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ELECTRICALBUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, . FLORIDA PERMIT PER N. 4500 Work to be performed under this Permit • Subdi- vision Value of Project Signed: DATE c's" 194 Contractor's License No. Legal Lot I Bl. Description Address of Building - This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This P at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further conditi permit is granted is the understanding that the contractor or builder named above assumes the r nsibility for a thorough knowledge of r e gu l a tion s pertaining to the work covered hereby, whether shown on the plans or drawings o r in stste rents or specifications and that sibility for worIc done by his agents, servants or employees. Amt. of Permit By e appli- with any y be revoked upon which this h e ordinances -land e assumes respon- ' 1 / SPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with Nil b and and in strict conformity with the plans, drawings, statements or specifications submitted to the proper author es of utmi Shores Village. pe In accepting this pert I assume rggponsib' 'ty for rk.done by either myself, my agent, servant or employee. ��z Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2003 -128 Printed: 5/20/2003 Applicant: DAVID ROHN Owner: ROHN DAVID JOB ADDRESS: 124 NE 96 ST Contractor SANSON ELECTRICAL PLUS INC Contractor's Address: 3995 SW 4 ST Local Phone: Parcel # 1132060132690 Permit Status: APPROVED Permit Expiration: 11/16/2003 Construction Value: $1,900.00 Work: REWIRING HOUSE & BATH REMODELING Electrical Permit Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 12 & 13 BLK 20 LOT SIZE 100.000 ii2ttic. -1 .),-), 0 p Total Fees: �$A798 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. • (Contractor or Builder) BY: eE RECE VE • 10050 N.E. 2nd Avenue • / Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 31 -7 72 2 2003 Date /y L 4' 5 Job Address 1) HE q6. 'S/ Tax Folio Legal Description Historically Designated: Yes Owner /Lessee/Tenet (Master Permit # ! h 1'' Owner's Address Phone s � ! Contracting Co,5" N —fD /`/ � /zt � � f - 5 C Address 37 s S �{— IY ei r" 3313 Qualifier SS # (r ( c -6 State # Municipal # / � � oaoo s-4 Competency # ns. �a gl• IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ( ELECTRICAL J PLUMBING MECIIANICAL ROOFING WORK DESCRIPTION: Ze_A—A-4-.A � Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY 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 all disciplines. OWNERS 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, 1 authorize the above named contractor to do the work stated. >< Signature of owner and/or Condo President PERMIT APPLICATION FOR MIAMI SHORES VILLA FEES: PERMIT.:17 7' dL" RADON P i,r7 // e_ o OE l /it4 /5" --/c9 - 0 3 Date Signature of Contract 7 rb wner'Builder ST //Z Date +1`.kY�,ICENO `" to of Florida C.C.F NOTARY BOND APPROVED: TOTAL DUE Zoning Building Electrical` i, 1�j/ >/ ) ley' Mechanical Plumbing Structural Engineer EM 1 T H TU3 UNIT FEE ITEM SR I TCH CURETS UNIT 4 4 60 FEE ITEM SPAIN HEATERS UNIT FEE CET LIGHT CURETS 30 yf CENTRAL FEAT I NG VMS RECEPTACLES _Sp ,.X A/C (WIND) S?QSAL SERVICE TUMMY A/C (CENTRAL) d NX I NG FOUNTAIN SERVICE SIZE IN A PS DUCT WORK .00R DRAIN SERVICE REPAIR/1+ETER CHANIISE REFRIGERATION TEASE TRAP APPLIANCE CURETS S ?- 4/,zi PROCESS AM PRESS PIPING +TERCEPTOR RANGE TCP 1 ‘,.Y3 UNDERGROUND TANKS ;VATCRY OVEN l A ABOVE GROUND TANKS :UN DRY TRAY WATER HEATER l ,j43 U.F. PRESSURE VESSELS _OTMES WASHER MOTORS 0- 1 FP TEAM BOILERS =OWER MOTORS OVER 1- 3 HP /HOT WATER BOILERS ; NK. POT/3 CCM?. MOTORS OVER 3- 5 FP �% MECHANICAL VENTILATION INK. RESIDENCE I13TCRS OVER 5- 8 FP TRANSPORTING ASSEMBLIES INK, SLOP MOTORS OVER 8- 10 FP MOTORS OVER 10- 25 HP ROTORS OVER 25-100 FP ELEVATORS/ESCALATORS FIRE SPRINKLER SYSTEMS :4PORARY WATER CLOSET liNAL COOLING TOWERS ;TER CLOSET MOTORS OVER 100 HP VIOLATIO 'DIRECT WASTES A/C WINDOW REINSPECTION ;TER SUPPLY TO: AIR CON,D I T I ONERS . A/C UNIT STRIP HEATER F IRE SPRINKLER GENERATORS TRAIISFCRARS 4 ::EATER -NEW INST. GENERATORS TRANSFORMERS '-- HEATER-REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PIAAPOSE SWIMMING POOL CUTLETS C(A, ZRCIAL WATER SERVICE SIGN TUBES WER CONNECTIONS SIGN TRANSFCPAERS • 'ILITY -SEWER SIGN TIME CLOCK "1LITY -WATER FIXTURES ?TIC TANK ANTENNA LAY TELEVISION CURETS ^^ AINFIELO. 4' TILE/RES. VIOLATION W & ABANDON SEPTIC TANG( REINSPECTION AXAGE PIT CU. FT. TCJI BASIN ' SURGE WELL 4ESTIC WELL EA DRAIN CF INLET LAR WATER HEATER aE STANDPIPE . CL PIPING NH SPRINKLER SYSTEM S RAMS TER SET (GAS) 3 PIPING ~— 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.) PLU4B.ING ELECTRICAL MECHANICAL MIAMI SHORES VILLAG BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Request Date Type Insp'n E Fr nal LI l-c.,{ e n • Permit No. E X003 uc L Name brown. Address j. q NE_ cf1034 Company CIr) 3O n Phone # 305 Inspection Date Approved Correction Re- Insp'n Fee Date / `1/ U Time Type Insp' �y� Permit No. EL Z X ( a Name f • Address — 1 Compa Phone # 3o-r, ' ‘ l �� For Inspector4 /�/ / 0 - ame & Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2 Building Inspection Requ ❑ u47>l/,figo. d MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT r� {-� Permit No t5 je 4- Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address WA Registered Architect and /or Engi eer / Employing E ri is / N iftaf f.