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991 NE 93 St (3)BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building (Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) CI /C I' �= "" Phone # (T3 0 S) y 9'6 Owner's Address Q ! / l (2 S4 Cit 517b/ State LO 2-L Zip 3 1 Tenant/Lessee Name Phone # $ Value of Work For this Permit 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 91/vC93sf. Job Address (where the work is being done) City X Miami Shores Village County X Miami -Dade Zip '3 1 y Is Building Historically Designated YES NO X Contractor's Company Name 8A /Z A 1 A LT / c i / C Phone # 7 SC - 7 / o ` / / 6 Contractor's Address '-S 7 ,.,Z S Si c./ i 0 � C ^ = Cit /1 /Af'1 ( r / State Y— / Zip 3 /cc Qualifier . J ') f/ e A k A 3 A 3 Architect/Engineer's Name (if applicable) Phone # Permit No. Ei00O4— qq Master Permit No. j3P ('}4 --4'7( , Square Footage Of Work: PlEtEAV APB a 7 ZQe Type of Work: ❑A � d ddi ' � tion ) }� ❑ Alteration p - e ZINew p Repair/Replace I L.1 Demolition Describe Work: `�iJ"w J'� c LJ J J POD C- iccA * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ 50 0 Permit Fee $ Ark ' a'O CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 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 construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature State Certificate or Registration No. Certificate of Competency No. APPLICATION APPROVED BY: Chc 12/15/03 Owner or Agent The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this S day of , 20 , by , day of Ayr'. , 20 , by who is personally known to me or who has produced who is personally known to we or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: A My Commission Expires: My Commission Expires: COMMISSIO O. DD003449 MY COMMISSION EXP. FEB. 21,2005 (Certificate of Competency Holder) ********************** * * * * * * * * * * * * * * * * * * * * * * * *: * * * * ** _ ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 1// a'ians Examiner Engineer Zoning • Contractor BARAJAS ELECTRIC INC Local Phone: (305) 260 -2851 Parcel # 1132060350050 Signed: (INSPECTOR) Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2004 -99 Printed: 6/4/2004 Applicant: JOHN MICHEAL WEBER Owner: WEBER JOHN MICHEAL JOB ADDRESS: 991 NE 93 ST Contractor's Address: 3725 SW 60 CT Permit Status: APPROVED Permit Expiration: 10/4/2004 Construction Value: $600.00 Work: NEW POOL MECHANICAL WORK Page 1 of 1 Legal Description: MAGEE & HAWKINS SUB PB 51 -5 LOT 5 & E12FT OF LOT 6 LOT SIZE IRREGULAR Fees: FEE2004 -5662 FEE2004 -5663 FEE2004 -5664 FEE2004 -5665 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $150.00 $0.60 $0.20 $3.75 $154.55 Total Fees: $154.55 Total Receipts: $0,14 Q4 O i 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. Signed: (Contractor or Builder) BY: Miami Shores Village RE:Ro Building Department BUILDING Permit No. L 'r - PERMIT APPLICATION Master Permit No. • B p may- (o° c i FBC 2001 Permit Type (circle): Building � Owner's Address [ 1 / J2 cl 3 S t $ Value of Work For this Permit „2,, OD Type of Work: ❑Addition Describe Work: 2 Ex. d.ric �p 1aeL C/ec�r � c Total Fee Now Due $ (Continued on opposite side) 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Owner's Name (Fee Simple Titleholder) TO ) /, clue. ( V11e1 e Y Phone # 30 - 7S8 - I c/2 5/ City il 5 LoreS State rL Zip 3 3 13p Tenant/Lessee Name Phone # Job Address (where the work is being done) S City Miami Shores Village County Miami -Dade Zip is Building Historically Designated YES NO x Contractor's Company Name &4R4.3 - 3 F 7P: ?Pi/C Phone # 305- ,2 6c) -;2>S / Contractor's Address 3 7? 5 C /, Cit /4,o( state F Zip 3 3/ S Qualifier J D / E 4 e2 A JAI State Certificate or Registration No. Certificate of Competency No. 7 8 E 0 0 0 ._ 1 Architect/Engineer's Name (if applicable) Phone # teration ['New ❑ Repair/Replace El Demolition L t y 1,t wl S .'+c For /dew Fre'.cI, Doer S -For JOG a,MPs P 0.b,e I * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * ** * * * * * * * * * * * * * * * * * * * * * * * * * ** 00 Submittal Fee $5 Gu t lc 5 8 Permit Fee $ /. e P O CCF $ , .1. y CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Plumbing Mechanical Roofing Square Footage Of Work: 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 construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS. WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must he posted at the job site for the Jirst 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 and a reinspection fee will be charged. ■ Signature Owner or Agent � The foregoing instrume was acknowledged before me this ,;_ r t The foregoing instrument was acknowledged before me this Q day of �i)lt.) , 20 C , . SO \i1 n . UJ Q tai { day of i , 20 by . J , by 5D t'xt vt jcr.,.? who is personally known to me or ho has produced LL) 1 ID 0 91 who is personally known to me or who has produced b ) 3 V3 ' k,9 Lo - L { 63-- 0 As identificatio d who did take an oath. (w ?33 3 as identification and who did take auoath. NOTARY PUBLIC: NOTARY PUBLIC Sign: Print: d N 05,v e Chc 05/13/03 Sign. L ' Print: tAnko-Z.1 (f�l Engineer Zoning My Commission Expires: My Commissio ;xpir ] bel V argas ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * ** � - Cii / *# [� 31984 * * * * * * * * * * ** N.:4 Expires: 9� o... l londed "Film t� ndin.,� ('t; hu **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** / ** ** ************************ * * * * * * * : * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY;� ,� /� 4 Y,' ans Examiner Contractor BARAJAS ELECTRIC INC Local Phone: (305) 260 -2851 Parcel # 1132060350050 Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2004 -214 Printed: 7/28/2004 Applicant: JOHN MICHEAL WEBER Owner: WEBER JOHN MICHEAL JOB ADDRESS: 991 NE 93 ST Contractor's Address: 3725 SW 60 CT Page 1 of 1 Legal Description: MAGEE & HAWKINS SUB PB 51 - 5 LOT 5 & E12FT OF LOT 6 LOT SIZE IRREGULAR Fees: Description Amount FEE2004 -7604 Building Fee $100.00 FEE2004 -7605 CCF $1.20 FEE2004 -7606 Notary Fee $5.00 FEE2004 -7607 Training and Education Fee $0.40 FEE2004 -7608 Technology Fee $2.50 Total Fees: $109.10 Total Fees: $109.10 LS Total Receipts: .00 59. Permit Status: APPLIED Permit Expiration: 1/23/2005 Construction Value: $2,200.00 Work: 2 EXTERIOR LIGHT SWITCH FOR NEW FRENCH DOOR REPLACE ELECTRIC PANEL Signed: (INSPECTOR) X6 1 %0 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. Signed: (Contractor or Builder) BY: APPLICATION FOR ELECTRICAL PERMI Permit No. – }–} _ Date J f� ''', 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 h specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address __ 6 Registered Architect and /or Enginee — —___ _ —_ _ ,t � Employing Electrician's Name _ . _ " " " ._ .ma ' '_ �_ —__we No �____ street_ I ±_t Location and Legal Description Lot and Number where work is to be performed —No Overhead , Service d Size Feeders_ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss' My Commission Expires MIAMI SHORES 'VILLAGE ELECTRICAL INSPECTION DEPARTMENT State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs Type of Installation— Conduit____________ Tubing ____ B.X.L. Metal Moulding (Signed) (Signed) Street P�aw ry vq/9 No.- Block Subdivision_11/(1%?. :__L / •i Conduit.h� Main Sw.____`__„.`' f _ Amps. Main Fuses • The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public. State of Florida Electrical Inspector. No. of Stories Master Electrican. Amps. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ________ -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOT 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 nd /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST ""',...-1? -.4.... S +"�"� 4� ' � `. • ----• / - / 6 � ': _4 �' "0* CHECK . c °a" �� o �... ,/ a' * R x - ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / 1 CHECK 1 I ! J ,J 1 l y. APPLICATION FOR ELECTRICAL PERMI Permit No. – }–} _ Date J f� ''', 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 h specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address __ 6 Registered Architect and /or Enginee — —___ _ —_ _ ,t � Employing Electrician's Name _ . _ " " " ._ .ma ' '_ �_ —__we No �____ street_ I ±_t Location and Legal Description Lot and Number where work is to be performed —No Overhead , Service d Size Feeders_ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss' My Commission Expires MIAMI SHORES 'VILLAGE ELECTRICAL INSPECTION DEPARTMENT State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs Type of Installation— Conduit____________ Tubing ____ B.X.L. Metal Moulding (Signed) (Signed) Street P�aw ry vq/9 No.- Block Subdivision_11/(1%?. :__L / •i Conduit.h� Main Sw.____`__„.`' f _ Amps. Main Fuses • The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public. State of Florida Electrical Inspector. No. of Stories Master Electrican. Amps. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ________ -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOT 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 nd /or workmanship. Permit No 9-3 Service New Building Remodeling ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No � 9 . / 'i Street i . f..r s ir 1 '� ,- 1, �' • . 7Z- '' No MIAMI SHORES VILLAGE round Site Feeders c / Conduit II Main Sw .i^- !<' ±/ /e: e' Date Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Block Street and Number where work is to be performed —No / 9 / 22 r te Street State work to be performed and purpose of building (By Floors) G1 /C ( F e et Addition Repairs No. of Stories 4C /c(c A mps (5 ?-, Type of Installation— Conduit K .Tubin B.X.L Metal Moulding l //r; #, Subdivision ., Main Fuses Amount of Permit $ (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) �+ ��• �/ STATE OF FLORIDA, 1 Master Electrician. /� COUNTY OF DADE. I SS. Amps Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personalty 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'7'8 FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SfACC WATER STRIP HEATER TOTAL CONTR. LIST __ J _ _ l 6L 1 77' ) � /� 1 7 e? '-) 0 /,) , , 4 ) CHECK ENT. DIST. SW. