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325 NE 95 St (3)nspec'tion Number: INSP = 1$775 Inspection Date: 06/01/2006 Inspector: Devaney, Michael Owner: VAIL, GEORGE & ASHLEY Job Address: 325 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: SHINE MAINTENANCE ELECTRICAL Building Department Comments Wednesday, May 31, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: EL2OO5 -360 Permit Type: Imported Permit Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1132060136020 Lot: Phone: 305 - 269 -1151 Page 1 of 2 { �% ��j // �j Passed Inspector Comments / ..._.-- -e. o, 470. ei-, �� xpe�G �� , Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until nspec'tion Number: INSP = 1$775 Inspection Date: 06/01/2006 Inspector: Devaney, Michael Owner: VAIL, GEORGE & ASHLEY Job Address: 325 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: SHINE MAINTENANCE ELECTRICAL Building Department Comments Wednesday, May 31, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: EL2OO5 -360 Permit Type: Imported Permit Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1132060136020 Lot: Phone: 305 - 269 -1151 Page 1 of 2 \ oci Inspection Date: 01/25/2006 Inspector Devaney, Michaellnspector Devaney, Michael Owner VAIL, GEORGE & ASHLEY Job Address: 325 95 Street NE Miami Shores Village, FL Project <NONE> Contractor: SHINE MAINTENANCE. ELECTRICAL Building Department Comments Passed Failed Correction Needed Re- Inspection Fee ($75) iii No Additional Inspections can be scheduled until re- inspection fee is paid Wednesday, January 25, 2006 TOOd L18'ON Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL hone: (305)795 -2204 Fax: (305)7564972 Inspector Comments Block: d aaj Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number Parcel Number 1132060136020 Lot Phone: 305 -269 -1151 Page 1 of 2 EEt70S176S026 F dSdT1IA S3NOHS IWdIW 20 :0T 900E /9E /TO 1 44-tt MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 =2204 Building Inspection Request DateOJI J Insp'n c ''`. - t - f - Permit No. , Nam - �� ? V A1L Address 3 25 r'. E c35 -- Compare 1-J. Mat Phone # (3:D5) 2-6. 1 1 5 1 Inspection Date 1014? o 05 Approved LY Correction ❑ Re -Insp' n Fee ❑ ; e5 e,.5 r.; tnsp Project <NONE> Passed Failed Correction Needed v PAtIq Tuesday, January 10, 2006 01/11/2006 09;30 MIAMI SHORES UILLAGF 4 93059450422 Inspection Date: 01/1012006 Inspector. Devaney, Michael Owner. VAIL, GEORGE & AS -ILEY Job Address: 325 95 Street NE Miami Shores Villag: Buildin ' De ' artment Comments Re- Inspection Fee ($75) No Additional Inspections can be schedul;d until re- inspection fee is paid. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: •'i )795 -2204 Fax: (305)756 -8972 FL Contractor. SHINE MAINTENANCE ELECTRICAL IE' Uirr Inspector Co NO.722 P001 Ui! +tl"-':�, Sri 1 i tli;> � ?�I�fl .. � ...•.. , Permit Type: Imported Permit Inspection Type: Underground Rough Work Classification: <NONE> Phone Number Parcel Number 1132060136020 Block: Lot: Phone: 305 -269 -1151 9?/r 2)" / r11-7e 1 °1- / d 9 ®A- ff Gi/ 1 tn®• q °6 Page 2 of 2 BUILDING PERMIT APPLICATION s , .,, FBC 2001 Tenant/Lessee Name Is Building Historically Designated YES $ Value of Work For this Permit OW Type of Work: Submittal Fee $ Notary $ Scanning $ • cx Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) 15 Miami Shores Village Building Department 10050 N.E.2nd i kenue . , Miami Shores, Florida 33138 Tel: (305 'ax: (305) 756.8 Job Address (where the work is being done) r? �, IV City Miami Shores Villa _e County Miami -Dade NO Architect/Engineer's Name (if applicable) Phone # Training/Education Fee $ - 40 • Permit No. - ' meter Permit No. Permit Type (circle): Building Electrica Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Ast4 l;•E' V 4 t 0 1.. Phone # 305 — ` -ye '.. t.' 3 Owner's Address J htj 0 6 g G St. City "A1 f W\ 1 6 40 p.5 State LO ( Pi' Zip Phone # Zip Contractor's Company Name r1 g 1196 MIN! v CLea. 1'1 Phone # O Contractor's Address 13 2- ' i U 8 T Cit d° d\ 1 t State 'FL- Zip 33 t 2-6 Qualifier r- e • s n 1 State Certificate or Registration No. COO 15 4 Certificate of Competency No. Square Footage Of Work: ❑Addition . kAlteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: Nil r 1CAL �j .J iC- Jz.