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ELECTRICAL'f .l PERMIT APPLICATION�R MIAMI SHORES VILLAGE Date. D /(CQ f C) Job Address ( o N Tax Legal Description Owner/Lessee / Tenant 1k9,11 i Q 1N1 Owner's Address C I 0 )4 E i S Contracting Co. PrS51 - Seat kt '. Qualifier rrr, I /1 er State # 00017 ( ('9 Municipal # Competency # Address Address Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): // WORK DESCRIPTION LOLL) 0Z (( i /Cc, Ji c, ) Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date • My Commission Expire CIA. NOTARYSEAI ALBA GAONA . rA£Y PUBLIC STATE OF 7 Cr IAMESION errs M'.` - MAMMON FEES: PERMIT RADON C.C.F. APPROVED: Zoning Mechanical Plumbing Historically Designated: Yes No /� �] Q Master Permit # 9 "/ (� ° Phone ss# - / - Phone ( --) 33/— 3 9,a 7 ddress 1132o(b 14 3\SO Address - 17 `i At u.) Sitin Ins. Co. BUILDING ELECTRICAL LUMBING MECHANICAL ROOFING PAVING FENCE SIGN ate 1 S }s ¢-c . Square Ft. Estimated Cost (value) 2 f S- 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 th. • parate 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 , - cl .ne m compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stat -/ ,oL+ M 1 90 0 2O • . viddlij/w0 (5 Signature of C .ntractor or Owner- Builder Date Notary as to,Contracton of Owner. Builder- - My Commission Ex ires: Ex . MIX SEAL ckll'ARY - • ; MOW .+' ' (P NOTARY d ' BOND TOTAL DUE Date Building Electrical l "/ � 1 C�V - Structural Engineer ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/1€TER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEI€LIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMWING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK RE INSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL - DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER :IRE STANDPIPE 'OOL PIPING _AWN SPRINKLER SYSTEM ?AS RANGE aETER SET (GAS) 3AS PIPING (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL a uylww 410 /oar. / fl.M c-S. BUILDING ELECTRICAL PLUMBING ROOFING Owner of tC Building • Architect Contractor or Builder Legal Description. Address of Building MIAMI SHORES VILLAGE,. FLORIDA ❑ DATF 7 " # 195 e PERMIT 17? 11781 ❑ ork to be performed under this Permit 0190 ,SI Contractor's License No II B. q 9 M fiqi , (1 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device in the application herefor in strict compliance with all ordinances pertainin thereto and with the understanding that the work will be performed,inpliance wit any p drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Parr may be revoked at `any time if the work is not done in compliance with such ordinances or if the plaits 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 dr 'ngs in the sj ements or specifications and that he assumes responsibility for work done by his agent's, servants or employees. Lot Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with s pertaining thereto and in strict conformity with the plans drawings, statements or specifications submitted to the proper authorities In accepti ; •'s permit I assume respongibili y for all wbrk done by either, myself, my agent, servant or employee. V id it .. r , CONTRACTOR OR BUILDER Subdi- vision Value of Project $ BY II Amt. of Permit ¢ ter nces and regulations 'anti Shores Village. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT B1 Work to be performed under this Permit N9 5997 Signed. / id'. -tom DATE : - Contractor's • z { License No / 1 Subdi- vision of , - , 1,. ( Value of Il Amount / 1 i 0 / i , / 1 Project $ 11 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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. ' ', INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance th all ordinances . 21st7,.regulatlons pertaining thereto and in strict conformity with the plans, drawings, statements or ecifi ations submitted to the proper auils6 es of Miami Shores Village. In ao cepting this permit I assume responsibility for all work done by eitherfinysel y g€t,+setvant or - mployee. f r '/ • BUILDING ELECTRICAL PLUMBING ROOFING Owner of . Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA ❑ ` DATE V" .Fe• 7 19 ❑®/ PERMIT 0 0 N9 6095 Contractor's License No. Work to be performed under this Perini 14 Tz, C; a7 Subdi- vision y �'j L Value of Amount 1� Permit $ of 00 ^ . • t + -1 �` Project $ of .0.0." This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 rev d 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 this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the or mantes 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 r INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance all ordinances aid regulations pertaining thereto and in strict conformity with the plane, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT B1 N° 5928 DATE Contractor's License No. 19 Work to be performed under this Permit Subdi- vision Address of Value of I Amount of Building Project $ 1 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 ordfifasees 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 ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 45807 BUILDING 0 DATF g" 2 7:.. ' l 195 ELECTRICAL ❑ PERMIT N? 11960 PLUMBING ❑ ROOFING ❑ Work to be peYfonned under this Permit Owner of Building > .`..tk.,,6.. Architect J Contractor or Builder Legal Description Address of Building MIAM Lot ° ;, fl , CONTRACTOR OR BUIL SHORES VILLAGE, FLORIDA Bl. Signed:' •� Subdi- vision Value of Project $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be perforined In compliance with aby 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 amateur upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge. of the ordinances and regulations pertaining to the work covered hereby. whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. BY �S Coatractor'S License No H rm it $ /4 �,pl BY l ` u) CX=y INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance vidt an ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done bye her, myself, my agent, servant or employee. AUTHORITY Permit No /17e1 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT - I� 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 ...... t Registered Architect and /or Engi t « Employing Electrician's N a m e . .. • �� h o Street Location and Legal Description Lot Block Q Su Street and Number where work is to be performed —No �(.h Street... /..!. 6 . 9 7 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Amount of Permit $... STATE OF FLORIDA, 1 COUNTY OF DADE. !l ss. Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L _Metal Moulding 1 (Signed) No Street (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Date 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. H EAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST , / 1� . CHECK Permit No /17e1 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT - I� 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 ...... t Registered Architect and /or Engi t « Employing Electrician's N a m e . .. • �� h o Street Location and Legal Description Lot Block Q Su Street and Number where work is to be performed —No �(.h Street... /..!. 