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930 NE 96 St (3)Page 2 IMPORTANT NOTICES I. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1° Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE '''-' Signature of Owner 4____ Print Name Print Name y � Sworn to and subscribed before me this day of Sworn / to and subscribed before me this / day of AkciEifeE/e_ Signature of Notary Public - State of Florida SEAL: SEAL: PERMIT APPLICATION STATE OF FL•! , COUNTY OF MIAMI -DADE ketAir Signature .f Contra• or / Qualifier PG Signature of ' . Public S' . to of Florida ti h MARITZA CONSTANZO .._ MY COMMISSION # CC 910739 "� EXPIRES: May 29, 2004 ° qd v`, Bonded Thru Notary Public Unde ' Personally known OR, Produced Identification Personally know Type of Identification Produced: Type of Identification Produced: CONTRACTOR Name i \14 RI 5-rsait i OLH \Name 0 /ECM /C .1V,C mi Sfto(.&, FL 33/3 License No 00000 (9/ / & Business Telephone Address /035 �/"..) // 8 c / mvv) pG 33 / 8 u Repair Telephone( ) 7 07 Fax Fax � oZ0 0 7 6 (( Name 6 Qualifier J © 2 6 e 60 , 4,2. � , Demolish PROPERTY OWNER Name i \14 RI 5-rsait i OLH Address q 30 N€ qG cap .ELT mi Sfto(.&, FL 33/3 Home Telephone C� O S) -7 .57 r gg 7-7 Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION /ii n / £4'0 , FL 55/? Address A t. City State Zip Folio Number description of Work P00/ Job Address: Lot 2 q Block 7 Subdivision // /d9/ � NO0.4;f PB 1 0 PG 3 Zoning Linear Feet SST tt Current Use of Property `E3F 2 Square Feet Units Floors Proposed Use of Property ,>alue of Work -t az' Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other N s PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection Master Permit No. Subsidiary Permit No. PERMIT APPLICATION 2062 - 1 Bldg Value ENGINEER Name License No. Address Telephone Fax ELECTRICAL 'I'YI'1: Minimum Fee QTY. 'I'1'I'E Dryer Q'I'1'. 'fYPI? Outlet, Appliance Q'I'V. 'I'YI'I.: Service Repair Q•I•1'. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential / Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New PLUMBING .1.1.1,1; A/C Condensate QTY. TVI'I: Drains, Roof QTY. TV'I'I: Miscellaneous Fixture QTY. ' Soakage Pit Q . 1 . 1 . Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. MECHANICAL '1'1'1'1: Minimum Fee A/C Central, Tons A/C Wall/Win. Tons Air Handler, Tons Barbecue Bath Fan - Vented, # QTY. TYPI: Condensate Drain Cooling Tower Dryer Vents, Number of Ductwork, Cost of Fire Sprinkler System Fireplaces, Number of Generator Heating Strips, each Paint Booth Piping, Flammable Liquid Process/Pressure Piping Pressure Vessel QTY. 'I'YI'I:: Refrigeration, Tons Vent Hood, Cost Ventilation, Cost Periodic Inspections RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zoning Electrical ` �� /7/-Jems2 Mechanical Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CIIECK1.1ST O OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores 'Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary 0 PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES ( x .6U x/1000 ) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION LI CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ISSUING OFFICIAL. CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2002 -379 Printed:11 /19/2002 Applicant: SARAH & KARI Owner: TRITON JOB ADDRESS: 930 NE 96 Contractor IRO ELECTRIC INC Local Phone: Parcel # 1132060143010 Permit Status: Approved Work: POOL If there is no permit pack: fee is $50.00, which must be his Permit is granted to the contra finances pertaining thereto and witi and approved by the proper municipal authorization. A further condition upo ordinances and regulations pertaining by his agents, servants or employees Signed* In consideration of the issuance to n with the plans, drawings, statements c myself, my agent, servants or employe X Signed: 0 PAY TO THE ORDER OF P &H ADDITIONS INC. Electrical Permit TRITON SARAH & KARI ST Contractor's Address: 525 NW 27 AVE Permit Expiration: 5/17/2003 Construction Value: $800.00 7448 N.W. 8th Street Miami, Florida 33126 Phone (305) 264 -8092 CITY OF MIAMI SHORES T , • r First Banli ofMiami Westchester Branch ® 01 S.W. 6th St. Miami, FL 33144 02 Page 1 of 1 ii• f14 c a R 1. n• 1: n P, P, n L 4 L 5 31: 0 2 3000 2 5 3 1" 101 DATE 11 -22 -02 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 8 & E112 OF LOT 9 BLK 76 LOT SIZE P -r 2 --c_..r.4. 4 t9a. DO ctb 0 0 Total Fees: $e:99 $0.00 Total Receipts: 45881 $1 ‘7 00 ,, s 2 DOLLARS 63- 1415/660 02 Permit No ?4 Ukkke o f MIAMI SHORES VILLAGE woklG ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date C l/ / 7° 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 Registered Architect and /or Engineer Employing Electriciah's Name Location and Legal Description Lot e ,, - e • E vas No R 3 0 A/ E.