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ELECTRICALPermit No Service Overhead Amount of Permit $ r e2 2 55. 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 subinitted for the building ot 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. Owners Name and Address No Street Registered Architect and/or Engineer Employing Electrician's Name 1 --.2.t4 kk./ L.0 e-C.‹. 2,9 e .0. Street a.Q..gyt-ii:J.e.7= Location and Legal Description Lot 0.. . Block Subdivision Street and Number where work is to be performed—No Street `/ r :r N State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories - re ecr (Signed). Date Underground Site Feeders Conduit Main Sw 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 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. -11 .1. \ \ ):S Master Elects an. STATE OF FLORIDA, COUNTY OP DADE. f 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 minspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUO RECE'P'T FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK ■ Permit No Service Overhead Amount of Permit $ r e2 2 55. 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 subinitted for the building ot 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. Owners Name and Address No Street Registered Architect and/or Engineer Employing Electrician's Name 1 --.2.t4 kk./ L.0 e-C.‹. 2,9 e .0. Street a.Q..gyt-ii:J.e.7= Location and Legal Description Lot 0.. . Block Subdivision Street and Number where work is to be performed—No Street `/ r :r N State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories - re ecr (Signed). Date Underground Site Feeders Conduit Main Sw 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 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. -11 .1. \ \ ):S Master Elects an. STATE OF FLORIDA, COUNTY OP DADE. f 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 minspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. Permit No I cr 2 1.1( Amount of Permit $ 2 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio :ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. - Owner's Name and Address.. .W9 . t) '� *� .R d N C d f No Street Registered Architect and /or Engineer _ Employing Electriciafi's Name 4 t Te.t LT .....�..La4.I No....6. `7'-� �aS Street.J�..`y dg.c4.R....I.N ..�.eNS.. Block S 1 Subdivision "2, 2, Location and Legal Description Lot g e, Street and Number where work is to be performed —No Street V 7 L 1\- 4..3... c5 T State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories 3 ' Service Overhead Size Feeders I / Conduit.. /4 Main Sw Amps Main Fuses . 0 0 ' Amps Underground Type of Installation— Conduit /./ Tubing B.X.L Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby cel tify 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. (Signed) STATE OF FLORIDA, COUNTY OP 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 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. ( 0 c2, e Master Electricia SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T•S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE H STRIP HEATER TOTAL LIST C Lier _ 1 )) = �j f'v� ` • S :Q\ 1 1 Ta / 1• ?J" 1. 7t CHECK -- = � -- ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. OQ ' 1H MSS rdr4I It MOTORS O•I HP MOTORS I.S HP NEON TRANS. RADIO .. TOTAL CONTR. LIST 1 1 ' 3 ", CHECK 1. I.2( I.1f 3.0° Permit No I cr 2 1.1( Amount of Permit $ 2 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio :ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. - Owner's Name and Address.. .W9 . t) '� *� .R d N C d f No Street Registered Architect and /or Engineer _ Employing Electriciafi's Name 4 t Te.t LT .....�..La4.I No....6. `7'-� �aS Street.J�..`y dg.c4.R....I.N ..�.eNS.. Block S 1 Subdivision "2, 2, Location and Legal Description Lot g e, Street and Number where work is to be performed —No Street V 7 L 1\- 4..3... c5 T State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories 3 ' Service Overhead Size Feeders I / Conduit.. /4 Main Sw Amps Main Fuses . 0 0 ' Amps Underground Type of Installation— Conduit /./ Tubing B.X.L Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby cel tify 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. (Signed) STATE OF FLORIDA, COUNTY OP 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 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. ( 0 c2, e Master Electricia i 3Tb7v G 1 ZPICA 1 w -A 5 1 1 7 5 2 2 .5 1 7 5 1 2 5 1 7 5 3 5 0 1 2 5 1 2 5 1 2 5 3 0 0 25 00:' •4 Miami Shores Village ,, ��- Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AU6 2 3 2004 BUI PERMIT APPLICATION APPLICATION FBC 2001 Permit Type (circle): Building ' Flectrical. Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) U dd -Q /`A b� �- Phone # Owner's Address { -7C fZ 1 F City L/- L f C State F [_ Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village County Miami-Dade Zip Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address (cc' 6, 6> >T City .\ \ (1; State # C- - Zip T 3 (77) Q ualifier � � State Certificate or Registration No. 6 -- eti O) 3 1 t. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work: ❑Addition Describe Work: Total Fee Now Due $ �, 3 Q (Continued on opposite side) (-<21(. Phone # 1Ci f 5 ( Otes ()Os ❑ Alteration ❑New Permit No. Master Permit No. Zip _ 7 > > Phone # Square Footage Of Work: E pair/Replace ❑ Demolition Vailt * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 0 7 / Submittal Fee�O. Permit Fee $ l a' ‘ CCF $ , b 0 coicc Notary $ Training/Education Fee $ t D Technology Fee $ o t S Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Naine (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issugd. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature day of Chc 05/13/03 ( or Agent APPLICATION APPROVED BY: Zip Signatur Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this , 20 , by , day of , 20 , by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ` ********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 3 i !r G Plans Examiner Engineer Zoning ITEM BATH TIE UNIT FEE ' ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET �j ' LIGHT OUTLETS CENTRAL HEATING DISHWASHER kg_ RECEPTACLES. A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN ALPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE (ROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 If STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES- ' A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE , SWIMMING POOL OUTLETS COMMERCIAL MATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP E ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9/13/2004 Applicant: HUBERT FATAL Owner: FATAL HUBERT JOB ADDRESS: 479 NE 93 ST Contractor ALEX ELECTRIC SERVICES Local Phone: 305 - 888 - 8837 Parcel # 1132060140411 Signed: (INSPECTOR) Electrical Permit Permit Number: EL2004 -248 Contractor's Address: 841 Oreo Ave Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 22 BLK 51 LOT SIZE 50.000 X 128 OR Fees: Description Amount FEE2004 -9210 Building Fee $100.00 FEE2004 -9211 CCF $0.60 FEE2004 -9212 Training and Education Fee $0.20 FEE2004 -9213 Technology Fee $2.50 Total Fees: $103.30 Total Fees: $1 Total Receip 3_j Permit Status: APPROVED Permit Expiration: 2/19/2005 Construction Value: $1,000.00 Work: ELECTRICAL FOR REMODELING P In consideration of the issuance to me of this permit, 1 agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Z6 /3 V MIAMI SHORES VILLAGE / BUILDING DEPARTMENT 305- 795 -2204 Buil•ing Inspection Request Date / ZZ Type Insp'n Permit No. L 0 4 2 Name ib1Q Address Company 0,0 I E I C1 Phone # Inspection Date C / S3 Approved Correction ❑ 215 -lY ,0f— Re- Insp'n Fee ❑