500 NE 96 St (9)Permit No .......
L......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. A G y
Owner's Name and Address d -•. - -t, -.C{if tK e No ' Y G. �f C Street
Registered Architect and /or Engineer
Employing Electrician's Name No Street
Location and Legal Description Lot / _ ` '' Block
V
Date ^ [ - 5 H '
Subdivision
c .
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 Ovefh n Size Feeders?/0
Conduit Main Sw. Amps Main Fuses Amps
rou
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 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, on work to be performed under this permit, as are
licensed by Miami Shores Village.
/.
(Signed) �' �, :!', ..
Master Electrician.
STATE OP FLORIDA, }
COUNTY OF DADE.
5$.
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•i ction fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
Ci
'
/f CJ
4"�
(/
`
J
l
0
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
y
2 e'
-. b
`
CHECK
' _,
' , _ ..
Permit No .......
L......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. A G y
Owner's Name and Address d -•. - -t, -.C{if tK e No ' Y G. �f C Street
Registered Architect and /or Engineer
Employing Electrician's Name No Street
Location and Legal Description Lot / _ ` '' Block
V
Date ^ [ - 5 H '
Subdivision
c .
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 Ovefh n Size Feeders?/0
Conduit Main Sw. Amps Main Fuses Amps
rou
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 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, on work to be performed under this permit, as are
licensed by Miami Shores Village.
/.
(Signed) �' �, :!', ..
Master Electrician.
STATE OP FLORIDA, }
COUNTY OF DADE.
5$.
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•i ction fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description.
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE
PERMIT N? 14405
❑ Work to be performed under this Permit
J BL
Subdi-
vision
Valu9 of
p Amt. of
Project $ I Permit $
{ x S
This permit is granted to the contractor or builder named above to construct the building or to install the uipment 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 authorisation. 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 or and regulations
pertaining to the work covered hereby whe drawings
done by his agents, servants or employees.
e. Signed • l`',. -�. t,, ° 0 , k i' i BY r ' .+ k; / ,....t. - `:�
� BPB
In consideration of the issuance to me of this permit I agree to patform 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.
195
Contractor's
License No
CONTRACTOR OR BUILDER a BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
MIAMI SHORES •VILLAGE, FLORIDA
PERMIT N? 8969
Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Budder'
Legal
Description
Lot
Address of ▪ ,
Building
47 -
BL
Subdi-
vision
pro Value of
DATE
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 appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 pror 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
Amt. of
tions pertaining to the work covered hereby whether shown on the plans or drawings or in the sta or spec ifications and t he assumes respon-
i
Permit*
•
194=
Contractor's
License No.
BIM for work done by his agents, servants or employees. i i ( . #
Signed. l e'. #4-4.- i 4 kr -.t.,e-ir By
/
INSPECTOR -
. ..«.
In consideration of the issuance to me of this permit I agree to perform the/work covered hereund is compliance with all Olsen CeS and regulations
" pertaini thereto and in strict conformity with the plans, drawings, statements or specifications su to the proper authorities of Miami Shores Village.
In accept this permit I assume responsibility for all work d e by either myself, my agent, t or employee. /.--
. ..... ■ • ' ' ;A ' ' C
1
t CONTRACTOR OR BUILDER BY
AUTHORITY
Work *be performed undo: this
permit is d to the con • . br er named above to construct the budding or to t or device d
with all ordinals and with the that the !armed in
s spedfitations that . so and approved This P
wds at - t e plans are dswae ed. A �'
nasumes
la the: ork covered on t p r or i n the ' . he the
∎servants or
igsstros O!t BUILDER
NOW
In consideration of the issuance to me of this permit I agree • ` erform the work covered
thereto and in strict conformity with the plans, drawings, ems or spedfications
this permit I assume ftsponsibility for all done by der, myself', my gent,
Permit No._
J -,
Amount of Permit S
STATE OF FLORIDA,
COUNTY OF DADE. J ss.
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 Y _'%_1= No .______ —W __. Street
Registered Architect and /or Engineer
Employing Electrician's Nam
Location and Legal Description Lot__
Street and Number where work is to be performed— No. ___tC' ____C_
No. !�_G_�
Block
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs_ —___ No. of Stories
Service Underground Size Feeder Conduit._ Main Sw._ `_ Ampa. Main Fuses____ -? Amps.
