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70 NE 96 StFEE2005 -14284 FEE2005 -14285 FEE2005 -14286 FEE2005 -14287 O - a • 0 b • o s' 0 0 F ro 0 0 3 rn Notary Fee Training and Education Fee Technology Fee Scanning Fee Total Fees: Signed: (INSPECTOR) z 3 -o 3 z 0 0 *VV. $5.00 $0.20 $2.50 $3.00 $111.30 5 b CD 0 CD CD Permit Status: APPROVED Permit Expiration: 5/3/2006 Construction Value: $680.00 Work: REPAIR OF CONDUCTOR DAMAGED BY WILMA NOV 11 O PAID 1 t E ROAD LOTS 3 & 4 BLK 5 LOT SIZE 100.000 X 3VD Total Fees: $111.30 Total Receipts: $0.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Ele trical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Owner's Address 70 A) 51 City_ ) i a m+ ,cittrxcj State Tenant/Lessee Name Phone # Job Address (where the work is being done) .7a , ( ,) r City Miami Shores Village County Miami -Dade Zip 33 / p Is Building Historically Designated YES NO Contractor's Company Name i J, ; 'El &:(:Y — Phone # Er ell5 -2.60 Contractor's Address d5 f -- )(4:h c t Ci.� C O City 4h '' ' State r Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work: ❑Addition IDAlteration ['New Describe Work: Submittal Fee $ Notary $6 Training/Education Fee $ 0 . 2.1D Technology Fee $ 2.. •' Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Total Fee Now Due $ 1 1 1 . 30 (Continued on opposite side) Miami Shores Village Building Department 10050 N1.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. ZL2a5 • Master Permit No. Structural Plan Review. $ Zip .x, •36 3P Square Footage Of Work: "Ry / 0/ et C a , u / J r e I o it 4o ` ✓ (.c% jfi14 *** * ** * * * * * * ** * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 1 .J()R• Lik!sJ&-t3 Phone # - 4 _ , 4 , C 3043 Repair/Replace Permit Fee $ /—' �Q CCF $ CO • Co CO CO /CC ❑ Demolition op By MI14. Bonding Company's Name Of applicable) Bonding Company's Address City State Zip Mortgag Lender's ame (tplicable) Mortgage Lender's Address City State Zip Application is hereby made tp 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 YOUt 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 gppy 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 su notice, the inspection will not be approve4 and a reinspection fee will be charged. Signature 7 The foregoing instrument was acknowledged before me this 4 The foregoing instrument was acknowledged before me )his')• `� day of AN , 20 0`.5 , by. At4 Aim boll( ( , . /� d ay of , ! > �.a'�:r'� �,," 20 i�� L. is personally known to me for who has produced /✓ PAW/ / • who is personally known to me or who has produced L H 2O I - ti? "0 #' As identbcation and who did take an oath. as identification and who did take an oath NOTA�fR /r. UB Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * ** Owner at Agent *** *** * ** tar ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * — 't APPLICATION APPROVED BV; chc 05/13/03 My Commission Expires: 'V f/C,7 MONICA LISSETH DIAZ .4 MY COMMISSION # DD 48399; • EXPIRES: October 20, 2009 Bonded Thru Notary Public Underwrite Signature NOTARY PUBL s 2 " t� Sign Print: `f "/"); ; "1 Co actor Engineer Zoning „� CYNTHIA ROSALES �Q. MY COMMISSION # DD 238223 EXPIRES: September 7, 2007 Bonded thru Notary F'uDbC underwriters G -7/ c Examiner AN IRLILATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HA OBTAI1 ED,• THE OWNER'S NOTA.?IZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATI PLUMBING SOLAR WATER HEATER FIRE STANDPIPE POD'_ PIPING LAWN SPRINKLER SYSTEM' GAS RAKE METER SE1 (GAS) GA PIPING ADDENDUM I U bU1 LUINU ram mil i ► r1r r L lvrl ivy. ELECTRICAL MECHANICAL TEM TlB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT ATH LIGHT OUTLETS CENTRAL HEATING IDET I I RECEPTACLES A/C (WIND) ISHWASriER SERVICE TEMPORARY A/C (CENTRAL) IISPOSAI i PINKING FOUNTAIN I SERVICE SIZE IN AMPS DUCT WORK I LOOK DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION ;REASE TRAP APPL I A CE OUTLETS PROCESS AND PRESS PIPING RANGE TOP UNDERGROUND TANKS INTERCEPTOR OVEN ABOVE GROUND TANKS .AVATORY TRAY WATER HEATER U.F. PRESSURE VESSELS _AUNDRY :LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP FOOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION I I SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPOORT I NG ASSEMBLIES I i 'INK, SLOP MOTORS OVER B- 10 H' ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 FP COL I NG TOWERS WATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTJON WATEi-, SUPPLY TO: I AIR CONDITIONERS A/C UNIT I STRIP HEATER i I FIRE SPRINKLER I GENERATORS TRANSFORMERS I 'HEATER -NEW INST. I I GENERATORS TRANSFORMERS HEATER- REPLACE I I GENERATORS TRANSFOORMEP,S I I I I LAWN SPRINKLER -WELL 1 I SPECIAL PURPOSE I 1 SWIMMING POOL OUTLETS COMMERCIAL I I I WATER SERVICE SIGN TUBES SEWER CONNECT ION 'SIGN TRANSFORMERS f UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER I FIXTURES I SEPTIC TANI; ANTENNA RELAY TELEVISION OUTLETS DRAINrFIELD, 4' TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. ET. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET , i I AN IRLILATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HA OBTAI1 ED,• THE OWNER'S NOTA.?IZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATI PLUMBING SOLAR WATER HEATER FIRE STANDPIPE POD'_ PIPING LAWN SPRINKLER SYSTEM' GAS RAKE METER SE1 (GAS) GA PIPING ADDENDUM I U bU1 LUINU ram mil i ► r1r r L lvrl ivy. ELECTRICAL MECHANICAL LOOR NUMBER OF SIZES OF INSULATION ()PEN OR Number Circuits Outlets Motor Gen. Main Sub Branch ment - - -- — - - Id — L - -- th r Floors_ r•orm 211; AVOID DELAY BY Lot Number Street and Number Owner I•` Base First Seco Thir Four ()the Outlets I Motors Work will be started__ (Applicant sign here) Received by Inspector CERTIFICATES Progress Will inspect again Hough Wiring FINAL No Corrected_ APPLICATION No._ _ _ DATE _ ____, 192 Electrical Department of the City of Miami Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated be- low, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Rules pointed out by Inspector. GIVING Side Occupant Occupied as Building —New or Old (underline which). Work— Additional or New (underline which). SPECIFICATIONS H. P. of each motor Number of Motors H P Volts Amps Phase i Receptacles + Generators Greatest Number of Lights on One Branch REMARKS • Temporary Approved Letter_ Date Issued Days LOCATION FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICA- / T4.0N WILL BE RETURNED Block Number_._ Will be finished SPACE BELOW FOR INSPECTORS USE ONLY Inspected — Correct Location Correct Equip. —__„— _ DEFECTIVE Time Allowed nays Stoves Water Beaten Signs Billboards Other Apparatus (Nature of Work) Open— Concealed Knob— Mldg.— Conduit { Address j l Street Electric Light Co. __ Fee remitted 3emarks__ _Inspector Form 155 Date '� � , 192 FOR FIXTURE WORK ONLY ET,ECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your Certificate of Approval, application is hereby made for an inspection of the electrical installa- tion in the premises stated below, for which the undersigned agrees to correct any infractions of the National Electrical Code and the City Rules pointed out by Inspector. LO CATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED, OR APPLICATION WILL BE Rlf'`TURNED. Lot Number Block Number Street and Number Side Owner" w Occupant Occupied a4 Building —New or Old (underline which). Work — Additional or New (underline which). FLOOR Basement 1st Floor 2d Floor 3d Floor 4th Floor 5th Floor 6th Floor 7th Floor 8th Floor Attic Received by Inspector NUMBER OF LIGHTS REMARKS• Work will be started will be finished,�� j Addresq (Applicant sign here) ' fi Street Progress Will inspect again Rough Wiring FINAL No Corrected emporary Days proved Letter e Issued CEILING OUTLETS SPACE BELOW FOR INSPECTOR'S USE ONLY Inspected Correct Location Correct Equipment r — DEFECTIVE Time Allowed: APPLICATION Days SPECIFICATIONS BRACKET OUTLETS NUMBER OF CIRCUITS Electric Light Co Fee remitted Remarks inspector Permit No Amount of Permit $ APPLICATION FOR ELECTRICAL PERMIT ' -7,A d) MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) Date (Signed) 11 I " 1<l.J June 20, 1980 . 