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ELECTRICALBUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple ple Titleholder) Owner's Address "1 Ul 0 'U q 5 ST City .n '7l,/ State Tenant/Lessee Name Job Address (where the work is being done) 6 1IP 0 i\IE q City Miami Shores Village Is Building Historically Designated YES NO Contractor's Company Name City M l .-k. Qualifier $ Value of Work For this Permit � W WI (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2n Tel: ( 0 Contractor's Address 5 State -f \ co County Miami -Dade lyLP Mai-041104o ci Architect/Engineer's Name (if applicable) an f-/--h P ' / 7-Y-eV Phone # 3S " DR° 3 ❑Addition ❑Alteration ❑New Total Fee Now Due $ l 0 1 1—.SS 1E ` 7 # 6.8972 orida 33138 aster Permit No. 61 --1)3i Plumbing Mechanical zip 33132 Phone # Phone # Type of Work: ,� /,, Describe Work: �. `.Q/(�I /' / L.00 1 > f ock - 1,tp 7 r Si . f o 1. Permit No. r - Zip 3 3) 2109 -1/5 361- z_ ( - trrt _6 Zip 3I2to Square Footage Of Work: Roofing ❑ Repair/Replace ❑ Demolition ��yy ****************************F Submittal Fee $ 50 • 00 Permit Fee $ /,S O / D CCF $ , 6 0 CO /CC Notary $ Training/Education Fee $ ' °�, b Technology Fee $3 , Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip 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 not be approved and a reinspection fee will be charged. Signaturi / Q Signature !! �� Owner or Agent The foregoing instrument was acknowledged before me this The fore day of , 20 _, by , day of who is personally known to me or who has produced who is personally known to me o Who has produced As identification and who did take an oath. Chc 12/15/03 as State Certificate or Registration No. Certificate of Competency No. Contractor knowledged before me this /' ,by u ati • and who did take an oath. NOTARY PUBLIC: NOTARY PUBLI Sign: S' Print: Print: M c, State of ` iou My Commission Expires: My mmission Expires: 1' cOfli n, e xp. May U` ******************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ** ** *8�, ** (Certificate of Competency Holder) ENNETH SHEi • 1• APPLICATION APPROVED BY:W i �.. Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Printed: 8/26/2004 Applicant: FRANK HENRY Owner: HENRY FRANK JOB ADDRESS: 960 NE 95 ST Contractor ESSIG POOLS Local Phone: 305 - 949 -0000 Parcel # 1132050070130 Signed: (INSPECTOR) Plumbing Permit Phone: 305 - 795 -2204 Permit Number: PL2004 -236 Contractor's Address: 1800 N. E. 151 ST. Page 1 of 1 Legal Description: 5-6 53 42 .454 AC PL OF GOVT LOT 4 PB 5 -90 E120FT OF N220FT LESS E3OFT Fees: Description Amount FEE2004 -8632 Building Fee $150.00 FEE2004 -8633 CCF $0.60 FEE2004 -8634 Training and Education Fee $0.20 FEE2004 -8635 Technology Fee $3.75 Total Fees: $154.55 Total Fees: $14.5 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 2/13/2005 Construction Value: $900.00 Work: PLUMBING FOR POOL --JF=LT71 61 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: r L ="a- _ BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Building Department 'Permit Type (circle): Owner's Name (Fee Simple Titleholder) 6 / - A "/7 4-11 Phone # 3D.� 3/f - 7 e O v Owner's Address I/ 7 7 `LT' f0 57. City "Y//0/4/ /- sistoft g State l Zip 3 / 3 Tenant/Lessee Name Phone # Job Address (where the work is being done) // 7 Al-Z'r- fi94 57 City Miami Shores Village Is Building Historically Designated YES NO X Contractor's Company Name f J � c:04 -e, }/yam w .. - Phone # / 4eil diCeEC�/5�041 •5 m.1) , Contractor's Address f1 �y City .}1/41•44/i a tate /=/ Zip .3 3 Q.l 'dr Qualifier /Z f -;/::/ s co \T;Y E ?' C / 7 Architect/Engineer's Name (if applicable) 41Aby,OA A.,//6,- - . 3 . 4,t,i. Phone # 3 ,0■' G G 7- 29' 2 Architect/Engineer's Address 4L 9/0 S 7 City A1/i4 State f=% Zip 3 / $ Value of Work For this Permit Plumbing Mechanical Roofing County Miami -Dade Zip 3 3 * * * * * * * * * * * * * * * * * * * * * * * * * * * * Fe * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. L D 35 Master Permit No. P Square Footage Of Work: Number of: Bays Stories Families Bedrooms Baths Type of Work: ❑Addition ❑Alteration $ Jew ❑ Repair/Replace ❑ Demolition Describe Work: s w f 6 la / a..t. Sf County Escrow Fee $‘ i P O Permit Fee M O Notar $ Education/Training Fee $ D Tech $ 3 ' Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ - minus Plans Check Fee $ 50. t) Total Fee Now Due $ 0 I ` (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Signature NOTARY PUBLIC: Sign: Print: My Commissio • Expires: 1 * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY. tc7t7 /03 State 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 t. he issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of t , e notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachme t. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occur seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and r ' pection fee will be charged. 