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537 NE 96 St (12)Permit No. 7-3 Amount of Permit $ Service Overhead Size Feeders Underground STATE OF FLORIDA, } COUNTY OF DADE. •4. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 1�r 2 _ J Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submittelfor the bu structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved building during progress of work. Owner's Name and Address Registered Architect and /or Engineer __ __ ________ Employing Electrician's Name >r�� / & __ -- No. Street Location and Legal Description Lot Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories 3 The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. Conduit Main Sw. Amps. No S 3 _ 2 Street_CL Type of Installation— Conduit Tubing B.X.L. .. Metal Moulding (Signed) (Signed) ng or other lage, Florida, and regulations of the Building Division plans and specifications must be kept at Subdivision_ Street 74 Main Fuses Amps. Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are Master Electrican. Before me, the undersigned authority, a notary public, duly authorized 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. My Commission Expires to administer oaths and take acknowledgments, personally 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 I RON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST I CHECK T 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. 7-3 Amount of Permit $ Service Overhead Size Feeders Underground STATE OF FLORIDA, } COUNTY OF DADE. •4. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 1�r 2 _ J Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submittelfor the bu structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved building during progress of work. Owner's Name and Address Registered Architect and /or Engineer __ __ ________ Employing Electrician's Name >r�� / & __ -- No. Street Location and Legal Description Lot Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories 3 The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. Conduit Main Sw. Amps. No S 3 _ 2 Street_CL Type of Installation— Conduit Tubing B.X.L. .. Metal Moulding (Signed) (Signed) ng or other lage, Florida, and regulations of the Building Division plans and specifications must be kept at Subdivision_ Street 74 Main Fuses Amps. Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are Master Electrican. Before me, the undersigned authority, a notary public, duly authorized 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. My Commission Expires to administer oaths and take acknowledgments, personally 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. APPLICATION FOR ELECTRICAL PERMIT Permit No .7/O — 7 / 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. Owner's Name and Address = ___ (...."0.,,e, No . 3 _7 Street__ Registered Architect and /or Engineer Employing Electrician's Name ,. � .L - No. 1 �"J' , v --� rf -_Z___2 – __ Location and Legal Description Lot L__,,. t c Block Z � Subdivision —. '_V..t___, Street and Number where work is to be performed —No. - ..:.e.- Y . ...4. Street State work to be performed and purpose of building (By Floors) New Building ....) ed Remodeling Addition Repairs Overhead Service Underground Size Feeders_ / Conduit_ Main Sw._� 0- Q _ Amps. Main Fuses __1 1 ' Amps. Type of Installation --- Conduit Tubing_ _ B.X.L Metal Moulding _ -.4 -- --+ – – – – — – — _— • Amount of Permit $ Y (Signe ..f c't- ,: Electrical Inspector. The undersigned applicant for this building permit does hereby certify tliat he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co led General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance f 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. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) Notary Public. State of Florida No. of Stories Master Electrican. STATE OF FLORIDA, ss. COUNTY OF DADE. 