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, 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 Richard Baron N 70 Street N.E. 96 $.treet Registered Architect and /or Engineer Employing Electrician's NameP. envy. ..Electrical....Con.tra.ctoalto 11720 Street N.E. 2nd Ave. Location and Legal Description Lot So Block Subdivision Street and Number where work is to be performed —No 70 Stree N..E.. 16 -.- Street State work to be performed and purpose of building (By Floors) New Building Remodeling Ye S Addi Repairs No. of Stories Service Overhead X Size Feeders 4 / 0 Conduit 2 " Main Sw 200 a . Amps 200a. Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding 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 3966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be perforn) under this permit, as are licensed by Miami Shores Village. Muter Electrician. STATE OF FLORIDA, COUNTY OF DADE. 1 58. 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 be 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'8 FIXTURES NO. LAMPS REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CL LIST LIST 10 20 30 1 1 1 CHECK / � LJ3.75 f-� �V 3.V 0 300 f� O`er ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST 200a. 3 3 CHECK Joy (p t7D ;Soo oO Permit No Amount of Permit $ APPLICATION FOR ELECTRICAL PERMIT ' -7,A d) MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) Date (Signed) 11 I " 1<l.J June 20, 1980 . 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, 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 Richard Baron N 70 Street N.E. 96 $.treet Registered Architect and /or Engineer Employing Electrician's NameP. envy. ..Electrical....Con.tra.ctoalto 11720 Street N.E. 2nd Ave. Location and Legal Description Lot So Block Subdivision Street and Number where work is to be performed —No 70 Stree N..E.. 16 -.- Street State work to be performed and purpose of building (By Floors) New Building Remodeling Ye S Addi Repairs No. of Stories Service Overhead X Size Feeders 4 / 0 Conduit 2 " Main Sw 200 a . Amps 200a. Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding 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 3966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be perforn) under this permit, as are licensed by Miami Shores Village. Muter Electrician. STATE OF FLORIDA, COUNTY OF DADE. 1 58. 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 be 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. Receptacles Generators Stoves Water Heaters Signs Billboards Other A ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Miami Shores Village, Fla.,— 19 O ritractor or Electrician NO. 1 STREET Outlets Dated. Motors PART OF LOT , 19 — aiami chores9llage F L O A I D A OFFICE OF ELECTRICAL DEPARTMENT DESCRIPTION OF WORK NUMBER OF LO CATI O N LOT BL'K SUBDIVISION pparatus N9 306 • Permit Fee 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 are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical 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 tepartment. • , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. BUILDING ELECTRICAL PLUMBING HO OFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 6637 Work to be performed under this Permit Bl. Signed- Subdi- vision Value of Project $ INSPECTOR DATE Contractor's License No. II [ 195 Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in tho application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or spec, tications and that he assumes responsibility for work done by his agents, servants or employees. - ; r BY: In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ELECTRICAL PERMIT N. B. —This Permit must he on display on the premises during the construction. Owner of Building Contractor or Electrician NO. Outlets Motors Receptacles STREET Generators Stoves Dated , 19 aiami c hores9illage F L O R D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla.,— 19 LO CATION! PART OF LOT NUMBER OF Water Heaters Signs LOT BL'K DESCRIPTION OF WORK Billboards Other Apparatus SUBDIVISION N9 306 Permi Fee 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 are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical 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 this Department. , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the `e of Florida, all the Electrical Ordinances and Codes of ivfiami Shores Village, and all rules and regulations of the Electrical Department of Miami -res Village. (Seal) NO. STREET PART OF LOT LOT BL'K TOWN, ADDITION, OR SUBDIVISION 9 ,5` - -- sii, )%,g4,4 Li 1/0.