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ELECTRICAL
3Sb MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1 Time Type Insp'n E 1- I n Permit No. E I r)40M "p . Name rr-- Address �0`.3Co ME qq,s I 1 Compan Cu de. Phone # 305 - 5qa• -Q For Inspector: C q It G Approved ❑ Correction Re- Insp'n Fee ❑ Name & Date /,‘S kPl'a /, tkeees -e %/e - 42e 2 , At-e/' t- _x'o ,ZY-17' G®,idzeA%W O ve - � e 7O CepHrw,442tr° �` ©TL �JWz,4a%i MIAMI SHORES VILLAGE BUILDING DEPARTMENT A 305- 795 -2204 Building Inspection Request Date 9Agt 3 Time Type Insp'n f %7a-/ Permit No. 6 L ZOO 3 - Name //4 e L ,me �U Address 12 36 , ACE 99 sr Company Phone # Approved Correction Re-Insp'n Fee i ns - 59z - &9sZ For Inspector: E/ 9 /30/&3 Name & MIAMI SHORES VILLAGE BUILDING DEPAR'bMHNT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n Fi no) Permit No. D.G Address Approved Correction Re- Insp'n Fee Name NO0 1 0 e V Phone # S4 4 .p > W \c For Inspector: I 91D,C Name & Date 7 e, 4, 3 2 05 - _ --( •), 1.-e/ 67/1-e ;`, °c 'G/ Ayz e �� 7 Date i)9/o i 1 4 Job Address Legal Description Owner /Lessee/Tenet PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • ' Shores, Florida 33138.305- 795 -2204 )1 -32 - &( /YD J- t'l Owner's Address ? I/L /0 A/ M , &,vt, Z7 ,r' Le f . §e, Phone 305 33 / / 331 P Contracting Co.i /e VI o Q ° tea $ 61 Jo-.a It,- tit.) Address 'Ira we(/ 53 . Qualifier I y 4 C / no/a SS# / Phone JDs 4 " (O ft Competency #y .L-' b000drIns. Co. state # .6= /Z `- 04/ 118 z/ WORK DESCRIPTION: Signature of owner and/or Condo President 1 — Notary as to Owne My Commission E Municipal # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALL ► - ! ' : NOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL y Square Ft. Estimated Cost (value) l Z e o ' 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 ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. 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. Furthermore, I authorize the above named contractor to do the . ork stated. Tax Folio istorically Designated: Yes c 2 No Master Permit # l . I Pod •� ' a (PS /` G Date Signature Date Notary as to Contracto My Commission Expi C.C.F l • 20 NOTARY PLUMBING MECHANICAL ROOFING (�D FEES: PERMIT '17' ©'O RADON APPROVED: TOTAL D Zoning Building Elec = .: '� '� l® 9 (109p Mechanical Plumbing Check' 6911 36.Oc BOND Structural Engineer E1 i ri 1LB ' UNIT FEE ITEM SA I TO OUTLETS UNIT FEE ITE1 • • SPACE }EATERS . IMIT I,) I 1J 4 GET LIGHT OUTLETS CENTRAL IEATING SHWAScfER RECEPTACLES A/C (WIND) S OSAL SERVICE TEWCR.RY A/C (CENTRAL) _ INKING FOUNTAIN SERVICE SIZE IN ASPS 20uA 06 DUCT WORK CCR CRAIH SERVICE REPAIR/0ER CHANGE REFRIGERATION EASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING TERCEPTCR - RANGE TCP UNDERGROUND TAMS ,VATORY OVEN ABOVE GROUND TANKS ;UNCRY TRAY WATER HEATER U.F. PRESSLRE VESSELS .OTHES WASHER MOTORS 0- 1 FP STEAM BOILERS :UNDER MOTORS OVER 1- 3 FP HOT WATER BOILERS NK, POT /3 COMP. MOTORS OVER 3- -5 FP MECHANICAL VENTILATION ;h'K, RESIOECCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEk6LIES INK, SLOP [ MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS :+PCR RY WATER CLOSET f MOTORS OVER 10- 25 F'P FIRE SPRINKLER SYSTEMS ;INAL MOTORS OVER 25-100 FP COOLING TOWERS ;TER CLOSET MOTORS OVER 100 FP VIOLATION • WASTES A/C WINDOW - RE I NS?ECT I ON ;TER SLFPLY TO: AIR COlDITIONtRS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -HEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS - LAWN SPRINKLER -WELL SPECIAL PLRPOSE SWIMMING POOL • CUTLETS Ct MZRCIAL WATER SERVICE SIGN TIRES :WER CONNECTIONS SIGN TRd?tSFCRMERS ILITY- SEWER SIGN TIME CLOCK ILITY -WATER FIXTLRES : ?TIC TANK ANTENNA :LAY TELEVISION CUTLETS UINFIELO, 4' TILE/RES. VIOLATION AP & ABANDON SEPTIC TAM( REINSPECTION )AKAGE PIT CU. FT. ITCH BASIN SCH RGE WELL WESTIC WELL IEA CRAIN ?0F INLET )LAR RATER HEATER iRE STANDPIPE XlL PIPING . • ■WN SPRINKLER SYSTEM S RANGE :TER SET (GAS) S PIPING N APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER P=R.