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 OUTLETS LIGHT OUTLETS PLUG RE FIXTURES NO. LAMPS REFRIG. OUTLET T I { / IRON OUTLET RANGE OUTLET ---- r RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST / fff ' . CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK APPLICATION FOR ELECTRICAL PERMIT Permit No .7/O — 7 / 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. Owner's Name and Address = ___ (...."0.,,e, No . 3 _7 Street__ Registered Architect and /or Engineer Employing Electrician's Name ,. � .L - No. 1 �"J' , v --� rf -_Z___2 – __ Location and Legal Description Lot L__,,. t c Block Z � Subdivision —. '_V..t___, Street and Number where work is to be performed —No. - ..:.e.- Y . ...4. Street State work to be performed and purpose of building (By Floors) New Building ....) ed Remodeling Addition Repairs Overhead Service Underground Size Feeders_ / Conduit_ Main Sw._� 0- Q _ Amps. Main Fuses __1 1 ' Amps. Type of Installation --- Conduit Tubing_ _ B.X.L Metal Moulding _ -.4 -- --+ – – – – — – — _— • Amount of Permit $ Y (Signe ..f c't- ,: Electrical Inspector. The undersigned applicant for this building permit does hereby certify tliat he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co led General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance f 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. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) Notary Public. State of Florida No. of Stories Master Electrican. STATE OF FLORIDA, ss. COUNTY OF DADE. 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. MIAMI SHORES VILLAGE PERMIT No. Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at by "' ' Address for owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Range watts. Water Heater watts Power: Connected load H P. Space Heaters watts Other Apparatus ELECTRICAL INSPECTOR. MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION PERMIT No. /> O THIS CERTIFIES THAT tie wiring and apparatus installed at by (• - • <' Address for owner, and occupied as C. r has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Range watts. Water Heater watts Power: Connected load H. P. Space Heaters watts 'Other Apparatus ELECTRICAL INSPECTOR r JOB: ,- �/ BUILDING PLUMBING . • . ELECTRICAL : • • • • • • The following is ready for Ins ectio : „ : ...44 e. / Atx-? ill 6 t0 t D : sp c r s ' port: X2el, 4?4, •• • • • • • 0 • AD: 6-3 ? 4 : WalK : DONE BY: • • • : REQUESTED • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • 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 or o structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Flor 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 Divis. of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept building during progress of work. Owner's Name and Address No Registered Architect and /or Engineer _______ —_— Employing Electrician's Name _ ,r `�" s `' No.___,/ _ L .�_ - "ram 2 Location and Legal Description Lot Block Subdivision_____ 1 Z Street and Number where work is to be performed —No. _ems____, C _ ;1 ___L____ _ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs. Overhead Conduit__ _ __ % ____ Amps. Main Fuses__ v >ti Service Underground Size Feeders • 1 Main Sw._ 1 �� Amps. Type of Installation— Conduit Tubing_/ B.X.L. Metal Moulding Amount of Permit $ 7 as. My Commission Expires (Signee) »• t— �" Street__ - �. Street Notary Public, State of Florida No. of Stories - Electrical Inspector. The undersigned applicant for this building permit does hereby certify t he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co led General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance fr 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) _ —" _!___l 4 _ f Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. 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'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. LI ST ,J .