ELECTRICAL1 -r PERMIT N? 13502
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building �-
Architect
contractor
or Builder
Legal
Description
Address of
Building
Lot
t1
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.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Work to be performed under this Permit
7/
BI.
Subdi-
vision
Value of
Project $
DATE
Signed • - ` +. A- BY M.
II4ECTOR
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.
' this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY
Contractor's
License No
Amt. of
Permit
195
AUTHORITY
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. I
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
No Street
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 1
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Street
Service Overhead Site Feeders Conduit Main Sw Amps .Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L. Metal Moulding
.–...k.., i _ (, - ^-,_... ) r; •
(Signed)
Electrical Inspector.
The undersigned applicant for tfiis 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.
(Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that 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.
Date.......
'Master Electrician.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
_
x
,
,
CHECK
N I ‘s-'"
I (-)
)
J ;-.)
ENT.
SW.
DIST. SERVICE
CAB. TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
- - l !
.
CHECK
(;) l./ il 6 0
f ) L}
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. I
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
No Street
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 1
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Street
Service Overhead Site Feeders Conduit Main Sw Amps .Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L. Metal Moulding
.–...k.., i _ (, - ^-,_... ) r; •
(Signed)
Electrical Inspector.
The undersigned applicant for tfiis 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.
(Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that 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.
Date.......
'Master Electrician.
Date
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 419. //G 9" xFo1io
Legal Description
/4 1 /
Owner's Address /190 We: 9/ ' —
/'
Contracting Co. / ��� �' Address 6 Cep/& qI 57
Qualifier 'V O/j�J � �Qed SS# _ g9/' 3 ?
Competency # /666 Ins. Co. k
Architect/Engineer Address
Bonding Company Address N
Mortgagor Address
Owner/Lessee / Tenant
State #
EGDDD` ici 9 Municipal #
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION G O r�'�ZG�
clee
Square Ft. c ' t C O!1 .
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructiorl/and zoning. Furtermore, I auuhorize the above -named tgd0 the work stated.
Signature of owner and/or Condo President
l ��
Date
.... .ARIL
Notary as to
My Commiss
Y PU B MARY P R IG YS G EA S
) N; VS. 0 COMMISSION NUMBER
CC741860
; nn. MY COMMISSION EXPIRES
11 7 '102
FEES: PERMIT G'®o' RADON
Tate
c
APPROVED:
Zoning Building
Historically Designated: Yes No x
Master Permit # Li y `6 8
Estimated Cost (value) 1 O O
Signature of Contractor or Owner - Builder
Notary as to Con actor or Owner
My Commission xpir
Phone ='OS 3 63 qU7 c
C.C.F. / • �e NOTARY '19
Electrical
F n tLQ
der
O: FlC1AL NOTARY SEAL
MARY P BRIGGS
COMMISSION NUMBER
CC741860
COP, ^NSSION EXPIRES
�" •"
11,2002
BOND
TOTAL DUE 6 /
ic� i _) e -/
4 0 2 A/
Date
Z / 1 //4/
Date
Mechanical Plumbing Structural Engineer
MOODY9 ELECTRIC, INC.
www.moodyelectric.com �� Y ► b
669 N.W. 90 Street • Miami,FL 33150 -2166 �
Tel: (305) 891 -1374 Fax: (305) 758 -2000 n I gid rit4
t3ek 01/401. outmu ameof
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E�000 //99
OFFICIAL NOTARY SEAL
'\P P 1 le NICOLE A BERQERT
0 lam COMMISSION NUMBER
Q CC661267
-5 F Oa F �.� � MY y COMMISSION EXPIRES
MOODY# ELECTRIC, INC.
669 N.W. 90 STREET
MIAMI, FL 33150 -2166
TEL: (305) 891 -1374
FAX: (305) 758 -2000
la9a •vE 9ysT /�
Win/ �ho/zeo Al34
RESIDENTIAL DEMAND LOAD CALCULATIONS
W / SQ. FT c v6OD
REFRIGERATOR
APPLIANCES
DISHWASHER
GARBAGE DISPOSAL
MICROWAVE
CLOTHES WASHER
DRYER
RANGE
WATER HEATER
OVEN
FREEZER
TRASH COMPACTOR
GARAGE DOOR MOTOR
JACUZZI
JACUZZI BOOSTER HTR.
IRONING BOARD
POOL EQUIPMENT
SPRINKLER PUMP
LANDSCAPE LIGHTS
STEAM SHOWER
A/C WALL UNIT
SPARE CAPACITY
SPARE CAPACITY
TOTAL CONNECTED LOAD
FIRST 10 K.W. @ 100% [../ 3, 6'0
A/C REST @@ 1 0% 40% /` ��
A/C 0
TOTAL DEMAND LOAD
K.W. / 240 VOLT = AMPS
- 33q0c
/ SI /
7 EK.W.
12_5 K.W.
