Loading...
534 NE 95 St (6)Type Insp'n Permit No. Name Address Comparyy Phone # For Inspector: MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date Time Type Insp'n Permit No. ' y k z Name Address- Company Phone # y • '--- - , 1 :0 ) ' i ' . .■ I' . / I Of ) . * , ) / / II „ j ‘_- - For Inspector: ; iTh / , . Name & t-', ' , A .!,-;,._ Approved Y / , Correction 17I Re-Insp'n Fee / • 9. .- JOB* BUILDING ELECTRICAL PLUMBING Inspector's Roport : AD: • ▪ ' 0IORK DONE B`_': : :REQUESTED : • • • • • • • The following is ready for Inpection: WILL BE READY • • JOB:. 7; BUILDING ELECTRICAL PLUMBING Inspector's Report : - WORK DONE BY: :E.LQUEST • . . The following is ready for Inspection: - TILL B READY NNW BUILDING ELECTRICAL PLUMBING Inspector's Rcport: YORK • • DONE BY: • • • REQUESTED • . • • • • • AD: • • The following is ready for Inspection: • • • • : WILL BE READY oil' I Permit MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Amount of Permit $ `- My Commission Expires (Signed) (Signed) Date Notary Public. State of Florida Application is hereby ml 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. Jr- Owner's Name and Address __.L a_,1 1 '' No L /t+ -y- . Street_ �___�___��� _Y Registered Architect and /or Engineer __ ______,_ Employing Electrician's Name r No._, .�_4_L' __'__Lr c_____ Street 3 t-- ,-,. , _ K - .. — Location and Legal Description Lot_ 1__ __;_ _Block i ! Subdivision__ y r �,� Street and Number where work is to be performed —No Z_L I i. Street __ ' ____ State work to be performed and purpose of building (By Floors) New Building W_____ Remodeling Addition.______________________ Repairs No. of Stories Service Overhead < Size Feeders____ _ a Conduit.__ Main Sw Amps. Main Fuses__ ______Amps. Underground Type of Installation— Conduit Tubing L/• B.X.L Metal Moulding ___________ ___ _________ Electrical Insp • r. 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, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrican. STATE OF FLORIDA, I COUNTY OF DADE. es. 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 be 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 Ji f I / I 1 +ry ,d . l I } 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 oil' I Permit MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Amount of Permit $ `- My Commission Expires (Signed) (Signed) Date Notary Public. State of Florida Application is hereby ml 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. Jr- Owner's Name and Address __.L a_,1 1 '' No L /t+ -y- . Street_ �___�___��� _Y Registered Architect and /or Engineer __ ______,_ Employing Electrician's Name r No._, .�_4_L' __'__Lr c_____ Street 3 t-- ,-,. , _ K - .. — Location and Legal Description Lot_ 1__ __;_ _Block i ! Subdivision__ y r �,� Street and Number where work is to be performed —No Z_L I i. Street __ ' ____ State work to be performed and purpose of building (By Floors) New Building W_____ Remodeling Addition.______________________ Repairs No. of Stories Service Overhead < Size Feeders____ _ a Conduit.__ Main Sw Amps. Main Fuses__ ______Amps. Underground Type of Installation— Conduit Tubing L/• B.X.L Metal Moulding ___________ ___ _________ Electrical Insp • r. 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, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrican. STATE OF FLORIDA, I COUNTY OF DADE. es. 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 be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submittpd 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 ! ' "_� No ' ` "' 'Street Registered Architect and /or Engineer Employing Electrician's Name ___ A Location and Legal Description Lot_________ __________Block `' Subdivision �!<_ —_ ___ Street and Number where work is to be performed —No. - '7_ Street State work to be performed and purpose of building (By Floors) New Building _ Remodeling Addition Service Overhead Size Feeders Conduit Main Sw Amps. ___ Main Fuses Amps Underground 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 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. STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date_ Z_4,.1 - E S. 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. My Commission Expires (Signed) (Signed) No._ Street ..— Repairs No. of Stories 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'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER 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 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submittpd 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 ! ' "_� No ' ` "' 'Street Registered Architect and /or Engineer Employing Electrician's Name ___ A Location and Legal Description Lot_________ __________Block `' Subdivision �!<_ —_ ___ Street and Number where work is to be performed —No. - '7_ Street State work to be performed and purpose of building (By Floors) New Building _ Remodeling Addition Service Overhead Size Feeders Conduit Main Sw Amps. ___ Main Fuses Amps Underground 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 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. STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date_ Z_4,.1 - E S. 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. My Commission Expires (Signed) (Signed) No._ Street ..