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558 NE 94 St (3)
trfil 44, Date ,d1 bo PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 5S% C IA - Tax Folio 11 - Legal Description Owner/Lessee / Tenant 1,05 P n€ r c Owner's Address 55 N q b$ e 014 - 093 Historically Designated: Yes No Master Permit # Phone 305 151 9 O Cia. Contracting Co. q v- I f C Address I5 o`.O N 1io, 31 f 1 o.e.. Qualifier Co eit W • R 1 SS# Phone s (0 - 6$ -�a� ° � 5A Pao - t oh. State # ER Co 01%16 Municipal # . r) q - i5 Competency # I q 0 4 Ins. Co. I,3 ,1 c, - ( , Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 64- . e C a k%. Square Ft Estimated Cost (value) (1100.OQ WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stat Sienalture of owner Cam. Notary as to Owner and/or Condo President Date My Commission Expires: r • ,„ Therese M. Flingos %.Commission # CC 778945 it Expires OCT. 25, 2002 `' BONDED TMRU %n%%%` ATLANTIC aoNAINri Gq, INC. FEES: PERMIT. ce APPROVED: Zoning Mechanical * 3/0 0 0 Condo 'resident Dat 5 6 , 1 -a 3lasloo RADON Building Signature of Contractor or Owner -B ' • er Date 3i a7 BB (0o Date Notary as to Contractor or Owner - Builder My Commission Expires: C.C.F. ,/° c2 0 NOTARY ,„, Therese M. Flingos , ' Commission # CC 778945 ' Expire:, OCT. 25, 2002 t NDED aiR ' ATLANT I�Bfi!91N6 CO. INC. BOND TOTAL DUE Electrical "0/W Plumbing Engineering ITEM BATH TL6 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WINO) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS 150 DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE I REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTCRS OVER 5- 8 HP _ TRANSPORTING ASSEMBLIES SINK, SIC(' 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 SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA ' RELAY TELEVISION CUTLETS ORAINFIELO, 4' TILE/RES. VIOLATION PUMP S ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET _ SOLAR WATER HEATER FIRE STAMYIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING r (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEI OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL A • t 11RIF' LOOP ro BE 30' .'-►r- G (MIN) 6' •r�' • • 4.• J CLduIP 2' ABOVE ROOF e- rt.Asitc • FIIITSIIED r,RATIE •. ( ^/ SLCCV MAIN 03 PANEL Q•O /1 IN BEY 71I 1 • 1 in t.! T�iVI lsril• CLAW' at- x Ir GRIh.JNf) min Q-tllu J SUB C c PAN NOTARY nip B Y IU:AL- k Uh iiii5.1- F� •►% .1-1.4%.1-1.4%.1; I ° . - ^ 2 ' Conductor 5 l - [r / Q_�� _.. • Conduct sxe_ a. Conduct 'type' £ . m . T Thru roof . -.Yea" . NO Ground wlrc ;517. r_ 4 MAIN. DIS YONNECT Ratlnp '� _ AMPS Hula 00 Ar,ps Sub Breakers __ ". Amps SUB FEEDER New X � �� E ,, xlsta�lp ' - TYpa Stze - ' � 1 Bond :ale ±' ' '. INS [DE PANEL R atncg P-0 - Ai -cps Aond $us s , .. _'►' es _ _No LOCa I ©0 +Si Ne4LitwA PER S.F.D.C, A!if.ri, ?.(D) ,CONTRF1 _D1Li1i:1 1.s LL_ ER_ QWD: • • • 1- I of t or ar Lot BL Subdi- ion vision Of Value of Amt. of Project $ Permit $ / BUILDING ELECTRICAL PLUMBING ROOFING Owner Building Archite Contrac or Build Legal Descript Address Building 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 above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work , e by his agents, servants or employees. Signed: In cons,. INSPECTOR pertaining thereto tipn of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations In accepting this pe strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. 'ssume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT IT? 13291 DATE Work to be performed under this Permit 195 Contractor's License No BY AUTHORITY BY BUILDING ELECTRICAL PLUMBING ROOFING Owner Building Archite Contrac or Build Legal Descript Address Building 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 above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work , e by his agents, servants or employees. Signed: In cons,. INSPECTOR pertaining thereto tipn of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations In accepting this pe strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. 'ssume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT IT? 13291 DATE Work to be performed under this Permit 195 Contractor's License No BY AUTHORITY BY Molars. Receptacles Generators Stoves Water Heaters Signs Billboards ex Apparatus j Permit Fee ' °.J Jo. ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Miami Shores Village, Fla , •ractor or Electrician NO. Outlets 4 ; STREET Dated _ = t - 41iami Shores F L O R ID A OFFICE OF ELECTRICAL DEPARTMENT NUMBER OF LOCATION PART OF LOT LOT BL'K DESCRIPTION OF WORK 19 SUBDIVISION N9 442 • This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with he 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 of Miami Shores Village. This Permit may be revoked at any time pon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by iy&Department. , Electrical Inspe or. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the to of Florida, all the Electrical Ordinances and Codes of !Miami Shores Village, and all rules and regulations of the Electrical Department of Miami )res Village. (Seal) • N. B. —This Permit must be on display on the premises during the construction. Owner of Building Contractor or Electrician ELECTRICAL PERMIT NO. Outlets STREET Motors Receptacles I Generators Stoves Water Heaters k1iami cfhores9llage FL OR ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla., — .__ 19__ LO CATI 0 N PART OF LOT DESCRIPTION OF WORK NUMBER OF Signs LOT BL'K Billboards Other Apparatus SUBDIVISION N° 442 Permit Fee This 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 EIectrical Laws of the State of Florida and with the Electrical Ordinances and Code of :Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this 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 with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. Dated _ , 19 -- -- _ - -- - — - - (Sea ELECTRICAL PERMIT N. B.— This Permit must be on display on the premises during the construction. Owner of Building Contractor or Electrician NO. Outlets Motors STREET Receptacles Generators Stoves 41iami Aiores91llage F L O R D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla., _ 19 LO CATI 0 N PART OF LOT Water Heaters NUMBER OF Signs LOT BL'K DESCRIPTION OF WORK Billboards Other Apparatus SUBDIVISION N9 405 This 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 of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this 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 with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. Dated , _ - (Seal) ELECTRICAL PERMIT N. B.—This Permit must be on display on the premises during the construction. Owner of Building Contractor or Electrician NO. Outlets Motors ! Reccptacies STREET Generators Stoves ciarni chores9 llage F L O R ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , 19 LO CATION PART OF LOT DESCRIPTION OF WORK NUMBER OF Water Heaters Signs LOT BL'K SUBDIVISION Billboards Other Apparatus N9 419 Permit Fee This 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 of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any charge in the plans and specifications unauthorized by this 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 with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. Dated _ , 19 - - - -- ____(Seal) ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Contractor or Electrician NO. Outlets Motors STREET Recehtacies Generators Stoves iami �hores` )' llage F L O A D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, FIa 19 LO CATI 0 N PART OF LOT LOT BI.'K DESCRIPTION OF WORK NUMBER OF Water Heaters Signs Billboards Other Apparatus SUBDIVISION This 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 of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. Dated 19 ._ _ _ "" (Seal) N9 419 Permit Fee , Electrical Inspector. Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other A ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Ow r of Building Contractor or Electrician NO. STREET iami cShores F L O A ID A OFFICE CIF ELECTRICAL DEPARTMENT Miami Shores Village, Fla., 19 LOCATION PART OF LOT LOT DESCRIPTION OF WORK BL'K pparatus SUBDIVISION XT 405 • Permit Fee ,J This 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 of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time up he violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by th. partment. , 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 the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. Dated _ , 19 (Seal) es Generators Stoves Water Heaters Signs Billboards Other Apparatus Pennit ; ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building C actor or Electrician z NO. STREET Outlets yt Motors Receptacl Dated , 19 ddliami AlOres dillage P L O A I D A OFFICE OF ELECTRICAL DEPARTMENT r Miami Shores Village, Fla , f` 19 LO CATI 0 N PART OF LOT LOT 1 NUMBER OF BL'K DESCRIPTION OF WORK T his 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 of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. SUBDIVISION N9 419 • ee , Electrical Inspecto — (Seal) SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE RANGE OUTLET CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST / I L CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. / - � '• MOTORS MOTORS 0-1 HP 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST ! i y � .!' CHECK LL • Permit No ___v__— _________— 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 Shors 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 Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Service Over td Size Feeders _ _/ Conduit_ Main Sw. (Signed) No. - - -- — — — — —_ Street - - No Locaticn and Legal Description Lot_____________ — _ _ — _____________Block — ____________ Subdivision-- - i Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New "'Building Remodeling Addition. Rept.irs _______ No. of Stories Amps. Main Fuses______________Amps. Type of Installation -- Conduit Tubing E.