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546 NE 92 St (9)y Date Type Insp'n Permit No. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Name 7 l� Address 5( , \�E — Company v Phone # Inspection Date Approved ❑ Correction 23 Re- Insp'n Fee ❑ Tx e /2 a'or e - " O 'eG»� J" Date / \3O, j Type Insp'n eQC4 1 cj A Permit No. t/ 09. 36 Or 301 Name r( 0A- Address C W. i , 2 57- Company SA /(1,•. P :,�9d of /21�— Phone# 7f9S- -a6 � 4 � \O - //�1 Inspection Date / \ J' Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request ❑ -/ �r r� ./(e `P.c./ �`� T Date Type Insp'n Permit No. Name Company Phone # Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time AddressE kiD For Inspector: ir# � I Name & �? C -f e - i9iL d'A' 4 /5' ed --,S Type Insp'n Permit No. Name Date Time o n[ � c� 3 7 Acid' c55 � � .....- Company i L Phone #_ For Inspector: Approved L� Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 A ;� Building Inspection Request Date Type Insp'n F 1 �i I E .Iel..... Permit No. j G I 04° 30 Name (CNC Address - t S+ 1 Company �P 14 t J i • ®-s // Inspection Date Approved Correction Re-Insp'n Fee_ Permit No. Name Address Company Phone # For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n 00 al �2 c i 1 r�yl (, O c7 1 . 2 , srame & Date CI s' erz.v./Ga X/5' / > ;f Xmel° CONTRACTOR / Name 2-,/e f /`, P .4 " Pl/9S 1P /. - c II License No. 777- 6 (0 r) 3 Address g t i e G a Om f f( f/ 33/ Telephone OCR —? x Z6�c-c .e Q ; „ z2 � 2 7C , � /� Qualifier Name / Dsuv4 /do dZ f9 i G ti C 7 PROPERTY OWNER Name a10y -teD E ptcs Address sztc., a2 s4_ rig\onm\ 3Inotc6 , FL- 33(38 Home Telephon( 3(2E) � ^`.� _ . 74,G - 1 J Business Telephone . 9G1 _ gG.33 Fax . TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair v Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other INSTRUCTIONS - Th Step 1. APPLICATION PERMIT APPLICATION Master Permit No. Subsidiary Permit No. fit r ,a0 ©a .t2Co following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. Job Address: 5 4 G N� 12 _ Lk (xm 1 sv tIcA n T ( S31 3 Folio Number description of Work Lot Black Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property *Value of Work / 7_00 Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other ARCHITECT Name License No. Address Telephone Fax Address Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) Apt. City State Zip e (:"'- ZT) c rea C r S) 2 - are262 ENGINEER Name License No. Address Telephone Fax Page 2 IMPOR'T'ANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFI DAVIT' - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1°` Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 •f Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, C Signature of Owner Print Name Sworn to and subscribed before me this 2 CJOZ Signature t r.4Y PG OFF1DIALNOTARY SEAL: 0 0, n ELA MELe0EZ \ t Q COMMISSION NUMBER DD069360 ▪ OF F �o � • MY COMMISSION EXPIRES NOV. 212005 Personally nown . R7Produc TY OF MIAMI -DADE day of , blic - State tification Type of Identification Produced: STATE OF FLORIDA, COUNTY OF MIAMI DADE Si atuure of Contractor / Qualifier ,S r> rA (d C Print Name ,worn t subscribed before me this day of [[f�lf to off' NOT SEAL p -d ELA MMELENDEZ Q COMMISSION NUMBER O D0069350 2 4 cis WIPP 9f t('OF F`Ocz MY COMMISSION EXPIRES NOV. 20,2005 Signature of Notary SEAL: PERMIT APPLICATION Personally known OR, Produced Identification Type of Identification Produced: Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Printed: 2/27/2002 Page 1 of 1 Applicant: MARIA Owner: CABRERA Parcel # 1132060141170 Job Address: 546 NE 92 ST This Permit is granted to the contractor or builder named above to construct the ' ordinances pertaining thereto and with the understanding that the work will be perfc and approved by the proper municipal authorities. This Permit may be revoked at authorization. A further condition upon which this permit is granted is the understai ordinances and regulations pertaining to the work covered hereby whether shown c by his agents, servants or employees. Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work with the plans, drawings, statements or specifications submitted to the proper authc myself, my agent, servants or employes. Signed: (Contractor or E Electrical Permit Permit Number: EL2002 -66 CABRERA MARIA Contractor ELECTRICAL MASTERS INC Address: 8400 SW 14 ST Local Phone: Cellular: Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 1 BLK 58 LOT SIZE 98.600 X 127 Permit Status: Approved Permit Expiration: 8/26/2002 Construction Value: $1,200.00 Work: REPLACE & INCREASE SERVICE If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. ELIEZER HERNANDEZ 9350 WEST FLAGLER ST., APT. 203 MIAMI, FL 33174 PAY TO THE ORDER 0 lti ' Washin : on Mutual NOTES ()/446 ' C / // -re-e .;S . $: / •2c3 ao Washington Mutual Bank, FA MIamSWest Tamleml Financial Center 1737 7920 SW. 8th Street 1- 800-788.7000 MW FL 33144 24 hew Wstomer $ e ee•iesv Total Fees: $0.00 Total Receipts: $0.00 Yuetomei- 63- 8413/2670 3833479054 DATE 1: 267084 L3 LI:383111347905 0 240 240 M DRIP LOOP . I - 0 BE 30' -,FG (MIN) .