— Repairs No. of Stories 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. c. Permit No. Datey.r 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 ___.— Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot __ _____ __��_____ Service Overhead Size Feeders_____________ Conduit___--- Main Sw Underground Amount of Permit $ °'` MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT / 17LICATION FOR ELECTRICAL PERMIT / No._ %' Street_ Street__ - - — = - -_ - — Subdivision-- -- _ _ ___ --- Street and Number where work is to be performed —No _5 '- V r _ Street 1.i __ State work to be performed and purpose of building (By Floors) — New Building V Remodeling Addition (Signed) (Signed) -- Repairs_ —___ No. of Stories Amps. Main Fuses__ My Commission Expires Notary Public. State of Florida Amps. Type of Installation— Conduit Tubing __ B.X.L. Metal Moulding __ __ —_ ___— __________— _______— _____ —_ Electrical Spector. The undersigned applicant for this building permit does hereby certify that be 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. Master Electrican. 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 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. ONTR. 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 c. Permit No. Datey.r 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 ___.— Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot __ _____ __��_____ Service Overhead Size Feeders_____________ Conduit___--- Main Sw Underground Amount of Permit $ °'` MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT / 17LICATION FOR ELECTRICAL PERMIT / No._ %' Street_ Street__ - - — = - -_ - — Subdivision-- -- _ _ ___ --- Street and Number where work is to be performed —No _5 '- V r _ Street 1.i __ State work to be performed and purpose of building (By Floors) — New Building V Remodeling Addition (Signed) (Signed) -- Repairs_ —___ No. of Stories Amps. Main Fuses__ My Commission Expires Notary Public. State of Florida Amps. Type of Installation— Conduit Tubing __ B.X.L. Metal Moulding __ __ —_ ___— __________— _______— _____ —_ Electrical Spector. The undersigned applicant for this building permit does hereby certify that be 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. Master Electrican. 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 first duly sworn, upon oath deposes and says that he is the_ _________ —___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No Overhead Size Feeders Conduit._ _ _ Main Sw.__.___ — Amps. Underground Type of Installation—Conduit ________ _______ Tubing B.X.L _ ___Metal Moulding Amount of Permit $ ELECTRICAL INSPECTION DEPARTMENT (Signed) (Signed) MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT No. Street__ State work to be performed and purpose of building (By Floors) New Building Remodeling _ Addition _ Repairs Date JO "I/ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot _________ — _— _______— _______Block Street and Number where work is to be performed —No Street ,_____�__� Main Fuses 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, on work to be performed under this permit, as are licensed by Miami Shores Village. w . 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 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. My Commission Expires Notary Public, State of Florida No. of Stories - o Elearical Inspector. Amps. 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'T'S FIXTURES NO.LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CON! e SPACE HEATER STRIP HEATER TOTAL CONTR. LIST I CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No Overhead Size Feeders Conduit._ _ _ Main Sw.__.___ — Amps. Underground Type of Installation—Conduit ________ _______ Tubing B.X.L _ ___Metal Moulding Amount of Permit $ ELECTRICAL INSPECTION DEPARTMENT (Signed) (Signed) MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT No. Street__ State work to be performed and purpose of building (By Floors) New Building Remodeling _ Addition _ Repairs Date JO "I/ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot _________ — _— _______— _______Block Street and Number where work is to be performed —No Street ,_____�__� Main Fuses 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, on work to be performed under this permit, as are licensed by Miami Shores Village. w . 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 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. My Commission Expires Notary Public, State of Florida No. of Stories - o Elearical Inspector. Amps. 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. Permit Registered Architect and /or Engineer Employing Electrician's Name MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 _____ Street_!. - s Location and Legal Description Lot_ _________ _____ W___..__ __W___Block_ ____________�_____� Street and Number where work is to be performed—No work to be performed and purpose of building (By Floors) �r Date Service Overhead Size Feeders______ Conduit.__, Main Sw. Amps. Main Fuses_ Underground b ` ! No 2___: _I/, Street - — — `1 _ New Building Remodeling Addition Repairs ____ No. of Stories______________ Type of Installation— Conduit Tubing B.X.L Metal Moulding ___________ ______ ______— ___T_______�_�_ Amount of Permit $ (Signed) Amps. 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, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires (Signed • Notary Public. State of Florida Master Electiican. 