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826 NE 92 St (2)Date PERMIT APPLICATION FOR MIAMI: SHORES VILLAGE 9 R 9rob Add= t A- I F G/ol Sr. T Tax Folio Legal Description Historically Designated: Yes No p. Owner/Lessee / Tam/ 4 ,4- `%4 /// - � '� aster Permit # q 'g /8 Owner's Address Phone Contracting Co. 11 cj V e i s E /e c tr t c,.. Address Qualifier SS# Phone State # Municipal # Competency # Ians. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (eihCe one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING AVING FENCE SIGN WORK DESCI LN L-/r jr'c1 e- /e C G Q / Seriii c e Qi-i d! / i:L7h T / T�� GI d !i e w J �cjk7 and Jf / 9c Rdcf 7`)O /l Square Ft. Estimated Cost (value) 4A ---0 4�1 WARNING ll OWNE : YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO S :* , MAY RESULT IN YOU.:; PAYING TWIICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH Y *UR LENDER OR AN ATI' I RNEY (,EFORE RECORDING YOUR N TICE 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. Furtheiuiore, I authorize the above -named contractor to do the work stated. Signature ()Colmar and/or Condo President r Signature of Con Notary as to Owner r'tad/or Condo President Date Notary as to Contfactor or % er Builder Date My Commission Expires: My Commission Expires{ FEES: PERMIT 77' - RADON C.C.F. NOTARY BOND APPROVED: Zoning Building Mechanical Plumbing Structural Engineer er -Bui1 . / Date TOTAL DUE ITEM BATH TLS UNIT FEE ITEM SWITCH CUTLETS UNIT di FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS h/ , e,51 HEATING DISHWASHER RECEPTACLES 5 A/C (WIND) DISPOSAL SERVICE TBPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AM'S •DC DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE / _3 ' REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER 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 i MECHANICAL VENTILATION SINK. RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS COOLING TOWERS URINAL MOTORS OVER 25-100 HP WATER CLOSET MOTORS OVER 100 if VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFCRIGS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMIIING POOL OUTLETS COMMERCIAL WATER SERVICE • SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES T SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUMP 3 ABANDON SEPTIC TANK '^ REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DIScMARGE 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 MIDST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM BATH TLB UNIT FEE ITEM SWITCH CUTLETS UNIT FEE ITEM HEATERS UNIT FEE BIDET LIGHT CUTLETS _ CENTRAL HEATING DISWASHER RECEPTACLES_ A/C (WIND) DISPOSAL _ SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS ___ DUCT WORK FLOOR DRAIN SERVICE REPAIR/WTER CHANGE REFRIGERATION GREASE TRAP APPLIANCE CUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROAJD TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP -Y � STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK. RESIDENCE MOTORS OVER 5- 8 HP ^1 TRANSPORTING ASSEMBLIES SINK. SLOP MOTCRS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET IJ)TCRS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 If VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFCRMERS HEATER - REPLACE GENERATORS TRANSFCiMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMAING POOL • OUTLETS COINERCIAL WATER SERVICE • SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTI.RES SEPTIC TANK ANNA RELAY TELEVISION CUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA CRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM G A S R C E METER SET (GAS) GAS PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANT THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL Date //-/t Legal Desert ;lion Historically Designated: Yes Owned /Test &1•4 S „0, �� .�i s _.S��r, .o ter ]Permit # Owner's Adds / 2 (o We 92 s7 I te / £4,a-, 3 31 f( home 3 O 6 7 6 7 6 - 2 3 7 Contracting Co. /!/iEsT/c Qualifier /cit7r r State # 4f /2533 Munici Architect/Ef aagnuteea Address Bonding Company Address Mortgagor Address Permit Type (cirele a e): t U DING EY,ECTRICAJ PLUMBING MECHANICAL R!I OFING PAVING FENCE SIGN WORK ifES C•, N 44614 F ?oett4 = I - 0Gi L. ADS Aoz--/ r.,A err i i _ _ a o"). Al # Square Ft. Estimated Cost (value)7 value /5 APPROVED: Zoning Mechanical PERMIT APPLICATI N FOR MIAMI SHORES VILLAGE Address 24, .06 S7 Tax Folio WARNING TO OWNER: : YOTJ MUST RECOl A NOTICE OF C s MMENCEMENT AND Y ='i'UR FAILURE TO 110 SO MAY RESULT IN YOU, PAYING 'TWICE IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDEE OR AN ATTORNEY FIRE ^ ; CORDING YOUR NOTICE .F COMMENCEMENT.) Notary as to Owner :ztdloa Conte Pnagident Date Notary as to My Commission Expires: Address 782/0 / v1t/ My Commission E Signature downer Cdlor C 1Pnsida t ate Signature of Contracto Building Electrical' 4/4 8 Ss# Phorte 3QS 62 5/ -7533 Competency # CC- /86 7/ leas. Co. Application is hereby made to obtain a permit to do work and installation as indicated above, and or. 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. / / - //- �9 Date P tut, sr or Own HERNANna, es ' isIotory Public - State of Florida My Commission Expires Mcr 1 i', 332 Curnmission :r CC72 ^d FEES: PERT T/ ;i: RADON C.C.I NOTARY BOND TOTAL DUE Plumbing Structural Engineer ■ 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 licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. 88. MIAMI SHORES VILLAGE ELECTRICAL DNSPECTION DE 'ARTMENT PPL➢L:ATIDN FDR ELECTRICAL PERMIT No N Date Registered Architect and /or Engineer _ f Employing Electrician's Name Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 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), The undersigned applicant for this building permit does hereby certify that he understands and 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 subcontractors, on work to (Signed) fif Street Pk Electrical Inspector. accepts his oblig fiogls as an employer of of Florida Pe maftent Supplement, and sub•contracto s employed by him in the of the work /such public notice or notices be performed under this permit, as are 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 OUTLBTO LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE H ATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIOT. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.3 HP NEON TRANS. RADIO TOTAL CONTR. LIST _ ,��;; 1 j fj? ^� 2 CHECK "I t1 r�-�' ■ 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 licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. 88. MIAMI SHORES VILLAGE ELECTRICAL DNSPECTION DE 'ARTMENT PPL➢L:ATIDN FDR ELECTRICAL PERMIT No N Date Registered Architect and /or Engineer _ f Employing Electrician's Name Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 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), The undersigned applicant for this building permit does hereby certify that he understands and 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 subcontractors, on work to (Signed) fif Street Pk Electrical Inspector. accepts his oblig fiogls as an employer of of Florida Pe maftent Supplement, and sub•contracto s employed by him in the of the work /such public notice or notices be performed under this permit, as are 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 ELECTRICAL PLUMBING ROOFING Owner of Building Legal Lot Description Address of Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA PERMIT ) ? 