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ELECTRICALPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date (jJ ` Address / 1 146 ( F g ? 57: Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant 9 9 L. .@ (� Owner's Address Contracting Co. (:) R F I F^ fa f (2k (' Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 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. 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 - .m �. g constn1 Lion and zoning. Furthermore, I authorize the above -named contractor to do the work stated. ( f e .M 6 Y Si e of owner an or Condo President Date Signature of Contractor or Owner- Builder Date Notary as to Owner and/or Condo President Date My Commission Expires: Address Master Permit # Phone Notary as to Contractor or Owner - Builder Date My Commission Expires: FEES: PERMIT RADON C.C.F. NOTARY TOTAL DUE APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering ! opi /✓ E q7 4. • • iDR:=LCURAf. C.; . . REC21:7-f,IiTS. ITEM BATH 112 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEWORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS , 4 / DUCT WORK FLOOR DRAIN SERVICE REPA•IR/IETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS TEWORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS • URINAL - _ MOTORS OVER 25-100 FP _ COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION . WATER SPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS . UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA ' RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STAN3PIPE POOL PIPING LAWN SPRINKLER SYSTEM . GAS RANGE - METER SET (GAS) GAS PIPING ■ ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. I: A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Date f 42Job Address /19 6 ,4i 9 7S, Tax Folio Legal DE .ption Historically Designated: Yes No Owner/Lessee / Tenant Owner's Address PERMIT APPLICATION FOR MIAMI SHORES VILLAGE U / / -4v Contracting Co. _TeA t C Address /� 4, 6' ,,:,.,,r r Wc 7�`° . . Qualifier /. / ' i)- - ti)-,e S' 2, 'f i/ SS# Phone 017j , • /7 ej State # E; 00 2 el 5 • Municipal # - : __,, - __ Competency # .F ...r 4 7 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING LECTRICAL c LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost (value) %Xv0 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. Signature of owner and/or Condo President Date APPROVED: Zoning Mechanical r Notary as to Owner and/or on of My Commission Expires: FEES: PERMITS P eve? RADON Date Master Permit # Phone Signatur'•f Conga or or Owner' 1 Date Notary as to Contractor or Owner- Builder Date My Commission Expires: C.C.F. fi- NOTARY 51 TOTAL DUE ��d• Building Electrica,,,f, / _ \ ,- ) i Plumbing Engineering BUILDING ELECTRICAL PLUMBING Owner of Huilding Architect Contractor Dr Builder Legal Lot 1)escription Address of iuilding MIAMI HORES VILLAGE, FLORIDA DATE 194 PERMIT' N? 7184 Work to be performed under this Permit_ Bl. Subdi- vision Contractor's License No._ Value of Amt. of - - - Project 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 appli- ,ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any ) lans, 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 clone in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which';this lermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances 8nd egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respi)n- ibility for work done by his agents, servants or employees. \ Signed: B 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 re , ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this pennit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 1 Permit No Date Application is hereby made f 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__ Architect and /or Engineer__ Employing Electrician's Name -_ -- }---- ___i -- l No _ Street_- - -_� -- _i L ' Location and Legal Description Lot _,G Block ._ Subdivision ' Street 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 Underground Size Feeders Conduit ___ —_Main Sw. 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 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, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. ss. (Signed) _ _No._______ ___Street_ Amps Main Fuses ____Amps 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 LIGHT OUTLETS 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 NEON TRANS. RADIO TOTAL CONTR. LIST ? CHECK �+ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 1 Permit No Date Application is hereby made f 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__ Architect and /or Engineer__ Employing Electrician's Name -_ -- }---- ___i -- l No _ Street_- - -_� -- _i L ' Location and Legal Description Lot _,G Block ._ Subdivision ' Street 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 Underground Size Feeders Conduit ___ —_Main Sw. 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 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, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. ss. (Signed) _ _No._______ ___Street_ Amps Main Fuses ____Amps 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. BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N9 7381 Work to be performed under this Permit Owner of Building 1 1 Contractor's License No. Architect Contractor or Builder Legal Lot Bl. Subdi- Description vision 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 install the equipment or device described in the appli- cation 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 • 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 a work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building e ; _ = Architect Contractor or Builder, Legal Lot Description ft Address of ' - % Value of Amt. of Building ' roject Permit This pe it is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 ?