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ELECTRICALSTATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECT CONTRACTORS LICENSING BD (850) 488-3109 1940 N. MONROE ST. TALLAHASSEE FL 32399-0771 THOMAS, RANDALL JAMES HM ELE SRCE OF CENTRAL FL INC 8601 SW 121 STREET MIAMI FL 33156 5163687 �� ��L����/ STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECT CONTRACTORS LICENSING BD DATE I BATCH NUMBER 06/13/1998 97903948 Pm ELECTRICAL CONTRACTOR Mmmtbelm IS CERTIFIED Under the pnrrislons of ChajW 489 FS. Expiration date: AUG 31, 2000 LICENSE NBR EC —0000851 THOMAS, RANDALL JAMES HM ELE SRCE OF CENTRAL FL INC 8601 SW 121 STREET MIAMI FL 33156 LAWTON CHIiFq DETACH HERE rvcol vvxcn=n , noon ov.Aim STATE OF FLORIDA AC# 516368' EPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION EC —0000651 06/13/1998 9790394G CERTIFIED C CONTRACTOR THOMAS, RANDALL JAMES HM ELE SRCE OF CENTRAL FL :NC IS CERTIFIED under the provisions of Ch. 489_ F: Expiration Date: AUG 31, 2000 RICHARD T FARRc\| :1:411111. *CERTIFICATE OF INSURANCE • • 0 TE(IMN ') 08/27/98 PROCriCER -Galloway Insurance 12884 S.W. 8 7 Avenue Miami, FL 33176 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A Preferred National Ins. Co. 81SURED Home Electric Svce of Cen. FL, Inc. 8761 S.W. 129 Street Miami, FL 33176 I COMPANY B COMPANY C COMPANY D COVERAGES . . _ - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co LTR TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE DATE (MWDO/YC) POLICY EXPIRATION ON DATE pwrooNY) LIIfIS A GENERAL LIABILITY GLA- 04 -834C 08/30/98 08/30/99 BODILY INJURY OCC $ X COMPREHENSIVE FORM PREMISES/OPERATIONS UNDERGROUND EXPLOSION & COLLAPSE HAZARD PRODUCTS/COMPLETED OPER CONTRACTUAL INDEPENDENT CONTRACTORS BROAD FORM PROPERTY DAMAGE PERSONAL INJURY WC:41INJ11RYAGG $ PROPERTY DAMAGE OCC $ PROPERTY DAMAGE AGG $ BI & PD COMBINED OCC _ _8_5 $ 5 0 0 n n n 818 PD COMBINED AGG PERSONAL INJURY AGG f $ — _ OMOBILE LABILITY ANY AUTO ALL OWNED AUTOS (Private Pass) ALL OWNED AUTOS (Other than Private Passenger) HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY BODILY INJURY (Per Pte) BODILY IKIURY (P r accident) $ PROPERTY DAMAGE $ BODILY INJURY & PROPERTY DAMAGE COMBINED _ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE $ $ WORKERS COMPENSATION AND EMPLOYERS'UABIUTY — STATUTORY LIMITS EACH ACCIDENT $ THE PROPRIETOR/ PAWTNERS/EXECUTIVE OFFICERS ARE: — INCL EXCL DISEASE • POLICY LIMIT $ DISEASE . EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS /LOCATIONS NEHIC(ESISPECIAL ITEMS Electrical Contractor CERTIFICATE HOLDER .: • ` Village o f Miami Shores Building & Zoning .. 10050 N.E. 2 Avenue Miami Shores, FL 33138 ACORD 25-N (3/93) - CANCELLATION . ., . . . . . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MALL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATIOI OR LUIB&UN OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. i :. ..z..10 TIVE all 7 e ACORD CORPORATION 1993 DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 14th FLOOR MIAMI, FL 33130 348044 -9 BUSINESS NAME / LOCAT HOME ELECTRIC CENTRAL I 9 33176 UNIN DA OWNER HOME ELEC SVC Sec. Type of Business 196 ELECTRICAL THIS IS AN OCCUPATIONAL TAX ONLY. R DOES NOT PERMIT THE LICENSEE TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CITIES. NOR DOES IT - EXEMPT THE UCENSEE FROM ANY OTHER LICENSE OR PERMIT REQUIRED