® c,i ,D yZ GA° /.6 * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ /s ®i ®'' CCF $ CO /CC Technology Fee $ 3 • Radon $ Zoning Bond $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR 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 inspectio, ill not be approved and a reinspection fee will be charged Signature NOTAR . PUB Sign: i atft r Print: A S 9 �# VyoO - lml -(0? -T e „ I I I,, AAYP ��. 1 ' 1 Signature c...• ..'"IA 'CI NOTARY PUBLIC: t IF J lLlp('® . tj 3208 Owner oxlAgent The foregoing instrument was acknowledged befor me this - 7 day of -®ber , 2007 , by - 1 - * uc . who is personally known to me or who has produced b L As identification and who did take an oath. as identification ancl,wN did take an oath. Contractor The foregoing instrument was acknowledged before me this I day of 06-6e� , 2003_, by £ SANTO S. , who is personally known to me or who has produced fl-n d SI n d'� "�. AAR N 'E z 3208/ • Commission Ex p. g lOp ftRyc 00� Sign: Print: My Co p 311 ` Z e`LOO8 . o� My Commission Expires ie 2(1 Z000 , 4 It •co® ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: chc 05/13/03 e mss• Plans Examiner Engineer Zoning ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING 2_CAJ6 cr S z' ELECTRICAL MECHANICAL ITEM BATH MB UNIT FEE 1T W SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LI( {T OUTLETS CENTRAL HEAT) DISHWASHER RECEPTACLES A/C (WIO) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS `,LD Pr DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER 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 If STEAM BOILERS SHOWER MJTCRS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 If ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 1C- 25 FP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 2:-100 FP COOL TOWERS WATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES I ( I A/C WINDOW 1 REI,NSPECTJON WATER SUPPLY TO: 1 AIR CONDITIONERS A/C UNIT STRIP HEATER I I FIRE SPRINKLER I 1 GENERATORS TRANSFORMERS I I HEATER -NEW INST. GENERATORS 'TRANSFORMERS I I HEATER - REPLACE GENERATORS TRANSFORMERS I I LAWN SPRINKLER -WELL SPECIAL PURPOSE _ SWIAiING POOL OUTLETS COM4,ERCIAL WATER SERVICE SIGN TUBES SEWER CONNECT IOW •SIGN TRANSFORMERS UTILITY -SEWER SIGN TIM€ CLOCK UTILITY -WATER F I XT1 RES I I SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4 TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK RE INSPECT ION SOAKAGE PIT CU. FFT. CATCH BASIN DISCHARGE WELL ■ DOME STIC WELL AREA DRAIN I ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPR I NKLER SYSTEM: GAS RANEE I METER SET (GAS) I I I I GAS PIPIP. I I ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING 2_CAJ6 cr S z' ELECTRICAL MECHANICAL YceG 3,73. / Miami Shores Village Building Department ELECTRICAL CRITIQUE SHEET 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit -No. / 2ohs -- 31 Job Name tdi. ,Jew S°mod /'c L° 32 .6 ®/ ,6 0,1L./ - a o ® , »?/ /`-7, ,!‘ x /47" i � S '%- -- m.e -, 7Z a'd tech � 4 6/75'i /Zveg. L°/2- S A/ so 9 0e ��� �� r �G!� ��G1L i ' ifs ; 45?74 S 672 /4' � 5 .0. 447/ (V6 H 77f 14 ,5672c !s / �G (///0 72CAoviiii, 7 -- Y/.s//?Z /9/;�6Z //11 /0d,<& // 7 4'674t2, 7 ,4/S7 Cov11Q .0C o/'g'z //eod/I /44 /1/41-5 8 6 ,vE79/E7s z /D/l e // /G 6T , EXIST. L TO FPL POLE, EOVED OCT 1 x'`01)5 NEW METER COMBO PANEL (320 AMP) AND SPACE FOR BREAKERS LECTRICAL RI MAIN -7 200 AMP #2Cu. (GEC.) 5/8 GROUND 6' APART MINIMUN DIAGRAM NTS. SEXIST. • PIPE WIRES PIPE 11 F2" WIRES JOB: ASHLEY VAIL 325 N.E. 95 STREET MIAMI SHORES, FL. SHINE MAINTENANCE ELECTRICAL CONTRACTORS CORP. 7323 NW 8 ST. MIAMI, FL. 33126 EC 0001514 EXISTING PANEL 3 2PoTHh 3 #2/0 THHN/THWN Cu. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10/18/2005 Applicant: GEORGE & ASHLEY Owner: VAIL JOB ADDRESS: 325 NE 95 Contractor SHINE MAINTENANCE ELECTRICAL Local Phone: 305 - 269 - 1151 Parcel # 1132060136020 Signed: (INSPECTOR) Signed: (Contractor or Builder) Electrical Permit Permit Number: EL2005 -352 VAIL GEORGE & ASHLEY ST Contractor's Address: 7323 NW 8 ST Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 13 Permit Status: APPROVED Permit Expiration: 4/9/2006 Construction Value: $2,000.00 Work: NEW ELECTRICAL SERVICE 320 AMP UNDERGROUND BY: Page 1 of 1 BLK 44 LOT SIZE 78.720 X Fees: FEE2005 -13670 FEE2005 -13671 FEE2005 -13672 FEE2005 -13673 FEE2005 -13674 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $150.00 $1.20 $0.40 $3.75 $3.00 $158.35 Total Fees: $158.35 Total Receipts: $0.00 CCT i 8 PAID 41.5 * 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. 3 " PERMIT APPLICATION � FOR MIAMI SHORES VILLAGE D a t e 3 1q7 J o b A d d r e s s a J I U . f ✓ • 9 6 SLt • Tax Folio / ( 3 ° 1 36 Legal Description Historically Designated: Yes No Own LLessee / Tenant r"`'r" OWE Owner's A d d r e s s ‘,36. ' ' �� ' 9 ' 1 & r e d P h o n e C6) 5 -' 0=25" 1 Contractin Co. 1 ro C K� &ecir 1 CO-• 1 l r• Address 5ieo /VIE /90 �Lf SS# Phone - 9 4 67 7 7 Q ualifier Zo r* /rv() state # cc (Jno r ` o Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDIN G(ELECTRICAL 7 PLUMBING / MECCHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION / WI fe �1) 2.-ion W / �" l / f& $ � W 3Y2. l 1w, ;Ye, iD iw. Alw rease 4 melee .45 000 04 ups Square Ft 7 Estimated Cost (value) / 0 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named or to the ' ork stated. Si Notary as to 0 er and/or Condo President My Commission Expires: FEES: PERMIT 7.0 ' 0 RADON 3 1 ;111 9 OFFLUAL NOTARY SEA BONNIE LEE LANE NOTARY PUBI..IC STATE OF FLORIDA COMMISSION NO. CCG10789 _MY COMMISSION EXP. IAN. 12,2001 C.C.F. Master Permit # NOTARY Signature of Contractor • •' er- Builder Date 3 i3 f7 Notary as to C tra ' +r or Owner- Builder Date My Commission Exp OFFICIAL NOTARY SEAL BONNIE LEE LANE NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC610789 MY COMMISSION EXP. TAN. 12,2001 BOND TOTAL DUE 9S. APPROVED: Zoning Building Mechanical Plumbing Engineering Electrical • ADDENDUM TO BUILDING PERMIT.APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANT THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNAIVRB NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) SERVICE TEMPORARY SERVICE REPAIR/MIETER APPLIANCE OUTLETS RAND TOP OVEN WATER HEATER MOTORS 0- 1 HP MOTORS OVER 1- 3 FP MOTORS OVER 3- 5 FP MOT1J S OVER 5- B FP MOTORS OVER 8- 10 FP MOTORS OVER 10- 25 FP MOTORS OVER 25-100 FP MOTORS OVER 100 FP A/C WWII AIR CONO I T IONERS 1 j.`Tb , .\ 1 STRIP I1TE GENERATORS % ORMERS GENERATORS TRANSFERS GENERATORS TRANSFORMERS SPECIAL REPOSE OUTLETs CO (ACIAL SIGN TLBES SIGH TRANSFORMERS SIGN TIME a0p( FIXTURES ANTENNA TELEVISION OUTLETS VIOLATION RE INSPECT IoM A/C (CENTRAL) DUCT WORK REFRIGERATION PROCESS Ala PRESS PIPING UCER9 JJO TANKS ABOVE GROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS FOT WATER BOILERS MECHANICAL VENTIUTION TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS FIRE SPR 1 NKLER SYSTEMS COOLING TOTTERS VIOLATION RE INSPECTION !WET OISITIIAST#R GREASE TRAP INTERCEPTIR SItB(. RESIDENCE sWIwING POOL FEE ITEM (BRIT FEE ITEM SPACE HEATERS CENTRAL HEATING A/C WINO) ITEM BATH fl$ 0ISPOSAI. DRINKING FOUNTAIN FLOOR [RAIN LAVATORY LAL1U T TRAY CLOTHES WASHER SHOWER SINK SLOP TEMPORARY WATER URINAL WATER CLOSET SEWER CONNECTIONS UTILITY - SP A UTILITY -WATER SEPTIC TAN( RELAY CATCH BASIN AREA GRAIN ROOF IIIET SOLAR WATER IfATER FIRE STANGP 1PE POOL PIPING PLUMBING LAM SPRINKLER SYSTEM GAS RANGE METER SET (GAS CAS PIPING 03/07/95 15:24 MSV ELECTRICAL 004 MECHANICAL FEE BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 6703 Work to be performed under this Permit «' Owner of * Building DATE 194_ Contractor's License No. Legal Lot Bl. Subdi- Description vision Address of Value of Amt. of Building Project 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with 