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ELECTRICALPermit No Street and Number where work is to be performed —No licensed by Miami Shores Village. STATE OF FLORIDA, 7 COUNTY OF DADE: } SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure berein described. This application is made in compliance and con formity 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 Dr not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address.. %S.. J S trtS No... tot . Street �..... f ' tS7 Registered Architect and /or Engineer Employing Electrician's Name No Street Location and Legal Description Lot Block Subdivision 2 /a Street Ai 4F- Y 4 37 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories // ll it / .A" Service Size Size Feeders.. Yd Conduit.. Main Sw..,$a.•30 Amps Main Fuses / ` Amps Type of Installation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ , x... .0 (.Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are (Signed) Date e z 7 63 Master Electrician. Before me, the undersigned aythofity, 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 OTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty ials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET eRsitWat T p " N 4c� R GE 'F ONN. WATER HEATER W. H EAT. CONN. SPACE HEATER STRIP HEATER if -2 -- . TOTAL CONTR. LIST tc - \'9 elet CHECK rrt / ® ,/ S_V ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TaANB. RADIO TOTAL CONTR. LIST CHECK /0 l0 Permit No Street and Number where work is to be performed —No licensed by Miami Shores Village. STATE OF FLORIDA, 7 COUNTY OF DADE: } SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure berein described. This application is made in compliance and con formity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified Dr not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address.. %S.. J S trtS No... tot . Street �..... f ' tS7 Registered Architect and /or Engineer Employing Electrician's Name No Street Location and Legal Description Lot Block Subdivision 2 /a Street Ai 4F- Y 4 37 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories // ll it / .A" Service Size Size Feeders.. Yd Conduit.. Main Sw..,$a.•30 Amps Main Fuses / ` Amps Type of Installation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ , x... .0 (.Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are (Signed) Date e z 7 63 Master Electrician. Before me, the undersigned aythofity, 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 OTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty ials and /or workmanship. l Permit No k Employing electrician's Name Location and Legal Description Street and Number where work State work to be performed and New Building STATE OF FLORIDA, !j 1 COUNTY OF DADE. MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT is to be performed —No Remodeling Addition Lot Block purpose of building (By Floors) \`" ! oz Date Application is hereby ma for the approval of the detailed statement of the plans and specifications herewith sub>fiitted 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 I,aws of the — State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Villag�' shall be complied with, whether herein specified or not. A copy of approved plans and specifications building during progress of work. m Owner's Name and Address. ‘ /?-- ) ' z Registered Architect and /or Engineer �l Street /„. treet Street must be kept at 9v . 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) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only suclr sub•cont ,�t.wor tojbe performed under his ermit, as are licensed by Miami Shores Village. Master Electrician. 65. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS MOTORS 1•3 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK — C I Z- l Permit No k Employing electrician's Name Location and Legal Description Street and Number where work State work to be performed and New Building STATE OF FLORIDA, !j 1 COUNTY OF DADE. MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT is to be performed —No Remodeling Addition Lot Block purpose of building (By Floors) \`" ! oz Date Application is hereby ma for the approval of the detailed statement of the plans and specifications herewith sub>fiitted 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 I,aws of the — State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Villag�' shall be complied with, whether herein specified or not. A copy of approved plans and specifications building during progress of work. m Owner's Name and Address. ‘ /?-- ) ' z Registered Architect and /or Engineer �l Street /„. treet Street must be kept at 9v . 