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ELECTRICALDate MIAMI SHORE'S VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time .Type Insp'n Fi ( � C Permit No. G 1 am- 33 • Name \ 1 1 bi Address Ill VP u 3 1" CompanykLj Phone # For Inspector: 12 IC Approved Correction ❑ Re- Insp'n Fee ❑ Name-& Date J PERMIT APPLICATION FOR MIAMI SHORES VILLAGE �/ h Date 07- 2 3 •.a / Job Address 11 n./ 9 8 - - Tax Folio 11 3 2DS - O/f Legal Description Historically Designated: Yes No Owner/Lessee / Tenant IdialtAL aettAt Master Permit # 2 7 1 1 t , 3 3 ii 7g C, 91 A&A Phone Car ' ' 1 Address 7747 7 'tit 7 t /b Owner's Address Contracting Co. Qualifier 1� moll et State # EG --40 t Municipal # Competency # Ins. Co. Architect/Engineer Ad Bonding Company Address Mortgagor Permit Type (circle one): BUILDING /ELECTRICAI MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 1 -CT/ - C- • f i/ vi ■ T) 2 A 1. B i/D L yJ „ 6. 4 t4, i C ' T 'YYT Con iik / /1 ) ire-5 Square Ft. Estimated Cost (value) $ [ t6/. Signature of owner and/or Condo President abs-A) Notary as to Owner and/or Condo President My Commi §sion Expires: ALMG.NA *At1PA2Y MALE STAMM RLOMA CObtMEGION NO. COMB FEES: PERMIT "e''e RADON Plumbing 7/30/C? Date ss# PhonO7 ) 33 / -39477 Address WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the atta will be performed to meet the standards of all laws regulating construction in this jurisdiction. I unders PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S VTT: I certify that all the foregoing information is accurate and that all work r be done in compliance with all applicable laws regulating construction and z. g. ,yuthermore, I authorize the above -named contractor to do the rk sta APPROVED: Zoning Building Mechanical /,3v /0/ .�- 7300/ Date Signature of Con actor or Owner- Builder Date ate„ CLaot,L, Notary as to Contractor or Owner- Builder My Commission Expires:" ALM A irat tAltY rustic STATE OF FUNCIDA COMMESION NO. 0C201348 C.C.F. ' O NOTARY ^ 0 BOND Electrical addendum (if applicable). I certify that all work separate permits are required for ELECTRICAL �n Date i Structural Engineer (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.) ITEM PLUMBING BATH TU3 BIDET DISiWASHER DISPOSAL DRINKING FOUNTAIN FLOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER SINK, POT /3 COMP. SINK, RESIDENCE SINK, SLOP TEMPORARY WATER CLOSET URINAL WATER CLOSET INDIRECT WASTES HATER SUPPLY TO: A/C UNIT FIRE SPRINKLER HEATER -NEW INST. HEATER - REPLACE LAWN SPRINKLER -WELL SWI)4ING POOL WATER SERVICE ;EWER CONNECTIONS ITILITY -SEWER ITILITY -WATER 'EPTIC TANK ELAY RAINFIELO, 4' TILE/RES. UMP E ABANDON SEPTIC TANK OAKAGE PIT CU. FT. ATCH BASIN ISOIARGE WELL OMESTIC WELL REA DRAIN OOF INLET OLAR WATER HEATER IRE STANDPIPE 20L PIPING *IN SPRINKLER SYSTEM LS RANGE :TER SET (GAS) LS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL UNIT FEE ITEM SWITCH OUTLETS LIGHT OUTLETS RECEPTACLES SERVICE TEMPORARY SERVICE SIZE IN AWS SERVICE REPAIR/METER CHANGE APPL I ANCE OUTLETS RANGE TOP OVEN WATER HEATER MOTORS 0- 1 HP MJTCRS OVER 1- 3 HP MOTORS OVER 3- 5 HP MOTORS OVER 5- 8 HP MOTORS OVER 8- 10 HP MOTORS OVER 10- 25 FOP MOTORS OVER 25-100 HP MJTCRS OVER 100 HP A/C WINDOW AIR CONDITIONERS STRIP HEATER GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS SPECIAL PURPOSE SIGN TRANSFORMERS ANTENNA VIOLATION REI!SPECTION UNIT FEE SIGN TUBES ITEM SPACE HEATERS CENTRAL HEATING A/C (WIN)) A/C (CENTRAL) DUCT WORK REFRIGERATION PROCESS AND PRESS PIPING UNDERGROUND TANKS ABOVE GROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS /ESCALATORS FIRE SPRINKLER SYSTEMS COOLING TOWERS VIOLATION RE INSPECTION OUTLETS COMMERCIAL SIGN TIME CLOCK FIXTLRES TELEVISION OUTLETS UNIT FEE 13 PROPERTY OWNER ' 1 Name �t G C(^4�Rf -fit,✓, Address C ... 