857 NE 97 St (8)laktitfilS
ELECTRICAL PERMIT A N°
S ner of Building_
Architect and /or Engineer___
Contractor r
Proposed Location."
AMOU~
Dated
LOT
This permit is issued to _p v im , `"? V P To
the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any pr tisions of said
laws, ordinances or rules and regulations, or upon any change in the plans and specificati •'. , unau O iced by the 3 uilding inspector.
RECD. PAYMENT ACCT. DEPT.
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
ans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building departm it of M i Shores , Village.
•
9� +—
(SEAL)
NOTE: .A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
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.
rg
SUB- DIVION
95
V• c • 1
ADDRESS
ADDRESS
ADDRESS
�s� 1
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
) . 19r
NO. STREET
1
LICENSE NO.
LICENSE NO.
INSPECTOR
N Ҫ
ELECTRICAL PERMIT A N° 95
PiziffIRM
Owner of Building ___: {'�- :<
Architect and /or Engineer
Contractor ow.liaiitier_
Proposed Location
NAME
7;
NAME
LOT
This permit is issued to + J
$
AM T
NAM*
BLOCK
Y44 ..
SUB - DIVISION
RECD. PAYMENT ACCT. DEPT.
ADDRESS
ADDRESS
ADDRESS
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
, 19
NO.
To
the building above described, as per application. Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said
laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector.
---- -----------------
INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village.
LICENSE NO.
LICENSE NO.
STREET
_, 19 _x -- 7 -- — i ;!
(SEAL)
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.
0)5, 1� krURE ILLAGE
I OI DING DEPARTMENT 3
305- 795 -2204 Cr 2005
B lding Inspection Request
Date
Type Insp'n 20
Permit No. 4..1 O5 - 2 1 2_
Name 0Y1Cn' 1
es-7 MS-1-
Company 12-a
- MS-4679
Address
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
l
, ` 355$ 1
4 M IAN4I SHORES VILLAGE
BUILDING DEPARTMENT 4
305- 795 -2204
Building Inspection Request
Date 3(z2105
Type Insp'n ? al MC1u
Permit No.
Name Od
Address 8 5 N € I. s
Company Co ELECT11. .
Phone # n 30511&5'42.1
Inspection Date g(z.31o5
Approved
Correction L1'
Re- Insp'n Fee V
06 d1
t YIVII \MI H ES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date OO12 SOUS gos -1054
Type Insp'n €L .-' " AZ-
\, Permit No. bakla Tool
Name QY (4 1 U l
Address 8 7 NE "17 5 �
Company C O5 �
Phone # 1- 6GS I Z SS ' 53J7
Inspection Date 1,'73I0S
Approved
Correction
Re- Insp'n Fee
Inspection Date: 01/17/2006
Inspector: Devaney, Michael
Owner: ORLANDI, MARK
Job Address: 857 97 Street NE
Project: <NONE>
Contractor: CARO ELECTRIC INC
Friday, January 13, 2006
Miami Shores Village, FL 33138-
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: ( -2204 Fax: (305)756 -8972
Inspection Number: INSP -6078 r
Block:
Permit Number: EL2005 -242
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: <NONE>
Phone Number
Parcel Number 1132060142620
Lot:
Phone: 305 - 957 -9325
Page 1 of 2
Passed Dr
Inspector Comments
rfrig‘'
/
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: 01/17/2006
Inspector: Devaney, Michael
Owner: ORLANDI, MARK
Job Address: 857 97 Street NE
Project: <NONE>
Contractor: CARO ELECTRIC INC
Friday, January 13, 2006
Miami Shores Village, FL 33138-
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: ( -2204 Fax: (305)756 -8972
Inspection Number: INSP -6078 r
Block:
Permit Number: EL2005 -242
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: <NONE>
Phone Number
Parcel Number 1132060142620
Lot:
Phone: 305 - 957 -9325
Page 1 of 2
:..y Miami Shores Village
•
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical ' Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) � / -1 Phone # I
Owner' Address r 1 NEE _ii �1
City Stat t Zip ` ��� _c�
Tenant/Lessee Name ( C- -0' �`f Phone # 3 1 C-�t 53 1-3
City
Qualifier
,zcz C4i i
$ Value of Work For this Permit
Total Fee Now Due $ ` 34 ` • Z
(Continued on opposite side)
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (30 ) -- J '22Q4'T r r' ,51;_ •$972
State
Job Address (where the work is being done) ME' &.T
City Miami Shores Village
Is Building Historically Designated YES NO
County Miami -Dade
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit No. 1.-05 — Z4 Z
,,,c M4ter Permit No. - 5- (Q5
Zip 35 3
' Contractor's Company Name 0/0 G ?/L /.. Phone # 'CT 78
Contractor's Address
Zip
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work:
Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition
P; Describe Work: 6. 7R/cite Auev_tc_
Submittal Fee $ Permit Fee $ CCF $ d , (o CD CO /CC
Notary $ Training/Education Fee $ 0 Technology Fee $ S• b2
Scanning $ 3 ' 00 Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) A 7 t
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 /A
Owner or Agent
The foregoing instrument was acknowledged before me this f ® The foregoing instrument was acknowledged before me this /0 T`
day of UiLlf� 20 40 d, by , day of ./(/A/e- , 20 61r - by
who is personally known to me or who has produced who is personally known to me or who has produced
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Chc 05/13/03
Signature
Contractor
as identificati. • d who did take an oath.
