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1285 NE 95 St (10)Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/6/2004 Applicant: MARY Owner: SAXON JOB ADDRESS: 1285 NE 95 Electrical Permit Permit Number: EL2004 -90 SAXON MARY ST Contractor AFFORDABLE ELECTRICAL CONTRACTORSUilifractor's Address: 515 NE 190 ST Local Phone: 305 - 940 -0777 Parcel # 1132060144020 Permit Status: APPROVED Permit Expiration: 9/21/2004 Construction Value: Work: INSTALL NEW 400 AMP METER COMBO W /200 AMP MAIN Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 34 & 35 & E1/2 LOT 33 Fees: FEE2004 -3534 FEE2004 -3535 FEE2004 -3536 FEE2004 -3537 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $100.00 $0.60 $0.20 $2.50 $103.30 Total Fees: $1Q3 Total Receipts: $0.00 s3,3 15 APR 08 M Signed: (Contractor or Builder) BY: $200.00 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. BLK 84 CoPPQ r R 1 , 30 crt..,, a Y o c P,Q� Per coffer zp, 11 ft '/0 VOW eoane o i0 lh.o y coQe.ar Q 6 1,1 exsi mmv 1 — 154 q0 tr.cv vo - caper 1.114@ @•utteA 1 z r ! pve. Qua, 3 -021/0 T ipoi INrtetior } X255 I�� q0 � 41i4mi SNo�z� f� 0/m• 1 as 1 er', poll ^�a wt� ao4 er + MY (,'!. ,4Mibb1UN # UU 1 bZLL EMRES: January 12, 2007 4' OF Fv e Bonded Thru Butget Notary Services APPROVED ZO!'4!:'!G SIRUCTLIP ELEOVICAL PLU!\.:B.iNG .L:•! V.; MIAMI,j?: -IORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date; Type Insp'n Permit No. 5000r Name Address Company Phone # Inspection Date Approved Correction Re- Insp'n Fee I 128S ev F 95 9 30 1L16 C ) I) s f ao � • r. 4 4 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 II Tel: (305) 795.2204 Fax: (305) 756.8972 Owner's Name (Fee Simple Titleholder) air # ft 25 'q942i City in ),A 5 -140.10T.:. $ Value of Work For this Permit Owner's Address 8� q 6 Miami Shores Village Building D epartment State I� Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) !.O j K.) 6 a s ' City Miami Shores Village County Miami -Dade Zip '/ ' / V Q Is Building Historically Designated YES Contractor's Company Name F? hone # % Contractor's Address J ` l City fl/u, State Zip n c) Qualifier Architect/Engineer's Name (if applicable) Phone # NO Type of Work: ❑Addition ['Alteration ENew Describe Work: h 37 ? t i 400 Am P m e Master Permit No. Plumbing Mechanical Roofing Square Footage Of Work: Permit N4 2_ 0 pair/Replace emolition r i orn o 1/V 200 4s * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee LSD. 0 a Permit Fee $ 40,0:....400 CCF $ . C l.> CO /CC Notary $ Training/Education Fee $ • k b Technology Fee $ . _S 7) Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due S 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 State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commen' 'ment must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In t absence of 1 ch posted notice, the inspection will not be approved and a reinspection fee will be charged. n NOTARY P Sign: Print: �Nta My Commissio APPLICATION APPROVED BY: Chc 12/15/03 Signature '111 asi,k 14,1 Owner d! Agent The foregoing instrument ) by s acknowledged before me this 2f day of ma' , 20, GG rL 6141)(1 11, wn to me or who (ltas produced As identification and who did take an oath. ,u El bf y , (Certificate of Competency Holder) State Certificate or Registration No. ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Contractor The foregoing instrument was acknowledged before me this day of ina" , 20074 by By K L 4 Vi , mid s personally known to r�eor who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My ComiA §s Certificate of Competency No. ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT . BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN MPS IXET WORK FLOOR DRAIN SERVICE REPAIR/MWTER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS , PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS 'LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS QVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 IF TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP 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 If VIOLATION INDIRECT WASTES -- . A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER . FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER- REPLACE GENERATORS 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 F I XTI.RES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 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 AADE+NDUM 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 MECHANICAL HtDING ECTRICAL PERMIT A N° 760 ,UM@IAIG ner of Building NAME :hitect and /or Engineer NAME ADDRESS ntractor or Builder -- — — — - -- -- — — -- — — — - - - - NAME ADDRESS 'oposed Location — - - — — - -- — —= -- LOT BLOCK SUB- DIVISION MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT , 19 ADDRESS LICENSE NO. LICENSE NO. NO. STREET This permit is issued to To e building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition at all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance ad compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and tgulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said iws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. AMOUNT In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and flans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the wilding ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. RECD. PAYMENT ACCT. DEPT. INSPECTOR (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. 9 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, FLA. JOB ADD SS INSPECTION TIME READY REMARKS: o� L o0 DATE 0-°16 lck 005 0- � coo*: No. 1.0 N° 5729 ei;A- *cm' to Nc•%tec C oY 13\1`. • �e ti4ttOo AWe t \s �on`4 \ta tsQ °t e in c° at t\ eby a4b s Buda leve 4 1 9 tt`a t e t % I c3t oekt e�e e o t, em 4\ • of at ;z 4 • ns tact tbU ae ar e a o4�� 9 fol of We {.c to c ,st\' tb 4tove cban1slotts tstettten d a ° an an 4 \ a es t in a e s , to d a al ns a t he t h e �;<b me ter d to t h e sud' s o $ ° ti '00 s t° S m��ey o abee at001% t in ° o4et a ob e atn C m ay b so i b o , ae o n 4 C,'t � e a t � to te mp y t--. \ t b e va to t b °vI \ y S Y$ co ne s o btn t o t red ,ptt s oo n ban n to bets �t k s n bete \�s' .N °t e ooa .fl s ervo donna dt the .f t a ' s t� to tb s agents l t °t °t es le ve be tarn: Wa \an oo ae the l e. Go tt a C •'\ the O be t d \o e a • o n to 9 C C p \a � a t a me ir by bt of tbcs \a o 4e t t�t t Its n 4 d e to � e to Oe Ns ale 4 \ \ va i 0 9, a a°n e�° \art f °t Algo Std ;ss °t 0 ;batty svot bty e t the t conf esl °ns • �0 st '°$ c 0-0e a \n C0 et lett tnrt a c Q rat tots 4 In 0 t a t t 0n et va for tbe sp eet {re s 14 to let eats of a \f, tvy �tn'' a tesbyat't"et,trays t ;n� e • t e aer and b tb ° e d ea in ce v� e� k N �ou e s tb \ n be Yt� ct r • ice ae C Om 4 m ay . a nd ob� too JrVntent Q { °t ` is on ct the °t oche c t es,P es• S4 F t e of s ta \ kV o f ` p' att bot A f � w ; d�et be eQ 1 tV , " be ° 4 a ss \ k t e at Q 3 ee t to in t he `� cola\ Cro n. kn o an d 4YO) . n� t b mo bos to tro BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA Q DATF 195 ❑ PERMIT N? 4938 Contractor s License No X r ❑ ❑ Work to be performed under this Permit Owner of Building s' Architect Contractor or Builder / Legal Lot Description Address of Building CONTRACTOR OR BUILDER 11 B Subdi- vision This permit is granted to the contractor or builder named above to construc 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. (` $Y 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. • V" • Value of Project $ Amount of Permit $ " BY AUTHORITY 64e- Permit No /c) $? 7 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMOT Owner's Name and Registered Arc'hite. ; • /or Engineer Employing Electrician's Name 1, a– N Location and Legal Description Lot MIAMI SHORES BILL 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 s be comp with, whether erein specified or not. A copy of approved plans and specifications must be kept at building during progress of ., k. No Z ?7r c. t r /9bsl 6 � IyYC �o N GE Date Street.. Street IV' 44 S ` 7- Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P P Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ to (Signed) - Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepi' 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. ss. (Signed) Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST e� CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. 44 RADIO TOTAL CONTR. / LIST CHECK Permit No /c) $? 7 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMOT Owner's Name and Registered Arc'hite. ; • /or Engineer Employing Electrician's Name 1, a– N Location and Legal Description Lot MIAMI SHORES BILL 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 s be comp with, whether erein specified or not. A copy of approved plans and specifications must be kept at building during progress of ., k. No Z ?7r c. t r /9bsl 6 � IyYC �o N GE Date Street.. Street IV' 44 S ` 7- Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P P Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ to (Signed) - Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepi' 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. ss. (Signed) Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. ( / ° MIAMI SHORES VILLAGE • ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date / -V \I? 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 wore Owner's Name and Address.. � ....lt...L No Street Registered Architect and /oidEngineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed—No. ...j 2 s4 _,. .. S treet Block' ,S ubdivision �.�...