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ELECTRICAL4 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Tel a e l( Job Address 12.q% nl C % s-r Tax Folio Legal Description � 1 Historically Designated: Yes No `� / Tenant W v h, ` ` r i1�/ Master Permit # 3 3? Owner's Address S kfAC Phone $1 g vino E 7 S g (' 1 • Conalting Co. Q‘,7,E4.- I turAct- Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer W1 p/`-ISON Address 1bl ,D• MA ft(' , A ANA Bonding Company Address Mortgagor Address Permit Type (circle one): : UILDIN ELECTRICAO'LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION n) SV LL 51114 -LCI. b■S{k Square Ft Estimated Cost (value) 4 oa 8 ) 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 s e work stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT RADON C.C.F. M . C . NOTARY SEAL C�� SANDRA RA !WONT Sc * COMMISSION NUMBER 7A e '1z (I� Q CC4 01261 0 My COMMISSION .EXP. Op \,O AUG, 971;086 . Signa Re o •— acto • Own- : ilde Date NOTARY TOTAL DUE Date APPROVED: Zoning Building Plik If Electrical Mechanical Plumbing Engineering .1V11 A).6 % L'r , evn4e4 t 54-Tet,t) is 0 vs-14- 143 riukt 1 10 VAAA t. 4 5A-titt, chorrq, ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ) 06 Date...L/ 79 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 No.../.429 .1 Street,M/e: .... Registered Architect and /or Engineer Employing Electrician's NameC ° Q4i f-:r . . .6- r (Z tC,..,_ N ..._ 6 1 2 4 5 Street., /" 7 S ' ?AJ R Location and Legal Description Lot Block Subdivision 3 3 1 a-S' 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 • Amount of Permit $ ...� STATE OP FLORIDA, I 1 MIAMI SHORES VILLAGE Addition X I. 2 L. 5 P ✓! Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground -- Type of Installation Conduit Tubing B.X.L .Metal Moulding (Signed)..'J ) (Signe Repairs No. of Stories 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 poet 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-contract , on work to be performe • n ep • is permit, as are licensed by Miami Shores Village. Muter Electrician. COUNTY as. . OF DADE. Before me, the undersigned authority, a notary public, duly authorised 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. L REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. N EAT. CONN. SPACE HEATER STRIP HEATER '7 /Me c"c ic TOTAL CONTR. LIST ' "p ` / b , los 0 00 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK /pJ 1 4 ' t 66 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ) 06 Date...L/ 79 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 No.../.429 .1 Street,M/e: .... Registered Architect and /or Engineer Employing Electrician's NameC ° Q4i f-:r . . .6- r (Z tC,..,_ N ..._ 6 1 2 4 5 Street., /" 7 S ' ?AJ R Location and Legal Description Lot Block Subdivision 3 3 1 a-S' 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 • Amount of Permit $ ...� STATE OP FLORIDA, I 1 MIAMI SHORES VILLAGE Addition X I. 2 L. 5 P ✓! Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground -- Type of Installation Conduit Tubing B.X.L .Metal Moulding (Signed)..'J ) (Signe Repairs No. of Stories 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 poet 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-contract , on work to be performe • n ep • is permit, as are licensed by Miami Shores Village. Muter Electrician. COUNTY as. . OF DADE. Before me, the undersigned authority, a notary public, duly authorised 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. Employing Electrician's Name Location and Legal Description Lot 12 9/ re 96 State work to be performed and purpose of building (By Floors) Amount of Permit :.....16 I V® My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No a 3 7 Date A / f l Application is hereby made for the approval of the detailed statement of the plane and specifications herewith bmitted 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 itiO f)t LL, No...1 Z 9/ 7 6 Street Registered Architect and /or Engineer p► Block Subdivision Street and Number where work is to be performed —No Street Fc- CCTRI WuRf( 1 eemDoELiQi/e' 4 DPI: /0 New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fusa Mips Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) . 144,41 DE" 5 7 Street l'l94 evt.% C3‘, STATE OF FLORIDA, 1 COUNTY OP DADE. es. 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. Notary Public, State of Florida Master Electrician. 