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ELECTRICALAPPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. STATE OF FLORIDA, COUNTY OF DADE. ss. Permit No Disapproved (Signed) Bui1 ii g Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date.. Owner's Name and. Address No ; 6 Street - .T p Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block // Subdivisio � . � - G Street and Number where work is to be done �Q. ,WdW !d v 7 Date. .1 i� State work to be done and purpose of building (by floors) .and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation D Roof Covering Estimated Total cost of improvements $ / ' • Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for 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. Remarks ( Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared -- - - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the � foregping application, and that he did sign the same, and that all facts therein by him st t ;d are true. Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Chairman Member Member Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made materials and /or workmanship. Member Member Member Disapproved Date or changes to this application after approval has been obtained from Notary Public, State of Florida My Commission Expires necessary by improper notice for inspection or faulty FLOOR NUMBER OF SIZES OF INSIILATION OPEN OR CONCEALED Number of Circuits Outlets Motor Gen. Main Sub Branch asement— irst , � ' �� , • . r �,. :cond_ hird ourth ther Floors. norm 246 LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICA- TION WILL BE RETURNED Lot Number � Block Number J ,` � Street and Number` 7 �r Side Owner/ Occupied as Building—New or Old (underline which). Work — Additional or New (underline which). H. P. of each motor Number of Motors_ H P Volts _Amps Phase F S T F 0 1)utlet Motors I Receptacles Generators Greatest Number of Lights on One Branch REMARKS• / l Work will be started — ' Will be finished l / Address (Applicant sign here) ' " F' 1 ; 1 +. Street Received by Inspector Progress Will inspect again Rough Wiring FINAL No Corrected Temporary Days Approved Letter Date Issue CERTIFICATES Correct Location DATE / : . 192 / Electrical Department of the City of Miami Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated be- low, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Rules pointed out by Inspector. • Correct Equip DEFECTIVE Time Allowed Days APPLICATION No ' Occupant SPECIFICATIONS Stoves (Water Heater, Signs I Billboards Other Apparatus (Nature of Work) Open — Concealed Knob— Mldg.— Conduit SPACE BELOW FOR INSPECTORS USE QN Inspected . "" t� 4.0 Electric Light Co Fee remitted 3emarks Inspector Form 155 APPLICATION No 9.3?° Date / ! , 192 FOR FIXTURE WORK ONLY ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your Certificate of Approval, application is hereby made for an inspection of the electrical installa- tion in the premises stated below, for which the undersigned agrees to correct any infractions of the National Electrical Code and the City Rules pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED, OR APPLICATION WILL BE RETURNED. r — Lot Number Block Number Street and Number Sid Owner Occupant Occupied as Building —New or Old (underline which). Work — Additional or New (underline which). SPECIFICATIONS FLOOR Basement 1st Floor 2d Floor 3d Floor 4th Floor 5th Floor 6th Floor 7th Floor 8th Floor Attic REMARKS o Work will be started will be finished j Address (Applicant sign here) Street O Received by Inspector NUMBER OF LIGHTS 3, CERTIFICATES Progress • Will inspect again Rough Wiring FINAL No Corrected Temporary Days Approved Letter Date Issued CEILING OUTLETS SPAC ELOW FOR INSPECTOR'S USE ONLY Inspected Correct Location Correct Equipment DEFECTIVE Time Allowed: Days • Electric Light Co BRACKET OUTLETS Fee remitted + 4 , NUMBER OF CIRCUITS Remarks • inspector Permit No'_ • MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date__ Application hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure he ein 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 Z No. _` _6f _ --_ Street 7 Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building Remodeling Additi Repairs Size ] eders Service Overhead Underground Type of Installation— Conduit T ss. Amount of Permit $ Vi c . 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. My Commission Expires onduit. Main Sw.