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. By INSPECTOO 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. CONTRACTOR OR BUILDER BY AUTHORITY Architect Contractor �r Builder Legal Lot D ascription Address of Building This permit is c ation herefor in stric plans, drawings, state at any time if the wo: permit is granted is t tegulations pertaining sibility for work done BUILDING ELECTRICAL L 1' PERMIT N° 6703 Contractor's PLUMBING 11 License No. �, Work to be performed under this Permit 1 / / j , t ck t_ Owner of /- t( it Building ,� �, e s MIAMI SHORES VILLAGE, FLORIDA Bl. Subdi- vision DATE ` d .7 Signed INSPECTOR By 194 Value of Amt. of . / , 3 Project Permit p granted to the contractor or builder Warned above to c nstruct the building or to install the equipment or dece described in the appli- : compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any rents or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked •k is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this le understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and-that he assumes respon- by his agents, servants or employees. In consideratic n of the issuance to me of this permit I agree to perform the ork covered hereunder in compliance with all ordinances andc� reggaul tions pertaining thereto an i in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami ShdrehWl11age. In accepting his per nit I assume responsibility for all work done by either myso1f, my agent; servant or employee. V s CONTRA CT OR OR B LDER �� BY E'" AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Archit Contractor or Builder Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA _ DATE 2„6-) Contractor's // (Lie se No ERMIT N? 6877 Wgrk; tir i erformed under this Permit Bl. Subdi- vision Address of G "' �� �� Value of .1 Building Project I Permit Amt. of /I/ This permit granted to the cont actor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w•th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at 4ay time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition on which this per it is granted is the understanding that the contractor or builder named 'above assu p es the re ponsibility for a thorough knowledge of . e o • .. nces and regulations pertaining to the work covered hereby whether sown on the plans oa,dr ngs o i • the statements or specifications and th . e .: s respon- sibility Signed'' 1 � In consideration of the issuance to me of this permit I agree to perform •e work covere. \ hereunder in compliance with aa�ll1 ordinances nr tiont rags, statem s or specifications submitted to the proper authoriti ccd� pertaining thereto and in strict conformity with the plans, dr ra es of MiamiLS relage In accepting this permit I assume responsibility for all work done by ei • myself, my agent, servant or employee. 2/ BY AUTHORITY 194E a• Permit No Location and Legal Description Lot Amount of Permit �L STATE OF FLORIDA, k COUNTY OF DADE. ss' — MIAMI,SHORE,, VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby mad for he approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This pplication 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 compliecl 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 __ ___� t __ _.�• r �_ �' 1- - ___. —_ Streeter l ' ` �� _. Registered Architect and /or Engineer Employing Electrician's Name _ � /7 i Street_� _. _...12.± .4 ' -ji.-' _Block — ____________ Subdivision__— _________ — . Mf r / —� –_ _______ Street and Number where work is to be performed—No.