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805 NE 95 St (4)(3735 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date _ _ c Time Type Insp'n i 1 u_� �,t-Nc" Permit No. Name e", Company_ !( ( ( 1 Phone # Address f( ( Y For Inspector: CI' I I C Approved �J Correction ff Re- Insp'n Fee ❑ Name & Date ITEM BATH Tl8 UNIT FEE ITEM SWITCH OUTLETS UNIT /(> FEE 2e7 ITEM SPACE HEATERS UNIT FEE BIOET LIGHT CUTLETS /d Cam CENTRAL HEATING DISHWASHER RECEPTACLES , 0 % .e A/C (WIN)) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS /%0 A© DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE ( GREASE TRAP APPLIANCE OUTLETS ,r/.REFRIGERATION PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER !MICAS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 IP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 If TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS ' A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMdING POOL ' OUTLETS COMMERCIAL WATER SERVICE • SIGN TUBES SEWER CONNECTIONS SIGN TRI(NSFOR1€RS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA ' RELAY TELEVISION OUTLETS DRAINFIELO, 4' TILE/RES. VIOLATION PUbP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) SAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION • (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will zot be approved and a reinspection fee will be charged. Chc7lUO3 Signature o t S E Owner or Agent The foregoing instrument was acknowledged before me this day of . 20 _ , by who is personally known to me or who has produced Fh t - ';s ? identificatio and who did take an oath. NOTAR P LIC: Sign: Print: My Co P. /C: ^;: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ************* I i * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: State Zip Signature NOTARY PUBLI Sign: Print: My Co The foregoing instrument was acknowledged before me this day of / ? • , 20 3 by C )fit who is personally known to me or who has produced F 1) as identification and who did take an oath. C r. r14 It Ir .0 Contractor Plans Examiner Engineer Zoning BUILDING PERMIT APPLICATION FBC 2001 Tenant/Lessee Name $ Value of Work For this Permit (/ e" oe)' a Education/Training Fee $ Code Enforcement $ Miami Shores Village Building Department Number of: Bays Stories Families Type of Work: ['Addition ['Alteration Work: /! c'' -si - `✓1 "' O! _ '� c.� �ti is �! v, 1) ! County Escrow Fee $ Permit Fee $ 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Mater Permit No. / Job Address (where the work is being done) v S X — 1 ❑New * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit No. el .6100 • as g Permit Type (circle): Building Electrical) Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder)4 Di /' 4 # Q S Q e'.5 Phone # ( t - z�z Owner's Address �� I. £ • 9-5 — City d hvei s4arr°S State Zip �.3.3 /-3 Phone # City Miami Shores Village County Miami -Dade Zip .-3.3 / 3 S Is Building Historically Designated YES NO J Contractor's Company NameAA%S (ed U iU ( ,Z1 1ZPhone # C,5 6 5/ 4 = — P `g' C%(.!. Contractor's Address .37 `)5,5, (� . City (,i:.. -:-t 1.` State Zip , ~ i i Qualifier t') (t/( U O C.t. /U C) s`j !G C._ L -t ' /J - Architect/Engineer's Name (if applicable) - Phone # Architect/Engineer's Address City State Zip Square Footage Of Work: Bedrooms , Baths 2 ❑ De olition l e % d - e'c / ika s7`a //e 72`,:z3/-7 Notary $ Tech $ Scanning $ Radon $ Bond $ Struct. $ Minus Plans Check Fee $ Total Fee Now Due $ (Continued on opposite side) Ca d Cash 6 30 , 0 0 • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date j. '3/24/01 Job Address 805 NE 95 ST Tax Folio 11- 3206 - 014 -2930 Descri tion , 0 T 11 / 12 R T, K K. 7 5 . M M. S . S E ECT .13 Le Historically Legal p � I rally Designated: Yes No ) X Owner/Lessee /TenantZOIT,TTA RF,AL STATE PROPERTIES INC Master Permit# � t J S o1p owner's Address 410 E HALLANDALE BEACH BLVD. Phone (954)4 7 -2426 Contracting Co. FIVE D CORPORATION Address 2910 NW 32 STMIAMI FLA 33142 Qualifier ANGEL GUTIERREZ SS# Phone 305 633 -3660 State # E R 0009181 Municipal # 30-1231026 Competency # 000014912 Ins. Co. PEN N AMERICAN Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING( (ELECTRICAL )PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ELECTRICAL SERVICE TO INCREASE TO 150 AMP Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOU' PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accura' construction and zoning. Furthermore, I authorize the above -named contr' Signature of owner an Condo President Date Notary as to Owner and/or Condo President Da' My Commission Expires: FEES: PERMIT i RADON APPROVED: Zoning Mechanical Building Plumbing -, 11 work will be done in compliance with all applicable laws regulating - k stated. - per- ui 4 - D to Li ,1D Itie ® I ) NY..S .4D TOTAL DUE 2910 N.W. 3Thd Street Miami, FL 33142 50 AM BREAK CENTR D.P. R TO L A.C. 