL ROOFING BLDG. OFFICIAL I tl SUBJECT TO COMPLIANCE WITH ALL FEDERAL, STATE AND COUNTY RULES AND REGULATIONS. MIAMI SHORES VILLAGE ASSUMES NO RESPONSIBILITIES FOR ACCURACY • OF OR RESULTS FROM THESE PLANS. COMPLIANCE WITH H THE SSUTH FLORIDA BUILDING CODE'S ADOPTED BY :3 MIAMI SHORES VILLAGE 1; REQUIRED. THE ARCHITECT, BUILDER & SUB CONTRACTORS ARE CHARGED WITH THE 6tNOWLEDGE OF ALL BUILDING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. ?MAW Th Date Owner/Lessee / Tenant Owner's Address Notary as to Owner and/or Condo President PERMIT APPLICATION FOR MIAMI SHORES VILLAGE r Q Job Address .325 Pi. % 3 � --- Tax Folio Legal Description Historically Designated: Yes -b(A( A c3&7Goso Contracting Co. S.40 s a ti{ g2-c-`1117; G.9 ( PGG(.S Address - 6 41 -S pC a 3 / .7) Qualifier A Cz- 6 0._. State # S?- O60_57.1-67 Municipal # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING LECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /41- f - t �i - �' e ° /2y7 Li fr2-(94. • Square Ft. Estimated Cost (value) °° WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of 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. 4/ Signature of owner and/or Condo President Date My Comrnisdun r lbes• OFFICIAL NOTARY SEAL 1P B MARY MORENO ' t i 7 (/ n COMMISSION NUMBER i � ' Q CC606964 Fi b qP MY COMMISSION EXPIRES OF FA DEC. 10,2000 FEES: PERMIT 04 //4 Date Master Permit # 9 /19 9' 3 Phone SS# ; Phone (3 U r) 443-8813 S q 7 a - Competency # /¢ 0000-5/./- Ins. Co. Signature of Contractor or Owner - Builder Notary as to Co or Owner - Builder My C ingEFICIAL NOTARY SEAL <. MARY MORENO n COMMISSION NUMBER CC606964 ' th� 2 ; 1 ;4 E` Q� MY COMMISSION EXPIRES OF FA DEC. 10,2000 No C.C.F. 0 NOTARY — ® ° BOND TOTAL DUE // 4k? Date / 4 /" Date APPROVED: Zoning Building Mechanical Plumbing Engineering Electrical /OP e Pf MIAMI SHORES VILLAGE. FLORIDA UILDING ❑ ,� 'if LECTRICAL DATE �'� LUMBING ❑ PERMIT N? 7552 OOFING ❑ vmer of gilding ;g a1 escription Lot rchitect ontractor Builder l t , Work to be performed under this Permit r I C r Bl. ddress of Aiding t / I Subdi- vision Contractor's License No Sq. Ft Value of Project $ Amt. of Permit 41 4..) �t r e f $ 195 lc r C. 4*%. This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application -refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, awings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any He if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations -rtaining to the wr• ' covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work one by his 9" vants or employees. 7 f 1 Signed: "' • INSPECTOR the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinafbes and regulations -ict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. isume responsibility for all work done by either, myself, my agent, sptvant or employee. OR BUILDER 1 - BY AUTHORITY MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No._- __ -- 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 ____________ No Registered Architect and /or Engineer Employing Electrician's Name - - -- Location and Legal Description Lot____ in . _.97 Street and Number where work is to be performed —No J 2 State work to be performed and purpose of building (By Floors) _. New Building Remodeling Addition Repairs l e I ____ _ _ �_ Street__ No. L/ Z. Street_ s ° e Block ' r a Subdivision__ Street No. of Stories. Service Overhead Size Feeders_____ Conduit Main Sw Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amount of Permit S S. My Commission Expires (Signed , Main Fuses _____ ____ — _______Amps. Notary Public. State of Florida aster Electrican. 1 Eleftrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of lab6r 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. 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'S 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. IST LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No._- __ -- 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 ____________ No Registered Architect and /or Engineer Employing Electrician's Name - - -- Location and Legal Description Lot____ in . _.97 Street and Number where work is to be performed —No J 2 State work to be performed and purpose of building (By Floors) _. New Building Remodeling Addition Repairs l e I ____ _ _ �_ Street__ No. L/ Z. Street_ s ° e Block ' r a Subdivision__ Street No. of Stories. Service Overhead Size Feeders_____ Conduit Main Sw Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amount of Permit S S. My Commission Expires (Signed , Main Fuses _____ ____ — _______Amps. Notary Public. State of Florida aster Electrican. 1 Eleftrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of lab6r 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. 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. We= ELECTRICAL PERM! % 1 1 / Owner of Building. NAME. 1 Architect and/or Engineer A N? 599 ADDRESS MIAMI SHORES VILLAGE BUILDING INFECTION DEPARTZ LICENSE NO. N me / 0D11$8 • . Contractor or Bui1der 1 Nkme , ,. r ApDRESS .' ..* •.--. .. , LIC7 NO. i ,e 7' ''',/ • ; / — . i Proposed Location ' '6 —.....r.,.. ......... V 4.0.1V OA. .4,■■■■■••••••• LOT I BLOCK tifi,WOIVICON / , ,,., NO. STREET ' • .7. ...,' ol ,. 