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ELECTRICALc, Permit No Owner's Name and Address.. 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 rule 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. Registered Architect and /or Engi eer Employing Electrician's Name ' ) � �/ � ; .. � y No :� �' � � Street ` , '). Location and Legal Description Lot Block Subdivision fi No ` Street ./� Date Street and Number where work is to be performed —No Gam' Street... (/' ,`,/, State work to be performed and purpose of building (By Floors) New Building Remodeling Addition 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 Amount of Permit $ (Signed) 6 .-; 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. STATE OF FLORIDA, COUNTY OF DADE. I B8 ' 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. (Signed) • � � k ater Electrician. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES N O. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. H EAT. CONN. Welt H EATER STRIP H EATER TOTAL CONTR. LIST CHECK ENT. SW. GIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP N EON TRANS. RADIO TOTAL CONTR. LIST 9 CHECK c, Permit No Owner's Name and Address.. 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 rule 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. Registered Architect and /or Engi eer Employing Electrician's Name ' ) � �/ � ; .. � y No :� �' � � Street ` , '). Location and Legal Description Lot Block Subdivision fi No ` Street ./� Date Street and Number where work is to be performed —No Gam' Street... (/' ,`,/, State work to be performed and purpose of building (By Floors) New Building Remodeling Addition 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 Amount of Permit $ (Signed) 6 .-; 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. STATE OF FLORIDA, COUNTY OF DADE. I B8 ' 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. (Signed) • � � k ater Electrician. ;UILDING LECTRICAL 'LUMBING tiOOFING )wner of ; uilding MIAMI SHORES VILLAGE. FLORIDA 0 DATE 195 ❑ PERMIT N9 3908 Contractor's License No. ❑ Work to be performed under this Permit rchitect ontractor r Builder .egal Lot )escription ddress of d • uilding CONTRACTOR OR BUILDER Bl. Subdi- vision Value of Project $ 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 erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any me 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 ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ertaining to the work covered hereby whether shown on the plans or drawings cr 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 ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- pting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Amount of Permit $ 6 Permit No.. Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. 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. Owner's Name and Address kir 5. Laura. Lia Oil No. 61, EI.3.93/"St--,L Registered Architect and/or Engineer Employing Electrician's Name C.a Wagner NO. 9930 Central sBlvd.,14arai Location and Legal Description L014 Block 20 Subdivision.14 1 100 N.3. 96" St DI Shores Street and Number where work is to be performed—No Street State work to be performed and purpose of building (By Floors) Wire (Residence) New Building Magi Remodeling Addition Repairs No. of Stories v ea . 0 erhd Service Underground Size Feeders CI Conduit 2 Main Sw 200 Amps Main Fuses Amps Type of Installation—Conduit Tubing B.X.L .Metal Moulding 65. (Signed) (Signed). Date Juno .14" -1.9b5 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and a epts 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, work to be performed under this permit, as are licensed by Miami Shores Village. L,1 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 hi/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 A."~t. ....--,...-- TOTAL CONTR. LIG? 28 , ,..32 36 36 0 (ia Zr / C3co.11 CHECK ENT. SW. DIGT. CAS. SERVICE TEMP. SERVICE PERM. • MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. x-.....,. RA010 TOTAL CONYR. LIST 1 1 1 CHGCIt (4'0 r , /0`0 C % --) Permit No.. Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. 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. Owner's Name and Address kir 5. Laura. Lia Oil No. 61, EI.3.93/"St--,L Registered Architect and/or Engineer Employing Electrician's Name C.a Wagner NO. 9930 Central sBlvd.,14arai Location and Legal Description L014 Block 20 Subdivision.14 1 100 N.3. 96" St DI Shores Street and Number where work is to be performed—No Street State work to be performed and purpose of building (By Floors) Wire (Residence) New Building Magi Remodeling Addition Repairs No. of Stories v ea . 0 erhd Service Underground Size Feeders CI Conduit 2 Main Sw 200 Amps Main Fuses Amps Type of Installation—Conduit Tubing B.X.L .Metal Moulding 65. (Signed) (Signed). Date Juno .14" -1.9b5 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and a epts 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, work to be performed under this permit, as are licensed by Miami Shores Village. L,1 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 hi/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. Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address (a ire Ifl 7 Tax Folio ` • C V 3 -7 76° Legal Description e ' / Owner/Lessee essee /Tenant l ,0 Owner's Address ( 0 6 r 6 y • Contracting Co. 4 Qualifier /Ja �� State # ���DOn�� Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING EICT - ).L PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION f.Y�, Square Ft. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. a nTh Signature of owner FEES: PERMIT RADON =1/'i to Notary as t: Owner and/o r Condo President Date My Commission Expire Historically Designated: Yes No Master Permit #Z / Phone s -7s ( - 2-6 Address _SW r 4ki /5 -.4 Estimated Cost (value) Phone Signa o onractor o • = -B .. r Date Notary as to Contr .r o *_ ilderevth-o „.r.,3 cl',;: 's D My Commission Expires:k, _ _ - - rt; iu��. . C.C.F. NOTARY BOND APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering TOTAL DUE Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address / I' / - 4: Tax Folio Legal Description Historically Designated: Yes No r Owner/Lessee / Tenant 7 12 4 ;i , ./-- - J,7/ - ; � 71.— -=/ /�- )- Master Permit # ZI g4)/ C Owner's Address / % ilk: , % ,7a . /1..A- � 3 3'j /,? Phone j . : ` g ' � Contracting Co. . "�Or!f -' /Y,r''"'! / "." / t Address '�X! /...c i �°1 / ,'F Qualifier / , �r a/", 9 State # � 0 e)()P./ Municipal # Architect/Engineer Address Bonding Company Address SS# - Competency # Ins. Co. Mortgagor Address Permit Type (circle one): BUILDING EEC AL MEC CAL � OFING PAVING FENCE SIGN WORK DESCRIPTION /,d0-1 -- 2 , S® ��./� / /2'/ �✓ 4 Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. Notary as to tractor or My Commission Expires: CWNER'S AFFIDAVIT: I certify that all the foregoing information is acc ate an• :t all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -n: ed contra • tor t d. a e w. k stated. Signature of owner a�d/or Condo President Date S' ' C ;tractor or Owne uil �� Date Notary awner and/or Condo President Date My Commission Expires: FEES: PERMIT RADON C.C.F. NOTARY BOND TOTAL DUE .3 <— APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering