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ELECTRICALPhone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 /O Building Inspection Request Date 3J I i0 Type Insp'n ' C� Rd' Permit No 0 A _SS Name V t r\cctQ ! ' 4 Address 1 L\ G 1 A J Company Inspection Date l I Approved Correction ❑ 7/ ,Ye z ( Re- Insp'n Fee ❑ / ? //° /5P > & '� �5 ,fife, S 7- MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date d 'OZ Time � o,l =r- Type Insp'n —a 744/1,. Permit No. ( Lo 200 Z' Lrl Name aj Address / , 1 ) f9 J 1 Company PhQreJaj O Q/ / / / 7 � For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date V.-/ - d Time �i Type Insp'n ni'IG // ? mA Permit No. Z 3-4 _ J 2 Name V 14,0_,A1 Address � f € 9 Company �1�+ 79 Phone# d7� /3 7 For Inspector: 2 _ / S O� Name & Date / Approved Correction Re- Insp'n Fee Cecd MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n 6 2_ . // ?i-'iL/ /) Permit No. EL °�OO,2 5 Name Vtz;L.0 � f Address #") / AJ / 3.-t Company 7 /0 -': t /1P,/ Phone # (30 n / l 9-q- / For Inspector: 0 _ 2 _, Name & Da Approved Correction ❑ er,,z 7 Z Re- Insp'n Fee ❑ ADD RECEPTACLES IN KITCHEN; CHECK WIRING IN KITCHEN GFI RECEPTACLES IN BATHROOM PA lc" 2 a-- 1 -1: 0 --/At- ISK TJstot l Passed Inspector Comments / ( * l' .-j i,ft / c Failed / Correction Needed Re-Inspection n e spectlon Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -14062 Inspection Date: 04/06/2006 Inspector: Devaney, Michael Owner: Job Address: Project: <NONE> VINCENT, MARLEEN 149 99 Street NE Miami Shores Village, FL 33138- Contractor: MOODY ELECTRIC INC Building Department Comments Wednesday, April 5, 2006 Inspection Worksheet Miami Shores Village 1005''N.E. 2nd Avenue Miami Shores, FL Ph • e: (305)795 -2204 Fax: (305)756 -8972 Permit Number: EL2004 -55 Permit Type: Imported Permit Inspection Type: Final Work Classification: Electric Block: Phone Number Parcel Number 1132060132200 Lot: Phone: (305)758 -2000 Page 2 of 2 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 REVIEWED AND PREPARED BY: ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ C© " &P $ ) , (sq.ft. = x/1000 x t.60) $ (¢.005 /sq.ft.) $ (4.01 /sq.ft.) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) Cl CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ a /.4e-e9 DATE: . CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ELECTRICAL TYPE. Minimum Fee Q"I'Y. TVPI: Dryer ()Tv. TI'PE. Outlet, Appliance QTY. TYPE Service Repair 9,0() QTY. i A/C Central 1 -3 Ton Heating Strips, each Fan Outlet, Wall Service, Temporary - Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch - Piping, Flammable Liquid Signs A/C Central 8 -15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16-20 Ton Pressure Vessel Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps 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 Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New 11IECIIANICA1 .l.yl,l.: Minimum Fee QTY. .l.},hl; Condensate Drain Q.I. Ti.pp Generator QTy. .l.vl,ir Refrigeration, Tons ()1.y A/C Central, Tons QTY Cooling Tower Heating Strips, each Vent Hood, Cost A/C WalVWin. 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 Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Gas - Appliance PI, Un 1131NG TYPE A/C Condensate QTV TYPE Drains, Roof Q"I'v Tvii? 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 Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater 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: MOODY ELECTRIC, INC. www.moodyelectric.com 669 N.W. 90 Street • Miami,FL 33150 -2166 Tel: (305) 891 -1374 Fax: (305) 758 -2000 (//uze / 4a) RESIDENTIAL DEMAND LOAD CALCULATIONS W / SQ. FT REFRIGERATOR APPLIANCES DISHWASHER GARBAGE DISPOSAL MICROWAVE CLOTHES WASHER DRYER RANGE WATER HEATER OVEN FREEZER TRASH COMPACTOR GARAGE DOOR MOTOR JACUZZI JACUZZI BOOSTER HTR. IRONING BOARD POOL EQUIPMENT SPRINKLER PUMP LANDSCAPE LIGHTS STEAM SHOWER A/C WALL UNIT SPARE CAPACITY SPARE CAPACITY TOTAL CONNECTED LOAD FIRST 10 K.W. @ 100% 1-0.48 REST @ 40% - 302.3 /VC @6S% / HEAT @ 100% TOTAL DEMAND LOAD `` K.W. / 240 VOLT = /S /DAMPS 3ag7U ay e 7a'& K.W. /.5 K.W. 3•Q K.W. K.W. K.W. /1S K.W. K.W. ..5 D K.W. K.W. .6 K.W. K.W. K.W. K.W. s K.W. K.W. K.W. K.W. K.W. c•o K.W. K.W. K.W. K.W K. K.W. K.W. 10.0 K.W. ai_ K.W. /0404 K.W. 9a 9�c.w. /37 1Pf pt,9 of 1CAfjN SEAL. 6 MARY 0 COMMISSION NUMBER C ''41860 MY.