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ELECTRICAL1 Permit MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION F r OR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sulfmitted 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 complie with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. � / n Owner's Name and Address k =114 No _ _ -__ �_� 1� 1L Registered Architect and /or Engineer _Block Service Overhead Size Feeders _ Conduit./ Underground Amount of Permit $ My Commission Expires , ,e• Main Sw.__ ;1' Amps. (Signed) (Signed) E . Street Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs Street No. of Stories Main Fuses -_ s� 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 as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub- contractors,, ork t? be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. 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 of the above described construction, that he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true. Notary Public. State of Florida ` ?► d e ectrican. 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 S FIXTURES NO.LAM PS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL. CONTR. LIST l G CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM.. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL. CONTR. LIST CHECK 1 Permit MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION F r OR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sulfmitted 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 complie with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. � / n Owner's Name and Address k =114 No _ _ -__ �_� 1� 1L Registered Architect and /or Engineer _Block Service Overhead Size Feeders _ Conduit./ Underground Amount of Permit $ My Commission Expires , ,e• Main Sw.__ ;1' Amps. (Signed) (Signed) E . Street Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs Street No. of Stories Main Fuses -_ s� 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 as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub- contractors,, ork t? be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. 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 of the above described construction, that he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true. Notary Public. State of Florida ` ?► d e ectrican. 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. 7rf Permit No.______________ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su itted 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. 0 Owner's Name and Address ___ Registered Architect and /or Engineer MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION F'OR ELECTRICAL PERMIT ;: - 1 Employing Electrician's Name �� ' ' (s j4j __ No. + f — — 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) STATE OF FLORIDA, COUNTY OF DADE. Service Overhead Underground Type of Installation— Conduit Tubing Amount of Permit $ • -4 Size Feeders__T_T____g___ Conduit___ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. SS. My Commission Expires Main Sw. (Signed) No. ! life Street .1 3 if• 9 94tsmet _ (Signed) - /I , — +.I Date r , r 1 ' l Subdivision Notary Public. State of Florida Street__(if B.X.L. Metal Moulding New Building Remodeling Addition Repairs No. of Stories Amps. Main Fuse4_V Amps. Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and bas com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, ...VT) wor to; e performed under this permit, as are ey Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that 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 HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. IST LIST CHECK - ✓ L. ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK 7rf Permit No.______________ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su itted 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. 0 Owner's Name and Address ___ Registered Architect and /or Engineer MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION F'OR ELECTRICAL PERMIT ;: - 1 Employing Electrician's Name �� ' ' (s j4j __ No. + f — — 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) STATE OF FLORIDA, COUNTY OF DADE. Service Overhead Underground Type of Installation— Conduit Tubing Amount of Permit $ • -4 Size Feeders__T_T____g___ Conduit___ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. SS. My Commission Expires Main Sw. (Signed) No. ! life Street .1 3 if• 9 94tsmet _ (Signed) - /I , — +.I Date r , r 1 ' l Subdivision Notary Public. State of Florida Street__(if B.X.L. Metal Moulding New Building Remodeling Addition Repairs No. of Stories Amps. Main Fuse4_V Amps. Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and bas com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, ...VT) wor to; e performed under this permit, as are ey Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that 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. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION F`=1R ELECTRICAL PERMIT ,, 1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s ub d 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 building during progress of work. Permit No. - - - -- ---- ---------- - --- -- Owner's Name and Address Registered Architect and /or Engineer __ '- Employing Electrician's Name Location and Legal Description Lot__ ______ Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building Remodeling Service Overhead Size Feeders____. Conduit Underground Type of Installation— Conduit Tubing Amount of Permit $ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly appeared to me well known, and who, being by me first duly sworn, upon oath of the above described construction, that be has carefully read the therein by him stated are true. No .