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) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only suclr sub•cont ,�t.wor tojbe performed under his ermit, as are licensed by Miami Shores Village. Master Electrician. 65. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No i Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. �. ° A l RIFF F !<" f � � No / Z / Street / Y ....... .. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name ` CV` M... i- ����t �— Location and Legal Description Lot Block Street and Number where work is to be performed —No / Z —f Street...../.`, rE r , 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 $ / 7 ,..�.. G ....� (Signed).. �G STATE OF FLORIDA, } COUNTY OF DADE sa. (Signed) r Subdivision No.... y Street Ae' /4 4)J ? , Muter Electrician. 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 iub•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. 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 REPRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. Sr ACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS MOTORS NEON 0.1 HP 1.5 HP TRANS. RADIO TOTAL °LSTR / / 0 A ', � rAd06 A- C & A.S. 7c CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No i Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. �. ° A l RIFF F !<" f � � No / Z / Street / Y ....... .. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name ` CV` M... i- ����t �— Location and Legal Description Lot Block Street and Number where work is to be performed —No / Z —f Street...../.`, rE r , 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 $ / 7 ,..�.. G ....� (Signed).. �G STATE OF FLORIDA, } COUNTY OF DADE sa. (Signed) r Subdivision No.... y Street Ae' /4 4)J ? , Muter Electrician. 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 iub•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. 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 Lot MIAMI SHORES VILLAGE, FLORIDA ❑ DATE. • / 19 o PERMIT N° 3784 Contractor's License No. 0 ❑ Work to be performed under this Permit Address of Value of 1 Amount of Building ' Project $ I 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 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. cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER Bl. Subdi- vision BY AUTHORITY ABBOT PRINT BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA El ... DATE / °�' • �'� 195 ❑ PERMIT ■° 2641 Contractor's License No. ❑ Work to be performed under this Permit Owner of '- Building Architect Contractor or Builder.' Legal Lot Description 11 Bl Address of Building Subdi- vision Value of Project $ Amount of I I c.) 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 ..n the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. w , •- Signed """ BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit.; assume responsibility for all work done by either, myself, my agent, servant or employee. - ..... CONTRACTOR OR BUILDER BY AUTHORITY 6 BUILDING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE r` ' / 194_4 PERMIT Ni." 4839 Work to be performed under this Permit Architect Contractor , f 4 or Builder Legal Lot Description Address of "'} 1 �/ Value of Amt. of �` Building / V / 3 L Li- Project Permit This permit is granted to the contror or builder named above to cons rust the building or to install the equipment or device described in the appli- cation 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. Bl. NM* Subdi- vision Contractor's License No A:. I ,.- 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 ordinance and regulations pertaining thereto and in strict confor w' the plans, drawi statements 01 specifications submitted to the proper authorities of Miami Shores Village. In accepting this p s {e 1! work self, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ❑ ELECTRICAL a PERMIT o PLUMBING ❑ N . 8 910 ROOFING ❑ Owner of Building - - . '1 Architect Contractor T_, '~ or Builder ir�� • Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA BI. Subdi- vision DATE Work to be performed under this Permit Contractor's License No Sq. Ft Value of Project $ 33 Amt. of Permit $ I- p el i.