'mac 0 acsc (LOAD CALCULATION) LOAD CALCULATION PREPARE FOR A SINGLE FAMILY RESIDENCE OF ZOILITA REAL STATE PROPERTIES INC AT 805 NE 95 ST MIAMI SHORES VILLAGE FLA.PROPERTY FOLIO # 11- 3206 - 014 -2930 ONE FAMILY DWELLING FLOOR AREA OF 1850.SQ.FT.3 VA EACH = 5550 VA TWO SMALL APPLIANCES CIRCUITS 1500 VA EACH- 3000 VA ONE LAUNDRY CIRCUIT 1500 VA = - - - -•- 1500 VA ONE RANGE.- 12000 VA ONE WATER HEATER 4500 VA ONE CLOTH DRYER - 5000 VA TOTAL LOAD 31550 VA FIRST 10000 VA AT 100% - REMAINDER.OF OTHER LOAD 21550 AT 40% STRIP HEATER LARGER THAN THE AC =- THIS DOCUMENT PREPARE BY ELIVE D CORP. ELECTRICAL CONTRACTOR DADE COUNTY CC - 14912 State # ER 0009181 MIAMI DADE OCTOBER 23/2001 TOTAL CONNECTED LOAD 28220 : 240 VOLT =117.6 AMP. 150 AMP SERVICE WILL BE INSTAL. (RISER DIAGRAM FOR SERVICE SCALE a ") 2" I.M.C. RISER WITH 3 # 1 THWN CU. ELECTRICAL SERVICE TO BE OF 150 AMP 120/240 VOLT. 10000 A.I.C. /71 150 AMP METER MAIN PANEL COMBO 4--- 100 AMP DOBLE POLE BREAKER TO FEED EXISTING PANEL WITH 3 #3 THWN CU 111 P.V.C.WITH ONE # A CU WIRE TO THE C.W.P.AND THE TWO 5/g Y. 10' ROUND RODS OVgR SIX Fv T APART. AN EXISTING 125 AMP PANEL TO REMAIN FEED FROM 100 AMP BREAKER AT COMBO. RREZ QLALIF'IER AN EL GUTIERREZ Master Tel. 305 - 633 -3660 Fax 305 - 633 -3426 10000 VA 8620 VA 9600 VA 28220 VA 2a NO. STREET PART OF LOT LOT BL'K SUBDIVISION Signs Billboards Other Apparatus Permit Fee i . t Outlets Motors Receptacles Generators Stoves Vinevemileaters I r Signs Billboards Other Apparatus Permit Fee i . t ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the Instruction. Owner of Building )t`i - -f - Co•ctor or Electrician -partment. / aiami cShores9 'llage F L O A ID A OFFICE OF ELEIOTRIDAL DEPARTMENT Miami Shores Village, Fla , DES I RIPTION OF WORK LD! ATI 0 N 19 N° 316 • Thi Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with tans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code :mi Shores Village and the rules and regulations of the Electrical Department of violation of any provisions of said laws, ordinances, or rules and regulation or u Shores Village. This Permit may be revoked at any time any c ange in,the plans and specifications unauthorized by , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with lication and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the lorida, all the Electrical Ordinances and Codes of Miami Shires Village, and all rut a rreguJlations of the Electrical Department of Miami e d y 19 �, f 1 f ` � t ']/'Q (Seal) OUTLET MOTORS RECEPTACLES GENERATORS STOVES P SIGNS BILLBOARDS OTHER APPARATUS MAIN SUB BRANCH Basement /+ I .6) +el, First FLOOR NUMBER OF SIZES OF INSULATION OPEN OR CONCEAL'D NUMBER OF CIRCUITS OUTLETS MOTOR GEN. MAIN SUB BRANCH Basement First Second Third Fourth Other Floors • Location of proposed work: Lot 'Block Details of proposed work: Number of Motors H P. Work begun Work fini aiami Aores9111age F L 0 R 1 D A APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for issuance of permit for electrical installation as described below, and for Owner inspection of same after installation: �j Date �C� 193 /C/ ° " Address X �cl �/ I / �1 U /" tr Building Contractor ' Kee ee Electrical Contractor if Subdivision Building: Old or new Number of stories Used as Description of proposed work (SPACE BELOW FOR INSPECTOR•S USE ONLY) Inspected Amps Final inspection Aft Y/a Phase Additional Information Signature of Applicant Address (if other than owner or contractor) ,Inspector PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7• "G/ Job Address 845 NC 95 Sr Tax Folio /J' 92O4- d/4 ' 793a Legal Description 4DT //'¢ /2, 4Jk. 71, . / y ij.S. I 3 Owner/Lessee / Tenant ZoiR A Rai 4/4* /rtre 5, 4,c. Owner's Address 4/ ell / 66te4 Nod. 4 20 �+�ht • tefe F/ 3.0009# Contracting Co. -t� �� ! VC- /, r",(71 otary as t Owner : , or . 1 n.President My Commission Ex. e, S' PUB` tc,„: , . 2 ^_,i 't ;,;, . 