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ELECTRICALPERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2rtd • Miami Shores, Florida 33138.305- 795 -2204 Job Address T. ( /� C C6 r. Tax Folio Legal Description Historically Designated: Yes No Owner /Lessee/Tenet LEL. \/gkf.L� Master Permit # 3 i 1 2 4-0 Owner's Address 4' GJrfG. t • c S I-- Contracting Co. '� ^�I����J�/tiiL Address �� — �� ; Phone State # Municipal Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 550.00 AND MUST BE PAID IN ADVANCE BEFORI: CALLING FOR ANOTHER INSPECTION. All gnatu e of owner and/or ' ondo President Notary as to Owner and/or Condo President My Commission Expires Phone Permit Type (circle one): BUILDING PLUMBING p , MECHANICAL , ROOFING WORK DESCRIPTION: t3 iftV ¶ C_6+ - 4144 CO L T r r " � Square Ft. Estimated Cost (value) regulating construction and zoning. Furthermore, I authorize the above nam.d co tracto •o the work stated. ai d WARNING TO OWNER: YOU MUST RECORI) A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMEN :'S TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFOR:'r: 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 all disciplines. OWNERS AFFIDAVIT: I certify that all the foregc ing information is accurate and th. L work will be done in compliance with all applicable laws Date Notary as to Contractor or Owner Builder My Commission Expires Date Si ;f re • Contractor or Owner Builder Date Date FEES: PERMIT le9Pe3. RADON C.C. I. I V NOTARY BOND APPROVED: Zoning Building Electric Mechanical Plun• bing Structural Engineer TOTAL DUE �: * %/�/ PL BING 2:A :al ING FCJNTAIN MAIN E TRAP . TCR CRY RY TRAY ES WASHER POT/3 MP. RESIOENCE SLOP :RAY WATER CLOSET THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON CLOSET :,ECT WASTES $PLY TO: C UNIT RE SPRINALER ATER -NEW INST. ATER- REPLACE TS SPRINKLER -YELL I1r51ING POOL ,TER SERVICE R OXECTIONS I TY -SE70 ITY -WATER AC TANG( ,Y N"IELO. 4 TILE/RES. & AWCOH SEPTIC TANG( :AGE PIT CU. FT. :i 8ASIH )..RGE WELL :STIC WELL CRAIN MET WATER HEATER STANDPIPE PIPING •1 SPRINKLER SYSTEM RAN2E ER SET (GAS) PIPING UNIT FEE ITEM SA I T OUTLETS LICE OUTLETS ELECTRICAL RECEP1ACLES SERVICE TE CRARY SERVICE SIZE IN 15PS SERVICE REPAIR/1~ETER 0 A.'PL IA yCE OUTLETS RA.`GE TCP OVEN WATER HEATER MCITCR.'; 0- 1 FP WICK: OVER 1- 3 FP l kOTCRS' OVER 3- -5 FP kDTCRI' OVER 5- 8 FP kOTCRS; OVER 8- 10 FP kOTCRS; OVER 10- 25 FP 1OTCAIS OVER 25-1C0 FP MOTORS; OVER 100 FP A/C WINDOW AIR COMITIONEERS STRIP HEATER GENERATORS TRAtSrCR.:RS GENERATORS TRAh'SFCR.YRS GENERATORS TRANfc ERS SPECIAL PLAPOSE • CUTLETS MERCIAL SIGN TIKES SIGN TR,LL`tSFCRARS SIGN TIME CLC ( FIXTLRES ANTENNA TELEVISION CUTLETS VIOLATION PEINS?ECTION UNIT FEE ITEM - SPACE HEATERS •• IF A MASTER BERMIT HAS B. SUBSEQUENT A°PLICATIONS.) MECHANICAL CENTRAL F.EATING A/C (WIND) A/C (CENTRAL) MGT max REFRIGERATION PROCESS AND PRESS PIPING UNDERGROUND TANGS ABOVE GICUND TANKS U.F. PRESSLRE VESSELS STEM EOILERS • HOT WATER BOILERS PECNIANICAL VENTILATION TRANSPGRTING ASSEIELIES ELEVATGRS/ESCALATCRS FIRE SFRINXLER SYSTEbS CCNOL I NG TOWERS VIOLATION REINS?ECTION C"I IT FEE Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/6/2002 Applicant: JOE Owner: DUNAGAN JOB ADDRESS: 41 Contractor HI TECH AIR CONDITIONING Local Phone: 305 - 969 - 2600. Parcel # 1132060130700 Permit Status: Approved Permit Expiration: 12/3/2002 Work: EXACT CHANGE OUT CENTRA AIR HEAT NATIONS AIR CONDITIONING , INC. DBA HI -TECH AIR SERVICE 13339 S.W. 88TH AVE. MIAMI, FL 33176 PAY � TO THE 111 ORDER OF NE 95 V COMMERCIAL BANK OF FLORIDA Plnccrc.l /1 hr Fall. l )Ilhe 11004Suuih Dixie Il lµh.wy, ?II nl. Florida : 131F. •- .1 II °00 L86311' 1:0660 L03??': 090? L0054 Electrical Permit Permit Number: EL2002 -187 DUNAGAN JOE ST Contractor's Address: 13339 SW 88 AVE Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 18 & 19 LESS E15FT 6o o-D Construction Value: $200.00 I �I 1883 DATE June 11 2002 $. 60.00 isquwa ` q 1 3 11 Total Fees: Total Receipts: 63-1037/660 7 Iication herefor in strict compliance with all 7ifications that may have been submitted to as or if the plans are changed without :ponsibility for a thorough knowledge of the that he assumes responsibility for work done Page 1 of 1 Re- inspection £6 0 6 $0:@0 $0.00 ns pertaining thereto and in strict conformity esponisibility for all work done by either BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description. Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATF w....� /� 195 PERMIT N° 9227 Work to be performad under this Permit 31. Subdi- vision Value of Project $ Contractor's License No Amt. of Permit $ ' This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ord: nances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builc er 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 specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plan;, 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. Y AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder r'.. Legal Lot Description l� CONTRACTOR • ,fermi ER MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N° 5253 Work to be performed under this Permit Address of /!' J' Value of Amt. of Building f i Project Permit t' This permit is granted to the contractor or-builder nar ied above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or ; specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not'done in compliance with such ordinances or if the plans are changed i out i th • ' tion. A further conditio • upon hich this permit is granted is the understanding that the contractor or builder named above assum ie res i J sibili ; f• a t orough knowled.e • - o r noes and regulations pertaining to the work covered hereby whether shown on the plans on _ , �..:�.y 'fi ca tion s and .. a as es respon- sibility for work done by his agents, servants or employees. Bl. Signed. Subdi- vision In consideration of the issuance to me of this permit I agree to perform the work covered eunder iy3` compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specification ubmitted to the proper authorities of Miami Shores Village. In accept' g this permit I as . r res r .nsibility for all work done by either myself, my agent, se ant or employee. BY Contractor's License No. v 1 AUTHORITY Permit No._ 2 Owner's Name and Address Registered Architect and /or Engineer I"��j� Employing Electrician's Name P_._f_' Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. } MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 Flc rida, 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. ss. Aki t/fe No Street [!'' � _ 7S:174 No Location and Legal Description Lot_ W Street and Number where work is to be perform ed—No Street State work to be performed and purpose of buil:ling (By Floors)- _ — _________ — - __ New Building Remodeling Addition Repairs No. of Stories Block Service Overhead Size Feeders Conduit _____________Main Sw Amps Underground Main Fuses________ ______________Amps Type of Installation— Conduit_________ — ____Tubing.________ — B.X.L. Metal Moulding JV Street Subdivision (Signed) i -'P": ectrical Inspector. The undersigned applicant for this building permit does hereby certify that b nderstands and accepts his oations as an employer of labor under the Florida Workmen's Compensatium Act, being Section 5966, Conipi ed General Laws of Florida ermanent 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 w:11 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 d uly 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 le 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 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS , NEON TRANS. RADIO TOTAL CONTR. LIST I F F CHECK Permit No._ 2 Owner's Name and Address Registered Architect and /or Engineer I"��j� Employing Electrician's Name P_._f_' Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. } MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 Flc rida, 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. ss. Aki t/fe No Street [!'' � _ 7S:174 No Location and Legal Description Lot_ W Street and Number where work is to be perform ed—No Street State work to be performed and purpose of buil:ling (By Floors)- _ — _________ — - __ New Building Remodeling Addition Repairs No. of Stories Block Service Overhead Size Feeders Conduit _____________Main Sw Amps Underground Main Fuses________ ______________Amps Type of Installation— Conduit_________ — ____Tubing.