5 - w---Q- Home Telephone 3t55 ---b _ bl,..11o B usiness Telephone Fax CONTRACTOR Name y`'�° k.( �.Cee Z C License No. • U(X) l k CO Address ( c) c .. 9 . N..,_ q „si e1= Telephone .7 Sg,_ac . 3C6 Fax -7S _ ( 3 3 '3 Qualifier Name 3—QL wee (� C�CX TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other • " ZoR it' P INSTRUCTIONS -'fhe 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 Job Address: N CU?) S c ,a M Address City ,, / �,, Folio Number Description Description AJC. of Work 0 0 ( L IS I c&?L._ I ^ % Lot Block `T 4 eed } o Fen 1 L • Subdivision PB PG Zoning v Current Use of Property Square Feet g C� Units Floors Proposed Use of Property Value of Work 850 50 ' ex) Bldg Value Tenant Information Tax Assessed /Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT License No. Name Address Telephone Fax PERMIT APPLICATION Master Permit No. Subsidiary Permit No. T2 03- 3 State Zip Linear Feet ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES 1. 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. 1, 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 FL►i.��f TY OF MIAMI -DADE lure o 5wne Si Print Name Swum to and subscribed before me this \. day of t' 3 . tore of Notary Public - State of Florida SEAL: Personally known v VR, Produced Identification Type of Identification Produced: PgY pus t OlF BERGERT * n COMMISSION NUMBER ,�tir; Q 00033052 MY COMMISSION EXPIRES OF ft"' JULY 2,2005 Sign SEA PERMIT APPLICATION OF FLORIDA,ROUNTY OF MIAMI -DADE Signature of Contractor / Qualifier ION J Moo Print Name '/► r/ S o t d subscribed before me this / / 9 day of / Vtl t l Public ( cfr ' rig331GGS Natsry Public - State of Florida . CcrrrnIssion Expires May 11, 2008 0 Commission 17 „M e Bonded By NationalNotary Assn. re 1'h Personally known OR, Produced .entl tc on Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. 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 /C Central 20+ Ton Flood Lights Plugmold /Strip Subfeeds, No. of Amps _A 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 Water Heater Demolition Drainfield, 4" Tile /Res. Low -volt, Intercom/Teleph. Lavatory Repair Circuits Septic Tank Water Heater New Dishwasher Drains, Area Low -volt, Television Meter Set (Gas) Service, Number of Amps Sewer Connection Water Re -pipe MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall /Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan- Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. 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 Laundry Tray Roof Inlet Septic Connection Water Closet Water Heater Domestic Well 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. RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zoning Electrical / ii .7///erk Mechanical Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ 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 Ngtary REVIEWED AND PREPARED B ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $ �� ®e a Xs .f6 x /1000 (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT APPLICATION CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2 "° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillagc.com Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2003 -339 Printed: 11/25/2003 Applicant: RICHARD Owner: CHATTERTON JOB ADDRESS: 1178 NE 98 Contractor MOODY ELECTRIC INC Local Phone: (305)758 -2000 