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 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 CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit Registered Architect and /or Engineer Employing Electrician's Name MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 _____ Street_!. - s Location and Legal Description Lot_ _________ _____ W___..__ __W___Block_ ____________�_____� Street and Number where work is to be performed—No work to be performed and purpose of building (By Floors) �r Date Service Overhead Size Feeders______ Conduit.__, Main Sw. Amps. Main Fuses_ Underground b ` ! No 2___: _I/, Street - — — `1 _ New Building Remodeling Addition Repairs ____ No. of Stories______________ Type of Installation— Conduit Tubing B.X.L Metal Moulding ___________ ______ ______— ___T_______�_�_ Amount of Permit $ (Signed) Amps. 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, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires (Signed • Notary Public. State of Florida Master Electiican. 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 first duly sworn, upon oath deposes and says that he is the_________________ _______________________________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit 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. Owner's Name and Address Registered Architect and /or Engineer MIAMI SHORES VILLAGE r ELECTRICAL INSPECTION DEPARTMENT ,y AP.F' JCATION FOR ELECTRICAL PERMIT Employing Electrician's Name _________— ___�___ Street _____________��_ 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 x. Remodeling Addition Service Overhead Size Feeders_____ Conduit.__ Main Sw Underground Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. No... - Street (Signed) (Signed) Street Subdivision_ Repairs. No. of Stories Amps. Main Fuses_ Amps. Type of Installation —Conduit Tubing B.X.L Metal Moulding / Electrical Inspector. The undersigned applicant for this building permit does hereby certify that fie 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared -_ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expires 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'T'S FIXTURES NO.LAMPS REF RIG. OUTLET IRON OUTLET RANGE OUTLET RAI'IOE 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 -B HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK 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 Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer MIAMI SHORES VILLAGE r ELECTRICAL INSPECTION DEPARTMENT ,y AP.F' JCATION FOR ELECTRICAL PERMIT Employing Electrician's Name _________— ___�___ Street _____________��_ 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 x. Remodeling Addition Service Overhead Size Feeders_____ Conduit.__ Main Sw Underground Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. No... - Street (Signed) (Signed) Street Subdivision_ Repairs. No. of Stories Amps. Main Fuses_ Amps. Type of Installation —Conduit Tubing B.X.L Metal Moulding / Electrical Inspector. The undersigned applicant for this building permit does hereby certify that fie 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared -_ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expires 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. Permit No. 2.0 Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date _ r -- =-- 1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitt 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 (Signed) Owner's Name and Address 1 ' <- No. i ': Street Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot_____ L Block Street and Number where work is to be performed—No ' '' / 1V = 1 1 X "' Street State work to be performed and purpose of building (By Floors) t , Jl 1:!_L_ i New Building _ Remodeling Addition Repairs No. of Stories Swat -,• Subdivision Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses Amps. Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his 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 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 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 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. IST LIST CHECK Permit No. 2.0 Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date _ r -- =-- 1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitt 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 (Signed) Owner's Name and Address 1 ' <- No. i ': Street Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot_____ L Block Street and Number where work is to be performed—No ' '' / 1V = 1 1 X "' Street State work to be performed and purpose of building (By Floors) t , Jl 1:!_L_ i New Building _ Remodeling Addition Repairs No. of Stories Swat -,• Subdivision Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses Amps. Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his 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 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. Permit No. – MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 4./ 1 _r 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 Registered Architect and /or Engineer �- = ' —� – – – — Street –�J ;- --- = '") 'A Employing Electrician's Name _ No _____�__ —_�_ _— �____________� Location and Legal Description Lot- ___________--__-- _-- .