`iIT HAS B. )STAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE . PRES T ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL "ISITEWIDE ELECTRICAL SVCS, INC. CKT POLES WIRE COND 1 2 50 # 6 3/4" 3 2 50 # 6 3/4" 52 30 #10 1/2" 7 2 30 # 10 1/2" 92 30 #10 1/2" 11 2 30 # 10 1/2" 13 1 20 # 12 1/2" 15 1 20 # 12 1/2" 17 1 20 # 12 1/2" 19 1 20 # 12 1/2" 21 1 20 # 12 1/2" 23 1 20 # 12 1/2" 25 27 29 PANEL SCHEDULE IED ELECTRICAL CONTRACTORS •RESIDENTIAL • COMERCIAL • ER# 0014821 • CC# 99E000055 • CC# O1 -CME- 1981 -R IED ELECTRICAL CONTRACTORS •RESIDENTIAL • COMERCIAL • INDUSTRIAL ER# 0014821 • CC# 99E000055 • CC# 01 -CME- 1981 -R DESCRIPTION RANGE RANGE WATER HEATER WATER HEATER DRYER DRYER RECEPT GEN LIGHT GEN LIGHT BATH GFCI DISHWASHER RECEPT PROJECT NAME: SERVICE UPGRADE OWNER; DANNIS LOUIE LOCATION: 1236 NE 99 ST MIAMI SHORES, FL 33138 400 0 E - aCur CKT POLES WIRE COND 2 2 50 # 6 3/4" 4 2 50 # 6 3/4" 62 30 #10 1/2' 82 30 #10 1/2" 10 1 20 # 12 1/2" 12 1 20 # 12 1/2" 14 1 20 # 12 1/2" 16 1 20 # 12 1/2" 18 1 20 # 12 1/2" 20 1 20 # 12 1/2" 22 1 20 24 1 20 26 28 30 DESCRIPTION AHU AHU CU CU SMALL APP SMALL APP WASHER MACH RECEPT RECEPT GEN LIGHT SPARE SPARE CARLOS A. FERNANDEZ otate of Florida My Comm Dec. 3, 2004 Comm. #CC 98783 7588 West 33rd Lane • Hialeah, FL 33018 • Tel: 305 - 592 -6965 • Fax: 305-823-1817 TEWIDE ELECTRICAL SVCS, INC. GENERAL LIGHTING 1900 SQURE FEET X 3 VA 5700 VA SMALL APPIANCE CIRCUIT 1500VA X 2 3000 VA LAUNDRY CIRCUIT 1500.VA 10200 VA DISHWASHER 1200 VA WATER HEATER 4500 VA DRYER 4000 VA RANGE 10000 VA TOTAL CONNECTED LOAD 29900 VA FIRST 10000 VA @ 100% 10000 VA REMAINDER @ 40 % 7960 VA TOTAL DEMAND LOAD 17960 VA AIR CONDITIONING COMPRESOR 230 VOLTS X 24 AMPS 5320 VA HEAT STRIP 10000 X 65% 6500 VA TOTAL DEMAND LOAD 24460 VA 24460 VA / 240 VOLTS 102 AMPS LOAD CALCULATION IED ELECTRICAL CONTRACTORS • RESIDENTIAL • COMERCIAL • INDUSTRIAL ER# 0014821 • CC# 99E000055 • CC# 01 -CME- 1981 -R PROJECT NAME: SERVICE UPGRADE OWNER: DENNIS LOUIE LOCATION: 1236 NE 99 ST MIAMI SHORES FL 33138 QU ER:.NOE MELO 7588 West 33rd Lane • Hialeah, FL 33018 • Tel: 305 - 592 -6965 • Fax: 305 - 823 -1817 NEW METER CAN 200 AMPS 1 D NEW LOAD CENTER 120/240 VOLTS MCB 10 200 AMPS an SPAr.FS SIGNATURE: TEWIDE ELECTRICAL SVCS, INC. IED ELECTRICAL CONTRACTORS • RESIDENTIAL • COMERCIAL • INDUSTRIAL ER# 0014821 • CC# 99E000055 • CC# 01 -CME- 1981 -R QUALIFIER "S NAME: NOEL MELO COULD WATER PIPE 2" IMC 3# 2/0 AWG THHN METER CAN SIGLE PHASE 200 AMPS GROUNDING ELECTRODE CONDUCTOR #4 AWG 25/8x10 FEET GROUND ROD 6 FEET APPART RISE DIAGRAM N.T.S PROJECT NAME : "`- ue PM)ic, CLIENT NAME: DEltJN LQ0I 1 JOB ADDRESS: (2_3C A1E 9q S-1 SO 2' CONDUIT 3#2/OAWGTHHN LOAD CENTER SINGLE PHASE NEMA 3R 200 AMPS 40 SPACES aw 01 Ronda DQ ae► inn � sle r 1 �a 7588 West 33rd Lane • Hialeah, FL 33018 • Tel: 305 - 592 -6965 • Fax: 305-823-1817 ~ 1/ Street and Number where work is to be performed —No Service Overhead Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. I U. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No r Date Application is hereby made for the approval of the detailed statement of the plane and specifications herewith /submitted for the building oc other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio.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 progreu of ` work. /.. LQ f Owner's Name and Address.._ ...C� 11 4 LA or h No.. 23 6' Street. ... /✓ L..c.1. ( q. Registered Architect and /or r (, p �^ J / . // /� ' Em to g lee ' iati'e .. 