Parcel # 1132050180400 CHATTERTON RICHARD ST Contractor's Address: 669 NW 90 ST Legal Description: REV PL MIAMI SHORES SEC 8 Page 1 of 1 PB 43-69 LOT 23 Fees: Description Amount FEE2003 -7429 Building Fee $100.00 FEE2003 -7430 CCF $0.60 FEE2003 -7431 Training and Education Fee $0.20 FEE2003 -7432 Technology Fee $2.50 Total Fees: $103.30 Total Fees: $103.30 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 5/18/2004 Construction Value: $850.00 Work: NEW OUTSIDE RECEPTACLES AND LIGHTS FOR TREES Signed: (INSPECTOR) NOV 2 6 PAID 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: BLK 180 LOT Notary as to My Commi FEES: PE APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 1 11 a M e c 8 � Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant AAA a-r r te-TO WORK DESCRIPTION OrAeA Std <Ge T 2.4 e S • isC i r if le)/ Ti's Fie-At , / -gV 2- 4saLIA - a► cr - fs#Ado .t- /-- Square Ft. Estimated Cost (value) M and/or Condo Presjckmt = , _, Date es: OFFICIAL NOTARY SEAL 6' S MARGARITA MONTIEL o/ 0 cxra^7SSON NUMBER qe O CC797277 'Y,. r N LIT CO:rriSSION EXPIRES Fps 0 DT.C. 17,2002 /024'1e RADON Do Date t Notary as ti Contractor o My Commission Expires Q n A � C.C.F. NOTARY f (J Cl Building Master Permit # io 8l Phond 30.E - 539 3Gy u Owner's Address (1 ax ti E ST Contracting Co. MC f2.1 C) j A C • Qualifier °�/ o -aJ J q6enzl_Ai State # E e ODO / / qq Municipal # Competency # Ins. Co. A Architect/Engineer f/A Address Address Address .6„.65 N (,eJ ?CS S ' , - ] Phone „30.i / 374 Bonding Company Mortgagor Address Permit Type (circle one): BUILD t • PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Signature of Contractor or Owner - Builder Electrical 0 2 t / -M' -r 4660 ' WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) / \ : Application is hereby made to obtain a pennit to do work and installat on ash tedabove, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I cent' ► .11 the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and - e. ermore, uthorize the above -named contractor to do the work stated. er- Builder Ak PU B MARY NOTARY BRIG L # 11 �' J( * COMMISSION NUMBER ";: "44' s> MY COMMISSION EXPIRES OF F� o MAY _11,2002 BOND TOTAL DUE CC741860 Date Plumbing Structural Engineer Nn►w. to' wsy- ""+t goo br I • r+ 1 14 7144ti irt c 000/ 9 9 "--" Res 1 1 ' 1> r c.0 L -e - f - gA - 6 / 20a Afte 12oI?4o EXI Sfl 444 GI R.c.u1r Isf&EAK6 ? # 4 4 0 - . T4 PE Mr4 Metikt 3 o TfewM C 1- *4 ►, 2 t om,. 61. PU ' G MARY L L P BRIGGS 2 yl i= j (i 0 COMMISSION NUMBER 9t f(V..Y. c CC741060 � � 'arM , fin � MY COMMISSION EXPIRES ` C p r: t r. '' MA 11 .20 , 1 s7-24)o MOODY L' ELECTRIC, INC. 669 N.W. 90 STREET MIAMI. FL 33150 -2166 TEL: (305) 891-1374 FAX: (305) 758 -2000 c c ao i qg 1PaY PUB OFFICIAL SEAL MARY P BRIGGS * )1 .(fr 0 COMMISSION NUMBER 4 ' WIK A. i CC741860 - .O PAV CCM••.IISSION EXPIRES O r 0.0 11.2002 • RESIDENT AL DLMAN.0 LOAD CALCULATIONS 3 W / SQ. I'1' G .6 K.W. REFRIGERATOR /,S K.W. APPLIANCES 3,0 K. DISHIIWASHER /.. 'K•W GARBAGE DISPOSAL MICROWAVE ,$ K.W. CLOTHES WASHER K.W. DRYER K.W. ,SO RANGE l!j�� S K . W • WATER THEATER 4 „s' K.W. OVEN K.W. FREEZER K.W. TRASII COMPACTOR K.W. GARAGE DOOR MOTOR /• O K.W. JACUZZI K.W. JACUZZI BOOSTER HTR. K.W. IRONING BOARD K.W. POOL EQUIPMENT K.W. SPR PUMP 2.4 K.W. LANDSCAPE LIGHTS K.W. SPARE CAPACITY K.W. K.W. K.W. TOTAL CONNECTED LOAD 29, ZK .W FIRST 10 K.W. @ 100 % REST @ 40 A/C @ 10 % 10.0 K.W. 7.7 K.W. /DO K.W. TOTAL DEMAND LOAD 27.7 K . W . 27.7 K.W. / 240 V. = / /$'•S AMPS 11/1,tutt fitterre MAY-18-00 THU 08 ; 120 43; • 35 • 413 38 • --- • • • 891 TORO ENGINEERING FAX NO, 9547858024 A. • %J.