- Street Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ (Signed)...71!..1 r.R4O..V c3' 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 tractors or sub -cunt ".rs employed by him in the work to be performed under this permit; and will post or cause to be posted for inspec • n the site of the o such publi otice or notices as are required by the Act. The undersigned agrees to employ only such sub - contracto • work to be pe o med under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized appeared ss. S0 ?C S ee No Street Block Subdivision )' 0 N 1 – r S 1`.. o u e. e,.15'4 -:. e l'eCA A'el ( 6 o itewe, to administer oaths and take old 4/ Ee__ acknowledgments, personally 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 81.00 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'•'T•s FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. GIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No ?4 Ukkke o f MIAMI SHORES VILLAGE woklG ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date C l/ / 7° 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 Registered Architect and /or Engineer Employing Electriciah's Name Location and Legal Description Lot e ,, - e • E vas No R 3 0 A/ E.- Street Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ (Signed)...71!..1 r.R4O..V c3' 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 tractors or sub -cunt ".rs employed by him in the work to be performed under this permit; and will post or cause to be posted for inspec • n the site of the o such publi otice or notices as are required by the Act. The undersigned agrees to employ only such sub - contracto • work to be pe o med under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized appeared ss. S0 ?C S ee No Street Block Subdivision )' 0 N 1 – r S 1`.. o u e. e,.15'4 -:. e l'eCA A'el ( 6 o itewe, to administer oaths and take old 4/ Ee__ acknowledgments, personally 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 81.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No g'kk 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, Fiu:ida, 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. M XJ No (Signed) 3 0 N Street Owners Name and Addres Registered Architect and /or Engineer Employing Electriciah's Name.. / c,/i6 P No.2 / J() Street. ... 2 F Location and Legal Description Lot 0 . 'A- 1 Block 7f(� Subdivision _ /L ._ 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 �.3 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 Electrical Inspector. The undersigned applicant for this building permit dots 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-contra c ols, on work to be performed under this permit, as are licensed by Miami Shores Village. Muter Electrician. STATE OP FLORIDA, COUNTY OP DADE. I °°' 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. L REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP H TOTAL CONTR. LIST CHECK 6 C J ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RA010 - TOTAL CONTR. LIST 2--- CHECK 4 Permit No g'kk 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, Fiu:ida, 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. M XJ No (Signed) 3 0 N Street Owners Name and Addres Registered Architect and /or Engineer Employing Electriciah's Name.. / c,/i6 P No.2 / J() Street. ... 2 F Location and Legal Description Lot 0 . 'A- 1 Block 7f(� Subdivision _ /L ._ 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 �.3 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 Electrical Inspector. The undersigned applicant for this building permit dots 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-contra c ols, on work to be performed under this permit, as are licensed by Miami Shores Village. Muter Electrician. STATE OP FLORIDA, COUNTY OP DADE. I °°' 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, FG, :Ida, 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 Owner's Name and Address Y i M...V - I °) g' PA «) CJ Registered Architect and/or Engineer p ,[ Q �/ Employing Electricia6's Name a ENrrerr �+ C.--C.,7"774 �G �'II• v /Q.CI 'KC Street 5t C/T' Location and Legal Description Lot Block Subdivision 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 $ (Signed) 8 8. (Signed) Date C o _ / " )-7 No f -2 0 ire Street..../ b ✓ J Street E ectrica Tector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his gations as an emp +yer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florid /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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. M Master Electrician. STATE OP 4FLORIDA, 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, 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 91.00 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. • ( • ND (WALL, MOTORS 0.1 HP MOTORS 1.0 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Lt. . .. S Permit No Street and Number where work is to be performed —No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, FG, :Ida, 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 Owner's Name and Address Y i M...V - I °) g' PA «) CJ Registered Architect and/or Engineer p ,[ Q �/ Employing Electricia6's Name a ENrrerr �+ C.