___,.4......4.._.c Street.4.;._J41..,__":._ Service OUnderground Size Feeders____., _____— Conduit__ G ' r _ Main. Sw_--._ Amps. Main Fuses__ F s Amps. Type of Installation— Conduit Tubing A."'" B.X.L. Metal Moulding (Signed) No.d ,t 4/ _ My Commission Expires Notary Public. State of Florida Date -, / - No. of Stories Electrical Inspector. The undersigned applicant for Ibis building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) – – – -- - - - - -- -- 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 of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS Z Z. PLUG RECE'P'T'S c � . c, FIXTURES NO LAMPS REFRIG. OUTLET / IRON OUTLET / RANGE OUTLET / RANGE CONN. WATER HEATER �ry A W. HEAT. CONN. SPACE HEATER ' STRIP HEATER TOTAL CONTR. ST LIGT l 7 7 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SEF:VICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL. CONTR. LIST CHECK Y Permit No Location and Legal Description Lot Amount of Permit �L STATE OF FLORIDA, k COUNTY OF DADE. ss' — MIAMI,SHORE,, VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby mad for he approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This pplication 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 compliecl 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 __ ___� t __ _.�• r �_ �' 1- - ___. —_ Streeter l ' ` �� _. Registered Architect and /or Engineer Employing Electrician's Name _ � /7 i Street_� _. _...12.± .4 ' -ji.-' _Block — ____________ Subdivision__— _________ — . Mf r / —� –_ _______ Street and Number where work is to be performed—No.___,.4......4.._.c Street.4.;._J41..,__":._ Service OUnderground Size Feeders____., _____— Conduit__ G ' r _ Main. Sw_--._ Amps. Main Fuses__ F s Amps. Type of Installation— Conduit Tubing A."'" B.X.L. Metal Moulding (Signed) No.d ,t 4/ _ My Commission Expires Notary Public. State of Florida Date -, / - No. of Stories Electrical Inspector. The undersigned applicant for Ibis building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) – – – -- - - - - -- -- 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 of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No.____ Jo __ 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. Amount of Permit $ j MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ss. Owner's Name and Address ___ _____ Registered Architect and /or Engirsa�, Employing Electrician's Name ____ ��___ __ Location and Legal Description Lot Street and Number where work is to be performed—No–__3_ State work to be performed and purpose of building (By Floors) New Building Remodeling ____ ___ __. Street__ - -__ 1��� -- – - -- —_ Street�� F -- _ __Block Addition.. Repairs Service Overhead Size Feeders Conduit - -- Main Sw. Amps. Main Fuses__ ___-_- -Amps. Underground Type of Installation —Conduit Tubing —_ B.X.L. 1 4 n LA f _Metal (Signed) Street Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors n work to be under this permit, as are licensed by Miami Shores Village. ulding Si ned ` _ e_l_ ( g ) r '� !y - My Commission Expires Notary Public. State of Florida Subdivisio ___ __ ___ ___—_________ No. of Stories_____________ Master Elcctrican. STATE OF FLORIDA, COUNTY OF DADE. 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'B FIXTURES NO.t.AMPS 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 No.____ Jo __ 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. Amount of Permit $ j MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ss. Owner's Name and Address ___ _____ Registered Architect and /or Engirsa�, Employing Electrician's Name ____ ��___ __ Location and Legal Description Lot Street and Number where work is to be performed—No–__3_ State work to be performed and purpose of building (By Floors) New Building Remodeling ____ ___ __. Street__ - -__ 1��� -- – - -- —_ Street�� F -- _ __Block Addition.. Repairs Service Overhead Size Feeders Conduit - -- Main Sw. Amps. Main Fuses__ ___-_- -Amps. Underground Type of Installation —Conduit Tubing —_ B.X.L. 1 4 n LA f _Metal (Signed) Street Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors n work to be under this permit, as are licensed by Miami Shores Village. ulding Si ned ` _ e_l_ ( g ) r '� !y - My Commission Expires Notary Public. State of Florida Subdivisio ___ __ ___ ___—_________ No. of Stories_____________ Master Elcctrican. STATE OF FLORIDA, COUNTY OF DADE. 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.