The URL can be used to link to this page

ELECTRICALMIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. I Owner's Name and Address r �f a`h P w " Registered Architect and /or Engineer Employing Electrician's Name j: q n� -Y� 3 - Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. SS. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ////‘ Street /�P / State work to he performed and purpose of building (By Floors) New Building Remodeling Addition Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground v 1,0 —,Type of Installation—Conduit Tubing L (Signed) A , � / n� t.. 7 No Street Vii. ! No , �� Street Repairs No. of Stories A (Signed) ectrical" Ynspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli . ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P manent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contract • s 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 wor such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT OUTLETS PLUG R ECE'P'T'S FIXTURES N O. LAMPS REPRICE OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. ACE H ATER STRIP H EATER TOTAL. L CONTR. LIST '- ;; CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS MOTORS 0.1 HP 1 -5 HP N EON TRANS. RADIO TOTAL CONTR. LIST / C \�G CHECK i MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. I Owner's Name and Address r �f a`h P w " Registered Architect and /or Engineer Employing Electrician's Name j: q n� -Y� 3 - Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. SS. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ////‘ Street /�P / State work to he performed and purpose of building (By Floors) New Building Remodeling Addition Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground v 1,0 —,Type of Installation—Conduit Tubing L (Signed) A , � / n� t.. 7 No Street Vii. ! No , �� Street Repairs No. of Stories A (Signed) ectrical" Ynspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli . ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P manent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contract • s 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 wor such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 'Inspection Number: INSP -18210 Permit Number: EL2005 -382 Inspection Date: 05/24/2006 Inspector: Devaney, Michael Owner: SODBERG, ANNEMETTE Job Address: 1143 98 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: CHARLES CULPEPPER Building Department Comments Tuesday, May 23, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 NAY 2 8 ENT'D IUL Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number 305 - 394 -9445 Parcel Number 1132050180270 Lot: Phone: 305 - 759 -8255 Page 1 of 2 Passed Inspector Comments ...000 G7/ (a / v I' Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until 'Inspection Number: INSP -18210 Permit Number: EL2005 -382 Inspection Date: 05/24/2006 Inspector: Devaney, Michael Owner: SODBERG, ANNEMETTE Job Address: 1143 98 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: CHARLES CULPEPPER Building Department Comments Tuesday, May 23, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 NAY 2 8 ENT'D IUL Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number 305 - 394 -9445 Parcel Number 1132050180270 Lot: Phone: 305 - 759 -8255 Page 1 of 2 i nspection Number INSP -15328 Inspection Date: 04/20/2006 Inspector: Devaney, Michael Owner: SODBERG, ANNEMETTE Job Address: 1143 98 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: CHARLES CULPEPPER Building Department Comments Wednesday, April 19, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL P : (305)795 -2204 Fax: (305)756 -8972 Permit Number: EL2005 -382 Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Addition /Alteration Block: Phone Number 305 - 394 -9445 Parcel Number 1132050180270 Lot: Phone: 305 - 759 -8255 Page 1 of 2 Passed Z Inspector Comments ;__ ; j ,ee Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until i nspection Number INSP -15328 Inspection Date: 04/20/2006 Inspector: Devaney, Michael Owner: SODBERG, ANNEMETTE Job Address: 1143 98 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: CHARLES CULPEPPER Building Department Comments Wednesday, April 19, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL P : (305)795 -2204 Fax: (305)756 -8972 Permit Number: EL2005 -382 Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Addition /Alteration Block: Phone Number 305 - 394 -9445 Parcel Number 1132050180270 Lot: Phone: 305 - 759 -8255 Page 1 of 2 EL2005 -382 Inspection History Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Project: Owner: Phone: <NONE> ANNEMETTE SODBERG 305 - 394 -9445 Job Address: 1143 98 Street NE Miami Shores Village, FL 33138- Parcel: 1132050180270 Block: Lot: Scheduled Insp # Inspection Type 01/01/2999 INSP -648 Relocation 01/01/2999 INSP -647 Fire Alarm 01/01/2999 INSP -646 Meter Box 01/01/2999 INSP -645 Service Change 01/01/2999 INSP -649 Final 01/01/2999 INSP -644 W W 01131/2006 INSP -643 Underground Rough PARTIAL ROUGH INSPECTION REQUESTED. 02/1612006 INSP -642 Electrical PARTIAL ROUGH MASTER BEDROOM AND BATHROOM 04/20/2006 INSP -15328 Rough Inspection Status None None None None Electrical - Residential Inspector Date Completed Default Inspector Not Complete Default Inspector Not Complete Default Inspector Not Complete Default Inspector Not Complete None Default Inspector Not Complete None Default Inspector Not Complete Partially Approved Michael Devaney 1/31/2006 PARTIAL BEDROOM #2 SERVICE NOT TO CODE. NEEDS LOW VOLTAGE PERMIT Partially Approved Michael Devaney 2/16/2006 Pending Inspection Michael Devaney Not Complete Wednesday, April 19, 2006 Page 1 of 1 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) �� S iV- Phone # 7g (Y ` 17g -7t(/` Owner's Address f ' City I !21 /79/ 1 ) 11) / (4j State 12� Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Villate Is Building Historically Designated YES NO Contractor's Company Name e iej Contractor's Address _ j / 4r /6 l City Q, 1/1 / Qualifier State Certificate or Registration No.�� Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: e -r; Total Fee Now Due $ Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ Code Enforcement $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical ) Plumbing • State zip? County Miami -Dade _f - '3 Ch4 ✓k) all t2e Master Permit N Phone # Phone # 7 /`-j;: • Zip i-3 J Certificate of Competency No. Phone # Square Footage Mechanical Zip 3/ 3 8 Work: • %41 . dition Alteration []New ' ✓r ' epair/Replace Q Demolition l g_ 7" a/ e * * * * * * * * * * * * * * * * * * * * * * * * * * ** F es * * * * *E* * * * * * * * * * * * * * * * * * * * * * ** /.4,S I d Zoning Structural Plan Review. $ CCF $ S- 2_ Permit No. a2C OMD Technology Fee $ EVWEID NOV 07 2005 Bond $ RCS:15— IC39 1 CO /CC. Roofing Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address J 1 1 City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY: IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence o h posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature NOTA Sign: Print: M Comm Owner or Agent As identification and who did take an oath. NOTARY PUBLI "i r OF FLORID A Y .�Ji r , _ ia l - o._e�.4! � l ondin: Co , Inc. * * * * * * * * * * * * * * * * * * * * * *1, * * * * * * * * * * * * * * * * ** * * ** APPLICATION APPROVED B Chc 05/13/03 Signature Contractor The foregoing instrument was acknowledged before me this i'1 The foregoing instrument was acknowledged before me this 0 day of k k \/, 2006 by 414 IL L'477., day of who is personally known to me or who has produced know to me o wh 's per as identification and who did take an oath. NOTARY PU : LIC Sign: Print: My Comm ****************************_*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Zip 0 g by 6hitaii 1/2e, ,r o has produced ",,, ,,: ' 1t N p ! ' ;; 'f Florida r � �RT Oct 2, 2009 * * *Zstm seier4198x&#9296 * ** Bonded By National Notary Assn. ***** ***************** * * * * * * * * * * * * * ** * * * * * * * * * * * * * * ** xe re e 5 Plans Examiner Engineer Zoning (AN A£PLIEAT.roN FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMITRAS B. OBTAINED, •THE OWNER' S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL UNIT . FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE ITEM BATH TIB ,- LIGHT OUTLETS CENTRAL HEATING BIDET I RECEPTACLES A/C (WIND) DISHWASHER SERVICE TEMPORARY A/C (CENTRAL) DISPOSAL DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/MhTER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING RANGE TOP UNDERGROUND TANKS INTERCEPTOR OVEN ABOVE GROUND TANKS LAVATORY LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TE)PORARY WATER CLOSET MOTORS OVER 10- 25 FR FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER lO0 I-P VIOLATION Itv7IRECT WASTES 1 A/C WINEOW 1 I REI,NSPECTJON WATER SUPPLY TO: I AIR CONDITIONERS I A/C UNIT 1 STRIP HEATER FIRE SPRINKLER I GENERATORS TRANSFORMERS HEATER -NEW INST. 1 GENERATORS 1 HEATER - REPLACE GENERATORS TRANSFORMERS I LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMAING POOL OUTLETS COWERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS ,'SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY I TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION _ _ SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL . DOMESTIC WELL AREA CRAIN I ; I ROOF INLET I 1 SOLAR WATER HEATER FIRE STANDPIPE I POOL PIPING 1 LAWN SPRINKLER SYSTEM: I GAS RANGE I I METER SET (GAS) 1 I 1 I I GAS PIPIN• � (AN A£PLIEAT.roN FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMITRAS B. OBTAINED, •THE OWNER' S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Issue Date: 12/9/2005 Owner's Name: ANNEMETTE SODBERG Permit Type: Electrical - Residential Work Classification: Addition /Alteration Job Address: 1143 98 Street NE Additional Information Miami Shores Village, FL 33138 Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $1.80 $0.60 $5.00 $105.00 $3.00 $2.63 $118.03 Building Department File Copy Applicant Sign ture Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 11/07/2006 Contractor(s) CHARLES CULPEPPER Phone 305 - 759 -8255 Primary Contractor Yes Type of Work: RENOVATION Additional Info: 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Parcel #: Block: Section: Permit Status: APPROVED Permit Number: EL2005 -382 Phone: 305 - 394 -9445 1132050180270 Lot: PB: Total Square Feet: 0 Total Valuation: $ 3,000.00 Required Inspections Alteration Underground Rough W W Service Change Meter Box Fire Alarm Relocation Final Invoice Number EL - 12 - 05 - 22970 Total: Amt Due $118.03 DEC 0 9 PAID - r-r C i›. Amt Paid t 1 g.o3- Q NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and al] rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address__ -_�__- t= t. ` No Street Registered Architect and /or Engineer No -' ` Street 1( r, " ' Location and Legal Description Lot Block + Subdivision /'_____ -'t Street and Number where work is to be performed —No / I 4' Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories. Employing Electrician's Name___tic Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I d 't' ss. MIAMI SHORES VILLAGE (Signed) (Signed) / i 1 . Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his og ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5i)GG, Compiled General Laws of Florida ).'ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the undersigned authority, a notary public, duly • a uthorized 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 salve, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST / CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and al] rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address__ -_�__- t= t. ` No Street Registered Architect and /or Engineer No -' ` Street 1( r, " ' Location and Legal Description Lot Block + Subdivision /'_____ -'t Street and Number where work is to be performed —No / I 4' Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories. Employing Electrician's Name___tic Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I d 't' ss. MIAMI SHORES VILLAGE (Signed) (Signed) / i 1 . Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his og ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5i)GG, Compiled General Laws of Florida ).'ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the undersigned authority, a notary public, duly • a uthorized 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 salve, 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 c7. _ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address € No Street Registered Architect and /or Engineer__ Employing Electrician's Name Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street ! ' State work to be performed and purpose of building (By Floors) New Building Remodeling Amount of Permit $ - ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT /- rip No Street Addition -7 5 Repairs • No. of Stories Service Overhead Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding Electrical Inspector. _ ( Signed) The undersigned applicant for this building permit does hereby certify that he; u erstands and accepts 1i}r' ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compi General Laws of F1 iPermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ! Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly a uthorized 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. SWITCHIG�i OUTLETG TL 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 COS . 1 1 ,- - i / / • CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST , o, CHECK Permit No c7. _ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address € No Street Registered Architect and /or Engineer__ Employing Electrician's Name Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street ! ' State work to be performed and purpose of building (By Floors) New Building Remodeling Amount of Permit $ - ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT /- rip No Street Addition -7 5 Repairs • No. of Stories Service Overhead Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding Electrical Inspector. _ ( Signed) The undersigned applicant for this building permit does hereby certify that he; u erstands and accepts 1i}r' ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compi General Laws of F1 iPermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ! Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly a uthorized 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. UILDING iix CTRI+CAL LITIVIENG caner of Building ` l ar chitect b ontractor r Builder Legal Description Lot s J. Address of Building , PERMIT N° MIAMI SHORES VILLAGE, FLORIDA, / DATE ` f 9920 Contractor's License No Work to be performed under this Permit Bl. c.� Subdi- vision Value of Project $ Amt. of Permit °.`'', 195 0 $ / • to the contractor or builder named above to construct the building or to install the equipment or device described in the application This permit is erefor in strict com with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with- any plans, rawings, statements or`a¢ ifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ' e if the work is not d00 in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is ranted is the understanding that the contractor or builder named above assumes the responsibility or a thorough knowledge of the ordinances and regulations ertaining to the work covered hereby whether shown on the plans or drawings or in the stateme s or specifications and that he assumes responsibility for work one by his agents, servants or employees. a ! In pertaining In accepti INSPECTOR nsideration of the issuance to me of this permit I agree to pezform the work covered hereunder in compliance with 11 rdinances and regulations H ereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. this permit I assunie,,,respon 'bility for all work ,}. ie by either, myself, my agent, servant or employee. Signed- CONTRACTOR OR BUILDER BY BY AUTHORITY I Ud.DIIIG ELECPRICAL PLUMBING er of uilding rchitect ntractor or Builder .egal escript10n ddress of uilding Lot L✓� PERMIT N° 9696 1 1 Work to be performed under this Permit ).) CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA, Bl. permit ermit isgranted 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, rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any e 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 is the understanding that the contractor or builder named above assumes the responsibility r a thorough knowledge of the ordinances and regulations • to the work covered hereby whether shown on the plans or drawings or in the state or specifications and that he assumes responsibility for work one by 's agents, servants or employees. Signed Subdi- vision BY Value of Project $ DATE -.e Contractor's License No. • f Amt. of Permit BY / ...... $ INSPECTOR In consideration of the issuance to me of this permit I agree perform the work covered hereunder in compliance with all dinances and regulations ertaining th to and in strict conformity with the plans, drawings, statbments or specifications submitted to the proper authorities of Miami Shores Village. acceptin s permit Re sume sponsibility for all wor one by either, myself, my gent, servant or employee. f / AUTHORITY i..a. �...t• �,L