0 • • The foregoing instrume ' t was ac . - ledged before me this day of_., 2003 , by (oc L arx.t' /4i417.4. ., who is personally known to me or who has produced 1>Z As identification and who did take an oath. EXPIRES: May 20, 2005 Bonded Thru Notary Public Underwriters Signature Contractor The foregoin instrument was acknowledged before me this day of .y 2 — 20 C5) , by f t4,vuse , 7 41 who is personally known to me or who has produced / as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commi Sion Expir * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. *•**sss** *********** ** * *s * * * * *s * * * * * * * *s * * * * * * * * *s* EZ ore 1 IMP 0159 7 E May 20.2005 Bonded Thru N9tati' Pb'10. U -s �C ( IV6 %dd7y Zip ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning ti Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/26/2004 Applicant: FRANK Owner: HENRY JOB ADDRESS: 960 NE 95 Contractor SHINE MAINTENANCE ELECTRICAL Local Phone: 305 - 269 -1151 Parcel # 1132050070130 Fees: FEE2004 -8636 FEE2004 -8637 FEE2004 -8638 FEE2004 -8639 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $150.00 $0.60 $0.20 $3.75 $154.55 Total Fees: $154.5e-� 5 o _ Total Receipts: 0.00 .-SS Permit Status: APPROVED Permit Expiration: 2/13/2005 Construction Value: $900.00 Work: ELECTRICAL FOR POOL Signed: (INSPECTOR) Electrical Permit Permit Number: EL2004 -236 HENRY FRANK ST Contractor's Address: 7323 NW 8 ST Page 1 of 1 Legal Description: 5 -6 53 42 .454 AC PL OF GOVT LOT 4 PB 5 -90 E120FT OF N220FT LESS E3OFT 0 -i'''' In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/9/2004 Applicant: GILBERT MARTIN Owner: MARTIN GILBERT JOB ADDRESS: 1177 NE 104 ST Parcel # 1122320310030 Signed: (INSPECTOR) Electrical Permit Permit Number: EL2004 -35 Contractor LIGHTING ELECTRIC OF MIAMI INC Contractor's Address: 20311 SW 83 AVE Local Phone: 305 - 252 -3476 Permit Status: APPROVED Permit Expiration: 8/9/2004 Construction Value: $1,000.00 Work: ELECTRICAL FOR SWIMMING POOL AND SPA Page 1 of 1 Legal Description: 32 52 42 BISCAYNE RIVER HGTS PB 43 -73 LOT 3 BLK 1 LOT SIZE Fees: Description Amount FEE2004 -2475 Building Fee $150.00 FEE2004 -2476 CCF $0.60 FEE2004 -2477 Training and Education Fee $0.20 FEE2004 -2478 Technology Fee $3.75 Total Fees: $154.55 Total Fees: _$M 5 Total Receipts: $6.00 J a4s C In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BUILDING PERMIT APPLICATIO FBC 2001 Permit Type (circle): Building Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Qualifier ..TO fI J fCIOD(/ State Certificate or Registration No. C. pool q Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ['Addition Describe Work: Q+4 Ot_ Submittal Fee $ Notary $ Scanning $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department EAlteration Training/Education Fee $ Radon $ Owner's Name (Fee Simple Titleholder) RA/1)Z Phone # 1S4 - 7 s p �1 n Owner's Address !� /v e "1 .s- � � T f City / I APIA J ` /�� State 1'l. Zip '3$ Tenant/Lessee Name Phone # NO Contractor's Company Naamee� QO e 0G Nt /Q Contractor's Address 6 "I & 0 r l� S City State F(, SAME County Miami -Dade Zip Nya ❑New 24epair!Replace Prn ,evICE OW_A -nc. 9c / . /k) `T /o e 70 ,rie.. * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ r Coo Certificate of Competency No. Zoning Structural Plan Review. $ res, Florida 33138 5) 756.8972 Master Permit No. Plumbing Mechanical Phone # Zip 33 1 Phone # Square Footage Of Work: Permit No. t(at 316 CCF $ coicc Technology Fee $ 30S -ASS - me) Bond $ Roofing ❑ Demolition Bonding Company's Name (if applicable) 10/ 4- Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) N //'" 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 not be approved and a reinspection fee will be charged. Signature The foreg day o who r who has produced As identification and who did take an oath. NOTARY •U:`1 Sign: Print: 411M 4 f Expires Nov 19 2005 t1 r o� 's �� Bonie�dDIM My Commission Expires: �� Vil a`" Atlantic Baxling Co., Inc APPLICATION APPROVED BY: Chc 05/13/03 Contractor e me this The foregoing instrument was acknowledged before me this hr , day of !v(W ,20 by �/rG Sherrie Hurd C we who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBL Sign: Print: My Commiss ComrTJenier ? DD 1041373 3cncied rity hstiorai Notary Assn. noneirteINGLIFIPEIM * ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** tsi�arI t� ( Plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS Sea / DUCT WORK FLOOR DRAIN SERVICE REPAIR/MIFTER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE (ROUND 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 COW. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP 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 I '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 FIXTLRES SEPTIC TANK ANTENNA _ RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/8/2004 Applicant: FRANK Owner: HENRY JOB ADDRESS: 960 Contractor MOODY ELECTRIC INC Local Phone: (305)758 -2000 Parcel # 1132050070130 NE 95 Signed: (INSPECTOR) Signed: (Contractor or Builder) Electrical Permit Permit Number: EL2004 -316 HENRY FRANK ST Contractor's Address: 669 NW 90 ST Permit Status: APPROVED Permit Expiration: 5/4/2005 Construction Value: $2,400.00 Work: 320 AMP SERVICE UPGRADE NEW MASTER MAIN AND SUB PANEL Page 1 of 1 Legal Description: 5-6 53 42 .454 AC PL OF GOVT LOT 4 PB 5 -90 E120FT OF N220FT LESS E3OFT Fees: FEE2004 -11024 FEE2004 -11025 FEE2004 -11026 FEE2004 -11027 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $150.00 $1.80 $0.60 $3.75 $156.15 Total Fees: $156.15 Total Receipts: $156.15 cCol 4111 0 9 P A In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. �1 SECTION BY DATE Zoning Electrical / .6 Mechanical Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) O CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ REVIEWED AND PREPARED B ••• • • • • ••• • ••• • • ••• • • •• ❑ IMPACT FEE (New Construction) • •• • • • • • • • • • • • • • ••• • • • ••• • • •.