1200 NE 97 St (8)Inspection Number: INSP -10257
Inspection Date: 02/22/2006
Inspector: Devaney, Michael
Owner: CONTRERAS, MARIA
Job Address: 1200 97 ,SriVr' 577e47
Miami Shores Village, FL
Project: <NONE>
Building Department Comments
Tuesday, February 21, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Contractor: BAY LIGHTING OF MIAMI CORP
Block:
Permit Number: EL2005
Permit Type: Imported Permit
Inspection Type: Rough
Work Classification: <NONE>
Phone Number 305 - 759 -0860
Parcel Number 1132050090620
Lot:
Phone: 305 -303 -8301
Page 2 of 2
Passed
Inspector Comments
1
/ 'a.(P-' 0/ ir
a,A
4g ------
EI
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP -10257
Inspection Date: 02/22/2006
Inspector: Devaney, Michael
Owner: CONTRERAS, MARIA
Job Address: 1200 97 ,SriVr' 577e47
Miami Shores Village, FL
Project: <NONE>
Building Department Comments
Tuesday, February 21, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Contractor: BAY LIGHTING OF MIAMI CORP
Block:
Permit Number: EL2005
Permit Type: Imported Permit
Inspection Type: Rough
Work Classification: <NONE>
Phone Number 305 - 759 -0860
Parcel Number 1132050090620
Lot:
Phone: 305 -303 -8301
Page 2 of 2
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 9/22/2005
Applicant: MARIA
Owner: CONTRERAS
JOB ADDRESS: 1200
NE 97
Contractor BAY LIGHTING OF MIAMI CORP
Local Phone: 305 - 303 -8301
Parcel # 1132050090620
Permit Status: APPROVED Permit Expiration: 3/21/2006
Work:
ADD FIXTURES TO BATHROOM
Electrical Permit
Permit Number: EL2005 -337
CONTRERAS
MARIA
ST
Contractor's Address: 328 CRANDON BLVD.
Construction Value:
$315.00
Page 1 of 1
Legal Description: EARLETON SHORES PB 43 -80 W12.50FT OF LOT 20 & ALL OF LOT 21
Fees:
FEE2005 -12728
FEE2005 -12729
FEE2005 -12730
FEE2005 -12731
FEE2005 -12732
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$100.00
$0.60
$0.20
$2.50
$3.00
$106.30
Total Fees: $106.30
Total Receipts: $0.00
Signed: (INSPECTOR)
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
BUILDING
PERMIT APPLICATION
FBC 2001
Owner's Address !i76% i$it
City ' 1MCc.:
Tenant/Lessee Name
Job Address (where the work is being done) 1»,"
Code Enforcement $
Total Fee Now Due $ t O
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, MPanti Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Titleholder) A g
Name (Fee Simple ( ) f "k «��` -ltd' �" �'' (`.!' /y�'i:�'' #
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO 6'
Contractor's Company Name 3J 1 Gh ri / of 11/0041 Phone # 3 S ' 36 7 2
Contractor's Address 3 Z i' C f /9 6 , v 8,4 s/z ' 2//
Cit , ' ' Bi$ cop, e, State Zip .3--? /97
Qualifier_ IZig fl) ! ' P� � -Z eyteP 2
State Certificate or Registration No. C (% t 6 / 6 76 7 ,00. 0 29 Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Type of Work: ❑Addition cAlteration ['New ❑ Repair/Replace
❑Demolition
Describe Work:
* * * * * * * * * * ** * * * * * * ** * * * ** ** Fees * * * * * * * * * * * * * * * * * * ** * * * * * * * * **
Permit Fee $ 6' e*" /' CCF $ 1• GO CO /CC
Technology Fee $ •
Bond $
Submittal Fee $
Notary $ Training/Education Fee $ 0. 2.0
Scanning $ � Radon $ Zoning
Structur Plan R,vtew. $
N►�utl i
Permit No. `-
Master Permit
Zip
Square Footage Of Work:
). c 'Ay/
Bonding Company's Name (if applicable) Q
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 commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged. • �_ <�
•
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this/1%4W
day of , 20 _, by , day of / / , 20 65, by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
My Commission Expires:
APPLICATION APPROVED BY: ✓' /'� t Plans Examiner
***************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
chc 05/13/03
My Commis
4.4.4 0.
.r.