______ —_ Amps. Main B.X.L .Metal Moulding No. Street___ Block Subdivision_�_�_______ -- Street ________________ ________ _ _ _ _ (Signed) (Signed) _________ STATE OF FLORIDA, COUNTY OF DADE. i 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 of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida No. of Stories. Electrical Inspector. Master 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 FIXTURES NO.LAMPS REFRIG. OUTLET IRO OUTL ENV �� .-E t U L1 RANGE - NN. PA WATE HEykre W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST ' /� � " CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SER4 E P�� Far R � , ' - - • _ /MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST IST CHECK 7 1 i , Permit No'_ • MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date__ Application hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure he ein 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 Z No. _` _6f _ --_ Street 7 Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building Remodeling Additi Repairs Size ] eders Service Overhead Underground Type of Installation— Conduit T ss. Amount of Permit $ Vi c . 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. My Commission Expires onduit. Main Sw.______ —_ Amps. Main B.X.L .Metal Moulding No. Street___ Block Subdivision_�_�_______ -- Street ________________ ________ _ _ _ _ (Signed) (Signed) _________ STATE OF FLORIDA, COUNTY OF DADE. i 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 of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida No. of Stories. Electrical Inspector. Master 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. • BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description MIAMI S fr ERM I at any time ' the work is not done in compliance wi NTRACTOR OR BUILDER Work to be performed under this Permit • Bl. sibility for work done by his agents, servants or emplo es. N2. 4175 ILLAGE, FLORIDA DATE / """ / / 19 Contractor's License No / ►f' Subdi- vision Address of ,�•, _ �''� ;;.� � Value of Amt. of Building t om t �/- _ r J �,d LA/ tt Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equi meet or device described in the appli- taming thereto and with the understanding that the work will be performed m comphance with any ave been submitted to and approved by the proper municipal authorities, This Permit may be revoked such ordinances or if the plans are changed without authorization. A further condition upon which this cation herefor in strict compliance with all ordinances plans, drawings statements or specifications that may permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thoron$$h knowledge of the ordinances and pertaining to t he work covered hereby whether shown on the plans or drawings or in statem is or ecificatfons and tht0,11,9s respon- , JI1'' regulations pert g Y P mg sP Signed. INSPECTOR In consideration of the issuance to me of this permit .I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the lans, drawings, statements or specifications submitted to the proper authorities of Miami Shams Village. I e In accepting this permit ssume responsibility for all work done by either my f, my agent, se ry t►t'or employee. t. i iiii 1( -‘' irk4,/ BY I gy 411 BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder r Legal Lot Description "Y $ t +w CONTRACTOR OR BUILDER i MIAMI SHORES VILLAGE, FLORIDA DATE ° Contractor's License No PERMIT N° 7257 Work to be performed under this Permit Bl. Subdi- vision f �l . rm. AUTHORITY 194_' Address of - �.� ( d r,�;' ' ,,, Value of Amt. of � Building ,/ - - Project Permit This permit is grant -• to the contractor or builder named above to construct the building or to install the equipment or .ev ce described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 drawvings yr ui the stateents or specifications and ih$t he assumes respon- sibility for work done by his agents, servants or employees. f / // , � ' f , Signed_ , , t w•- z By ! / INSPECTOR In c sideration of the issuance to me of this permit I agree to pr rforih the k covere hereunder in compliance with all ordinances and regulations pertaining iereto and in strict conformity with the plans, drawings, statements specifica ' ns submitted to the proper authorities of Miami Shores Village. In accEptiltg this permit I assume responsibility for all work done by eithet mys , my ag , servant or employee. J Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address q P C. c'3 S l Tax Folio l "3 2—C4 --0/ Y — O y/Q Legal Description C-() Z 8) kJ? Historically Desig Yes No Owner/Lessee / Tenant N4 N 6 .