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1220 NE 94 St (13)Permit No ra 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 . " ��' °') r Registered Architect and /or Engi ee Employing Electrician's Name ? � G� Location and Legal Description Lot Block Subdivisign Street and Number where work is to be performed —No > Street i ` C . State work to be performed and purpose of building (By Floors) 'i f �, 00 i--7 C New Building Remodeling Addition Repairs No. of Stories Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE I ss. APPLICATION FOR ELECTRICAL PERMIT MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) / 0 No �7 Street "= 9 C` / Date /0. 2/ o Street (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. aster 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 O UTLETS PLUG R ECE'P'T'S FIXTURES N O. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. SPACE H EATER STRIP H EATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1.8 HP N EON TRANS. RADIO TOTAL CONTR. LIST / • CHECK Permit No ra 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 . " ��' °') r Registered Architect and /or Engi ee Employing Electrician's Name ? � G� Location and Legal Description Lot Block Subdivisign Street and Number where work is to be performed —No > Street i ` C . State work to be performed and purpose of building (By Floors) 'i f �, 00 i--7 C New Building Remodeling Addition Repairs No. of Stories Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE I ss. APPLICATION FOR ELECTRICAL PERMIT MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) / 0 No �7 Street "= 9 C` / Date /0. 2/ o Street (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. aster 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. • Permit building during progress of w q. Owner's Name and Address Registered Architect and /or Engine Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires 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. /7 MIAMI SHORES VI LLAG E 1 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith suYYmitted 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 No _ / Employing Electrician's Name -_ -t, r .� 7%/ No _Block Service Overhead Size Feeders Conduit Main Sw Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amps. Main Fuses. Date_t± Street Notary Public. State of Florida 2.1 Street______ ..... ____,��____�_ Street 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.____ ______ _ (Signed) Amps. Electrical Jnspector. 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 auch public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) o� d' G– U = n 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. 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 I q i CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O -1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK • Permit building during progress of w q. Owner's Name and Address Registered Architect and /or Engine Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires 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. /7 MIAMI SHORES VI LLAG E 1 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith suYYmitted 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 No _ / Employing Electrician's Name -_ -t, r .� 7%/ No _Block Service Overhead Size Feeders Conduit Main Sw Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amps. Main Fuses. Date_t± Street Notary Public. State of Florida 2.1 Street______ ..... ____,��____�_ Street 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.____ ______ _ (Signed) Amps. Electrical Jnspector. 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 auch public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) o� d' G– U = n 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. 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. U BUILDING ELECTRICAL , PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building This permit is Work to be performed under this Permi ci Lot Bl. L . , CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE g ® 14 191 PERMIT N° 4756 st Contractor's License No Subdi- vision Value of Project Anit. of Permit BY AUTHORITY ranted to the cont 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 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. • J �}/� Signed. i 7 By d 1 ! INSPECTO In consideration of the issuance to 1: . th ; permit I agree to perform the work covered hereunder in compliance wit rdinances anc reauliiions pertaining thereto and in strict conformity with t plans, drawings, statements or specifications submitted to the proper autlibt AIM of Miami Shores Village. In accepting this periit I assume responsibility for all work done by either myself, my agent, servant or employee. Owner's Name and Address... Amount of Permit $✓..� STATE OF FLORIDA, } COUNTY OF DADE. • 88. @ SHORES VILE.. GE ELECTRICAL INSPECTION DEPARTMENT � j PLACATION FD ELECTRICAL � `E, ;�.