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ELECTRICAL>f t or er Lot B BI, S Subdi- BUILDING ELECTRICAL PLUMBING ROOFING Owner c Building Architec Contract or Build Legal Descript Address Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT IT? 13334 DATE Work to be performed under this Permit 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, s tatements 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. 13Y AUTHORITY 195 BUILDING ELECTRICAL PLUMBING Owner of Building Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 2852 Work to be performed under this Permit Bl. Subdi- vision DATE Contractor's License No. 194 Contractor or Builder Legal Description __ Address of Value of Amt. of Building Project Permit — This permit is granted to the contractor or builder named above to construct the building or to instal 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 _hanged 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 empl.tyees. Signed:_ By INSPECTOR In consideration of the issuance to me of this permit 1 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 1 assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING r Worly to be performed der this Permit Owner of [ , t Building �'- 2 ' Architect Contractor /� ,ter. �, ( or Builder Legal Lot Description CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 2026 131. Subdi- vision Address of °/ ./ "ff 4."- Value of Project Building ',' i< DATE 194 License No Amt. of ti L 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 he 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 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. BY AUTHORITY NO. L STREET PART OF LOT LOT BL'K SUBDIVISION Sims Billboards Other Apparatus 1 -- — -- Permit Fee Outlets Motors Receptacles Generators Stoves Water Heaters Sims Billboards Other Apparatus 1 -- — -- Permit Fee ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Co>ilctor or Electrician._ Dated • , 19 aiarni cJhores91lage F L O a I A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla., 19 LOCATION DESCRIPTION OF WORK NUMBER OF N9 234 • 1 .. This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies stfictl f with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized y this Department. , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT r _ !> 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 V;Ilage, 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 approved plans and specifications must be kept at building during progress of work. � Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. (Signed) Date Owner's Name and Address:, r •--- g..,..�>;* Ncy. 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 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 Street Electrical Inspector. The undersigned applicant for this building perm ;t 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) My Commission Expires Notary Public, State of Florida 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 facts therein by him stated are true. NOTE: A re- inspection fee of $1.0C 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 O -1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT r _ !> 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 V;Ilage, 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 approved plans and specifications must be kept at building during progress of work. � Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. (Signed) Date Owner's Name and Address:, r •--- g..,..�>;* Ncy. 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 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 Street Electrical Inspector. The undersigned applicant for this building perm ;t 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) My Commission Expires Notary Public, State of Florida 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 facts therein by him stated are true. NOTE: A re- inspection fee of $1.0C will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. STATE OF FLORIDA, l COUNTY OF DADE. !t ss . MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date Application is hereby made for the approval of tF.e detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is mace 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 En ploying Electrician's Nam' No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performer No Street State work to be performed and purpose of buildi lg (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 Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and w it 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) r • Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P•T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST ' CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEO TRANS. RADIO TOTAL CONTR. LIST CHECK I STATE OF FLORIDA, l COUNTY OF DADE. !t ss . MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date Application is hereby made for the approval of tF.e detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is mace 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 En ploying Electrician's Nam' No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performer No Street State work to be performed and purpose of buildi lg (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 Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and w it 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) r • Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 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 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 Street State work to be performed and purpose of building (By Floors) _ New Building_________ ____ __ Remodeling Addition.. Repairs Service Overhead Size Feeders___________ Condiit________ Main Sw._____ . Amps. Main Fuses______ _Amps. Underground Type of Installation —Conduit____________ Tubing __ B.X.L Metal Moulding Amount of Permit $ (Signed) No.___ —____ _ Street_ No. of Stories 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. STATE OF FLORIDA, I COUNTY OF DADE. ss' (Signed) My Commission Expires Notary Public. State of Florida 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 be is the of the above described construction. that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T'S FIXTURES NO.LAMPB REFRIO. CUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. L1S,' ° CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL. CONTR. LIST CHECK 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 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 Street State work to be performed and purpose of building (By Floors) _ New Building_________ ____ __ Remodeling Addition.. Repairs Service Overhead Size Feeders___________ Condiit________ Main Sw._____ . Amps. Main Fuses______ _Amps. Underground Type of Installation —Conduit____________ Tubing __ B.X.L Metal Moulding Amount of Permit $ (Signed) No.