•.. - ION ES F )1400DY4 ELECTRIC, INC. www.moodyelectric.com 669 N.W. 90 Street • Miami,FL 33150 -2166 Tel: (306) 891 -1374 Fax: (305) 758-2000 M 4-8 I aso) Nev !z a gnaw 46eA)r / iil OA .9111/29kel * 0 0 jP(iY PU 6) OFFICIAL MARY P BRIGGS L .^. 1 s COMMISSION NUMBER ..• CC741860 �� �OFF�O P MY COMMISSION EXPIRES MAY 11 0 Page 2 IMPORTANT NOTICES 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. I, 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. STATF FLORIDA, COUNTY OF MIAMI -DADE Signature of Owner Ar -4 ��v l ince n� Print Name Sworn to and subscribed before me this l day of it-bY U.QY ]l, .2ooa . SEAL: Signature o Pu )livistiviTmacIAL NOTARYSEAL 6 DOUGLAS R BELL * COMMISSION NUMBER Y.1 D0024052 7.% LW COMMISSION EXPIRES Personally known to• OR, Produced Identification Type of Identification Produced: Signature of Contractor / Jahn J Type of Identification Produced: Print Name to and subscribed before me this day of SEAL: ORIDA, O 4 Y OF MI PERMIT APPLICATION ualifier Personally known OR, Produced Identification I -DADE CONTRACTOR Name ,(tea �l / e�4 /46 . ,/ License No. t''DO © // 9q 6 Address aWA1& gas / Telephone 3 {c7 / .. 1 ax 2 �t sJsQ 0 � v C � / 670. Qualifier Name A 4) , i PROPERTY OWNER ���� Name A te' UI q ceeti + &)k �Gtr(6L'/1 (imam) Address I s o s 6941 TT . P /4 nf4ftorl , FL 333/7 Home Telephone 9 S v, ` q t/ 7o •2 J 0 Business Telephone 95 C , se , 7 0 // � ' �. , O// Fax 9 $ V . so 7 3 TYPE OF MANAGEMENT (✓ ) New Construction Building Enclosure Alteration Exterior Repair Mechanical Alteration Interior Demolish Relocation of Structure LPGX Shell Only Foundation Only Add'I Attachment Fence Other Add'I Detachment Other PERMIT TYPE (✓ ) Building Electrical , ,,� Mechanical Plumbing LPGX Roofing Fence Other Step 1. 1IORes e 11 Job Address: c+ INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: 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 submitted 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. A PPLICATION I Mq NE S°t s +. Address Folio Number 11 3'106 0 3 a a6 Lot a0tak Block 16 Subdivision alteknUS4oee1. 1 PB 10 PG 70 Current Use of Property sl� Ree (\ttQ% Proposed Use of Property RES1� -410, Tenant Information Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT License No. 4/4- Name Address Telephone Fax Master Permit No. Subsidiary Permit No. fl/ ` 00 amt Shires Apt. City State Zi Description of Work L e F� PERMIT APPLICATION 3 3 v3& Zoning Linear Feet Square Feet (9406 Units Floors Value of Work 1 O eV, 00 Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER License No. Name Address Telephone Fax i MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT r / APPLICATION FOR ELECTRICAL PERMIT / 41�../ Permit No ,! . !R..2, 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 _ be kept at building during progress of work. herein specified or Owner's Name and Address Registered Architect and /or Enginee Employing Electrician's Name Location and Legal Description Lot Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition STATE OF FLORIDA, } COUNTY OF DADE. ss. not. A copy of approved plans and specifications must (Signed) No /1 ! No Gl6‘c, The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub•contr n w c to licensed by Miami Shores Village. Street S Subdivisi � Street , ^" ` .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 Amount of Permit $ (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be perfo$ned under this permit, as are Master Electrician. f?,-(4 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 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. 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 i MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT r / APPLICATION FOR ELECTRICAL PERMIT / 41�../ Permit No ,! . !R..2, 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 _ be kept at building during progress of work. herein specified or Owner's Name and Address Registered Architect and /or Enginee Employing Electrician's Name Location and Legal Description Lot Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition STATE OF FLORIDA, } COUNTY OF DADE. ss. not. A copy of approved plans and specifications must (Signed) No /1 ! No Gl6‘c, The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub•contr n w c to licensed by Miami Shores Village. Street S Subdivisi � Street , ^" ` .