____ —_— _______Block A______ —___ Subdivision _— _-______--_— ___---__-_. 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 Service Overhead Size Feeders Conduit._ Main Sw.___.— — Amps. Main Fuses ____Amps. Underground Type of Installation— Conduit Tubing________ —_ B.X.L. .Metal Moulding Amount of Permit $ ' My Commission Expires (Signed) �-+ - No ' ---- -___ —_ Street--- ' s,�__ - ��_ 1 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, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Street Repairs — ______ No. of Stories Notary Public. State of Florida Master Electrican. 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 first duly sworn, upon oath deposes and says that be 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 H W. H EAT. CONN. SPACE H EATER STRIP H EATER TOTAL CONTR. LIST 3' • CHECK ENT. $W. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No. – MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 4./ 1 _r 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 Registered Architect and /or Engineer �- = ' —� – – – — Street –�J ;- --- = '") 'A Employing Electrician's Name _ No _____�__ —_�_ _— �____________� Location and Legal Description Lot- ___________--__-- _-- .____ —_— _______Block A______ —___ Subdivision _— _-______--_— ___---__-_. 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 Service Overhead Size Feeders Conduit._ Main Sw.___.— — Amps. Main Fuses ____Amps. Underground Type of Installation— Conduit Tubing________ —_ B.X.L. .Metal Moulding Amount of Permit $ ' My Commission Expires (Signed) �-+ - No ' ---- -___ —_ Street--- ' s,�__ - ��_ 1 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, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Street Repairs — ______ No. of Stories Notary Public. State of Florida Master Electrican. 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 first duly sworn, upon oath deposes and says that be 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. Service Amount of Permit $ Size Feeders MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date _ I : 11/ / Application is hereby mad 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. + tq r Z ' Owner's Name and Address __:7 __ —__ �= '" No.__ —LL. Street_ —_ Registered Architect and /or Eng'neer Employing Electrician's Name _: t -' �1_' ' r 'L�G /t+ LS_'_ Location and Leg al Description Lot_— ock---- y - -- � __�__� - -_ — -- j - n -- � - - -- _Bl- -_ -- p�_- - - - - -- - -- Subdivisio--- - -_ " -� "` — Street and Number where work is to be performed —No '*� + I !J1 Street ____— ___ —_____ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs Overhead / Underground Type of Installation— Conduit Tubing go __ B.X.L. Metal Moulding Conduit._ e" Main Sw.__ L(. — Amps. Main Fuses / t ti _Amps. (Signed) : K. No. of Stories 1 `eet -j.() Electrical Inspsys 'r. 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, on, work to be performed under this permit, as are licensed by Miami Shores Village. / , ; (Signed) __ - - - - --- --r- — _ ' .w Master Electrican. 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 first duly sworn, upon oath deposes and says that he is the of the above described construction, that be has carefully read the foregoing application, and that be 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 OU 1 ' PLUG REC� 2 '.. FIXTURES NO.LAMPS / 1 REFRIO. OUTLET TLET f IRON OUTLET 1 • RANGE OUTLET RANGE CONN. WATER HEATER 1. t" • ■ W. HEAT. CONN. SPACE HEATER / STRIP HEATER TOTAL. C L ST ±' CHECK - er ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST I ■ CHECK Service Amount of Permit $ Size Feeders MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date _ I : 11/ / Application is hereby mad 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. + tq r Z ' Owner's Name and Address __:7 __ —__ �= '" No.__ —LL. Street_ —_ Registered Architect and /or Eng'neer Employing Electrician's Name _: t -' �1_' ' r 'L�G /t+ LS_'_ Location and Leg al Description Lot_— ock---- y - -- � __�__� - -_ — -- j - n -- � - - -- _Bl- -_ -- p�_- - - - - -- - -- Subdivisio--- - -_ " -� "` — Street and Number where work is to be performed —No '*� + I !J1 Street ____— ___ —_____ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs Overhead / Underground Type of Installation— Conduit Tubing go __ B.X.L. Metal Moulding Conduit._ e" Main Sw.__ L(. — Amps. Main Fuses / t ti _Amps. (Signed) : K. No. of Stories 1 `eet -j.() Electrical Inspsys 'r. 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, on, work to be performed under this permit, as are licensed by Miami Shores Village. / , ; (Signed) __ - - - - --- --r- — _ ' .w Master Electrican. 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 first duly sworn, upon oath deposes and says that he is the of the above described construction, that be has carefully read the foregoing application, and that be 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. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name STATE OF FLORIDA, COUNTY OF DADE. ss. 41P MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit 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. No._ Service Overhead Size Feeders____ — _ ____ Conduit. Main Sw Underground No Location and Legal Description 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 Type of Installation— Conduit Tubing ___ B.X.L Metal Moulding (Signed) Street_ - -- – ` Street No. of Stories Amps. Main Fuses __ Amps. My Commission Expires Notary Public. State of Florida �F Amount of Permit $ , i (� (Signed) ._a._ /4c G- 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, on work, to be performed under this permit, as are licensed by Miami Shores Village. / f Eleitrical Inspector. 