` or specifications and that h sumes respon- sibility for work done by his agents, servants or employees. INSPECTOR ' Signed. ' B E 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, statemehta' 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 MIAMI 4HDRES VILLAGE, FLORIDA' 1 - PERMIT ° N? 7184 Cqntractor's Licnse No. Work to be performed under this Permit ' H - ate Bl. Subdi- vision DATE 194__ 0 a AUTHORITY 74. Permit No.- 4, Amount of Permit STATE OF FLORIDA, ss COUNTY OF DADE.. r MIAMI S�riORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date /0 - 5- 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_- My Commission Expires Registered Architect and /or Ens y � _ Employing Electrician's Name __ t _ _t___1 ._T ` '! .i1__z__ — No 1.2.. __� 1 1 / "'_ Li '1 ' Street_ -1� -- � Location and Legal Description Lot__________ ___ _____ Block / Subdivision__ ( _� = �� Street and Number where work is to be performe d— No. __ �_i ""t +* �0 ii Straet__.`�'___4"_:__q � !__ S State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs Service Overhead Size Feeders. Conduit.___ _ _ Main Sw. Underground Type of Installation— Conduit Tubing - - B.X.L. Metal oul ng N —L (Signed) (Signed) Amps. ____ Main Electrical Inspector. The undersig applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida ; orkmen'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 yvork to be perfo ed under this permit, as are licensed by Miami Shores Village. 1.177 i,I Notary Public, State of Florida No. of Stories 1 ----------------- - - - - -- 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 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'8 FIXTURES NO. LAM PS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. H EAT. 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 74. Permit No.- 4, Amount of Permit STATE OF FLORIDA, ss COUNTY OF DADE.. r MIAMI S�riORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date /0 - 5- 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_- My Commission Expires Registered Architect and /or Ens y � _ Employing Electrician's Name __ t _ _t___1 ._T ` '! .i1__z__ — No 1.2.. __� 1 1 / "'_ Li '1 ' Street_ -1� -- � Location and Legal Description Lot__________ ___ _____ Block / Subdivision__ ( _� = �� Street and Number where work is to be performe d— No. __ �_i ""t +* �0 ii Straet__.`�'___4"_:__q � !__ S State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs Service Overhead Size Feeders. Conduit.___ _ _ Main Sw. Underground Type of Installation— Conduit Tubing - - B.X.L. Metal oul ng N —L (Signed) (Signed) Amps. ____ Main Electrical Inspector. The undersig applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida ; orkmen'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 yvork to be perfo ed under this permit, as are licensed by Miami Shores Village. 1.177 i,I Notary Public, State of Florida No. of Stories 1 ----------------- - - - - -- 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 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. . ) ING _ ECTRICAL PLUMBING Owner of Buildin Work to be performed under this Permit ,7 � Architect Contractor • or Builder Legal Lot Description Address of , Value of Amt. of Building / , � _ Project Permit/ This permit is granted to the contractor or builder nand above to construct the building or to install the equipment or described in the appli- �ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any :ans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked - 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 'rnllt 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. PERMIT N2 7184 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE Bl. 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 rtaining thereto and in strict conformity with the plans, drawings, staterzfent's or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either i4self, my agent, servant or employee. 194 Contractor's License No. Subdi- vision BY AUTHORITY *,t • — , • , 1 ) ,,,,,,. 'it— X ' I" t 1 — ,•,,-.. „..,,, 1 e , i ,••• ,- t , ..,- ,•■ '/' D l c 0 1 dt\ (iC N, I • , - I Z /- ) / I 4 • \ 4 ats _ --- rr cs . - - - ., -- ;"?.. \ '.- : , . i t e.. ,w, 1';‘.. — t ,., Permit No - Employing Electrician's Name 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 9° «i:. .) No // 4 Street d ° Registered Architect and /or Engineer IK No : , . � Street .4. _...... Location and Legal Description Lot Block Subdivision r -� Date d Street and Number where work is to be performed —No � � :« � ?f -= Street 1 1/' -- State work to be performed and purpose of building (By Floors) O r? New Building Remodeling Addition Repairs No. of Stories Service Underground Size Feeders 1? Conduit i 'i Main Sw Amps.... ., ' Main Fuses Amps 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 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 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, on work :e formed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OP DADS I ss. appeared Before me, the undersigned authty, a notary public, duly authorized to administer oaths and take acknowledgments, personally My Commission Expires (Signed) to me well known, and who, being by ffie 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 did sign the same, and that all facts therein by him stated are true. Notary Public, State of Flor at Large G`Jiy eerro;ss :on ;:pares A r. 12, 1965 • aster Electfician. otary 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 OUT:.L+TS PLUG RaCE'P•T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SCACE H TER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS I. HP NEON TRANS. RADIO TOTAL CONTR. LIST 7 + 1 ° ° CHECK Permit No - Employing Electrician's Name 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 