******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
/
APPLICATION APPROVED BY: ®✓ / 6 vl Plans Examiner
Engineer
Zoning
* * * * * * * * * * * * * *
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 8/1/2005
Applicant: MARK
Owner: ORLANDI
JOB ADDRESS: 857
Contractor CARO ELECTRIC INC
Local Phone: 305 - 957 -9325
Parcel # 1132060142620
NE 97
Signed: (INSPECTOR)
Signed: (Contractor or Builder)
Electrical Permit
Permit Number: EL2005 -242
ORLANDI
MARK
ST
Contractor's Address: DOING BUS IN DADE CO
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 E1/2 OF LOT 19 & LOT 20
Fees:
FEE2005 -10457
FEE2005 -10458
FEE2005 -10459
FEE2005 -10460
FEE2005 -10461
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$225.00
$0.60
$0.20
$5.62
$3.00
$234.42
Total Fees: $234.42
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 1/11/2006 Construction Value: $800.00
Work: ELECTRICAL FOR SWIMMING POOL
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
BY:
Page 1 of 1
AUG 0
BLK 73
if
ii
Permit No Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Service Ove Size Feeders
Amount of Permit $
MIAMI SHORES VILLAGE
APPLICATION FOR ELECTRICAL PERMIT
Owner's Name and Address
Registered Architect and /or Engine
Employing Electrician's Name _
Location and Legal Description Lot
Street and Number where work is to be performed —No
ss.
ELECTRICAL INSPECTION DEPARTMENT
No. Street
/ -7//
e -g> Block
1
No
;
(Signed) % f
(Signed
C G
G f
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repaii:.4 No. of Stories
�� 1L
Conduit__ 2 Main Sw._____ __ Amps. ___ Main Fuses / Amps.
Type of Installation— Conduit Tubing X B.X.L. Metal Moulding
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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.
7 / '
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.
My Commission Expires Notary Public, State of Florida
C
Y e t ical Inspector.
Master Electrican.
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
/1 ((!)
' - ` -- '
/
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
I
J/
(j
/
/
]/I
((��
ii
Permit No Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Service Ove Size Feeders
Amount of Permit $
MIAMI SHORES VILLAGE
APPLICATION FOR ELECTRICAL PERMIT
Owner's Name and Address
Registered Architect and /or Engine
Employing Electrician's Name _
Location and Legal Description Lot
Street and Number where work is to be performed —No
ss.
ELECTRICAL INSPECTION DEPARTMENT
No. Street
/ -7//
e -g> Block
1
No
;
(Signed) % f
(Signed
C G
G f
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repaii:.4 No. of Stories
�� 1L
Conduit__ 2 Main Sw._____ __ Amps. ___ Main Fuses / Amps.
Type of Installation— Conduit Tubing X B.X.L. Metal Moulding
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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.
7 / '
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.
My Commission Expires Notary Public, State of Florida
C
Y e t ical Inspector.
Master Electrican.
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 f ccD
STATE OF FLORIDA, 1
COUNTY OF DADE. I
Owner's Name and Address
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date ° ��
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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.
f4 3, 4 - 4 . 0 . 6
No g ��
Employing Electrician's Name /34,06-7 No... 2 - 0
Location and Legal Description Lot Block
Street and Number where work is to be performed—No � _ 7
New Building Remodeling Addition
Lc%
SS.
(Signed)
(Signed) �sS F
Street
LE 7
Regist.cd Architect and /or Engineer
Street. l '•
Subdivision
P
Street.. �r�...�.. .L 9 ..i
State work to be performed and purpose of building (By Floors)
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
.o r
y
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblf ations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Law's of Florid P rmanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-con tia rs 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 w� 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.
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
H ATER
STRIP
HEATER
TOTAL
CONTR.
LIST
/
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No f ccD
STATE OF FLORIDA, 1
COUNTY OF DADE. I
Owner's Name and Address
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date ° ��
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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.
f4 3, 4 - 4 . 0 . 6
No g ��
Employing Electrician's Name /34,06-7 No... 2 - 0
Location and Legal Description Lot Block
Street and Number where work is to be performed—No � _ 7
New Building Remodeling Addition
Lc%
SS.
(Signed)
(Signed) �sS F
Street
LE 7
Regist.cd Architect and /or Engineer
Street. l '•
Subdivision
P
Street.. �r�...�.. .L 9 ..i
State work to be performed and purpose of building (By Floors)
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
.o r
y
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblf ations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Law's of Florid P rmanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-con tia rs 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 w� 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.
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PPLICATION FOR ELECTRICAL PERMIT
Permit No Q 3 o 3 —z..-- 3 — �— B
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
CL / et ei t
Registered Architect and /or Engineer l ?
Employing Electrician's Name. . ... ..5 .t¢ C ± I9 / C
New Building Remodeling Addition
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. ! j
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
licensed by Miami Shores Village.
S S.
(Sign
No 7 A / qr
No._C �- v 6 % Street/ / 7 / N 1h 1 6 c�
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)
Repairs No. of Stories
ice Overhead Size Feeders Conduit Main Sw Amps / J d
Underground
e of Installation — Conduit Tubing B.X.L Metal Moulding
Main Fuses Amps
ctrical Inspector.
ccepts his oblig .`ons as an employer of
of Florida P 'manent Supplement, and
sub•contra, . rs employed by him in the
of the work such public notice or notices
be performed under this/bermit, as
Master Electrici
are
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
i , D
S
1
�-
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PPLICATION FOR ELECTRICAL PERMIT
Permit No Q 3 o 3 —z..-- 3 — �— B
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
CL / et ei t
Registered Architect and /or Engineer l ?
Employing Electrician's Name. . ... ..5 .t¢ C ± I9 / C
New Building Remodeling Addition
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. ! j
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
licensed by Miami Shores Village.
S S.
(Sign
No 7 A / qr
No._C �- v 6 % Street/ / 7 / N 1h 1 6 c�
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)
Repairs No. of Stories
ice Overhead Size Feeders Conduit Main Sw Amps / J d
Underground
e of Installation — Conduit Tubing B.X.L Metal Moulding
Main Fuses Amps
ctrical Inspector.
ccepts his oblig .`ons as an employer of
of Florida P 'manent Supplement, and
sub•contra, . rs employed by him in the
of the work such public notice or notices
be performed under this/bermit, as
Master Electrici
are
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Owner's Name and Address
Registered Architect and /or Engine
d
Employing Electrician's Name ___t
Service Overhead Size Feeders
UTitterfereosilt6
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No — Date f
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.
^ n, /2 /;
Location and Legal Description Lot � t� i ( i r / Block
f .�_�__ o Street
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) ''
jt
New Building Remodeling Addition Repaitir
0f1
Conduit if /' Main Sw. 1_ Q__0 _ Amps.
Main Fuses '' Amps.
Type of Installation— Conduit Tubing B.X.L Metal Moulding
A e trical 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 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)
(Signed)
No Street
No.
Street
Subdivision_______ -___
- -- - - --
Notary Public, State of Florida
" a
No. of Stories
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.
LIST
?T
. f
„( C_ m.
1 '% e
/
l✓:,1 (' //
e y -
� ,
it '
/
/
/
C
l ,/
t
CHECK
/ 1
e�� }
p
L'i f
p ..�(
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
/r'
MOTORS
O -1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
1 - �r
/ t
yy
/ 6-C.ur
4 A e
//6_.
l
�.,'l
zl ,9
�•
CHECK
Owner's Name and Address
Registered Architect and /or Engine
d
Employing Electrician's Name ___t
Service Overhead Size Feeders
UTitterfereosilt6
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No — Date f
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.
^ n, /2 /;
Location and Legal Description Lot � t� i ( i r / Block
f .�_�__ o Street
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) ''
jt
New Building Remodeling Addition Repaitir
0f1
Conduit if /' Main Sw. 1_ Q__0 _ Amps.
Main Fuses '' Amps.
Type of Installation— Conduit Tubing B.X.L Metal Moulding
A e trical 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 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)
(Signed)
No Street
No.
Street
Subdivision_______ -___
- -- - - --
Notary Public, State of Florida
" a
No. of Stories
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.
b
for
THIS CERTIFIES THAT the wiring and apparatus installed at
MIAMI SHORES VILLAGE
PERMIT
Office of Electrical Inspector
No.
CERTIFICATE OF INSPECTION
Address
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 ,_
r
watts. Water Heater rr= i' ,, > iie watts
Power: Connected load d H. P. Space Heaters °a
watts
Other Apparatus
ELECTRICAL INSPECTOR.
Applicant: MARK
Owner: ORLANDI
JOB ADDRESS: 857 NE 97
Contractor MOODY ELECTRIC INC
Local Phone: (305)758 - 2000
Parcel # 1132060142620
Signed: (INSPECTOR)
ORLANDI
MARK
ST
Permit Status: APPROVED Permit Expiration: 1/14/2006 Construction Value: $2,175.00
Work: SERVICE INCREASE & UPGRADE TO 200 AMPS
Perm`I
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: EEL2OO5 245
Printed: 7/19/2005
Contractor's Address: 669 NW 90 ST
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 E1/2 OF LOT 19 & LOT 20
Fees: Description Amount
FEE2005 -9869 Building Fee $150.00
FEE2005 -9870 CCF $1.80
FEE2005 -9871 Training and Education Fee $0.60
FEE2005 -9872 Technology Fee $3.75
FEE2005 -9873 Scanning Fee $3.00
Total Fees: $159.15
Total Fees: $159.15
Total Receipts: $0.00
BLK 73
JUL 2 0 PM9Q
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
3041
J. SHORES VILLAGE %
BUILDING DEPARTMENT
305- 795 -2204
� 3uilding Inspection Request
C 1 Date 01.17.
Type Insp'n 11J - � ��,,, /
Permit No. t 2.05 - 24-5
Name /141K Otf I tl4d1
h 751 i E't q S-
Company koody El ) cr' ,
Phone # )4) 5/ 15 -L6QO
Inspection Date _ (Y7 /x5/05
Address
Approved
Correction
Re- Insp'n Fee
P� N
9, 9' 3382 g
>MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Budding Inspection Request
Date
Type Insp'n 1'i1
Permit No. 01 05-745
Name O l Icnd s
Address c6 Ne qi J+
Company
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
0
M c �
Miami Shores Village
I:, {3 5) 79 244 F
BUILDING JUL c o k 2
PERMIT APPLICATILON,
FBC 2001
Permit Type (circle): Building
Owner's Address S-5 'tic 9? c57'
Building Department
Job Address (where the work is being done)
City Miami Shores Villa •e County Miami -Dade
Is Building Historically Designated YES NO ./
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
: (305) 756.8972
Permit No.
Master Permit No.
*l4s ° 21 45.
Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) Ariter< 41.Z.44-1./b/ Phone # -3dr• 7./ • e5e7
City An-14w ( f0 State Zip SS /
Tenant/Lessee Name .4)/4- Phone #
es "..)t 9 7 .s Mee r
Zip ,33/38
Contractor's Company Name A-16p E -77 t4,'UC .Phone # „q4.�7.,rg • Zd
Contractor's Address 6 ‘ ! .) Gcf 76 6•
City A 'ii State j. . Zip g3/..re)
Qualifier -.J� A./`
t
State Certificate or Registration No. E CiO // Certificate of Competency No.
Architect/Engineer's Name (if applicable) •/A Phone # .
$ Value of Work For this Permit / 2r Square Footage Of Work: /.$
Type of Work: ❑Addition ❑Alteration ❑New Er
❑Demolition
Describe Work: .5�2UICF ht)C 4a E 0/ 76 26 0 i5
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ /.0 / A' 0 CCF $ (- SO CO /CC
Notary $ Training /Education Fee $ CD . 6 0 Technology Fee $ 3. 15 rr yy��
Scanning $ 3 - l/V • Radon $ Zoning Bond 5
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $
(Continued on opposite side)
l5°1.
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address V /
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 ( en (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will b�� approved and a r on fee will be charged.
