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ELECTRICALAPPLICATION FOR ELECTRICAL PERMIT Date ° % �< ' i 6/ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su mitted 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 Eui1ei.,g 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. Permit No C, Owner's Name and Address MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Registered Architect and /or Engineer Employing Electrician's Name ° l „ • f Nc / BC)7 Street SPI “ , Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No il.y 7 Street...GZ w State work to be performed and purpose of building (By Floors) Foar`o New Building Remodeling Acldition Repairs No. of Stories Service Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation -- Conduit Z Tubing B.X.L Metal Moulding No ........ /J. i% Street (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 Se:ction 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. Amount of Permit $ (Signed) Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. 5s. 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 REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER ., �;'•' TOTAL CONTR. LIST i , R G �� , p , j CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS NEON 1•S HP TRANS. RADIO TOTAL CONTR. LIST 22..Ct i ( d 60? -tip. e ., r • , ',, (3 CHECK APPLICATION FOR ELECTRICAL PERMIT Date ° % �< ' i 6/ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su mitted 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 Eui1ei.,g 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. Permit No C, Owner's Name and Address MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Registered Architect and /or Engineer Employing Electrician's Name ° l „ • f Nc / BC)7 Street SPI “ , Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No il.y 7 Street...GZ w State work to be performed and purpose of building (By Floors) Foar`o New Building Remodeling Acldition Repairs No. of Stories Service Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation -- Conduit Z Tubing B.X.L Metal Moulding No ........ /J. i% Street (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 Se:ction 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. Amount of Permit $ (Signed) Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. 5s. 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. 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 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 I X62 0 / Registered Architect and /or Engineer Employing Electrician's Name Street and Number where work is to be performed — Lc/G F STATE OF FLORIDA, l COUNTY OP DADE. I ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date / Y/e S S. ht was 7 MIAMI SHORES VILLAGE 6:6cnf/or C'a. State work to be performed and purpose of building (By Floors) /4'4-744-4 O/ 4�) O /p/ ,d. N� L dy ' "°42 % 7 No..j / 1 O 7 Street ' 7 S s ° - No.l / 9' ! Street.kf- e J) 7 Location and Legal Description Lot Block Subdivision Street /1--e ^ 2 ? - Q, t v4 ?Leaf Ia , �a�a : GQ(.?., New Building Remodeling Addition Repairs No. of Stories Service Overhe Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) f� Amount of Permit $ ' ` (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts .bis 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 .:o 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. 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 $1A0 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 REPRIG. OUTLET IRON OUTLE'r RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. A H EATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.3 HP NEON TRANS. RADIO TOTAL CONTR. LIST .. > . CHECK 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 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 I X62 0 / Registered Architect and /or Engineer Employing Electrician's Name Street and Number where work is to be performed — Lc/G F STATE OF FLORIDA, l COUNTY OP DADE. I ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date / Y/e S S. ht was 7 MIAMI SHORES VILLAGE 6:6cnf/or C'a. State work to be performed and purpose of building (By Floors) /4'4-744-4 O/ 4�) O /p/ ,d. N� L dy ' "°42 % 7 No..j / 1 O 7 Street ' 7 S s ° - No.l / 9' ! Street.kf- e J) 7 Location and Legal Description Lot Block Subdivision Street /1--e ^ 2 ? - Q, t v4 ?Leaf Ia , �a�a : GQ(.?., New Building Remodeling Addition Repairs No. of Stories Service Overhe Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) f� Amount of Permit $ ' ` (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts .bis 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 .:o 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. 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 $1A0 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Huilding Lot PERMIT 0 0 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. 1ST' 3397 FLORIDA DATE Contractor's � License No. .� Work to ba performed under this Permit— Bl. 195 Subdi- vision _ Value of 11 Amount of Project $ 11 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 wits the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to an 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 pans 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 cr 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 Shcres Village. In ac- e epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY e'tl^,; M I SHORES VILLA& , FLA. - 274 e JOB k, s ADDRESS i e-/ iV, • INSPECTION r - TIME READY ' REMARKS. INSPECTOR N9 6121 DATE' • 2 ' "C BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA DATF ' {'' 195 ❑ PERMIT N? 339 Contractor's }, License No. 0 Work to be performed under this Permi Bl. Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construc 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 win ..h 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 cr 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 ac- ;epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 6 BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA PERMIT N9 3075 Contractor's License No. El ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER Bl. Subdi- vision Value of Project $ DATE 195 Amount of 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 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 cr 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY u ,s STATE OF FLORIDA, } COUNTY OF DADE. 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 1/' Street Registered Architect and /or Engineer Employing Electrician's Name No Street Location and Legal Description Lot Block SubdiviFion Street and Number where work is to be performed— No. Street i State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Underground Size Feeders,' 4 Conduit Main Sw , Amps Main Fuses Amp; Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ The undersigned applicant for this building permit doe; hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to emp:oy only such subcontractors, on work to licensed by Miami Shores Village. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT • (Signed) Electrical Inspector. cceptsf his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, a; are (Signed) Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, 1 ernonally 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 rzad 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 w:aen 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 1 /1 f-- /, . r i // � CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST i t CHECK STATE OF FLORIDA, } COUNTY OF DADE. 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 1/' Street Registered Architect and /or Engineer Employing Electrician's Name No Street Location and Legal Description Lot Block SubdiviFion Street and Number where work is to be performed— No. Street i State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Underground Size Feeders,' 4 Conduit Main Sw , Amps Main Fuses Amp; Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ The undersigned applicant for this building permit doe; hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to emp:oy only such subcontractors, on work to licensed by Miami Shores Village. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT • (Signed) Electrical Inspector. cceptsf his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, a; are (Signed) Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, 1 ernonally 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 rzad 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 w:aen 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 k,:pt 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 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses ...Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ h9' (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. SS. (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 construction, ar_d he has carefully read the foregoing application, and that he did sign the same, and that all fact 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 Q. 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 k,:pt 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 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses ...Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ h9' (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. SS. (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 construction, ar_d he has carefully read the foregoing application, and that he did sign the same, and that all fact 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 Address of Building MIAMI SHOREEi VILLAGE. FLORIDA PERMIT N° 5469 Contractor's License No. DATE Work to be performed under this Permit Bl. 195 Subdi- vision Value of Project $ II I Amount of 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 horefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statoments 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 tits 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 cr in the statements or specifications and that he assumes responsii ility 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Bdilding Inspection Request 6 Date ,6) '\Y ; Type Insp'n < Permit No. . /7 _ Name .: . 2',-,,:4% v pi ; 1) rl C 7 Address i . ( f h• ' ■ - -- i Company ' Phone # Inspection Date / .,- - Approved , - - Correction o /-- /7,- Re-Insp'n Fee n MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 to µi ding Inspection Request ,, Da `1 Type Insp'n�l�` —�.1 Permit No. Name TOMO Address j / �p M Company 0 (S • Approved Correction Re- Insp'n Fee Phone # Inspection Date (J o MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request 6 Date . f �, r Type Insp'n Permit No. % . .. O( tf'' Name I, ��{ 1 Address . - Company • ' ` Phone # Inspection Date 7 a �" Approved Correction Re- Insp'n Fee 3462 MIAMI SHORES VILLAGE (t BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 'L Type Insp'n Fi & \ EL Q.0.1 Permit No. 7_03 - 1( D Name Address 1H ,N g q -" Company \F3 r-Th Phone # l'31 ` Insp A. proved Correction Re- Insp'n Fee Agisor_') o t • Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/18/2005 Applicant: GAYLE Owner: PUMO JOB ADDRESS: 1147 NE 97 Contractor T. B. M. ELECTRICAL SERVICES, INC Local Phone: Fees: FEE2005 -4995 FEE2005 -4996 FEE2005 -4998 FEE2005 -4999 FEE2005 -5000 Description Building Fee CCF Training and Education Fee Technology Fee Submittal Fee Total Fees: Signed: (INSPECTOR) Electrical Permit Permit Number: EL2005 -110 PUMO GAYLE ST Signed: (Contractor or Builder) Contractor's Address: 10795 NW 53 ST, #209 Parcel # 1132050170040 Legal Description: REV PL MIAMI SHORES SEC 8 Amount $225.00 $0.60 $0.20 $5.63 ($50.00) $181.43 Permit Status: APPLIED Permit Expiration: 9/26/2005 Construction Value: $1,000.00 Work: POOL ELECTRICAL - MASTER PERMIT BP2005 -454 BY: Page 1 of 1 PB 43 -51 LOT 4 Total Fees: $181.43 Total Receipts: $0.00 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 responisibility for all work done by either myself, my agent, servants or employes. BLK 180 LOT O ( 7? m BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) ‘4/ l Q /IL Al 42 Phone # Owner's Address // Y 7 y F 9 7 S fiCet / J City A/adiL7 fhG•4"5 State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name Contractor's Address City i State - Qualifier Describe Work: Scanning $ Code Enforcement $ Total Fee Now Due $ (Continue i on opposite side) f aD / /10© Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 /15(.7 f 7 5/ / County Miami -Dade NO 0795 NW 53rd Street #209 siINRIS , F1 f RIF)F'. 3`1351 v�o Structural Plan Review. $ Permit No. I �C Master Permit No. e1 L-). I `/ Plumbing Mechanical Roofing Zip F F CIRICAL SERVICES, INC. Phone # State Certificate or Registration No Certificate of Competency No Zip Architect/Engineer's Name (if applicable) Phone # v0 $ Value of Work For this Permit /0 or '"' Square Footage Of Work: Type of Work: Addition ['Alteration ❑New ❑ Repair /Replace ❑ Demolition * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * ** * * * * * ** Submittal Foe 5 L' Permit Fee $ ,. CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ • Radon $ Zoning Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commenccrhent must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is i ,/sued In the) absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature 1 NOTARY PUBLI Sign: Print: Owner or Agent The foregoing instrument was acknowledged before me this 2 a day of weli4, 20 0 5, by 6;)./e 14■114 who is personally known to me or who has produced /2/ L. As identification and who did take an oath. My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ############## # # # # # # # # # # # # # # # # # # # # # # # # # # # # # ## APPLICATION APPROVED BY: '" ?'° Chc 05/13/03 "'•'*t •tt•t.. TARY PUBLIC: p�w �•rysrnee R..on.n.... •o � vPG 4 commission DDOR0345 ar" Sign: y � 4 ' n �� h Print: ..faut)-432.4254) Florida Notary Assn., ,,• na. My Commission Expires: I re Signature Contractor The foregoing instrument was acknowledged before me this L i - day of /f2er•-ri , 20C' b DQo` /747 %$t`( who is personally known to me or who has produced as identification and who did take an oath. G LARY XIGOIRE i: P DC0103 51 Expires 4/8/2006 **i or Pt? l3ondod ttlfOtltlf' ° (800432.4254) Florida Notary Assn., Inc. l su•• adiuilissssssisij { SSSSSHII•9•••sC•Y^.13444r4 rr, Z_ %� � % Plans Examiner Engineer Zoning