9° «i:. .) No // 4 Street d ° Registered Architect and /or Engineer IK No : , . � Street .4. _...... Location and Legal Description Lot Block Subdivision r -� Date d Street and Number where work is to be performed —No � � :« � ?f -= Street 1 1/' -- State work to be performed and purpose of building (By Floors) O r? New Building Remodeling Addition Repairs No. of Stories Service Underground Size Feeders 1? Conduit i 'i Main Sw Amps.... ., ' Main Fuses Amps 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 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 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, on work :e formed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OP DADS I ss. appeared Before me, the undersigned authty, a notary public, duly authorized to administer oaths and take acknowledgments, personally My Commission Expires (Signed) to me well known, and who, being by ffie 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 did sign the same, and that all facts therein by him stated are true. Notary Public, State of Flor at Large G`Jiy eerro;ss :on ;:pares A r. 12, 1965 • aster Electfician. otary 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. 9AM I SHORES VILLAGE ELECT {CAL 0NSPECTEON DEPARTMENT / Date APPLIC .TI F `'i,•=' ELECTRICAL PE MIT Permit No ! /.., / l ' 75 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu,ida, 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 .00g/° < No Registered Architect and /or Engineer Employing Electriciai's Name... ' 'P...�r ... r, d.. ...A. 7R Location and Legal Description Lot Block Subdivision.. Street and Number where work is to be performed —No 1 B 4-6 Street M e �. State work to be performed and purpose of building (By Floors) .. P'8+. — i P'. ¢� .V�E �a tzvic -F 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 S ... (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 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 sub - contractors, on work to be performed rti er this permit, as are licensed by Miami Shores Village. e7� so. therein by him stated are true. L..,7 c m < ' >,_._.,_... ry :via ~ a:::`4:.. ^ .e�i��:5 My Commission Expires Street.. Notary Public, State of Florida aster Electrician. STATE OF FLORIDA, } COUNTY OF DADE. Before me,..the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the inae0;&A. of the above described construction, and he has carefully read the foregoing application, and that he did sign the tame, and that all facto NOTE: A re-inspection fee of 400 will be made ashen ouch re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. t;iwrrCH OUTLETS LIGHT OUTLETS PLUG RECE'P'V'S FIXTURES O. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONK. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK E NT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS O. HP MOTORS I.S HP N EON TRANS. RADIO TOTAL CONTR. LIST / - /fR a CHECK .- ____ -____ _ __._._._-__ -__r 9AM I SHORES VILLAGE ELECT {CAL 0NSPECTEON DEPARTMENT / Date APPLIC .TI F `'i,•=' ELECTRICAL PE MIT Permit No ! /.., / l ' 75 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu,ida, 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 .00g/° < No Registered Architect and /or Engineer Employing Electriciai's Name... ' 'P...�r ... r, d.. ...A. 7R Location and Legal Description Lot Block Subdivision.. Street and Number where work is to be performed —No 1 B 4-6 Street M e �. State work to be performed and purpose of building (By Floors) .. P'8+. — i P'. ¢� .V�E �a tzvic -F 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 S ... (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 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 sub - contractors, on work to be performed rti er this permit, as are licensed by Miami Shores Village. e7� so. therein by him stated are true. L..,7 c m < ' >,_._.,_... ry :via ~ a:::`4:.. ^ .e�i��:5 My Commission Expires Street.. Notary Public, State of Florida aster Electrician. STATE OF FLORIDA, } COUNTY OF DADE. Before me,..the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the inae0;&A. of the above described construction, and he has carefully read the foregoing application, and that he did sign the tame, and that all facto NOTE: A re-inspection fee of 400 will be made ashen ouch re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 1 9 , /� y ,� a Date Job Address // A /y /�Y a Tax Folio //.--320.5c / / �/� Legal Description �.� Owner / Lessee / Tenant Ae /lL /�••i Gl L Master Permit #3559 Owner's Address // V /tE f 7 57 .5W 1 Phone Contracting Co. / 1(17 /K < 4,i v /L- • Address 76:9//3 4 . ,/ c, Qualifier 4 SS# / Phone 11 State `" .P7- Municipal # Architect /Engineer Bonding Company Mortgagor Address Permit Type(circle one): B ILDING E r : r a y ! WORT° DESCR I PT ION -c� 4./Mi.. /11 14,/ 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. OWNER'S AFFIDAVIT: I certify that all the foregoing information is ac 4ate and that all work will be done in compliance with all applicable laws regulating construction /an¢ zoning. F.'thgrmore, I authorize the above -na contracto to do the work stated. gnature of owner and /or Condo President Date: ,...*.. " ° En0.Y W. r1 Notary ak My Commig ** * APPROVED: • FEES: PERMIT ' RADON C.C.F. � NOTARY TOTAL DUE n Fire Other Building Electrical Mechanical Plumbing Engineering Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE OF CIA SEAL J�t , (/ ,f1q � rg a ¢, ; • BLES e n: � • g8fc" ZStfli�irtrP *sident Jane 4, 1996 itt Ytn. No. CC 205953 Competency # Ins.Co. Address Address LUMBING MECHANICAL ROOFING PAVING FENCE SIGN ew R Signature of Contract or -Builder Date: Date: Y ,,.• ' OFFICIAL EAL y a _ ft * J ,?. I • ,: • BLES 4 . . •` ,* 'k ion Explraa Notary as VITk9,t4- actoiute0 - Builder My Commissfmii:: Rpire °sue No. CC 205953