3.O K.W.
i.5 K.W.
K.W.
/'5 K.W.
/ K.W
d K.W.
7
K.W.
/ K.W.
K.W.
Cs K.W.
K.W.
�—" K.W.
K.W.
--�' K.W.
K. W.
K.
K.
`— K.W.
K.W.
K.W.
0 .64 K.W
10.0 K.W.
/3•
/t K.W.
,3 3VQK . w .
c9De
Ec-e //99
OFFICIAL NOTARY SEAL
1pS P &49 NICOLE A BERGERT
A ' n OOMhN SSION NUMBER I'
i CC661267
9 Q p MY COMMISSION EXPIRr
FpF F� JULY Z2001
6eAvic.
STRUCTURAL
ELECTRICAL
PIUM3ING
Een4wAt
Rory Pas
Boo. Gmcw:J.
9
MIAMI SHORES VILLAGE
BY
COM,4C.:E. Fil>07..[V.., STATE AND COUP:Tr
ROLES MO
MIAMI .%IORES VILLAGE. liZzO07.3 NO PIETNISMILITIES FOR ACIJR4gY
OF OR REsiArs FROM iliESE wirm
COMPLIANCE WW! I:if:SOUTH FLOR111 SUtit)INO r;nnr, Aq' frf
MIAMI SHORES VILI.Aa RE0,11fRV)
CONTRACTORS AK O! •
tyre tinrn*.'1-1
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
ITEM
PLUMBING
BATH TUB
BIDET
DISHWASHER
DISPOSAL
DRINKING FOUNTAIN
FLOOR DRAIN
GREASE TRAP
INTERCEPTOR
LAVATORY
LAUNDRY TRAY
CLOTHES WASHER
SHOWER
SINK, POT /3 COMP.
SINK, RESIDENCE
SINK, SLOP
TEMPORARY WATER CLOSET
UR I NAL
WATER CLOSET
INDIRECT WASTES
WATER SUPPLY TO:
A/C UNIT
FIRE SPRINKLER
HEATER -NEW INST.
HEATER - REPLACE
LAWN SPRINKLER -WELL
SW 114I NG POOL
WATER SERVICE
EWER CONNECTIONS
TILITY -SEWER
TILITY -WATER
EPTIC TANK
ELAY
RAINFIELO, 4' TILE/RES.
JAP & ABANDON SEPTIC TANK
)AKAGE PIT CU. FT.
UCH BASIN
ISCHARGE WELL
)MESTIC WELL
tEA DRAIN
)OF INLET
)LAR WATER HEATER
RE STANDPIPE
OL PIPING
NN SPRINKLER SYSTEM
S RANGE
TER SET (GAS)
3 PIPING
ELECTRICAL
MECHANICAL
UNIT
FEE ITEM
SWITCH OUTLETS
GENERATORS TRANSFORMERS
LIGHT OUTLETS
RECEPTACLES
SERVICE TEMPORARY
SERVICE SIZE IN AMPS
SERVICE REPAIR/METER CHANGE
APPLIANCE OUTLETS
RANGE TOP
OVEN
WATER HEATER
MOTORS 0- 1 HP
MOTORS OVER 1- 3 If
MOTORS OVER 3- 5 HP
MOTORS OVER 5- 8 HP
MOTORS OVER 8- 10 HP
MOTORS OVER 10- 25 If
MOTORS OVER 25-100 HP
MOTORS OVER 100 HP
A/C WINDOW
AIR CONDITIONERS
STRIP HEATER
GENERATORS TRANSFORMERS
GENERATORS TRANSFORMERS
SPECIAL PURPOSE
OUTLETS COMMERCIAL
SIGN TUBES
SIGN TRANSFORMERS
SIGN TIME CLOCK
FIXTURES
ANTENNA
TELEVISION OUTLETS
VIOLATION
REINSPECTION
UNIT FEE
ITEM
SPACE HEATERS
CENTRAL HEATING
A/C (WIND)
A/C (CENTRAL)
DUCTWORK
REFRIGERATION
PROCESS AND PRESS PIPING
UNDERGROUND TANKS
ABOVE (MOUND TANKS
U.F. PRESSURE VESSELS
STEAM BOILERS
HOT WATER BOILERS
MECHANICAL VENTILATION
TRANSPORTING ASSEMBLIES
ELEVATORS/ESCALATORS
FIRE SPRINKLER SYSTEMS
COOLING TOWERS
VIOLATION
RE INSPECT ION
UNIT
FEE