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. •\; A G) C5.1•1 ll®LLy us601) �� I SWITCH OUTLETS LIGHT OUTLETS PLUG -REECCEE''r�T'a ���Z •J FIXTURE, NO. LAMPS REFRIO. OUTLET IRON OUTLET RANOE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE NEATER STRIP NEATER TOTAL CONTR. LIFT 43 CHECK ENT. SW. DIET. CAS. SERVICE TEMP. SERVICE PERM. FAO 4,1 eN"r MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Employing Electrician's Name Location and Legal Description Lot 12 9/ re 96 State work to be performed and purpose of building (By Floors) Amount of Permit :.....16 I V® My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No a 3 7 Date A / f l Application is hereby made for the approval of the detailed statement of the plane and specifications herewith bmitted 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 itiO f)t LL, No...1 Z 9/ 7 6 Street Registered Architect and /or Engineer p► Block Subdivision Street and Number where work is to be performed —No Street Fc- CCTRI WuRf( 1 eemDoELiQi/e' 4 DPI: /0 New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fusa Mips Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) . 144,41 DE" 5 7 Street l'l94 evt.% C3‘, STATE OF FLORIDA, 1 COUNTY OP DADE. es. 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. Notary Public, State of Florida Master Electrician. 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. •\; A G) C5.1•1 ll®LLy us601) �� I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION " DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 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 Registered Architect and/or Engineer Employing Electrician's Name �� . �!:..1�••�`'� "� No...t 77 S treet.G� 6 $ No ff / .AZ.a2 Street. ..e... Location and Legal Description Lot ��pp Block Subdivision Street and Number where work is to be performed—No. /c2 `j / Street..[ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Setvite Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ .• (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspecyonthe s of the work -such public notice- orpotices as are required by the Act. The undersigned agrees to employ only such sub•contr ctors, on work a pe • rmed under s permit as are licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. Ij ss' 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 R ECE•P•T•5 FIXTURES NO LAMPS REPRI OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP H TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RAOIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION " DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 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 Registered Architect and/or Engineer Employing Electrician's Name �� . �!:..1�••�`'� "� No...t 77 S treet.G� 6 $ No ff / .AZ.a2 Street. ..e... Location and Legal Description Lot ��pp Block Subdivision Street and Number where work is to be performed—No. /c2 `j / Street..[ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Setvite Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ .• (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspecyonthe s of the work -such public notice- orpotices as are required by the Act. The undersigned agrees to employ only such sub•contr ctors, on work a pe • rmed under s permit as are licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. Ij ss' 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. IUILDING :LECTRICAL 'LUMBING GOOFING Jwner of luilding MIAMI SHORES VILLAGE. FLORIDA x.,.rchi tect contractor Builder ,egal Lot )escription Bl 3 ddress of wilding CONTRACTOR OR BUILDER DATF PERMIT N? 7009 Contractor's 195 License No. Work to be performed under this Permit Subdi- vision Value of Project $ Amount of Permit $ BY AUTHORITY 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 ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans lrawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime 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 ?ertaining to the work covered hereby whether shown on the plans or drawings or in the Atatements or specifications and that he assumes responsibility for work lone 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 'ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- = epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BUILDING ❑ DATF c / ELECTRICAL PERMIT N? 13325 PLUMBING P1 ROOFING f l Work to be performed under this Permit Owner of Building Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA BI. x •• r airlr 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. Subdi- vision Value of Project $ Signed. ' "'"�.'''