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1053 NE 94 St (3)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Dater)R -'n 8 0/ Job Address /p 53 rye '?ii Tax Folio Legal Description Historically Designated: Owner/Lessee / Tenant Scd/ POK-4 Owner's Address /(� N /� r 9�f/ Contracting Co. g„11, �' [� GT � t S Qualifier 5-4 F/44 t 1 1111(25 a ■1 State # E g' 00 / 4.4141 Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Signature of owner ^and/or Con" dc/President Municipal # 7. Date c?) -C 77 2 of as to Owner and/or Condc 'resident Da Commission Expires: FEES: PERMIT RADON C.C.F. O r .,, . ss# -// Phone 305 Fq-7- 7/O2 Competency # ( � 1 Ins. Co. CC1J 1 'is 4 Address Address Address Address Master Permit # WORK DESCRIPTION E Ert4 l V 6.1(44-6 B V C L AJ 20 O C-1 .1 ( r) 1jdL trt 4 or JJ /tom - Square Ft. Estimated Cost (value) 3 60 ° — 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. NOTARY Yes No 2 / /4 Yg Phone 3V S 7 t H 55 9 S / 55 ■• M b .„8 7, Date Signature of Contractor or er- Builder 1(e-e:72-c_ ,- Notary as to Contractor or Owner -B alder My Commission Expires: ,,t u,,,. genie � G. Far h e : ' el n�Tuts Commieeion # C 811121 4i ; Expfr Mitr, l 20+73 At IY +I;'�if! Oe., tr� BOND TOTAL DUE Gf te/Y APPROVED: Zoning Building ElectricaL7 7 7A�J Y Mechanical Plumbing Structural Engineer 1 r ange 2 dryer 3 range 4 dryer 5 wall A/C 6 A/C wall unit 7 wall A/C 8 A/C wall unit 9 kitchen outlet 10 garage receptacle 11 living room outlet 12 Florida room 13 bathroom outlet 14 bedroom receptacle 15 washing machine 16 general lighting 17 central A/C 604 18 refrigerator 19 central A/C 604 20 spore // // #4 Cu. Ground ti 2- 8' x 5/8" ground rods (connected to cold water cond.) 2.5 "IMCw /3- 3 /OCu. wire 1 200A 30 Circuit 'panel L Existing panel to be changed out with new 200A 30 circuit panel. U C co v 0 a) 3 co U N co 5 ?' O m o . 1 v c .�1 O O /'O W CL Z 8 L • ' APPROVED BY DATE ZONING -, ...m.. STRIF.:TURAI. -- - ELECTRICAL , -- -- -- — , ; %/ 4: -jr -101 ' 9;da ,60 '. , PLUMBING MECHANICAL ; ; ROOFVG BLDG. OFFICIAL . _. _ ..,,,.. . ......-......... ......._.... SUBJECT TO COMPLIANCE MI ALL FEDER/11., STATE AND COUNTY RULES tiEGULATIONS. MAW SNORES VILLAGE ASSUMES ND :7, EFMNSICILITIES FOR ACCURACV OF OR RESULTS Falk TEESE PLANS. COMPLIANCE Wifirl THE SOUTH FLORIDA BUILDING CODE AS ADO?TED BY . MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & SUB CONfRACTORS ARE CHARGED WITH THE KNOWLEDGE OF AU BUILDING REGULATIONS NETHER OR I',',OT PECIRCALLY INDICATED HEREIN. ___, WWI SNSZES TLRAGE ITEM BATH TU3 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WINS) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR CRAIN SERVICE REPAIR/NETER CHANGE .s' REFRIGERATION GREASE TRAP APPLIANCE CUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TCP UNDERGROUND TANKS LAVATORY ,� OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTCRS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES SINK, SLOP MOTCRS OVER 8- 10 FP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINDOW .REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS ... A/C UNIT STRIP HEATER . FIRE SPRINKLER GENERATORS TRANSFCRMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMIIING POOL OUTLETS COWERCIAL WATER SERVICE SIGN TUBES ;EWER CONNECTIONS SIGN TRANSFORMERS ITILITY -SEWER SIGN TIME CLOCK ITILITY -WATER FIXTURES ;EPTIC TANK ANTENNA ELAY TELEVISION CUTLETS RAINFIELD, 4' TILE/RES. VIOLATION UMP & ABANDON SEPTIC TANK REINS?ECTION OAXAGE PIT CU. FT. - ATCH BASIN I SAAGE WELL OMESTIC WELL REA DRAIN OOF INLET OLAR WATER HEATER IRE STANDPIPE JOL PIPING • AWN SPRINKLER SYSTEM AS RANGE :TER SET (GAS) AS PIPING A . ADDENDUM TO BUILDING PERMIT APPLICATION t (AN APPLICATION FOR BUILDING PERMIT MUST 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 r • c.e) MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT `APPLICATION FOR ELECTRICAL PERMIT )46-2- Permit No 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, Fiu.ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address STATE OF FLORIDA, I l COUNTY OF DADE. QNALQ . a 2. No lo(3 Registered Architect and /or Engineer ..�.Irr..vtiv +4 H ..0 . E'l Employing Electriciad's Name No Street.. ......... Location and Legal Description Lot Block Subdivision . � ........... ..... Street and Number where work is to be performed—No /©s-3 F% . Street ...... JT '� C State work to be performed and purpose of building (By Floors) .. T!tf4 •- T > -/ S - (LA. em �}'TM•S 8 New Building Remodeling Addition.. X Repairs No. of Stories Overhead ^^ �� AA AA Service Site Feeders Conduit Sw.....R�� Amps Main Fuses . Amps Type of Installation — Conduit... Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) ✓ J Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts is obligations as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of orida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. _ (Signed) L -..a.. `A / ,.... . l Ir.7,C U.stsr lectsician. Date 7-/ Y' E 7 y S treet.... / ss. Before me a undersigned authority a n a pu 'c, duly a thorized to administer oaths and take acknowledgments, personally y appeared.... /. Nota, Public, State of Florida to me well known, and who, being by me first duly sworn, upon ath 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 al: facts therein by him stated are true. R gary y iii, Ste of Florida at krL, Camr issiar F.zc :s Ott. 2. :42 My Commission Expires NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessa •y 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 C LIST R• 0 14 7•l to . r s e_ .. �' 1 .. CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. . ^ id! S c1 ' , 2 et MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL LIST GUST t."• �l CHECK r • c.e) MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT `APPLICATION FOR ELECTRICAL PERMIT )46-2- Permit No 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, Fiu.ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address STATE OF FLORIDA, I l COUNTY OF DADE. QNALQ . a 2. No lo(3 Registered Architect and /or Engineer ..�.Irr..vtiv +4 H ..0 . E'l Employing Electriciad's Name No Street.. ......... Location and Legal Description Lot Block Subdivision . � ........... ..... Street and Number where work is to be performed—No /©s-3 F% . Street ...... JT '� C State work to be performed and purpose of building (By Floors) .. T!tf4 •- T > -/ S - (LA. em �}'TM•S 8 New Building Remodeling Addition.. X Repairs No. of Stories Overhead ^^ �� AA AA Service Site Feeders Conduit Sw.....R�� Amps Main Fuses . Amps Type of Installation — Conduit... Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) ✓ J Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts is obligations as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of orida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. _ (Signed) L -..a.. `A / ,.... . l Ir.7,C U.stsr lectsician. Date 7-/ Y' E 7 y S treet.... / ss. Before me a undersigned authority a n a pu 'c, duly a thorized to administer oaths and take acknowledgments, personally y appeared.... /. Nota, Public, State of Florida to me well known, and who, being by me first duly sworn, upon ath 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 al: facts therein by him stated are true. R gary y iii, Ste of Florida at krL, Camr issiar F.zc :s Ott. 2. :42 My Commission Expires NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessa •y improper notice for inspection, or faulty materials and /or workmanship. p ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 6 ° ' r Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit d 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. ec Owner's Name and Address 1Y.. Q..�i.�2..G.. l� No Street 10 .L✓ C T " Registered Architect and /or Engineer ^°��, L � Employing Electrician's Name �._17..1')..� .TT -. I. � ..G No �P..q.�..� l'ireet . CO V 2 — — Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) r New Building Remodeling Addition Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. S S. MIAMI SHORES VILLAGE Date Street M P A -G 1 — 6 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 (Signed) �s 1, / ..5,..: ::(� \. A lectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo ''' Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub -c.o actors 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•contra 0 s, og„ worms f1 e.. perforrye� yt�tj� this permit, as are licensed by Miami Shores Village. �I /� L,yf (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. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. D1ST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP M OTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST / CHECK p ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 6 ° ' r Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit d 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. ec Owner's Name and Address 1Y.. Q..�i.�2..G.. l� No Street 10 .L✓ C T " Registered Architect and /or Engineer ^°��, L � Employing Electrician's Name �._17..1')..