� / � io and Legal Description Lot / 13 Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) ........... w.1./ New Building Remodeling Amount of Permit $ oa STATE OF FLORIDA, COUNTY OF DADE. I `° A4-e. !R - /LNo (Signed) (Signed No J Z T Street PE' 9� 7 Block. g2.1 Subdivision.7?1...$.. .1"./ ', 1 2 — 2 - L f Street .... E° L G 5 Ate Addition Repairs No. of Stories Servfa Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L .Metal Moulding o �y st /if 795 ` 5 t f •/ / — Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this perinit, as are licensed by Miami Shores Village. Notary Public, State of Florida Muter 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 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. L REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. SPACE H STRIP H EATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS MOTORS 0.1 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST ^ HP /`, "I v ](, /C /r - CHECK . MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT r� {-� Permit No t5 je 4- Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address WA Registered Architect and /or Engi eer / Employing E ri is / N iftaf f.� / � io and Legal Description Lot / 13 Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) ........... w.1./ New Building Remodeling Amount of Permit $ oa STATE OF FLORIDA, COUNTY OF DADE. I `° A4-e. !R - /LNo (Signed) (Signed No J Z T Street PE' 9� 7 Block. g2.1 Subdivision.7?1...$.. .1"./ ', 1 2 — 2 - L f Street .... E° L G 5 Ate Addition Repairs No. of Stories Servfa Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L .Metal Moulding o �y st /if 795 ` 5 t f •/ / — Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this perinit, as are licensed by Miami Shores Village. Notary Public, State of Florida Muter 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 NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT a.. , - Permit No 6,A a v /7397 Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building ot other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fioada, 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. Robert J. Rossi. Owner's Name and Address No Street Registered Architect and/or Engineer un Vzquez Inc f4, Employing Electriciafi's Name Joa No 52 5 N.W. N•W • Street 2 7 Av eSuit e 10 3 Location and Legal Description Lot Block Subdivision. Street and Number where work is to be performed—No 124 NE 96 Street Street State work to be performed and purpose of building (By Floors) Residence New Building Remodeling sK Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses . Amps Underground Type of Installation—Conduit Tubing B X L Metal Moulding " Amount of Permit (Signed) Electricdl 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 ntractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspe n 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-contra o 5, on work to nied under this permit, as are licensed by Miami Shores Village. STATE OP FLORIDA, } ss. COUNTY OP DADE. (Signe otary Public, State of Florid aster i t ectrician. ..... .• • • orized to administer oaths and take acknowledgments, personally Before me, the undersigned authority, a notary public, duly au appeared Joaquin Vdzquez to me well known, and who, being by me first duly sworn, upon oath deposes and says that he of the above described construction, and he has carefully read the foregoing application, and therein by him stated are true. t e r m rfry?",`„ S;,7777. t ti ME C, r v,74 catitiwiti aZ:gan e ithttl/ 44 )Wil:niliWinVis NOTE: A re-inspection fee of $1.00 will be made c.,:ien such re-inspection is made ne essary by improper notice for inspection, or faulty materials and/or workmanship. Master Electripian is the that he did sign the same, and that all facts SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'Y'S .....■.......+. FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE HEATER STRIP HEATER 5„,a0 TOTAL CONTR. LIST 29 40 8 46 / 1,7( 7 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS I•5 MP NEON TRANS. RADIO TOTAL CONTR. LIST 2 "• q — CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT a.. , - Permit No 6,A a v /7397 Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building ot other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fioada, 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. Robert J. Rossi. Owner's Name and Address No Street Registered Architect and/or Engineer un Vzquez Inc f4, Employing Electriciafi's Name Joa No 52 5 N.W. N•W • Street 2 7 Av eSuit e 10 3 Location and Legal Description Lot Block Subdivision. Street and Number where work is to be performed—No 124 NE 96 Street Street State work to be performed and purpose of building (By Floors) Residence New Building Remodeling sK Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses . Amps Underground Type of Installation—Conduit Tubing B X L Metal Moulding " Amount of Permit (Signed) Electricdl 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 ntractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspe n 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-contra o 5, on work to nied under this permit, as are licensed by Miami Shores Village. STATE OP FLORIDA, } ss. COUNTY OP DADE. (Signe otary Public, State of Florid aster i t ectrician. ..... .