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. 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'rS FIXTURES No.LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. H EAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST �Y I ..- CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0 -1 HP MOTORS 1 -5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name STATE OF FLORIDA, COUNTY OF DADE. ss. 41P MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit 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. No._ Service Overhead Size Feeders____ — _ ____ Conduit. Main Sw Underground No Location and Legal Description 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 Type of Installation— Conduit Tubing ___ B.X.L Metal Moulding (Signed) Street_ - -- – ` Street No. of Stories Amps. Main Fuses __ Amps. My Commission Expires Notary Public. State of Florida �F Amount of Permit $ , i (� (Signed) ._a._ /4c G- 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, on work, to be performed under this permit, as are licensed by Miami Shores Village. / f Eleitrical Inspector. 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. 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 4/18/94 Job Address 534 NE 95 STREET Legal Description I.--c7 T 4' 9 f).1 G( Owner / Lessee / Tenant WATSON Master Permit # Owner's Address PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 534 NE 95 STREET, 33138 Contracting Co. NORTH DADE SEPTIC TANK Qualifier DENNIS NEVILLE State if 0258368 Municipal # Competency # 12842 Ins.Co. TRAVELERS Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION INSTALL.. & SEPTIC TANK Square Ft. 240 & 900 GALLON TANK 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 (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 AF'IDAVIT: I c ify that all the foregoing information is accurate and that all work will be done•mpliai wit al'•licable laws regulating construction and zoning. Furthermore, I author a a actor to do the work stated. - Signa of o Date: Not at to Owne My Commission Ex APPROVED: ondo President ** * * *:.: . ..'* : f * FEES: PERMIT .9 RADON / C.C.P. Zoning Mechanical Plumbin SS# Phone 754 -3375 Tax Folio 11 :!>20(. t)%%2. -C Phone 758 -4444 Address 800 NW 111 STREET R , • Signature of Oontxaeter - -or Owner -Builder At00 as to C. • actor or Owner- Builder M ission pare * * NOTARY TOTAL DUE '60 Fire Other Building Electrical Engineering C NSTRUCTION PERMIT FOR: [71 New System [ ] Existing System [ ] Holding Tank [ ] Temporary /Experimental [ ] Repair [ ] Abandonment [ ] Other(Specify) APPLICANT: PROPERTY STREET ADDRESS: LOT: PROPERTY ID #: SYSTEM DESIGN AND SPECIFICATIONS T [ A [ N [ K [ 0 T 7/ R SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: STATE OF FLORIDA -DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 10D -6, FAC BLOCK: SUBDIVISION: AGENT: ] [GALLONS / GPD] SEPTIC TANK /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] ] [GALLONS / GPD] CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] ] GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D -6, FAC REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. D [ s I SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED I CONFIGURATION: [ ] TRENCH [-1" BED N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE [ E BOTTOM OF DRAINFIELD TO BE [ L D FILL REQUIRED: [ ] INCHES [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] ] INCHES J [ABOVE ]INCHES /jT] [ABOV TITLE: HRS -H Form 4016, Mar 92 (Obsoletes previous editions which may not be used) (Stock Number: 5744 - 001 - 4016 - 0) LDENG aDEPAr TMEN1 [ ] [ .tC MOUND PERMIT # DATE PAID FEE PAID $ RECEIPT # [ CC BELOW] TITLE: 7 J c BENCHMARK EXCAVATION REQUIRED: [ 3 C INCHES NCHMARK'g FERENCE PbINT - EXPIRATION DATE: 2 Page 1 of 2 INSTRUCTIONS: PERMIT NUMBER: Permit tracking number assig APPLICATION FOR: Check type of permit, if "Oth APPLICANT: Property owner's full name. TELEPHONE: Telephone number for applic AGENT: Property owner's legally autt MAILING ADDRESS: P.O. box or street mailing ad LOT, BLOCK, SUBDIVISION or PROPERTY ID#: 27 character id number for p SYSTEM DESIGN AND SPECIFICATIONS: TANK: Minimum specifications fron DRAINFIELD: Minimum specifications fron OTHER: Other specifications, such as SPECIFICATIONS BY: Name of individual providing APPROVED BY: County Public Health Unit (( DATE ISSUED: Date permit is issued by CPI EXPIRATION DATE: One year from date issued if issued. ed by CPHU. r" specify type in blank. nt or agent. >rized representative. Tress for applicant or agent. Dperty. (CPHU may require property appraiser ID # or section/township /range /parcel number) Chapter 1OD-6, FAC. Chapter 10D-6, FAC. >perating permit requirements, low - volume flush toilets, variance provisos. specifications. If designed by a registered engineer must be sealed. PHU) personnel reviewing and approving permit. U. the system has not been installed. Permits for system repairs become void 90 days from the date