BY LAW. THIS 18 NOT A CERTI- FICATION OF THE UCENSEE'S QUALIFICA- TION. PAYMENT RECEIVED DADE COUNTY TAX COLLECTOR: 220000706 000075*00 SEE OTHER SIDE 1997 OCCUPATIONAL LICENSE TAX 1998 DADE COUNTY - STATE OF FLORIDA EXPIRES SEPT. 30, 1998 MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 9 & 10 RENEWAL ION LICENSE NO. 363547 -2 AL SERVICE OF STATE tEC0000651 NC DE COUNTY OF CENTRAL FL INC DO NOT FORWARD HOMEELECTRIIAL SERVICE OF RANDALL J THOMAS PRES 8761 SW 129 ST MIAMI FL 33176 WORKERS 1 1 11" LIIIIIllllllllili11111 1111 11111 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 t PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date g t'S Job Address 1165 N.E. 97 Street Tax Folio #1132050170030 Legal Description Plat 43 , P g 51 ,Lot 3 ,Block 180 Historically Designated: Yes Owner/Lessee / Tenant Audrey Wall Owner's Address 1165 N. E. 97 Street Contracting Co. Home Electric Service 7 ei/ / /ft Signature of owner and/or Condo President Date No as to Owner and/or Condo President Date friry My Commission Expires: 4.2kv P am JAMES C. THOMAS COMMISSION # CC 657746 ' "'' EXPIRES JUN 22, 2001 Kximov.itu ATLANTIC BONOfhK C ,, Ifle, FEES: PERMIT ,V ®' RADON 7s C.C.F. C.C.F. ).20 NOTARY Master Permit # Phone (305)758-2131 Address 8761 SW 129 St., Miami, FL 33176 Qualifier Randall J. Thomas SS# Phone ( 305) 254 -6778 State # EC 0000651 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION St?' -1,t cE vitt to KAta E 7 0 •4+.%■-es — PA- N ta.- 0 -14 1 tN3 46' T C y Yti4- IC CK..S Square Ft Estimated Cost (value) '/ 1 �° 0 ` 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 Contract Owner- Builder Date No X " ) -9 , Not s to Contractor or Owner - Builder Date My Commission Expires: 4.4+Y P`, JAMES C. THOMAS rivh <6 COMMISSION # CC 657746 EXPIRES JUN 22 2001 O Iu�I BONDED THRU Of ATLANTIC BONDING CO., INC. TOTAL DUE -... APPROVED: Zoning Building Mechanical Plumbing Engineering Electrical cxk 6° 2.. < VL e=. / 1U-5 Kr% ■ ■-4-0 L7 IN ---- -..! '-'----,-_, II _ 00.0 2 -1d ) //2 z " c., vL C- — E)c.Tt�w h -t-v4 ,2.0l3 r . osg' Y3 ∎+3+3 O Zoo 1_ / LS S 1ve 9.7 Sr h •• -..-.- . S t tt Ll.T1Lt2t� L7ctSTt►�C AAt£w - 'RC 'PO - &•t rs t - V - N Z ! o Cal. 4 tm o , 41 itre- 3 -`4O 0060 cos-) • - Z o o - L oo Z " (.NA -C.. ® a ) c NA. ti -v. N2 Nola r . A No. " LlT1Lt2t: Cr': - AN ST /'ts rue .1 S� 06 - }Qctfll61 &yctri - v - to Z ) o cx. ,g_e2 -- -�--°— ,_ o A+ V�n ,t. o, 3o -y,O 1P -�z.d . �Cr o ®o fo S) GL DG. OFFICIAL APPROVED ��CPaI� /STRUCTURAL iELECTRICAL r - MECHANICAL ROOFING SUBJECT TO COMPLIANCE G H ALL FEDERAL, STATE AND CDUNIT RULES AND REGULATIONS. IMAM➢ SHORES VILLAGE ASSUMES NO RESPONSIBILITIES FOR ACCURACY OE OR RESULTS FROM THESE PLANS. COMPLIANCE MTh THE SOUTH FLORIDA BM' )ING CODE AS ADOPTED BY a 9 °? SHORES VILiI GE BS REQUIRED. THE ARCHITECT, BUILDER SUB `; ;RACoORS ARE CHARGED WITH WE Itik!OWLEDGE OE ALL BUILDING JVMS MINER OR C,v ©y SPECIFICALLY INDICATED HEREf 2. - Zoo -L 0 0 3 2 -) n ems. Z " co \&. C. — C— ).Tt►v r� vg4 vA-v.. A •o0 r . A %_. la Y 1A.7/4-1,-..—. / NE 9. Sr vlT1 Le2t L "Al ST1 v.7t 2 „ R d- c__... 0060 6 - s - , 4tm _1 - 1....00 A a W -. 'o. 3o -'O ili'HRO SKORES MIME r ..„.„.. l.o. a;:n 0 ipaeb...pm.a...