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 Amount of Permit $ (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be perfo$ned under this permit, as are Master Electrician. f?,-(4 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. BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING Owner of Building o PERMIT N? 15162 ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot II Bi. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project $ B 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 statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. ti 1 Signed . . k:• .::.... ,, v BY • INSPECTOR 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, servant or employee. DATE 195` Contractor's License No Amt. of Permit $ AUTHORITY NO. STREET PART OF LOT LOT BL'K SUBDIVISION/ f Signs a vo Az V` Aiz -6 1 --- ' Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee 01 4 i;ti.d44.4.44 ....... ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during theons ectricia Owner of Buildi *tractor or aiami cfhoreslillage F L O a D A OFFICE OF ELECTRICAL DEPARTMENT Miaii Shores Village, Fla , LO CATI 0 N DESCRIPTION OF WORK NUMBER OF This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit ma be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or on nv.change in the plap and sp i t Department. Dated In consideration of the issuance to me of the foregoing Electrical Permit, I hereby to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in com liance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all ruts a df r gu]a ons of the Electrical Department of Miami Shores Village. * 1/2 ( N9 824 fications unauthorized by , Electrical Inspector. (Seal) NO. Motors � Generators STREET PART OF LOT LOT BL'K Other Apparatus SUBDIVISION 1 / J / I � ! � ` /Jj6 ! I / ,y ! Y m g �'• �, j pf . , ! {jy(t � I L7 ` �!' I t . / 1 I/7 .. y S 2 . t' f /My/�YV� ^ . Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building . / Contractor or Electrician aiami chores MianYf Shores Village, Fla , F L 0 R 1 D A OFFICE OF ELECTRICAL DEPARTMENT DESCRIPTION OF WORK NUMBER OF LO CATI 0 N 19s -> This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. I „r ■9 824 , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules a ,re ula ns of the Electrical Department of Miami Shores Village. f L ` r Dated 19 `` } T (Seal) by for MIAMI 81=-IORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wir' / 9 g and apparatus installed at t` � � has been inspected and current is authorized to be turned on, until otherwise notified, for: . Size of Service / r, c ': ; Number of Lighting Circuits r4,r Range ' d ` i . 6 4 ` watts. Water Heater vc watts Power: Connected load. H. P. Space Heaters X watts Other Apparatus • owner, and occupied as PERMIT No... " 441 Address ELECTRICAL INSPECTOR. .00RS FIAT URES ONLY NUMBER OF TOTAL OUTLETS SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS MAIN SUBS BRANCHES ENT l(l .) "--Z-- D • H LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION ti �� p WILL BE RETURNED. a BLOCK NyMPER i AUBDIVISION L e` ,�� y, ti► d am STREET AND NUMBER� �, '' / Y ' "' J ib+ *IDE r �( ` a OWNER • �" � OCCUPANT OCCUPIED As - � '_ LOT NUMBE BUILDING - -NEW OR OLD (UNDERLINE WHICH) H. P. OF EACH MOTOR VOLTS TOTAL AM'= PHASE CEILING • F BASEM FIRST SECON THIRD FOURT BRACKETS G , J RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by In- spector. RECEPTACLES • t f • KIND OF INSTALLATION f/® OPEN OR CONCEALED KNOB. RX.. BX.. MLDG.. CONDUIT. METALLIC TUBINT., REMARKS ROUGH WIRING FINAL NO CORRECTED TEMPORARY DAYS. DATE ISSUED APPLICATION SWITCHES WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR SPECIFICATIONS STOVES WATER HEATERS MASTER ELECTRICIAN INSPECTION WANTED BY _ADDRESS SPACE BELOW FOR INSPECTOR'S USE ONLY FEE REMITTED DATE / ko te OTHER APPARATUS 7p ,- INSPECTOR