= w Ht.1.4u I UN I --- • I W2742 ' WBC2742R •:1 • ■; WR3324 - D1914. 24" 1: BBC r2L 33S :• 42L ciAn f-J 1271 ' E3015 .(' . ‘ - ) 0 iFIS 31 S :. '• ■ ! 36 :R 8 % 4121r4 ' - ''''• i. 1 0/1142 I R I W3024 SY 36 / 871 e . • •-......„ ( L-1 \ . ; 1 :, , E - Leikr10 - P si I 1271 ---,Y I —..---- —... .... . I PtIO■..4,4‘.o.t 1 flo d•Cottaaarta lo Y. IC 7,11'., e. ee oeginel Geeien OOO re./ / ' 400025,5A apartralso leo eat We. pa41 mint) ! peer we :object ta verificellin Or 10 1 )mt ioussmrn to ti Joe I HOME DEPOT no/ rded relraeed Of caged wiles: ! qra.n Oizeell. • 305 539 3938 W1542 WBC2742L ••: P, 03/09 P. 03/08 • 321 55 120 32: . . . . . 1>ors nO Oft/On 0 • esewev■ern Date ; Ca/013/00 SiCveN ftmeg 'Ili N.C. 0* Si. . Corf.Igeo MIAMI fc..(AFR Ft. 23113 64420 ti-A--rm4e. c,c recitAL c-o+, MAY-18-00 THU 13:09 7; t N IN 24 I ! I 6 O IS 96 ! .;„ 1 1 Sd 341 ; • . • • •• •I • \ TORO ENGINEERING FAX NO. 9547858024 MANFLOILIIUN .505 539 3938 a,e)knOP- /—•-• • -- 38 —•• • ---. - 33 AF--- 24 127! • .... --- 33 ----• • 27 • : I • ". 1 1 0 .. . . • / 1 WR3324 ! 1 - 1 1 1 J i 1 i W2742 • '. WBC2742 ; ! 1 LI 1 , ! i !II:1 i ii .: -4 ! li_L _I , 1..i ..,:.. i :,..-1 , \ . 1 .....1,. 1 . __..:•,..l,. • ) : l• ll 6tWA, .I ,---- i L.J ! .!• • '33"" REF- crr 1;1 I; 't ;• !I '! • i,,DISH. 24" : l j1 BB I • . --- 242 •---/ P. 04/09 P.04/08 dimensions & size 1 Thi r. as original design and mwt 1 — !Scale : mayimum : • n°. N 3tioRes FL,11.12 • given ore subject to verification on Fl".Tosipn ! job site ertd adjustment to fit job ! HOME DEP(ir I nut b. we...10 cePled emits* STEVEN FRANZ applicab ie le o ha s been paid ot jab . 078 me. 98 I Wan/C Linen 2 oonditions. artier pieced. MAY 1 .12 9 F \ 12i - 18 • • 7; 7; ' ' .4 • 54 I ! BBC42L TORO ENGINEERING FAX NO. 9547858024 305 539 3938 ■.mcw mLuulnlItursa 5(pIA-rw•J 32! • 42 T1 int ektSr• 120 coerci ....1.1=-••••••• • 913C39$ 55 32: P. 05/09 r.es,e8 ... . ; AD dimensions It siZe designatInns I I This is V en nrioinal design sad must 1 4C602554 m "......... rit 7 Srate : axinum ! ...........: 0 ' 0 11 no.: .; gmen lint tRibjeCt 10 vsnlicatior. on i • 1 DE-- I 1 — : not be reimsed of cOrlitd uttiCSS ! : job site end adjustmtot to tt iob i i " r L • . i apical* tee has been pad or lob : i 5 I 7 E 0 V 1,4 E . N e. F se RA a N 'r i - -- (Mr — grist ---- • — • I condition". I ! order placed. ' . MIAMI SHORES ri_. 3313S ! VV1/17C 3 - ' — -11AY-18-00 THU 13:09 TORO ENGINEERING FAX NO. 9547858024 . _ • I JVJ D..17 sjj • 7; 71 — 1 Ili i 24 ' • 4 WBC2742L \.■ ! 1:.-:: 61; 18 Ii ! if V i \ i;-. i i I ; i ' 1 I 27 - 15 / 30 - /- is -- d01 1:7=I-TY BBC39R I 61:1 ! 1/411- 45 e ( 111 W30z4 W15421- ) — My-P.4.44441— N P. 06/09 06/08 103: 96 241 V.■ .-- 30 15 — 361 1 I - — dimen A •—•. • • ., 40 • _._ I This is an original design and rnust ! Ad sions R size tinsignation x .1 •nii: Scale : maximum i ..... no.; ; srr .; • • given are subject to verltization on H om E ID E p I not be released cr copied unless ! isiTZNE.N16.FRAN2 Der ---! • : joo site and adjustment to ft fob `i ! applicable fee has been pald or job OS ST. ! , –13112P • ..... • " : cond • itions. ! I rvo kaA aHQRES et, 33138 i W ;order placed. aIVC Line 0 4 – • - : • . ----- — _ -- • APPLICATION FOR. ELECTRICAL PERMIT Permit No A/Y 1 Date.. _ t" . Application is hereby made for the approval of the detailed statement of the plane 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. /') y G QU Owner's Name and Address Qulr. ar; / . �,�:. p��Io...��7. .e , .. Street.... 