• • ❑ PROOF OF OWNERSHIP (Attacbl. •. . . .. • . . •. . • • . . ❑ HIg DEI •APPRQVVL; (Septic / Iv Sewer • • ❑ OTHER (Specify & Attach) (X .ft. = x/1000 Inspector State Educational Fund $ (¢.005 /sq.ft.) State DCA (Radon) $ (¢.01 /sq.ft.) Code Enforcement Fine $ Zoning Review $ Notary PERMIT APPLICATION CI- IECKLIST ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ DATE: /,,pia a� CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ELECTRICAL TYPE Minimum Fee QTY. TY'PE Dryer •.• • i Q'•'1'. • "T'`.'I'E Outtet!AQpMnce QTY. 'Fyn. Service Repair (,YI1. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits f Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE QTY. Minimum Fee TYPE Condensate Drain QTY. TYPP. Generator Q'l'Y. 'i'1'I'i: QYI' Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit Q'I N. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 • .•• • • • • .•• • .•• • • • • • • • ..• • • • • • • • . ••• PERMIT APPLICATION • . •• • ••. • • • • • • • • • • • • •• . INSTRUCTIONS: Please indicate the type of vriz k bed pirformecl' and •quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 2 Signature o Print Name S orn t nd subscribed before me this Signature o SEAL: Personally known t4ARY PAT BRIGGS - h!y ffiryCarrrd:talon Eris May 1 , 20 Public - State of _��", Commission 8 Do 104873 � N+8f,M w Bonded By National Notary Assn. • .• • • .• • • ••• • ••• • • •• OS tC/ da of 20.44_,I eo I.entil cation Type of Identification Produced: •• • ••• • • • • • • • • • • ••• • ••• • • .• • • • • PERMIT APPLICATION IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIAD YOUR'VALtDATED ITERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekenQor ho lIidays. 2. All construction of demolition areas MUST BE MAINTAIIYBD IN A CLUN ArID•SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL• BE KERFIZTy R:Or /my ANDDEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMACEDGECY )rQdIPIVjLN - P OR \ EHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORID COUNTY OF MIAMI -DADE OF FLORID OUNTY OF AMI -DADE Signature of Contractor / Qualifier / 6 / 1 0 ( ) 1 • //l oop Print Name SwAjpld subscribed before me this 026 day of A ta Stat Yi Notary Public - State of Florida •114 Ccinrntalcin Expires May 11, 2008 Commission S 00 104873 Bonded By National Notary Assn. Signature of SEAL: Personally known Type of Identification Produced: OR, Produced Identification CONTRACTOR Name L�i� �, ,� k /��J /Y Name j 0 6 v gL� . Address License No. EC 000/i `i 9 9 Home Telephone Address 069 AA/� 9 ®37 305" 7„5 - Ze °6 3 7- .3.3.1? Telephone Fax Fax Qualifier Name J ®g n a- p... 0q Demolish PROPERTY OWNER Name L�i� �, ,� k /��J /Y / /7g / Address Home Telephone Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. • PERMIT APPLICATION ..• • ••�Ias No. L b g� ', • •• Zubsi No. • • ••• ••• • •• ••• Complete the attached permit application whichimust b property cover and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing orf your If roofing work will be done, a roofing application must be submit- ted along with this permit application. • • • • • • • ••• • • Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLICATION Job Address: ! 6 /,/E 95 Address Apt. m,'m'n? ShC/265 City F/. State 33/38 Zip Folio Number Description of Work 67...C.7 Rt1579f31AZ Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property �'- i) T) /'1 L Square Feet Units Floors Proposed Use of Property Value of Wor Tenant Information Tax Assessed/A¢ praised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address spt Telephone Fax Bldg Value ENGINEER License No. Name Address Telephone Fax DATE TO THE ORDER OF ACCTS. PAYABLE DISC- OTHER CHECK NUMBER i t 2 09) i i \l f1WVl/I 1 i, f)VIMA .. � UYL�1�' 1 1 /Io ID Miami Shores Village 10050 NE 2nd Avenue Phone: 305 -795 -2204 Printed: 3/31/2003 Applicant: COURTNEY Owner: CUNNINGHAM V) JOB ADDRESS: 960 Contractor MOODY ELECTRIC INC Local Phone: (305)758 - 2000 Parcel # 1132050070130 If there is no permi --------- - - - - -- fee is $50.00, which n This Permit is granted to t ordinances pertaining thereto and approved by the proper authorization. A further conc ordinances and regulations F by his agents, servants or en Signed: ='S` In consideration of the issu with p a ... 