� �I-/+J / l P", 7 .02 / / ! /I /` CHECK / ` f ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO 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 or o structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Flor 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 Divis. of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept building during progress of work. Owner's Name and Address No Registered Architect and /or Engineer _______ —_— Employing Electrician's Name _ ,r `�" s `' No.___,/ _ L .�_ - "ram 2 Location and Legal Description Lot Block Subdivision_____ 1 Z Street and Number where work is to be performed —No. _ems____, C _ ;1 ___L____ _ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs. Overhead Conduit__ _ __ % ____ Amps. Main Fuses__ v >ti Service Underground Size Feeders • 1 Main Sw._ 1 �� Amps. Type of Installation— Conduit Tubing_/ B.X.L. Metal Moulding Amount of Permit $ 7 as. My Commission Expires (Signee) »• t— �" Street__ - �. Street Notary Public, State of Florida No. of Stories - Electrical Inspector. The undersigned applicant for this building permit does hereby certify t he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co led General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance fr 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) _ —" _!___l 4 _ f Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. 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. MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at it' Address by for ti' ' 4, owner, and occupied as ' + i- -' `"" e hasibeen inspected and current is authorized to be turned on, until otherwise notified, for: Size,,of Service Number of Lighting Circuits Range watts. Water Heater watts yM , M .yr -. Power: Connected load H P. Space Heaters watts Other Apparatus ELECTRICAL INSPECTOR. 1 PERMIT No. r/ 1740 *--//‘lo JOB: U/14.1.-toh BUILDING ELECTRICAL : PLUMBING • • • • • • • • • • • following is ready for Inspection: Inspector's Report: •l : AD: - 3 . 9 6 • • : WORK : DONE BY: : REQUESTED : WILL • f • • • • • lit • • • • • • • • • _ 1 • • • l r • • • • • • • • • • • - • • • • • • • • • • • • i • �.�. aeJQ- J 110. 04 DING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, PERMIT N° 2324 Work to be performed under this Pernntt CONTRACTOR OR BUILDER Bl. FLORIDA DAT Union No. Architect Contractor t 1 or Builder i 't ` -- P.4 Legal Lot a ✓a scription T of 41 ' .0 ----.0 f Value of 11 Amt. `'' Building -. �- I , /( t or— b ui � Project Permit of This permit is granted to the contractor or ve to construct the building or to install the equipment application herefor in strict compliance with all ordinance pertaining thereto and with the understanding drat alga week wilt with any plans, drawings, statements or specifications that may have been submitted to and approved by thi l be revoked at any time if the work is not done in compliance with such ordinances or if the plans are chaYiMrd upon which this permit is granted is the understanding that the contractor or builder named above assumes the the ordinances and regulations pertaining to the work covered hereby whether shown on thevlans pr wings « the that he assumes responsibility for work done by his dgents, servants or employees. Signed: By In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper a pillage. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or Date Job Address 5 3 7 N. E. 9 6 th Street Tax Folio Legal Description Lot #15 &16, Blk #99, Sbd:MiamiShoresHistorically Designated: Yes No Pb #15, Pg #14, Dade County Owner/Lessee / Tenant Marcos Gu i n a l d o Master Permit # Owners Address 537 N.E. 96th St. ,Miami Shore,F1.33138 Phone 305 - 255 -5315 Contracting Co Caro Electric Address 7101 S.W. 136th Avenue Qualifier State # r Bonding Company N / A Address 0 laws ure o o er • • e(e :('‘ 1 as to Owner and/. mmission Expire r MICHELE ARDEN CHAZEN NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC361732 MY COMMISSION EXP. APR. 5,1998 Sign . Not FEES: PERMIT PERMIT APPLICATION FOR MIAMI SHORES VILLAGE George Caro Condo President Date co(aF o 0 Condo President Municipal # RADON Date Not My C.C.F. SS# phone 957 -9325 Competency # Ins. Co. Architect/Engineer Juan Sanchez Boudy P.E. Address 7175 S.W. 47th Street Mortgagor N / `A Address N / A Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Swimming Pool Electric Square Ft. Estimated Cost (value) $ 7 0 0 . 