177 MY COMMISSION # DD408784
4.4.4 OtteS: EXPIRES: March 20, 2009
(., ) 3•: -0153 Fl . ride) NotaryS rvic 4com
FE
Engineer
Zoning
Inspection Date: 06/13/2006
Inspector: Devaney, Michael
Owner: CONTRERAS, MARIA
Job Address: 1200 97 Street NE
Miami Shores Village, FL 33133-
Project: <NONE>
Contractor: BAY LIGHTING OF MIAMI CORP
Building Department Comments
Monday, June 12, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP -19819 fl IN 1 4 an CiL,„
Block:
Permit Number: EL2005 -337
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Electric
Phone Number 305 - 759 -0860
Parcel Number 1132050090620
Lot:
Phone: 305 - 303 -8301
Page 1 of 2
Passed
Inspector Comments
l ? 2 --- / -20 ez
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: 06/13/2006
Inspector: Devaney, Michael
Owner: CONTRERAS, MARIA
Job Address: 1200 97 Street NE
Miami Shores Village, FL 33133-
Project: <NONE>
Contractor: BAY LIGHTING OF MIAMI CORP
Building Department Comments
Monday, June 12, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP -19819 fl IN 1 4 an CiL,„
Block:
Permit Number: EL2005 -337
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Electric
Phone Number 305 - 759 -0860
Parcel Number 1132050090620
Lot:
Phone: 305 - 303 -8301
Page 1 of 2
Inspection Date: 02/22/2006
Inspector: Devaney, Michael
Owner:
Job Address:
Project: <NONE>
CONTRERAS, MARIA
1200 97 Spur
Miami Shores Village, FL
Contractor: BAY LIGHTING OF MIAMI CORP
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Number: EL2005 -313
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: <NONE>
Phone Number 305 - 759 -0860
Parcel Number 1132050090620
Lot:
Phone: 305 -303 -8301
Tuesday, February 21, 2006
Page 2 of 2
Passed
Inspector Comments
— - d ,‘
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: 02/22/2006
Inspector: Devaney, Michael
Owner:
Job Address:
Project: <NONE>
CONTRERAS, MARIA
1200 97 Spur
Miami Shores Village, FL
Contractor: BAY LIGHTING OF MIAMI CORP
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Number: EL2005 -313
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: <NONE>
Phone Number 305 - 759 -0860
Parcel Number 1132050090620
Lot:
Phone: 305 -303 -8301
Tuesday, February 21, 2006
Page 2 of 2
Moos-r disi sz
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date q 19
Type Insp'n
Permit No. EL05"" 313
Name CarAireITCA
Address 12 ,s4-
Company 'a•—i
Phone # _ 75 Og C.® .
Inspection Date
Approved
Correction
Re- Insp'n Fee
0
r
73/
,,,c?cy'w
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Elect ri Plumbing Mechanical Roofing
4
Owner's Name (Fee Simple Titleholder) Ili t3%-.'14is'C; 66'j 4 Phone # r i t`> '7 et E: f)
Owner's Address r 36 Ai 6 if f ,'° r-
City F(izti'!141 State J L
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Villa:e
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
City
Qualifier
State Certificate or Registration No. -te e
Total Fee Now Due $ /El • 55
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
State
1,I)
c,
County Miami -Dade
NO X
Type of Work: ['Addition J f Alteration ['New
Describe Work: _79' _ �> � ,�, -�r �, );
Zip
Phone #
Phone #
Permit No.
Master Permit No.
Zip
Certificate of Competency No._
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit ��� Square Footage Of Work:
❑ Repair /Replace
x
Zip :- ..:103 e
7 * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Fee $ L� CC F $ Q.
AZ LP
EL,20-111
/ r
El Demolition
Submittal Fee $ CO /CC
Notary $ - Training/Education Fee $ ®. Technology Fee $
Scanning $ 3 • Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
i
Bonding Company's Name (if applicable)
Bonding Company's Address
City •
Mortgage Lender's Nante (ifapplicable)
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 commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged. /, t
F
Signature #P &' --
Owner or Agent
The foregoing instrument was acknowledged before me this 24
day of 4 c ST , 20 OS" , by 6:EI % El - ft CO P7'2 Ca"
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PU IC/�• )
Sign: :� aL/
Print: ,4 D t9-- E •
chc 05/13/03
APPLICATION APPROVED BY:
State Zip
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of, 0oZ , 20 03 by /rCad
who is personally known to me or who has produced //
as identification and who did take an oath.
NOTARY PUBLIC:
d - 'v`s t Si
L L 672 . J b, Print/ 474/Gt'4 m- Oe
My Commission Expires: 1
* * * * * * * * * * * * * * * **
My Commission Expires: 3/90 /e'9
* * * * * * * * * * * * * * *** **** * * *Ad3€ mettlro************************************ * * ** * * * * ** * * * * * * * * * * * * * * * * * * * **
* i
�.: . +: MYCCtMM1SSI0N# 00065493 EXPIRES
' x�F December 6, 2005
N oy
RA ty GONDED THRU TROY FAIN INSURANCE INC
****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
41,14.1-. _
evitte, MARIA M DE LA FE
*mw v:00141%164 rbiblta*
A or Se' EXPIRES: Match 20, 2009
(407) 3080153 Florida Notary SPU9F9Xa
*
Engineer
Zoning
iner
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
6
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
ii..-
CENTRAL HEATING
DISHWASHER
RECEPTACLES
1
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
/9
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 FP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEM3LIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 FP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY 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
SWIMAING POOL
OUTLETS COIAAERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
GRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP R. ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPIN
ADDENDUM TO BUILDING PERMIT APPLI ATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
4.