� 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 apprcved 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.Sjlecifications and that he assumes responsibility for work done by his agents, servants or employees. �, Signed: a' � � F / � BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. `� ' � / �+ , {te CONTRACTOR OR BUILDER BY AUTHORITY t BUILDING ELECTRICAL PLUMBING PERMIT N? 4886 Work to he perforred under Owner of 14A& yer-A "`'' °- Building Architect Contractor A*44fit-A,-t , LA) or Builder CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE Contractor's Lic No. this Permit BY Legal Lot Bl. Description Address of t le 1 3 ,) . t„ * A Value of II Amt. of °" M ,,;� Building Project Permit ). �+a' This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation 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 Inunicipal 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 anged ithout authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above: as • • -s the r onsibiJ4y fob a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans o::- r - �t�sor specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: Subdi- vision By' 194_ ECTOR In consideration of the issuance to me of this permit I agree to perform the work cover hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conform' with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In acre emit I gss ' e p[ibh for al4 work done by either myself, my agent, servant or employee. AUTHORITY Type Insp'n Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 5 Inspection Date 5/1 Approved LV Permit No. et 04-/-- Name 1 rr c tc Address [ 2 l PF� 2 Compan 2.0 (�C-/ ► �'1 �� I / Correction ❑ /e/r /ye G✓` Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 AC Building Inspection Request Date 5 B Type Insp'n is i d ILA i L 3 It n � e � < 0' Permit No. Name Address 7 ""' j q Company 0 ife r 1 Phone # Inspection Date 5„ Approved s �� Correction ❑ /f"', /�� Re- Insp'n Fee ❑ Y ` • BUILDING ELECTRICAL PLUMBING Owner of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 4886 Work to be performed under this Permit • Architect Contractor • or Builder Legal Lot Description • Address of Y f �i t �� Value of Amt. o 0 � Building �`` • « t T # Proj Permit / y .rr/^� ,...". This permit is granted to the contractor r builder named above to cons suet the building or to install the equipment r device described in the appli- cation 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 a nd 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 anged withoutfauthorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above as the .onsib• ty f fi thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plan 3 or ,:,`: tbe. ,,p�,,,,ii cifications and that he assumes respon- sibility for work done by his agents, servants or employees. , /� G G+ • Bl. Signd• Subdi- vision BY DATE PECTOR Contractor's License No. By AUTHORITY 194! In consideration o£ the issuance to me of this permit I agree to perform the work cover : hereunder in compliance with all ordinances and regulations pertaining' thereto and in strict conformity with the lans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accep ' this permit I ass res ility for all work done by either myself, my agent, servant or employee. F'! f 2.3 0 ELECTRICAL INSPECTION DEPARTMENT MIAMI SHORES VILLAGE APPLICATION FOR EL.ECTRICAL PERMIT ,t p er. 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 copy of approved plans and specifications must be kept at building during progress of work. Afar Registered Architect and /or Engineer _1__'L - -- - � – Employing Electrician's ✓ s Name Bede.. _ �� e/C / "" Owner's Name and Address 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 Overhead /' Service Underground Size Feeders_ Conduit Main Sw ' ` �__ Amps. —� ?_4' ____ Main Fuses Amps. Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. 4 QQ ^^./ No. O _74 Street._ . — / r e _O r ____. No. – -240- ,12/3- (Signed) 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. (Signed) 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 be 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. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inrpection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Subdivision NE Street —1 °_ Jr' _ No. of Stories Electrical Inspector. Master Electrican. SWITCH OUTLETS LIGHT OUTLETS PLUG RE FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANG? OUTLE T RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL C L ST ," i 3 ..3 / / / ,/ / / CHECK r,.. (X �/ 3 ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1-5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK ELECTRICAL INSPECTION DEPARTMENT MIAMI SHORES VILLAGE APPLICATION FOR EL.ECTRICAL PERMIT ,t p er. 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 copy of approved plans and specifications must be kept at building during progress of work. Afar Registered Architect and /or Engineer _1__'L - -- - � – Employing Electrician's ✓ s Name Bede.. _ �� e/C / "" Owner's Name and Address 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 Overhead /' Service Underground Size Feeders_ Conduit Main Sw ' ` �__ Amps. —� ?