--C.,7"774 �G �'II• v /Q.CI 'KC Street 5t C/T' Location and Legal Description Lot Block Subdivision 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 $ (Signed) 8 8. (Signed) Date C o _ / " )-7 No f -2 0 ire Street..../ b ✓ J Street E ectrica Tector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his gations as an emp +yer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florid /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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. M Master Electrician. STATE OP 4FLORIDA, 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, 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 91.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date If./ 7 �. f. q Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and 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. , 6....004e- & V4a./. 04/00"■ Owner's Name and Address No G 30 E , Street 9 6 TN ST, 4 £ CS Fi . Registered Architect and /or Engineer O T2 /C 7Z '. . -r* 57 '414s ~ Employing Electrician's Name � e � C'Y No � �'� I 1t� St reet 2Z � 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 Underground Site Feeders Conduit Main Sw Amps Main Fuses 2 0 Amps Type of Installation — Conduit Tubing B.X.L .Metal Moulding 5 :A ve/ c.- c. 7.-0 O 9l ' , Service Overhead Amount of Permit $...k7 f MIAMI SHORES VILLAGE (Signed)..IIY Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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,t1ND 9� , ' Mu r Electrician. STATE OP FLORIDA, } COUNTY OP DADE. ss. Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is 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 81.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 1 SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE H STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date If./ 7 �. f. q Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and 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. , 6....004e- & V4a./. 04/00"■ Owner's Name and Address No G 30 E , Street 9 6 TN ST, 4 £ CS Fi . Registered Architect and /or Engineer O T2 /C 7Z '. . -r* 57 '414s ~ Employing Electrician's Name � e � C'Y No � �'� I 1t� St reet 2Z � 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 Underground Site Feeders Conduit Main Sw Amps Main Fuses 2 0 Amps Type of Installation — Conduit Tubing B.X.L .Metal Moulding 5 :A ve/ c.- c. 7.-0 O 9l ' , Service Overhead Amount of Permit $...k7 f MIAMI SHORES VILLAGE (Signed)..IIY Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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,t1ND 9� , ' Mu r Electrician. STATE OP FLORIDA, } COUNTY OP DADE. ss. Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is 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 81.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 1 Permit No.____ >_ 7 Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Location and Legal Description 4 Street and Number where work is to be performed —No Block 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. No Street Street__ � "' y / Subdivisioa__�:_x- _________� State work to be performed and purpose of building (By Floors) New Building___ .. _. d iJ Remodeling Addition Repairs No. of Stories Service Un and Size Feeder / Conduit' Type of Installation— Conduit Tu in¢ B.X.L. Metal Moulding Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. SS. My Commission Expires Main Swi i Amps. Main Fuses _Lc Amps. ______(Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliat,I 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) Notary Public. State of Florida Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ______________v — 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 L TO L .. � CONTR. LIST o. +y'� - r ) "' p- ' ,,/. I 1 3 " CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTA CONTR. LIST CHECK Permit No.____ >_ 7 Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Location and Legal Description 4 Street and Number where work is to be performed —No Block 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. No Street Street__ � "' y / Subdivisioa__�:_x- _________� State work to be performed and purpose of building (By Floors) New Building___ .. _. d iJ Remodeling Addition Repairs No. of Stories Service Un and Size Feeder / Conduit' Type of Installation— Conduit Tu in¢ B.X.L. Metal Moulding Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. SS. My Commission Expires Main Swi i Amps. Main Fuses _Lc Amps. ______(Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliat,I 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) Notary Public. State of Florida Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ______________v — 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. Permit No._ _ g ___ .