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80 NE 94 St (20)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bidding Inspection Request Date Time Type Insp'n (TA 1 Permit No. E-1 . n et Name WO L Address 60 1\.\., q4 `t s4 Compan a E e Phone # 3 t i, - For Inspector: el 116 Name & D. Approved ❑ %��, Correction �iGLY "J Re- Insp'n Fee ❑ � r PA i7e 4-f 2 e0A - ®gy R 'c ,iy P p•T 1'!/& ') 7 / ?8d,G d 'S d' R L p � 79'�i(ir 1�/fiL�pl� Type Insp'n Permit No. Name Address Company Phone # 3 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 7- y`os (a-441/ ,oe,5- 7 v `e � a4Jg 74 C 01.0 f6 Time For Inspector: 7, Name & Approved LB' Correction ❑ Re- Insp'n Fee ❑ For Inspector: M7z7/44 d5 Approve Correction quest MIAMI SHORES VILLAGE BUILDING DEPART 305- 795 -2204 Building Inspection Date Time Type Insp'n Permit No. — Name Address Company Phone # L.50 ' (0 S 5 • l Re- Insp'n Fee ❑ 70. Name & Date V 1 510-y-1,43 v �"�' 0941,e1, t `t afaial)" 7Z m "y-1 /, e/ie ,/or 7% d1� Date 1 Legal Description Owner /Lessee/Tenet WORK DESCRIPTION: Square Ft. *00 'PERMIT APPI2eN'TION 4 R' ►1IAMI SHORES VILLAGE • • 10050 N.E. 2nd Avenue •Miami $h ores,:Fforidt 33138 • Phone: 305- 795 -2204 • Fax: 305- 756 -8972 • • ••• • • • • ••• Job Address SO IJ 9'4 S4- • • • ••• •• • • • • • • • • . • • . Historically Designated: \_p, • • • • • • • • MIL V0 • I'F1 • • • • • Master Permit # t� E 414 , .. ,� . •. D . . Owner's Address �: :1: '�►'� : ` . �1 Phone C C ELEG7i�1Cat a • Cb .T. . C.. Address b z Contracting Co. � • ' f-f� � � I� � aF� � �10E m il � 331 4, g Qualifier 1 t _Apao State # E:c&- .6Oo p4--) Municipal # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING . ' ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL Tax Folio SS# t4-; Phone 3Q6 Competency # i7E 0-9°M / Ins. Co. -r1 e, 1409 OF S• Estimated Cost (value) /Jam' " (,) 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, 1 authorize the above named contractor to do the work stated. •.t• 12(11 )o7 Signature o owner an Condo President Date AI Luc) (FE Oath/ 01 , 1 .16/0. . Date Notary as to Owner and/or Condo Presi u s t My Commission Expire* ��P1PUm A. M yland ' ' � _ Co .. on # DD132312 :� _ !�= Expires Aug. 23, 2006 : oe° Bonded Thru y - 14 ?, F , �� Atlantic Bonding Co., Inc. FEES: PERMITilI' RADON C.0 Signature of Contractor •je'ner Builder Notary as to Contractor or Owner Builder Date ,,,tin . ula A. Mylan My Commission Expires 0" ,,� ' 3 . ocA Yes No PLUMBING MECHANICAL ROOFING NOTARY TOTAL I Date 1 ldl oa ommission S DD132312 —•": Expires Aug. 23, 2006 Bonded Thru ' Aft i , Atlantic Bonding Co., Inc. BOND APPROVED: Zoning Building Electric Mechanical Plumbing Structural Engineer ADDENDUM TOETUYLEHUG: FERMIT APPLICATION • •••••• • • • • • • •.. • • • • • • ••• . • . . •.• (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED Z1OT..$E PRESENT ON SUBSEQUENT APPLICATIONS.) •• • . • • • • • • • • • • • PLUMBING • • • • • • • • •.• • • • • ELEC'rRItAL MECHANICAL •• •• - . • •• ••• •• ITEM BATH TU3 UNIT • FEE • • licM0 . • . . . . •• ••. SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE 3I OET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) ]R INKING FOUNTAIN SERVICE SIZE IN AMPS CULT WORK •LOCR DRAIN SERVICE REPAIR/I€TER CHANGE REFRIGERATION :REASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERC RANGE TOP UNDERGROUND TANKS .AVATCRY OVEN ABOVE GROUND TANKS .AUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS :LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS 'SOWER MOTCRS OVER 1- 3 HP HOT WATER BOILERS ;INK, POT /3 COMP• MOTORS OVER 3- 5 1P MECHANICAL VENTILATION ;INK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES ;INK, S1 O 'EWORARY MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS WATER CLOSET _ MOTORS OVER 10- 25 If FIRE SPRINKLER SYSTEMS U MOTCRS OVER 25-100 HP COOLING TOWERS LATER CLOSET- - - ' MOTORS OVER • 100 11' VIOLATION DIRECT WASTES A/C WINDOW REINSPECTION :TER SUPPLY TO: ; , ..: . • -AIR CONDITIONERS . A/C UNIT FIRE . -. STRIP HEATER SPRINK GENERATORS TRANSFORMERS . HEATER -NEW INST, • GENERATORS TRANSFORMERS HEATER- REPLACE % GENERATORS TRANSFORMERS LAWN SPRINKLER-WELL- SPECIAL PURPOSE SWIMMING POOL OUTLETS COWERCIAL WATER SERVICE • SIGN TUBES :WER CONNECTIONS SIGN TRANSFORMERS ILITY- SEWER "ILITY SIGN TIME CLOCK -WATER .PTIC FIXTLRES ' TANK LAY ANTENNA TELEVISION OUTLETS VIOLATION AINFIELO, 4" TILE/RES. W & ABANDON SEPTIC TANK - • • REINSPECTION • —' A.KAGE PIT CU. FT. TCH . BASIN . SCHARGE WELL YESTIC WELL EA DRAIN JF INLET _AR WATER HEATER 0 3E STANDPIPE - )L PIPING ,N SPRINKLER SYSTEM RANGE 'ER SET (GAS) PIPING ADDENDUM TOETUYLEHUG: FERMIT APPLICATION • •••••• • • • • • • •.. • • • • • • ••• . • . . •.• (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED Z1OT..$E PRESENT ON SUBSEQUENT APPLICATIONS.) •• • . • • • • • • • • • • • PLUMBING • • • • • • • • •.