_4' ____ Main Fuses Amps. Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. 4 QQ ^^./ No. O _74 Street._ . — / r e _O r ____. No. – -240- ,12/3- (Signed) 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. (Signed) 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 be 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. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inrpection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Subdivision NE Street —1 °_ Jr' _ No. of Stories Electrical Inspector. Master Electrican. Permit No__ Date_ .f.__ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Registered Architect and /or Engineer —_ —_ —_— f ; Employing Electrician's Name i_� %.. - * -� � .�- _- __- r_.- �.- __.___�____ No .. 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 Service Overhead Size Feeders Conduit. ______ Main Sw Amps. Underground Type of Installation — Conduit Tubing B.X.L. ___. .Metal Moulding _— , _Block Main Fuses_ Owner's Name and Address ( I t ' "I ` " No Street_ Subdivision Street No. of Stories Amps. • - -- – - (Signed) – – - - -- – - - -- J — — - -- - - -- 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, Cnmpiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance f:'om 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. Amount of Permit $_. appeared (Signed) _ , - – – -- – - -- -- Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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 mzde when such re -i aspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'8 FIXTURES NO.LAMPS REFRI G. OUTLET IRON OUTLET FANGE 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 NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No__ Date_ .f.__ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Registered Architect and /or Engineer —_ —_ —_— f ; Employing Electrician's Name i_� %.. - * -� � .�- _- __- r_.- �.- __.___�____ No .. 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 Service Overhead Size Feeders Conduit. ______ Main Sw Amps. Underground Type of Installation — Conduit Tubing B.X.L. ___. .Metal Moulding _— , _Block Main Fuses_ Owner's Name and Address ( I t ' "I ` " No Street_ Subdivision Street No. of Stories Amps. • - -- – - (Signed) – – - - -- – - - -- J — — - -- - - -- 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, Cnmpiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance f:'om 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. Amount of Permit $_. appeared (Signed) _ , - – – -- – - -- -- Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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 mzde when such re -i aspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No 3 Service Overhead Amount of 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. �� U API Owner's Name and Address 0 5e1 P ��> �F PT'S No 1 /) Street... /�° Ct.......2 I I Registered Architect and /or Engineer 1€4 WZ ,$#/U' Dog i & /ems Employing Electrician's Name .. / / /''P *Are Celt Nojj6 Location and Legal Description Lot Block �} Subdivision f�j!� Street and Number where work is to be performed —No /o�'I3 // r �- Street.Z' 94' _1 '' State work to be performed and purpose of building (By Floors) /3'97' .1dd/ / / ®A/ New Building Remodeling Addition Repairs No. of Stories Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.I Metal Moulding STATE OF FLORIDA, } COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT PPLICATION FOR ELECTRICAL PERMIT Date February 6, 1963 My Commission Expires (Signed) Street. Electrical nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his gations as an employer of labor under the Florida Workmen's Compensation Act, being Section ,5966, Compiled General Laws of Flo 'ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub. .ctors 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 t• 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) 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 wARY PUBLIC STATE of FLORIDA at LARGE MY COMMISSION EXPIRES AUG. 16, 1966 FEONDED THROUGH FRED W. DIESTELHORST Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Asa Phillips. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the Master Electrician Notary Public, State of Florida Master Electrician. NOTE: A re•inspection fee of $1.00 will be made when such re-inspection is mad 'necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REPRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE H ATER STRIP HEATER TOTAL CONTR. LIST . 