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ELECTRICAL PERMIT
tNG EL ELEcI'RICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA El DATF � �' Q 195 ❑ PERMIT N9 4242 Contractor's License No. CONTRACTOR OR BUILDER g Work to be performed under this Permit c Bl. ' A — Subdi- vision Value of Project $ FQJ a)rLe nrs l?aa J II Amount of II Permit $ This permit is granted to the contractor or builder named above to construc 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 the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submittedjtto the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY a <5 BUILDING ❑ ELECTRICAL CI PERMIT IN? 11634 PLUMBING ❑ ROOFING Owner of • ') Building \ Architect Contractor or Builder Legal Description Address of Building Lot I Bl. Subdi- Z` N s ' As. „ _r vision � iy �� _ 1 ?` Value of Amt. of ��, �' �� Project $ Permit a 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 the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. 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 s permit I assume responsibility for all work done by either, myself, my agent, servant or employee. ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE Signed • BY h� \1 IITSPECfOR : , ';�. _. 1954__ Contractor's License No BY AUTHORITY $ 10 '► ? Permit No Owner's Name and Address Registered Architect and /o ngineer Employing Electrician's Name Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I j 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 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. S S. Street and Number where work is to be performed—No No New Building Remodeling Addition Repairs Street 7 2.-7,c44, • No ? . 7o/ .Street Location and Legal Description Lot Block Subdivision ..Street , m �r.� .. ..... State work to be performed and purpose of building (By Floors) No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing 4-------- 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 subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (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 REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT, CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. + �1 l_ C.;i `L MOTORS 0.1 HP ,. • MOTORS 1•5 HP NEON TRANS. RADIO TOTAL 5 , G D CONTR. LIST CHECK 2 z1 f . ? Permit No Owner's Name and Address Registered Architect and /o ngineer Employing Electrician's Name Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I j 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 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. S S. Street and Number where work is to be performed—No No New Building Remodeling Addition Repairs Street 7 2.-7,c44, • No ? . 7o/ .Street Location and Legal Description Lot Block Subdivision ..Street , m �r.� .. ..... State work to be performed and purpose of building (By Floors) No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing 4-------- 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 subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (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. MIAMI SHORES VILL< ICE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit N/ A 41 ) Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the wilding 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 wor Owner's Nanie and Address...! Registered Architect and /or Employing Electrician's Name Location and Legal Description Street and Number where work STATE OF FLORIDA, } COUNTY OF DADE. ss. ineer 1 Quo No ..J No. 2 ,..Street Lot Block is to be performed —No ^'`t 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 Amount of Permit $ " (Signed) L^ 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 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 - contractors work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Date Subdivision Street Master EIectfician. 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 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 N EON TRANS. RADIO TOTAL CONTR. LIST - �/ P'', e CHECK /..I5-0 MIAMI SHORES VILL< ICE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit N/ A 41 ) Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the wilding 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 wor Owner's Nanie and Address...! Registered Architect and /or Employing Electrician's Name Location and Legal Description Street and Number where work STATE OF FLORIDA, } COUNTY OF DADE. ss. ineer 1 Quo No ..J No. 2 ,..Street Lot Block is to be performed —No ^'`t 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 Amount of Permit $ " (Signed) L^ 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 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 - contractors work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Date Subdivision Street Master EIectfician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. • Permit No cos 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 Registered Architect and /or Engineer• Employing Electrician's Name r Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE: APPLICATION FOR ELECTRICAL PERMIT SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Date (oq0 No Block Street and Number where work is to be performed —No \/ Street Location and Legal Description Lot 7/ No © Street 6 ' ;Q ' Street G ` —° Subdivision 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 (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, Compile • General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance /from all c•ntractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted /for inspectio on the site of the wor ch public ,otice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, .n work to be ; erfo ed under t}>ls permit as are licensed by Miami Shores Village. Masterlectrician. 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 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 04 HP MOTORS 1•S HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No cos 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 Registered Architect and /or Engineer• Employing Electrician's Name r Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE: APPLICATION FOR ELECTRICAL PERMIT SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Date (oq0 No Block Street and Number where work is to be performed —No \/ Street Location and Legal Description Lot 7/ No © Street 6 ' ;Q ' Street G ` —° Subdivision 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 (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, Compile • General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance /from all c•ntractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted /for inspectio on the site of the wor ch public ,otice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, .n work to be ; erfo ed under t}>ls permit as are licensed by Miami Shores Village. Masterlectrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. - ' Permit No 1 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. 1-0 Owner's Name and Address._....... ‘' h No Street Registered Architect and /or Engineer /� Employing Electrician's Name . .. 6U -0V; No Street Location and Legal Description Lot.... . is W z- s ! Block k Subdivision Street and Number where work is to be performed —No 0 JE. , �- Street./ c24 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Date Service.. °eihe Size Feeders Conduit / L Main Sw Amps Main Fuses Amps round Type of Installation— Conduit L ubing. B.X.I 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 sub-contractors, on work to be performed under this permit, as arc licensed by Miami Shores Village. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. ( 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 HEATER STRIP HEATER TOTAL CONTR. L ,sT l � / 3 5:e0 S .." q 3 eG / (I� / to a V 5° CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP M OTORS N EON 1•5 HP TRANS. RADIO TOTAL CONTR. / / 2 ""�^"-fn� , CMMM�, . ' C . / JJ� ,, Ate - .--I, Y ' CHECK Oc I ' a 0 act, . Permit No 1 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. 1-0 Owner's Name and Address._....... ‘' h No Street Registered Architect and /or Engineer /� Employing Electrician's Name . .. 6U -0V; No Street Location and Legal Description Lot.... . is W z- s ! Block k Subdivision Street and Number where work is to be performed —No 0 JE. , �- Street./ c24 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Date Service.. °eihe Size Feeders Conduit / L Main Sw Amps Main Fuses Amps round Type of Installation— Conduit L ubing. B.X.I 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 sub-contractors, on work to be performed under this permit, as arc licensed by Miami Shores Village. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. ( 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. Registered Architect and /or Engineer Employing Electriciad's Name.. Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Amount of Permit S. STATE OF FLORIDA, l I j 88. COUNTY OF DADE. MIAMI SH RES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No L D �� 4 C '/ No Block Service Overhead Site Feeders Conduit.. Main Sw Amps Underground Type of Installation — Conduit Tubing... ... B.X.L.. Metal Moulding (Signed Date.. /,! / Subdivision. 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, Fi,,,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. � ,yy Owner's Name and Address.... jQ.,t ate �` No Street./// �2 54/ Street. / / Street. New Building Remodeling Addition Repairs No. of Stories .........Main Fuses Amps (Signed) Electricdl I hector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permanent S plement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 FIXTURES NO. LAMPS REFRIG. OUTLET OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL GL4T 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 Registered Architect and /or Engineer Employing Electriciad's Name.. Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Amount of Permit S. STATE OF FLORIDA, l I j 88. COUNTY OF DADE. MIAMI SH RES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No L D �� 4 C '/ No Block Service Overhead Site Feeders Conduit.. Main Sw Amps Underground Type of Installation — Conduit Tubing... ... B.X.L.. Metal Moulding (Signed Date.. /,! / Subdivision. 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, Fi,,,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. � ,yy Owner's Name and Address.... jQ.,t ate �` No Street./// �2 54/ Street. / / Street. New Building Remodeling Addition Repairs No. of Stories .........Main Fuses Amps (Signed) Electricdl I hector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permanent S plement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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. Signature of owner an Date: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date .f7 e /5Z1 Job Address 54 /1/1 5; 3 Legal Description Owner / Lessee / Tenant Master Permit # 75�� Owner's Address .J ��At-J Phone Contracting Co. (/ ^ / Address /% 9 (!% e Qualifier i 9 z e2- SS# Phone J`)y' 3l t /83.3 - rea State # /1C &7/'$3OMunicipal # Competency # 44 Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDI LUMBING MECHANICAL 045/.r..2.447-e=02 ROOFING PAVING FENCE SIGN WORK DESCRIPTION C�� 44 ec� s q 6 O "c2 SG92-4./ See- Square Ft. / e7 Estimated Cost(value) '/ /erg' WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. do President Notary as to Own-. and /or Condo President Tax Folio Signature o Date: ctor or Owner- Builder Notary a= to Contractor or Owner- Builder My Commission Expires: My Commission Expires: ** * * * * * * * * * * * * * * * ** C7 FEES: PERMIT7)i® RADON C.C.F. NOTARY TOTAL DUE 7 T APPROVED: Fire Other Zoning Building Electrica ) /-e "1" Fi Mechanical Plumbing_ Engineering Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Legal Description Owner / Lessee / Tenant Master Permit # Owner's Address / Phone / G� y� Contracting Co. ` � Address / 6 O 3 ' ( �` Qualifier State #1E2009,'610 Municipal # Competency # ( Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ;'LECTRICAL 'LUMBING MECHANT('&L ROOF Ng PAVING ENCE SIGN WORK DESCRIPTION Square Ft. 2, Jcr OWNER'S be done author ,J Address 5'' N L �-2 S f Tax Folio 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. AFFIDAVIT: I certify that all the foregoing i fiance with all applicable laws regul ove -named contractor to do the wor so sE Signat Date: Nota y as My Commiss API/ e or�o r and /or Condo President Got ia•-.e 6 DR. esident ** * * * * * * FEES: PERMIT RADON 'flDROVED: Zoning Mechanical Phone ( 3- ) - 4- 1 71 l W Estimated Cost(value) s • on 1r • • tion is accurate and that all work will / el r ,/ i nature of Contract. _Owner Build ate: �� /- f Notary as to{ ConerN(r\4g-Bu lder a 1n1 T TLJ T 1 (1VD W R l COMMISSION NO. CC412849 MY COMMISSION EXI'. OCT. 20,1998 * * * * * * * * ** C.C.F. NOTARY I TOTAL DUE Fire Other truction and zoning. Furthermore, I Building Electrical Plumbing Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT 11 FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS :t 2 9q5 P CENTRAL HEATING DISHWASHER RECEPTACLES or At (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN MPS 2e-0 / f ®v DUCT WORK FLOOR CRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS / 45 PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP 1 ( Ail UNDERGROUND TANKS LAVATORY OVEN 1 , y ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER 1 / / U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MDTCRS 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 SLPPLY 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 PLRPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY-SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS ORAINFIELD, 4' TILE/RES. VIOLATION PUMP & 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 ADDENDUM TO BUILDING PERMIT. APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL r xi 5 7N9 PANEL To' IEGamp 60A AHU 10 KW #bc�. 3/x,0 Em a . WE Li- 2 i 7G G C ® __3 # a/o I N a`' i.rnC- 4 ci. oIN l� " PdC (,‘APagt rniN � r D .1 Yx "EMT c w ACC u JF D'sc• _O -ELE —rgrc, I ce7 G _1669 W• 3g PL• _ - HiALe,6f FL.�3gc� 2/ cc -7goe° e9e, 4d--to 3 e-eg c , /5/ /2 /(‘-‘ c_O e%Z, 70 CO/1,0. /2./ J9' 677-en ivo//.5 2 s c2e 4977.17a 2 ri F $ fl sg 6 PS o f ir J § 0-4 " �' e