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ELECTRICAL.4►. r PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date r D Job Address 1 1710,2 5 6r Tax Folio Legal Description S ' p 10 Owner/Lessee / Tenant iSat(l �� J) I /WA Owner's Address ` � 0 Z t3 e. 45 Sf Contracting hU l Co. T oo w ._ J G I k) C— Qualifier JQ tT U ir0) State # � Municipal # Competency # Architect/Engineer Address Bonding Company /61- Address Mortgagor Address Permit Type (circle one): BUILDIN a 'AL WORK DESCRIPTION / ,4(— Square Ft. Estimated Cost (value) 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 (W 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. OWNERS 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 contractor to do the work stated. S er L' • • • ARY SEAL - MARY P BRIGGS v * COMMISSION NUMBER CC741860 7 0 �F L �c\ MY COMMISSION EXPIRES MAY 11,2002 sident ro 0/ Notary as to My Comm ion Ex FEES: PERMIT 6 ' RADON APPROVED: Zoning Mechanical � n t C.C.F. 01 Building Plumbing Phone 11- 3.06?-101L-1 -0c-170 Historically Designated: Yes No s0 03-C Master Permit # Address 64)q /Vw q057 SS# Phone g9/-/37V /(060 2— Ins. Co. 1 779E PLUMBING MECIIANICAL ROOF PAVING FENCE SIGN Signature of Contractor or Owner- Builder oo &laid Itiligk„/ 6 'L NOTARY Sf Notary as to • lifTI ialitNUMBER My Commiss r,,s : s� CC741860 F Io MYCOMM1SSIbNEXPIR2S �F MAY 11 2002 NOTAR V BOND Electrical Structural Engineer TOTAL DUE J%/6j Date q 10 Date ITEM BATH 1.8 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS • CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY s „ OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEM6LIES 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 HP VIOLATION INDIRECT WASTES A/C WINDOW RE INSPECTION WATER SUPPLY TO: AIR COtvD I T I ONERS 7 � j/ , 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 TLBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER F IXTL,RES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMA & 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 (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 ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL J 2 Q l/- 3 - CD 4 —e y7 0 Date k f/ Job Address I/ /Y e 9■ S' Tax Folio Legal Description Lessee / Tenant 1 & V E 1(ROLO P' Master Permit it 31rn Owner's Address Contracting Co. ICE ` 2 5E'eVVG Qualifier.0 - Phone 3 4 stated. /// Signature Date: Notary as EXP. to Contractor or Owner- Builder pr-'-.' - -. My Commiss � e icla�. rsa7wav S AL a Nvl * * * e- Jars /0111=1 a A * CO °a ZI NU ?3E{ t * R3S*�S:_-:. -I.,. J 'r F OF � O@ i. f;:::;..; 997 NOTARY TOTAL DUE U 0 1 5 Fire Other Building Electrical Phone ‘ of Con ractor or Owner- Builder r<-° / ^ ''' t om 9 1 /g3 ** Plumbing Engineering JOB: Inspector's Report: 6 Na • REQUESTED The following is ready for Inspection: WILL BE READY elb �a . • r Permit _______ Registered Architect and /or Engine Employing Electrician's Name ___ Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed MIAMI SHORES VILLAGE Amount of Permit $_ STATE OF FLORIDA, } COUNTY OF DADE. ss. My Commission Expires ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date_ 3./ 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, whe er herein specified or not. A copy of approved plans and specifications must ,be kept at building during progress of work. ... r - - -- l —G` __ L�" i s = 1 N Owner's Name and Address __ iO At _ ____ _____- Street - --- - -- -- -- - --- - - - - - -- Street Block purpose of building (By Floors) New Building Remodeling Addition Repairs P - - P. Overhead j Main Sw 0 Amps. _______ Main Fuses Amps. Service Size Feeder Conduit® Underground — Type of Installation— Conduit Tubing B.X.L. Metal Moulding (Signed) f (Signed Street Subdivision_ Notary Public, State of Florida No. of Stories Electrical Inspector. The undersigned applicant for this building permit does hereby certify that hur>derstands and accepts his obligations as an employer Of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled E,efieral 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 required by the Act. The under signed agrees to employ only such sub - contractors, ' o� licensed by Miami Shores Village. t of the work such public notice or notices be performed under this permit, as as aster Electrican. are are Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared — — - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST i [ { - �-�' _ / /� 1 s L CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK r Permit _______ Registered Architect and /or Engine Employing Electrician's Name ___ Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed MIAMI SHORES VILLAGE Amount of Permit $_ STATE OF FLORIDA, } COUNTY OF DADE. ss. My Commission Expires ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date_ 3./ 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, whe er herein