Signature
day of
who is p
My Comm'
* * * * * * * **
Chc 05/13/03
Owner or Agent
The foregoing instrument was acknowledged before me this g
sonally kno
NOTARY PUBLIC:
Sign:
The foregoing instrument was acknowledged before me this ( g
, 2OOS by acs Cc_ ()•( tc 9- . , day of • o \s-( , 200S , by ` ln,� , ( ,
n to me or who has produced who ""icerson >to me or who has produced
as identification and who did take an oath.
As identification and who did take an oath.
) n C \I 2 J
Print: ► -- �_,ii +TLYCt�7 - �
elk COMMISSION # DO 441715
:4: EXPIRES: July 2, 2009
* 8atide *Tpw 1i91aA'g .
APPLICATION APPROVED BY: 2
NOTARY PUBLIC:
(s)._
Print:
My Commis
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
P NICOLE A BERGE
(ail
eMY COMMISSION # DD 441715
EXPIRES: July 2 2009
' * *atirtaetrfrt,Il #P *
* **************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
* * * * **
/ n Yj Plans Examiner
Engineer
Zoning
MOODY# ELECTRIC, INC.
www.mood
669 N.W. 90 Street • Miami, FL 33150 -2166
Tel: (305) 758 -2000 Fax (305) 754 -1333
i ttl e c e
3 Two..1 Cu
2'!4
so 410
otu.A74111
65'1 11
411w1 SSIse.
e - o /i
P , N BERGERT
s , 4a1715
MY COMMISSION # DD 4
*X. 6rycd EXPIRES: July , 2009 r t
1 � °= Bonded fire Notary
r
MOODY ELECTRIC, INC.
www.moodyelectric:com
669 N.W. 90 Street • Miami, FL 33150 -2166
Tel: (305) 758 - 2000 Fax (305) 754 - 1333
MiM 012.1.44Z),
&67A/. e. '
Aid A .6ik,, Fi . 3313g
RESIDENTIAL DEMAND LOAD CALCULATIONS
W / SQ. FT .0/6'0, X3
REFRIGERATOR
APPLIANCES
DISHWASHER
GARBAGE DISPOSAL
MICROWAVE
CLOTHES WASHER
DRYER
RANGE
WATER HEATER
OVEN
FREEZER
TRASH COMPACTOR
GARAGE DOOR MOTOR
JACUZZI
JACUZZI BOOSTER HTR.
IRONING BOARD
POOL EQUIPMENT
SPRINKLER PUMP
LANDSCAPE LIGHTS
STEAM SHOWER
A/C WALL UNIT
SPARE CAPACITY
SPARE CAPACITY
TOTAL CONNECTED LOAD
FIRST 10 K.W. @ 100%
REST @ 40%
A/C @ 65% /HEAT@ 100%
TOTAL DEMAND LOAD
32A 32Ar K.W. / 240 VOLT = IS54 AMPS
6,- K.W.
�.r K.W.
3 K.W.
1 ..3� K.W.
K.W.
K.W.
K.W.
5 K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
77' K.W.
K.W.
K.W
K.
K.W.
K.W.
41.2' K.W.
10.0 K.W.
K.W.
/® K.W.
,!` °iy i NICOLE A. BERGERT
s *: ° :+.1 MY COMMISSION # DD 441715
EXPIRES: July 2, 2009
Bonded Thru Notary Public Underwriters
32C K.W. �� c c
•
41
t'l Permit No._____
Amount of Permit $_
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit(ed 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 Ivo
Owner's Name and Address f .... No.__ �s� Street__
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.. Repairs________________________ No. of
Service Overhead Size Feeders_ Conduit Main Sw. Amps. Main Fuses_________________Amps.
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding. _— _______ __ ___________.______________ —___
My Commission Expires
1
(Signed)
n-- ___ Street 's
_Block Subdivision 7 .
/1 Street
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 com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by bim 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)
Notary Public. State of Florida
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
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
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
� ;
CHECK
t'l Permit No._____
Amount of Permit $_
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit(ed 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 Ivo
Owner's Name and Address f .... No.__ �s� Street__
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.. Repairs________________________ No. of
Service Overhead Size Feeders_ Conduit Main Sw. Amps. Main Fuses_________________Amps.
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding. _— _______ __ ___________.______________ —___
My Commission Expires
1
(Signed)
n-- ___ Street 's
_Block Subdivision 7 .
/1 Street
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 com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by bim 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)
Notary Public. State of Florida
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
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.