■ 1 : STRMTURAL 1 ....... ---- t r:.. CIiANICAL Mt: I t u PG. OFFICIAL STLIECT TO COWLUTCE ALL FEDERAL, STATE AND C0101 RULES AND REGULIITIONS. WM: :ICES 'PUCE ASSRES O RESFONSiNLITIS FOR ACCURACY OF CJ rZESiliS FROM THEE PIMS. rmfi.P: . MTH THE SOUTH 'iLORIIN BUILDING CODE AS P.DOPTED V TLIAGE REQUIRED. THE ARCHITECT, ORDER & SU3 ARE CHARGED Val 'ME IGIOINLEI)OF. OF ALL I3U11,Dlig.; INHETHEII OR 00T SPECIFICALLY INDICATED HUE!. PERMIT // p0 v 1 T APPLICATION F MIAMI SHORES VILLAGE Date 9 ` 2 i d 1 S Job Address b ax Folio 1! - � &, m C / - Legal Description / Tenant 14046 � t9 LL Master Pennit # `� Owner's Address ���+'n � G Phone \ - 2-6 • ° I Contracting Co. L , 6:„,- P r / We c Address /; C d ( -r Qualifier F: `� f L � a t-•V\ SS# -11_- W? Phone 2 -,, 5 - Ci3,- state # EF jc o 3 (a b Municipal # Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING L ELECTRICAL) PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION i��►`t�'►'� , i k ,8,4 Square Ft Estimated Cost (value) 19 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 ap licable). 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 work will be done in compliance with all applicable k stated. laws regulating construction and zoning. Furthermore, I authorize the above -named • / re -cfa igna FEES: P of 9wner and/or Condo President Date W 9D®- ‘1. y •gad -O .1 as to r %= Date M Commission E 4 it '"' J 1 Y : �... h.. of it ..;0 ?fa:1557.CN NO. CC 7H103 MY CO.W41SSFON E. MAR L2G RADON Historically Designated: Yes No Competency # Ins. Co. Address Address // � w r Owner- Builder Date as to Con actor o#t i . % bk' .` Pate y Commission Expires: 11117.37-72. ;. C7/n 'p S . o .s 1 p t�(+ oMk r fON 7-/7- fa actor C.C.F. 1. , .O NOTARY -7 BOND TOTAL DUE 1 7 1 / 9 APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering ' ,12 7 -21;98 02:11F Miami Shcras Village 306 766 8972 Nrllftij TO BUILDING PERMIT APPLICATION ADDENDUM. IF A MASTER PERMIT'. ITAS E. (AN APPLICATION FOR OUILn2KG HOST AC OIWANT THIS A1sPLIC�2t�S- OBTAINED, TITS OWNER'S NOTARZZ. a s IG IAXUR8 M NOT BE ERESF T OH QJ U� /3!0 ELECTRICAL MECHANICAL PLUMBING • FEE QE ►7" At1ES SSV ICf TEIPQI,MIY S6P/IcE SIZE IN APS SEAM REPAIRAITER OVA NATEA K ATEA CTS OVER 11)- 3 IP ITDit SPACE NEATTSS I N1T FEE CENTRAL MEATUS UG APR I IOTCAS hOlcRS 0- 1 I I• 3 MP =RS OV61 8- s If 10TORg OVER 5- 8 IF 10TCRS I!- 10 1P AMOS OVER 2}100 Kflon OWI 101 IP A/C IRON AIR OROIT10103 Iti TARS TRANSAISERS GE1lRATCAS MAYO= OErERm in RAs r— MON NI REM } . T 10N PROCESS AMC PRESS PIPIIQ IAA TWO uEOWMICAL YQRIUTION TRA PIPtT ASO& IES ELEyAT I/ESOLATQIS COMING TOIQiS VIOLATION A/C (Milo A/C CENTRAL OLT NM ASK Mae T U.f. AREst•; YE W ILOLS IG NATER e01LERS N.*. 7T FIRE SPRINKLER SYSTEMS REINSPECT10N r UM MON SPECIAL 1 �r� 10 MO r S10T1 TM Mt- 11111111111111.1101 ,IPII �r�■r� rrl, 1XRAtES r NIM'Milf 1i111rN I I ON � �� �/ / te — OM viouTox , 1 ' NI 1701 ) /Jr�1id sr me . _ limmIMINNIIMULLiparkirin trfroore .1101IMMIIIIMEr Eli 111111111111 - INN Nom MC ilIPITAtffi IMIIIIIIIIIINNIEAMINEANiiiil i r ././ IMO ter MOM r NO MUN MON MI INO NMI MI 11111111111 I SLAP TCUFORARY NATEA 1 1;191AL LATER 1 10010T NASTl4 NATER RNP1T TO: AR UNIT 'ME SPRUCES ATEA -tell DRAIN SERVICE roF 1t1.ET aua IGTIER TER IRE ST 1 �,. xL P1P11G 11M SPRINKLER SYST aA S RAGE TEA SET OAS S PIPING 4• T11. S. SEPTIC T a. PT. 1TEN SAM ITEM BAN TIP POET D 1S?A1A1#A DISPOSAL 0111414 FQSITAIN FLT DIA GREASE TRAP INTIROPANI WATERY LAWNY TRAY ` CLOT1$S NAsea StotR VI , POT/3 cap SINK TESIOENCE SINi( RATER SENDI