__ - . ,,,r_t,,t_ My Commission Expires No Street__ _Block = Subdivision__ — _ ` /- Addition Rfpairs �___ No. of Stories Sw. Amps. B.X.L. Metal Moulding (Signed) (Signed) Date nfitte Street_____ ___ Notary Public, State of Florida Main Fuses Amps. be ,kept Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on iss , -to be performed under this permit, as are Master Electrican. authorized to administer oaths and take acknowledgments, personally deposes and says that he is the foregoing application, and that he did sign the same, and that all facts NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 1, CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION F`=1R ELECTRICAL PERMIT ,, 1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s ub d 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 building during progress of work. Permit No. - - - -- ---- ---------- - --- -- Owner's Name and Address Registered Architect and /or Engineer __ '- Employing Electrician's Name Location and Legal Description Lot__ ______ Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building Remodeling Service Overhead Size Feeders____. Conduit Underground Type of Installation— Conduit Tubing Amount of Permit $ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly appeared to me well known, and who, being by me first duly sworn, upon oath of the above described construction, that be has carefully read the therein by him stated are true. No .__ - . ,,,r_t,,t_ My Commission Expires No Street__ _Block = Subdivision__ — _ ` /- Addition Rfpairs �___ No. of Stories Sw. Amps. B.X.L. Metal Moulding (Signed) (Signed) Date nfitte Street_____ ___ Notary Public, State of Florida Main Fuses Amps. be ,kept Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on iss , -to be performed under this permit, as are Master Electrican. authorized to administer oaths and take acknowledgments, personally deposes and says that he is the foregoing application, and that he did sign the same, and that all facts NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building r Architect Contractor or Builder ,. Legal Lot Bl. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA DATE 1941_ PERMIT N9 2538 Work to be performed under this Permit ' t ' , .i Subdi- vision Value of Project Lt. Contractor's License No Amt. of Permit 7 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 responsible* 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. i Signecli" ' r. ' ea -t ! ,d B 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 regula- ns per ainin hereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores 77 A 7� this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR ci BUIEI* - BY AUTHORITY BUILDING ELECTRICAL PLUMBING w Owner of e Building .� ? �✓ Contractor or Builder j Legal Lot Description Ai vow MIAMI SHORES VILLAGE, FLORIDA DATE / PERMIT N? 2529 Work to be performed under this Permit • Bl. Architect 9 4 Subdi- vision Address of ' , f ` Building t-1 - 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 ' J ; / �a' ,' ".-•' 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 regula- tions pertaining t reto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village:: to ce n his permit I assume responsibility for all work done by either myself, my agent, servant or employee. I t Le t 0101 r CONTRACTOR OR ByILDER Value of Project Contractor's r� License No Amt. of Permit BY AUTHORITY 194/ UILDING ELECTRICAL PLUMBING Work to be perfo[ed under this Permit Owner of Building Architect ...u• Contractor or Builder Legal Lot Bl. Description Address of Building 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 wi out autJsorisation. A further condition upon which this permit is granted is the understanding that the contractor or builder named above ass a onsi ity for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or wings ,tom statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed• 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 regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores ,, Village. In accepcilig this permit) fissume responsibility for all work done by either myself, my agent, servant or employee. t ie,r CQZ' TRACTOR at WILUL C MIAMI SHORES VILLAGE, FLORIDA DATE -� " 194L Contractor's License No. PERMIT N9 2041 Subdi- vision Value of Project Amt. of Permit BY AUTHORITY ELECTRICAL INSPECTION DEPARTMENT 27 3 G APPLICATION FOR ELECTRICAL PERMIT Permit No 'gilt; 1 Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building oI 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 Addres* . / r 1 M OA A Registered Architect and /or Engin er Employing Electrician's Name ., Location and Legal Description Lot ,/ Block ' Su Street and Number where work is to be performed —N• ...t 4 ...... . cr � /Street State work to be performed and purpose of building (: Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders 20 0J .Conduit Underground Type ° Installation— Conduit / Tubing c B.X.L Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. f u. MIAMI SHORES VILLAGE L r S No Street 1_ � r - ��, / , � ' / / l�' C • No 7 [ �' �/ ' wStreet .l Main Sw Amps Main Fuse Amps .Metal Moulding (Signed) The undersigned applicant for this building permit does hereby certify that he understands labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General has complied with the provisions thereof, and will require similar compliance from al contracto work to be performed under this permit; and will post or cause to be posted for inspe• n on the as are required by the Act. The undersigned agrees to employ only such sub-contracto on work licensed by Miami Shores Village. (Signed) Before me, the undersigned authority, a notary public, duly authorized to 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. administer Date. .c I oaths and take -92,7 Electrical Inspector. pts his obligations u an employer of Florida Permanent Supplement, and ub•contractors employed by him in the f the work such public notice or notices perforh t undythis permit, as are Master Electrician. acknowledgments, personally 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 necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OurLer0 LIGHT 0 PLUG RECE' •'T's FIXTURES NO. L REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST / 3 ��{{ ��// X lil / /7 / tt l `. 