ELECTRICALPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date i I Job Address 10 NC 6 7 I S+(Q Tax Folio I 132050 I 1 01OO
Description y
/ Lessee / Tenant I2iQ,hof6 t 1 n K f e r Master Permit # 7 ,7 ;
c Ar c n n
Owner's Address 1045 N G a � crib � Str� e Phone(305 / t� S-goao
Contracting Co.A4 - fOr'dablr OeefrieiI ealicco 51 lo iQQ ree 1
Qualifier Dur+ Lavin SS4 # Phone�
State P Municipal # Competency #EC00
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one ): BUILDING ‘ELECTRICA PLUMBING MECHANICAL ROOPING PAVING FENCE SIGN
WORK DESCRIPTION�/� a /9 MJC L C./ /f?ali ,"C / O "I, ?L: /4") i�C`7
J
� - 16 in �. � ,�y. .�� 1 , �,��� �t-
Square Ft. Estimated Cost(value) OD
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). 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 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 constr ion and a,oning. Furthermore, I
authorize the above -named contract to do the work stated. fi
‘\. VC/IA.0,4,5,1 ZAZ Signature o p wner �1 ,//q� Condo President Signature of Contract F 9r/Owner-Builder
Date: G f! ( / �/ Date: g '' / r " //'
Notary as to Owner and /or Condo President
My Commission Expires:
Notary as to Contractor or Owner- Builder
My Commission Expires:
** * * * * * * * * * * * * * * * **
FEES: PERMIT ,2' RADON C.C.F. NOTARY TOTAL DUE , -
APPROVED: Fire Other
Zoning Building Electrica%/: = f%
Mechanical Plumbing Engineering.
2000 sq Ft. at 3 volt amps i. 6000
TWO 20 amp appl. outlets
at 1500 amp ea. 3000
laundry circuit 1500
Range 12000
Water Heater 4500
Dishwasher 1200
Clothe Dryer 5000
330
Central A/C 10,080
43,280
1st l0kva of other load at 100% 10,000
Remainder of other load at 40% 13,312
TOTAL OF OTHER LOAD 19,968
SUPPLEMENTARY HEAT
240x24= 5,760 VA
5,760 +'10,000 = 15,760
15,760 at 65% = 10,244
TOTAL OTHER LOAD 19,968
TOTAL SUPPL HEAT 10,244
30,212
30,212 - — 125.88
MINIMUM REQUIRED SERVICE 150AMP
v..
1 ) 3-3 / ., ce
3' cv
FILL
1
l O'
0
P7 L'iC —r'—
_ L_
�� O� ��i
� -
��������
2000 sq Ft. at 3 volt amps t. 6000
TWO 20 amp appl. outlets
at 1500 amp ea. 3000
laundry circuit 1500
Range ' 12000
Water Heater 4500
Dishwasher 1200
Clothe Dryer 5000
13700
Central A/C 10,080
43,280
1st 10kva of other load at 100% 10,000
Remainder of other load at 40% 13,312
TOTAL OF OTHER LOAD 19,968
SUPPLEMENTARY HEAT
240x24= 5,760 VA
5,760 +'10,000 = 15,760
15,760 at 65% = 10,244
TOTAL OTHER LOAD 19,968
TOTAL SUPPL HEAT 10,244
30,212
30,212 - = 125.88
MINIMUM REQUIRED SERVICE 150AMP
aqg
fc 2'6-
j -3 / 6 ) ea
I
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPART E ''T
A0 L➢Cr TOON FOR ELECTROCI, L OBE
Permit No .5- c ^�
Registered Architect . d,'or Engineer -
Location and Legal Description 1.ot
Street and Number where work is to be performed—No ....,e.
State work to be performed and purpose of building (By Floors).
New Building Remodeling Addition.
Service Overhead Size Feede -s
Underg'- •nd
Type Installation — Conduit.
Amount of Permit $ -...- .
STATE OF FLORILA,
COUNTY OF DADE.
ss.
Co dint_
.T b ,g..
.. ..Main Sw .
........ ... (Signed).
MOT
D .te......�.
Application is he eby made fo the approval of the detailed statement of the p .ns and specifications ,.ier:.with submitted for the building or other
structure herein described. This application is made in complia and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all t,ro =risions of the Laws of the State of Flori :a all ordinances Miami Shores Village and all ales and regulations of thr Building Division
of Miami Shorz„ Village shall be complied with, whether he_ein speci;ied or not. A copy of approved plans and specifications must be kept at
building during rog -ess of woe.'
Owner's Name and Address le .•
No 4 :6 ...... . Street....5 ' 2
/i - - - -- - - -- -
Employing Electricians Name.._ . �. .. / ffdre e..h e40 /AO A!./ Street .. ...'
Block Subdivision
cr Street
e..f ?/e& ...J ®..2e)��'...is. iUo •
.B.X L . . ... .Metal Moulding.
The undersigned - pplicani or this builds, g pe' it doe. hereby ce tify that he understands and -
labor under the lo.ida Warkmen s Compe..sation Act, being Section 5966, Compiled General Laws
has complied -:ath the provisirns thereof and will require simiia- compliance from all contractors or
work to be performed under this permit; and will post Of cause to be posted for inspection on the site
as are required b: the Act. The undersigned agrees to uhplo" only such sub-contractors, on work to
licensed by Miam' Shores `%illage.