0 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable ating • : r ct ! .� . d zoning. Furthermore, I authorize the above -named contractor to do the work stated. Sign;, e o Con rc or o Owner- Builder • or • N /A er- Builder AR slot x ,�► S $ �' IENN CHA2EN NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC. °.:07:. MY COMMISSION EXI'. AP! NOTARY BOND TOTAL DUE Date (o(07 Date APPROVED: Zoning Mechanical Plumbing Engineering Building Electrical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3PJ 0(, Job Address T, lye q � t' Tax Folio j q ,2 / ✓ rn shore , Legal Description tot /� � ao / 6 //G 4 // / / 14 f Historically Designated: Yes , N o /Y Owner/Lessee / Tenant a /' CO5 // i f) GaGL O Master Permit # �1 Owner's Address 5 Ak qi £ +. Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT G/-4 o BOO RADON C.C.F. Phone 3 / Contractin Co. . ° C /9 AO E/e c Address /3 O SW / 3 / S4 _ /Q Qualifier / r PTTi"-' t reae SS# - S - 53 /S''' State # Municipal # Competency # Ins. Co. pp p Q' /5c- Architect/Engineer (t- .S 21.� /)& /' /' `� . Address 7 / ?C SW c /7 � /Yl.t ( VC- Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDIN ELECTRICAL LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION DO Square Ft. Estimated Cost (value) 700.0 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Se- Q Signature of owner and/or Condo President Date Signature of Contract. : O i er,< der Date No ary as to Contractor or Owner- Builder Date My Commission Expires: NOTARY BOND TOTAL DUE APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date J 7/? • q //2ob Address Tax Folio Legal Description Historically Designated: Yes Owner/Lessee / Tenant /-( r - C.2/ 4) 6 G 4 Si a ature - . Co do President Not as to 0 er and/or Condo President My • ssio Expires: 2 4 4 Date ID-24 -° Date SSCMSSRSSSSSS,W1CS W:'SW f SSiSWNs%SSS`:. ' • i P P4 ® Richard Jay Kurzban : a. ' Notary Public, State of Florida .1 o- P Commission No. CC 632956 > '' F OF fe My Commission Exp. 04 /03/2001 . )? 1400 -3- NOTARY - Fla. Notary Service et Bonding Co.. _ 'T ri!!!t!!!!! %!!ll;YC ':',' t!: 't.'<' <!tt %;'t; "t!lletltt % %r•.: FEES: PERMIT / � 6) RADON C.C.F. / - '4.1 N9tary as to Contr y Commission APPROVED: Zoning Building Mechanical Plumbing Master Permit # NOTARY BOND No ga c J - Signature o Contra tor or Owner -B d / v Owner's Address 3 4- ' e 9C s7 "1l'Of/' `S /' -' Phone ` �" f 3 / / 2 - Contracting Co. > -Ce L� % n) i /a- A ddress i ' `e) L- _.,3 e'e 33%x Qualifier ��� / / r d O - F=3/ 1--e) ss# - �( - '/' �Pho ,.� e) �3 . State # Municipal # Competency # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICA 1 PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION - � /f G � `" � 'zs � � 9 q iIV (value)7 S Square Ft. Estimated Cost (value)� d U 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 1. regula ' ction =� • zoning. Furthermore, I authorize the above -named contractor to do the work stated. r Owner;13uildq...:;:.:.: pa es: :<, otiav roe Richard Jay Kurzban ° Notary Public, State of Florida . P Commission No. CC 632956 > 't'oF F 5' My Commission Exp. 04 /03/2001 t- 800.3- NOTARY - Fla. Notary Service & Bonding Co. TOTAL DUE .. 10 -Z i -q7 Date 10'24 -e?7 Engineering CARIBE ELECTRICAL CONTRACTOR, Inc. ELECTRICAL CONTRACTOR Residential • Commercial • Industrial 12210 S.W. 10 Lane • Miami, Florida 33184 Tel.: (305) 554 -0409 Dade: CC# 95E000290 • Broward: CC# 94 -CME- 1524 -X Name: Marcos M. Guinaldo. Address: 537 N.E 96 St. Miami Shores Village. Load Calculation. 2,400 s.q.f. at 3 va = 7,200 V.A Two circuits 20 Amp Small appliance at 1500 V.A each 3,000 V.A Laundry Circuit 1,500 V.A = 1,500 V.A Range 12,000 V.A Water Heater 3,500 V.A Dryer 5,000 V.A Refrigerator 1,200 V.A Dishwasher 1,200 V.A Garbage Disposal 800 V.A Washer Machine 1,200 V.A Total other Load 36,600 V.A First 10 K.V.A other Toad at 100% 10,000 V.A Remainder other Toad at 4% 26,600 X 40 % 10,640 V.A Total Remainder other Toad 20,640 V.A 2 Air conditions at 100% 2 X 10 K.V.A Heater at 100% 20,000 V.A Total Conect Load 40,640 V.A 40,640 / 240 = 169 AMP. Eligio C5. Figueroa. President /Qualifier. Circuit 4 U.S.E Volts Load Wire BKR 5 CEn Et2J -L. L e o fl-� S 1 g-0 v 1, Zcc v.A 4 It- 15 A rn P ____ 7 ,.. G 5rn,\LL - App Li q Les 1 D-0 V 3. oc1 D VA 4_ 12 2,0 Am P. (B I. (414 y (2 0 V p. 500 VA -4 1 2,0 A vnr 9 - 15 Rki‘icilt 2-40 v 12, boo v.4 4 6 50 A-no , “ a- 3. Son J.A 4 I 0 30 Am P, \ A bales 240 v 5. 0 Do. \ A - 90 50 Amr 15 Plc 6156Cktoe. 1 1-U \i 1 ' IC Pt 4 12. 7,0 Arre. 1 16 D'Is14 WAS4a._ I2D V 1.boo v.A 4 12_ 7 A 17 tplsPoik .. 1lc v 800 tui 4 12, 7,0 Qty!,? \ \ 1 8 V i\i ' vtkci 10 110 V V/00 V. A 4c-- rt. 112/A-mr 12 1 240 v 10. 0 00 a - (00 Aro. V-7-2. rl, 4 i ov ID1oo‘1.Pt- c Arne, . , , CARIBE ELECTRICAL CONTRACTOR, Inc. ELECTRICAL CONTRACTOR Residential • Commercial • Industrial 12210 S.W. 10 Lane • Miami, Florida 33184 Tel.: (305) 554 -0409 Dade: CC# 95E000290 • Broward: CC# 94 -CME- 1524 -X Name: MPr -LOs• M. C- it1N - be Address: 537 &E VoA vni S 4 -\o 26 s 1111143e, ee e(/��� Eligio 0.Figueroa. President/ Qualifier CARIBE ELECTRICAL CONTRACTOR, Inc. ELECTRICAL CONTRACTOR Residential • Commercial • Industrial 12210 S.W. 10 Lane • Miami, Florida 33184 Tel.: (305) 554 -0409 Dade: CC# 95E000290 • Broward: CC# 94 -CME- 1524 -X t00 1 Voc.u.r-t 2. cot-Ibu 2. ' CDND p.J.c. CaNGe-► kwu 5A' Name: Marcos M. Guinaldo Address: 537 N.E 96 St Miami Shores Village. PANEL 1\A NI \.w 1 ° /40 E.' gio O. Pgg President/ Qua. STRUCTURiti aECTRL - • • • CgMRACTORS ;,.. EGULA11ONS .}:: AMMO SHORES tql r_17 .. '"7.:Y4P41C111. , • AI' A • 1 STATE MID COUNT! s. ACCURACY GEA E 0 AP yTi , �4. ,, i W LAVA TCRY L11?(RY TRAY �Orr:ES NA :�tER S ;N1(. ?MT/3( i . S1■0(. AESilea S1HK. S.CP T :7P .RY LITER fi t rc-T 1 .11 INAL YAM a.c zzT I?a IRECT :MASTS Y T8 5.1:51.7 T13: A/C UNIT iRE INKUR ice I?I;ST. :iZATER -i S.:L - ' �iRIMa:9 - DEL 5,-511611HG .'COL YATq ScavIC: sae cameztais Ur IL ITT -SEM UTII ITY-NAT8 Y CRA1W 4 TILE/RES. ?!...SP S JBMCGN 'TIC Lux scan,:.- ? 1 r CU. r?. C~Tal ?IN O I =JAM 'fir i =4E57 1C VI AREA I IN ROC= !/LIT SOLAR .L1I 73 1 tr !AE STAN,? ;c L :7iN IHKLi 37.4 - uuclvuum t U bUI LUINU Nt {M1 I APPLIZ`A 1 ION ° (AN 12 2 IC Z :CU :OR BUILDING BER _r MUST ACCOMEANT szs a.DDE1DC•%. Ir R ' dASZI ? ,.= c OBTAINED, THE OWNER'S NOTA..R,IZ= SiC.Y.LTURE NEB NOT 3E °4E.MNT ON SUBSEQUENT A22 x5 ITU 3Ard 113 3 !CET a is-ova IHXI?G Fa.21TA IN P. COI OIA lc : L «F .mss • CaS PLUMBING 1211T FE ITU ELECTRICAL swrTO{ CURETS IGfr CUTLETS REC?rAa.S ScRV!c i Sc3VIO SIc"E IN :1PS S YiC` •1E CfAIM AP?! fM1 OUtL' S T OVEN vATc. Ff.Ara 1137131S 0- 1 P SCTCRS OVEN h 3 /CTias Ova 3- : If SOTMRS OVER 5- 3 if %DTCRS OVER 3- 10 If SCTO s ava ra- SDTCRS 103 p SCRIMS OVER im 'f x/C NIKON A IR C14. IT 1QN8S STIP rq 5?Aa WATER ZITRIL /EAT A/C (VW) I I A/C (C<:ITRAL I an ' I I +E3 IGaAriaQ „..ate ,V43 AESS p !P I LKERCC,t?c rAMIS %SGVE 610143 rams I I U... ?RETIRE Vr.1.3 I STEM 3QILL,S I I :13T ula 'JO ILSS I I ‘ECiAtf C L v e i l . UT 01 I I i tltti ,us is I f !. 1AIMS/ESGI. ms I = !RE SCR POLS STSr't5 C,DLING 10/183 I ( 110UTION I I .