'ngs, sta• myself, my agent, se ' : i is c r Signed: _ PAY AMOUNT NE 95 MOODY ELECTRIC, INC. 669 N.W. 90TH STREET MIAMI, FL 33150 (305) 891 -1374 0 Electrical Permit Permit Number: EL2003 -87 TOTAL QANK MIAMI, FLORIDA CUNNINGHAM COURTNEY ST Contractor's Address: 669 NW 90 ST Legal Description: 5 -6 53 42 .454 AC PL OF GOVT LOT 4 PB 5 -90 E120FT OF N220FT LESS E3OFT �C 6 0 o o C. (, l . Total Fees: Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 9/30/2003 Construction Value: $1,100.00 Work: ELECTRICAL REPAIR H$• •00U .N •O n 1 r r..• EXPLANATION AMOUNT ANZ i1:1:111111171■1 r Page 1 of 1 .r a smmaraggis !mmiumucumum.1 p:atr 1 t 1 31- (17911'nF, DOLLARS 63- 915/660 16310 CHECK AMOUNT GI ?O1 BUILDING ELECTRICAL PLUMBING Architect Owner of Building Contractor - or 7T Legal Lot .' Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 1394 Work to be performed under this Permit Bl. Subdi- vision - r DATE Contractor's License No Value of Il Amt. of Project II Permit Signed' - By INSPECTOR 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 done by his agents, servants or employees. �, z In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance 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 j assume responsibility for all work done by either myself, my agent, servant or employee. _.„, 26 , /4 ' .%: l 4 .■ • 4 :::Z, a. tut CONTRACTOR OR BUILDER $ AUTHORI Permit No 7e /e Registered Architect and /or En // 3�O. ' O ti Location and Legal eecription Lot Street and Number where work is to be performed —No Overh Z Service Site Feeders n erground Type of Installation -- Conduit " STATE OF FLORIDA, COUNTY OF DADE. j se ' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date ... Q S. k Application is hereby made for the approval of the detailed statement of the plane and specifications herewith su Q mitred for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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 4►t%' `Q No Street f I Cr State work to be performed and purpose of building (By Floors) No 61 �O (ellaa.) Block New Building Remodeling Addition Repairs N4 No. of Stories Z. Conduit Main Sw " Amps Main Fuses Amps Tubing ......................B.X.L .Metal Moulding Amount of Permit $ )A 1 .... ............................... (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contractore employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub•contllcto�s, on work tck perf rm under this permit, as are licensed by Miami Shores Village. Street c aster ilectrician. 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of 81.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH 0 LIONT O PLUG RECE' •'T'S FIXTURES NO LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER NEATER W. MEAT. CONN. SPACE NEATER STRIP NEATEN TOTAL CONTR. LIST `7 (, Z � 2 c 1 Ti i CHICK /� -<% ilf �� / yy� � ' t'�" .�y/ ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS I•S HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK 9 I Permit No 7e /e Registered Architect and /or En // 3�O. ' O ti Location and Legal eecription Lot Street and Number where work is to be performed —No Overh Z Service Site Feeders n erground Type of Installation -- Conduit " STATE OF FLORIDA, COUNTY OF DADE. j se ' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date ... Q S. k Application is hereby made for the approval of the detailed statement of the plane and specifications herewith su Q mitred for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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 4►t%' `Q No Street f I Cr State work to be performed and purpose of building (By Floors) No 61 �O (ellaa.) Block New Building Remodeling Addition Repairs N4 No. of Stories Z. Conduit Main Sw " Amps Main Fuses Amps Tubing ......................B.X.L .Metal Moulding Amount of Permit $ )A 1 .... ............................... (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contractore employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub•contllcto�s, on work tck perf rm under this permit, as are licensed by Miami Shores Village. Street c aster ilectrician. 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of 81.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT l j7Q Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith/submi d for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv:ida, 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. Permit No.. igeY...1 Owner's Name and Address Registered Architect and /or En v.i.... .. 6 �.Y�t. No 1 inter Employing Electriciahs Name � .... c: .C.G.. 1 !Z. i..N '- -os "7 � D ? 1 / Location and Legal Description Lot. .0 if Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) V New Building Remodeling Addition. Repairs v No. of Stories Service Overhead Site Feeders Conduit Main Sw Underground Type of Installation -- Conduit Tubing.. ... B.X.L .Metal Moulding Amount of Permit 8 / (Signed) , /1 ' STATE OF FLORIDA, COUNTY OF DADE. f ~' Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understand ' and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspect' on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub•cont tors o work to be performed under this permit, as are licensed by Miami Shores Village. Amps /43 Street. i Street q4 , C1.... /. d Subdivision. Main Fuses Amps 64d(Signed) / Irlit""64" Master Electrician. Before me, the undersigned authority, a notary public, duly authorised 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re.inspection fee of 81.