12376 Work to be performed under this Permit CONTRACTOR OR BUILDER 31. Subdi- vision Value of Project $ DATE Signed: BY Amt. of Permit $ BY AUTHORITY Contractor's License No 195 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 roper 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 wit 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 state nents or specifications and that he assumes responsibility for work done by his agents, servants or employees. 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. r BUSING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 19-- ° PERMIT ° 3775 Contractor's ❑ License No. ❑ Work to be performed under this Permit B1 Subdi- vision Value of I Amount of Project $ 1 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 applica- tion 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 Pcrmit 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 respon- sibility for work done by his agents, servants or employees. Signed. INSPECTOR In consideration of the issuance to mo 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. BY AUTHORITY ABBOT PRINT BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Deal MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 10547 Work to be performed under this Permit Bl. , ctor or builder named above to construct the build ng or to install the equipment or device described in the application nces pertaining thereto and with the understandi Ig that the work will be performed in compliance with any plans, ay have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any th such ordinances or if the plans are changed without authorization. A further condition upon which this permit is •or or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations • shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work Signed: BY INSPECTOR his permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. all work done by either, myself, my agert, servant or employee. Subdi- vision Value cf Project $ DATE 195:—L Contractor's License No. Amt. of Permit $ BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 10167 Work to be performed under this Permit Bl. Subdi- vision Value of Project $ DATE 195 Contractor's License No. 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 sta:ements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPP CTOR 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 responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 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 co3y of approved plans and specifications must be kept at building during progress of work. MIAMI SHORES VILLAGE Owner's Name and Address No Street.. Registered Architect and /or Engineer Employing Electrician's Name...... No Street..... Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 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 Amp Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he and rstands 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 notice 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, COUNTY OF DADE. T &$' (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 l TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 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 co3y of approved plans and specifications must be kept at building during progress of work. MIAMI SHORES VILLAGE Owner's Name and Address No Street.. Registered Architect and /or Engineer Employing Electrician's Name...... No Street..... Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 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 Amp Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he and rstands 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 notice 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, COUNTY OF DADE. T &$' (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. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No / Date Application is hereby made for the approval of the detai'ed 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 t to Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No Street Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot BIock Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 1 (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 tlx 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. STATE OF FLORIDA, } COUNTY OF DADE. It 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 fact 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. SS. MIAMI SHORES VIL.LAGE No Street (Signed) Master Electrician. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAR. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No / Date Application is hereby made for the approval of the detai'ed 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 t to Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No Street Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot BIock Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 1 (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 tlx 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. STATE OF FLORIDA, } COUNTY OF DADE. It 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 fact 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. SS. MIAMI SHORES VIL.LAGE No Street (Signed) Master Electrician. JILDING FCTRICAL UMBING IOFING rner of ilding _hitect , itractor Huilder al cription press of lding Lot CONTRACTOR OR. BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 11360 DATE 195 Work to be performed under this Permit BL Subdi- vision Value of Project $ Contractor's License No. 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 for in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, vings, statements or specifications that may have been submitted to and approved by the proper mmicipal authorities. This Permit may be revoked at any 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 ited is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations lining 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 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 ining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1-5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK APPLICATION FOR ELECTRICAL PERMIT Permit No 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 w'th the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No Street Registered Architect and /or Engineer Employing Electrician's Name No Street Location and Legal Description Lot Block Subdivision.. _ ... Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Hours) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amp Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he urderstands 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 notice, as are required by the Act. The undersigned agrees to employ only such sub•contracto -s, on work to be performed under this permit, as arc Iicensed by Miami Shores Village. SS. ELECTRICAL INSPECTION CEPARTMENT (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.