• • • • • ELEC'rRItAL MECHANICAL FOR Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1/9/2003 Applicant: AUGUST Owner: WOLFE JOB ADDRESS: 80 Contractor C & C ELECTRICAL Local Phone: 305 - 655 -0972 Parcel # 11 32060130300 i Permit Status: Approved Permit Expiration: 7/8/2003 Work: ELECTRICITY FOR ADDITION Miami Shores Village Building and Zoning 10050 N.E. 2nd Avenue Miami Shores, Florida 33138 NE 94 Permit - 80 NE 94 Street 11'003 2 L 111' 1s 266 Electrical Permit Permit Number: EL2003 -9 WOLFE AUGUST ST Contractor's Address: 1030XNW 200 TERR Page 1 of 1 P 0 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 1 & LOT 2 & E1/2 OF LOT 3 BLK 3 LOT I� P tf� x'v1Xtk , ..' CITIBANK F.S.B. 68 N. MIAMI BEACH, FL 33160 63- 8655 Construction Vat,�Q• C AND C ELECTRICAL CO., INC. , n znnnz PH. 305 - 655 -0972 P.O. BOX 4451 HOLLYWOOD, FL 33083 -4 * *17 00 1 v TO THE One Hundred s even ri Five an d 00/ 100***************************************************** * * * * **** *** * * * *** * * * *** DOLLARS p I OMER OF Miami Shores V ill . e * ** * * * ** 2 LO 2480 7 541 3 : �g'�'- . °�Yr', �.:,$+�" "v ' BY: Total Fees: (-$ Total Recei • ts: $0.00 03211 inspection n herefor in strict compliance with all ns that may have been submitted to the plans are changed without ility for a thorough knowledge of the e assumes responsibility for work done ning thereto and in strict conformity ibility for all work done by either Permit New Building �! Amount of Permit $ 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. SS. • Owner's Name and Address___ j'__hw.?aa No Registered Architect and /or Engineer AN Employing Electrician's Name Location and Legal Description Lot _Block Subdivision_ Street and Number where work is to be performed —No Street_ � Li My Commission Expires MIAMI SHORES VILLAGE State work to be performed and purpose of building (By Floors) • Remodeling Service Overhead Size Feeders Conduit Underground Type of Installation— Conduit Tubing 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. Addition Repairs No. of Stories Main Sw. Amps. ___ Main Fuses Amps. B.X.L Metal Moulding Date____ _ j Electrical Inspector. rtify that 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 work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are r> (Signed Master Electrican. STATE OF FLORIDA, COUNTY OF 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, that he has carefully read the foregoing application, and that he did sign the same, therein by him stated are true. Notary Public, State of Florida 11 - t a 9- Street_!'__ and that all facts 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 sc./ LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRI G. OUTLET IRON OUTLET RANGE OUTLET y 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 I -S HP NEON TRANS. RADIO TOTAL CONTR. LIST . CHECK Permit New Building �! Amount of Permit $ 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. SS. • Owner's Name and Address___ j'__hw.?aa No Registered Architect and /or Engineer AN Employing Electrician's Name Location and Legal Description Lot _Block Subdivision_ Street and Number where work is to be performed —No Street_ � Li My Commission Expires MIAMI SHORES VILLAGE State work to be performed and purpose of building (By Floors) • Remodeling Service Overhead Size Feeders Conduit Underground Type of Installation— Conduit Tubing 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. Addition Repairs No. of Stories Main Sw. Amps. ___ Main Fuses Amps. B.X.L Metal Moulding Date____ _ j Electrical Inspector. rtify that 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 work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are r> (Signed Master Electrican. STATE OF FLORIDA, COUNTY OF 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, that he has carefully read the foregoing application, and that he did sign the same, therein by him stated are true. Notary Public, State of Florida 11 - t a 9- Street_!'__ and that all facts 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 Architect Contractor or Builder Legal )escription ddress of iuilding Lot MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N9 3423 Work to be performed under this Permit Owner of Building Bl. WARNING: This Construction may be la violation of Nat Production Board General Limitations Order ..0 are cautior'Ed to consult you► War P,odu'. .d ctfce before starting the work author:Z + 'c ,uis permit Subdi- vision Value of Project CONTRACTOR OR BUILDER 194 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 ko —" ration herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance Nny plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may 'ked 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 4 hich this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of trances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and assumes responsibility for work done by his agents, servants or employees. Signed. By INSPECTOR consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- taining thereto and in strict conformity with the plans, drawings, statements or specifications submittedjo the proper authorities of Miami Shores In accepting this permit I assume responsibility for all work done°by,either nkyselfq my agent, servainst, employee. ' 17t, AUTHORITY ✓ JOB: BUILDING ELECTRICAL PLUMBING Inspector's Report: • • • • • WORK DONE BY: The following is ready for Inspection: 13A AD: VON(V° • : REQUESTED : WILL BE READY • • :\--- A • • • • • • • \ ' • 1 J ' '1 I� \` 1` ' C • • 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 Street and Number where work is to be performed —No State work to be performed and purpose of building (By New Building Remodeling Addition Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Date �r °_' ,� No {��! Street 11 Employing Electrician's Name No Street : 1 Location and Legal Description Lot Block Subdivision _______________,_____ Street _�'� �____�_ Floors) Repairs No. of Stories Service Overhead nderground Size Feeders Conduit Main Sw Amps. Main Fuses Amps U Type of Installation— 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 com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) -= Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires Notary Public, State of Florida 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 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 Street and Number where work is to be performed —No State work to be performed and purpose of building (By New Building Remodeling Addition Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Date �r °_' ,� No {��! Street 11 Employing Electrician's Name No Street : 1 Location and Legal Description Lot Block Subdivision _______________,_____ Street _�'� �____�_ Floors) Repairs No. of Stories Service Overhead nderground Size Feeders Conduit Main Sw Amps. Main Fuses Amps U Type of Installation— 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 com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) -= Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires Notary Public, State of Florida to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Date -1 ' 7 'T Job Address e0 N6 0 % Tax Folio r/ r.1 /v e "'e e Legal Description k? � Owner / Lessee / Tenant /ea" Y #Jel-r Master Permit #3 W Owner's Address Ak 9 Phone Contracting Co etZ/ i A ' - Address 7•�� S1 5 77 Qual i f i e M &Al -57 State l{F /AdG 773 Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING E 'CTR AL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost(value) WARNING TO OWNER: YOIJ MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR "PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT:. I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I a orize the above -named contractor to do the work st Signatu - of owner and /os Date: ».••hoar R �e` • • Notary as to My Commission PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Municipal # Competency # Ins.Co. er an • "" b Expires: .•• " " +! SS# Phone esident OFFICIAL S JULIO ROBLES My Commission Expires !clue 4, 1996 CFOrrtiM. 205953 * * * .2 P Signature of Cont 'tor or er- Builder +." ;.• OF= CIAL SEAL f U0 OBLES sion Expires . ±!i" Notary CA as to C,•. •�.o OwhWP"Balaer My Commission E34ilt°:" Comm. No. CC 205953 FEES: PERMIT ,O RADON C.C.F. (56 NOTARY TOTAL DUE %5Ib APPROVED: Fire Other Zoning Building ' Electrica]AP Mechanical Plumbing Engineering /- ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 'S 3-7 Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and / or Engineer Employing Electrician's Name J I –f d %� ` F> �`� °d No ('--� Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No r Street :e S 1° State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories i Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit .$ °o ® (Signed) 1 " / Sr , Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts is 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. STATE OP FLORIDA, 1 COUNTY OF DADE. I ss. MIAMI SHORES VILLAGE D Esco :6 4-5i �' t' • No Street (Signed) Master Electrician. 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, 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 $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HEATER STRIP HEATER p 0 (. 6, 6 gr TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL a � ON LIST TR. / /HECK /- ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 'S 3-7 Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and / or Engineer Employing Electrician's Name J I –f d %� ` F> �`� °d No ('--� Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No r Street :e S 1° State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories i Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit .$ °o ® (Signed) 1 " / Sr , Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts is 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. STATE OP FLORIDA, 1 COUNTY OF DADE. I ss. MIAMI SHORES VILLAGE D Esco :6 4-5i �' t' • No Street (Signed) Master Electrician. 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, 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 Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA ❑ a DATE - f' 195 ❑ PERMIT N° 3339 Contractor's 0, License No. ❑ Work to be performed under this Permit B1 Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construc 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 ff 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. Y 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 ac- ?epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY e BUILDING ELECTRICAL PLUMBING Owner of Building Legal Lot Bl. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 2372 DATE 194 Work to be performed under this Permit Architect Contractor or Builder Subdi- vision Value of Project 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. f ' . Signed • By / s ! - 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 regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER 13Y AUTHORITY