+E:I15?tw+T1ON I I I I I 1 1 f UNIT FEE I rr MECHANICAL Permit No i 1 Street and Number where work is to be performed —No P4dEL ( IAA' 1 E/ ' STATE OP FLORIDA, COUNTY OF DADS I es. Amount of Permit $ i44 My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 6/ 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 regulation's 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 � p Registered Architect and /or Engineer EMT 4 10 yyl g El tri i N e CA" .L No // 1 � � oca n an Lega eecr on Lot /5 r 1/1‘ Block. J .3 State work to be performed and purpose of building, (By Floors) (i)4C -A) New Building Remodeling i Addition Repairs No. of Stories Service Overhead ' Size Feeders... / Conduit / / s Main Sw Amps 1 . 4 ' Main Fuses Amps p Type of Installation -- Conduit Tubing B.X.L Metal Moulding (Signed) AA No ..) / 1/C Street (Signed) .. /60 Date T 5-C, a 7 Al Street ;A Subdivision. /t Street t, -S 4. (- A■vrC. C /66xCp Notary Public, State of Florida Electrical Inspector. The undersigned applicant for this budding permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Muter Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all faeu therein by him stated are true. NOTE: A re-inspection fee of $1.00 will be made when such re•inapection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH 0 LIGHT OUTLETS PLUG RECE•P'T'S FIXTURES NO LAMPS RtFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP H TOTAL CONTR. UST CHECK ENT. Sw. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.0 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK . Permit No i 1 Street and Number where work is to be performed —No P4dEL ( IAA' 1 E/ ' STATE OP FLORIDA, COUNTY OF DADS I es. Amount of Permit $ i44 My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 6/ 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 regulation's 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 � p Registered Architect and /or Engineer EMT 4 10 yyl g El tri i N e CA" .L No // 1 � � oca n an Lega eecr on Lot /5 r 1/1‘ Block. J .3 State work to be performed and purpose of building, (By Floors) (i)4C -A) New Building Remodeling i Addition Repairs No. of Stories Service Overhead ' Size Feeders... / Conduit / / s Main Sw Amps 1 . 4 ' Main Fuses Amps p Type of Installation -- Conduit Tubing B.X.L Metal Moulding (Signed) AA No ..) / 1/C Street (Signed) .. /60 Date T 5-C, a 7 Al Street ;A Subdivision. /t Street t, -S 4. (- A■vrC. C /66xCp Notary Public, State of Florida Electrical Inspector. The undersigned applicant for this budding permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Muter Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all faeu therein by him stated are true. NOTE: A re-inspection fee of $1.00 will be made when such re•inapection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I 1 f es. j f My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT (Signed) No �� st 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. Owner's Name and Address No 'S " Street Registered Architect and /or Engin er Employing Electrician's Name Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps Underground Type of Installation— Cconduit Tubing B.X.L Metal Moulding (Signed) J: ;4 Electrical Insp The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, pn work to be performed under this permit, as are licensed by Miami Shores Village. - Street.fi Notary Public, State of Florida 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 hjm stated are true. NOT *1 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 a)td /qf workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'1'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. &CAGE 14 TER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS MOTORS NEON 0.1 HP 1.5 HP TRANS. RADIO TOTAL CONTR. LIST yf ,/r / --� CHECK ^ r•� = J -7.4 Permit No Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I 1 f es. j f My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT (Signed) No �� st 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. Owner's Name and Address No 'S " Street Registered Architect and /or Engin er Employing Electrician's Name Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps Underground Type of