COIINCTI 11T1L ITT- SETIER . IJT IL IT1-Y SEPTIC TAMA :RELAY MP 1 WIWI ytS0AKAGIE P11 Z-CATOI BASIN ISC11AINE 1 - 1. :701EST IC HELL NEATER-REPU "a LAM SPRIN9ILEA -SELL GIIw1I6 Pte. Zed 1728 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date 11/7/60 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Frank Bennett Registered tagilgeg32141= Engineer Geiger pistrJ.butOrs, Ina. Employing Electrician's Name Hurst Electric Co, No.11999 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1 Street BE ....97-- -.St.• State work to be performed and purpose of building (By Floors). Q. ®c- t.... tan Air to_zzi.$.ting.- .eirs• 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 X B.X.L Metal Moulding EMT in garage & to unit m 1IP sealtite to unit Amount of Permit $ 2 • 00 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 / Florida Permanent Supplement, aid 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ! j 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 fads therein by him stated are true. 85. My Commission Expires MIAMI SHORES VILLAGE (Signed) 1 .7r-to No 12 Street.... a....97...B.t• StreetWa.DiXif3...Huy Notary Public, State of Florida (Signed) Electrical Inspector. Master Electrician. NOTE: A re•ni.ection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SeACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO TOTAL CONTR. LIST L1 3 HP CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date 11/7/60 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Frank Bennett Registered tagilgeg32141= Engineer Geiger pistrJ.butOrs, Ina. Employing Electrician's Name Hurst Electric Co, No.11999 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1 Street BE ....97-- -.St.• State work to be performed and purpose of building (By Floors). Q. ®c- t.... tan Air to_zzi.$.ting.- .eirs• 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 X B.X.L Metal Moulding EMT in garage & to unit m 1IP sealtite to unit Amount of Permit $ 2 • 00 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 / Florida Permanent Supplement, aid 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ! j 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 fads therein by him stated are true. 85. My Commission Expires MIAMI SHORES VILLAGE (Signed) 1 .7r-to No 12 Street.... a....97...B.t• StreetWa.DiXif3...Huy Notary Public, State of Florida (Signed) Electrical Inspector. Master Electrician. NOTE: A re•ni.ection 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, FLA. JOB ° ADDRESS : INSPECTION - N9 6711 TIME READY /fr.6' / / • REMARKS. INSPECTOR DATE Permit No '.,it Date... )1/. , 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 r ' ° ` � (, l No 1 % Street i /- / , / Registered Architect and /or Enginee i s STATE OF FLORIDA, } COUNTY OF DADE. ss' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT c Employing Electrician's Name 11 ° ,, G'l - /' :- 'C e' , � / - No ��,/� p � l� Street 1 /� 7 ' J ; Location and Legal Description Lot p Block 11.. Subdivision /7 /- 0 Street and Number where work is to be performed —No �� 4 2 Street 1 ' f 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 (Signed).... 