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) Street_ STATE OF FLORIDA, COUNTY OF DADE. as. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknow:edgments, 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. My Commission Expires Notary Public, State of Florida Master Electrican. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. OORS r IAIUIICLI UNLT NUMBER OF TOTAL OUTLE.,i SIZE OF 812E SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKET$ "AiN SUBS BRANCHES ENT D H A -83 LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION WILL BE RETURNED. CEILING F BASEM FIRST SECON THIRD FOURT BRACKETS RECEPTACLES MASTER ELECTRICIAN ROUGH WIRING FINAL NO CORRECTED TEMPORARY DAYS DATE ISSUED APPLICATION NO DATF 193 ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by In- spector. SWITCHES LOT NUMBER BLOCK NUMBER SUBDIVISION STREET AND NUMBER OWNER OCCUPIED As BUILDING- -NEW OR OLD (UNDERLINE WHICH) WORK -- ADDITIONAL, NEW. ALTERATION OR REPAIR SPECIFICATIONS SIDF OCCUPANT H. P. OF EACH MOTOR VOLTS_ TOTAL AMPS PHASE STOVES WATER HEATERS SIGNS KIND OF INSTALLATION OPEN O12 CONCEALED KNOB. RX.. BX.. MLDG.. CONDUIT, METALLIC TUBING REMARKS OTHER APPARATUS INSPECTION WANTED BY -ADDRESS SPACE BELOW FOR INSPECTOR'S USE ONLY RECEIVED BY INSPECTOR INSPECTED PROGRESS WILL INSPECT AGAIN REMARKS FEE REMITTED INSPECTOR CEILING BRACKETS R[CPTACLES SWITCHES STOVES WATER HEATERS SIGNS ° OTHER APPARATUS BRACKETS MAIN SUSS !RANCHES IASEMENT FLOORS FIXTURES ONLY NUMBERS OF TOTAL OUTLETS SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS MAIN SUSS !RANCHES IASEMENT :MST SECOND PHIRD OURTH LOT NUMBER OWNER BUILDING- -NEW OR OLD ( UNDERLINE WHICH) F A -SS CONTRACTOR P p • • BY RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN ROUGH WIRING FINAL No CORRECTED_ TEMPORARY DAYS. DATE ISSUED APPLICATION ELECTRICAL DIVISION OF THE CITY OF MIAMI Desiring your certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electric Code and the City Ordinance pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION WILL BE RETURNED BLOCK NUMBER SUBDIVISION STREET AND NUMBER SIDF OCCUPANT OCCUPIED As WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR SPECIFICATIONS H. P. OF EACH MOTON VOLTS TOTAL AMPS PHASE' KIND OF INSTALLATION OPEN OR CONCEALED KNOB, RX., BX., MLDG., CONDUIT, METALLIC TUBING REMARKS SPACE BELOW FOR INSPECTOR'S USE ONLY REMARKS i INSPECTED FEE REMITTED No DATF 193 INSPECTION WANTED ADDRESS INSPECTOR OORS r IA UNCb (JN'.T NUMBER OF TOTAL OUTLE^', SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS : A/N SUBS BRANCHES ENT --, D H A -83 LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION WILL BE RETURNED. LOT NUMBER_, BLOCK NUMBER STREET AND NUMBER ,y OW NERS OCCUPIED As BUILDING- -NEW OR OLD (UNDERLINE WHICH) CEILING F BASEM FIRST SECON THIRD FOURT BRACKETS RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN AP PLICATION NO DATE j 193. ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by In- spector. RECEPTACLES ROUGH WIRING FINAL No CORRECTED TEMPORARY DAYS DATE ISSUED SWITCHES STOVES SUBDIVISION OCCUPANT WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR SPECIFICATIONS H. P. OF EACH MOTOR VOLTS TOTAL AMPS PHASF WATER HEATERS - SIDF SIGNS OTHER APPARATUS KIND OF INSTALLATION OPEN OR CONCEALED KNOB. RX.. BX.. MLDG.. CONDUIT. METALLIC TUBIN REMARKS MASTER ELECTRICIAN INSPECTION WANTED BY ADDRESS SPACE BELOW FOR INSPECTOR'S USE ONLY INSPECTED REMARKS FEE REMITTED INSPECTOR 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 Permit No._.. —_ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT (Signed) 1 fi/ Street 71/ Employing Electrician's Name._ �! " , L a' �� - �'' '' ' Y ` - � Location and Legal Description Lot__�__Y!__yZ__ Street and Number where work is to be performed— No:_..L1_ ___f__'0__. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs Street ? ; My Commission Expires Notary Public. State of Florida 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 Inspector. 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. e , � /�� (Signed) r ,; —r ./ ' 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'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL CONTR. LIST q / _ - CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O -I HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST ' CHECK 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 Permit No._.. —_ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT (Signed) 1 fi/ Street 71/ Employing Electrician's Name._ �! " , L a' �� - �'' '' ' Y ` - � Location and Legal Description Lot__�__Y!__yZ__ Street and Number where work is to be performed— No:_..L1_ ___f__'0__. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs Street ? ; My Commission Expires Notary Public. State of Florida 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 Inspector. 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. e , � /�� (Signed) r ,; —r ./ ' 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.