74-- , / 4 A ,- t , t ,,,' 1 1 ,, This permit is issued to_a___....L..1: To the building above described, as per app1ication 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 submiued, 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 V , age. This perinit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or I on any cI ge an the friar and specifications unaushonzed by the building inspector. , e A w . 7 $ _L___t_____ i v , ...._ _.1 r ''''" ..............- AMOUNT RECD. PAYME ACCT, DEPT. INSPECTOR In consideration of the issuance to me of this permit I hereby agree to tbe proposed contruction strict conformity witb the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all il k la s of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village ;ad all rules and regulations of the b 'kiln part f ami Shores Village. Dated_ NOTE: A charge of $1.00 will 'be LitaiL for making corrections or changes to this application after approval has been obta' the Planning Bpard. ) A re-inspection fee of 1.00 will be made when such re-inspection is made necessary by improper not for inspection or faulty Is and/or workmanship. Permit No 7 t P . 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. UlebiL Owner's Name and Address Employing Electrician's Name Service Overhead Underground Size Feeders Type of Installation — Conduit APPLICATION FOR ELECTRICAL PERMIT 65. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Registered Architect and /or Engige _ Street and Number where work is to be performed —No Tubing B.X.L No Amount of Permit $ (Signed) h (Signed) Street Location and Legal Description Lot Block Subdivisi Street 2...' �� ll Metal Moulding Street l n `Ce State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Conduit Main Sw Amps Main Fuses Amps Master Electrician. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi ;6bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo a. 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. 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'7's FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. StACE HTER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS NEON 1•f HP TRANS. ' f i RADIO ,,' 1 7 , '` f TOTAL C L STR• a l'O / CHICK > 111 ® i Q(_I: 1:i "1 Permit No 7 t P . 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. UlebiL Owner's Name and Address Employing Electrician's Name Service Overhead Underground Size Feeders Type of Installation — Conduit APPLICATION FOR ELECTRICAL PERMIT 65. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Registered Architect and /or Engige _ Street and Number where work is to be performed —No Tubing B.X.L No Amount of Permit $ (Signed) h (Signed) Street Location and Legal Description Lot Block Subdivisi Street 2...' �� ll Metal Moulding Street l n `Ce State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Conduit Main Sw Amps Main Fuses Amps Master Electrician. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi ;6bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo a. 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. 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. Permit No.__I_ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION D .EPARTMENT APPLICATION FOR ELECTRICAL PERMIT cif 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 - rk. Owner's Name and Address __ ~ No Street___— Registered Architect and /or Engineer _r_ _1_ Let,%. `°, kap.' Employing Electrician's Name J tj4'_ Amount of Permit $ _____ --- - - - - -- Street __ -- —' - -- Location and Legal Description Loth'_____:___ Bloc(c Subdivision__S�— ____ -- j r' b ♦ ,s° 1,. Street and Number where work is to be performed— No. b Street ------- -- - -- - -- - -- 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. My Commission Expires (Signed) State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Date Service Overhead Size Feeders_ Conduit__01___ Main Sw._ Amps. Main Fuses Underground Type of Installation— Conduit Tubing__ B.X.L. .Metal Moulding r ,r Notary Public, State of Florida No. of Stories_____ —_ ..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 orr the, site of the work such public notice or notices as are sub - contractors, o work to be performed under this permit, as are • � 9 5 +b 1 ' b f (Signed}' Master Electrican. Amps. STATE OF FLORIDA, 1 COUNTY OF DADE. ss. 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 OUTL TS 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 ��} c,lr, ♦ '' ti ` ,' CHECK �/ A ®. 3 AV ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST � , //� H' sr CHECK pp / /J, Permit No.