9 s— r Registered Architect and /or Engineer Employing Elect Name... _art. 0 52 c-Z 5ZP / 10 .i 3 61 „r+ r✓ 7 /�.�e + 1/ Li rtioQ d � Li�gal 0 Description a Lot r Block ! Q _ Subdivision,) / D 211 5 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Street and Number where work is to be performed—No � -Y • fe d S' . /.. State work to be performed and purpose of building (By Ploors)...2/? �G.X a .6..Ke New Building Remodeling Addition.1/ 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 $ 1/ (Signed) STATE OF FLORIDA, COUNTY OP DADE. 1 t °e Street Repairs No. of Stories (Signed) ..... �JL�� i�G...., r1/3 75 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. aster 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 0 LIGHT OUTLETS PLUG RECE'P'T'e FIXTURES NO LAMPS RUMS. OUTLET IRON OUTLET RANG[ OUTLET RANG[ CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER /� TOTAL CONTR. I ST LIFT / CNECK Ply_ ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•11 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK APPLICATION FOR. ELECTRICAL PERMIT Permit No A/Y 1 Date.. _ t" . Application is hereby made for the approval of the detailed statement of the plane 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. /') y G QU Owner's Name and Address Qulr. ar; / . �,�:. p��Io...��7. .e , .. Street.... 9 s— r Registered Architect and /or Engineer Employing Elect Name... _art. 0 52 c-Z 5ZP / 10 .i 3 61 „r+ r✓ 7 /�.�e + 1/ Li rtioQ d � Li�gal 0 Description a Lot r Block ! Q _ Subdivision,) / D 211 5 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Street and Number where work is to be performed—No � -Y • fe d S' . /.. State work to be performed and purpose of building (By Ploors)...2/? �G.X a .6..Ke New Building Remodeling Addition.1/ 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 $ 1/ (Signed) STATE OF FLORIDA, COUNTY OP DADE. 1 t °e Street Repairs No. of Stories (Signed) ..... �JL�� i�G...., r1/3 75 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. aster Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No 2. c 5 c 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 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. 1 �j Owner's Name and Address. 1 No / 7 2 Street ?? ti E..t ! 9 Registered Architect and /or Engineer QQ /- / a-0-Q- Employing Electrician's Name_. (��! . % t ' • .,. No 798,7, Street�_1— . Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ll... • Street X1...6 2 8 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 STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE E ectne. nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts . obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of . Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or su. . ractors 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 a work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on wo t to be performed this petit, as are licensed by Miami Shores Village. 85. ELECTRICAL INSPECTION DEPARTMENT Amount of Permit $ (Signed) (Signed). Date dci aster Electrician. Before me, the undersigned authority, a notary public, duly authorized 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. to administer oaths and take acknowledgments, personally My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG ReCE'P'T'8 FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.8 HP NEON TRANS. RADIO TOTAL CONTR. LIST ( / CHECK • Permit No 2. c 5 c 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 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. 1 �j Owner's Name and Address. 1 No / 7 2 Street ?? ti E..t ! 