`6 • ••i I:1011IP 200A 'METER 2' AIJOvE ROOF FINISHED GRATIE r •.i >Y 2Ottfl 1 tonal 10 - 4-- -- ruksnic L Rua UI IG f ^!C 111:2 v i PANEL U'U' 111N 11E1'TI1 HHHATN C13 r TZ. I )nt1• GLN I I' J SUB C 0 PANEL v Ground wlrc JU.. LK UI\ ' M/' .> 1" ter. e_� -� - - - -- '1- Iclpli'L - I Conclueior stce 2, • Conduit otzc 7/ Conduit type - roor ltAI11. DIS YONIUECT Rafino 7r.j9 0 .AnPS Moon --.7.Ja.n. Anrw Sub Breakers' „_„Z„Q,Q_AMpa New 'ryp _C 4 .tLTs l d e - situ • = p Q Mond stica• - rr ENSEDE .PANEL C O vT 7 Rcitlnp 24 Ai,ps band $las az _ ,L oco - tio n_ ' �j e) I _ SI d c_ kj 0 PER S.F.II.C, 4!iOfi,Z(i ) S U]3 -FEEDER 1 .\// • • ,co {S�.L• g,`�_�S— G�.c� QL�?.12..�.�.. '. D ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYI'l Minimum Fee Q7 'FVPE Condensate Drain QTR .. . yrE Generator cm TYPE QTY. Refrigeration, Tons A/C Central, Tons Cooling Tower - Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of - Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING TYPE A/C Condensate QTY. 'I'YI'P: Drains, Roof QTY. 'FYPP. Miscellaneous Fixture ()Ty. TYI'E Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED B DATE? `� ' Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT PEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ $ $ SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE » — (sq.ft. = x/1000 x t.60) (¢.005 / sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) O CONTRACTOR REGISTRATION (On File) TOTAL $ , k0 CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2' AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com 4 3 1 ''. BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Contractor's Company Name Contractor's Address City I" 1 ��vY1 Qualifier i s $ Value of Work For this Permit Notary $ � Training/Education Fee $ Total Fee Now Due $ (Continued on opposite side) / Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ?2 N) u S .s -4- - State Fl_ 0. 31) Code Enforcement $ " Structural Plan Review. $ Permit No. ( l ( - _ g Master Permit No., 4 2. i )I/ lectrical i Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) LAC.JI_.0 Phone # ' C' 05 3 - Owner's Address Lll n'E GZ City 1 'vv J State FLC r t CMG. Zip 33i3 Tenant/Lessee Name Phone # Job Address (where the work is being done) '. Li U SIC q 2 S } City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO , //J.. /44f � �; 1 � 1 �: C7 ' Phone # I � ) (�G 1) > ) Zip 3.3 1 2(4, State Certificate or Registration No. L - �t 1 . � /.' / 5 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: Type of Work: ['Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: Fl t=� +-1 I c GLA , 4 f ?(_l;: j * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ DL CC Permit Fee $ • co& CCF $ © • (976 CO /CC Technology Fee $ Scanning S r Radon Zoning Bond $ � — Bonding Company's Name (if applicable) Bonding Company's Address City State Zip 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 constnuction 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 issued. In the absence of such posted notice, the inspection will not be approved . d a reinspection fee will b ' charged. Signature ner or Agent Signature The foregoi _ ins nent was ackno. ' edged before me this The foregoing instrument was acknowledged before s efore me thi 8 day of , , day of _ 2 b E• JGv‘ 1 who is personally known , me or who has produced who is personally known to me r who has produced As identification and who did take an oath. NOTARY PUB L NOTARY P Sign: Sign: Print: Print: My .nimission Expires: My Commissi ****************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED B Chc 05/13/03 as identif ************************ * * * * * * * * * * * * * * * * * * * * * * * * * *.w,r, ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Contractor WS) at.to MY COMMISSION #DD256646 s • EXPIRES: OCT od, 2007 and who did take an oath. Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/19/2004 Applicant: MARIO Owner: FLOTA JOB ADDRESS: 546 NE 92 Contractor SHINE MAINTENANCE ELECTRICAL Local Phone: 305 - 269 -1151 Parcel # 1132060141170 Signed: (INSPECTOR) Electrical Permit Permit Number: EL2004 -307 FLOTA MARIO ST Signed: (Contractor or Builder) Contractor's Address: 7323 NW 8 ST Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 1 Fees: FEE2004 -11569 FEE2004 -11570 FEE2004 -11571 F E E2004 -11572 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $200.00 $0.60 $0.20 $5.00 $205.80 Total Fees: $205.80 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 4/30/2005 Construction Value: $750.00 Work: ELECTRICAL FOR POOL 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 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. BY: .NOV 1 PAID Page 1 of 1 BLK 58 LOT SIZE 98.600 X 127 Permit No 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 01 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 plane and specifications must be kept at building during progress of work. j ' �f ` tD �(� G� y Owner rk a Name and Address ( I A ' -..1 V n SE. `,-_ / No / f ' .P Street Registered Architect and /or Engineer --� Employing Electrician's Name... -El ''`jj mac Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 5 5 Street. ?.