Type of Installation— Conduit Tubing ' ' B.X.L Metal Moulding
(Signed) 1f. •^. 0 0 . — / " -j '
Date__ __°_j :___ /- •i'
My Commission Expires Notary Public. State of Florida
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he'understands and accepts his obl'arions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General 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.
(Signed)
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 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
FIXTURES
NO.LAM PS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
FAN
L L
TOTAL
C
C LIST ONTR.
_
J
2 /
Y
/
/
/ lake-
/
/
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
M OTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
L IST
/
/
I
CHECK
Permit No._
J -,
Amount of Permit S
STATE OF FLORIDA,
COUNTY OF DADE. J ss.
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 Y _'%_1= No .______ —W __. Street
Registered Architect and /or Engineer
Employing Electrician's Nam
Location and Legal Description Lot__
Street and Number where work is to be performed— No. ___tC' ____C_
No. !�_G_�
Block
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs_ —___ No. of Stories
Service Underground Size Feeder Conduit._ Main Sw._ `_ Ampa. Main Fuses____ -? Amps.
Type of Installation— Conduit Tubing ' ' B.X.L Metal Moulding
(Signed) 1f. •^. 0 0 . — / " -j '
Date__ __°_j :___ /- •i'
My Commission Expires Notary Public. State of Florida
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he'understands and accepts his obl'arions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General 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.
(Signed)
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 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.
Owner's Name and Address _
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
�
Permit No.__ �.�`J
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.
Registered Architect and /or En ' er ____ f , ______ ______ ___ _______- __ -___
Employing Electrician's Name _i.:..G_LZ_ V L.
� . tb Z _i . :..
�._,_= `:'IiddL.., d _Lf ' Street__.,._ — ^\
Location and Legal Description Lot — _____— _— __ —_____ Block —____ ___— _____________ Subdivision ______________________________
Street and Number where work is to be performed —No ( C• ,._ __ _,.lu .t_. —_ 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
Underground
Type of Installation— Condu Tubing
Amount of Permit $
No. Street
B.X.L. Metal Moulding
_e, t L ' c: - ie roc._ , 4.1
(Signed)
Date r -
Amps. Main Fuses_ ___ ________Amps.
C
My Commission Expires Notary Public. State of Florida
/1 Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that h�u erstands and accepts his obi( as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966. Compiled Gen ral 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 ch sub - contractors, on work to be perfoo med under this permit, as are
licensed by Miami Shores Village. _ � ;_ � , I r ` /� �'
(Signed) _, / ' ' — r -- ? ` ' ` -• --
Master El man.
STATE OF FLORIDA,
COUNTY OF DADE. 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
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.
D1ST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Owner's Name and Address _
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
�
Permit No.__ �.�`J
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.
Registered Architect and /or En ' er ____ f , ______ ______ ___ _______- __ -___
Employing Electrician's Name _i.:..G_LZ_ V L.
� . tb Z _i . :..
�._,_= `:'IiddL.., d _Lf ' Street__.,._ — ^\
Location and Legal Description Lot — _____— _— __ —_____ Block —____ ___— _____________ Subdivision ______________________________
Street and Number where work is to be performed —No ( C• ,._ __ _,.lu .t_. —_ 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
Underground
Type of Installation— Condu Tubing
Amount of Permit $
No. Street
B.X.L. Metal Moulding
_e, t L ' c: - ie roc._ , 4.1
(Signed)
Date r -
Amps. Main Fuses_ ___ ________Amps.
C
My Commission Expires Notary Public. State of Florida
/1 Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that h�u erstands and accepts his obi( as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966. Compiled Gen ral 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 ch sub - contractors, on work to be perfoo med under this permit, as are
licensed by Miami Shores Village. _ � ;_ � , I r ` /� �'
(Signed) _, / ' ' — r -- ? ` ' ` -• --
Master El man.
STATE OF FLORIDA,
COUNTY OF DADE. 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
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.
Permit No._ ___� Date
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 No Street
Registered Architect and /or Engine
Employing Electrician's Name__
Location and Legal Description Lot I
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
4`-- 4—C•_e No // Street
Block 7 (,[ Subdivision
/
1 Sr ' Street
Street and Number where work is to be performed —No. ...__ 0 J V__
State work to be performed and purpose of building (By Floors) —y � '; fr 11, -,V, . .? ' I ^ / ..