0_ • �ra: c -vr ` c OF FOP _., FEES: PERMIT 40 0 RADON APPROVED: Zoning Mechanical Architect/Engineer NAi Address Address , ivi 407 o4T /e 75 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF CO PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF Application is hereby made to obtain a permit to do work and installation will be performed to meet the standards of all laws regulating construction PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S Al HAW: I certify that all the foregoing information is acc and zoning. Furthermore, I authorize the above-named contra Date ,,Date Historically Designated: Yes No Master Permit # .5 Phone (934) 7 � 7. /42G / ss# /, Phone �D,S = e'33 - 3G od Address �Lf P. Qualifier A Gl ?i State # �� 1 th f/ � / Municipal #,125- J 2 3 1612 el) 2 J, Competency # Q /!.17/ZIns. Co. ,hyieti c€ / / /1 Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN /4/1/4 rc AVe-,(ee, 6019 o�S/eys .a 1 4 �c,Seo a,,e/ WORK DESCRIPTION 7'D Square Ft. 041111 Estimated Cost (value) 156. 1 1 • rated a.. t cc0.e and 1. , r til do ti, shun e work eo otary as to Contract Commission Ex ork:owner-gilder or s: • 7A 7 Da 7 / 1 Date AI Cooper Cbmmlasibe # CC 74113 rite July 1, 2002 rite eoki 0 .,#k. NCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OMMENCEMENT.) ve, and on the attached addendum (if applicable). I certify that all work lion. I ypderstand that separate permits are required for ELECTRICAL all wo 4 e 9E4ALt) C.C.FI/ c id U NOTARY - D 0 BOND Building Electrical one in compliance with all applicable laws regulating Owner- Builder TOTAL DUE .4) A7 W7 4 7 Plumbing Structural Engineer ITEM • BATH TU3 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES 4 A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR GRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING • INTERCEPTOR RANGE TCP UNDERGROUND TANKS LAVATORY ,.„ OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 IP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COW. MOTCRS OVER 3- 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWOrMING POOL CUTLETS COWERCIAL WATER SERVICE SIGN TUBES ;EWER CONNECTIONS SIGN TRANSFORMIERS TTILITY -SEWER SIGN TIME CLOCK TTILITY -WATER FIXTURES EPTIC TANK ANTENNA . ELAY TELEVISION OUTLETS RAINFIELO, 4' TILE/RES. VIOLATION U1+P & ABANDON SEPTIC TANK REIFS?ECTION OAKAGE PIT CU. FT. ATCH BASIN ISOiAAGE WELL OMESTIC WELL REA DRAIN OOF INLET 7LAR WATER HEATER IRE STANDPIPE XL PIPING AWN SPRINKLER SYSTEM LS RANGE :TER SET (GAS) lS PIPING - /. ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Permit No.___, Owner's Name and Address STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewit bmitte,66r the building or other structure herein described. This application is made in compliance and conformity with the Building Ordina a 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. S S. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Registered Architect and /or Engineer _________�_�� T _ Electrician's Name _ `'` Employing yY t- �- __�__.s _. - Location and Legal Description Lot dei '___,� Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Block 5 A. Amount of Permit $_— ____s/ �" (Signed) (Signed No Street No. Street Subdivision__ ,_ l_j�� .1 _ ;� Street_ ___ .01 Date__ Notary Public. State of Florida - tiJ New Building Remodeling Addition ' Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Electrical Inspe 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, o �o to be per under this permit, as are licensed by Miami Shores Village. L tf Master $lectrican. 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. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No.___, Owner's Name and Address STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewit bmitte,66r the building or other structure herein described. This application is made in compliance and conformity with the Building Ordina a 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. S S. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Registered Architect and /or Engineer _________�_�� T _ Electrician's Name _ `'` Employing yY t- �- __�__.s _. - Location and Legal Description Lot dei '___,� Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Block 5 A. Amount of Permit $_— ____s/ �" (Signed) (Signed No Street No. Street Subdivision__ ,_ l_j�� .1 _ ;� Street_ ___ .01 Date__ Notary Public. State of Florida - tiJ New Building Remodeling Addition ' Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Electrical Inspe 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, o �o to be per under this permit, as are licensed by Miami Shores Village. L tf Master $lectrican. 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit N o – _ _ Owner's Name and Address Registered Architect and /or Engineer Amount of Permit S APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewit$' bmitte r the building or other structure herein described. This application is made in compliance and conformity with the Building Ordina a 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. Employing Electrician's Name _ 0/4111414 ___ _ Location and Legal Description Lot___ tit _'____ _ '__ _Bloc Subdivision_ -- -- Street_ __f -- My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT NoStreet_-- ______ _______ ------ ------ -- -- -- -- _(Signed) (Signed Date_ No __ Street 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 31 - _� No. of Stories Service Overhead Size Feeders .