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ELECTRICALPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date sh6�3r -Job Address 1? o N.C. , k S Tax Folio Legal Description Owner/Lessee / Tenant / 9Cll v A 64 2/L Owners Address / O / �. e . 9 sw r Contracting Co. � -4 wiz /4/4-"S74 Qualifier A/ 44:14t1-5 State # *CIO O Municipal # WORK DESCRIPTION Notary as to My Commission, er and/or Condo President t ires: Luz Aibaron M" r^'^MISsioN # CC703192 EXPIRES December 16, 2001 BONDED THRU TROY FAIN INSURANCE. INC FEES: PERMIT 1O. RADON APPROVED: Zoning Mechanical Plumbing 4440 sy-,EM 4#1,42..z , / 3 ao? S Historically Designated: Yes No Master Permit # 7 g Q Phone ?SD's '158 - (J5 /O Address if 3 4i % • /. 5 SS # Competency # Address Phone 305 35 3 7 764 Ins. Co. Architect/Engineer Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE Square Ft. Estimated Cost (value) 3 00 SIGN 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 ELECTRIC/Of, 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. Furthermore, I authorize the above -named contractor to do the work state Notary as to C6rltractor or Owner- Builder My Commission Expires: ; 1'gL°fyt,, ,. Luz Albaran • '•� pr- M COMMISSION # CC703192 EXPIRES 1*: ; • ��� ; A�• December 16, 2001 '� pF 0 BONDED THRU TROY FAIN INSURANCE, INC, C.C.F. /- NOTARY BOND TOTAL DUE Building Electrical / 7 ,„ze.,7423,a Structural Engineer qq PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date I9 O r S Job Address /4,e; / . C, q g 5 �- � Tax Folio Legal Description Historically Designated: Yes No ✓ 'Owner / Tenant J —, D n Owner's Address ✓ab © / G` 9gst, Contracting Co. P+1 �\ e�7' Y) C t �� , Address l l r ,j 3 7 G ' /d wl ! cJ Qualifier 1•30( ( � � M0.viS€0 State # Ec ©Q Q )O.52 Municipal # Competency # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDIN ' ELECTRIIC ' UMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION {\1 Yl ! r P c k_.5 • `IZ Yl CC; Y1 Y) i In Q( 1 ')) O Yl . Square Ft. Estimated Cost (value) c') Q () (9 ) Address Address 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 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. Furthermore, I authorize the above -n ed ontractor to do the work stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT 3- OW RADON C.C.F. /0 9t NOTARY Master Permit # Phone 3Y5 Ins. Co. Signature of Contractor or Owner- Builder /D at Notary as to Contractor or Owner - Builder Date My Commission Expires: TOTAL DUE 3 .` 69 APPROVED: Zoning Building Electrical� i� / i�/�'sx Mechanical Plumbing Engineering Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progreu of work. Owner's Name and Address 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) iij' o C • MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date .... .rf...�.. U. for -S PFfl/I No /2'0 Registered Architect and /or Engineer n Q/ Employing Electrician's Name ,S pfe..G No J. 11... Street w / New Building Remodeling Addition Repairs Block AO Subdivision /_.2 6 C Street 1 q .� / Y Overhead �5 e / Amps Service nderground Size Feeders ; Oil, Conduit Main Sw '• Main Fuses.... Amps Type of Installation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ ct/ (Signed). W Street 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 sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub contractors on work to be med under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida 5/,5r No. of Stories kAl (Signed) Master Electrician. 2�t� Lst`rt ) STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, 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 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 0 PLUG RECE•P•T'S FIXTURES NO. LAMP. REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H STRIP H TOTAL CONTR. LIST . CHECK ENT. SW. 01ST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST LIST M �� � � J' 0 , CHECK / 9 5 Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progreu of work. Owner's Name and Address 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) iij' o C • MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date .... .rf...�.. U. for -S PFfl/I No /2'0 Registered Architect and /or Engineer n Q/ Employing Electrician's Name ,S pfe..G No J. 11... Street w / New Building Remodeling Addition Repairs Block AO Subdivision /_.2 6 C Street 1 q .� / Y Overhead �5 e / Amps Service nderground Size Feeders ; Oil, Conduit Main Sw '• Main Fuses.... Amps Type of Installation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ ct/ (Signed). W Street 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 sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub contractors on work to be med under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida 5/,5r No. of Stories kAl (Signed) Master Electrician. 2�t� Lst`rt ) STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, 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 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 My Commission Expires MIAMI SHORES '/ILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewi 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 E ineer Employing Electrician's Name .... ... ea4. I Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No ....l...a�..fa b��... Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition —✓ Amount of Permit S --(e ' (Signed) Date No / • ‘. Street h — No..e . Street 7-5" Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ..li ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fiori ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-co ra on 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. (Signed ......... . .. ..1 1.,. Notary Public, State of Florida Muter Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. T sa. 