New Building _Remodeling Addition Repairs No. of Stories
Service Overhead Underground Size Feeders Conduit Main Sw Amps. Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $_ ___1'
_ (Signed)
The undersigned applicant for this building permit does hereby certify that nderstands and accepts his oblig
labor under the Florida Workmen's Compensation Act, being Section 5966, Com ed General Laws of Florida P
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contracto
STATE OF FLORIDA,
COUNTY OF DADE.
}
ss.
(Signed)
cal Inspector.
ns as an employer of
ent Supplement, and
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 b performed under this permit, as are
licensed by Miami Shores Village.
aster Electrician.
Before me, the undersigned authority, a notary public, duly a uthorized 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.
D1ST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0 -I HP
M OTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No._ ___� Date
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 No Street
Registered Architect and /or Engine
Employing Electrician's Name__
Location and Legal Description Lot I
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
4`-- 4—C•_e No // Street
Block 7 (,[ Subdivision
/
1 Sr ' Street
Street and Number where work is to be performed —No. ...__ 0 J V__
State work to be performed and purpose of building (By Floors) —y � '; fr 11, -,V, . .? ' I ^ / ..
New Building _Remodeling Addition Repairs No. of Stories
Service Overhead Underground Size Feeders Conduit Main Sw Amps. Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $_ ___1'
_ (Signed)
The undersigned applicant for this building permit does hereby certify that nderstands and accepts his oblig
labor under the Florida Workmen's Compensation Act, being Section 5966, Com ed General Laws of Florida P
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contracto
STATE OF FLORIDA,
COUNTY OF DADE.
}
ss.
(Signed)
cal Inspector.
ns as an employer of
ent Supplement, and
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 b performed under this permit, as are
licensed by Miami Shores Village.
aster Electrician.
Before me, the undersigned authority, a notary public, duly a uthorized 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
ROOFING
Legal Lot
Description
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N? 4937
Owner of I
Building
Architect
Contractor
or Builder ti
1 B1
Address of , .. C; / .n' .-/
Building
DATR `e 195
Contra's
License No. 4/ ''
Work to be performed under this Permit
Subdi-
vision
Value of
Project $
Amount of
Permit $
This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon 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 and that he assumes responsibility for work
done by his agents, servants or employees.
Signed.
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY
AUTHORITY sue,
MIAMI SHORES VILLAGE, FLA..
N? 5710
JOB 2
ADDRESS 47
INSPECTION
TIME READY ,; 7 / ,;.)
REMARKS: L
C
INSPECTOR
/ /
DATE/ /"''
_ ii ,SHORES VILLAGE, FLA.
I,
JOB
ADDRESS
INSPECTION
TIME READY
REMARKS.
INSPECTOR
N? 5627
s
DAT �'_'
'SHORES VILLAGE, FLA.
Mg
JOB
ADDRESS
INSPECTION ((
TIME READY
c
N9 5631
REMARKS:
INSPECTOR DATE
Issue Date: 6/27/2006
Owner's Name: EDWIN BROWDER
Permit Type: Electrical - Residential
Work Classification: Repair
Job Address: 500 96 Street NE
Additional Information
Miami Shores Village, FL 33138
Contractor(s) Phone
AMERICAN GENERAL COMM. INC. (786)256 - 7068 Yes
Primary Contractor
Comments:
REPAIR EXIST 200 AMP SERVICE /PANEL
Type of Work: ELECTRICAL SERVICE Additional Info:
Classification: Residential
In consideration of the issuance to me of this permit, I agree to perform the work
covered hereunder in compliance with all ordinances and regulations pertaining
thereto and in strict conformity with the plans, drawings, statements or specifications
submitted to the proper authorities of Miami Shores Village. In accepting this permit
I assume responsibility for all work done by either myself, my agent, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
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. Futherm ore, I authorize the above -named contractor to do
the work stated.
Fees Due Amount
CCF $1.80
Education Surcharge $0.60
Permit Fee - Additions /Alterations $150.00
Scanning Fee $3.00
Technology Fee $3.75
Total: $159.15
Invoice Number
EL - 6 - 06 - 25362
Total:
Amt Due
$159.15
Amt Paid
Building Department File Copy
Applicant Signature
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 01/01/2999
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: EL -6 -06 -1724
Phone:
PARC2004 -5
Lot:
PB:
Total Square Feet:
Total Valuation:
Required Inspections
0
$ 2,200.00
Final
NOTICE: In addition to the requirements of this permit, there may be additional
restrictions applicable to this property that may be found in the public records of
this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES .
Et. Cizii•
7 ,f,z-
O
I
< - - -2" CONDUIT W/3 #2/0 AWG CU.
2" CONDUIT
-W /3 #2/0 AWG CU.
•
•
•
200 AMPS
METER CAN
MAIN DISC.
COMBO
S. •
•
NOTES:
SERVICE CAPACITY 200 AMPS.
SERVICE WIRES_3 # 2/0 AWG. CU.
SUBFEEDER WIRES_3 #2/0 AWG. CU.
GROUND:
A. WIRE SIZE_# 4__AWG .
B. 2 GRND RODS 10'.
C. DIST. APART 6' MIN.
D. GRD. CONN. TO A WATER PIPE.
. . •NO AR
• •
• • ••
•• •• • • • ••
AMERICAN GENERAL COMM. INC.
12260 SW 39 ST.
MIAMI,FL. 33175
786- 256 -7068
ARMANDO . ITO 6/25/06
• ••• • •
• - •
Bonded 1:
orw
anus Florida Nolan/ P:'•
2O0AMPS
M -L -O
NEW
PANEL
IB
OWNER: MR. BROWDER
JOB ADDRESS: 500 NE 96 ST.
MIA SHORES ,FL.
MASTER PERMIT#
NEW PANEL LOCATED
IN GARAGE AREA.
.. •
• • •
.. • ....
• • •
• • .... •
• • ....
• • • •
• •
•
.. ..
• •
....
•
.. •
• • • .
.. • .... •
• • • •
,,...• -� ....
• •
.. •
• • •
....
• ..
•
• •
.. •
•
• •
• •
First 10 kva
Remainder
Heat load
Total demand
Total demand
...= 10,000
30,400 VA
10,0O0va
Interupting capacity
sworn
to and
•• 00• • •
•
• • •
•
• • •
AMERICAN GEN. COMM. INC.
12260 SW 39 ST.
MIAMI, FL. 33175 -3014
(786)256 -7068
EC13O01563
JOB ADDRESS: MR. H BROWDER
500 NE 96 ST. MIAMI SHORES, FL.
EXISTING LOAD CALC.
Gen ltg & recepts. 4,000 sq. ft x 3 va /sq ft -- - 12,000 va
Small appliances. 1500 va x 2= 3,000 va
Range 12,000 va
refrigerator 1,500 va
dish washer va
disposal va
Water heater 4,500 va
Pool pump va
Whirpool va
Sprinkler pump 1,200 va
Washing machine 1,200 va
Dryer 5,000 va
Total conn. load 40,400 va
load in va
load in amps
va @ 100 % = 10,000
X 40 %= 12,160
@65 %= 6,500
va
va
va
28,660 va
28,660/240v= 120.00 amps.
10,000 amps r.m.s sym_
Qualifier
subscribed before me thi flay
• .114) yd, c
e
• ( SEAL ) ' �i � p �. ooar Oyu (800)432 2 ����
Florkl8N
personally known '
• • • • • •
• • • 050 • • •
• • • • • • • • • •
• •• •• • • • • • •
0 • • • 4100 • •
41 41 ": pu3duced identification
•••• •• • ••••
• • • • • • • • • typg :of id produced
• • • • • • • .. •
•• • •• •
/06
.. •
• • •
• • ....
• • •
• • ....
• •
• • ....
• • •
.... . ..
• • • • •
.... .. •
•
• •
•
•
.. •
• • •
.. • •
•
•
•
•
.. •
• . • •
.. • .... •
• •
• ....
• •
•
•
•
•
•
BUILDING z� I. 2 P Permit . No. L -(1-Li
PERMIT APPLICATION Master Permit No.
FBC 2004 •
Permit Type (circle): Building ( Electrical Plumbing
Owner's Name (Fee Simple Titleholder) /Z
Owner's Address 5 4 �. // .