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OU LIGHT OUTLETS PLUG RECE•P•T'S FIXTURES NO LAMP'S REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP M TOTAL CONTR. LIFT CHECK ENT. SW. DIST. CAO. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.0 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT l j7Q Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith/submi d for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv:ida, 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. Permit No.. igeY...1 Owner's Name and Address Registered Architect and /or En v.i.... .. 6 �.Y�t. No 1 inter Employing Electriciahs Name � .... c: .C.G.. 1 !Z. i..N '- -os "7 � D ? 1 / Location and Legal Description Lot. .0 if Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) V New Building Remodeling Addition. Repairs v No. of Stories Service Overhead Site Feeders Conduit Main Sw Underground Type of Installation -- Conduit Tubing.. ... B.X.L .Metal Moulding Amount of Permit 8 / (Signed) , /1 ' STATE OF FLORIDA, COUNTY OF DADE. f ~' Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understand ' and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspect' on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub•cont tors o work to be performed under this permit, as are licensed by Miami Shores Village. Amps /43 Street. i Street q4 , C1.... /. d Subdivision. Main Fuses Amps 64d(Signed) / Irlit""64" Master Electrician. Before me, the undersigned authority, a notary public, duly authorised 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re.inspection fee of 81.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. "HOLD HARMLESS" LETTER Gentlemen: Re: Property located at (address and legal description) f ' 2 C 9-5 S Lod' 4£2cle N01.2,aLt3D' g30 . As legal owner of subject propeety, I Aequestpe �ncellation of permit numbers 7� g issued to o ,�l on ,for the f llowing reason: t')5 _ e -ov no MIAMI SHORES VILLAGE .BUILDING AND ZONING DEPARTMENT DATE: % / /.5/re f I hereby apply as owner - builder, or authorize f g r-fl to apply for such permits as are necessary to construct or complete the construction on subject property. I agree to hold Miami Shores village harmless and relieve it from any responsibility or liability for any legal action or damage resulting from the cancellation of the existing permit or the issuance of a new permit. I hereby release the Village of Miami Shores from any responsibility for the corrections, if required, of work performed "under the permit for which I am requesting cancellation. Very truly yours, :17 DI V P E NS 7:444e., A. S�e,(�er (Print) STATE OF FLORIDA) COUNTY OF DADE ) SS: Q The undersigned being first duly sworn, deposes and says that e is the legal owner5of the above property. Sworn to and subscribed before me this /y day of — - i Notary Public, State of Florida at Large L j j Sri o F f -f op-la &) SS tounFy of puafG) c se 5"5 t.�, s4 is - The UrderS,ineo() �� ' �� ''r�s c r Q,u y Swo�N po 5 4� L o w vi Pr op f-h e b°O Pe S wo Iv r y a „di SG,bsc,►Q-lb eJk coeE -upt°� ws.t 11.i5 I cLi `g ••e�.a E;:n:izd 0 V f2n .ing?.c "& j_ . Notur•1 ?Likol►c. Sf n4L os RA Ca f` 1,0 -ems Notary Public, State of Florida My Comm;sston Expires July 274 i s +" <„ t D Pere NO. STREET PART OF LOT LOT BL'K TOWN, ADDITION, OR SUBDIVISION q6 Billboards Other Apparatus Permit Fee Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee C' i / 0 G 0 % r U ' ELECTRICAL PERMIT Town of Miami Shores N. B. —This Permit must be on . display on the premises during the construction. OFFICE OF ELECTRICAL DEPARTMENT Owner of Building.. W • � �''� Miami Shores, Florida, c:��.,, 14 Contractor or Electrician.. J ( Ct <_ ►t et 4; / f � = rte! i : PROPOSED LOCATION DESCRIPTION OF WORK NUMBER OF 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 the Town of Miami Shores and the rules and regulations of the Electrical Department of the Town of Miami Shores. 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 unau- thorized by this Department. _ j 3 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 b me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of the Town of Miami Shores, and all rules and regulations of the Electrical Department,,of the Town of Miami Shores. – f f . Dated , 192 }` y _ J _y -- I'- • - : .s� . . Seal ) E, TRANOE PRINTING CO.. MIAMI, FLA. ' , IN° 110 , Electrical Inspector. es /7037 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT IIT Permit No Date 1 ` / 1 S 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, Fiurida, 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. Q� Owner's Name and Address ... t No �O e Ale Street 9T S Registered Architect and /or Engineer Employing Electrician's Name C 1 /N e /Pc, ?'C. No 7 -CA Street 9/ S'7 Location and Legal Description Lot �/ Block Subdivision Street and Number where work is to be performed —No 9‘ BI/ E' 9s" SST„ Street State work to be performed and purpose of building (By Floors) '''"' New Building Remodeling ir Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground p P Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub' contractors, on work to be performed under this permit, as are licensed by Miami Shores Vige. STATE OF FLORIDA, 1 COUNTY OF DADE. I es. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally �e I' 2 /4e,eO(V6? -"/ appeared (Signed) .: ` ✓r��le.e./I Master Electrician. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the /7&< of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTARY PUBLIC STATE. OF FLORIDA AT LARGE MY COMMISSION EY..P1VS OCT. 10, 1977 er fcpe rLMl�ED..W jJ: ENNZAI iNEURANCE UND My Commission Expires Nbta/ Public, Stag 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. P .2.2 G��✓ — /. is -2). c/o — /. 6.m - = 6.0 SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER DiSN BJASNFdZ TOTAL CONTR. LIST IET CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. h' °? LAN / /6A46" U �6poteJ / MOTORS 0.1 HP MOTORS I•S HP NEON TRANS. RADIO TOTAL CONTR. LIST / CHECK es /7037 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT IIT Permit No Date 1 ` / 1 S 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, Fiurida, 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. Q� Owner's Name and Address ... t No �O e Ale Street 9T S Registered Architect and /or Engineer Employing Electrician's Name C 1 /N e /Pc, ?'C. No 7 -CA Street 9/ S'7 Location and Legal Description Lot �/ Block Subdivision Street and Number where work is to be performed —No 9‘ BI/ E' 9s" SST„ Street State work to be performed and purpose of building (By Floors) '''"' New Building Remodeling ir Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground p P Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub' contractors, on work to be performed under this permit, as are licensed by Miami Shores Vige. STATE OF FLORIDA, 1 COUNTY OF DADE. I es. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally �e I' 2 /4e,eO(V6? -"/ appeared (Signed) .: ` ✓r��le.e./I Master Electrician. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the /7&< of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTARY PUBLIC STATE. OF FLORIDA AT LARGE MY COMMISSION EY..P1VS OCT. 10, 1977 er fcpe rLMl�ED..W jJ: ENNZAI iNEURANCE UND My Commission Expires Nbta/ Public, Stag 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. P .2.2 G��✓ — /. is -2). c/o — /. 6.m - = 6.0 Permit NoD L_l r —_ Amount of Permit $ STATE OF FLORIDA, ss COUNTY OF DADE.. My Commission Expires 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. - 4 �hQ 1-vie* Owner's Name and Address 1 �� ' _ 4 -- No !�_ Street_ - - lL_!!! -- � Registered Architect and /or Engineer Cr Employing Electrician's Name No Street____'__'/_`____ Location and Legal Description Lot ____.__________________ 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 No. of Stories Block Service Overhead Size Feeders_____ Conduit. Underground Type of Installation —Conduit Tubing _ B.X.L Metal Moulding Main Sw. — _ Amps. (Signed) 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 licensed by Miami Shores Village. sub - contractors, on work to be performed under this permit, as are f (Signed) ad__ - ster Electrican. Street Date Subdivision_ __ti ____ Notary Public. State of Florida Main 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 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 - aerials 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 CO LIST / ` i / = --7- 3 ?j CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit NoD L_l r —_ Amount of Permit $ STATE OF FLORIDA, ss COUNTY OF DADE.. My Commission Expires 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. - 4 �hQ 1-vie* Owner's Name and Address 1 �� ' _ 4 -- No !�_ Street_ - - lL_!!! -- � Registered Architect and /or Engineer Cr Employing Electrician's Name No Street____'__'/_`____ Location and Legal Description Lot ____.__________________ 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 No. of Stories Block Service Overhead Size Feeders_____ Conduit. Underground Type of Installation —Conduit Tubing _ B.X.L Metal Moulding Main Sw. — _ Amps. (Signed) 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 licensed by Miami Shores Village. sub - contractors, on work to be performed under this permit, as are f (Signed) ad__ - ster Electrican. Street Date Subdivision_ __ti ____ Notary Public. State of Florida Main 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 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 - aerials and /or workmanship. IC . Permit No. _!__ ____ Owner's Name and Address STATE OF FLORIDA, COUNTY OF DADE. �� MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Location and Legal Description Lot ________________________Block — _____________ Subdivision__ 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. Repairs (Signed) __ My Commission Expires Notary Public, State of Florida 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. !