6/0 // 3 // CHECK ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No 3 Service Overhead Amount of 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. �� U API Owner's Name and Address 0 5e1 P ��> �F PT'S No 1 /) Street... /�° Ct.......2 I I Registered Architect and /or Engineer 1€4 WZ ,$#/U' Dog i & /ems Employing Electrician's Name .. / / /''P *Are Celt Nojj6 Location and Legal Description Lot Block �} Subdivision f�j!� Street and Number where work is to be performed —No /o�'I3 // r �- Street.Z' 94' _1 '' State work to be performed and purpose of building (By Floors) /3'97' .1dd/ / / ®A/ New Building Remodeling Addition Repairs No. of Stories Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.I Metal Moulding STATE OF FLORIDA, } COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT PPLICATION FOR ELECTRICAL PERMIT Date February 6, 1963 My Commission Expires (Signed) Street. Electrical nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his gations as an employer of labor under the Florida Workmen's Compensation Act, being Section ,5966, Compiled General Laws of Flo 'ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub. .ctors 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 t• 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) 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 wARY PUBLIC STATE of FLORIDA at LARGE MY COMMISSION EXPIRES AUG. 16, 1966 FEONDED THROUGH FRED W. DIESTELHORST Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Asa Phillips. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the Master Electrician Notary Public, State of Florida Master Electrician. NOTE: A re•inspection fee of $1.00 will be made when such re-inspection is mad 'necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE ✓ R PERMIT N2 4839 Work to be performed under this Permit Architect Contractor or Builder Legal Lot Description Address of - .r Building f ✓ / Z This permit is granted to the contactor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 sucli 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. By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the wcrk covered hereunder in compliance with all o dinanc s and rrgullti ns pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorftl f Miami Shor3dss *illake. In accepting this permit I assume responsibili for all work done' either myself, my agent, servant or employee. i I Bl. Subdi- vision Vatue of Project 1 ar CONTR . CTOR • ' C., IL '.1b / Or BY Contractor's License No. Amt. of II Permit AUTHORITY G'7) 194, ` Q� fp(� MI MI VILLAGE ORES VILLAG BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date C4 0/05 Type Insp'n Permit No. Name 4' -'7 Address 1f.°3 A Company J Phone # poo zW �f / 9 ' / Inspection Date O�0 r / WO Approved Correction ❑ //" -cam Re- Insp'n Fee ❑ Permit No. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date 6 , 4-3 V' i) 4 - • Type 2 . ° /1.4 . Address Company Name Phone # Inspection Date Approved Correction Re-Insp'n Fee L966- Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/15/2004 Signed: (INSPECTOR) Electrical Permit Permit Number: EL2004 -75 Applicant: URQUIA HERNANDEZ Owner: HERNANDEZ URQUIA JOB ADDRESS: 1213 NE 94 ST Contractor SANSON ELECTRICAL PLUS INC Contractor's Address: 3995 SW 4 ST Local Phone: 305 - 443 -8808 Page 1 of 1 Parcel # 1132050100020 Legal Description: MIAMI SHORES BAY VIEW PB 40 -16 LOTS 2 & 3 LOT SIZE 150.00 X 125.00 OR Fees: Description Amount FEE2004 -2765 Building Fee $203.00 FEE2004 G700 CCF $2.40 FEE2004 -2767 Training and Education Fee $0.80 FEE2004 -2768 Technology Fee $5.07 Total Fees: $211.27 Total Fees: $211. Total Receipts: Permit Status: APPROVED Permit Expiration: 9/8/2004 Construction Value: $3,500.00 Work: 22 RECEPTACLES, 11 SWITCHES, 29 LIGHT FIXTURES, RELOCATE SERVICE, 200 AMPS, PANEL 40 CIRCUITS FOR NEW 'JUL 0 9 PAID In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2004 -75 Printed: 3/15/2004 Page 1 of 1 Applicant: URQUIA HERNANDEZ Owner: HERNANDEZ URQUIA JOB ADDRESS: 1213 NE 94 ST Contractor SANSON ELECTRICAL PLUS INC Contractor's Address: 3995 SW 4 ST Local Phone: 305 - 443 -8808 Parcel # 1132050100020 Legal Description: MIAMI SHORES BAY VIEW PB 40 -16 LOTS 2 & 3 LOT SIZE 150.00 X 125.00 OR Fees: Description Amount FEE2004 -2765 Building Fee $203.00 FEE2004 -2766 CCF $2.40 FEE2004 2767 Iraining and Education Fee $0.80 FEE2004 -2768 Technology Fee $5.07 Total Fees: $211.27 a Work: 22 RECEPTACLES, 11 SWITCHES, 29 LIGHT FIXTURES, RELOCATE SERVICE, 200 AMPS, PANEL 40 CIRCUITS FOR NEW Permit Status: APPROVED Permit Expiration: 9/8/2004 Construction Value: $3,500.00 Total Fees: $771 7 Total Receipts: $0 101 Q tzI pp10 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 accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical // Plumbing Mechanical Roofing A Owner's Name (Fee Simple Titleholder) (A- e C v1/4-1'4 1-42AA D r 2Phone # (s 1 7C (, Owner's Address / Z. / 3 N C 94 s f` City mil- 0 , S A t State CL Zip 3 7/ 3 l Tenant/Lessee Name Phone # Job Address (where the work is being done) / - /3 ,/ t--7- 114 City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name - ---iett.ts , C /c c ✓ Phone # Contractor's Address City Qualifier Building Department . 