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989 NE 95 St (4)3551 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 { Building Inspection Request Date8JI /o5 Type Insp'n U r) d e r c3 it (Mt >r�d Permit No. e-L-O5 2-7 3 Name Pth I i I P SC h r i d c p Address 9s9 - NE c=rs r Company JQ k ' S _ lc c+r i C Phone # ( l 6 - (7Z 3- Inspection Date L' ) 17 / kpl5 Approved 171 1� s Correction ❑ Re- Insp'n Fee ❑ 417 ® t1' MIAMI SHORES VILLAGE BUILDING DEPARTMENT < 305- 795 -2204 Building Inspection Request Date 05 Type Insp'n Ut � e 13 Permit No. €_L�J3 — Z Name Ph Il11 P SChrrcidc Address 9 ,Sq - N E r Company kl k ' I C C +r 1 C Phone # ( 5-r- -)) 7c) b- G2.37 ) I c Inspection Date Approved Correction Re- Insp'n Fee 1.'fr —d air Owner's Address C) 9 City Shay' 2. s Tenant/Lessee Name $ Value of Work For this Permit Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) o- c? 9 A JACOB COHEN, PRESIDENT (305) 532-5070 B (305) 465 -7000 FAX (305) 538 -7697 JAKE'S ELECT 0 ON C. o (o:/eGt e ca/ RESIDENTIAL • COMMERCIAL ° INDUSTRIAL ( We o ff Jo Lt e ? I t ¶IZe gitst Jims 4410 Adams Ave. License / Insured Miami Beach, Fla. 33140 CC #94E000475 Permit Type (circle): Building Elect ical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) State `r L Job Address (where the work is being done) on • City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name � � 'S ELECTRIC, Ii\1C. Phone # 505 - 53a 5010 Contractor's Address Pb A 64 g City V , t att. Pt`' State -F Qualifier 'ACO 4 Cu C State Certificate or Registration No. CC Li V500 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # o n,o 0 .00 Type of Work: EAddition EAlteration ❑New 1 F / Repair/Replace ❑ Demolition Describe Work: Re,pta OJZd u\t[skc SGrvi 0 onoti lrour i S'ervf - f W * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ /-6 ra 0 CCF $ 1 • 430 CO /CC Notary $ 5-0 Training/Education Fee $ Technology Fee $ 3. 7 S Scanning $ 3- 0 0 Radon $ Zoning Bond $ Structural Plan Review. $ hores Village g Department enue, Miami Shores, Florida 33138 5.2204 Fax: (305) 756.8972 ■ Permit No. Master Permit No. J O5 - Z Phone # Zip S5 g � v Phone # Zip 331 Zip Square Footage Of Work: Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) 1 4 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 COM MENCEMENT." 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 a • a reinspection fee will be charged. Si Owner or Agent The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20,by Signature day of ,20,by Contractor who is personally no n to me or who has produced who is personally k yn to me or who has produced * * * * * * ** * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY chc 05/13/03 As identification and who did take an oath. entification and who did take an oath. NOTAR P iBLI 1,,,;1 ,I e" TARY PUBLII� O �r �J ,�,,,Yeu `,, ;ior, )23 , i Sign: o. c- . 2 Sign: P � ed ? e ` <` Print: and n Print: I.XI` " My Com fission Expires: My Com i ission Expires' Off, t + •. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * ** * * * * * * * * * * * * * * * * * ** c."5 Plans Examiner Engineer Zoning ADDENDUM TO BUILDING PERMIT APPLICATION (AN iePLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET L I G1-iT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE / REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TC' UNDERGROUND TANKS LAVATORY OVEN ABOVE (MOUND 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. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMELIES 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 If 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 COMAERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUMP 8 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 ADDENDUM TO BUILDING PERMIT APPLICATION (AN iePLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL The Sunshine State LICERSENUMSER C JACOB COHEN 4410 ADAMS AVE MAW RACH R. 381404000 MTh ORTE Sat HOT REST ENDORSE 10-24-60 M 647 MEMO ERPERES StrucKTE 08.02.99 104W= 004040 SAFE 1:11 COSTMEOR ca Val**, �_j_ es consent to saw sabdaty fast requin .._ 141.bAle4 rne Stir6hihe State HILIP GORDON SONEIDER. 4501 PRAIRIE AVE B2 IAMI BCH, FL 33140-0000 .i,rn wr con. SEr Kr1G.n7 keS7P,C,INs teanturEvIS 01 14 - 6-00 `,3 ..:" ,t , is suti5 1240-91 ;Er',45.3641567.—,51-026-0,...z..s 01—B6-9,6 E. '. .. ?,. v,:• ., \ ., : . 1,- i l 2 -7*;-'`. - -..-- ,, , , -..-- : •:-. , ,: -7----km,•••••,---,,,,,,, PI) •‘,•,..,.,___,_,,,' „., . —...•_•,.,---•,,, .„-5.-. , - • ' - – , _ STATE OF FLORIDA AC #18 2 2 8 6 9 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION EC13002503 01/12/05 000000000 CERTIFIED ,ELECTRICAL CONTRACTOR COHEN, JACOB JAKE'S ELECTRIC INC IS CERTIFIED under the provisions of ch.489 FS. Expiration date: AUG 31, 2006 L05011200156 f� TRADE: ELECTRICAL SKILL: MASTER CATEGORY(S): ELECTRICAL Signature 3f Certificate H Sigag RstettRig TrADQ[r6{i t• — �.- _'*MRS^s uw -a., ,, .za+; .. c..: s.. m?*. m_ra+..- «r..w...q...+... + - -- ... -._ v. 1 C.ONTRACTCR •, .ELECTRICAL CATEGORY(S): '. ELECTRICAL ,. -�" -"°Co. +...� •- -rte,.. Signature of Qualifying HERMINIO Secretary Construction Trades Qualifying Board .. ∎••• �,. ,. - SIGNATURE I % 451 COUNTY BUILDING CODE COMPLIANCE OFFICE I '40 W. FLAGLER ST., SUITE 1602 MIAMI, FL 33130 f ''' (305) 375-2527 I • PERSONAL CERTIFICATE OF COMPETENCY EXPIRES CN 09/30/2005 COHEN JACOB: • SSO: 1 Certificate Not Valid For Contracting ' r• "property of Miami-Dade Buildinb Code Compliance Office' _ --- • MIAMI COUNTY BUILDING CODE COMPLIANCE OFFICE 1 4 • 140 W. FLAGLER ST., SUITE 1602 MIAMI, FL 33130 (305) 375-2527 1 ,7 BUSINESS CERTIFICATE OF COMPETENCY EXPIRES ON 09/30/2 "JAKE'S ELECTRIC INC 0 C.C. NO.: '94E000475 (14.A.: 'COHEN' JACOB 3.07,4 ouALIANAke Eillicglaus-ria'?RviaS,Rt,, AND CONTROL ALL WORK.. ..."PrOp011y Of Miami-Dade BuitclitN,Cace,..Compllanco Office" ' Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/5/2005 Applicant: PHILLIP Owner: SCHNEIDER JOB ADDRESS: 989 NE 95 Contractor JAKE'S ELECTRIC, INC Local Phone: Parcel # 1132060143140 Electrical Permit Permit Number: EL2005 -273 SCHNEIDER PHILLIP ST Contractor's Address: 4410 ADAMS AVE Permit Status: APPROVED Permit Expiration: 1/30/2006 Construction Value: $2,200.00 Work: REPLACE OVERHEAD SERVICE WITH UNDERGROUND SERVICE 200 AMP Page 1 of 1 NSS08NO Signed: (Contractor or Builder) BY: Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 26 & 27 BLK 76 LOT SIZE 100.000 X Fees: Description Amount FEE2005 -10715 Building Fee $150.00 FEE2005 -10716 CCF $1.80 FEE2005 -10717 Notary Fee $5.00 FEE2005 -10718 Technology Fee $3.00 FEE2005 -10719 Technology Fee $3.75 FEE2005 -10720 Scanning Fee $3.00 Total Fees: $166.55 Total Fees: $166.55 Total Receipts: $0.00 Gig X6130 Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the 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. ' - MIAMI SHORES VILLAGE BUILDING DEPARTMENT • 305- 795 -2204 Building Inspection Request Date I ( 1\1,U5 Type Insp'n �A Permit No. OW- 51-I Name 16 ) Address " \0 IUD `16 � 1 Compan �.' • � ealk Phone # I b ( c\ Q) Inspection Date Approved Correction Re- Insp'n Fee •a MD MI SHORES VILLAGE BUILIAIDG DEPARTMENT X 05- 795 -2204 _ Building Inspection Request Date \ 4 Type Insp'n 4'+ Permit I■lo a ( 0 - n1 Name 9\6Awtc Address 0 OS i rJt Company Phone # � ° (1 S (iLCK ( r ) Inspection Date d- 01 'Approved Correction Re- Insp'n Fee lG-1.„4" Final -989 NE 95th Street Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 12/02/2005 Inspector: Devaney, Michael Owner: None, None Job Address: 989 95 ST NE Project: <NONE> Contractor: JAKE'S ELECTRIC, INC Friday, December 2, 2005 Miami Shores Village, FL Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 inspection Number: INSP -518 Pe rntNu ber: EL2005 -273 Block: Phone Number Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Parcel Number 1132060143140 Lot: Page 1 of 2 Final -989 NE 95th Street Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 12/02/2005 Inspector: Devaney, Michael Owner: None, None Job Address: 989 95 ST Project: <NONE> Contractor: JAKE'S ELECTRIC, INC Building Department Comments Friday, December 2, 2005 Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 inspection Number: INSP -518 ermit Number:.EL.2005 -273 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number Parcel Number 1132060143140 Lot: Page 2 of 2 ,„ r - 6 0 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No / 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. /d� 47 $��rG , t� 1t' No Street Owner's Name and Address..... ® '� Registered Architect and /or Engineer... Employing Electrician's Name. 4' ' , x' 724 ') N S � � %�Gee'4 St�� Location and Legal Description Lot Block Subdivision c � Street and Number where work is to be performed —No J 11 Street //A 6 State work to be performed and purpose of building (By Floors)../..g - %. ' �/ tT,f 6 �� �E'C& �1 � /r U e r7 New Building Remodeling Addition Repairs No. of Stories STATE OF FLORIDA, 1 COUNTY OP DADE. I SS. MIAMI SHORES VILLAGE (Signed) Overhead Service I In >'ound Size Feeders �� Conduit.../.. � ..Main Sw A mps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding � � � \, Amount of Permit $ (Signed) F ...... Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST / / CHECK /� o D ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP N EON TRANS. RADIO TOTAL CONTR. LIST 1 U !1 CHECK in Q, IS' / SID ,„ r - 6 0 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No / 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. /d� 47 $��rG , t� 1t' No Street Owner's Name and Address..... ® '� Registered Architect and /or Engineer... Employing Electrician's Name. 4' ' , x' 724 ') N S � � %�Gee'4 St�� Location and Legal Description Lot Block Subdivision c � Street and Number where work is to be performed —No J 11 Street //A 6 State work to be performed and purpose of building (By Floors)../..g - %. ' �/ tT,f 6 �� �E'C& �1 � /r U e r7 New Building Remodeling Addition Repairs No. of Stories STATE OF FLORIDA, 1 COUNTY OP DADE. I SS. MIAMI SHORES VILLAGE (Signed) Overhead Service I In >'ound Size Feeders �� Conduit.../.. � ..Main Sw A mps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding � � � \, Amount of Permit $ (Signed) F ...... Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first 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. BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N? 14540 ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot II BI. Description Address of Building CONTRACTOR OR BUILDER Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such 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. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the 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. BY AUTHORITY Ii441.613446—, ELECTRICAL PERMIT A N° 889 PL444fEttft6- Owner of Building AMOUNT Dated_____ /w NAME ADDRESS Architect and/or _ ____ _________ NAME ADDRESS MIAMI SHORES VILLAGE' \ BUILDING INSPECTION DEPARTMENT 19 Contractor or Builder_ -.1...- , -r------- ' _ NAME t ADDRESS r / . " 4 i I - i • i Proposed Location .. — __.- , _ * -...4.- LOT BLOyfi SUB-DIVISION NO. STREET This permit is issued to the building above described, as per application. Plans and Specifications heretofore filed in this office. 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 in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building 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 the building inspector. LICENSE NO. LICENSE NO. RECD. PAYMENT ACCT. DEPT. INSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of 4:ie State of Florida, all the building ordinances id zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application afi'er approval has been obtained from the Planning Board. 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._ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. SS. 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 herewit sti.mitted for the bdilding or other structure herein described. This application is made in compliance and conformity with the Building Ordinance ' f 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 ___ ' /� �/ ' 4 Registered Architect and /or Engineer _ / —�� ����r 2 Employing Electrician's Name .2_:,..,.__-_ ___: � o c/7 %_ °� Location and Legal Description Lot ° 2 7 Block L 6 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 No (Signed) No Date Subdivision Street Street__ Street 3- _ Service Overhead Size Feeders Conduit Main Sw Amps. Main Fuses Amps. Underground Type of Installation— Conduit_____ Tubing _ B.X.L. .Metal Moulding _ (Signed) • - Hr h �> Ec lrtr cal Inspector. c tlf tat he understands undersigned applicant for this building permit does hereby y stands 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 wor such .ublic notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on w. ' o per tried and this . rmit, as are licensed by Miami Shores Village. !r/ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared - — - - to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida Master Electrican. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE 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._ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. SS. 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 herewit sti.mitted for the bdilding or other structure herein described. This application is made in compliance and conformity with the Building Ordinance ' f 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 ___ ' /� �/ ' 4 Registered Architect and /or Engineer _ / —�� ����r 2 Employing Electrician's Name .2_:,..,.__-_ ___: � o c/7 %_ °� Location and Legal Description Lot ° 2 7 Block L 6 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 No (Signed) No Date Subdivision Street Street__ Street 3- _ Service Overhead Size Feeders Conduit Main Sw Amps. Main Fuses Amps. Underground Type of Installation— Conduit_____ Tubing _ B.X.L. .Metal Moulding _ (Signed) • - Hr h �> Ec lrtr cal Inspector. c tlf tat he understands undersigned applicant for this building permit does hereby y stands 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 wor such .ublic notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on w. ' o per tried and this . rmit, as are licensed by Miami Shores Village. !r/ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared - — - - to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida Master 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. Service Overhead Size Feeders Conduit Underground Type of Installation— Conduit Tubing Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No._ r Date__ Application is hereby made for the approval of the detailed statement of the plans and specifications herewitmitted for the b 'ilding or other structure herein described. This application is made in compliance and conformity with the Building Ordinance f 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, wl ,rher herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wo3 Owner's Name and Address ___„ Registered Architect and /or Engineer Employing Electrician's Name �`,y�rr No Street Location and Legal Description Lot The undersigned applicant for this building permit does hereby c 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. 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 Sian (Signed) STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized appeared No 2e Street Subdivision__ Street Notary Public, State of Florida No. of Stories Main Sw. Amps. Main Fuses Amps. B.X.L. Metal Moulding Elirical Inspector. y tfiat he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the wor, such .ublic notice or notices as are sub - contractors, on w o e 'per ' med undr this . rmit, as are ea- Master Electrican. 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 ° .d J _.� i f f / /., CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Service Overhead Size Feeders Conduit Underground Type of Installation— Conduit Tubing Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No._ r Date__ Application is hereby made for the approval of the detailed statement of the plans and specifications herewitmitted for the b 'ilding or other structure herein described. This application is made in compliance and conformity with the Building Ordinance f 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, wl ,rher herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wo3 Owner's Name and Address ___„ Registered Architect and /or Engineer Employing Electrician's Name �`,y�rr No Street Location and Legal Description Lot The undersigned applicant for this building permit does hereby c 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. 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 Sian (Signed) STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized appeared No 2e Street Subdivision__ Street Notary Public, State of Florida No. of Stories Main Sw. Amps. Main Fuses Amps. B.X.L. Metal Moulding Elirical Inspector. y tfiat he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the wor, such .ublic notice or notices as are sub - contractors, on w o e 'per ' med undr this . rmit, as are ea- Master Electrican. 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 S / Registered Architect and /or Eng er.. Employing Electrician's Name MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRI?r AL PERMIT Date g. ' _ �. 1 V No " ) -01/24( Street..f 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 wi whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No Street 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 No. of Stories 3 oZ °% Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Underground Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, 1. COUNTY OF DADE. SS. (Signed) Z-2.) • le- �' ?re4.1 . Q 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-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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first 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 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. f RADIO TOTAL CONTR. LIST A /f1 U �.- CHECK e i t Permit No S / Registered Architect and /or Eng er.. Employing Electrician's Name MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRI?r AL PERMIT Date g. ' _ �. 1 V No " ) -01/24( Street..f 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 wi whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No Street 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 No. of Stories 3 oZ °% Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Underground Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, 1. COUNTY OF DADE. SS. (Signed) Z-2.) • le- �' ?re4.1 . Q 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-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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first 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.