�' •.5 ..:.......Street State work to be performed and purpose of building By=Floors)__ New Building Remodeling Addition Repairs No. of Stories // Service Overhead Size Feeders A Conduit. Main Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I �°' (Signed) tJ r Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acre s his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) 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 MOO 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. ACt HE ATER STRIP HEATER Pr0-T,piro TOTAL CONTR. LIST ,Q // , =1! -�--� _6' �.((7//� J / _- / 1 / //� /� o CHECK d ENT. SW. DIET. CAS. SERVICE TEMP. SERVICE PERM. i MOTORS 0.1 HP MOTORS 1.8 HP NEON TRANS. RADIO TOTAL CONTR. LIST n /! / " CHECK ( / ° MIAMI SHORES VILLAGE • ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date / -V \I? 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 wore Owner's Name and Address.. � ....lt...L No Street Registered Architect and /oidEngineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed—No. ...j 2 s4 _,. .. S treet Block' ,S ubdivision �.�...�' •.5 ..:.......Street State work to be performed and purpose of building By=Floors)__ New Building Remodeling Addition Repairs No. of Stories // Service Overhead Size Feeders A Conduit. Main Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I �°' (Signed) tJ r Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acre s his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) 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 MOO will be made when such re'inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. • 0 MIAMI SHORES VILLAGE, FLA. N9 6425 JOB f ;Q A —(`'i< Ce ADDRESS C � C Z c"-/ r? r INSPECTION (Z / TIME READY / / -- 2 '/ " lC CL�'` -� REMARKS • i :?_#9 ; 7,, o ,/ - o% 6 z V INSPECTOR DATE Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. Jt ss' ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date ` ` c y ,2 G - / 17 / ., .. 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. �J Owner's Name and Address 2/14 • , Registered Architect and /or Engineer /� �. �/ Employing Electrician's Name( 2< � �.e,CLt.' t°.., eiktLl•`',.<x.,. a • No..o?. 2..Y.7.... .r ✓.,t.,.. .Street..7.�3 v MIAMI SHORES VILLAGE (Signed) No /v?I 6...Street. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No.. /. ?.. . �...... �� e 9 ` 4..Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed)... / al 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. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP -- � ' / (y am (r/ NEON TRANS. //e le RADIO TOTAL CONTR. CHECK –2,6 Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. Jt ss' ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date ` ` c y ,2 G - / 17 / ., .. 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. �J Owner's Name and Address 2/14 • , Registered Architect and /or Engineer /� �. �/ Employing Electrician's Name( 2< � �.e,CLt.' t°.., eiktLl•`',.<x.,. a • No..o?. 2..Y.7.... .r ✓.,t.,.. .Street..7.�3 v MIAMI SHORES VILLAGE (Signed) No /v?I 6...Street. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No.. /. ?.. . �...... �� e 9 ` 4..Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed)... / al 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. 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. AFPLICATED F® Permit No r 5177 MBAMID SHORES LLA E r Amount of Permit $ ... a (Signed) EL(ECT03OCAL INSPECTOON DEPARTMENT ELECTRIC AL PERMIT Date / —7—( 7 � — 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, Fiurida, 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 Addresr -4fJX SR 1. No. / Z. 7S N Street 9's S /— Registered Architect and /or Engineer Employing Electrician's Name.a.i.9.V.reket 4 4 7 6 J A/C s.No 1 G R6 A/ / Street.....! o / 5' / 1 3 /..S 40 Location and Legal Description Lot (` Block T Subdivision l — /° 7 4 ci Street and Number where work is to be performed— No. .ttt � 2 .. 9� r ' Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his 1 *igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori . • ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-con / actors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) .>...a.,. Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. s8. 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'7' FIXTURES N O. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. H EAT. CONN. SPACE H EATER STRIP H EATER TOTAL LIST CHECK crarO� O Z ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP M OTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK AFPLICATED F® Permit No r 5177 MBAMID SHORES LLA E r Amount of Permit $ ... a (Signed) EL(ECT03OCAL INSPECTOON DEPARTMENT ELECTRIC AL PERMIT Date / —7—( 7 � — 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, Fiurida, 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 Addresr -4fJX SR 1. No. / Z. 7S N Street 9's S /— Registered Architect and /or Engineer Employing Electrician's Name.a.i.9.V.reket 4 4 7 6 J A/C s.No 1 G R6 A/ / Street.....! o / 5' / 1 3 /..S 40 Location and Legal Description Lot (` Block T Subdivision l — /° 7 4 ci Street and Number where work is to be performed— No. .ttt � 2 .. 