________ — B.X.L. Metal Moulding JV Street Subdivision (Signed) i -'P": ectrical Inspector. The undersigned applicant for this building permit does hereby certify that b nderstands and accepts his oations as an employer of labor under the Florida Workmen's Compensatium Act, being Section 5966, Conipi ed General Laws of Florida ermanent 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 w:11 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 d uly 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 le 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 Owner's Name and Address _ N Registered Architect and /or Engine� 407/2Z) Employing Electrician's Name ___3/ 1�L�.>�� Location and Legal Description Lot :lock Street and Number where work is to be performed—No. _4 / State work to be performed and purpose of building (By Floors) New Building Remodeling; My Commission Expires Addition.. (Signed) , �� ° - < Amount of Permit $ Cam" (Signed) ____ Permit No._- ______________ Date Application is hereby made for the approval c f 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. .� Street_ _ StreetS_C.2421__ Z91 Subdivision_ Street Repairs No. of Stories Service Overhead V Size Feeders_ 1 Conduit._ 5 7 Main Sw.__1��r2� Amps. Main Fuses___ W_ •' ___Am s Underground p P Type of Installation— Conduit Tut ing__l- — 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 signed agrees to employ only such sub - contractors, on work to be perfor • nder this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. 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 firsf c m sworn, upon oath deposes and says that he is of the above described construction, that he t as 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 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 FIXTUREF NO.LAMP3 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST , ,/� -- /F / �� -- � !s 2 3 n / / / / / / 2 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL. CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Owner's Name and Address _ N Registered Architect and /or Engine� 407/2Z) Employing Electrician's Name ___3/ 1�L�.>�� Location and Legal Description Lot :lock Street and Number where work is to be performed—No. _4 / State work to be performed and purpose of building (By Floors) New Building Remodeling; My Commission Expires Addition.. (Signed) , �� ° - < Amount of Permit $ Cam" (Signed) ____ Permit No._- ______________ Date Application is hereby made for the approval c f 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. .� Street_ _ StreetS_C.2421__ Z91 Subdivision_ Street Repairs No. of Stories Service Overhead V Size Feeders_ 1 Conduit._ 5 7 Main Sw.__1��r2� Amps. Main Fuses___ W_ •' ___Am s Underground p P Type of Installation— Conduit Tut ing__l- — 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 signed agrees to employ only such sub - contractors, on work to be perfor • nder this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. 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 firsf c m sworn, upon oath deposes and says that he is of the above described construction, that he t as 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 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. ' gal it &Vs, i 3. _,.. 1 4 .. - , ter - =-,- / 74 r IM17::e., ,_. r 1 ,, 1 1 1. / ? a iht / ' if •A ''' s •....... ___ , 3 50.. i 1 ) ' m ,, , I • 1 I . . . i _.....,. ( 4--. )• .- __.--------- , n , r ' ..1 it t -i • __, t A - ' 'A) '"7"'4 - 1 .1 . 0y. . eii::.,,,-,,-f, GY:-i- ,/, 4 „,----...„--„, — - . ,- - • , 4 ' .,-, , -, e2 . , BUILDING ELECTRICAL PLUMBING Owner of t Building Contractor -J or Builder CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 5335 Work to be performed under this Permit 'r _' ' - j 2 Architect DATE u /0. �- 194 Contractor's License No. ✓` Legal. Lot .