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1228 NE 98 St (6)Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 red Project: <NONE> Inspection Date: 08/18/2006 Inspector: Devaney, Michael Owner: PASTOR, MIRIAM Job Address: 1228 98 Street NE Building Department Comments Thursday, August 17, 2006 AUG 2 1 Miami Shores Village, FL 33138- Contractor: RAY'S ELECTRICAL SUPPLIES INC Block: 0 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Repair Phone Number (786)457 -2383 Parcel Number 1132050090340 Lot: Phone: 305 - 688 -7133 Page 1 of 2 Passed Inspector Comments -/ • --� ��� �/ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 red Project: <NONE> Inspection Date: 08/18/2006 Inspector: Devaney, Michael Owner: PASTOR, MIRIAM Job Address: 1228 98 Street NE Building Department Comments Thursday, August 17, 2006 AUG 2 1 Miami Shores Village, FL 33138- Contractor: RAY'S ELECTRICAL SUPPLIES INC Block: 0 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Repair Phone Number (786)457 -2383 Parcel Number 1132050090340 Lot: Phone: 305 - 688 -7133 Page 1 of 2 chi Project: <NONE> .................... Inspection Date: 08/11/2006 Inspector: Devaney, Michael Owner: PASTOR, MIRIAM Job Address: 1228 98 Street NE Miami Shores Village, FL 33138- Contractor: RAY'S ELECTRICAL SUPPLIES INC Building Department Comments Thursday, August 10, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 AUG 1 4 RE Block: Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Repair Phone Number (786)457 -2383 Parcel Number 1132050090340 Lot: Phone: 305 - 688 -7133 Page 2 of 2 Passed RI/ Inspector Comments / / /2 - ( . ,,. (. . p �,c ,F- :::ction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until chi Project: <NONE> .................... Inspection Date: 08/11/2006 Inspector: Devaney, Michael Owner: PASTOR, MIRIAM Job Address: 1228 98 Street NE Miami Shores Village, FL 33138- Contractor: RAY'S ELECTRICAL SUPPLIES INC Building Department Comments Thursday, August 10, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 AUG 1 4 RE Block: Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Repair Phone Number (786)457 -2383 Parcel Number 1132050090340 Lot: Phone: 305 - 688 -7133 Page 2 of 2 BUILDING PERMIT APPLICATION FBC 2004 Owner's Address 9,7 5771e e f' City /77ia/Y)/ C, ore3 State Tenant/Lessee Name n /Gt, Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit* c.A -(..SL Submittal Fee $ Structural Review. $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIVED MAY 1 8 2006 BY: YOAICO /uZ Zip 33/3 Square / Linear Footage Of Work: Permit No. E� (L 1"` Master Permit No. Permit Type (circle): Building lectri Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Mi/Q/ AM C. / STO/C Phone # '7b'd " 4/5 7- 383 Phone# ' - 1 /57 - x3 83 Job Address (where the work is being done) /a?d 2 .tJE 9' '' ee 7 City Miami Shores Village County Miami -Dade Zip 33/ 3g FOLIO / PARCEL # //– 3o?O5- ow? - 034 Is Building Historically Designated YES NO Y Contractor's Company Name lap Phone # 7 d 6' ? 6 z 7T7 Contractor's Address 2 2_3 c PA_ Go C / 23 6, v t) City F: 44 Aej L R State ,C L/9 Zip 33( ( 5V Qualifier Name 17- b 4i't ,' ,7)4 . Phone # State Certificate or Registration No. G / ? yj. Z ,e L (f Certificate of Competency No. Type of Work: ['Addition EKteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: Oit ■Q i 4Ji �, is? A C Q Fc r 6!