� .TT -. I. � ..G No �P..q.�..� l'ireet . CO V 2 — — Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) r New Building Remodeling Addition Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. S S. MIAMI SHORES VILLAGE Date Street M P A -G 1 — 6 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 (Signed) �s 1, / ..5,..: ::(� \. A lectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo ''' Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub -c.o actors 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•contra 0 s, og„ worms f1 e.. perforrye� yt�tj� this permit, as are licensed by Miami Shores Village. �I /� L,yf (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 ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building E f 1 MIAMI SHORES VILLAGE, FLORIDA PERMIT Lot II Bl Work to be performed under this Permit ' 1 ' Project $ 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 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 respon- sibility 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 submitted to the proper authorities of Miami Shores Village. In ac ceptinq this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER 1 r N9 6765 BY f t DATE :r 19 Contractor's License No. • f t . Value of 11 Amount of 11 Permit $ AUTHORITY 1 Subdi- vision A •OT U ILDING LECTRICAL 'LUMBING Lot In consideration of the issuance to me :iertaining thereto and in strict conformity n accepting this permit I assume responsib 6 A t �� V \ . .,r •' ".err 1 1` �I CONTRACTOR OR BVILDER PERMIT N Work to be performed wide )wner of 3uilding chitect tractor Wider _ ription Aiddress of 3uilding Vi i` This permit is granted 'to the contractor or b .ation herefor in strict compliance with all ordinances Mans, drawings, statements or spefiicritfons that may v -t any time if the work is not done in compliance with s uermit is granted is the understanding that the contractor regulations pertaining to the work cov red hereby whether Ability for work done by bis agents, servants or employees, ONO MIAMI SHORE 4334 hi Perini to cons net the building or to install the ment or device r eac ribed in the appli- d with the understanding that the work be performed in compliance with say to and approved by the municipal authorities. This Permit may be revohsd r if the plans are changed without authorization. A further condition upon which this ed above assumes the : ' x onsibility for a thorough knowledge of the ordinances and plans or dra ',f. = . =r in > :, j.taterents or specations and that he assumes respon- VILLAGE,. FLORIDA DATE 3 "` + 194.6. Contractor's License No By /.6 49's rk covered hereunder in compliance with all ordirrinces and r enifications submitted to the proper authorities of Miami Shores. V my agent, servant or pployee. AUTHORITY Permit No._ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. L% • 1 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 s bmitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ..... No. Street_______'__— ____- -______— Registered Architect and /or Engineer —_ . _ -_ ,- Employing.Electrician's Name 0 — No / t / ' _�:: A Street Location ancl Legal Description Lot _ __i- ___ _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 ______________ ____ ______________________________ (Signed) T Y . Electrical pector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig$r ons 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. (Signed) Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared -- — - - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 H EATER W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL CONTR. LIST p CHECK to T M(/ 2/ ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O -I HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No._ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. L% • 1 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 s bmitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ..... No. Street_______'__— ____- -______— Registered Architect and /or Engineer —_ . _ -_ ,- Employing.Electrician's Name 0 — No / t / ' _�:: A Street Location ancl Legal Description Lot _ __i- ___ _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 ______________ ____ ______________________________ (Signed) T Y . Electrical pector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig$r ons 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. (Signed) Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared -- — - - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. New Building Amount of Permit $ r Owner's Name and Address Registered Architect and /or Engine Employing Electrician's Name ___ p MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT • APPLICATION FOR ELECTRICAL PERMIT 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. Location and Legal Description Lot `7 Block Subdivision Street and Number where work is to be performed— No 45 _ii Street______ Y State work to be performed and purpose of building (By Floors) �� __ No.____G12 4 _ Street i Remodeling Addition Repairs —__ No. of Stories _ I ! 711 Service ' �'". Size Feeders. Conduit_ J _ _ Main Sw. _ Amps. _____ Main Fuses —_ -___ ______Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding _ ____— ______—___— _— _______ __________ (Signed) Date_ No. it1ia _ -� -c" e/ Street__ �_ _ - -- -- - - - - -- - - - -- Electrical Inspector. The undersigned applicant for this building per`iii it 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. STATE OF FLORIDA, COUNTY OF DADE. 8S. (Signed) -- -_____ Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ------ -- - - - -- -- — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 4/ 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 T 1 i / Aril STRIP HEATER TOTAL. CONTR. LIST /,I ill al le I / �/ . / _ / I /� rii/ CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / `; ri CHECK p-3,/.‘ LI r / I y .t !r e New Building Amount of Permit $ r Owner's Name and Address Registered Architect and /or Engine Employing Electrician's Name ___ p MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT • APPLICATION FOR ELECTRICAL PERMIT 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. Location and Legal Description Lot `7 Block Subdivision Street and Number where work is to be performed— No 45 _ii Street______ Y State work to be performed and purpose of building (By Floors) �� __ No.____G12 4 _ Street i Remodeling Addition Repairs —__ No. of Stories _ I ! 711 Service ' �'". Size Feeders. Conduit_ J _ _ Main Sw. _ Amps. _____ Main Fuses —_ -___ ______Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding _ ____— ______—___— _— _______ __________ (Signed) Date_ No. it1ia _ -� -c" e/ Street__ �_ _ - -- -- - - - - -- - - - -- Electrical Inspector. The undersigned applicant for this building per`iii it 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. STATE OF FLORIDA, COUNTY OF DADE. 8S. (Signed) -- -_____ Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ------ -- - - - -- -- — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 4/ / 1 7 - e ? „., t v. - / ezceezz4 ,,tette ; t L ...4 4 ", C. diarg 4 t•ce. Cod 4 "1-eiz-f • ZA* New Building Amount of Permit $ Permit No.__2_Y_ ______ __ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Block Date- .. "8?; - ----- - - - - -~� - -_ 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 __ / ie Registered Architect and /or Engine Employing Electrician'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) No. re -� " Street �L ! No. 1l1_ __. f ( Street -6 21 Subdivision Street 4 e–Y Remodeling Addition Repairs (Signed) e' (Signed) My Commission Expires Notary Public. State of Florida No. of Stories ___/ Service Und d Size Feeders 1 Conduit__ . Main Sw._ L p Amps. ____ Main Fuses 1 3. Amps. Type of Installation— Conduit Tubing B.X.L Metal Moulding ____________—_____ —___ 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 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. Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared – - --_ -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. 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 lsr CL1s1 `/ // /3 / / J l / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CL LIST / _ �� / i CHECK New Building Amount of Permit $ Permit No.__2_Y_ ______ __ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Block Date- .. "8?; - ----- - - - - -~� - -_ 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 __ / ie Registered Architect and /or Engine Employing Electrician'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) No. re -� " Street �L ! No. 1l1_ __. f ( Street -6 21 Subdivision Street 4 e–Y Remodeling Addition Repairs (Signed) e' (Signed) My Commission Expires Notary Public. State of Florida No. of Stories ___/ Service Und d Size Feeders 1 Conduit__ . Main Sw._ L p Amps. ____ Main Fuses 1 3. Amps. Type of Installation— Conduit Tubing B.X.L Metal Moulding ____________—_____ —___ 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 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. Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared – - --_ -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. 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. Final When ro Received Date n _ Time ELECI • Permit IVo • 5 Work done b_y e:/72.?e-i Addre s s of work ___LO L-7 t'zir ' Owner Ten T or aryervic e Ran.or Heater B21 t or s A I PM fr MIAMI SHORES VILLAGE PERMIT Office of Electrical Inspector No. t-; " r� CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the firing and apparatus installed at ,.. �.., /. , i s' • „, it, by ' - r r I ' r Address for /-2 "� . / t _ ,t ' owner, and occupied as r ' . has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service / '` ,4 Range t'/, • y ' .6, ��. . ,/ watts. Number of Lighting Circuits Power: Connected load H P. Space Heaters Other Apparatus >° Water Heater .. � '' watts r ELECTRICAL INSPECTOR. watts MIAMI SHORES VILLAGE ELECTRICAL INSPECTION PARTMENT APPLICATION FOR ELECTRICAL PER Date___ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith•mitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordina 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 Architect and /or Engi Employing Electrician'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) New Building Remodeling Addition Repairs —___ No. of Stories ___________ Permit No.___. _______ STATE OF FLORIDA, COUNTY OF DADE. a O Amount of Permit $ __a_ 1 u _ —_ (Signed) ss. My Commission Expires (Signed S 73 y I No Street__ _-°!__ - =_. Block Subdivision____________ Street _— _-- _____— _—_____— _— ___— .._ Service Overhead Size Feeders_ Conduit Main Sw. Amps. _— _____ —____ Main Fuses _,—_—_Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding 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 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, work to be performed under this permit, as are licensed by Miami Shores Village. a' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_________________— _— ________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida tr Master Electrican. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 4 • - °- rt - 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 CHECK y r ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1-5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION PARTMENT APPLICATION FOR ELECTRICAL PER Date___ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith•mitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordina 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 Architect and /or Engi Employing Electrician'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) New Building Remodeling Addition Repairs —___ No. of Stories ___________ Permit No.___. _______ STATE OF FLORIDA, COUNTY OF DADE. a O Amount of Permit $ __a_ 1 u _ —_ (Signed) ss. My Commission Expires (Signed S 73 y I No Street__ _-°!__ - =_. Block Subdivision____________ Street _— _-- _____— _—_____— _— ___— .._ Service Overhead Size Feeders_ Conduit Main Sw. Amps. _— _____ —____ Main Fuses _,—_—_Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding 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 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, work to be performed under this permit, as are licensed by Miami Shores Village. a' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_________________— _— ________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida tr Master Electrican. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 4 • - °- rt - Permit No_ - --- -_--- ---- ____ -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewit.mitted for the building or other structure herein. described. This application is made in compliance and conformity with the Building Ordina,, 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. , I� /j `, (4, • /7 - Owner's Name and Address Registered Architect and /or Engirleef� Employing Electrician's Name New Building_ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION lltrARTMENT APPLICATION FOR ELECTRICAL PER No. - - -- 4 _ No._ Street Location and Legal Description Lot_______ __________Block__ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Remodeling____ Addition Repairs Service Overhead Size Feeders Conduit Main Sw Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amount of Permit $ )(4_ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires (Signed) Subdivision_— _______________ Amps. _ ___ Main Fuses______________Amps. Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, a -hwork to be performed under this permit, as are (Signed) 4,, - . Date Stre et__ Street__ Before me, the undersigned authority, a notary public, duly authorized appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. to administer oaths and take acknowledgments, personally 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. No. of Stories______________ Master Electrican. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'E FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL CONTR. LIST CHECK ./' I ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No_ - --- -_--- ---- ____ -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewit.mitted for the building or other structure herein. described. This application is made in compliance and conformity with the Building Ordina,, 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. , I� /j `, (4, • /7 - Owner's Name and Address Registered Architect and /or Engirleef� Employing Electrician's Name New Building_ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION lltrARTMENT APPLICATION FOR ELECTRICAL PER No. - - -- 4 _ No._ Street Location and Legal Description Lot_______ __________Block__ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Remodeling____ Addition Repairs Service Overhead Size Feeders Conduit Main Sw Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amount of Permit $ )(4_ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires (Signed) Subdivision_— _______________ Amps. _ ___ Main Fuses______________Amps. Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, a -hwork to be performed under this permit, as are (Signed) 4,, - . Date Stre et__ Street__ Before me, the undersigned authority, a notary public, duly authorized appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. to administer oaths and take acknowledgments, personally 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. No. of Stories______________ Master Electrican. / L ( O ct tt-t • t t ty A 6-01 1 ( e—estl.t.t. ki t..ft /et ( 1/1---44-A-1 at eat-- cI ( (Went and main b tt SHORES V BUILDING IN E TI N 01014 #A . bsaretofore 6I ed in this office. This permit is granted upon the 3stru lies strictly with the • plans and spaci#oations rob Ott, al` 1i kla and with the building ordinances and zoning lows ,bf Miami Shensi Yillr This permit may be revoked at any . , t the of nap tbe plane and specihcati Owner of Building Architect and /or Engh Contractor •kkr. Proposed Lo cat�o This- permit is issued the building above described. as .per appli that all facto snot is ttte re and cdSapliagce with the laws tegubtions ef the baling depestmeent laws. nedisancee iiE tide ELECTRICAL PERMIT A N° Dated iniv 41 it NAME NAME , 19Z 266 RECD. PAYMENT ACCT. DEPT. 74 -e, ADDRESS ADDRESS / RESS MIAMI SHORES BUILDING INSPECTION VILLAGE DEPARTMENT 192q Owner of Building Architect and /or Engineer Contractor er- Bilder..___ PProposed Location OT This permit is issued to the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores V' age. This permit may be revoked at any ti upon the violation of any proms of said laws, ordinances or rules and regulations, or u n c rise in the plans and specification bt the b g inspector. AMOUNT LICENSE NO. ;I/ If; Z LI ?SE - "- BLOCK .�pU NO. ST EET f - £tL& cam__C "' — - -- - -- - To „elf- 0 0' — -- INSPECTOR 40 In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and a ns and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building artment f mi Shores Village. (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. 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. Date Type Insp' Permit No. Name Address Company MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Correction` Re- Insp'n Fee For Inspector: i/ o Name & Da Approve PERMIT APPLICATION FOR MIAMI SHORES VILLAGE , Date Job Address /Q � N 0 ft-/ S)' Tax Folio / I Legal Description Historically Designated: Yes No �1 Owner/Lessee / Tenant cColt {I O R M Master Permit # 4/ 92t) V U 7 Owners Address `0 5 3 ' g S c Phone e S 75'7 G1---/ S 5 Contracting Co. t /` 7 S gGZrdA ;CO .5'C"# t& ,1-N/C. Address qS / NE /SS s' MB fZ 33/64 Qualifier / i)tile D F1 v hi4(ZS'O/NJ SS# /! Phone SAS 7/e3.2-- State # F 0 O / L fr ( 1 Municipal # Competency # q )e- 0 0 0 Z7F Ins. Co. 76G/Ci1 N Z."c Architect/Engineer � Address Bonding Company Address Mortgagor � Address Permit Type (circle one): BUILDIN ELECTRIC PLUMBING MECH ROOFING PAVING