Repairs.. ..............No. of Stories
. Amps. .. ....... ...Main -uses. ....... .......Amps
El ctr.al Inspecto
.ccepts his = atie.ns as an employer of
of Flori' rmanent Supple. ent ani
sub-con ctors employed by him in the
of the work sued public notice or notices
be performed under this perms+:, as a e
( Signed) 4 .i '. -
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 constru tion, a d he ha' carefully read the foregoin • 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
LIGH•
OUTLEYb
PLUG
REC.' P'T'S
lXT!'::ES
NO. LAW'S
REFR IO.
OVTL:
IRON RANCE
OUTLET OUYLET
RANG:
CUNN.
WAT=R
HEAT.R
•' :•1. •■.'".
CONN.
SPAC.:
HE ER
STRIP
HEATE :!
TOTAL
CONYR
L.•ST
•
CH -Cis
ENT.
S' .
DI' I.
:4'13.
'E. V ;.:*E
: P.
SERV.0
Pr RM
10:0 . TORS A. - - N
0.1 HP 1.9 HP
RADIO
TOTAL
CO:' :'.
L1_T
� / TRAN".
2_ 0• Q/i" @
&
CH K
.0O
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPART E ''T
A0 L➢Cr TOON FOR ELECTROCI, L OBE
Permit No .5- c ^�
Registered Architect . d,'or Engineer -
Location and Legal Description 1.ot
Street and Number where work is to be performed—No ....,e.
State work to be performed and purpose of building (By Floors).
New Building Remodeling Addition.
Service Overhead Size Feede -s
Underg'- •nd
Type Installation — Conduit.
Amount of Permit $ -...- .
STATE OF FLORILA,
COUNTY OF DADE.
ss.
Co dint_
.T b ,g..
.. ..Main Sw .
........ ... (Signed).
MOT
D .te......�.
Application is he eby made fo the approval of the detailed statement of the p .ns and specifications ,.ier:.with submitted for the building or other
structure herein described. This application is made in complia and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all t,ro =risions of the Laws of the State of Flori :a all ordinances Miami Shores Village and all ales and regulations of thr Building Division
of Miami Shorz„ Village shall be complied with, whether he_ein speci;ied or not. A copy of approved plans and specifications must be kept at
building during rog -ess of woe.'
Owner's Name and Address le .•
No 4 :6 ...... . Street....5 ' 2
/i - - - -- - - -- -
Employing Electricians Name.._ . �. .. / ffdre e..h e40 /AO A!./ Street .. ...'
Block Subdivision
cr Street
e..f ?/e& ...J ®..2e)��'...is. iUo •
.B.X L . . ... .Metal Moulding.
The undersigned - pplicani or this builds, g pe' it doe. hereby ce tify that he understands and -
labor under the lo.ida Warkmen s Compe..sation Act, being Section 5966, Compiled General Laws
has complied -:ath the provisirns thereof and will require simiia- compliance from all contractors or
work to be performed under this permit; and will post Of cause to be posted for inspection on the site
as are required b: the Act. The undersigned agrees to uhplo" only such sub-contractors, on work to
licensed by Miam' Shores `%illage.
Repairs.. ..............No. of Stories
. Amps. .. ....... ...Main -uses. ....... .......Amps
El ctr.al Inspecto
.ccepts his = atie.ns as an employer of
of Flori' rmanent Supple. ent ani
sub-con ctors employed by him in the
of the work sued public notice or notices
be performed under this perms+:, as a e
( Signed) 4 .i '. -
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 constru tion, a d he ha' carefully read the foregoin • 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 Lot
Description
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
N° 5823
Work to be performed under this Permit__
Bl.
DATE _ _ 19 —
Contractor's
License No.
Subdi-
vision
Address of Value of 11 Amount of
Building Project $ I! 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 applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
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 a td 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.
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
:.400T
Df
I
:t
tor
er
ion
Lot
BL
Subdi-
vision
o f
Value of
Project
$
Amt. of
Permit
$
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner
Buildin
Archite
Contras
or Build
Legal
Descrip
Addres
Buildin
MIAMI SHORES VILLAGE, FLORIDA
PERMIT 1ST? 13727
DATE
Work to be performed under this Permit
195
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: 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.
CONTRACTOR OR BUILDER
BY AUTHORITY
STATE OF FLORIDA, l
COUNTY OF DADE. I
ss.
MIAMI SHORES VILLAGE
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.
Owner's Name and Address No Street
Registered Architect and /or Engineer
Employing Electrician's Name No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No l Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead • Site Feeders Conduit. ' - Main Sw Amps Main Fuses Amps
Underground
Type of Installation - -- Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ .- (Signed)
Electrical - IusneGtor,
The undersigned applicant for this building permit does hereby certify that he understands aud..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.
(Signed)
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 cp`fistruction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated e true.
My Commission Expires Notary Public, State of Florida
NOT': A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
mater 1`�s 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
�..
_.... . t
s^ ......r
s -S
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
STATE OF FLORIDA, l
COUNTY OF DADE. I
ss.
MIAMI SHORES VILLAGE
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.
Owner's Name and Address No Street
Registered Architect and /or Engineer
Employing Electrician's Name No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No l Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead • Site Feeders Conduit. ' - Main Sw Amps Main Fuses Amps
Underground
Type of Installation - -- Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ .- (Signed)
Electrical - IusneGtor,
The undersigned applicant for this building permit does hereby certify that he understands aud..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.
(Signed)
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 cp`fistruction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated e true.
My Commission Expires Notary Public, State of Florida
NOT': A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
mater 1`�s and /or workmanship.