Installation— Cconduit Tubing B.X.L Metal Moulding (Signed) J: ;4 Electrical Insp The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, pn work to be performed under this permit, as are licensed by Miami Shores Village. - Street.fi Notary Public, State of Florida 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 hjm stated are true. NOT *1 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 a)td /qf workmanship. MIAMI SHORES VILLAGE, FLA. JOB de- ADDRESS INSPECTION TIME READY REMARKS - � INSPECTO N? DATE 5695 I BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA DATE 1 " o PERMIT CONTRACTOR OR BUILDER N9 4942 Contractor's License No. l , 1 19 Work to be performed under this Permit— B1 Subdi- vision Value of 1 Amount of Lr Project $ Permit $ This permit h granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion 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 respon- sibility 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 aaa regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao cepting this permit I assume responsibility for all work doge by either, myself, my agent, servant or employee. BY AUTHORITY ,nor IOW BUILDING ELECTRICAL PLUMBING JOB: AD: • • • • WORK • DONE BY: • • REQUESTED • • • • • • • • • The following is ready for Inspection: Inspector's Report: • • • : WILL BE READY • • • • Permit No. t awe Application is hereby made for the approval structure herein described. This application is and all provisions of the Laws of the State of of Miami Shores Village shall be complied building during progress of work. APPLICATION FOR ELECTRICAL PERMIT Date of the detailed statement of the plans and specifications herewith submitted` for the bing or other made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division with, whether herein specified or not. A copy of approved plans and specifications must be kept at Owner's Name and Address No Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed—No. work to be performed and purpose of building (By Floors) New Building Remodeling MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Service Overhead Size Feeders. Conduit Main Sw. Underground Amount of Permit The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires ss. No Street Addition Repairs. _(Signed) Street Type of Installation— Conduit Tubing B.X.L. Metal Moulding Notary Public, State of Florida Street A. 1E Block Subdivision__ No. of Stories Amps Main Fuses Amps. Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) r — ——� x• 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'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. Isr 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. t awe Application is hereby made for the approval structure herein described. This application is and all provisions of the Laws of the State of of Miami Shores Village shall be complied building during progress of work. APPLICATION FOR ELECTRICAL PERMIT Date of the detailed statement of the plans and specifications herewith submitted` for the bing or other made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division with, whether herein specified or not. A copy of approved plans and specifications must be kept at Owner's Name and Address No Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed—No. work to be performed and purpose of building (By Floors) New Building Remodeling MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Service Overhead Size Feeders. Conduit Main Sw. Underground Amount of Permit The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires ss. No Street Addition Repairs. _(Signed) Street Type of Installation— Conduit Tubing B.X.L. Metal Moulding Notary Public, State of Florida Street A. 1E Block Subdivision__ No. of Stories Amps Main Fuses Amps. Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) r — ——� x• 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. ) , ? t.k•• 47 1) J 2 _ , 3 13 °