^'1 '_ 1\,,,,. y".r `—_' BY \.,,,� . 1 , . INSPECTOR In consideration of the issuance to me of this permit I agree to per o m 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 Amt. of Permit $ Contractor's License No 195 Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. f Owner's Name and Address No Street Registered Architect and /or Engineer Employing Electrician's Name No Street F , Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No y ' .1 j Street State work to be performed and purpose of building (By Floors) (Signed) (Signed) New Building Remodeling Addition 1%' 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 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 o 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,rk o be performed under this permit, as are licensed by Miami Shores Village. Electrical Inspector. 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 NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST Al e / ! 4 _ ', . f , .rt' ' CHECK Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. f Owner's Name and Address No Street Registered Architect and /or Engineer Employing Electrician's Name No Street F , Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No y ' .1 j Street State work to be performed and purpose of building (By Floors) (Signed) (Signed) New Building Remodeling Addition 1%' 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 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 o 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,rk o be performed under this permit, as are licensed by Miami Shores Village. Electrical Inspector. 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. Permit No 1 ( MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address __ _e_1__!' No .,l___L Streeter t ' -_g Registered Architect and /or Engineer Employing Electrician's Name A z,' #0/ (44 fi c:' P ' No 14 P' Location and Legal Description Lot Block Subdivision_ Street and Number where work is to be performed —No f-02 �� Street,2 ` = !mL • �? 7 State work to be performed and purpose of building (By Floors) New Building �______ Remodeling Addition Repairs Service Overhead Size Feeders __ Conduit — ______ Main Sw.____ Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding ° Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. SS. My Commission Expires (Signed J. (Sig}t {'— — — — — — Date_ The undersigned applicant for this building permit does hereby certify that a understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, CompilGeneral Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from, all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Imo= - 1 4 -J Street e. 2 -A40 � No. of Stories Main Fuses Amps. Electrical Inspector. fi Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared — — — -- — — — — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET I RON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL CONTR. LIST J� / CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No 1 ( MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address __ _e_1__!' No .,l___L Streeter t ' -_g Registered Architect and /or Engineer Employing Electrician's Name A z,' #0/ (44 fi c:' P ' No 14 P' Location and Legal Description Lot Block Subdivision_ Street and Number where work is to be performed —No f-02 �� Street,2 ` = !mL • �? 7 State work to be performed and purpose of building (By Floors) New Building �______ Remodeling Addition Repairs Service Overhead Size Feeders __ Conduit — ______ Main Sw.____ Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding ° Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. SS. My Commission Expires (Signed J. (Sig}t {'— — — — — — Date_ The undersigned applicant for this building permit does hereby certify that a understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, CompilGeneral Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from, all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Imo= - 1 4 -J Street e. 2 -A40 � No. of Stories Main Fuses Amps. Electrical Inspector. fi Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared — — — -- — — — — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. /4/ ' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date /Jr Application is hereby made for the approval of the detailed statement of the plans and specifications herewi 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 Addreu No / 2 d Registered Architect and /or Engin Employing Electricians Name Location and Legal