2004 10050 N.E.2nd Avenue, ivliami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 t& $ Value of Work For this Permit Total Fee Now Due $ [ , 7 1 (Continued on opposite side) Miami Shores Village S tate Architect/Engineer's Name (if applicable) Phone # Permit Master Permit No. Zip 3 1x,34 CO U 4 Square Footage Of Work: Type of Work:. ddition DAlteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work'�- * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** NEZ 0 � C3 � i) Y d a Submittal Fee d. (2 Permit Fee $,' .7v c'' e'= CCF $ �.. l ) CO /CC Notary $ Training/Education Fee $ _1 0 Technology Fee SS., 0 1 Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IlVIPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will n be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of _ , 20 , by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Signature - fi My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. Chc 12/15/03 APPLICATION APPROVED BY:' ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Contractor The foregoing instrument was acknowledged before me this 1 Z- day of 11-k G�-tt , 20 p 4, by who is personally known to me or who has produced c' /2 -1/2 '»',' tans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT I( FEE 'tJ ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS aq 4eRe CENTRAL HEATING DISHWASHER RECEPTACLES 2Z. 33 A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS r,..4 0 r 1` DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHAI<GE ,20D / ( REFRIGERATION PROCESS AND PRESS PIPING GREASE TRAP APPLIANCE OUTLETS INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 If STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 If ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 hP VIOLATION INDIRECT WASTES - A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS 5 ys 9..-- / "G A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS I HEATER -NEW INST. GENERATORS TRANSFORMERS I HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL } WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING • ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Type Insp'n MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 B in Inspection Re Date G r 4 Permit No. t ' 0 5 '7g S Name Address Company Phone # Ek.c,,za -s-e • f gf3 at& aYSr afy Inspection Date i( t .,�7� Approved l_'T Correction ❑ �,�7 �� ®� Re- Insp'n Fee ❑ Date Type Insp'n Permit No. Na s e Address Comp n MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Req, est Phone # — S OS 43_74C Inspection Date eN U Approved ❑ Correction Re-Insp'n Fee ❑ MIAMI SHORES VILLAG BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dat Type Insp'n Permit No. / L — 2 6 ®`/ — /d 7 Name Address / Z- /3 /V# 11 5/ Company 51kfr4"ae A- Phone # Inspection Date / 3 -1 e°2' Approved Correction Re- Insp'n Fee L_r' MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date /� Type Insp'n e Permit No. 64- j D 'Y Name CA". c )1 - ° Address /c2 ° it;" E 9 4 A Company Phone # Inspection Date Approved Correction ❑mot' G � Re- Insp'n Fee ❑ /1 ,t/i � vC Date Type Insp'n Permit No. 0&/ JO Name °• / x,14 Address Company Phone # Inspection Date A nnroverl Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildin Inspection Request (. g ` 55 7-° °/42 MIAMI SHORES VILLAGE `p BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date :� !� 1i?1 i tJ\ Type Insp'n tv"` t Permit No. C=L ^ /o Name L) ;ti--- Address / a ! - .5/ Company 0 y I�C�'al� J Phone# ?G S - )--4,,,_ 4K5 Inspection Date 6 ID ii"-) V Approved YQ 4 Correction ❑ ) , U,' Y et, d Re- Insp'n Fee ❑ 1z 11 Y �„ezY e— 7/,e0.<- S c P/2 /wi% MIAMI SHORES VILLAGE BUILDING DEPARTME 305- 795 -2204 Building Inspection Reque Date — <<aC 2 (C Type Insp'n Permit No. C-' L - 7 S Je Name 0$A.PCTIL� -` �+Cr Address i 2- , it 4C c 31" Company E,'v -So'm EL C#(' Plus Phone# c-443 °8 $OS Inspection Date 1 9--7 164 Approved Correction Re- Insp'n Fee v / ®r `!i ✓ jZ1/i e ' - 5-s (yA/(/e17/z.eP f- MIAMI SHORES VILLAGE _ BUILDING DEPARTMENT ./`N 305-795-2204 ' ' , J Building Inspection Request Date i 3 , ..cc✓ -j , I T r Type Insp'n fc/nc - 1 c� Permit No. Name Address 1Z ` 3 F, q 3+ Company Phone # Inspection Date S `. Approved -- Correction ❑ Re- Insp'n Fee ❑ ��l