1'1 ) . ii C t No...(.... .SGT Street... / l Lora n and Ual Description L Block Subdivisji4 �l..L.... 3 Street.... C ..c.._.. ( S State work to be performed and purpose of building (By Floors)... t r f r kk [? -e w / 1 ..... New Building Remodeling Addition {� / Repairs No. of Stories Underground Site Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing ......................B.X.L Metal Moulding (Signed) .. /13 8 7 Master Electrician. 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 ins ion n the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-con actors work to be performed under this permit, as are licensed by Miami Shores Village. f n 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•inepection fee of $1.00 will be made when such re•inspection is made neceuary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH 0 LIGHT OUTLETS PLUG R[CE•P'T's FIXTURES NO. LAM •s REFRIO. OUTLET IRON OUTLET RANG[ OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP H 3'77]'/1 ((// ,, // TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.11 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK • 1/ Street and Number where work is to be performed —No Service Overhead Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. I U. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No r Date Application is hereby made for the approval of the detailed statement of the plane and specifications herewith /submitted for the building oc other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio.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 progreu of ` work. /.. LQ f Owner's Name and Address.._ ...C� 11 4 LA or h No.. 23 6' Street. ... /✓ L..c.1. ( q. Registered Architect and /or r (, p �^ J / . // /� ' Em to g lee ' iati'e .. 1'1 ) . ii C t No...(.... .SGT Street... / l Lora n and Ual Description L Block Subdivisji4 �l..L.... 3 Street.... C ..c.._.. ( S State work to be performed and purpose of building (By Floors)... t r f r kk [? -e w / 1 ..... New Building Remodeling Addition {� / Repairs No. of Stories Underground Site Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing ......................B.X.L Metal Moulding (Signed) .. /13 8 7 Master Electrician. 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 ins ion n the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-con actors work to be performed under this permit, as are licensed by Miami Shores Village. f n 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•inepection fee of $1.00 will be made when such re•inspection is made neceuary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE ' ` 195 PERMIT N? 10085 ' Work to be performed under this Permit Owner of /. Building .. r Architect Contractor or Builder Legal Description. Address of ., Building . Lot CONTRACTOR OR BUILDER Bl. Subdi- vision Value of Project $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked' at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the stateme s or specifications and that he assumes responsibility for work done by his agents, servants or employees. i / / / Signed • t 41... BY , .. INSPECTOR In consideration of the issuance to me of this permit I agree to pefform the work covered hereunder in compliance with all ordinances and regulations ,ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Contractor's License No. A of Per mit $ BY AUTHORITY Permit No. 6 'el ) Street and Number where work is to be performed—No Amount of Permit / STATE OF FLORIDA, } ss. COUNTY OF DADE. 