__ Owner's Name and Address Registered Architect and /or Enginee Employing Electrician's Name __ Location and Legal Description Lot__ Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) ►�•■ Amount of Permit $ ",,,. STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PER Application is hereby made for the approval of the detailed statement of the plans and specifications submitt for the building or other structure herein described. This application is made in compliance and conformity with the Building . tnance 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. rt$.- mo o. ;2 _Block (Signed) (Signed) _ S treet treet 31_` -o No._ - 1- - * 71J ! � - ,,�1-6-11 Street- - - - - � �- - - - - -- -- , , •- • New Building 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 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 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. Notary Public. State of Florida 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 S 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._ _ g ___ .__ Owner's Name and Address Registered Architect and /or Enginee Employing Electrician's Name __ Location and Legal Description Lot__ Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) ►�•■ Amount of Permit $ ",,,. STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PER Application is hereby made for the approval of the detailed statement of the plans and specifications submitt for the building or other structure herein described. This application is made in compliance and conformity with the Building . tnance 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. rt$.- mo o. ;2 _Block (Signed) (Signed) _ S treet treet 31_` -o No._ - 1- - * 71J ! � - ,,�1-6-11 Street- - - - - � �- - - - - -- -- , , •- • New Building 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 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 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. Notary Public. State of Florida 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. JOB: / n n • • BUILPING • WORK ELECTRICAL : • : DCNE BY: PLUMBING • : REQUESTED READY • • • • • • • • • 0 • • • • The following is roady for Inspection: - Inspector's Report: - AD: 9 ? 0 ff l -- 7 .. :ii / MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Permit 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 com r ed with, whether herein specified or not. A copy of approved plans and specifications must b. kept at building during progress of wgg Owner's Name and Address _ Registered Architect and /or Engineer Employing Electrician's Name _ Location and Legal Description Lot__ Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition APPLICATION FOR ELECTRICAL PERMIT ss. My Commission Expires r No Block Amount of Permit $ ___(Signed) Street treo Date 4;42 5: ;;;, </eil + ® Street cls irs 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 ` 4eT Y f Q may (Signed) f a - Notary Public, State of Florida Ele teal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations s 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. Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RA - E C• . ATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST p� a • ' CHECK ENT. SW. DIST. CAB. SERVICE TEMP SERVICE PER 4 /I, /n ,e MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL LIST CHECK -- 7 .. :ii / MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Permit 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 com r ed with, whether herein specified or not. A copy of approved plans and specifications must b. kept at building during progress of wgg Owner's Name and Address _ Registered Architect and /or Engineer Employing Electrician's Name _ Location and Legal Description Lot__ Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition APPLICATION FOR ELECTRICAL PERMIT ss. My Commission Expires r No Block Amount of Permit $ ___(Signed) Street treo Date 4;42 5: ;;;, </eil + ® Street cls irs 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 ` 4eT Y f Q may (Signed) f a - Notary Public, State of Florida Ele teal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations s 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. Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. y 06, MIAMI SHORES VILLAGE / ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit 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 comkied with, whether herein specified or not. A copy of approved plans and specifications must b kept at building during progress of wor Owner's Name and Address _ Registered Architect and /or Engineer Employing Electrician's Name __ Location and Legal Description Lot ___ _ Block Street and Number where work is to be performed —No. 4 kL P State work to be performed and purpose of building (By Floors) New Building Remodeling Amount of Permit $- STATE OF FLORIDA, } ss. COUNTY OF DADE. My Commission Expires ;No. !'_ ) � Street Addition No - __ treet__ Subd' 'on. Street_ (Signed) (Signed) Repairs Service Overhead Size Feeders Conduit 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 s 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. Date_ Notary Public, State of Florida No. of Stories t . Ele ica1 Inspector. 