6 . 9 7 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Amount of Permit $... STATE OF FLORIDA, 1 COUNTY OF DADE. !l ss. Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L _Metal Moulding 1 (Signed) No Street (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Date Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No Street and Number where work is to be performed —No 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. q A l Owner's Name and Address `G ` . CTS Registered Architect and /or Engineer: Employing Electrician's Name Amount of Permit $ STATE OF FLORIDA, j COUNTY OF DADE. I APPLICATION FOR ELECTRICAL PERMIT ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (.1 (Signed) No Street o / Y 8 Date Location and Legal Description Lot �� 7 _ Block 7 7 Subdivision's Street_...l.l.... Street N £- 4t State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories r 1 Service Overhead Size Feeders / Conduit 1 Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) 1. J Electrical Inspector. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materia nd /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 r 1 ! / , I 1 / I ] `_ CHECK 94, /�O i I ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1-5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK / . D0 Permit No Street and Number where work is to be performed —No 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. q A l Owner's Name and Address `G ` . CTS Registered Architect and /or Engineer: Employing Electrician's Name Amount of Permit $ STATE OF FLORIDA, j COUNTY OF DADE. I APPLICATION FOR ELECTRICAL PERMIT ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (.1 (Signed) No Street o / Y 8 Date Location and Legal Description Lot �� 7 _ Block 7 7 Subdivision's Street_...l.l.... Street N £- 4t State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories r 1 Service Overhead Size Feeders / Conduit 1 Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) 1. J Electrical Inspector. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materia nd /or workmanship. ELECTRICAL INSPECTION DEPARTMENT // c, APPLICATION FOR ELECTRICAL PERMIT Permit No X2.. d 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 Dola No 990 N.E. Street 97 Registered Architect and /or Engineer Employing Electrician's Name SUN STATE ELECTRIC, INC . N 9709 N . W. /heel 27 Ave . 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 — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, , l COUNTY OF DADE. I SS. MIAMI SHORES VILLAGE (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be /performed under this permit, as are licensed by Miami Shores Village. (Signed) WILL CALL g 0 Masted 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. 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 ` LIST p 2.00 CHECK ELECTRICAL INSPECTION DEPARTMENT // c, APPLICATION FOR ELECTRICAL PERMIT Permit No X2.. d 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 Dola No 990 N.E. Street 97 Registered Architect and /or Engineer Employing Electrician's Name SUN STATE ELECTRIC, INC . N 9709 N . W. /heel 27 Ave . 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 — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, , l COUNTY OF DADE. I SS. MIAMI SHORES VILLAGE (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be /performed under this permit, as are licensed by Miami Shores Village. (Signed) WILL CALL g 0 Masted Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No ...r 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 compliaric: and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances or 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. ��jj Owner's Name and Address... . rim© ���� No Street Registered Architect and /or Engineer Employing Electrician's Name......... � ��! 1 tlee ' No Location and Legal Description Lot Block Street and Number where work is to be performed —No New Building Remodeling Addition Service Overhead Size Feeders..._. ........ ...Conduit...._ .......Main Sw Underground Type Installation— Conduit. Amount of Permit $ STATE OF FLORILA, COUNTY OF DADE. Il APPLICATION FOR ELECTRICAL PERMIT 55. L o. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT T b: ,g. .B.X.L (Signed) / D ate Street Street Subdivision State work to be performed and purpose of building (By Floors) Repairs No. of Stories Amps Main ?uses Amps .Metal Moulding. The undersigned ?pplicant or this building permit does hereby certify that he understands and labor under the :lorida 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 elnplov only such subcontractors, on work to licensed by Miami Shores Village. (Signed) I�.ctncal Inspector. ccepts his obi: ions as an employer of of Florida P manent Supplerient. and sub - contra rs employed by him in the of the work such public notice or notices be performed under this permit, as ale 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 constru..tion, a .d 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. OUTLBY IRON OUTLET RANCE OUTLET RANGE CONN. WATER HEATER W. H CT. CONN. SPACE HE:1. ER STRIP HEATEf TOTAL CONTR LIST I �� 4 1 . 5 HECK i A ` C E NT. SW. DIST. CAB. '"ERV'CE T. P. SERVIC' PERM h A/rm,/ n I a0 f/ (� , / 4 `, : � Oi O:'. 0.1 HP .. .".TORS 1.3 HP NE!N TRANC. RADIO TOTAL N.� . LIST CHECK Permit No ...r 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 compliaric: and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances or 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. ��jj Owner's Name and Address... . rim© ���� No Street Registered Architect and /or Engineer Employing Electrician's Name......... � ��! 1 tlee ' No Location and Legal Description Lot Block Street and Number where work is to be performed —No New Building Remodeling Addition Service Overhead Size Feeders..._. ........ ...Conduit...._ .......Main Sw Underground Type Installation— Conduit. Amount of Permit $ STATE OF FLORILA, COUNTY OF DADE. Il APPLICATION FOR ELECTRICAL PERMIT 55. L o. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT T b: ,g. .B.X.L (Signed) / D ate Street Street Subdivision State work to be performed and purpose of building (By Floors) Repairs No. of Stories Amps Main ?uses Amps .Metal Moulding. The undersigned ?pplicant or this building permit does hereby certify that he understands and labor under the :lorida 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 elnplov only such subcontractors, on work to licensed by Miami Shores Village. (Signed) I�.ctncal Inspector. ccepts his obi: ions as an employer of of Florida P manent Supplerient. and sub - contra rs employed by him in the of the work such public notice or notices be performed under this permit, as ale 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 constru..tion, a .d 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.