• • • orized to administer oaths and take acknowledgments, personally Before me, the undersigned authority, a notary public, duly au appeared Joaquin Vdzquez to me well known, and who, being by me first duly sworn, upon oath deposes and says that he of the above described construction, and he has carefully read the foregoing application, and therein by him stated are true. t e r m rfry?",`„ S;,7777. t ti ME C, r v,74 catitiwiti aZ:gan e ithttl/ 44 )Wil:niliWinVis NOTE: A re-inspection fee of $1.00 will be made c.,:ien such re-inspection is made ne essary by improper notice for inspection, or faulty materials and/or workmanship. Master Electripian is the that he did sign the same, and that all facts Date " f ' < Job Address lag NE ( czl Tax Folio 1/ - 3aC)b ° /3 -, 6 C) 7 Legal Description �\ Lessee / Tenant `MQ m{;N 1_4AL.°0?%I.A)lA, f � a4 �k qGs Owner's Address \ Phone Contracting Co. f Qualifier YLop3,45A.N State ,i Architect /Engineer Bonding Company Mortgagor Address Permit Type(circle one): BUILDING ELECTRIC PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION R c V !it 'e c 1 � 1 / 7/Zet WARNING TO OWNER: YOU MUS‘ 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. Square Ft. OWNER'S AFFIDAVIT: be done in ompli author�•d the ab Signat Date: APPROVED: ** PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Municipal # I rtify that all the foregoing information is accurate and that all work will ce ith all applicable laws regulating construction and zoning. Furthermore, I amed contractor to do the work stated. 11(■11.2111rAa./Nigia% ,„ i re o own •'r and /or • otar as to Owner and /or Condo President My Commission es: L • L. NOTARY W ("MUM * PUBLIC STA'€ OF FLORIDA COM ION NO. CC321057 MY COMMISSION EXP. FEES: PERMIT 0.C) '�n'• Address SS# . - � � - � telPhone Competency # Address Address Estimated Cost(value) \ r�C� 0 � do President _ Signature of Contractor' Owner-Builder ,04.4 TD / �-e Date: 1 c7 74C1 Ry P �6 OFFICIAL NOTARY SEAL 7- S OTT W ' • VIS ' Notary as to My Commission Master Permit # 356 3c 1 \a,c) a -a Fire Other M Zoning Building Electrical 1 Mechanical Plumbing Engineerink Ins.Co. r otCal16tSBui MY COMMISSION EXP. JAN . 26 1997 ar * * * * * * * * ** NOV.2519y! C.C.F. NOTARY TOTAL DUE $30.50 ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIN)) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE N AMPS DUCT WORK FLOOR DRAIN SERVICE REPAI REFRIGERATION GREASE TRAP APPLIANC ETS PROCESS AND PRESS PIPING INTERCEPTOR ' RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. 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 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY T0: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES . SEWER CONNECTIONS SIGN TRANSFORMERS , UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. ' CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET . SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 12.05 / 4/, �64 Registered Architect and /or Engineer �o.9ox C93 ' /)7/4"),/ 33 /,ts . F/09. Employing Electrician's Name -.... l T2- ' 2/ 7e 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) GEC 7-2/C New Building Remodeling Addition No Street Fox SW /en M /lfif o • Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit X Tubing B.X.L .Metal Moulding Amount of Permit $ (Signed) (Signed) Date Electri The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation as an emp Oyer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma• nt Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors • ..ployed 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 suc 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. Muter 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE HEATER STRIP H TOTAL CONTR. LIST / / CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.0 HP N EON TRANS. RADIO TOTAL CONTR. LIST LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 12.05 / 4/, �64 Registered Architect and /or Engineer �o.9ox C93 ' /)7/4"),/ 33 /,ts . F/09. Employing Electrician's Name -.... l T2- ' 2/ 7e 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) GEC 7-2/C New Building Remodeling Addition No Street Fox SW /en M /lfif o • Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit X Tubing B.X.L .Metal Moulding Amount of Permit $ (Signed) (Signed) Date Electri The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation as an emp Oyer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma• nt Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors • ..ployed 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 suc 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. Muter 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.