Description Lot Block Street and Number where work is to be performed —No Permit No State work to be performed and purpose of building (By Floors New Building Remodeling Addition Repairs STATE OF FLORIDA, } COUNTY OF DADE. as' No (Sig duly authorized to Street administer oaths and Street Street ) 7 ��°r Subdivision i Wis No. of Stories. S �Y Imo ``s_ -i = = ✓/'� hi Maio Fuses.. Amps Service Overhead Size Feeders Conduit Main Sw Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) — Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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'contracton 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•contrac, , on work to performed under this permit, as are licensed by Miami Shores Village. i� d e ' ne • y � „ „ cctrician. Before me, the undersigned authority, a notary public, 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. take acknowledgments, personally 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 RECEIPT'S P FIXTURES No. LAMP[ RtPRIO. OUTLET IRON OUTLET RANGE OUTLET RANG[ CONN. WATER NEATER W. NEAT. CONN. ACE N� TER STRIP NEATER TOTAL CONTR. LIST CHECK 6NT. DIST. SW. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 04 H MOTORS NEON 1.5 HP S. RADIO TOTAL CONTR. LIST G_- � r v�E� "F ® j � e d- '''f " 0 r f ■ sr �.�. . �� �p 1 CHICK sue- /7 /4/ ' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date /Jr Application is hereby made for the approval of the detailed statement of the plans and specifications herewi 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 Addreu No / 2 d Registered Architect and /or Engin Employing Electricians Name Location and Legal Description Lot Block Street and Number where work is to be performed —No Permit No State work to be performed and purpose of building (By Floors New Building Remodeling Addition Repairs STATE OF FLORIDA, } COUNTY OF DADE. as' No (Sig duly authorized to Street administer oaths and Street Street ) 7 ��°r Subdivision i Wis No. of Stories. S �Y Imo ``s_ -i = = ✓/'� hi Maio Fuses.. Amps Service Overhead Size Feeders Conduit Main Sw Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) — Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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'contracton 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•contrac, , on work to performed under this permit, as are licensed by Miami Shores Village. i� d e ' ne • y � „ „ cctrician. Before me, the undersigned authority, a notary public, 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. take acknowledgments, personally My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date •- ( ? ` �2 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI 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 plane and specifications must be kept at building during progress of work. , /� (� Owner Al s Name and Address d6/—°' �' �' No ••• 1 - • -•• Street.. Registered Architect and /or Engineer Employing Electrician's Name..•{..�. G •• COL.••No L . ... ¶ 4O Streeti �bG.. /••.� Location and Legal Description Lot Block Subdivision �� ✓3� Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ f (Signed) ectriul Inspe • r. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ' ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub "contractors, , n work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) . ... ° -4,1 M Electrician. STATE OF FLORIDA, COUNTY OF DADE. f es 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•7'6 FIXTURES N o. LAMPS REFRIO. OUTLET IRON O UTLET RANGE OUTLET RANGE CONN. WATER N EATER W. HEAT. CONN. SPACE H STRIP N TOTAL CONTR. LIST CHECK d / "�� 1.1 `� � ' i° ENT. SW. DIST. CAR. SERVICE TEMP. SERVICE PERM. {� Q MOTORS O.1 HP MOTOR. 1.0 HP N EON TRANS. RADIO TOTAL CONTR. LIST ♦ y ' ■ f] -' - 6 A A 0 — CHECK .. // l" / 1-b • i Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date •- ( ? ` �2 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI 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 plane and specifications must be kept at building during progress of work. , /� (� Owner Al s Name and Address d6/—°' �' �' No ••• 1 - • -•• Street.. Registered Architect and /or Engineer Employing Electrician's Name..•{..�. G •• COL.••No L . ... ¶ 4O Streeti �bG.. /••.� Location and Legal Description Lot Block Subdivision �� ✓3� Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ f (Signed) ectriul Inspe • r. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ' ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub "contractors, , n work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) . ... ° -4,1 M Electrician. STATE OF FLORIDA, COUNTY OF DADE. f es Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of t Building Architect Contractor , or ..Stlitckr r' Legal Lot Description Address of , / . Building / fry Work to be performed under this Permit``' r MIAMI SHORES VILLAGE, FLORIDA DATE '* :' ,+' / 194_4 Contractor's License No, PERMIT N9 1823 Bl. Subdi- vision Value of Project 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 theoplaua pr drawings o r in the statements or ec Caj• at and that he assumes responsibility for work done by his agents, servants or employees. -? . .7- Signed • '� r _ ` . t , .� -- 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 regula- tions pertaining thereto and in strict conformity with the plans, drawings, statel%ents'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. 0 CONTRACTOR OR BUILDER BY AUTHORITY Permit No /7 . 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 __L -' r ?L :_ _Y_ LL1f:._ No. 1 ` 71 Street_&Lt_ `r 4-4 ...> Registered Architect and /or Engineer _— ___— _____— _____________ Employing Electrician's Name 1r±L_ —'_1_ z " _L.__ ( : t. ?.14 r t No. 7 E'' Street__WL.E..; 2_bl_ti 1SiA0 Location and Legal Description Lot Block Subdivision __— ___________— _— ___________ Street and Number where work is to be performed —No ,:,. __t_.1 Street___ _ —_ __�__ _ .___— _ __ State work to be performed and purpose of building (By Floors) _ New Building Remodeling Service Overhead Size Feeders Conduit Main Sw. Amps. Underground Type of Installation— Conduit_____ Tubing B.X.L. Metal Moulding Amount of Permit APPLICATION FOR ELECTRICAL PERMIT STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly appeared ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Addition Repairs No. of Stories (Si (Signed) Date 1■ 14 •7 L_ Main 1 tlses___4 Amps. Electrical Inspector. The undersigned applicant for this building permit does hereby certify tha under the Florida Workmen's Compensation Act, being Section 5966, Compi plied with the provisions thereof, and will require similar compliance fro it contractors or sub - contractors employed by him in the work to 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 required by the Act. The under signed agrees to employ only such sub- contractors, on work to be performed under this licensed by Miami Shores Village. e understands and acc .ts his obligations as an employer of labor General Laws of Florida Permanent Supplement, and has com- be permit, Master Electrican. Notary Public. State of Florida as are as are authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ______ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST � --/- / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No /7 . 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 __L -' r ?L :_ _Y_ LL1f:._ No. 1 ` 71 Street_&Lt_ `r 4-4 ...> Registered Architect and /or Engineer _— ___— _____— _____________ Employing Electrician's Name 1r±L_ —'_1_ z " _L.__ ( : t. ?.14 r t No. 7 E'' Street__WL.E..; 2_bl_ti 1SiA0 Location and Legal Description Lot Block Subdivision __— ___________— _— ___________ Street and Number where work is to be performed —No ,:,. __t_.1 Street___ _ —_ __�__ _ .___— _ __ State work to be performed and purpose of building (By Floors) _ New Building Remodeling Service Overhead Size Feeders Conduit Main Sw. Amps. Underground Type of Installation— Conduit_____ Tubing B.X.L. Metal Moulding Amount of Permit APPLICATION FOR ELECTRICAL PERMIT STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly appeared ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Addition Repairs No. of Stories (Si (Signed) Date 1■ 14 •7 L_ Main 1 tlses___4 Amps. Electrical Inspector. The undersigned applicant for this building permit does hereby certify tha under the Florida Workmen's Compensation Act, being Section 5966, Compi plied with the provisions thereof, and will require similar compliance fro it contractors or sub - contractors employed by him in the work to 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 required by the Act. The under signed agrees to employ only such sub- contractors, on work to be performed under this licensed by Miami Shores Village. e understands and acc .ts his obligations as an employer of labor General Laws of Florida Permanent Supplement, and has com- be permit, Master Electrican. Notary Public. State of Florida as are as are authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ______ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 1NG t-U\B ` c " : E MIAMI SHORES VILLAGE ` 4382 %, ‘A-N„ 3 5 26 63e \. ' '�,�n �/ Permit No " 1� Date y��/ 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 plane and specifications must be kept at building during progress of work. Owner's Name and Address.... 