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST /CAS. <!;,,,,,,e (1 i�L (...../ / / Gi if. 4° / . / j S CHECK / " 7c Permit No 9-3 Service New Building Remodeling ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No � 9 . / 'i Street i . f..r s ir 1 '� ,- 1, �' • . 7Z- '' No MIAMI SHORES VILLAGE round Site Feeders c / Conduit II Main Sw .i^- !<' ±/ /e: e' Date Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Block Street and Number where work is to be performed —No / 9 / 22 r te Street State work to be performed and purpose of building (By Floors) G1 /C ( F e et Addition Repairs No. of Stories 4C /c(c A mps (5 ?-, Type of Installation— Conduit K .Tubin B.X.L Metal Moulding l //r; #, Subdivision ., Main Fuses Amount of Permit $ (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) �+ ��• �/ STATE OF FLORIDA, 1 Master Electrician. /� COUNTY OF DADE. I SS. Amps Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personalty 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 New Building Remodeling MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT V v / t/i' 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. q ? /1�! Owner's Name and Address (�. //✓.5. R61 R61 No / / Street I A, E 7 d S Registered Architect and /or Engineer / .t 1 �t Employing Electrician's Name._ / STO/ £ L1 .C 5.ER V /GCS No ,1. C Street X T "0 id, 5 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ,s R.CJ..L� Street State work to be performed and purpose of building (By Floors) Ad Repairs No. of Stories 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 $ Z• 0 (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, o work to be performed under this permit, as are licensed by Miami Shores Village. 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. LIST 3 „1 ` / 9 CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK • Permit No New Building Remodeling MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT V v / t/i' 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. q ? /1�! Owner's Name and Address (�. //✓.5. R61 R61 No / / Street I A, E 7 d S Registered Architect and /or Engineer / .t 1 �t Employing Electrician's Name._ / STO/ £ L1 .C 5.ER V /GCS No ,1. C Street X T "0 id, 5 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ,s R.CJ..L� Street State work to be performed and purpose of building (By Floors) Ad Repairs No. of Stories 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 $ Z• 0 (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, o work to be performed under this permit, as are licensed by Miami Shores Village. 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. BUILDING n ELECTRICAL PLUMBING [ ROOFING Owner of Building • Architect Contractor or Builder Legal Description. Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA DATE / S z. '( PERMIT 'N° 13004 ❑ Work to be performed under this Permit `t I CONTRACTOR OR BUILD BI. Subdi- vision Value of Project $ BY Contractor's License No I Amt. of Permit $ 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 t he assumes responsibility for work done by his agents, servants or employees. �y � Lij ��J "`/`''..r,.�..... --•• -- Signed • � -•• ` - BY IN CTOR In consi• ration of the issuance to me of this permit I agree to perfoii . .. e work covered hereunder in compliance with all ordinances and regulations pertaining the and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ce.tin is s permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY 195 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder k Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA El Er DATP 195 PERMIT N? 2470 Contractor's License No. ❑ Work to be performed under this Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described to 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. BY 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 submitted to 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. CONTRACTOR OR BUILDER B1 BY Subdi- vision Value of Project $ Amount of Permit $ AUTHORITY u BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building �;�, ,,�-�,. Architect Contractor or Builder Legal Lot Description Address of Building t ) } t MIAMI SHORES VILLAGE. FLORIDA Er PERMIT N? 2325 B1 DATE Contractor's License No. 195 Work to be performed under this Permit Subdi- vision Value of Amount of Project $ Permit $ This permit is granted to the contractor or builder named above to construe 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. BY 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 th the ,plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I gs�ume responsibil for all /work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY a