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80 NE 94 St (21)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 B ilding Inspection Request Date r1 Time Type Insp'n Permit No. E-1, c v Name WO1c Address 80 Nr, q4 54-' Compan @c �f Q Phone # 3 k5 l For Inspector: e4 116 Name & D Approved Correction Re- Insp'n Fee ie24 x "49/267-e &7r 2 o /4- //L e / e ce -9/Pri / tire Awe fiy 774 pL7° 1 ett 7/?6o, d - p J PG iZ tcc- . P y f-erfri v' Date Type Insp'n Permit No. Name Address Company Phone # Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request C ! 'G 9.az ° 7 "v4-e- C /e4 Os_ ( 13 For Inspector: 7. Name 3 Time Date Type Insp'n Permit No. Name Q� N 1- 6 -: Address �) �✓ ( 9 a �� .Company (NA �l Phone # DC ; 5 , J 5 ( ) ,S . For Inspector: t f' Name & Date Approved- ' ❑ Correction ❑ 01-/'‘‘).'4,_3 Re- Insp'n Fee ❑ I a ,%_.;;, C A Jr �G 'l/ MIAMI SHORES VILLAGE BUILDING DEPART 305- 795 -2204 Building Inspection Time Dio u y_e 'efr- >rie_ r 7/2/c-AI oil e /!/. • Date ' Job Address SC N ( Legal Description Owner /Lessee/Tenet Owner's Address ti E C i Li 1 :1 i '3 : ` h f P hone .1 l• E LE CT ,' ` •( t' AC,•• Ad dress i '- Contracting Co. 4 1'� cat- 1. f • < • •• t�In'S:: 1� i{� a: \-. ` rE!`i�r/Ca�� f1,) I�i F 33!(- } Qualifier -1 )R1 _3 }l` ) State # E N. --)0 py / Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION: Square Ft. ./ Signature owner an or Condo President �^ J Gtuaki/ PER1VIIT APPLICXTIOM P 1 ' �►►1IAMI SHORES VILLAGE • • • • • • • • • • 10050 N.E. 2nd Avenue :Miami ShorK:Ftorida 33138 • Phone: 305- 795 -2204 • Fax: 305- 756 -8972 • • ••• • • • • ••• • •• • • • ICE Municipal # • • ••• • • • • • • • • . e H:storicany Designated: Yes ••• Notary as to Owner and/or Condo Presi . , t Date • 110,, Pa ' A. M yland My Commission Expir�`���PYaUa, :.z. ‹ �, ,, Co on # DD132312 ' t " Expires Ang. 23, 2006 �� ,c,:,-, 1 .:;:4:-... Q: u � Bonded Tiro � Atlantic Bonding Co., Inc. FEES: PERMIT/X e°e3 RADON C.C.I~' Date Tax Folio • • • • Master Permit # ss# )g ?_ 4 1-2) Phone Competency # 6 9E 02 / 9- Ins. Co. 111:€ Ifti c1.kt OF 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 i ' ANOTHER INSPECTION. PLUMBING Estimated Cost (value) MECHANICAL ROOFING f —? 3c 4,55-C No 1 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 WITII 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). 1 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: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. Signature of Contractor 1 /6 /oa ner Builder 1 -6- Date . i l610a. Notary as to Contractor or Owner Builder ate ..tom ula A. Nylan My Commission Expires • 4P a � _ ommission # DD132312 ' 4 Expire Aug. 23, 2006 o Bonded Thr $0 4,1,110 % Atlantic BondingCo.,Ine. - NOTARY BOND TOTAL APPROVED: Zoning Building Electric 1' . ^' £' Mechanical Plumbing Structural Engineer ITEM BATH TUB UNIT FEE -- ... ••. IIE» '• •• • • • • • ••• ••• SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING )ISHWASHER RECEPTACLES A/C (WIND) )ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT htRK •LOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION :REASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING ' INT E R CEPTOR RANGE TOP UNDERGROUND TANKS .AVATORY OVEN ABOVE GROUND TANKS .AUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS :LOTHES WASHER MOTORS 0- 1 If STEAM BOILERS ;ROWER MOTORS OVER 1- 3 FP HOT WATER BOILERS ;INK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION ;INK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES ;INK, SLOP • E.PORARY MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS WATER CLOSET MOTCRS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS RI MOTORS OVER 25-100 FP COOLING TOWERS ATER CLOSET. - • MOTCRS OVER • 100 FP VIOLATION DIRECT WA STES A/C WINDOW REINSPECTION ATER SUPPLY TO:... AIR CONDITIONERS . A/C UNIT - FIRE . -• STRIP HEATER . SPRINKLER TRANSFORMERS GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS " • HEATER -NEW MST, HEATER- REPLACE "7.....f. ' LAWN SPRINKLER-WELL' SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE :WER SIGN TUBES CONNECTIONS • SIGN TRANSFORMERS ILITY- SEWER •ILITY SIGN TIME CLOCK -WATER ?TIC FIXTURES TANK LAY ANTENNA TELEVISION OUTLETS AINFIELO, 4' TILE/RES. '•P VIOLATION & ABANDON SEPTIC TANK • AKAGE REINSPECTION PIT CU. FT. TCH • BASIN SCHARGE - WELL . MESTIC WELL EA DRAIN )F INLET .AR WATER HEATER IE STANDPIPE )L PIPING , IN SPRINKLER SYSTEM • ;RANGE •ER SET (GAS) PIPING ADDENDUM T0:•Bf PERMIT APPLICATION • • • • •••• • • • • • ••. • • • •••••. • (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED1OT; PRESENT ON SUBSEQUENT APPLICATIONS.) • • • • • • • • ••• ELEC''RItAL PLUMBING ••• 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 C AND s5 L ELECTRICAL CO., INC. P.O. BOX 4451 HOLLYWOOD, FL 33083 -4 NE 94 Permit Status: Approved Permit Expiration: 7/8/2003 Work: ELECTRICITY FOR ADDITION Permit - 80 NE 94 Street II' 00 2 L Le I: 2660865 Electrical Permit Permit Number: EL2003 -9 WOLFE AUGUST ST Contractor's Address: 1030XNW 200 TERR Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 1 & LOT 2 & E1/2 OF LOT 3 BLK 3 LOT CITIBANK F.S.B. 68 N. MIAMI BEACH, FL 33160 63- 86551 Construction Vain.. 1 F11 nV TO THE ORDER OF Miami Shores V ill ..e d 00/ 100ttt++t•4t s♦ f#s** s* sii##fi#i# It****St+#* st•fs+•*+*•*t# # * # #s *t #f #• *f *tt #sslifMtit /itls One Hundred Seventy -Five an Miami Shores Village Building and Zoning 10050 N.E. 2nd Avenue Miami Shores, Florida 33138 2 LO 2480754 BY: 1 L 3i 00" Page 1 of 1 Total Fees: Total Recei . ts: 0321 DOLLARS Inspection I 0 $5 $0.00 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 ining thereto and in strict conformity ibility for all work done by either Permit No.__,I.________ building during progress of work. Owner's Name and Address�1,�1 . ►;_ Registered Architect and /or Engineer Employing Electrician's Name ue_ �� ' Location and Legal Description Lot__ State work to be performed and purpose of building (By Floors) New Building - �xr�._ Remodeling Addition Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT No (Signed) No. ___'r' r r. (Signed) Nt..Z.S„0 1 Date / - My Commission Expires Notary Public, State of Florida 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 with, whether herein specified or not. A copy of approved plans and specifications must be kept at t l� � Street _ - -—' -_ Street V : fit' _ _ • VA � Block Subdivision Street and Number where work is to be performed —No ' Si .j Street_1________ "_— cirorei Repairs __ No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses. Amps. Underground Type of Installation— Conduit Tubing B.X.L._____ Metal Moulding Electrical 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 fact:. 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 Y 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 li t CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS I -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No.__,I.________ building during progress of work. Owner's Name and Address�1,�1 . ►;_ Registered Architect and /or Engineer Employing Electrician's Name ue_ �� ' Location and Legal Description Lot__ State work to be performed and purpose of building (By Floors) New Building - �xr�._ Remodeling Addition Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT No (Signed) No. ___'r' r r. (Signed) Nt..Z.S„0 1 Date / - My Commission Expires Notary Public, State of Florida 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 with, whether herein specified or not. A copy of approved plans and specifications must be kept at t l� � Street _ - -—' -_ Street V : fit' _ _ • VA � Block Subdivision Street and Number where work is to be performed —No ' Si .j Street_1________ "_— cirorei Repairs __ No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses. Amps. Underground Type of Installation— Conduit Tubing B.X.L._____ Metal Moulding Electrical 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 fact:. 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. Subdi- vision Value of Project uct the building or to install the equipment or device described in the nd with the understanding that the work will be performed in compliance tted to and approved by the proper municipal authorities. This Permit may _ces or if the plans are changed without authorization. A further condition +ilder named above assumes the responsibility for a thorough knowledge of _._own on the plans or drawings or in the statements or specifications and LAGE, FLORIDA DATE Contractor's } License No. WARNING: This Construction may be p violation 61 prnduction Board Genera( Limitations Order • eu are cautioned to consult your War P.odu...o, _ ce t eton starting the work authorizA 'r stns permit. Amt. of Permit / 1 194_ • INSPECTOR =_e work covered hereunder in compliance with all ordinances and regula- ents, specifications submitted the proper authorities of Miami Shores er n}ysejklhy agent, dery t #mployee. By 44/ AUTHORITY 1 BUILDING ELECTRICAL PLUMBING Architect CONTRACTOR OR BUILDER MIAMI SHORES VI PERMIT ■9 342- Work to be performed under this Perm Owner of Building ,. ontractor or Builder 1 Legal Lot Bl. scription ddress of wilding This permit is granted to the contractor or builder named above to cons -' ration herefor in strict compliance with all ordinances pertaining thereto \ny plans, drawings, statements or specifications that may have been subm- 'ked at any time if the work is not done in compliance with such ordina `hich this permit is granted is the understanding that the contractor or b 'mantes and regulations pertaining to the work covered hereby whether assumes responsibility for work done by his agents, servants or employe Sign- consideration of the issuance to me of this permit I agree to perform t iainng thereto and in strict conformity with the plans, drawings, state lti accepting this permit I assume responsibility for all wnrk, .... ,,I" , JOB: e BUILDING ELECTRICAL : PLUMBING • • • • Inspector's Report: • • ▪ WORK • DONE BY: . REQUESTED • ▪ • • The following is ready for Inspection: • : WILL BE READY Permit No._�____: MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 No Street Registered Architect and /or Engineer Employing Electrician's Name 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 __ No Street Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amount of Permit $_ 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 OF FLORIDA, ss. COUNTY OF DADE. My Commission Expires 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 (Signed) _ _ ____• 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 H EATER 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._�____: MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 No Street Registered Architect and /or Engineer Employing Electrician's Name 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 __ No Street Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amount of Permit $_ 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 OF FLORIDA, ss. COUNTY OF DADE. My Commission Expires 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 (Signed) _ _ ____• 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. Date J 'Z /i Job Address f , /Jr A Legal Description Owner / Lessee / Tenant // Owners Address A / �,7 5 Contracting Co. d' J ®,+ ..1 Qualifie � ■ ∎ • Qualifier ,e .4// Signatu Date: 19 Notary as My Commiss ** * PERMIT APPLICATION FOR MIAMI SHORES VILLAGE n o owner and /oz.,CRndo 7 x 1 I. 1 / ,w ton an d.` ' ""'' c}o ion Expires: i. *......0 Phone Address 7cc /1"6 4 SS# - ` Phone 1Y5 d() State 1 6 .0Alif/.5 Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING E CTR AL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ,,P,f- ' c, pN esident OFFICIAL SEA JULIO ROBLES My Commission Expires Jq,iC 4, 1996 arnilli1148P6C 205953 * * * Mechanical * * Tax Folio l/ 42(! d / O Signature of Conttor or Date: Master Permit OW 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, er- Builder OF »CIAL SEAL dv LIO ROBLES 4 lgr Cob + / +fM Ow Cp i�tSsion Expires Notary as to �i =► .: • x ,:o PAtat. er My Commission Exp ` 46... Comm. No. CC 205953 FEES: PERMIT , RADON C.C.F. (,51) NOTARY TOTAL DUE 4 *13 APPROVED: Fire Other Zoning Building ' ElectricalAP Plumbing Engineering Permit No Owner's Name and Address Registered Architect and/or Engineer Employing Electrician's Name Amount of Permit $ ti 1 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. `2 " ° No Street No 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 Overhead Service Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding (Signed) e4 Date // Street 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 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Electrician. STATE OP FLORIDA, } COUNTY OF DADE. 58. 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. 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. $rACE HEATER STRIP HEATER G. U,', e . ;; Fns. TOTAL CONTR. LIST r 0 CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS I•S HP NEON TRANS. RADIO TOTAL CONTR. ,` LIST HECK Permit No Owner's Name and Address Registered Architect and/or Engineer Employing Electrician's Name Amount of Permit $ ti 1 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. `2 " ° No Street No 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 Overhead Service Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding (Signed) e4 Date // Street 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 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Electrician. STATE OP FLORIDA, } COUNTY OF DADE. 58. 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. 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 wilding Lot r �.. MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 3339 Work to be performed under this Permit B1 Subdi- vision Value of Project $ DATF - Contractor's License No Amount of Permit $ 195_-c 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 one 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 ac- :epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 6 BUILDING ELECTRICAL PLUMBING Owner of Building / r' f • CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N° 2372 Work to be performed under this Permit Architect Contractor or Builder _Legal Lot Bl. Subdi- escription vision .ddress of ; uilding Value of Project Amt. of Permit AUTHORITY 194 Contractor's License No. This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named 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 • INSPECTOR By 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.