9 Registered Architect and /or Engineer QQ /- / a-0-Q- Employing Electrician's Name_. (��! . % t ' • .,. No 798,7, Street�_1— . Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ll... • Street X1...6 2 8 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 STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE E ectne. nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts . obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of . Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or su. . ractors 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 a work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on wo t to be performed this petit, as are licensed by Miami Shores Village. 85. ELECTRICAL INSPECTION DEPARTMENT Amount of Permit $ (Signed) (Signed). Date dci aster Electrician. Before me, the undersigned authority, a notary public, duly authorized 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. to administer oaths and take acknowledgments, personally 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. BUILDING ELECTRICAL PLUMBING Owner of . Building Architect Contractor or Builder Legal Description Address of Bilding This permit is grante to the con actor or build name above to ..nstruct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances ertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that ma ave 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 cond ion. on which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledg of the onances and regulations pertaining to the work covered hereby whether shown on the plans or 51raw ngs or in t)fe statements or an hat h as mes respon- sibility for work done by his agents, servants or employees. �,� Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N° 6646 Work to be performed under this Permit Bl. Subdi- vision Contractor's License No 4 Value of Project BY Amt. of Permit Signed ' w e :, "� / INSPECTOR t' : : t 4� B " E • S In consideration of the issuance to me of this permit I agree to perfortic the work covered hereunder in compliance with all ordinances and reviations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami S'hbres Village. f for all work done either myself, my agent, servant or employee. AUTHORITY Permit No. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT LICATION FOR ELECTRICAL PERMIT 9_ 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 __ Registered Architect and /or Enginee –___ Employing Electrician's Name ______�ti!1t_°___ J d Location and Legal Description Lot _a Blo Street and Number where work is to be performed —No Servic round Size Feeders_ Amount of Permit $_7L STATE OF FLORIDA, COUNTY OF DADE. • u. No State work to be performed and purpose of building (By Floors) Remodeling Addition nduit.__ Main Sw (Signed) L Amps. Repairs —___ No. of Stories ri Street_ ( Subdivisi y Street__ _____��' Type of Installation – and ,I,ibing..' B.X.I. Metal Moulding 4 1 Street Main Fuses e Amps. 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. (Signed) f. -- 1. – °-- -- --- •- -- � --�-- Master Electrican. My Commission Expires Notary Public. State of Florida 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 be 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 FIXTURES NO.L�AMPS / p / a / ° T REFRIO. OUTLET IRON OUTLET RANGE RANGE OUTLET CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST / V / 3 / / �____ CHECK ENT. SW. CIS CAS. CAD. SERVICE TEMP. P PERM. MOTORS 0-1 HP MOTO 8 1 -5 H NEON TRANS. RADIO TOTAL CONTR. LIST /02,}e ■ % / . CHECK / Permit No. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT LICATION FOR ELECTRICAL PERMIT 9_ 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 __ Registered Architect and /or Enginee –___ Employing Electrician's Name ______�ti!1t_°___ J d Location and Legal Description Lot _a Blo Street and Number where work is to be performed —No Servic round Size Feeders_ Amount of Permit $_7L STATE OF FLORIDA, COUNTY OF DADE. • u. No State work to be performed and purpose of building (By Floors) Remodeling Addition nduit.__ Main Sw (Signed) L Amps. Repairs —___ No. of Stories ri Street_ ( Subdivisi y Street__ _____��' Type of Installation – and ,I,ibing..' B.X.I. Metal Moulding 4 1 Street Main Fuses e Amps. 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. (Signed) f. -- 1. – °-- -- --- •- -- � --�-- Master Electrican. My Commission Expires Notary Public. State of Florida 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 be 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. \Z APPLICATION FOR ELECTRICAL PERMIT _ c if . 1 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 Miarfli 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. a Owner's Name and Address 41- 1d = Z"�" `' I" - No. ___1 0 _ Street _ _'____ '-- 1___- Permit No._ _xi_ —t 0. Registered Architect and /or Engi r i ., -. No-31/1 f ii Employing Electrician's Name __. _ —____! _ -t - � -_ �1 __- ____- ___ -_ -___ Streetl: ' ' 2wM_— ___ r, Subdivision_s4 ��: ' -;� C Street____ t—� -� 1___ - 't - 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 i"'' Remodeling Addition Repairs —___ No. of Stories______________ Service Overhead Size Feeders Conduit. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding -- _______ Amount of Permit S -- STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE My Commission Expires ELECTRICAL INSPECTION DEPARTMENT required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. _Block Main Sw Amps. (Signed) sub - contractors, on work to Notary Public. State of Florida Main Fuses ____ _ _Amps. 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 be performed under this permit, as are (Signed) _ —''_' 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 be 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 CHECK ENT. SW. DIST. CAB. SERVICE. TEMP SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK \Z APPLICATION FOR ELECTRICAL PERMIT _ c if . 1 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 Miarfli 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. a Owner's Name and Address 41- 1d = Z"�" `' I" - No. ___1 0 _ Street _ _'____ '-- 1___- Permit No._ _xi_ —t 0. Registered Architect and /or Engi r i ., -. No-31/1 f ii Employing Electrician's Name __. _ —____! _ -t - � -_ �1 __- ____- ___ -_ -___ Streetl: ' ' 2wM_— ___ r, Subdivision_s4 ��: ' -;� C Street____ t—� -� 1___ - 't - 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 i"'' Remodeling Addition Repairs —___ No. of Stories______________ Service Overhead Size Feeders Conduit. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding -- _______ Amount of Permit S -- STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE My Commission Expires ELECTRICAL INSPECTION DEPARTMENT required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. _Block Main Sw Amps. (Signed) sub - contractors, on work to Notary Public. State of Florida Main Fuses ____ _ _Amps. 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 be performed under this permit, as are (Signed) _ —''_' 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 be 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.