■ 11 . r * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * ** Fees ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ / 0i 4Vge CCF $ 1 - 2C . CO /CC Notary $ 2 Training/Education Fee $ 0,4O. Technology Fee $ 3 --75 Scanning $ 3 • J. Radon $ DPBR $ r- Zoning $ Bond $ Code Enforcement $ Double Fee $ 1 E A • C)C) Total Fee Now Due $ 808 See Reverse side -* MAY 2 X , JA P Bonding Company's Name (if applicable) Bonding Company's Address City State Zip • Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: [ 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 of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature ,--7 6 ` �, g Owner or Agent Contractor The foregoing instrument was acknowledged before me this /4- The foregoing instrument was acknowledged before me thisjd day of i , 20 , by d o f r= * `, , 200, by Y `l who is pers pally known to me or who has produced who is p known to me or who has produced Sign: Print: As identification and who did take an oath. ....,'; VALTY RAYMORE +'' MY COMMISSION # DD 398417 EXPIRES: June 19,2009 ?d; Bonded Thru Notary Public Underwriters NOTARY PUBLIC: APPLICATION APPROVED BY: (Revised 02/08/06) NOTARY PUBLIC: Sign: Print: as identification and who did take an oath. VALTY RAYMORE Yc,9AMAISSION # DD 398417 EXPIRES: June 19, 2009 My Commission Expires: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ,c�i Plans Examiner Engineer Zoning ITEM PATH TLB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE DIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES - A/C (WIND) ) ISF'CGAI SERVICE TEMPORARY .0 A/C (CENTRAL) )RINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIRAETER CHANGEP V,t REFRIGERATION GREASE TRAP APPLIANCE OUTLETS 'Z PROCESS AND PRESS PIPING INTERCEPTER RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS D- 1 HD STEAM BOILERS SHOWER AJTCRS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MJTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MJTCRS OVER 8- 10 if ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MJTCRS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REI:NSRECTJON WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER • FIRE SPRINKLER - GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS - TRANSFORMERS HEATER - REPLACE 1 GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SW I M4A I NG POOL OUTLETS COM4 ERC I AL MATER SERVICE SIGN TUBES SEWER CONNECTIONS l ,•.SIGN TRANSFORMERS UTILITY -SEWER I SIGN TIME CLOCK UTILITY -WATER I FIX SEPTIC TANK ANTENNA RELAY 1 TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. 1 I VIOLATION PUMP & ABANDON SEPTIC TANK RE INSPECTION i SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN 100F INLET ;OLAR WATER HEATER - IRE 1 1 1 STANDPIPE POOL I 1 I 1 PIPING .AWN SPRINKLER SYSTEM'. AS RANGE ETER SET (GAS) � 1 4 'Ac PIPik: I i 1 I. :AN AtPLICATION 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.) .gyp PLUMBING ELECTRICAL MECHANICAL Issue Date: 5/24/2006 Owner's Name: MIRIAM PASTOR Permit Type: Electrical - Residential Work Classification: Repair Job Address: 1228 98 Street NE Contractor(s) Phone RAY'S ELECTRICAL SUPPLIES INC 305 - 688 - 7133 Yes Primary Contractor Comments: CHANGE ELECTRICAL PANEL 150 AMPS, 4 SMOKE DETECTOES , AND 120 20 A C/D MICROWAVE AND GFCI Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 11/14/2006 Type of Work: Classification: Residential 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. Fees Due Amount CCF $1.20 Education Surcharge $0.40 Permit Fee - Additions /Alterations $150.00 Scanning Fee $3.00 Technology Fee $3.75 Work without Permit Fee $150.00 Total: $308.35 Building Department File Copy Applicant Signature Permit Status: APPROVED Permit Number: EL -5 -06 -1299 Phone: (786)457 -2383 Parcel #: 1132050090340 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 1,500.00 Required Inspections Final Invoice Number EL - 5 - 06 - 24923 Total: Amt Due $308.35 VroPAli Amt Paid 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. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date iolge ' 7 Job Address POW yl- 9 Tax Folio /1- 001 - 0 ? L 0 emle No X Legal Description J e40 vl 0 vei 1 T S_g® Historically Designated: Yes Lam{ ieIoc 3 ON nn 'Lessee / Tenant / 2 � cY' r / S / e v P / ` ' Master Permit # Owner's Address 1? 0)-(P NE `lam ff "a u+ % S d r•J' Architect/Engineer Bonding Company Mortgagor Address Address Phone Jos- - 7SP -13 3 Contracting Co / j� ,/ � C ` WC ' Address L 7,e a'. /L -, q / R ' 33/3 Qualifier / ( 4 7- �2 fi�tcr. SS# Phone (T 7r2--85F State # ` Ot y /6 Municipal # 90— % 1 Q DO Competency # !