• , Bl. Subdi- Description vision Address of ! Value of Amt of Building /.,; a '„ "4" . Project Permit • i ' s 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 fora thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the glans 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 INSPECTOR In consideration of the issuance to 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 my lf, my agoot, servant or employee. P" 4- BY AUTHORITY • BUILDING 'ELECTRICAL PLUMBING • Owner of Building 4 Architect Contractor 1)` or Builder , 4 CONTRACTOR OR BU MIAMI SHORES VILLAGE, FLORIDA DATE f '" PERMIT N? 5253 Work to be performed under this Permit / i�, �� r /, cis "�� :,1' A V � < ' • i ` � y 1/ ,. . /r - - Subdi- vision Value of Project Contractor's License No r Legal Lot �` Bl. Description Address of / / �' Building �` i -� e " I This permit is granted t o 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 uthesization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assum res sibil• y fur a thorough knowledge f the or ances and regulations pertaining to the work covered hereby whether shown on the plans or dradid r n the-statfenetvortp.teifications an at he asS a es respon- sibility for work done by his agents, servants or employees. ' Signed 6' t / , ''' , " ' ,j B `� � INSPECTOR In consideration of the issuance to me of this permit I agree to perform the will covered hereunder in compliance with p,11.4rdinances and egu attr'pns pertaining thereto and in strict conformity with the plans, drawings, statements or specificatiory' submitted to the proper authotih of Miami Shoits* Villiige. ;ibi,lity for all work done by either mysel,f, rry agent, servant or employee. Amt. of Permit a 66P, 194 AUTHORITY Street and Number where work is to be performed —No New Building Amount of Permit S- licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT l � APPLICATION FOR ELECTRICAL PERMIT Permit No Y_ v __ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Af <' "" \ - 2 �3 No —�___ —. _ Street_ - -- ,� � — _ ___ _ Registered Architect and /or Engine —�__ -- , �_" ���' ;_:. Employing Electricians Name _e e "� `? ?', e' 't j j. No –_ —__– •.%>2 < _ - 'ti L.._.f. No __ Street_ t' �_ Location and Legal Description Lot ________ ___________________________Block / ' Street -- - -- ---- State work to be performed and purpose of building (By Floors) � . �.. ` %-L.L �__ �_ Remodeling Addition fi (Signed) Date Subdivision 4 f \ • pairs —___ No. of Stories______________ Service Overhead Size Feeders Conduit —____ Main Sw. —_ —_ Amps. Main Fuses 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 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 bim 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 /nder this / permit, as are N.° (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 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 Amps. 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 NEON TRANS. RADIO TOTAL CONTR. LIST ' CHECK Street and Number where work is to be performed —No New Building Amount of Permit S- licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT l � APPLICATION FOR ELECTRICAL PERMIT Permit No Y_ v __ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Af <' "" \ - 2 �3 No —�___ —. _ Street_ - -- ,� � — _ ___ _ Registered Architect and /or Engine —�__ -- , �_" ���' ;_:. Employing Electricians Name _e e "� `? ?', e' 't j j. No –_ —__– •.%>2 < _ - 'ti L.._.f. No __ Street_ t' �_ Location and Legal Description Lot ________ ___________________________Block / ' Street -- - -- ---- State work to be performed and purpose of building (By Floors) � . �.. ` %-L.L �__ �_ Remodeling Addition fi (Signed) Date Subdivision 4 f \ • pairs —___ No. of Stories______________ Service Overhead Size Feeders Conduit —____ Main Sw. —_ —_ Amps. Main Fuses 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 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 bim 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 /nder this / permit, as are N.° (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 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 Amps. 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 Permit No c r ye Date. / L/ .