�; 8T !l Permit No ‘ Date (Signed) 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. No e Street f,4I Registered Architect and /or Engineer / r ^^� /f S , Employing Electrician's Name. Y � s- ` . C No./ .... .� 'S ,11e..� .. ... . ��� -� Location and Legal Description Lo( Block Subdivision Street and Number where work is to be performed— No. .. /.0.."`..ff 9 .e Street State work to be performed and purpose of building (By Floors)¢���3fe� New Building Remodeling Addition epairs 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 The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. i • Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are (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 flEFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. ' DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / CHECK Owner's Name and Address... Amount of Permit $✓..� STATE OF FLORIDA, } COUNTY OF DADE. • 88. @ SHORES VILE.. GE ELECTRICAL INSPECTION DEPARTMENT � j PLACATION FD ELECTRICAL � `E, ;�.�; 8T !l Permit No ‘ Date (Signed) 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. No e Street f,4I Registered Architect and /or Engineer / r ^^� /f S , Employing Electrician's Name. Y � s- ` . C No./ .... .� 'S ,11e..� .. ... . ��� -� Location and Legal Description Lo( Block Subdivision Street and Number where work is to be performed— No. .. /.0.."`..ff 9 .e Street State work to be performed and purpose of building (By Floors)¢���3fe� New Building Remodeling Addition epairs 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 The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. i • Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are (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. Permit No. ... 72 7 STATE OF FLORIDA, } COUNTY OF DADE. APPLICATION FOR ELECT Service Overhead Size Feeders Conduit Main Sw Underground Type of Installation — Conduit Tubing B.X.L Amount of Permit $ (Signed) SS. MIAMI SHORES VIII_ ,OE (Signed) EC ELECTRICAL INSPECTION DEPARTMENT L =ERMIT 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. N Owner's Name and Address.. S /� /� `��._.... No 1 Street Registered Architect and /or EnPine r No G Employing Electrician's Name // Location and Legal Description Lot ,1 Block .Subdivision Street and Number where work is to be performed —No l .1/ . .......... k ..1..J: .. treet State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Street The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi' labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida has complied with the provisions thereof, and will require similar compliance from all contractors or sub contra work to be performed under this permit; and will post or cause to be posted for inspection on the site of the wor as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be licensed by Miami Shores Village. 1 Amps Main Fuses Amps Metal Moulding. lectrical Inspector. ons as an employer of manent Supplement, and is employed by him in the such public notice or notices erformed under this permit, as are Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECC'P•T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEALER STRIP HEATER TOTAL CONTR. I 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. ... 72 7 STATE OF FLORIDA, } COUNTY OF DADE. APPLICATION FOR ELECT Service Overhead Size Feeders Conduit Main Sw Underground Type of Installation — Conduit Tubing B.X.L Amount of Permit $ (Signed) SS. MIAMI SHORES VIII_ ,OE (Signed) EC ELECTRICAL INSPECTION DEPARTMENT L =ERMIT 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. N Owner's Name and Address.. S /� /� `��._.... No 1 Street Registered Architect and /or EnPine r No G Employing Electrician's Name // Location and Legal Description Lot ,1 Block .Subdivision Street and Number where work is to be performed —No l .1/ . .......... k ..1..J: .. treet State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Street The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi' labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida has complied with the provisions thereof, and will require similar compliance from all contractors or sub contra work to be performed under this permit; and will post or cause to be posted for inspection on the site of the wor as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be licensed by Miami Shores Village. 