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 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 $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'7'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. gCS �A HEATER STRIP HEATER TOTAL CONTR. LIST 'r- / CHECK • ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO TOTAL CONTR. Is r LIST CHECK Permit No '.,it Date... )1/. , 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 r ' ° ` � (, l No 1 % Street i /- / , / Registered Architect and /or Enginee i s STATE OF FLORIDA, } COUNTY OF DADE. ss' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT c Employing Electrician's Name 11 ° ,, G'l - /' :- 'C e' , � / - No ��,/� p � l� Street 1 /� 7 ' J ; Location and Legal Description Lot p Block 11.. Subdivision /7 /- 0 Street and Number where work is to be performed —No �� 4 2 Street 1 ' f 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 (Signed).... 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 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 $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL ❑ .PERMIT N9 PLUMBING ❑ N. 8445 ROOFING ❑ ❑ Work to be performed under this Permit__ _ BI. Subdi- vision Sq. Ft Value of Project $ DATE 195 — Contractor s License No. F° } Amt. 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 re.oked 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 wok 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 regul.:Ltions 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 Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or otter 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 Diviscon 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. 's Owner's Name and Address V� • r � ® �/ No ,V ma" Street Registered Architect and /or Engin er Employing Electrician's Name L 6 (i s 6. OaSNer Location and Legal Description Lot Street and Number where work is to be performed— No....L /4 f.../ e n Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date �d J Nof ti* 0MN.7A Block / �'1 ® Subdivision • p. , l/ C Service Overhead Site Feeders T� ® Conduit , sin Sw Amps Main Fuses Amps Type of Ynstallatio , • \� b B.X.L L Tubing Metal Moulding Amount of Permit $ 6 (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, en —work to be performed under this permit, as are licensed by Miami Shores Village. (Signed).. Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. I �'' 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. apes HEATER STRIP HEATER i�Y'Nwt fell I TOTAL CONTR. LIST ' S. J a / �+ t. CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•S 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 otter 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 Diviscon 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. 's Owner's Name and Address V� • r � ® �/ No ,V ma" Street Registered Architect and /or Engin er Employing Electrician's Name L 6 (i s 6. OaSNer Location and Legal Description Lot Street and Number where work is to be performed— No....L /4 f.../ e n Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date �d J Nof ti* 0MN.7A Block / �'1 ® Subdivision • p. , l/ C Service Overhead Site Feeders T� ® Conduit , sin Sw Amps Main Fuses Amps Type of Ynstallatio , • \� b B.X.L L Tubing Metal Moulding Amount of Permit $ 6 (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, en —work to be performed under this permit, as are licensed by Miami Shores Village. (Signed).. Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. I �'' 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.