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 RA E /9' C; " " "WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST { {% CHECK ENT. SW. DIET. CAB. SERVICE TEMP SERVICE PERM S f , I' Q r o 'r r / MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST T CHECK y 06, MIAMI SHORES VILLAGE / ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit 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 comkied with, whether herein specified or not. A copy of approved plans and specifications must b kept at building during progress of wor Owner's Name and Address _ Registered Architect and /or Engineer Employing Electrician's Name __ Location and Legal Description Lot ___ _ Block Street and Number where work is to be performed —No. 4 kL P State work to be performed and purpose of building (By Floors) New Building Remodeling Amount of Permit $- STATE OF FLORIDA, } ss. COUNTY OF DADE. My Commission Expires ;No. !'_ ) � Street Addition No - __ treet__ Subd' 'on. Street_ (Signed) (Signed) Repairs Service Overhead Size Feeders Conduit 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 s 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. Date_ Notary Public, State of Florida No. of Stories t . Ele ica1 Inspector. 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. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description MIAMI SHORES VILLAGE, FLORIDA(' PERMIT N9 1095 DATE �'" t ` C 194 Contractor's 1 t License No. Work to be performed under this Permit . Vii. t ( . t / 1 Lot C f/. B1. ( Subdi- vision Address of 0 . Value of Building / . L f j Project CONTRACTOR OR BUILDER 5 Amt. of Permit r • 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 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 ion he plans cle'dr� wings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees 1 Signed• 7 By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and reg tions pertaining thereto and in.strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Sho Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY .1344+11Mt/G ELECTRICAL PERMIT A N °. _ 769 PM€0INIG Owner of Building q - ).AME Architect and /or Engineer NAME This permit is issued to laws, ordinances or rules and regulations or, *on ate changlep $ C . AMOUNT RECD. PA ENT ACCT. DEPT. ADDRESS MIAMI SHORES VILLAGE BUILDING IN SPECTION DEPARTMENT �{`` y . . 19, ADDRp6 Contractor or 1 itd N AN - -. ADORES P roposed Location ` _'__ -- } t l ---- - - --I L . : -.7. - - - - -..e- -- .--- ___ _ _` — r` LOT 6LOCK 8U6- g1MiSION y......, NO. To ....,. LICENSE NO. 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 pf Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shouts Village. This permit may be revpked at arty time upon the violation of any provisions of said `e plans and specifics sfunaut riled by the building insp tier. . INSPECTOR In consideration of the issuance to me of thi,'permit I hereby agree to the proposed construction in strut .conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building' l aws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village nd all rules and regulations of the building department of Miami Shores Village. — 4. Dated__-- ---- ------ -- ____ -- - -- -_____ 19_ (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. BUG. ELECTRICAL PERMIT A N? 697 PLU.MRLN G Owner of Building__ C, Architect and /or Engineer____ ME NAM'„ Contractor or Buildero___ _____ r., ". NAML { Proposed Location F ^` LOT BLOCK SUY- DIVISION BUILDING INSPECTION DEPARTMENT / .... .- t! , 19 ' P v _ ,..*, re io V t i.(4: t, :. � ' fir' -_:::./1 ir 440' ADDRESS LICENSE NO. i ADDRESS E lf ADDRESS NO. AM / NT RECD. AYMENT ACCT. DEPT. MIAMI SHORES VILLAGE LICENSE NO / T o _ STREEj.or.wir+-' This permit is issued to -- ✓ , Y— ' 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 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, upon any change in the plans and specifications unat�t orizepd by the building inspector. ;! s f -t, ■ INSPECTOR In consideration of the issuance to me 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 to ompliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village Gall rules and regulations of the building department of Misr illaprs Village. i r ,,, .1• t I Dated- _------ -- ---- -- 19 / �••, ,' (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. JOB :V d PLUMBING BUILDING : • • : WORK ELECTRICAL : Z-- : : DONE BY: Inspector's Report: •- : REQUESTED : • • • AD: 9cr p 1 The following is ready for Inspection: •- • • READY Permit No.__ Date Application is hereby made for the approval of the detailed statement of the plans and specifications ere submittetY for the building or other structure herein described. This application is made in compliance and conformity with the Building $ dinance 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. STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PER 88. Owner's Name and Address Amount of Permit $_______— :A_ —_____ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No __,c_ Street__ Registered Architect and /or Engineer.,__________ Employing Electrician's Name __ {_i_ — — ��____�_ No,___ __ ___ _1__ Street Location and Legal Description Lot__ r Block f Subdivision_ Street and Number where work is to be performed—No ____v!