&/ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications must be kept at building during Progress of work. Owner's Name and Address MI s MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No T Registered Architect and /or Engineer Employing Electrician's Name Di C L€e71Z( Co ,etCc.No (qer�,.Q Location and Legal Description Lot Block Street and Number where work is to be performed —No State work to be, performed and purpose of building (By Floors). New Building Remodeling Addition - Repairs Street Al a /75 Street.. J Subdivision Street. Ai I S r tr o. of Stories � K G /2re 9- ' tz �E 1 (G / A Overhead Service Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding appeared Amount of Permit $ � STATE OF FLORIDA, D COUNTY OP ADE. Before me, the undersigned authority, } 85. (Signed) z. t C Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or 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 112(21"" d ( a notary public, duly authorized to administer oaths and Master Electrician. 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, 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. ACE H A TER STRIP HEATER TOTAL CONTR. LIST • CHECK ENT. SW. DIST. CAO. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS NEON 1•5 HP TRANS. RADIO TOTAL LIST CLIST /— 3? P*cr4c, << ,-C CHECK .— APPLICATION FOR ELECTRICAL PERMIT Permit No c r ye Date. / L/ .&/ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications must be kept at building during Progress of work. Owner's Name and Address MI s MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No T Registered Architect and /or Engineer Employing Electrician's Name Di C L€e71Z( Co ,etCc.No (qer�,.Q Location and Legal Description Lot Block Street and Number where work is to be performed —No State work to be, performed and purpose of building (By Floors). New Building Remodeling Addition - Repairs Street Al a /75 Street.. J Subdivision Street. Ai I S r tr o. of Stories � K G /2re 9- ' tz �E 1 (G / A Overhead Service Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding appeared Amount of Permit $ � STATE OF FLORIDA, D COUNTY OP ADE. Before me, the undersigned authority, } 85. (Signed) z. t C Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or 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 112(21"" d ( a notary public, duly authorized to administer oaths and Master Electrician. 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, 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. UILDING LECTRICAL LUMBING )wner of uilding rchitect MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 5335 Work to be performed under this Permit ..a : ontractor r Builder .egal Lot Bl. Iescription ddress of uilding 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- ition herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any Tans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked _ 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 ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and :gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- bility for work done by his agents, servants or employees. Subdi- vision Value of Project DATE 194 Contractor's License No Amt. of Permit CONTRACTOR OR BUILDER BY AUTHORITY Signed. By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations crtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. Date Job Address 7Y /' .t 9! /Y Legal Description �� Owner / Lessee / Tenant � cf' Qdj�. /� /�L ��i y�2/ �:/.l Master Permit # 37-57 `i Owner's Address f A/g 9.S 53138 Phone 7T/- 67X Contracting Co. / 17 94fre 1' Address 576r 44) /re '- Qualifier e4144(7 I -C .l�i ? SS# / Phone 5:r74 41-.S - State It ICdD 7.3 Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING E AL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Square Ft. Estimated Cost(value) //P 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 Pall 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 constructio and zoning. 'ur >hermore, I authorize the' above- name • contractor to do the work stated. ignat Date: APPROVED: 1 g ?gesident mmission Expires 1996 � � CC 205953 Notary a to Owner =nd /or Condo President My Commission Exp'res: Tax Folio Signature; Date: / Notary as o`C'ontra tor or Owner-Builder My Commission Expires: ** * * * * * * * * * * * * * * * Aa* -v FEES: PERMIT 1 ^' RADON C.C.F. fiSU NOTARY TOTAL DUE - Fire Other Zoning Building Electric OBLES Expires 96 Mechanical Plumbing Engineering