���5 Master Permit # Owner's Address L " � �O 9 &) t✓ 3 S T " Phone � �" , S j (0 V 0 Contracting Co. HG A) 10 ''v < L(2 G� Address 1 V ?715w( ')dfru'cE Qualifier Oil y V--(r 14 GA) t d ti SS# Phone 23.5---Y°133 State # 6- 00 dap Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING LECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN K, ht t - (92 , 11 4 S1 of ¢— 2..'S W.tt5 WORK DESCRIPTION Square Ft. 1 Yo 157 Estimated Cost (value) /950 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of o er and/or Condo President ate i ) z q 5 ate Notary as to Owfier and/or Condo President My Commission Expires: FEES: PERMIT , . 49 / (-4f ) 6 RADON Signature of Contractor or Owner- Builder ti Notary as to tractor or Owner - Builder My Commission Expires: « , ts • .. RICK ZABIEUNSKI MY COMMISSION 1 CC 317367 % • Boded EXPIRES: Thu Notary Public Undsivehos C.C.F. NOTARY TOTAL DUE 5 1-751) 69/a3 Dat /z�5 Da APPROVED: Zoning Building Electrical ,p Mechanical Plumbing Engineering APIV O • 150 PAL / "� t - � � r+tw r� y pvc 'TO 2.- 3/g'' 4* t v 9 g 4111). Rob S MtN /5- TAW tN 2P ZM c.. . 150 PA*rEL pm, tJL,aC4 17ov.1sonl I'll Q3 ST . 3 - I TAW !n/ 2" comb. 2 i D rI•'J t+J Y2 ct$JD. otJ 0. 13y t 4JEsrtc tc.ecrikx I 'Jc. cc.s$ Ig4,?l - at&A,t/64r-tr e. c • • • w • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 469 A!E 93 ST Tax Folio Legal Description Owner / Lessee / Tenant NV(t, A-146 N'.A JCy ✓-OWSDJ Master Permit # ' , Owner's Address Phone Contracting Co. gi+JE5TiC. LE 7QlG INC Qualifier 41J'R.T 8 2yPro -J r SS# .. Phone 6a1/-7933 State # Eta 1253 Municipal # C" e7/ Competency # 47/ Signat Dat c A APPROVED: o' owner and /or Condo President Notary as to Owner and /or Condo Presiden My Commission_ Expires: - -u SLo is Address /g0- /D XAA) ✓& Ins.Co Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION 2 E(- Oa 1N © c //DU S& EcE. ,Cf►TE. t" LSE& Square Ft. Estimated Cost(value) r 450O •a� 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 w all applicable laws regulating construction and zoning. Furthermore, I authorize the aboV amed'contractor to do the work stated. Signature of Contr4tor or Owner- Builder Date: Notary a to Contractor /My Co State of Florida My Comm, Exp. Apr. 25,1995 + Comm. # CS 103144 * or Owner- Builder ** * _...* : _ t,.. , _. *'_ii * 3, a:* .. * * * * * � ,....$0. FEES : PERMI T / / RADON C.C.F. NOTARY TOTAL DUE / `/� * * * Fire Other Zoning Building Electrica Mechanical Plumbing_ Engineering ITEM BATH TLS UNIT FEE .....___------- ITEM SWITCH CURETS UNIT / $ FEE ITEM SPACE BEATERS UNIT FEE BIDET LIGHT OUTLETS P6,; CENTRAL HEATING DISHWASHER RECEPTACLES ,�( 7 �2 - A/C (WIND) DISPOSAL SERVICE TEAPORARY A/C (CENTRAL) DRINKING FOUNTAIN � SERVICE SIZE IN AMPS 4utkie 61/;',' DUCT WORK FLOOR DRAIN SERVICE REPAIR/1ETER CNAM E REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP r `,...ic UNDERGROUIO TANKS LAVATORY OVEN ABOVE GROUIO TANKS LAUNDRY TRAY _ WATER HEATER / ;z U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSBBLIES SINK, SLCP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SLPPLY TO: AIR CONDITIONERS 4/7 N E 1 .2 • % ' A/C UNIT _ STRIP HEATER /.0 ? / 0 ,� FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL _ OUTLETS C0MERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION _ W. FT. D ' (�. - b i 5PoSP /. r E 1 1 ' / ,o as -;24 CATCH BAS BASIN DISCHARGE WELL DOMESTIC WELL 1 AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING _ LAWN SPRINKLER SYSTEM . GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Outlets Motors Receptacles Generators Stoves Water eaters) Signs .., Billboards Other Apparatus / FLOOR H. P. of each motor Number of Motors Basement__ First__ Second Third_____ Fourth________ Other Floors Outlets 3o Received by Inspector CERTIFICATES NUMBER OF Motor Progress Will inspect again Rough Wiring FINAL No Corrected Temporary Approved Letter Date Issued Days AOID DELAY BY GIVING FULL AND ACC 1 ' A FORMATION. ALL SPACES MUST BE FILLED OR APPLI- O WILL BE URNED �yt Occupant . �.. Lot Numberi Street and N ber Owner Occupied as Building —New or Old (underline which). Block Num Greatest Number of Lights on one Branch Electrical Department of the City of Miami Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Rules pointed out by Inspector. REMARKS • _ Work will be starte�� fr Will be finished (Applicant sign H P. Volts Amps. Gen. SPACE BELOW FOR INSPECTORS USE 8!t '_. Ins ected t Correct Location.. : 4 Correct Equip DEFECTIVE Time Allowed Days 4 Main C ATION RETURNED Work— Additional or New (underline which). SPECIFICATIONS Electric Light Co Fee remitted Remarks • APPLICATION (Nature of Work) Open — Concealed Knob— Mldg.— Conduit SIZES OF Sub /w Date /MOO / 5— , 192 No. Side Phase Branch Address Street INSULATION OPEN OR NUMCER OF CONCEALED CU:CUTTs Inspector If