____ �__;_ 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 (Signed) 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) n �/ Electrical Inspector. My Commission Expires Notary Public, State of Florida 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 sr 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.__ Date Application is hereby made for the approval of the detailed statement of the plans and specifications ere submittetY for the building or other structure herein described. This application is made in compliance and conformity with the Building $ dinance 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. STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PER 88. Owner's Name and Address Amount of Permit $_______— :A_ —_____ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No __,c_ Street__ Registered Architect and /or Engineer.,__________ Employing Electrician's Name __ {_i_ — — ��____�_ No,___ __ ___ _1__ Street Location and Legal Description Lot__ r Block f Subdivision_ Street and Number where work is to be performed—No ____v!____ �__;_ 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 (Signed) 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) n �/ Electrical Inspector. My Commission Expires Notary Public, State of Florida 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. APPLICATION FOR ELECTRICAL PERMIT Permit No. New 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 v _� _�' � _� No Street Registered Architect and /or Engineer Employing Electrician's Name _______T '`___ L No.__ 4__..___ Street___ Block 7___ Subdivision_. ,.________________________ J ' , • � � /' Street and Number where work is to be performed —No __________________________ -___ Street_t -_ _ __I____ _ State work to be performed and purpose of building (By Floors) Location and Legal Description Lot__ Remodeling Addition Repairs Service Ilv " Size Feeders / ® Amps. _ Main Fuses Underground Conduit / �___ Main Sw. 1 __� p . Amps. Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma.. t 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. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) Date (Signed) Notary Public, State of Florida No. of Stories______________ Master Elect titan. 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. y . 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 H EATER STRIP HEATER TOTAL CONTR. LIST : / � !1 '/ i.", ` ( , CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST d i CHECK APPLICATION FOR ELECTRICAL PERMIT Permit No. New 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 v _� _�' � _� No Street Registered Architect and /or Engineer Employing Electrician's Name _______T '`___ L No.__ 4__..___ Street___ Block 7___ Subdivision_. ,.________________________ J ' , • � � /' Street and Number where work is to be performed —No __________________________ -___ Street_t -_ _ __I____ _ State work to be performed and purpose of building (By Floors) Location and Legal Description Lot__ Remodeling Addition Repairs Service Ilv " Size Feeders / ® Amps. _ Main Fuses Underground Conduit / �___ Main Sw. 1 __� p . Amps. Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma.. t 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. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) Date (Signed) Notary Public, State of Florida No. of Stories______________ Master Elect titan. 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. y . Permit No Z 3 r Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I j MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PE Application is hereby made for the approval of the detailed statement of the plans and specifications herewi • submitted for the b i ding 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 kepyat building during progress of work. Owner's Name and Address �� .. No Registered Architect and /or • eee Employing Electrician's Name PL4 l Street 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 Tubing B.X.L .Metal Moulding 55. (Signed) Date 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. Street Electrical Inspector. ccepts hi obligations as an employer of of Fl • a Permanent Supplement, and sub•contractors employed by him in the of the work such public notice or notices be performed under this permit, _ re 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. ACE HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No Z 3 r Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I j MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PE Application is hereby made for the approval of the detailed statement