-6 ( Ins. Co. vrck Awatp, Address Permit Type (circle one): BUILD I G PLUMBING MECHANICAL ROOFING PAVING FENCE S IGN WORK DESCRIPTION / otierkej SeiVite .-4 e D - ,/ u Sery ce ` / 444 cll U Square Ft. . -- A■1111/1 0.11.111.. er 4For Condo President Signature / Notary as to Owner :der Condo President Date My CommiOp a ires: AUDREY J EHRHARDT My Commission CC383669 Expires Jun. 27, 1998 Bonded by HAI 800422 -1555 FEES: PERMIT 35 ' RADON APPROVED: Zoning Mechanical of d 7 ate Estimated Cost (value) /qoo. ct D WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. F authorize the above -named contractor to do the work stated. Signature of Contractor or Owner r otary as to Contractor or Owner - Builder My C �.. .0 ..: e , _.Iaenitesr- p.,(1 P OFFICIAL NOTARY SEAL 0 `� e, SANDRA M MONTIEL * COMMISSION NUMBER ir CC401261 C, ` MY COMMISSION .EXP. OF FL AUG, 17 1998 C.C.F. NOTARY Building Electric /9 / � � > D to Date Plumbing Engineering e ADDENDUM TO EU_ LD NG _ M= i �. 1 I I CAI f ON C3 7.1_N✓ , =El OWN`-'S 4C"_ T —T "Gi ' Cp.= '.=D �t'C":' := oo- = Y CN S ZS'C o,?ar r ''r - rCN . 3ATri TEB 310E 3 aisioss. ')1 emu. • • IMCI1O ?MITAIH =fit MA 1N GREAT TRAP !•NTr -t ',WATERY .AUNCRY TRAY C rir.5 3ASra . S I YIC. ?0T/3 -1F . SINK. 3E:EIM3C 1 NATE CR I HAL ?ATE C-M 1K)IRE 7 =TES TA r r-s P' TO: -iC Lei 1 i IRE 771 I111II S 's.),TE _ MST. TiTi- STIL8i1116 ?IL TAT? -C RV1C Zia =MET 1136 1TiL ( JTILITT -TAB :FT 10 TANK RA I KE 1E� 4" TILE/RES. =CM St-TiC TAM( ?IT 1.101 AS IN 1 =.1AR /� '! ! f_' t : :IIES ;C -REA .21A1H = XL-: PI MEINC ELECTRICAL !MITI F aid S7I t om? CUTLETS 1 Ei? CUTLET :7 C TE:PCR: Scr1f IC s1 IH SEN. C ReAARI ET C�.A1C "Rt. Lira CUTLETS WEE TO' ova TAT :Era I SIIiL�v 0 - I SIOTIM 0116 1-- 3 f WIT MS WEB 3- 1 AIM avE 5- 3 :f I SimiMaMa 3-10P SCITM av 10- Lc ;1 I SCREReS ova 3-:111 p ! %OM GO TO h= 1 IX !KW ! AIR 7''O (TIMES f S7'AIP HEATER f .rI" RATMS TRAIN RYE" I S.'!EA MS TRATIMEIS 1 ZSATS TRAtMRIeS I CUTLETS :7.3+E ::l f SIGN t I SIM TILE CiaCX MITENA FC;IRE I TE17 CUTLETS VIOLATTON f RE I.. 7 1[7i UNIT , r ` t is C:.•FIRAL 1uT11G MECHANICAL is • ?9F"-:�RE ' S STEM MILS! /AZ 30IL_ lC:1 VET' MN ti 1I�.. .LIs ERA—OS/MUM RE 73 VMS SST S =UK MSS ', UT108 L_ TO: FROM: MICHAEL DEV ANEY, CEIE.k ELECTRIC &L I SPECTOR Two copies of the applicable rquireineats must accompany all permit applications. If not met, applications will not be accepted by the Building Department. Permit appiicazicns where a master permit is aciad= will need the fallowing. Service change: Riser diagani. shcwing ;peter size, discomaec+z, wire and conduit size, subfeed, grounding and panels. The Work-With peon can be scheduled after the permit has been obtained. A final Ispon is required- Air Conditioning Hookup: Lead talc aiations adequate for new Icad. handling twit and • 11:Cli4t4,1; GCC �zd 1 z/a, ;RS A4C CCCc cv7v�._M`v_ vtEiCNc mmuNirf MIAMI 5>+0R:5. T,CRl 331 21 Z 38 ? CcL_P7'CNe T AX c3C5I ?58•d9 F1FCTRICAL CONTRAC'OIS showing service size to deermine if service is Need die Wire and quit size far air o ceasing unit. • Kitchen Remodeling: Cabins makers Iaycut will suffice showing location at In ether situarcrs where aye: permit is act issued, I will need to have a line &again shcwiag what's being done. CIF LOOP CO DE 10' — FG (MIN) (3' c. 00A k HETER a- PLAS1 C t 13V-1 2' ABOVE R.C1OF 1 • Fli.aS1 1ED GRABE L 201111K: twaarta MAN CB PANEL (CNEL (5,v g,..r7 TEAt liti CI-At I fa 1 1 G11.1 3.41" X tr R140 U Ti IN IlEP TI I R g-tuu w.or wloirisrfi B Y I I SUB C PAN EL t Conductor size ' Conduit StZ Conduit type Thru YES__ NO G r 0S-11 pal C MIN DISI;01114ECT R �11 no . Amps Maim _An pc L11.1 Breaiter-s Amps SUB FEEDER New TYPQ lz r --- --r - r r A Bond Z) - [NS [DE PANEL PER S.F.11.C. 4505,2(B) Ex i sling _ - Rating 1 Bond Bus s Yes ___No .LOCIA .coNTRAcoft SI(NATiTRE OF CONTRACTOR --------------------------- NOTAny ARI )1■[ 1\z/1- - r T r• "r ti_ < n r ° r. p a agi 5 7,q o fr,54e4o):1 APPLICATION FOR ELECTRICAL PERMIT Date Fob 4/63 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 John Corbett No Street Permit No...,. '.. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Registered Architect and /or Engineer Employing Electrician's Name Lewis 0 Wa&ner N 993 0. Street Qex1tn9.... Location and Legal Description Lot 8 Block 3 Subdivision M • 8 • Street and Number where work is to be performed —No 1228. I .A Street 98 t# 3tert State work to be performed and purpose of building (By Floors) wire Reeideme New Building a Remodeling Addition Repairs No. of Stories Service Overhead on Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground , f Type of Installation — Conduit X Tubing ✓ B.X.L. .Metal Moulding Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. 11 SE. (Signed) 4 Electrical n The undersigned applicant for this building permit does hereby certify that he unders cis 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 inspectio . . • the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub•contractor. o work to be performed under this permit, as are licensed by Miami Shores Village. (Signe 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 fhspection fee of $1.00 will be made when such re' inspection is made necessary by improper notice for inspection, or faulty materials an r workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. H EAT. CONN. -i SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 14 17 25 17 1 1 1 CHECK ` Q 6 I O �1 Y v / 7r � eJ Ll ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS O.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST 1 1 1 CHECK f irb Prh_190 /dt -- APPLICATION FOR ELECTRICAL PERMIT Date Fob 4/63 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 John Corbett No Street Permit No...,. '.. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Registered Architect and /or Engineer Employing Electrician's Name Lewis 0 Wa&ner N 993 0. Street Qex1tn9.... Location and Legal Description Lot 8 Block 3 Subdivision M • 8 • Street and Number where work is to be performed —No 1228. I .A Street 98 t# 3tert State work to be performed and purpose of building (By Floors) wire Reeideme New Building a Remodeling Addition Repairs No. of Stories Service Overhead on Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground , f Type of Installation — Conduit X Tubing ✓ B.X.L. .Metal Moulding Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. 11 SE. (Signed) 4 Electrical n The undersigned applicant for this building permit does hereby certify that he unders cis 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 inspectio . . • the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub•contractor. o work to be performed under this permit, as are licensed by Miami Shores Village. (Signe 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 fhspection fee of $1.00 will be made when such re' inspection is made necessary by improper notice for inspection, or faulty materials an r workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of : f Building Contractor or Builder z,_. , r...4... r...+ It ) i' ^, Legal Lot Bi. Description Address of ,..' ' Building f .ai *,I ' f t AAA. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA e- PERMIT N° 14234 ❑ Work to be performed under this Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signer Subdi- vision Value of Project $ C.4`.. - w,Ax„y_jFt, rf .tie INSPECTOR DATE Contractor's License No BY 3 Amt. of Permit $ BY AUTHORITY 195 r. . In co . eration of the issuance to me of this permit Nigree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining reto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In a cept' this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.