City qi /114fflj State
Tenant/Lessee Name
Architect/Engineer's Name (if applicable)
Is Building Historically Designated YES NO
Contractor's Company Name /4 / / e/ 6M; (/ (G,t j'. Phone #
Contractor's Address / 2- Z w U < <-C._)
State Certificate or Registration No.E C / 30c >/ S 6-3
Value of Work For this Permit $
Type of Work: ❑Addition ❑Alteration
Describe Work:
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
I ' Ec' FIZTFD
Bond $ Code Enforcement $ Double Fee $
Structural Review. $
Mechanical Roofing
Zip
Phone #
Job Address (where the work is being done) Q U Ale e k— , ' ' . '
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL # 11 - 3 2-67 — O / L f — Q 7 c� C'
City rk9 / /1- State E Zip
Qualifier Name , /t{ /1 /Z ?ii' r) J l f p Phone # 7r( --2-d • 7 Z�
Certificate of Competency No.
Phone #
Square / Linear Footage Of Work:
Total Fee Now Due $
JUN 2 >) PAID
CK /05 �(
Zip
7ff -2 C -7o
33 /7J
❑Ne X ❑ Demolition
A—r 2—e47 Avti 5fi 2- V/ cef.--(4c
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ /j , o CCF $ I CO /CC
Notary $ Training/Education Fee $ O. , Technology Fee $ 3 • 75
Scanning $ • GC Radon $ DPBR $ Zoning $
Icy .
See Reverse side -+
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS. and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signature Signature
OGGner df Agent 9s /`4 , r k 14,67
6,, Eo . k 'ht. /1,-,,wi Lr
The foregoing instrument was acknowledged before me this ,A3rci The foregoing instrument was acknowledged before me this Z.
day of , 2004' , by SIeve,,A J'. 0 hS0 h day of \y"v /02 , 2Q , by Ae ,4,-4.1b OJ // 1�
who is personally known to me or who has produced who is�ersonally to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
o or Notary Public State of Florida
*
Eileen Sammons
My Commission 00397159
Sign:. �L'L,
Print:
My Commission Expires:
(Revised 02/08/06)
ztks.
M y Commission d Bonded tlru(800)432 -425
4 nnnuo" Florida Notary Assn., L c
APPLICATION APPROVED BY:
NOTARY PUBLIC:
Sign:
Print:
ontractor
c am' Plans Examiner
Engineer
Zoning
S
R
O
P
SI
C
0
DI
41
T
A
:A
AN AEPLICATION FOR BUILDING PERMIT MUST ACCOMPANT THIS ADDENDUM. IF A MASTER PERMITHAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
t "•
PLUMBING
ELECTRICAL
MECHANICAL
ITEM
;ATH T18
UNIT
FEE
ITEM
SWITCH CUTLETS .
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
) IDET
L I CHI CUTLETS
CENTRAL HEAT I Ili
)IS?OSALER
RECEPTACLES
AA (W11))
)ISPOSAL
SERVICE TELPGRARY
A/C (CENTRAL)
)RINKI NTA
SERVICE SIZE IN AhPS
DUCT WORK
fR
FLOOR DRAIN
SERVICE REPAIRAEETER CHANGE
/
REFRIGERATION
GREASE TRAP
APPLIANCE CUTLETS
PROCESS AND PRESS PIP IID
INTERCEPTOR
TCP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 FP
STEAD BOILERS
SHOWER
MDTCRS OVER 1- 3 FP
HOT WATER BOILERS
SINK, POT /3 CORP.
MJTCRS OVER 3- 5 FP
HJCHANICAL ION
SINK, RESIDENCE
HJTCRS OVER 5- 8 HD
TRANSPORTING ASS EAIES
SINK, SLOP
V./TORS OVER B- 10 FP
ELEVATORS/ESCALATORS
TEM WATER CLOSET
MJTCRS OVER 10- 25 FP
FIRE SPRINKLER SYSTEH.0
URL
URINA
URINAL
RATER
M]TCRS OVER 25-100 14P
COOLI TOWERS
CLOSET
INDIRECT
MTCRS OVER 100 FP
VIOLATION
VIOLAT
WASTES
WATER
A/C WINDOW
'RE J ON
SUPPLY TO:
A/C
AIR COM)ITIONERS
UNIT
FIRE
STRIP HEATER
SPRINKLER .
. HEATER
GENERATORS TRANSFORMERS
-NEW MST.