______ _______ Conduit Main Sw.__.________________ Amps. -- _— ______ Main Fuses Amps. Underground Type of Installation—Conduit _____ _______ Tubing B.X.L Metal Moulding Electrical Inspe The undersigned applicant for this building permit does hereby certify that he understands and accepts his :.ligation as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S6pplement, 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 - contracto o o to be pe under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. t 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 Master if rican. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LA MPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL. CONTR. LIST CHECK ENT. SW. DIST. CAE. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK , Permit N o – _ _ Owner's Name and Address Registered Architect and /or Engineer Amount of Permit S APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewit$' bmitte r the building or other structure herein described. This application is made in compliance and conformity with the Building Ordina a 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. Employing Electrician's Name _ 0/4111414 ___ _ Location and Legal Description Lot___ tit _'____ _ '__ _Bloc Subdivision_ -- -- Street_ __f -- My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT NoStreet_-- ______ _______ ------ ------ -- -- -- -- _(Signed) (Signed Date_ No __ Street 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 31 - _� No. of Stories Service Overhead Size Feeders .______ _______ Conduit Main Sw.__.________________ Amps. -- _— ______ Main Fuses Amps. Underground Type of Installation—Conduit _____ _______ Tubing B.X.L Metal Moulding Electrical Inspe The undersigned applicant for this building permit does hereby certify that he understands and accepts his :.ligation as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S6pplement, 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 - contracto o o to be pe under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. t 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 Master if rican. 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. NO. IL...." STREET PART OF LOT LOT BL'K Wiefev- IFesters SUBDIVISION Billboards , Permit Fee outlets Motors Receptacles Generators Stoves Wiefev- IFesters Signs Billboards Other Apparatus Permit Fee /1 � ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Contractor or Electrician cJd liami Jhores9 llage F L O A I D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , ;' l � 19 LOCATION DESCRIPTION OF WORK 1 ti ts Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code f Miami Shores Village and the rules and regulations of the Electrical Department ofiami Shores Village. This Permit may be revoked at any time ',n the violation of any provisions of said laws, ordinances, or rules and regulations; or upon any change in the plans and specifications unauthorized by Department. , Electrical Inspector In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity w' Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of e of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules - ai�i reg ations of the Electrical Department of T res Village. f Dated `'1 •= �� ! 1 , , --I 1, —} - N° 316 BUILDING ELECTRICAL PLUMBING Owner of Building v J Architect Contractor or Buiidar Legal Lot Bl. Description Address of Building i MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N° 1097 Work to be performed under this Permit = Subdi- vision Value of Project • Amt. of Permit y / 94 Contractor's License No. This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named rilove assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shownvn the plans or drawings 'or, in the statementr.or sp)cifications and that he assumes responsibility for work done by his agents, servants or employees. 1 x Signed• INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compgance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY 9 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 9 1 Time Type Insp' n COC ) F 1 Permit No. El o3 - asp) ) Name 2 0 i 1 Address ( C — 1 sf Company n 'C)1.) 61 c ' - Phone # 305 " 3 - For Inspector: El 11 . Approved Correction Re-Insp'n Fee ziv Name & Date o