__� ___________ Stceet!_� Registered Architect and /or Engineer — ____ —__ —____— Employing Electrician's Name ,�I P__ W — No.---- - - --_ —_ Street___ 5.2_� - - - -• No. of Stories____________ Service Underground Size Feeders Conduit ______ Main Sw.__1�_____ Amps. _ ________ Main Fuses___ _____________Amps. Type of Installation— Conduit Tubing B.X.L Metal Moulding _—__—___ __— ____—__—__— ___________ —__—__ Amount of Permit S___ ____ _____________ - -� Signed ----------------------------------- 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. 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST • 3. � - 4; CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -D HP NEON TRANS. RADIO ToTA�� CONTR. LIST J/�� CHECK I • IC . Permit No. _!__ ____ Owner's Name and Address STATE OF FLORIDA, COUNTY OF DADE. �� MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Location and Legal Description Lot ________________________Block — _____________ Subdivision__ 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. Repairs (Signed) __ My Commission Expires Notary Public, State of Florida 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. !__� ___________ Stceet!_� Registered Architect and /or Engineer — ____ —__ —____— Employing Electrician's Name ,�I P__ W — No.---- - - --_ —_ Street___ 5.2_� - - - -• No. of Stories____________ Service Underground Size Feeders Conduit ______ Main Sw.__1�_____ Amps. _ ________ Main Fuses___ _____________Amps. Type of Installation— Conduit Tubing B.X.L Metal Moulding _—__—___ __— ____—__—__— ___________ —__—__ Amount of Permit S___ ____ _____________ - -� Signed ----------------------------------- 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. 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. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 7563 Work to be performed under this Permit Bl. DATE 194_ C /tractor's Lieense No Subdi- vision Value of Project Amt. of Permit in s This pe it is granted to the contractor .r builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility 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 h- ssumes respon- sibility for work done by his agents, servants or employees. Signed. j L✓ , 4 By / INSPECTOR In consideration of the issuance to me of this permit I agree to perform the w�k covered hereunder in compliance with..ai ordinan s ancf5railations pertaining thereto and in strict conformity with the plans, drawings, statements op pecifications submitted to the proper authorities of ami Shores Village. In accepting thi. ermit I assum ^responsibility for a work done by either myself, my agent,, servant or employee. NTRACTOR OR BUILDER , J BY AUTHORITY MIAMI 'SHORES VILLAGE, FLORIDA BUILDING DATE i�= 4 2' ELECTRICAL PERMIT N° 7598 Contractor's PLUMBING License No. Work to be performed under this Permit D 41/ . Owner of Building Architect Contractor or Builder Legal Description Address of Building (;) Ct-6/...; Lot Bl. This p it is grante to e contractor or builder na . above to construct the building or to install the equipment or device described in the appli.� cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed 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 respon- sibility for work done by his agents, servants or employees. rn In consideration of the issuance to me of this permit I agree to perform tlfe work covered hereunder in compliance with,a}l or ances an��g}�15�ionri 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. CONTRACTOR OR BUILDER Subdi- vision Value of Project Signed. t.411- By 1 t- INSPECTOR Amt. Permit 96' AUTHORITY State work to be performed and purpose of building (By Floors) Servi Type o Amount of Permit $ 66. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT New Building Remodeling Additiun Repairs (Signed)... Da /(/ Permit No 7..,r0 Application is hereby made for the approval of the detailed statement of the plans and specifications hewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flu:Ida, 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. �j, �� , �IL.`��:��. -. Owner's Name and Address..) .lK....74%e ...... /`-G�G•G�G�f=e No / �'f ` ' 0 Street Registered Architect and /or Engineer Employing Electricia6's Name.... � .(,p.Z, /� ..... e4.4CriCl +'K`t.e.•.. .540 Street... /1F..(�t 1. R4/ 96: Location and Legal Description Lot Block JJ .. Subdivision Street and Number where work is to be performed —No / .0 ...... lL . . . 9 Street No. of Stories Size Feeders Conduit Main Sw Amps Main Fuses . Amps —Conduit Tubing B.X.L Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OP DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANG! OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. .1 r/2 6�f C i g G MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. TY.`�' / y CHECK State work to be performed and purpose of building (By Floors) Servi Type o Amount of Permit $ 66. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT New Building Remodeling Additiun Repairs (Signed)... Da /(/ Permit No 7..,r0 Application is hereby made for the approval of the detailed statement of the plans and specifications hewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flu:Ida, 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. �j, �� , �IL.