HEATER-
GENERATORS TRANSFORMERS
REPLACE
LAWN
GENERATORS TRANSFORMERS
SPRINKLER -WELL
SWIM
SPEC IAL PLRPOSE
MING POOL
WATER
CUT LEIS CORCIAL
hfi�
SERVICE
EY(ER
SIGN Tl18ES
CONNECTIONS
TILITI
,'.SIGN
TRANSFORMERS
-SEWER
TILITY
SIGN TILE CLOCK
-WATER
EP IC TANK
FIXTLRES
EL AY
. ANTENNA
TELEVISION CUTLETS
RA INFIELD, 4' TILE/RES.
J6P A ABAfDON
I
VIOLATION
SEPTIC TANK
)AXAGE PIT
RE INSPECT ION
1
CU. FT.
ATM BASI
- J
I SC}A2GE
WELL
WEST IC
WELL
lEA. ORAIR
)OF INLET
IL AR WATER
HEATER
RE STAMP
IPE
IOL PIPIhu
1
AYH SPR I
i
HKLER SYSTEM
S RAKE
I
I
TER SET
I I
(GAS)
S PIPIN
I I .
I. I
I
I I
I
S
R
O
P
SI
C
0
DI
41
T
A
:A
AN AEPLICATION FOR BUILDING PERMIT MUST ACCOMPANT THIS ADDENDUM. IF A MASTER PERMITHAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
t "•
PLUMBING
ELECTRICAL
MECHANICAL
Building Department Comments
Inspection Date: 07/14/2006
Inspector: Devaney, Michael
Inspection Number: INSP -20970
Permit Number: EL -6 -06 -1724
Project: <NONE>
Thursday, July 13, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
CL
Owner: BROWDER, EDWIN
Job Address: 500 96 Street NE
Miami Shores Village, FL 33138
Contractor: AMERICAN GENERAL COMM. INC.
Block:
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Repair
Phone Number
Parcel Number
Lot:
PARC2004 -5
Phone: (786)256 -7068
Page 2 of 2
Passed
Inspector Comments
/V ✓ ?1���
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Building Department Comments
Inspection Date: 07/14/2006
Inspector: Devaney, Michael
Inspection Number: INSP -20970
Permit Number: EL -6 -06 -1724
Project: <NONE>
Thursday, July 13, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
CL
Owner: BROWDER, EDWIN
Job Address: 500 96 Street NE
Miami Shores Village, FL 33138
Contractor: AMERICAN GENERAL COMM. INC.
Block:
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Repair
Phone Number
Parcel Number
Lot:
PARC2004 -5
Phone: (786)256 -7068
Page 2 of 2
cca.
..............
................
Inspection Date: 06/30/2006
Inspector: Devaney, Michael
Owner: BROWDER, EDWIN
Job Address: 500 96 Street NE
Project: <NONE>
Building Department Comments
Thursday, June 29, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
rty
Miami Shores Village, FL 33138
Contractor: AMERICAN GENERAL COMM. INC.
Block:
Permit Type: Electrical - Residential
Inspection Type: W W
Work Classification: Repair
Phone Number
Parcel Number
Lot:
PARC2004 -5
Phone: (786)256 -7068
Page 1 of 2
Passed
Inspector Comments ./
r,�
z 7
1
Vc:/----
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
cca.
..............
................
Inspection Date: 06/30/2006
Inspector: Devaney, Michael
Owner: BROWDER, EDWIN
Job Address: 500 96 Street NE
Project: <NONE>
Building Department Comments
Thursday, June 29, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
rty
Miami Shores Village, FL 33138
Contractor: AMERICAN GENERAL COMM. INC.
Block:
Permit Type: Electrical - Residential
Inspection Type: W W
Work Classification: Repair
Phone Number
Parcel Number
Lot:
PARC2004 -5
Phone: (786)256 -7068
Page 1 of 2
Permit Number: EL -6 -06 -1724
Invoice Number: EL -6 -06 -25362
Applicant: EDWIN BROWDER
Company Name:
Owner Address:
Job Address:
500 96 Street NE
Miami Shores Village, FL 33138
Date
I
Thursday, June 29, 2006
06/29/2006 Check
Receipt
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Payment Type Check Number
1058
Amount
$159.15
Change
$0.00
Total Payment: $159.15
Page 1 of 1