- S ' 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 STATE OP FLORIDA, 1 COUNTY OP DADE. se ' Before me, the undersigned authority, a notary public, duly authorized I I /7 —c) N. v " 2- ' ' 0 'Street (Signed) (Signed).... Date to administer oaths and take r / / ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ci 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 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( this permit, as are licensed by Miami Shores Village. _ ►• 1 L) aster Electrician. 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 REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL. CONTR. LIST 9 � [1 J CHECK ENT. SW. DIET. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No 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 01 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 plane and specifications must be kept at building during progress of work. j ' �f ` tD �(� G� y Owner rk a Name and Address ( I A ' -..1 V n SE. `,-_ / No / f ' .P Street Registered Architect and /or Engineer --� Employing Electrician's Name... -El ''`jj mac Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 5 5 Street. ?.- S ' 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 STATE OP FLORIDA, 1 COUNTY OP DADE. se ' Before me, the undersigned authority, a notary public, duly authorized I I /7 —c) N. v " 2- ' ' 0 'Street (Signed) (Signed).... Date to administer oaths and take r / / ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ci 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 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( this permit, as are licensed by Miami Shores Village. _ ►• 1 L) aster Electrician. 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. 4 2 s I ` /g= j LICATION FOR ELECTRICAL PERMIT Permit No / ' � � 5 Date 3 Application is hereb ade for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiunda, 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 Registered Architect and /or Engineer Employing Electrician's Name p`,/ n A 1 L New Building Remodeling 58. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT To e- e No. .. /y No 5 y6 • Street `- Street l � 7." /1i . Location and Legal Description Lot / Block u Subdivision Streit and Number where work is to be performed —No Sy6 .... l . 1 po • E. Street / 2- s / f i ve_ odd e ( f / :Tc ke dl State work to be performed and purpose of building (By Floors) 1i/ Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses . Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit (Signed) Ele cel In •ecto The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio as an employer of labor under the Florida Workmen's Compensation Act. being Section 4966, Compiled General Laws of Florida Perm, ent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors , ,ployed 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, l COUNTY OF DADE. I j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires NOTE: A re-inspection fee of $1.00 will be made w: +en such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Notary Public, State of Florida Master Electrician. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'8 FIXTURES NO. LAMPS RQVRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER p)5 A WA, o f TOTAL CONTR. LIST / .02". ' i CHECK ENT. SW. DIST. CA8. SERVICE TEMP. SERVICE PERM. `/�,� � i°/�JS � L at4 H FA.R MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RAOIO TOTAL. CONTR. LIST I CHECK 4 2 s I ` /g= j LICATION FOR ELECTRICAL PERMIT Permit No / ' � � 5 Date 3 Application is hereb ade for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiunda, 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 Registered Architect and /or Engineer Employing Electrician's Name p`,/ n A 1 L New Building Remodeling 58. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT To e- e No. .. /y No 5 y6 • Street `- Street l � 7." /1i . Location and Legal Description Lot / Block u Subdivision Streit and Number where work is to be performed —No Sy6 .... l . 1 po • E. Street / 2- s / f i ve_ odd e ( f / :Tc ke dl State work to be performed and purpose of building (By Floors) 1i/ Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses . Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit (Signed) Ele cel In •ecto The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio as an employer of labor under the Florida Workmen's Compensation Act. being Section 4966, Compiled General Laws of Florida Perm, ent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors , ,ployed 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, l COUNTY OF DADE. I j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires NOTE: A re-inspection fee of $1.00 will be made w: +en such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Notary Public, State of Florida Master Electrician. o / (- 3 .!_ / Permit No 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. t� Owner's Name and Address � f` k. Cel t�„ No -‘ StreetAl Registered Architect and /or Engine Employing Electrician's Name 3 . .1R �'� Location and Legal Description Lot — = -- '� Street and Number where work is to be performed —No.. ` State work to be performed and purpose of building (B oors New Building Remodeling Addition Repairs No. of Stories Sery Conduit Main Sw. Amps Main Fuses Amps ice . Size Feede Overhead . B.X.L .Metal Moulding Amount of Permit $ • ss. //. /b 7 g. wd )WL. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Type of Installation— Conduit 4= My Commission Expires MIAMI SHORES VILLAGE Tubing �.� No /A./. - Street. /.. we ... /.,T}�"y Block Subdivision Street �7. - e ice/ c e (Signed) Date L. 4-C. rical Insp r. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe anent 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 o, .the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-co s + ork to be performed under this permit, as are licensed by Miami Shores Village. 1- Notary Public, State of Florida Master Electrician. STATE OF FLORIDA, COUNTY OF DADE), Before me, the upd signed 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. 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 PLUO RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. �y e 3 /. ��� MOTORS 0.1 HP MOTORS bS HP E TRNAON NS. RADIO TOTAL CONTR. LIST CHECK o / (- 3 .!_ / Permit No 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. t� Owner's Name and Address � f` k. Cel t�„ No -‘ StreetAl Registered Architect and /or Engine Employing Electrician's Name 3 . .1R �'� Location and Legal Description Lot — = -- '� Street and Number where work is to be performed —No.. ` State work to be performed and purpose of building (B oors New Building Remodeling Addition Repairs No. of Stories Sery Conduit Main Sw. Amps Main Fuses Amps ice . Size Feede Overhead . B.X.L .Metal Moulding Amount of Permit $ • ss. //. /b 7 g. wd )WL. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Type of Installation— Conduit 4= My Commission Expires MIAMI SHORES VILLAGE Tubing �.� No /A./. - Street. /.. we ... /.,T}�"y Block Subdivision Street �7. - e ice/ c e (Signed) Date L. 4-C. rical Insp r. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe anent 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 o, .the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-co s + ork to be performed under this permit, as are licensed by Miami Shores Village. 1- Notary Public, State of Florida Master Electrician. STATE OF FLORIDA, COUNTY OF DADE), Before me, the upd signed 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. NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. AP€F9_BCATB ®N FOR Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. ��✓✓ Date JQ.GL. 1 ,19. Owner's Name and Address.._.Lx... ici.o _ et.2 Cd .S -... No Street_ Regibtercd Architect and /or Engineer Name and address of licensed contractor., /, z / .... ,W.Lx7 _ 7? .$Z J p� Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done __._. ._Z.i S t State work to be done and purpose of building (by floors) ez-tu. ate..Z, .and for no other purpose. New Building • Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $..rat, O. OQ 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 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. Remarks __ (Signed) 1/. ° STATE OF FLORIDA, COUNTY OF DADE. J ss. 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 foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.__-. / �S • Disapproved _ Date_ - (Signed) / Z_ Date.. (� 7 _ Read, Sworn to and Subscribed before me. Building Inspector j My Commission Expires Chairman Member Member Council Approved Date NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of 51.00 will be charged materials and /or workmanship. MBANN 9H S VOLLAUE BUILDING INSPECTION DEPARTMENT z U8B_DBNS FERIM8T Notary Public, State of Florida P NING BOARD DATE Member Member Member Disapproved s - Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No / � `". Date / 3 0 — S 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 work. Owner's Name and Address STATE OF FLORIDA, 1 COUNTY OF DADE. Registered Architect and /or Engineer L/ Employing Electrician's Name .... c.. No Street No Street N Location and Legal Description Lot / Block 4 — .y Subdivision Q q Street and Number where work is to be performed —No c...b J.Ve Street..... r J.e2 5' .. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders ' Conduit I 2—. Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubin B.X.L Metal Moulding Amount of Permit $.,/ ..L (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 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) 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 H EATER STRIP H EATER TOTAL CONTR. // / / C / 2— r kJ /.� -s� 1 / ./ 7 , / 1 �p ,.1 � ! . '�: .• .r ' • r ..e+ �r r "� CHECK L,[ j - .4 .... � ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST / CHECK �__-- /,. -* MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No / � `". Date / 3 0 — S 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 work. Owner's Name and Address STATE OF FLORIDA, 1 COUNTY OF DADE. Registered Architect and /or Engineer L/ Employing Electrician's Name .... c.. No Street No Street N Location and Legal Description Lot / Block 4 — .y Subdivision Q q Street and Number where work is to be performed —No c...b J.Ve Street..... r J.e2 5' .. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders ' Conduit I 2—. Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubin B.X.L Metal Moulding Amount of Permit $.,/ ..L (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 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) 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. DIG ELL CAL PL ING Owner 'pf Buildin Architect Contra or or Builder Legal Description Addre Buildin Lot MIAMI SHORES VILLAGE, FLORIDA Lam' PERMIT N? 10552 Work to be performed under this Permit •. ". l° t., . f : �. -f^ CONTRACTOR OR BUILDER BI. Of Value of Amt. of r�+• Project $ I Permit $ , s permit is ( granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if work is not done in compliance with such ordinances or if the plane are changed without authorization. A further condition upon which this permit is granted the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertainin to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by a agents, servants or employees. / /) r Signed. Subdi- vision INSPECTOR DATE 195'4 Contractor's License No. _ In, consideration of the issuance to me of this permit I agree te, perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto nd in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accept! g • >ermit I assume respont ility for ell work done by either, myself, my agent, servant or employee. II //''f BY AUTHORITY BUILIbING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building N . Lot 4 `7 , ! �1 � 5' 2 MIAMI SHORES VILLAGE, FLORIDA Fl wr PERMIT N° 10792 Work to be performed under this Permit �..a. 4_.,4. / Bl. This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if thi 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 id the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by agents, servants or employees. Subdi- vision • Value of Project $ DATE / Contractor's License No. Ci asir Amt. of Permit $ BY AUTHORITY 195 . ! . . Signed: / /e" ,x• , 5IJ I EC OR In , of the issuance to me of this permit I agree to . , 'erform the work covered hereunder in compliance with all ordinances nd regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In acccptitig thi permit I assu a responsibility for all work dons bY either, myself, my agent, servant or employee. YY f I CONTRACTOR OR BUILDER Permit No/ 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 STATE OF FLORIDA, COUNTY OF DADE Il ss. MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT ELECTRICAL INSPECTION DEPARTMENT The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to licensed by Miami Shores Village. Date.. : No Street Registered Architect and /or Engineer f Employing Electrician's Name f `C e Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1/4S 42 Street IV 6 6 7 A, ..r.'...t State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories No Street Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as are (Signed) 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 R ECE'P'T'S FIXTURES N O. LAMPS REFRIO. OUTLET IRON O UTLET RANGE OUTLET RANGE CONN. WATER H EATER W. H EAT. CONN. SPACE H EATER STRIP H EATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP N EON TRANS. RADIO TOTAL CONTR. LIST r � - j/ r \ i , 7 f f r_� C .- ` a t ....... CHECK / Permit No/ 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 STATE OF FLORIDA, COUNTY OF DADE Il ss. MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT ELECTRICAL INSPECTION DEPARTMENT The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to licensed by Miami Shores Village. Date.. : No Street Registered Architect and /or Engineer f Employing Electrician's Name f `C e Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1/4S 42 Street IV 6 6 7 A, ..r.'...t State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories No Street Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as are (Signed) 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.