9� r ' Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his 1 *igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori . • ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-con / actors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) .>...a.,. Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. s8. 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 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 compliant= 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. Registered Architect and /or Engineer Employing Electrician's Name E . f � A/ C No 71 7c 4 e/ Location and Legal Description Lot Block Subdiv g Street and Number where work is to be performed—No / / D 4/ _ bd Street J....1... ✓.. . State work to be performed and purpose of building (By Floors) New Building Remodeling .. _ ...... Addition.. Service Overhead Site Feeders... ......... ..Conduit. Underground Type If Installation— Conduit. _ !1., . .T b: Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. APPLL➢CATIO '! FoR ELECTRICAL PERM OT T SS. ME MI SHORES '‘PLLAGE ELECTRICAL INSPECTION DEPARTMENT ,gy D® / M _ a No Street tfV/ Sw . . . .B.X L . . (Signed). .. Street.. ...5 (17: 0 Date l/ C 7 Repairs... No. of Stories Amps.. . A a .. .Main Fuses Amps .Metal Moulding. Elc:ctr cal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accept/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. (Signed) if7- xr-9/ Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn. upon oath deposes and says that he is the . ............ ................... .. ......... . of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re• inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HE CONN. SPACE HEA.ER STRIP HEATER TOTAL CONTR LIST CHECK ENT. SW. DIST. CAB. SERVICE TCL "P. SERVICF PERM. MOTOF' =. N:OTORS NEON O. HP 1 -5 HP TRANS. RADIO TOTAL c . /4 3 A/� , 44, CHECK /OO 3. D D Z .cm Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliant= 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. Registered Architect and /or Engineer Employing Electrician's Name E . f � A/ C No 71 7c 4 e/ Location and Legal Description Lot Block Subdiv g Street and Number where work is to be performed—No / / D 4/ _ bd Street J....1... ✓.. . State work to be performed and purpose of building (By Floors) New Building Remodeling .. _ ...... Addition.. Service Overhead Site Feeders... ......... ..Conduit. Underground Type If Installation— Conduit. _ !1., . .T b: Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. APPLL➢CATIO '! FoR ELECTRICAL PERM OT T SS. ME MI SHORES '‘PLLAGE ELECTRICAL INSPECTION DEPARTMENT ,gy D® / M _ a No Street tfV/ Sw . . . .B.X L . . (Signed). .. Street.. ...5 (17: 0 Date l/ C 7 Repairs... No. of Stories Amps.. . A a .. .Main Fuses Amps .Metal Moulding. Elc:ctr cal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accept/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. (Signed) if7- xr-9/ 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. Application is hereby made for the approval structure herein described. This application is and all provisions of the Laws of the State of of Miami Shores Village shall be complied building during progress of ; oak Owner's Name and Address r }_ Registered Architect and /orniineer Employing Electrician's Na Location and Legal Description Lot Street and Number where work is to State work to be performed and purpose of building (By Floors) New Building N " % " <j g Remodeling Addition Repairs Service Over a� Size Feeders t / ) <J Amount of Permit $__ STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT of the detailed statement of the plans and specifications herewith submitted for the building or other made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division with. whether herein specified or not. A copy of approved plans and specifications must be 154t at 1 Street_ J ' ock mem e performed —No Conduit'_? Type of Installation— Condciit Tubing_L 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. Before me, the undersigned authority, a notary public, appeared e3 No. ___ Main Sw �) Amps. __ " Main Fuses B.X.L. Metal Moulding Date Street_____. / /.. r . � il / ' 7-- a . (Signed) d� - - = = �' Electrical' Inspector. rtify that he understands and accepts his obligations as ash employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contra rs; o worlc be performed under this permit, as are /' // ' ' (Si ¢a) "`✓_( Street_ Notary Public. State of Florida 0 No. of Stories Amps. Master Electrican. 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. 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 FIXTURES NO.LAMPS REFRIG. OUTLET I RON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER �- % ',,,,/ n F. ('t'. " TOTAL 1i LIST 0 ,k; .. `.q (i ., ^,. )? 1/1 CHECK r f^ 1, -- (n " • � .., .∎ � , ) y s . 1 S 1 , ' � 'p L 1 ' ..N,-.., SW. " b., CAB. SERVICE' TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST y , f/ CHECK • 7// Permit No. Application is hereby made for the approval structure herein described. This application is and all provisions of the Laws of the State of of Miami Shores Village shall be complied building during progress of ; oak Owner's Name and Address r }_ Registered Architect and /orniineer Employing Electrician's Na Location and Legal Description Lot Street and Number where work is to State work to be performed and purpose of building (By Floors) New Building N " % " <j g Remodeling Addition Repairs Service Over a� Size Feeders t / ) <J Amount of Permit $__ STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT of the detailed statement of the plans and specifications herewith submitted for the building or other made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division with. whether herein specified or not. A copy of approved plans and specifications must be 154t at 1 Street_ J ' ock mem e performed —No Conduit'_? Type of Installation— Condciit Tubing_L 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. Before me, the undersigned authority, a notary public, appeared e3 No. ___ Main Sw �) Amps. __ " Main Fuses B.X.L. Metal Moulding Date Street_____. / /.. r . � il / ' 7-- a . (Signed) d� - - = = �' Electrical' Inspector. rtify that he understands and accepts his obligations as ash employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contra rs; o worlc be performed under this permit, as are /' // ' ' (Si ¢a) "`✓_( Street_ Notary Public. State of Florida 0 No. of Stories Amps. Master Electrican. 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. 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 Amount of Permit $_ APPLICATION FOR ELECTRICAL PERMIT My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Addition _(Signed) (Sig 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_ Wt at building during progress of k. �✓ �_ /1 /- Owner's Name and Address __- ___ - .- L am/ OG / l � / No a N Str / � Registered Architect and /or n•meer � -- j„ �� / / V�� i �� % -��� _ = • - - - -- � - - - -- - -- - - -- - -- � - -- -�- Employing Electrician's Na No._ _ _.'U Street Street Repairs c't.)_______ Location and Legal Description Lot Street and Number where work is to 1Se perform No. State work to be performed and purpose of building (By Floors) New Building 117- ���- Remodeling Service edrehr round Size Feeders Conduit? _L? ___ Main Sw 6 Amps. <' V Main Fuses Amps. Type of Installation— Conddit Tubing B.X.L. Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub- contr. -.rs, o. worJc=.to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. ( as. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida 0 0 No. of Stories______________ Master Electrican. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P FIXTURES No.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER (� � TOTAL / /( a N' �4! • ( `e // • U e____ CHECK ENT. SW. DIST. = CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST ST CHECK Permit Amount of Permit $_ APPLICATION FOR ELECTRICAL PERMIT My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Addition _(Signed) (Sig 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_ Wt at building during progress of k. �✓ �_ /1 /- Owner's Name and Address __- ___ - .- L am/ OG / l � / No a N Str / � Registered Architect and /or n•meer � -- j„ �� / / V�� i �� % -��� _ = • - - - -- � - - - -- - -- - - -- - -- � - -- -�- Employing Electrician's Na No._ _ _.'U Street Street Repairs c't.)_______ Location and Legal Description Lot Street and Number where work is to 1Se perform No. State work to be performed and purpose of building (By Floors) New Building 117- ���- Remodeling Service edrehr round Size Feeders Conduit? _L? ___ Main Sw 6 Amps. <' V Main Fuses Amps. Type of Installation— Conddit Tubing B.X.L. Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub- contr. -.rs, o. worJc=.to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. ( as. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida 0 0 No. of Stories______________ Master Electrican. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Type Insp'n / d� Permit No. Xd x '4i Name Address MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Requ Datei�� ,1 1- rP/P-Q'q Company 1/ Phone # 62pyz- Inspection Date Approved Correction Re- Insp'n Fee Type Insp'n Address Company Inspection Date Approved Correction Re -Insp' n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date w 6> Permit No. Fi ....00q • Name E t_. s s4- D Phone # 'OS q -` O ❑ 11f9- /mil, ® ie