1 Amps Main Fuses Amps Metal Moulding. lectrical Inspector. ons as an employer of manent Supplement, and is employed by him in the such public notice or notices erformed under this permit, as are Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit Noss 3 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PER IgT 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 ' �rC No < l 0 7 4 2 Streetfr 94 S �° Registered Architect and /or Engineer Employing Electrician's Name '312- 7/ ems C C Location and Legal Description Lot Block Street and Number where work is to be performed —No 5'4 6 No..13.g 7 fir`'' Street S T State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories ,� / �C eEi4 I'd f Service Overhead Site Feeders Conduit t Main Sw Amps Main Fuses Amps 3'" Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. I j W vo S S. My Commission Expires (Signed). ... (Signed) Date Street Subdivision 27 - 67 lectrical 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida aster 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. 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. (O o (L1L J(rtf 2 43 (JET re- 0 e) /mot o A/PA j / M4/ Z7 SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1-5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit Noss 3 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PER IgT 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 ' �rC No < l 0 7 4 2 Streetfr 94 S �° Registered Architect and /or Engineer Employing Electrician's Name '312- 7/ ems C C Location and Legal Description Lot Block Street and Number where work is to be performed —No 5'4 6 No..13.g 7 fir`'' Street S T State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories ,� / �C eEi4 I'd f Service Overhead Site Feeders Conduit t Main Sw Amps Main Fuses Amps 3'" Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. I j W vo S S. My Commission Expires (Signed). ... (Signed) Date Street Subdivision 27 - 67 lectrical 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida aster 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. 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. (O o (L1L J(rtf 2 43 (JET re- 0 e) /mot o A/PA j / M4/ Z7 BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA , -A y Date= - 19f- -r ELECTRICAL PLUMBING ❑ PERMIT N? 8727 Contractor's . r <r License No. z ' �, ROOFING ❑ ffi ❑ Work to be performed under this Permit Owner of Building - Architect Contractor or Builder Legal Description Address of Building 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 anc 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. / (INSPECTOR) • c' // ` 3 ( ) BY 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. a t, Lot 11 II BI CONTRACTOR or BUILDER // Subdi- vision Sq. Ft. Value of 11 Amount of Project $ II Permit $ BY AUTHORITY IUILDING LECTRICAL 'LUMBING MIAMI SHORES VILLAGE, FLORIDA PERMIT N2 4756 `>rchitect Work to be performed under this Permit )weer of luilding . ontractor rr Builder _.egal Lot Bl. )escription >ddress of luilding 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- ,ation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any ,lans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked i t 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 iermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- ibility for work done by his agents, servants or employees. Signed. a � , 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 )ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. Subdi- vision Value of Project DATE Arnt. of Permit CONTRACTOR OR BUILDER BY AUTHORITY 194..,• Contractor's License No. '" BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA C}- PERMIT N? 13962 n ll DATE r 195 Work to be performed under this Permit Bl. Subdi- vision Value of Project $ Contractor's License No Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING 1=1 MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL Er PLUMBING ❑ PERMIT N 8553 ROOFING ❑ Owner of Building Architect Contractor or Builder �'` � ' <"'-° Legal Lot 1 Description � Bl Address of • / Building,', CONTRACTOR or BUILDER • Work to be performed under this Permit r - Date 19_: e% Contractor's License No. �� ` y r � Subdi- vision Sg Ft Value of I I Amount of Project $ 11 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) BY In consideration of the issuance to me of this permi `'d to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, diawings, 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. riet BY AUTHORITY P G A tt S r 2 - Permit No STATE OF FLORIDA, 1 COUNTY OF DADE. 1? Z. 4 '' ��► i a,<< 1 SHORES V RLA E ELECTRICAL INSPECTION DEPARTMENT 3s Aftr =L MATRON FOR ELECTRICAL PERMIT 17337 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of 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 .s K, Jackson No 10 Street' % ° E ° 94 Street Registered Architect and /or Engineer Employing Electrician's Name....Ma.Ql Fr' Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No /..d ,: Street At ' 1 Ai .. State work to be performed and purpose of building (By Floors) Remodeling. (electrical) New Building Remodeling Addition XXX 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 68. Amount of Permit $ (Signed) No /.1....3.5 Street Date March. 