Electrical Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: EL2005 -313
Printed: 9/9/2005
Applicant: MARIA CONTRERAS
Owner: CONTRERAS MARIA
JOB ADDRESS: 1200 NE 97 ST
Contractor BAY LIGHTING OF MIAMI CORP Contractor's Address: 328 CRANDON BLVD.
Local Phone: 305 - 303 -8301
Parcel # 1132050090620
Page 1 of 1
Legal Description: EARLETON SHORES PB 43 -80 W12.50FT OF LOT 20 & ALL OF LOT 21
Fees: Description Amount
FEE2005 -12233 Building Fee $150.00
FEE2005 -12234 CCF $0.60
FEE2005 -12235 Training and Education Fee $0.20
FEE2005 -12236 Technology Fee $3.75
FEE2005 -12237 Scanning Fee $3.00
Total Fees: $157.55
Total Fees: $157.55
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 3/1/2006 Construction Value: $900.00
Work: INTERIOR ALTERATION FOR NEW KITCHEN
S �� 0 � mac, �..
Ed 1Z
Signed: (INSPECTOR)
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances 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.
Signed: (Contractor or Builder) BY:
11
APPLICATION FOR ELECTRICAL PERMIT
1k / 5
Permit No
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, ;FiLiada,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address.
Registered Architect and /or Engineer
Employing Electriciafi's Name.
Location and Legal Description Lot
Street and Number where work is to be performed— No........
State work to be performed and purpose of building (By Floors)
New Building Remodeling
v
Underground Size Feeders ai ' Conduit a Main Sw
Type of Installation -- Conduit t/ Tubing.. B.X.L Metal Moulding
Service Overhead
STATE OF FLORIDA, }
COUNTY OF DARE.
so.
K ..
. -crs .
Amount of Permit $
1
MIAMI SHORES VILLAGE
ELECTRICAL 'RICAL INSPECTION DEPARTMENT
x
No //9 Street..' .. " / 9
Block Subdivision...
Street /
Addition '
1 Amps
(Signed)
appeared ....... •• ...... ........................
No /e
Date
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
therein by him seated are true.
'7 7
Street
Repairs No. of Stories
P:PO Main Fuses .....2 P Amps
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts 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 th site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on � •or)( to be performed under this permit, as are
licensed by Miami Shores Village.
fore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
the same, and that all facts
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when ouch re- inspection is made necessary by improper notice for inspection, or faulty
inaterialo and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P
FIIiTURES
No. LAMPS
REVRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEAVER
STRIP
HEAVER
TOTAL
CONTR.
LILY
9
/2
c
/O
CHECK
ENT.
SW.
GIST.
CAO.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.9 HP
NEON
TRANS.
2. _ {a 1
L �v
C G11e, {
RADIO
T art
TOTAL
CONTR.
LIST
.7 j.
L
CHECtt
11
APPLICATION FOR ELECTRICAL PERMIT
1k / 5
Permit No
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, ;FiLiada,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address.
Registered Architect and /or Engineer
Employing Electriciafi's Name.
Location and Legal Description Lot
Street and Number where work is to be performed— No........
State work to be performed and purpose of building (By Floors)
New Building Remodeling
v
Underground Size Feeders ai ' Conduit a Main Sw
Type of Installation -- Conduit t/ Tubing.. B.X.L Metal Moulding
Service Overhead
STATE OF FLORIDA, }
COUNTY OF DARE.
so.
K ..
. -crs .
Amount of Permit $
1
MIAMI SHORES VILLAGE
ELECTRICAL 'RICAL INSPECTION DEPARTMENT
x
No //9 Street..' .. " / 9
Block Subdivision...
Street /
Addition '
1 Amps
(Signed)
appeared ....... •• ...... ........................
No /e
Date
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
therein by him seated are true.
'7 7
Street
Repairs No. of Stories
P:PO Main Fuses .....2 P Amps
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts 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 th site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on � •or)( to be performed under this permit, as are
licensed by Miami Shores Village.
fore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
the same, and that all facts
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when ouch re- inspection is made necessary by improper notice for inspection, or faulty
inaterialo and /or workmanship.
CONTRACTOR OR BUILDER
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot II M.
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
0 PERMIT N° 14012
❑ Work to be performed under this Permit
Subdi-
vision
Value of
Project $
DATE 195
Contractor's
License No.
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 revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed: BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
I/ 1
Permit No ( ��
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building cr other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, : ?lorida,
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 .'i:ept at
building during progress of work.
Owner's Name and Address ' ' 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
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 sub - contractors, on work to
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE. SS.
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
1F
Amount of Permit $ (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
(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, 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
N O. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
,
7
■.
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
...---..�
M OTORS
O. HP
M OTORS
WS
5 HP
�.
N EON
TRANS.
- -
RADIO
- __.
- -gy■..•
TOTAL
CONTR.
LIST
CHECK
I/ 1
Permit No ( ��
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building cr other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, : ?lorida,
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 .'i:ept at
building during progress of work.
Owner's Name and Address ' ' 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
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 sub - contractors, on work to
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE. SS.
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
1F
Amount of Permit $ (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
(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, 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.