FENCE SIGN WORK DESCRIPTION - TIJS' - !fit f& p S cv.w/ Square Ft. Estimated Cost (value) - 7 d V Z) 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. Signature of owner and/or Condo President FEES: PERMIT e';' RADON Date Notary as to Owner and/or Condo President Date My Commission Expires: . ;7 gnature of C Notary as • Contra My Commission E ctor or C.C.F. � V NOTARY .S/ BOND 44 2— /Y -0 / e T6 2 z3 7 Itev- 4 ro3 SEAL Tres: GLADYS) VILLAR NOTARY Pu r,UC STATE OF F..o'2)A COM" Z ''ON NO. CC714103 MY COMMISSION EXP. MAR 1 . APPROVED: TOTAL DUE Date Zoning Building Electrical ?s Mechanical Plumbing Structural Engineer Note: This drawing is an artistic interpretation of the general appearance of the floor plan. It is not meant to be an exact rendition. THE HOME DEPOT 8010CFC4 SCOTT PORTER 1053 NE 94TH ST. MIAMI SHORES FL. Dwg no. L . 397 321 P II dimensions & size designations given are subject to verification on job site and adjustment to fit job conditions. G FI ;116" W1530L W3618 B15L 36" REF -IC SB3 36 12 i6 1 46 193 .25 THE HOME DEPOT W1830R W2730BUTT BD18 B27 126,A sot) r 49 r 3 27 / 34i 27 / 33 T 2 29 ©4 6 - $ OC332484D - 1 6 DISH. 24" BWB18 / 18 JV1830L 1 72 / 18 1 60 I / 243 t712 - 221 32 1301 This is an original design and must 73109DB2 Scale : maximum not be released or copied unless SCOTT PORTER applicable fee has been paid or job 1053 NE 94TH ST. order placed. Designer MIAMI SHORES FL.LORRAINE CLIETT 281 Design : 07/31/01 Date : 07/31/01 261 bwg no. 12 12 18 491 12 54 54 341 15 / 4 15 / 36 1311 18 / 27 / 36 / 18 / 27 34i / ©� 0C332484D 33 lV 96 84 All dimensions & size designations given are subject to verification on job site and adjustment to fit job conditions. HOME TH D EPOT This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. 73109DB2 SCOTT PORTER 1053 NE 94TH ST. MIAMI SHORES FL. Scale : maximum Designer LORRAINE CLIETT Wall /C Line # 2 Dwg no. ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT Z FEE ITEM SPACE HEATERS UNIT FEE BIDET .LIGHT OUTLETS ( CENTRAL HEATING DI YIASHER ' RECEPTACLES 7 ..zy,g'A/C (WIND) DI SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN A1PS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE CUTLETS $, 1ROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP / ',y�r', UNDERGROUND TANKS LAVATORY ,.- OVEN / -, ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER /U.F. PRESSURE VESSELS CLOTHES WASHER M3TCRS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 FP SHOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 FP ! D '' 2 ' MECHANICAL VENTILATION SINK, RESIDENCE MJTCRS OVER 5- 8 FP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS /ESCALATORS TEMPORARY WATER CLOSET MJTCRS OVER 10- 25 NP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET MOTORS OVER 100 NP VIOLATION INDIRECT WASTES A/C WINDOW l REINSPECTION WATER SLPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER - FIRE SPRINKLER GENERATORS TRANSFORMERS . HEATER -NEW INST. 1 GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMddING POOL OUTLETS COM4ERCIAL WATER SERVICE SIGN TUBES ;EWER CONNECTIONS SIGN TRANSFORMERS ITILITY -SEWER SIGN TIME CLOCK ITILITY -WATER FIXTLRES ;EPTIC TANK ANTENNA . ELAY TELEVISION OUTLETS RAINFIELO, 4' TILE/RES. VIOLATION UM' & ABANDON SEPTIC TANK REINSPECTION OAKAGE PIT CU. FT. ATC1 BASIN I SCHARGE WELL OMESTIC WELL REA GRAIN OOF INLET OLAR WATER HEATER IRE STANDPIPE 701 PIPING &WN SPRINKLER SYSTEM aS RANGE :TER SET (GAS) — ` — ' LS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST 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 ,/111 Olt SMORES VILLAVE srucluRAL ELECTRIC#A 11110311 ROO4''c`G ata .Oi`i11 111"1 r.., S , �� "t; 10 n`�` •` VI I111 .�� r. :sill ;tS. {. -� S { Y ;;u14_;TI .S FOR ACCURACY WWI SliORESVIL1A1E ASSII:E,, K i O RE. 1�C Of OR RZSU1.TS ".V. , ■.4:_SE Nu'. ►. ti�1�.1 DIE SiSt!Ti! FLO�t4DA BUILDING t CODE AS ADOPTED BY J �34,4CEL �. C0�{ _ ,.J BUtL�JER & S UB ED. T'r,�:..�AC,,,i�CT, U. BUILDING C ACiOtcS ARE CH.St; EG {�h' 1 Ti, .1{` ,OILED E OF �. L tLASIONS oVii�'TP R OR NOT SPtC1�M[013 INDICATED 1•,kt,Elr . PEAL _ — 12 12 4 84 49/ 341 12 18 54 / /Y 18 / 24/ /' 18 24 72 130/ /.4'.6 uy4 60 36 12 46 36 36 84 96 E HOME TH DEPOT This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. 73109DB2 SCOTT PORTER 1053 NE 94TH ST. MIAMI SHORES FL. Scale : maximum Designer LORRAINE CLIETT Wall /C Line # 5 Dwg no. All dimensions & size designations given are subject to verification on job site and adjustment to fit job conditions.