4„,..1975 lectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida rmanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub•contracpr , on work to be performed under this permit, as are licensed by Miami Shores Village. G'r'W/ ..7)7 (Signed)_.. Master ectrician. 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 PLUO 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 /5 / C -g_ / r' 7 J 5'N CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST ^O itA U CHECK P G A tt S r 2 - Permit No STATE OF FLORIDA, 1 COUNTY OF DADE. 1? Z. 4 '' ��► i a,<< 1 SHORES V RLA E ELECTRICAL INSPECTION DEPARTMENT 3s Aftr =L MATRON FOR ELECTRICAL PERMIT 17337 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of 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 .s K, Jackson No 10 Street' % ° E ° 94 Street Registered Architect and /or Engineer Employing Electrician's Name....Ma.Ql Fr' Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No /..d ,: Street At ' 1 Ai .. State work to be performed and purpose of building (By Floors) Remodeling. (electrical) New Building Remodeling Addition XXX 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 68. Amount of Permit $ (Signed) No /.1....3.5 Street Date March. 4„,..1975 lectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida rmanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub•contracpr , on work to be performed under this permit, as are licensed by Miami Shores Village. G'r'W/ ..7)7 (Signed)_.. Master ectrician. 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. OWNER'S AFFIDAVIT: be done i o.. p1 autho iz Date. Notary My Comm ** * APPROVED; PERMIT APP! T{` A'T'TON FOR MIAMI SHORES VILLAGE 2 2 5 4 0 0 4 5 0 6 0 0 3 5 0 2 0 2 5 0 �a FEES: PERMIT RADON 7 0 TnT ri7:e cT Signature of owner an'` r Condo President 7 Competency Master Permit # 02 4;6 Phone ,742 -4;// Address 71/9/ O 6/ l �/ .!/0,; _ Phone 8 2 V /—rr.r 9 J 4k Ins.Co. Address Address Address Square Ft. Estimated Cost(value) Tax Folio /I 3. e 6r07 090 Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION �eO'T . 7/ /— i' /1A./// 6 �s Z, e 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. ify that all the foregoing information is accurate and that all work will all applicable laws regulating construction and zoning. Furthermore, I contractor to do the work stated. Zoning Mechanical / -/ -oo' dent Nota 330- (- 1o3.0-19-P C C.C.F. 'CO ission E Rkgab . Natan, Puffs - State of Fiadda My * �m #CamII30 * Signature o Con aq€or or Owner - Builder Date NOTARY -- c' Builder ** TOTAL DUE Fire Other Electrical Engineering ■ i PROPERTY OF Bouto wr VALID wrlllolrr r,it sit:mart:KC A rli! IIKI(; tYAi RAL1t:D SEAL or PION IDA I.K E'sa:D SIIR%'tVoat ..nu AlwrrR AY A BOUNDARY SURVEY I hereby certify that the survey repre- sented hereon meets the minimum technical standards set forth by the Board of Land Surveyors in chapter 61017 -6 Florida Admi:.istrarive Code pursuant to Section 472077. Fla. Seatute . There are no encroachments. overlaps. easements appearing 't Kat. other rhan as shown eta. Z146 71t= v E474 k NOTE: r /a L LO6-4 T79 M /i L.F. ELEV. = 3, 3 7 denotes lowest habitable floor elevation. Elevations shown refer to N.G.V.D. 1929. Lowest Adjacent Grade = ELZI. x,74, . GA8 C GARAGE ELEVATION = )1 /4 . E.R.P. = ///,./ , Martin, 1078 N.E. 94th Street, Miami Shores, Florida FIELpp DATE 07/25/00 GO,0. /HT of 4 UNE PAR,4 r GL To a,vo So r NOAr7/ Twe ozir/i Awe 7:&4c 7-- ,& . LANNES AND (;ARCIA, INC. LB. # 2098 • SURVEYORS- h1APPERS -LAND PLANNERS • E.: E 299 (ffirr allllrrss: 339 :11cacar Asrnue, (*oral Gables. ) urida 33134 (305) 666 -7907 (954) 52.14663 SCALE 7/ '. 20 • DRAWN BY Page 1 of 2 33138 3, 70 22.00.. • % 72, 31 • • • - ••• • • • CONG• • p . plli ✓a 2S,y, • /1 Ion 1(0) 374 5 0/Ye STOR y ¢5, • - 25 .4o. Pro, N //7, • /3/e1c, j 2¢,,0 n . . i.0 p %54$ %Zo • .• • • col /c..- A/A -4 • r7 _ //700' e' //, OS' zo /C 6 � h ,o �c- 6 5 /0, o 0 r N This property described as: All that part of Tract K of Plat of Government Lot 4, of Section 5, Township 53 South, Range 42 East, as recorded in Plat Book 5, Page 90, of the Public Records of Dade County, Florida, bounded as follows: Starting at the intersection of a line parallel to and 80 feet North of the South line of Tract K, the West , Tineof: East Dixie Highway run Northeasterly along the West line of the East. Dixie Highway a distance of 76 feet; thence West• parallel to the South line of Tract K, a distance of 133 feet to point of beginning of the Tract hereinFdescrib•ed, thence continuing West parallel to the South line of Tract K a distance of 117 feet; thence line of right angles to the last mentioned line a distance of .74.28 feet; thence East at the right angles to tree last mentioned line, a distance of 117 feet; thence-North at right angles the last mentioned line a distancetof 74.28 feet to the Point of beginning. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/23/2004 Applicant: MARY BRIGGS Owner: BRIGGS MARY JOB ADDRESS: 785 NE 94 ST Contractor MOODY ELECTRIC INC Local Phone: (305)758 -2000 Parcel # 1132060142030 Signed: (INSPECTOR) Electrical Permit Permit Number: EL2004 -83 Contractor's Address: 669 NW 90 ST Permit Status: APPROVED Permit Expiration: 9/15/2004 Construction Value: $1,500.00 Work: ELECTRICAL WORK FOR KIT Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 E1/2 OF LOT 24 & ALL LOTS 25 & 26 LESS E15FT Fees: Description Amount FEE2004 -3066 Building Fee $100.00 FEE2004 -3067 CCF $1.20 FEE2004 -3068 Training and Education Fee $0.40 FEE2004 -3069 Technology Fee $2.50 Total Fees: $104.10 Total Fees: $00 Total Receipts $0.00 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: Miam Shores Village BUILDING PERMIT APPLICATION FBC 2001 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building � / Plumbing Mechanical Roofing //��( /// Owner's Name (Fee Simple Titleholder) W &? Phone # 365 757-03y Owner's Address ?g Permit No. I x00 Master Permit No. V2_004- 3133 . City /iMl 6l State FL- Zip 3 / e Tenant/Lessee Name Phone # (Of 7 56 23O 0 Job Address (where the work is being done) . 185 /U ' 6r City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name J l gL.- eC.7LIC (A)O Phone # 158 - Contractor's Address 4Q /U) QD City / // /41/1/ / State PL— Zip 3/50 Qualifier j/ A MOOD, Zip 3 3) - Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit $ I SQQ COO Square Footage Of Work: Type of Work: ['Addition ['Alteration ❑New ❑ Repair/Replace ❑ Demolition td) Describe Work: / e'/1 /e— Ali cX k/ ixj ee.,., ,e2e-,40 a e' C iL (0.G 0 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ S U • o d Permit Fee $ /C '' C'6' CCF $ 1 , D c CO /CC Notary $ Training/Education Fee $ e 4 0 Technology Fee $ a, 0 Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due L 1 1 1 0 (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Application is hereby made to obtain a pennit 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 pennit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature ,cJ • NOTARY PUBLIC: Chc 12/15/03 Owner or Agent day of , 200 , by APPLICATION APPROVED BY: 40- Ay State Zip r The foregoing instrument was acknowledged before me this Cl who is personally known to me or who has produced As identification and who did take an oath. Sign: •• ` .0 NIi.EABE BEM_ 0 Print: l'� ' y Q 1 V—��- k * COMMISSION NUMBER My Comm �. Ir ssic; DD033052 e 4� My COMMISSION EXPIRES (Certificate of Competency Holder) ************************ * * * * * * * * * * * * * * * * * * * * * * * *. * * * * ** Contractor �i The foregoing instrument was acknowledged before me this / day of (1 l /Cif—r--' , 20 0/, by 4 who is personally known to me or who has produced as identification and who did take an oath. • NOTARY PUBLIC: Sign: Print: My Co * COMMISSION NUMBER 8r1es: DDO33o52 **®F'pv, * * * ** a1 * * * * * * * * * ** State Certificate or Registration No. Certificate of Competency No. 7 **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** o e-:;( -Az Plans Examiner Engineer Zoning EM TH TUB UNIT FEE ITEM SNITCH CUTLETS UNIT FEE ITEM SPACE HEATERS UNIT CET LIGHT CUTLETS 1, CENTRAL NEATING S t RECEPTACLES Gay A/C (WIND) S?GSAL SERVICE TEbWCRARY A/C (CENTRAL) INKING FOUNTAIN SERVICE SIZE IN AbPS CLOT IORK c DRAIN SERVICE REPAIR/W:1ER CiM E REFRIGERATION EASE TRAP APPLIANCE CUTLETS PROCESS AND PRESS PIPING TERCEPTCR RANGE TOP UNDERGROUND TANKS :VATCRY OVER ABOVE GROUhU TANKS ,UNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS .OTHES WASHER MOTORS 0- 1 FP STEAM BOILERS :C'tIER MOTORS OVER 1- 3 FP HOT WATER BOILERS NK , POT /3 COMP. MOTORS OVER 3- -5 FP MECHANICAL VENTILATION .NK, RESIOENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEhBLIES INK, SLCP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS 1 :W0RARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS HHAL MOTORS OVER 25-1C0 FP COOLING TOWERS ;TER CLOSET MOTCPS OVER 100 FP VIOLATION DIRECT WASTES A/c WINDOW REIiSPECTION ;TER SUPPLY TO: AIR COhDITIOHERS • A/C UNIT I STRIP HEATER FIRE SPRINKLER GENERATORS TRAISFCR. "ZRS HEATER -NEW INST. GENERATCIS TRANSFCRbERS HEATER - REPLACE GENERATCYIS TRANSFORMERS LAWN SPRINXLER -WELL SPECIAL PURPOSE MAIM POOL OUTLETS CC4ERCIAL WATER SERVICE SIGN TUBES :WER CONNECTIONS SIGN TRANSMERS "ILITY - SEWER SIGN TIME CLOCK "ILITY -WATER FIXTURES :PTIC TAJG( ANTENNA :LAY - TELEVISION OUTLETS UINFIELO, 4' TILE/RES. VIOLATION ;MP & ABANDON SEPTIC TANK REIFSPECTION UAXAGE PIT CU. FT. ;TOO BASIN SCFURGE WELL 'AMC WELL tEA CRAIH CF Ih1ET 1LAR RATER HEATER -• iRE STANDPIPE bl PIPING • \WH SPRINKLER SYSTEM S RANGE :TER SET (GAS) S PIPING N APPY.ICATION FOR BUILDING PERMIT MUST ACCOCPANT THIS ADDENDUM. IF A MASTER PERMIT HAS .3TAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATI PLUMBING ELECTRICAL MECHANICAL