6,06 /4 Lane Registered Architect and /or Engineer Street... . " Y 4 Subdivision Street NE ?6 .f'r ?..ee.T Fir. — /pemee' me Em to Ele tricia6' s Name..,.. // , .D / J7 6 .. 760 Location and Legal vescription Lo Street and Number where work is to be performed —No State work to be performed and purpose of building () New Building Remodeling Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground und Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ /o?/• $ D Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such blic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work I to be performe i u this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OP DADE. I °" APPLICATION FOR ELECTRICAL PERMIT Before mc, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared HARRY B. CHILDS III, of Wiremasters to mf„r ,kpor f a><d ho n ! � y first my sworn, upon oath deposes and says that he is the of tl4r`gb,�',}i� iif} e carefully read the foregoing application, and that he did sign the same, and that all facts I 8 J ROIRSE, o !ASHTON. INC. \ My Commission Expires Notary Public, State of Florida NOTE: A rvinepection fee of $1.00 will be made when such rvinspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 1 OP :i: 1t1 I Yi'int:i h 25, AT LARGE aCr,o ,; THSOUGI I APRIL !�, 1986 MUROSK1.ASHTON, INC. ELECTRICAL INSPECTION DEPARTMENT B eif/LOj 2 s• ° Block e Floors)..Remo>t- (Signed).. Pit ... (Signed) No M 9/ Street // ?46 s. e.er No `f gd 1/4 t Muter Electrician. Addition Repairs No. of Stories SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. L REPAID. OUTLET IRON OUTLET RANG! OUTLET RANG[ CONN. WATER H W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST /O A 7 / (� / / (� / Q 0.. CK 7,o Av.0v /(,. a3• 3.5b 7. ® v ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. .! rrr G/W eOL, 0 / MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO TOTAL CONTR. LIST `O CHECK 7, 49e 30.00 �I / ' OO .. 1NG t-U\B ` c " : E MIAMI SHORES VILLAGE ` 4382 %, ‘A-N„ 3 5 26 63e \. ' '�,�n �/ Permit No " 1� Date y��/ 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 plane and specifications must be kept at building during progress of work. Owner's Name and Address.... 6,06 /4 Lane Registered Architect and /or Engineer Street... . " Y 4 Subdivision Street NE ?6 .f'r ?..ee.T Fir. — /pemee' me Em to Ele tricia6' s Name..,.. // , .D / J7 6 .. 760 Location and Legal vescription Lo Street and Number where work is to be performed —No State work to be performed and purpose of building () New Building Remodeling Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground und Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ /o?/• $ D Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such blic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work I to be performe i u this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OP DADE. I °" APPLICATION FOR ELECTRICAL PERMIT Before mc, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared HARRY B. CHILDS III, of Wiremasters to mf„r ,kpor f a><d ho n ! � y first my sworn, upon oath deposes and says that he is the of tl4r`gb,�',}i� iif} e carefully read the foregoing application, and that he did sign the same, and that all facts I 8 J ROIRSE, o !ASHTON. INC. \ My Commission Expires Notary Public, State of Florida NOTE: A rvinepection fee of $1.00 will be made when such rvinspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 1 OP :i: 1t1 I Yi'int:i h 25, AT LARGE aCr,o ,; THSOUGI I APRIL !