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ELECTRICAL PERMITSPERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER, TO jtETAi N COPY) CMS ¥ M 1 S A S \ • Date (Q -13 -' S Job Address Li 3 q rV E Q `5-6 • Tax Polio I /' 31a _ ° i 4- C a- So Legal Description L.-4+ (7/1 K r rk Owner / Lessee /Tenant r�,.�► �c� c Qz vs. �� 2. Master Permit # - Owner's Address 4 3 q AVE '3 c S �- Contracting Co. l.v S en , �� -a Address �� 4J N (� v S4- V ( Qualifiery F u �„f- • a./ u.cs ► r - ( Phone 9 --7c03 Uz) State #C)�q Municipal 10 Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDII - CTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Signature of owner and /or Condo President Date: Not $W44e tograltiblinekMDCondo President M3►,r` �,:.: ,T 4 ?egY STAT OF FLORIDA �:'tt COMM. NO. CC 283698 ** * .. 14y Comm, Expires May 5. 199 "* FEES: PERMIT 5�- 00 APPROVED: dC Phone 7 S ( e- 4 7 L Square Ft. Estimated Cost(value) 4 ciS ov 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 state . Signature of Contract. or Owner- Builder Date: DEBRA ►8Y PUetactor or Owner Builder DINT FiESpiQAs : ,• COMM. NO. CC 283698 My Comm. Expires May 5,199 * * * * * * * * CO RADON C.C.F. ,` NOTARY TOTAL DUE 7 -' Fire Other (V� Zoning Building Electrical'` * * ** Mechanical Plumbing Engineering auto' • Date (� L 1 Description-43 17 k // ` ff' Owner / Lessee / Tenant ����cC J�6 ® � 7� Owner's Address PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address "0 I /2 ep'z51 Tax Folio /(- 3�0 - of 1/ - a So 43R Contracting Co. l_.0 Ac_'n �i QualifierVC"ce -A r��u�CSb `J er Phone State 4f E04) Municipal # Competency 4i' Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDI ECTRICAL LUMBING MECHANICAL ROOFING PAVING FENCE SIGN 6i WORK DESCRIPTION iG OWNER'S AFFIDAVIT: I be done in . . iance authori Nota ' b O►QTM %. = .Indo Presid My C• •r' 'cinSITA1FAE FLORIDA ' t .•' COMM. NO. CC 283698 My Comm. Expires May 5, 1997 ** * * * * * * * FP'S: PERMIT RADON APPROVED: Zoning Mechanical Master Permit 4fr Phone -7, eio 7 Li v Address c - N to JT 5 4'sf 1 - Square Pt. Estimated Cost(value) Wt...e(ING 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. ertify that all the foregoing information is accurate and that all work will ith applicable laws regulating construction and zoning. Furthermore, I ed contractor to do the work stated Signature of Contracto Date: or Owner- Builder \14 dry hwyftor or Own e Builder ,4 o8 'F qlF lituRfttA ..Fat; '' COMM. NO. CC 283698 My Comm. Expires Mev 5. 19n * * * * * * * * ** C.C.F. NOTARY TOTAL DUE Fire Other Building Electrical Plumbing Engineering Amount of Permit $ ss. My Commission Expires Service _ Overhead Size Feeders �______ Conduit_ , Main Sw C Amps. Underground Type of Installation— Conduit Tubing _ B.X.L Metal Moulding (Signed) r ( Signed) — –� — — – Main Fuses___ Amps. ectical Inspector. I The undersigned applicant for this building permit does hereby certify that he n rstands and accepts his obligati'as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled neh1 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, k 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. Notary Public. State of Florida _ _ 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. EUICTRWALL PLUMBING Owner of Building Architect mit Contractor or Builder Legal Description Address of Building This p os* herefor is strict drawing, time if the granted is dte done by Us agents, *Mote or In coca 4aation of the ',pertaining thence and in strict aorept ng't r: CO ACToi BUR= Permit No.1' _ __�_ Amount of Permit $ 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 __..________- ___ No Street--- -- -__ -� -� Registered Architect and /or Enginee Employing Electrician's Name __ L� ' C - - - -- -- ''''- 1'__ ._�_..-- _.....=- t-- 1-- � - - -� -- No. - == ----------=----- "Z.- -4'' -- Street • Location and Legal Description _________________Block Street and Number where work is to be performed —No f _ ' J • Street ,1'_y__ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs Overhead Service Underground Size Feeders �___�______ Conduit._ �� Main Sw _____ ^ Amps. Type of Installation—Conduit _____ __________ Tubing B.X.L Metal Moulding My Commission Expires (Signed) (Signed) Date / No. of Stories. ____ _________ Main ec fical Inspector. The undersigned applicant for this building permit does hereby certify that he %'n• rstands and accepts his obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled 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. n< 1 Laws of Florida Permanent Supplement, and has coin- STATE OF FLORIDA, ss 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 be did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida 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 IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL C L ST . ° - / / / • " , 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.1' _ __�_ Amount of Permit $ 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 __..________- ___ No Street--- -- -__ -� -� Registered Architect and /or Enginee Employing Electrician's Name __ L� ' C - - - -- -- ''''- 1'__ ._�_..-- _.....=- t-- 1-- � - - -� -- No. - == ----------=----- "Z.- -4'' -- Street • Location and Legal Description _________________Block Street and Number where work is to be performed —No f _ ' J • Street ,1'_y__ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs Overhead Service Underground Size Feeders �___�______ Conduit._ �� Main Sw _____ ^ Amps. Type of Installation—Conduit _____ __________ Tubing B.X.L Metal Moulding My Commission Expires (Signed) (Signed) Date / No. of Stories. ____ _________ Main ec fical Inspector. The undersigned applicant for this building permit does hereby certify that he %'n• rstands and accepts his obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled 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. n< 1 Laws of Florida Permanent Supplement, and has coin- STATE OF FLORIDA, ss 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 be did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida 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. Permit No r Sep MIAMI SHORES VILLAGE ELECTR ICAL 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: J= No Street Registered Architect and /or Enginee Employing Electrician's Name.... /2 ,e,/ L t / �c1.1 e: � No .-3- l :1 .. Street.. (Al g' • �'t .� • Location and Legal Description Lot / Block Subdivision Street and Number where work is to be performed —No STATE OF FLORIDA, } COUNTY OP DADE. Amount of Permit $ /. v (Signed) (Signed) C. '"- " Date.... 4 d ,l X" 0 .Street 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 ctrical Inspector. The undersigned applicant for this building permit does hereby certify that he Aind rstands and accepts his obligg is as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled has complied with the provisions thereof, and will require similar compliance from •. 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. eneral Laws of Florida Permanent Supplement, and 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 RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE SERVICE TEMP. PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST • /^ f/ CHECK Permit No r Sep MIAMI SHORES VILLAGE ELECTR ICAL 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: J= No Street Registered Architect and /or Enginee Employing Electrician's Name.... /2 ,e,/ L t / �c1.1 e: � No .-3- l :1 .. Street.. (Al g' • �'t .� • Location and Legal Description Lot / Block Subdivision Street and Number where work is to be performed —No STATE OF FLORIDA, } COUNTY OP DADE. Amount of Permit $ /. v (Signed) (Signed) C. '"- " Date.... 4 d ,l X" 0 .Street 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 ctrical Inspector. The undersigned applicant for this building permit does hereby certify that he Aind rstands and accepts his obligg is as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled has complied with the provisions thereof, and will require similar compliance from •. 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. eneral Laws of Florida Permanent Supplement, and 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.