of the plans and specifications herewi • submitted for the b i ding 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 kepyat building during progress of work. Owner's Name and Address �� .. No Registered Architect and /or • eee Employing Electrician's Name PL4 l Street 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 Tubing B.X.L .Metal Moulding 55. (Signed) Date 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. Street Electrical Inspector. ccepts hi obligations as an employer of of Fl • a Permanent Supplement, and sub•contractors employed by him in the of the work such public notice or notices be performed under this permit, _ re 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. PERHIT APPLICATION FOR HUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) to C 2? /, Job Address q30 ,U 'E q(o SwveT' Tax Folio 11 -3206- 014 -3010 gal Description (07 g PaIOCk 9 ner / Lessee / Tenant GEORGE SEGERS & KAMEEL ABBASI zer's Address 930 NE 96 Street :itracting Co. ADT SECURITY SYSTEMS, MID -SOUTH Address 1052 S. Powerline Rd. Deerfield Beach, F1. 33442 ilifier tuifI'4rn KirghTo, SS# - Phone 305/624 -7770 E'f= 0000 /oo ate 0 Municipal 0 Competency Il Ins ' Alglue zhitect /Engineer NI Address iding Company /✓ A • Address -tgagor A1/4 Address Type(circle one): BUILDING PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN RK DESCRIPTION TNSTATT,ATT_QN OF A BASIC SECURITY SYSTEM. / 0/(1Tieo / _ : V/C E are Ft. Estimated Cost(value) 220.00 RNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR TICE OF COMMENCEMENT). )lication is hereby made to obtain a permit to do work and installation as indicated above, an the attached addendum (if applicable). I certify that all work will be performed to meet the zndards of all laws regulating construction in this jurisdiction. I understand that separate -wits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOPING and MECHANICAL WORK. +ER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will done in compliance with all applicable laws regulating constructioni130:z., .• thermore, I :horize the above -named contractor to do the work state. )< GEORGE SEGERS & KAMEEL ABBASI ;natur. • owner a. /o C •o •resident :ary as o Owner ant- Commission Expires ; * * * ROVED: It■ FQbNflry BONDED TROY FA * * ` NDED TNR :S: PERMIT 4 ) 6 i40 RADON % tondo 6 (!? ar MY COMMISSION # S n Fire Other Zoning Building Master Permit 0 351' / Phone 305/757 -9448 Q11/(A/Le ider as to Contractor or Owner -Bui er mission Expires: , 4O1iLRY PUUL!C: STATE OF FLORIDA AT LA MY COMMIS' ,OI4I F'n2I&n• ::i +Y 03 149 BONDED THi.: *ASN1 * 3�.i y AC, ** NOTARY TOTAL DUE ' 'O Electrical I9 n 6 rk 4 • ( . PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) to C 73Job Address q3v ,U'E' c(o Tax Folio 11 -3206- 014 -3010 ;al Description (07 6 Pa lock 9 ier / Lessee / Tenant GEORGE SEGERS & KAMEEL ABBASI Master Permit 0 39 - per's Address 930 NE 96 Street Phone 305/757 - 9448 ztracting Co. ADT SECURITY SYSTEMS, MID -SOUTH Address zlifier (vil�l'arrl AWiSh7 SSO ate i Municipal 0 Competency 11 Ins .Co. P� N1q taf Ef 000Oioo / Thitect /Engineer NJ iding Company /✓l • Address -tgagor Address 7mit Type(circle one): BUILDING PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN RK DESCRIPTION TNSTQT,T,ASIDN OF A BASIC SECURITY SYSTEM. / (0/JT.eo / 49e 22C E ROVED: /kVA care Pt. Estimated Cost(value) 220.00 RNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR TICE OF COMMENCEMENT). 3lication is hereby made to obtain a permit to do work and installation as indicated above, an the attached addendum (if applicable). I certify that all work will be performed to meet the lndards of all laws regulating construction in this jurisdiction. I understand that separate -wits are required for ELEUERICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. iER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will done in compliance with all applicable laws regulating constru tio :z•s'• . thermore, I :horize the above -named contractor to do the work stated. GEORGE SEGERS & KAMEEL ABBASI ;natu -e 9 owner a ./o C o 'resident r Oi :ary as `to Owner anf Commission Expires`` , R(' Zoning "+Condo MARTKPRAW ; MY COMMISSION d CC 182493 EXPIRES February 24,1996 BONDED TNRU TROY FAIN INSURANCE, INC. * Fire T • i -5fgn �. Dat 1052 S. Powerline Rd. Deerfield Beach, F1. 33442 Phone 305/624 -7770 Address Notary as to Contrac or or Owner- BuiHer My Commission Expires: ,t0YARY PUBLIC: STATE OF FLORIDA AT LA MY COMMt5' .4N I:XPIK MAY 03 l )94 * * * BONDED TWA/ ASii10i4 A3ESZY, , *C, ** :S: PERMIT " RADON C.C.P. NOTARY TOTAL DUE 5"6 Other Building Electrical PT lder 1 Date Type Insp'n Permit No. Name Company Phone # For Inspect Approv . 0 Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time oc,1 - Address q3? ,r a pr,w -41w I7'7" ©3 PerPal 2ov , s b MIAMI SHORES :VILLAGE BUILDING DEPARTMENT 2 7 305- 795 -2204 Building Inspection Request Date l ✓ uf" Type Insp'n Permit No. C Name dfiy�/� gg Address /6./ t'7 / � - !.." 