15 -, ... CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.0 HP NE ON TRANS. - 1 11! E `, RADIO TOTAL CONTR. LIST CHECK 1. 5 ,00 /r Zcc .. ELECTRICAL INSPECTION DEPARTMENT 27 3 G APPLICATION FOR ELECTRICAL PERMIT Permit No 'gilt; 1 Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building oI 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 Addres* . / r 1 M OA A Registered Architect and /or Engin er Employing Electrician's Name ., Location and Legal Description Lot ,/ Block ' Su Street and Number where work is to be performed —N• ...t 4 ...... . cr � /Street State work to be performed and purpose of building (: Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders 20 0J .Conduit Underground Type ° Installation— Conduit / Tubing c B.X.L Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. f u. MIAMI SHORES VILLAGE L r S No Street 1_ � r - ��, / , � ' / / l�' C • No 7 [ �' �/ ' wStreet .l Main Sw Amps Main Fuse Amps .Metal Moulding (Signed) The undersigned applicant for this building permit does hereby certify that he understands labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General has complied with the provisions thereof, and will require similar compliance from al contracto work to be performed under this permit; and will post or cause to be posted for inspe• n on the as are required by the Act. The undersigned agrees to employ only such sub-contracto on work licensed by Miami Shores Village. (Signed) Before me, the undersigned authority, a notary public, duly authorized to 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. administer Date. .c I oaths and take -92,7 Electrical Inspector. pts his obligations u an employer of Florida Permanent Supplement, and ub•contractors employed by him in the f the work such public notice or notices perforh t undythis permit, as are Master Electrician. acknowledgments, personally 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 necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Job Address (where the work is being done) City Mianii Shores Village Is Building Historically Designated YES Contractor's Company Name Address /5a f / / State ; Contractor's City Qualifier State Certificate or Registration No. /349v2co7 $ Value of Work For this Permit Describe Work: Submittal Fee $ Permit Fee $ /UO i Notary $ Training /Education Fee $ Scanning $ Radon $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Mianii Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical Owner's Name (Fee Simple Titleholder) K ( 6 i —ti r1 " <J 'Phone # 305 Z Z 2 /3 3 Owner's Address — 4 2- S N 6 ?'q f 7 City /i(44 State – FL-- Zip 3 313 Tenant/Lessee Name Phone # County Miami -Dade NO ' 1� �� /ems Cie -• ,7- 02.5- /4 /.7 `.� Phone # O .- . 2 6- 7 ,4/ Architect /Engineer's Name (if applicable) Phone # Type of Work: ['Addition ❑Alteration New El Repair /Replace PArNecl.- EK /57'i: i, 1744"C 8042 / /46/6(.... cam,( * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * ** * * * * * * * ** Zoning Structural Plan Review. $ Master Permit No. Plumbing Mechanical Zip K fiicate of Competency No. Square Footage Of Work: CCF $ Technology Fee $ Bond $ rwa .L .,o.. Zip 33/37 t.thd0 ?en Permit No. E1_ )5 1 R Z CO /C Roofing e_rnoliti ca'Le es -- 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. 1 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: 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. "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 muss promise in good faith that a copy of the notice of commencement and construction lien law brochure will he 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 NOTARY PUBLIC: Sign: -- -_ Print: My Commission Expires: chc 05/13/03 Owner or Agent The foregoing instrument was acknowledged before me this 7- day of ✓ v w-- , 20 0 5, by who is personally known to nie or who has produced As identification and who did take an oath. , day of Signature,� NOTARY PUBLIC: Sign: Print: My Comm'' ion Expires ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Contractor The foregoing instrument was acknowl dge before me tit ,20 Joy 1 _MO IC C; 4 V who IS rsonally know. to me or who has produced res: JS3 3 In antic Bonding (. itification and who did take an oath. tl ******** �k�k+ k�k�k�k�h�h�F**** �k�M# �k�k�k�k4 �k�k ****�k�k�k�k�N�k+k�k #�k�k�k� * ** *************# �k## �k�k**** �k�k #�k�k�k******* **** * **** *** ** APPLICATION APPROVED BY4Z7-7 Plans Examiner Engineer Zoning * * * * * * * * * * * * * ** Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2005 -192 Printed: 6/14/2005 Applicant: Owner: JOB ADDRESS: 160 NE 99 Electrical Permit ST Contractor HI -TECH ELECTRIC & FIRE CORP Contractor's Address: 1500 SW 101 AVE Local Phone: 305/225 -1447 Parcel # 1132060132250 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 6 -7 & 8 BLK 17 LOT SIZE 150 X 115 OR Fees: Description Amount FEE2005 -8056 Building Fee $100.00 FEE2005 -8058 CCF $0.60 FEE2005 -8061 Training and Education Fee $0.40 FEE2005 -8062 Technology Fee $2.50 FEE2005 -8063 Scanning Fee $3.00 FEE2005 -8070 Notary Fee $5.00 Total Fees: $111.50 Total Fees: $111.50 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 12/7/2005 Construction Value: Work: REMOVE EXISTENT PANEL BOARD, INETER AND WIRES $400.00 (9- 0: Signed: (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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: 359i ,, MIAMI SHORES VILLAC`6, BUILDING DEPARTMENT etes 305- 795 -2204 Building Inspection Request DatS j ) Type Insp' i nc : 1 i -1- -ctrl Permit No. IS 2. Name I (oD - e,rpri se,s LLG Address 100 I"4 E '"I ` S-r Company 1-4--f - C 308- ► / f c. Phone # (305) 8 3 a 5 Inspection Date e I Z4 � 0 5 Approved Correction Re- Insp'n Fee o 0