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, 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 e / 41 „„ri:u pes No /DO Street Registered Architect and/or Engineer Employing Electrician's Name e Li° c kg/ P I No )(3 Location and Legal Description Lot Block State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories / Service Overhead Site Feeders Conduit ..J Main Sw Underground 7 , i7 e ilesjical Inspector. The undersigned applicant for this building permit does hereby certify that he derstands and accepts his obliga 'dris as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, C,om " II General Laws of Florida P m Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub.contracto 8/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 on ork to be performed under this permit, as are licensed by Miami Shores Village. Type of Installation—Conduit Tubing B.X.L .Metal Moulding (Signed) - , A i Street Subdivision.E.A.e.I.e.M.A.:).A.,!.4.1? Street ( „C _/7 Amps ig 0 Main Fuses Amps 74. Nfaster 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 rvinspection 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 i Z EL 2_ f t ' j / -,- -1- ..■..-- CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST , • CHECK Permit No. 6 'el ) Street and Number where work is to be performed—No Amount of Permit / STATE OF FLORIDA, } ss. COUNTY OF DADE. 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, 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 e / 41 „„ri:u pes No /DO Street Registered Architect and/or Engineer Employing Electrician's Name e Li° c kg/ P I No )(3 Location and Legal Description Lot Block State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories / Service Overhead Site Feeders Conduit ..J Main Sw Underground 7 , i7 e ilesjical Inspector. The undersigned applicant for this building permit does hereby certify that he derstands and accepts his obliga 'dris as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, C,om " II General Laws of Florida P m Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub.contracto 8/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 on ork to be performed under this permit, as are licensed by Miami Shores Village. Type of Installation—Conduit Tubing B.X.L .Metal Moulding (Signed) - , A i Street Subdivision.E.A.e.I.e.M.A.:).A.,!.4.1? Street ( „C _/7 Amps ig 0 Main Fuses Amps 74. Nfaster 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 rvinspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. . SWITCH OUTLETS LIGHT 0 PLUG R[cE•P'T'S FIXTURES No. LAMPS R[IRIO. OUTLET IRON OUTLET RANGE OUTLET RANO( CONN. WATER HEATER W. H EAT. CONN. SPACE N I ATa It STRIP H EATER �` // otI'�OTAL �y -1- -- � • CONTR. LIST CHECK �� ENT. SW. DIST. CAI. SERVICE TEMP, SERVICE PERM. MOTORS 04 HP MOTORS 1.1 MP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK 4404 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date. .3) 1 ` / 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 descn'bed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio: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. Permit No Owners Name and Address STATE OF FLORIDA, COUNTY OF DADE. I U. /./. co9. 0/6Po MIAMI SHORES VILLAGE Registered Architect and /or Engineer Employing Electrician's Name -04 Location and Legal Description Lot Block Street and Number where work is to be performed —No /e. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Amount of Permit S. .X (Signed) ' ! /23 Ay q9 -44 •• ! treet gt rf dr 4 we 5f# ,t A. • S4a.et (Signed) Service Overhead Site Feeders Conduit Main Sw Amps ps Main Fuses Amps 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 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 subcontractors, o work to performed under this permit. as are licensed by Miami Shores Village. Subdivision Street 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 51.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.