--( Permit Fee .s* i Z' Z'zi-dre-e-f Outlets Motors Receptacles Generators Stoves Water Heaters' Signs Billboards Other Apparatus Permit Fee ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Con tor or Electrician Owner of Building Dated STRANGE PRINTING CO., MIAMI, FLA. t{ i i 3? I Town of Miami Shores OFFICE OF ELECTRICAL DEPARTMENT Miami Shores, Florida, PROPOSED LOCATION DESCRIPTION OF WORK NUMBER OF ,zeir 0 , , 19t.k 1V2 144 t ~' ,EPOSI 1 NJ. 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 are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of the Town of Miami Shores and the rules and regulations of the Electrical Department of the Town of Miami Shores. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulationor, -u'pon ,Any change i the plans and specifications unau- thorized by this Department. ( • Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of the Town of Miami Shores, and all rules and regulations of the Electrical Department of the Town of Miami Shores. (Seal) OUTLETS MOTORS RECEPTACLES GENERATORS STOVES WATER H'TERS SIGNS BILLBOARDS OTHER APPARATUS MAIN SUB BRANCH Basement First FLOOR NUMBER OF SIZES OF INSULATION OPEN OR CONCEAL'D NUMBER OF CIRCUITS OUTLETS MOTOR GEN. MAIN SUB BRANCH Basement First Second Third Fourth Other Floors APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for issuance of permit for electrical installation as described below, and for inspection of same after installation: Owner Address F Building Contractor EIectrical Contractor Location of proposed work: Lot- y 1 Building: Old or new Number of stories aiami Shores'91llage F L 0 A 1 D A Description of proposed work �I Details of proposed work: Number of Motors H P Volts di {i Block Subdivision 4Y Date 193 Used as i Amps Phase Additional Information Signature of Applicant Address (if other than owner or contractor) (SPACE BELOW FOR INSPECTOR'S USE ONLY) Work begun Inspected Work finished Final inspection , Inspector Permit No APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subm 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 work. Owner's Name and Address Employing Electrician's Name.. kd s MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Date No. NE- 'Z 11 Street Registered Architect and /or Engineer ���/ Nof /L.14 Location and Legal Description Lot Block Subdivision 7 ° N q Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses. Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ .1L r (Signed).... ri/i/f(e : Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub•contr ctors,y� work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. I "' My Commission Expires Addition. (Signe Repairs No. of Stories Street 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 therain by him stated are true. 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 HEA TER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. / 7 .( AlP'e. MOTORS 0.1 HP MOTORS 1•3 Hp NEON TRANS. RADIO TOTAL 1 CONTR. LIST g . to *p nn AG CHECK Permit No APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subm 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 work. Owner's Name and Address Employing Electrician's Name.. kd s MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Date No. NE- 'Z 11 Street Registered Architect and /or Engineer ���/ Nof /L.14 Location and Legal Description Lot Block Subdivision 7 ° N q Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses. Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ .1L r (Signed).... ri/i/f(e : Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub•contr ctors,y� work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. I "' My Commission Expires Addition. (Signe Repairs No. of Stories Street 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 therain by him stated are true. 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.