___ —____ _ Street_ No. of Stories 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. STATE OF FLORIDA, I COUNTY OF DADE. ss' (Signed) My Commission Expires Notary Public. State of Florida 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 be is the of the above described construction. that be 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. CONTR. LIST I SWITCH OUTLETS LIGHT ! PLUG OUTLETS IRECE'P'T'S FIXTURES NO.LAMPS RILFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE :ONN. WATER HEATER W. HEAT. SPACE CONN. HEATER STRIP TOTAL HEATER CHECK ENT. SW. DIST. SERVICE CAS. TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No . Date Employing Electrician's Name No .. _ __.__ r Street Location and Legal Description Lot Block Subdivision_ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building _______ — Remade _las Addition. Repairs Street No. of Stories. _ • Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other strt.cture 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. oo Owner's Name and Address _________ ________ j No. Street_____. Registered Architect and /or Engineer Service Overhead Size Feeders- ______ Condt it Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that ha understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, beir.g Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require s milar 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. STATE OF FLORIDA, t COUNTY OF DADE. S9. Main Sw Amps. Main Fuses Amps. (Signed) _ (Signed) My Commission Expires Notary Public, State of Florida 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 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. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 � __� _ __ _� ___W_____ No Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Street and Number where work is to be performed— No. ___W___�___ State work to be performed and purpose of building (By Floors) New Building Remodeling_ No Service Overhead Size Feeders______ Conduit.___ — Main Sw.___� Amps. Main Fuses_ Underground m p Type of Installation— Conduit____________ Tubing____________ B.X.L. _Metal Moulding Amount of Permit $_ (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss' (Signed) My Commission Expires Notary Public. State of Florida Subdivision_________._____ __________. — – Street --- --- ____--- --- ----- ---- - - - - - Addition. _ Repairs _ No. of Stories__________ Master Electrican. WEND Amps. 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. 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 eworn, upon oath deposes and says that he is the of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $ 1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIO. OUTLET IRON O UTLET RANGE O UTLET RANGE CONN. WATER H EATER W. HEAT. CONN. SPACE H EATER STRIP H EATER 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 � __� _ __ _� ___W_____ No Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Street and Number where work is to be performed— No. ___W___�___ State work to be performed and purpose of building (By Floors) New Building Remodeling_ No Service Overhead Size Feeders______ Conduit.___ — Main Sw.___� Amps. Main Fuses_ Underground m p Type of Installation— Conduit____________ Tubing____________ B.X.L. _Metal Moulding Amount of Permit $_ (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss' (Signed) My Commission Expires Notary Public. State of Florida Subdivision_________._____ __________. — – Street --- --- ____--- --- ----- ---- - - - - - Addition. _ Repairs _ No. of Stories__________ Master Electrican. WEND Amps. 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. 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 eworn, upon oath deposes and says that he is the of the above described construction, that be has carefully read the foregoing application, and that be 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. FLOORS FIXTURES ONLY NUMBER OF TOTAL OUTLETS SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS 1 CEILING BRACKETS MAIN SUBS BRANCHES BASEMENT_._ it FIRST SECOND ___f___ THIRD FOURTH - --r A -83 LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION WILL BE RETURNED. LOT NUMBER / 7 BLOCK N METER , if 1 SUBDIVISION 1 4 ,.. /J�/ STREET AND NUMBER 1, 4 V r / / SIDF .+ ie OWNER OCCUPANT OCCUPIED AS BUILDING —NEW OR OLD (UNDERLINE WHICH) WORK — ADDITIONAL, NEW, ALTERATION OR REPAIR SPECIFICATIONS REMARKS _ -- RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN H. P. OF EACH MOTOR_ VOLTS TOTAL AMPS PHASE CEILING _ BRACKETS I RECEPTACLES SWITCHES // • ti KIND OF INSTALLATION OPEN OR CONCEALED KNOB. RX., BX., MLDG., CONDUIT, METALLIC TUBING J Dy;L a CONTRACTOR,. —L - - -- = INSPECTION WANTED g00 0.1 BY • o ADDRESS +./ i ) 17 % / (4 L. : o' "✓ k ' ROUGH WIRING FINAL No CORRECTED —_ TEMPORARY.. __ __ ___ _ DAYS. DAT: ISSUED_ ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by Inspector. SPACE BELOW FOR INSPECTOR'S USE ONLY REMARKS APPLICATION STOVES INSPECTED FEE RE MITTED WATER HEATERS NO . DATE � ,� 193 SIGNS OTHER APPARATUS a.� INSPECTOR Date/00,1 Job Address Legal Description !I( /9 ,� ` Owner / Lessee / Tenant c- /1.Lt.1 /L/ Owner's Address /2(, - )/M7 q ' ,/h7, Contracting Qualifier WORK DESCRIPTION ELECTRICA Square Ft. Estimated Cost(value) Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: APPROVED: Address PERMIT APPLICATION FOR MIAMI SHORES VILLAGE State # ( 9iO&iQL i fiicipal # Competency # Ins.Co. Fire Other Tax Folio /F '-- 56- 4 4 / ,- - Phone ors Master Permit 4A�/ Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDIN PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Phone `75V- _ a c/6 _ 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. Zoning Building Electricali signature of Contractor or Owner- Builder Date: ak/t,TA- No ary as to Contractor or Owner- Builder My Commission Expires: FEES: PERMIT ,4 RADON C.C. F . ° 49 61 NOTARY TOTAL DUE , Mechanical Plumbing Engineering Date: � /2, City of: OWNER'S AFFIDAVIT ll �z-e__ certify that I am the owner of the property described as: Address: Legal Description: 1/ 3206 613 154 / Folio Number: I authorize Kertz Security Systems, Inc. II as my agent to obtain a building permit for the following work: Owner Signature Driver's License Number STATE OF FLORIDA COUNTY OF DADE who by me being duly sworn upon oath says that the statements set forth above are true and correct. Subscribed and sworn to before me this day of _ ( 19 . Before me personally appeared X74" /gam, /-� 33/.3? Witness Signature Driver's License Number NOTARY PUBLIC FOR 3__ COUNTY, STATE OF