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. 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 H EATER W. HEAT. CONN. ACE H ATER STRIP H EATER TOTAL CONTR. LIST CHECK ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.S HP N EON TRANS. RADIO TOTAL CONTR. LIST n /50A 1' Y --/--_ CHECK Permit No My Commission Expires MIAMI SHORES '/ILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewi 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 E ineer Employing Electrician's Name .... ... ea4. I Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No ....l...a�..fa b��... Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition —✓ Amount of Permit S --(e ' (Signed) Date No / • ‘. Street h — No..e . Street 7-5" Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ..li ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fiori ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-co ra on 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. (Signed ......... . .. ..1 1.,. Notary Public, State of Florida Muter Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. T sa. 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. 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. Dos?, CAM, SERVICE TEMP. SWITCH OUTLETS .0a ,...a.,flm . . **den ea seek Permit No ................ Application is hereby made for the approval of the detailed statement a structure herein described. This application is made in cotaplianee and conk and all provisions of the Laws of the State of Florielav nranances of Miami of Miami Shores Village shall be complied with, whethor herein speciffed or it building during progress of work. O wner's Name and Address... ..,...... , ...,... »..4 ....: , .N#� .,..... + »,,,...: ». Registered Architect and/or Btr:.. .......... »:.... Location and Legal Description bot...... y.. f T ...........r ...,,.... »,.., :......m ...,, :. , ;....» .......... ..:<:..., Street and Number where work is to be par4otaflia ................�..o�..�it. A.. o State work to be performed and purpose of bding {DV Floors!......: :...:.. New CONTR. LOST CHECK CONTR. LIST CHCCK Service Overhead Site Feeders ill ......,�4 Underground Type of Installation—Conduit...... Amount of Permit 3..... The undersigned . applicant for this ilding perms does h ereby labor under the Florida Workmen's Comixinsation Act, .:. +,_ Seettf has complied with the provisions thereof, a work to be performed under this permit; and as are required by the tact. 'The undersigned agree t licensed by Miami Shores Village. STATE OP FLORIDA, COUNTY OP DADS. Before me, the undersigned authority, a 'notary public, duly audio to me well known, and who, being by m of the above described Construction, and therein by him stated are true. My Commission NOTE: A rvinspe'tion fee of rnateria' and /or workmanship. MI SHORES 413C7RSCAL INSPEC A 4 P !CATION FOR EL' �.......Ivlairt • Sviti.... uly sworn, upon oath deposes arefully read the foregoing a be made' when such rte.in spectie Ag AA » ,Street.. CONTR. LIST CHECK CONTR. LIST CHECK SWITCH OUTLETS PLUG RECE`R'T SERV f%i TEMP. owes se es es es. soistesessesse sesesseeerss 111•91•5 g me f irst duly sworn, upon oath depose aintkaarge shot his e, .w..�..:. end be has carefully rend the foregoing 14, did 'sign dm e MIAMI SHORES V BLIECTRIcAL.. !NSPCC P APPLICATION rOft : ELECTRICAL PERMIT Permit No. / ? Cia.;. Application is hereby made for the approval of rite :detailed statement of the plans and spe structure herein described. This application is made in. lanes and onformlty wish the and all provisions of the Laws of the State of l orila,tlnances of Shores of Miami Shores Village shall be complied with, whether l}erein specifi or nbt. A building during progress of work. O wner ' s Name and Address .........�.1 ._..., , ,,:., ..,...,... No .. ........:..:..........�... . aSCreh. ,< .. ,....seA++»..:M:........ , Registered Architect and /or Engi a _........... ........» r ..� ... . Employ Electrician Name... ._......... ...._No. .._ .....,.» Ir. .. ••. • .,.,....... ....+ ............... Location and Legal Description Lot....,.. _...... :.,....... Street and Number whets work is to be performed—No 'State work to be performed and purpose of building (By Floors) ..:... .:.. :.......�.. ,._ ........ New Building. Remodeling ...............,........ ,...:Addition Service Overhead Underground Sise Feed Type of nstallatio ondiiit....... .......x:=....Tubing... .. Amount of Permit $ STATE OF FLORIDA, COUNTY OP DADE. Before me, the undersigned appeared to me well known, and who, being of the above described construction, therein by him stated are true. es pe.p . 6 (Signs The undersigned appli :_ti for the building permit does hereby certify than #te metientanntle and labor under the Florida orkmen's Compensation Mt, being Section 5966, Oompileal Gaeta! has complied with the provisions thereof, and will require similar compliance from all allgagliOWS work to be performed under this permit; and oat post or cause to he posted d lot inaltoatimi on as are required by the Act. The undersigned agrees to employ only such strionantraelonk aft. licensed by Miami Shores Village. . • My Commission Expires Notary ............... Notary NOTE: A re•inspection fee of $1..911 will be made when such re•lnspectfon is wed n materials and /or workmanship. .. BIntk ... ...r:. dfvf .....,. . A ss ...,.:: ■