__I_ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION D .EPARTMENT APPLICATION FOR ELECTRICAL PERMIT cif 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 - rk. Owner's Name and Address __ ~ No Street___— Registered Architect and /or Engineer _r_ _1_ Let,%. `°, kap.' Employing Electrician's Name J tj4'_ Amount of Permit $ _____ --- - - - - -- Street __ -- —' - -- Location and Legal Description Loth'_____:___ Bloc(c Subdivision__S�— ____ -- j r' b ♦ ,s° 1,. Street and Number where work is to be performed— No. b Street ------- -- - -- - -- - -- 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. My Commission Expires (Signed) State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Date Service Overhead Size Feeders_ Conduit__01___ Main Sw._ Amps. Main Fuses Underground Type of Installation— Conduit Tubing__ B.X.L. .Metal Moulding r ,r Notary Public, State of Florida No. of Stories_____ —_ ..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 orr the, site of the work such public notice or notices as are sub - contractors, o work to be performed under this permit, as are • � 9 5 +b 1 ' b f (Signed}' Master Electrican. Amps. STATE OF FLORIDA, 1 COUNTY OF DADE. ss. 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. r • P MIAMI SHORES VILLAGE PERMIT No. .7 THIS CERTIFIES THAT the wiring and apparatus installed at • by for Office of Electrical Inspector CERTIFICATE OF INSPECTION has been inspected and current is authorized to be turned on, until otherwise notified, for : Size of Service x d --f -G > Number of Lighting Circuits w w' • watts. Water Heater watts Range „,'(gId(i = a Address owner, and occupied as i L :;' Power: Connected load .' H P. Space Heaters ` : watts Other Apparatus 4" I LECTRICAL INSPECTOR. APPLICATION FOR ELECTRICAL PERMIT Permit No.__, _`__ f Date .7 I Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of - • " ...... i Y 6 Owner's Name and Address __ Registered Architect and /or Engineer ✓ �f ( ' ' . t 'g I. G:Y 1 ' —_� [ , r s " Employing Electrician's Name y - � t'' I t N o.sc? __t— Street _� _ .., ' Location and Legal Description Lo u�__ „ _ __ 1 Blo c Subdivision_—___,, Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) Service Overhead Size Feeders / Conduit__ Underground Type of Installation— Conduit Tubing Amount of Permit $_ — �t — My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) No. — Street Street New Building Remodeling Addition Repairs -,��, Main Sw __�e®__ ; Amps. Main Fuses B.X.L Metal Moulding --f lect Ica 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)` — -- — — — - - -- — — Notary Public. State of Florida No. of Stories .______ _______ Master Electrican. __Amps. 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 OUTL TS PLUG RECE'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 7t. sf ! ' 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 PERMIT Permit No.__, _`__ f Date .7 I Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of - • " ...... i Y 6 Owner's Name and Address __ Registered Architect and /or Engineer ✓ �f ( ' ' . t 'g I. G:Y 1 ' —_� [ , r s " Employing Electrician's Name y - � t'' I t N o.sc? __t— Street _� _ .., ' Location and Legal Description Lo u�__ „ _ __ 1 Blo c Subdivision_—___,, Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) Service Overhead Size Feeders / Conduit__ Underground Type of Installation— Conduit Tubing Amount of Permit $_ — �t — My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) No. — Street Street New Building Remodeling Addition Repairs -,��, Main Sw __�e®__ ; Amps. Main Fuses B.X.L Metal Moulding --f lect Ica 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)` — -- — — — - - -- — — Notary Public. State of Florida No. of Stories .______ _______ Master Electrican. __Amps. 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ❑ CI MIAMI SHORES VIL PERMIT N? 7 Architect Contractor or Builder - .� Legal Lot Description — Bl Work to be perfo J, Address of Building .1 f This permit is granted to the contractor or builder named above to construct th herefor in strict compliance with all ordinances pertaining thereto and with the un drawings, statements or specifications that may have been submitted to and approv time if the work is not done in compliance with such ordinances or if the plans are granted is the understanding that the contractor or builder named above assumes t pertaining to the work covered hereby whether shown on the plans or drawin s or done by his agents, servants or employees. • Signed In consideration of the issuance to me of this permit I agree to perform th pertaining thereto and in strict conformity with the plans, drawings, statements or sp cepting this permit I assume responsibility for all work done by either, myself, my CONTRACTOR OR BUILDER 1' Si B5 AGE. FLORIDA 44 DATE x j 195 Contractor's - License No. ed under this Permit f` "' �► bdi- ision clue of Project $ building or to install the equipment or device described in the application erstanding that the work will be performed in compliance with any plans d by the proper municipal authorities. This Permit may be revoked at any hanged without authorization. A further condition upon which this permit is e responsibility for a thorough knowledge of the ordinances and regulations n thejtatements or specificpt'tionvand that he assumes responsibility for work Amount of Permit $ BY AUT SPECTOR work covered here `ider in compliance with all ordinances an gulation3 ecifications submit d to the proper authorities of Miami Shores Villag ac- agent, servant employee.fi?c