5 Company G ,-74 ,L Phone # Inspection Date `.Z. `e o Approved Correction Re -Insp' n Fee ❑ 3 0 — MIAMI SHORES VILLAG \ BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Request Date (01 q Type Insp'n oak) ,r .xmd ash Permit No. G 1 2.6014- 7 Name QC' -� re Address 1 W c N3E q6 Compan EIec . Phone # Inspection Date Approved Correction Re- Insp'n Fee 1-AP '1 S i It/ z-fo pv �� Ce 77 ,'? , Pat 7- 4i< 11. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n� u/ I12 ncS/� / o�i�at Permit No. zozi-- 9 � Name Address IOW NE We U i Company CrAr011 Phone # 303 - "1 l o- -JvV Inspection Date CO/) Approved � ./ Correction ❑ / .y"4 d y Re- Insp'n Fee ❑ 7 0 3'- 5 mm_5 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) TOH Al ep m P Phone # Owner's Address l O St) City M IAmI PC)RES State FL,OIZI DA Zip X3 / 3 8 Phone # Tenant/Lessee Name Job Address (where the work is being done) 10 S 0 1.) q City Miami Shores Village County Miami -Dade Zip 3,3/3 $ Is Building Historically Designated YES NO s [� "186.5 5.. g3 3y Contractor's Company Name l p R R Ci i-� Ft._E C' TR I C Phone # . ' O - i 1.2 -30$ q Contractor's Address 8 //0 ,S C CT City / is Qualifier r4 ' R ot_t- Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permlitr .3 3 v i Square Footage Of Work: Type of Work: ❑Addition ['Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: CI H A:CoE CJYE R►-/ c, cS f' 2 V / C'£ - TZ� () ti'9 CcOCV& 9 / ij/a REt OCA7F c .LFJ' 7RIC.c / /Y>C7 n 1 * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $,S (34 0 Tj Permit Fee $ /do 0 CCF $ 3. D CO /CC Notary o+ 0 V Training/Education Fee $ ) , D Technology Fee $ Scanning $.., 0 0 Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ r0 L I l■ (Continued on opposite side) .Miami Shores Village iui1ding Department R 0 5 29- 1450 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Master Permit No. Permit No.EZ ©L( ectric_ Plumbing Mechanical Roofing State FL Zip 03173 305- 2 154 -530 / Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing inforniation 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 an tion fee will be charged. The foregoing ins ' ent was acknowledged before me this day of , 20-1, by « V ) Y) GO (� j f" who i perso ally known to me-�r who has produced ; ULA t_�"J O •- 1 iJ As identification and who did take an oath. NOTAR • :LIC: Sign: l% Print: My Commission Expires: Aga L , .P ussion iiDD231984 ,2007 • sszip , Bon d an is t onding Co., Inc ******************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED Chc 12/15/03 NOTARY PUBLIC ��?Ci V �tr�4s Sign: Print: The foregoing instrument was acknowledged before me this 3P day of MARCO" , 200 `ll-, by 274 d (,G , 'who is personally known_tQme or who has produced t/el VACS G t l as identification and who did take an oath. • • • • • y i,+i m • . LI S TATE OF FLORIDP. L NOTARY SEAL N My Commission Expires: N" " ss`c ! EXP. MAY 14200 i * ** * * * * * * * * * * * * ** ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 6 2 , 2 ; 17) ' " Plans Examiner Engineer Zoning 4,1„ / •, ft ,./%) �10 /1i✓ C /_ /o.co 'Pk r ISO A 1400 D , fc , govJK gpki 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/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE MOUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS QVER 1- 3 If HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 If FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 If 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 SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS :SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE MISTER . SET (GAS) _ GAS 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 Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2004 -97 Printed: 4/9/2004 Applicant: JOHN CAMP Owner: CAMP JOHN JOB ADDRESS: 1050 NE 96 ST Contractor CARROLL ELECTRIC Local Phone: 305 -412 -3089 1 Parcel # 1132060143520 Contractor's Address: 8110 S. W. 95 CT. Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 W1/2 OF LOT 9 & ALL LOT 10 BLK 81 Fees: Description Amount FEE2004 -3729 Building Fee $100.00 FEE2004 -3730 CCF $3.00 FEE2004 -3731 Notary Fee $5.00 FEE2004 -3732 Training and Education Fee $1.00 FEE2004 -3733 Technology Fee $2.50 FEE2004 -3734 Scanning Fee $3.00 Total Fees: $114.50 Total Fees: $1 Total Receipts: $0.80 G Permit Status: APPROVED Permit Expiration: 10/2/2004 Construction Value: $500.00 Work: CHANGE OVERHEAD SERVICE TO UNDERGROUND AND RELOCATE ELECTRICAL METER Signed: (INSPECTOR) . wit 30PAID 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: Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date J 7- /973 Time ere‘41/ FL a ooe -379 93e s s/ For Inspector: j[ 42 3 Name / Approved Correction Re- Insp'n Fee ❑ 74 /Ota(e.,A- ro�7 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dat- ) I Time Type Insp'n Permit No. Name �+ // Address - 3 0 hl , ( , ? b) Company Phone #3 (0-s s �� For Inspecto42 ( 210 A e Approved Correction Re- Insp'n Fee Name & G� �