specified or not. A copy of approved plans and specifications must ,be kept at building during progress of work. ... r - - -- l —G` __ L�" i s = 1 N Owner's Name and Address __ iO At _ ____ _____- Street - --- - -- -- -- - --- - - - - - -- Street Block purpose of building (By Floors) New Building Remodeling Addition Repairs P - - P. Overhead j Main Sw 0 Amps. _______ Main Fuses Amps. Service Size Feeder Conduit® Underground — Type of Installation— Conduit Tubing B.X.L. Metal Moulding (Signed) f (Signed Street Subdivision_ Notary Public, State of Florida No. of Stories Electrical Inspector. The undersigned applicant for this building permit does hereby certify that hur>derstands and accepts his obligations as an employer Of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled E,efieral 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 required by the Act. The under signed agrees to employ only such sub - contractors, ' o� licensed by Miami Shores Village. t of the work such public notice or notices be performed under this permit, as as aster Electrican. are are 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. APPLICATION FOR ELECTRICAL PERMIT s / Permit Application 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 grdinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whep6er herein specified or not. A copy of approved plans and specifications must jbe kept at building during progress of work. s /'', / ,f ` r _ a l ` , i i , i f o /•� sr- Owner's Name and Address __L 1 No!_" ■ 4 1 Street .- Registered Architect and /or Engineer 1�'_��'� ,i ft� .�t � ", '° �' �„ __ _ Employing Electrician's Name . _,__ __ No._ t____4____1'!� _________ Street .// _______ Location and Legal Description Lot ,!__`" Block +r - Subdivision ._,-., —`ss S treet and Number where work is to be performed— No.,____ ,- :'____ -_ _ r_ _______�_4____ ,,,.______ Street __ __ fir + _— ' v___________ State work to be performed and purpose of building (By Floors) �� New Building 1- Remodeling Addition Repairs Service Overhead Size Feeders Underground " MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Y Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amount of Permit $ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that h rstands and accepts his obligations as an employer labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled eral 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 sit* 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 wor le be performed under this permit, as are licensed by Miami Shores Village. 7 My Commission Expires Conduit Main Sw.__i " �,,__ Amps. Main Fuses __ L/ Amps. t ir C' (Signed) (Signed) -- — — No. of Stories Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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. 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 W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL -� C L sT v ! L" ! l- /.. . HEAATER ---/ -- ! l 1 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK APPLICATION FOR ELECTRICAL PERMIT s / Permit Application 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 grdinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whep6er herein specified or not. A copy of approved plans and specifications must jbe kept at building during progress of work. s /'', / ,f ` r _ a l ` , i i , i f o /•� sr- Owner's Name and Address __L 1 No!_" ■ 4 1 Street .- Registered Architect and /or Engineer 1�'_��'� ,i ft� .�t � ", '° �' �„ __ _ Employing Electrician's Name . _,__ __ No._ t____4____1'!� _________ Street .// _______ Location and Legal Description Lot ,!__`" Block +r - Subdivision ._,-., —`ss S treet and Number where work is to be performed— No.,____ ,- :'____ -_ _ r_ _______�_4____ ,,,.______ Street __ __ fir + _— ' v___________ State work to be performed and purpose of building (By Floors) �� New Building 1- Remodeling Addition Repairs Service Overhead Size Feeders Underground " MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Y Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amount of Permit $ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that h rstands and accepts his obligations as an employer labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled eral 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 sit* 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 wor le be performed under this permit, as are licensed by Miami Shores Village. 7 My Commission Expires Conduit Main Sw.__i " �,,__ Amps. Main Fuses __ L/ Amps. t ir C' (Signed) (Signed) -- — — No. of Stories Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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. 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. JOB: •ve 2 € 9�i BUILDING Inspector's Report: YIP • . • • • • • • The following is ready for Inspection: R.E QUESTED : WILL BE READY .."