`��:��. -. Owner's Name and Address..) .lK....74%e ...... /`-G�G•G�G�f=e No / �'f ` ' 0 Street Registered Architect and /or Engineer Employing Electricia6's Name.... � .(,p.Z, /� ..... e4.4CriCl +'K`t.e.•.. .540 Street... /1F..(�t 1. R4/ 96: Location and Legal Description Lot Block JJ .. Subdivision Street and Number where work is to be performed —No / .0 ...... lL . . . 9 Street No. of Stories Size Feeders Conduit Main Sw Amps Main Fuses . Amps —Conduit Tubing B.X.L Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OP DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No 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_________— ______________ Street and Number where work is to be performed —No.__ New Building__ Service Overhead Size Feeders Underground Amount of Permit $_ z STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned s s. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT PPLICATION FOR ELECTRICAL PERMIT L / • 0 authority, a notary • Block Remodeling The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. State work to be performed and purpose of building (By Floors) Addition Repairs (Signed) Date No. 7‘ ,° • 5ti+ appeared . g o Street___I / 0"/, Street ?� Subdivision_ Street No. of Stories Conduit Main Sw. Amps. Main Fuses Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding Notary Public, State of Florida Electrical Inspector. rtify that he understands and accepts his obligations as an employer of or Compiled General Laws of Florida Permanent Supplemen . as com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) ,.at.- 4 `1,9 --*, • Master Electrican. public, duly authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, 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 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_________— ______________ Street and Number where work is to be performed —No.__ New Building__ Service Overhead Size Feeders Underground Amount of Permit $_ z STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned s s. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT PPLICATION FOR ELECTRICAL PERMIT L / • 0 authority, a notary • Block Remodeling The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. State work to be performed and purpose of building (By Floors) Addition Repairs (Signed) Date No. 7‘ ,° • 5ti+ appeared . g o Street___I / 0"/, Street ?� Subdivision_ Street No. of Stories Conduit Main Sw. Amps. Main Fuses Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding Notary Public, State of Florida Electrical Inspector. rtify that he understands and accepts his obligations as an employer of or Compiled General Laws of Florida Permanent Supplemen . as com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) ,.at.- 4 `1,9 --*, • Master Electrican. public, duly authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, 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 i ELECTRICAL INSPECTION DEPARTMENT PPLICATION 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 Registered Architect and /or Engineer s� F�'L� Employing Electrician's Name (,,d 7 rde•s. MIAMI SHORES VILLAGE No Y l� d -2/ i1 Street rI � No._n1_ 2 ' Y. 41r Street____` Date Location and Legal Description Lot__ 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 STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires Block (Signed) Notary Public. State of Florida -40-7! /2 - Lo Subdivision __ --_ ________ _______ ______ _____ Street- — °_ -- -- — No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Main Fuses - - - - - -- --� ....c - -- — -- — ^� Amount of Permit $ /'` V- (Signed) __ = — _ ° _i __� �' <Z_,"4-% - Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of l)or under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplemen�tyi►Icom- 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. Amps. 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. CA8. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK 7 Permit No i ELECTRICAL INSPECTION DEPARTMENT PPLICATION 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 Registered Architect and /or Engineer s� F�'L� Employing Electrician's Name (,,d 7 rde•s. MIAMI SHORES VILLAGE No Y l� d -2/ i1 Street rI � No._n1_ 2 ' Y. 41r Street____` Date Location and Legal Description Lot__ 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 STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires Block (Signed) Notary Public. State of Florida -40-7! /2 - Lo Subdivision __ --_ ________ _______ ______ _____ Street- — °_ -- -- — No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Main Fuses - - - - - -- --� ....c - -- — -- — ^� Amount of Permit $ /'` V- (Signed) __ = — _ ° _i __� �' <Z_,"4-% - Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of l)or under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplemen�tyi►Icom- 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. Amps. 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.