�, 1986 MUROSK1.ASHTON, INC. ELECTRICAL INSPECTION DEPARTMENT B eif/LOj 2 s• ° Block e Floors)..Remo>t- (Signed).. Pit ... (Signed) No M 9/ Street // ?46 s. e.er No `f gd 1/4 t Muter Electrician. Addition Repairs No. of Stories HARM' B. CII DS III, INC. rr'S■ • 0 6 •v • r . / AVENUE WWI, A.A. 33155 266-3815 RS I SHORES VILLAGE b ' ING DEPARTMENT .t • 305- 795 -2204 Building Inspection Reques Date is /5" d y Type Insp'n i h.1 /44 Permit No. Z2 40 207 — 3�--Z Name 7 Address / 2- ) M ?1, 51 Company // i te<L JAe Phone # 3 (0 4 / 77 1 - °Y clK Inspection Date Approved Correction Re- Insp'n Fee /617;4.4-9 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ��,�� � Tel: (305) 795.2204 Fax: (305) 756.8972 BUILD GA- 'AY Permit No. 6C - 3`F3 PERMIT IVAICATION Master Permit No. FBC 2001 State Permit Type (circle): Building // � Owner's Name (Fee Simple Titleholder) 1 ChQ hiC / Phone # Owner's Address / 2 q / N€ 9b City /Ma Zip Tenant/Lessee ame Phone # Job Address (where the work is being done) f2 `'`/ / ' ` i 9 0 City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company N. e 19 ° la172 Phone # Contractor's Address City State Zip Qualifier )K 1 Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit (Continued on opposite side) Plumbing Mephanical Roofing 0o(Mgiowi-i Zip ./ o Total Fee Now Due $ / D .). 3 0 Square Footage Of Work: Type of Work: ❑Addition 17cAlteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: IV/ 1ZL e 416. v/ - k o fa * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ /era a© CCF $ h (0 Notary $ Training/Education Fee O Technology Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ ?c� cc 439s Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDMONERS, 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�uch posted notice, the inspection will not be approved and a reinspection fee will be charged. / l> Signature NOTARY Sign: Print: zei 2" Owner or Agent The foregoing gi instrumentt�was acknowledged befooie / me this day of n,'0 / , 20a'l, byrn/ t"A 6L�CLL. --- w _ personally knownvho has produced As identification 5�, • ' e an oath. J \0 \ \SS \Qi �Z Z��ee My Commission Expires: State Certificate or Registration No. ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 10/14/03 (Certificate of Competency Holder) Signature 0 Contractor The foregoing instrument was acknowledged bef ore me this `'-0 / 4 day of � , 20 0, by (.lY' / e.- �W'✓ /0 , ersonally known to me or who has produced as identification and who did take an oath. ` 'fpft WI•s ;R 62 � t: : roll ^i r IS ' � d ��nti? huBu�1 s , o-P 40. My Commissio NOTARY PUBLIC: Sign: Print: . . Certificate of Competency No. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning M { TLB UNIT FEE ITEM SWITCH OUTLETS - UNIT FEE ITEM SPACE HEATERS UNIT FEE • ET LIGHT OUTLETS CENTRAL HEATING ;MASI1ER RECEPTACLES A/C (WIND) POSAL SERVICE TEMQORARY A/C (CENTRAL) NKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK (R (RAIN SERVICE REPAIR/METER CHAISE REFRIGERATION :ASE TRAP APPLIANCE OUTLETS PROCESS AM) PRESS PIPING ERCEPTOR • RANGE TOP UNDERGROUND TANKS 'ATORY OVEN ABOVE GROUND TANKS INORY TRAY WATER HEATER U.F. PRESSURE VESSELS ITHES WASHER MOTORS 0- 1 HP STEAM BOILERS TW'ER MOTORS OVER 1- 3 FP HOT WATER BOILERS a, POT /3 COMP. MOTORS OVER 3- 5 IP MECHANICAL VENTILATION .K, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES {K, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS rPORARY WATER CLOSET MOTCRS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS INAL MOTORS OVER 25-100 HP COOLING TOWERS TER CLOSET MOTORS OVER 100 11' VIOLATION DIRECT WASTES A/C WINDOW REINSPECTION TER SUPPLY T0: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFCRMEERS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMdERCIAI WATER SERVICE SIGN TUBES WER CONNECTIONS SIGN TRANSFORMERS ILITY -SEWER SIGN TIME CLOCK ILITY -WATER FIXTURES ?TIC TANK ANTENNA LAY TELEVISION OUTLETS AINFIELD, 4 TILE/RES. VIOLATION MP & ABANDON SEPTIC TANK REINSPECTION AKAGE PIT CU. FT. TCH BASIN _ SCHARGE WELL MESTIC WELL EA DRAIN OF INLET i LAR WATER HEATER ', RE STANDPIPE OL PIPING • AN SPRINKLER SYSTEM S RANGE TER SET (GAS) S PIPING 4 APPLICATIO ( BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. STAINED, THE •O S NOTARIZED SIGN 1 R;' '- ' .OT BE PRESENT ON SUBSEQUENT APPLICATIONS.) �U PLUMBING AC°)ENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/24/2003 Applicant: MICHAEL Owner: JOB ADDRESS: 1291 NE 96 Electrical Permit Permit Number: EL2003 -343 PALUCH ST Contractor AFFORDABLE ELECTRICAL CONTRACTORCifgaractor's Address: 515 NE 190 ST Local Phone: Parcel # 1132060143760 Permit Status: APPROVED Permit Expiration: 5/18/2004 Construction Value: $200.00 Work: WIRE 2.5 ON NC W/5 KW HEAT Signed: (INSPECTOR) Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 2 BLK 83 LOT SIZE 77.080 X 200 Fees: Description Amount FEE2003 -7404 Building Fee $100.00 FEE2003 -7405 CCF $0.60 FEE2003 -7406 Training and Education Fee $0.20 FEE2003 -7407 Technology Fee $2.50 Total Fees: $103.30 Total Fees: $103.30 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 IllPdone by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: