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ELECTRICALAPPROVED: Zoning Mechanical Qualifier PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3 /O /0/ Job Address \' xx -2,531 99c57 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant y 4 9 oC ..c) 2CS (5 � .c s1 Master Permit # c 2 2. 4 5 Owner's Address -25 4' ,5,57: Phone �/(g ) - 7' 6 � ' - 7- 7 13 7:4 r� 6;q: Contracting Co. 6/ 2 . Address /� 7f z 2T £4�-�r �Ka4 Tb5 SS# . -_ Phonee,c) `1� .2,.3 3 State # e /� /o Municipal # Competency # Ins. Co. Signa N9tary as to Owner and/or Con My Commission Expires: Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION c.5 CE a4,09 Square Ft. Estimated Cost (value) x 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 -named contractor to do the work stat Of, .0 1 owner d/or do Presi en ate D. 4. o Presider LAD' NOTARY PUJUC SATE OF FLORIDA COMMISSION NO. CC714103 COMMISSION EXP. MAR. 1,2002 FEES: PERMIT ‘''''' RADON /00% Si e of Contr • ' r g Owner- Builde S -A 2..› ` ii % 1 ViL Notary as o Con acto,� gtarggrai:��I 1 ? ccno My Commission • �Yret iS551ON r: R. �, co 5 R Ft 11)4'1 C.C.F. ,• b D NOTARY BOND TOTAL DUE Building Electrica aaggp _ Date Plumbing Structural Engineer JE7✓S- _/.051 A?= /DC7t)C6 ,Z53__A!E oiop • ,* .47sAy;/.O.1.--i72 ) A- 2 49/V 7 o it! koidE /44e1/ = i -Z 00 - k_3i4 / .s 4 ? e-7- 6G x)441. = /coo d. /6.944E = _ /.? 400 •i!, 0/5,1a)4 .51/87Z 7L r ti,='/? ,z ?c'= l 50/ 475 — .5n5 .5'8 ,ram .- 4/.3 /.ST /9 .Pod / /OD % : = IQ !) J T�74G :i i -144. t / Gccaa, 4-Doc) dam. 49610 vA- ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION 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.) N s 6 re eE5 rp PLUMBING 2S3M ?9�ST ELECTRICAL MECHANICAL BATH TUB BIDET ! DISHWASHER DISPOSAL DRINKING FOUNTAIN FLOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER SINK, POT /3 COMP. SINK, RESIDENCE SINK, SLOP TEMPORARY WATER CLOSET URINAL WATER CLOSET IMO IRECT WASTES WATER SUPPLY TO: A/C UNIT FIRE SPRINKLER HEATER -NEW INST. HEATER- REPLACE LAWN SPRINKLER -WELL SWIMMING POOL WATER SERVICE SEWER CONNECTIONS UTILITY -SEWER UTILITY -WATER SEPTIC TANK 1ELAY IRAINFIELD, 4' TILE/RES. 'UMP S ABANDON SEPTIC TANK OAKAGE PIT CU. FT. :ATOM BASIN IISCHARGE WELL 'OMESTIC WELL REA DRAIN OOF INLET OLAR WATER HEATER IRE STANDPIPE )OL PIPING Th1 SPRINKLER SYSTEM \S RANGE :TER SET (GAS) .S PIPING UNIT I .FEE ,ITEM SWITCH OUTLETS LIGHT OUTLETS RECEPTACLES SERVICE TEMPORARY SERVICE S IN AMP 32 n� SERVICE REPAIR/METER E APPLIANCE OUTLETS RANGE TOP OVEN WATER HEATER MOTORS 0- 1 HP MOTORS OVER 1- 3 HP MOTORS OVER 3- 5 HP MOTORS OVER 5- 8 HP MOTORS OVER 8- 10 HP MOTORS OVER 10- 25 HP MOTORS OVER 25-100 HP MOTORS OVER 100 HP A/C WINDOW AIR CONDITIONERS STRIP HEATER GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS SPECIAL PURPOSE OUTLETS COMMERCIAL SIGN TUBES SIGN TRANSFORMERS SIGN TIME CLOCK FIXTLTiES ANTENNA VIOLATION RE INSPECTION UNIT TELEVISION OUTLETS FEE ITEM SPACE HEATERS CENTRAL HEATING A/C (WIND) A/C (CENTRAL) DUCTWORK REFRIGERATION UNIT PROCESS AND PRESS PIPING UNDERGROUND TANKS ABOVE GROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS FIRE SPRINKLER SYSTEMS COOLING TOWERS VIOLATION REINSPECTION FEE ITEM / PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / /25h7 Job Address 253 1V.E. 99 27 Tax Folio / 1 3J06 0/ 3t /j640 Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Los / (,J( gu Master Permit # LA) 0/ 9/ Owner's Address 2.5 3 N.C. 99 aril- r Phone 05) - 75 4 i — Contracting Co. /F J42LE ar&TieICAL eOM terze.S Address 51/0 /J b' . Igo 3r. 14 / 4 vt , �L Qualifier (Jer , AU i 111 SS# S7Phone 005 ) Q'/0 -0777 State # EC WO 11'4 0 Municipal # Competency # Ins. Co. Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING LECTRICA3 PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION M ('C / () I1 1 �O dl t A f0k v }i r I Square Ft. ?- 0 4 Notary as to Owner My Commission Ex ire FEES: PERMIT t ® ` dam RADON C.C.F. APPROVED: Zoning Mechanical Date a7 OFFICIAL N • EAL BONNIE LEE LANE NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO CC61O7S9 12,2001 MY COMMISSION EXP. AN Address Address Address Building w ilh r 1 el/t/ l - b' Sr i (1) 31/4 70 >, Estimated Cost (value) 0 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 -named contractor to do the work stated. 63,14,;(- Signature of Contractor or 0 er- Builder Notary as to Contr My Commission Expire NOTARY e • rA r • l• OFFICIAL NOTARY SEAL BONNIE LEE LANE NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC610789 MY COMMISSION EXP. JAN. 12,2001 ur TOTAL DUE // Date //21/ Date Electrical :� -- Plumbing Engineering ADDENDUM TO BUILDING PERMIT. APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOHEAN>< THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APlLICATIONS.) • FEE ITEM SWITCH OUTLETS SERVICE SIZE IN AMPS SERVICE REPAIR/I(TEA CNWGE APPl1AKE CURETS RANGE TCP OVEN HATER HEATER MOTORS 0- 1 FP IDTCRS OVER 1- 3 FP IOTCRS OVER 3- 5 FP MOTORS OVER 5- 8 FP IOTORS OVER 8- 10 FP MOTORS OVER 10- 25 FP ROTORS OYER 25-100 FP JOTORS OVER 100 FP A/C W IICOII AIR MI CHERS 7 STRIP HEATER it IN 4 /o A, GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS SPECIAL PURPOSE OUTLETS COMMERCIAL SIGN TIRES SIGN TRANSFORMERS SIGN TIDE CLOCK FIXTURES ANTENNA TELEVISION OUTLETS VIOLATION REINSPECT ION FEE ITEM SPACE HEATERS CENTRAL PEAT IPG A/1C vim A/C (CENTRAL REFRIGERATION PROCESS AND PRESS PIPING UOERGRatO TANKS ABOVE GROUND TANKS U.F. PRESSLRE VESSELS STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION CII; ( KIRK TRANSPORTING ASSEbRI.IES ELEVATORS/ESCALATCRS F IRE SPR INKIER SYSTEM COOLING TO! ERS VIOLATION � RE INSPECT ION _ 111" MEM FEE wi 111111r mom Ell Az ■ ammo IN �e�0 ti NMI air =M IM II al 1 B IDET 0 ISMIASNER DRAIN TRAP FOUNTAIN A/C UNIT FIRE SPRINKLER NEATER -NEW INST. HEATER-REPLACE LAIR( SPRINKLER -FELL SRINIING POOL WATER SERVICE DRAINFIELO, 4' TILE/RES. RAP & MANN SEPTIC TAN( SOAKAGE PIT CU. FT. CATCH BASIN D I SCRAM HELL OaESTIC DELL URN SPR DICIER SYSTEM ITEM BATN TI$ 0ISPOSAL DR MK GREASE FLOOR DRAIN INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES $A R SNOWIER SIN( POT/3 COIF. SI KK, RESIDENCE SINK, SLAP PLUMBING TEMPORARY DATER CLOSET URINAL HATER CLOSET INDIRECT WASTES WATER RIPPLY TO: SERER CONNECTIONS UT It. ITY-SE1lER UT IL I TY -MATER SEPTIC TANK RELAY AREA ROOF INLET SOLAR MATER 1fATER FIRE STAMP IPE P001 PIPING GAS RAKE PETER SET (GAS GAS PIPING 03/0 15:24 . MSU ELECTRICAL 004 MECHANICAL Load Calculation for: LORI WILLENBORG 253 NE 99TH STREET MIAMI SHORES, FL 2150 Square Foot Residence Using NEC 220 -30 (Optional Method) NEC 220 -30 (b)(1) 2 -20A Small Appliance Laundry Circuit 1,500 NEC 220 -30 (b)(2) Gen. Lghtng @3 VA /Sqft NEC 220 -30 (b)(3) >>>>>>»» Electric Range 12,000 >>>>>>»» Clothes Dryer 5,000 >>>>>>»» Water Heater 4,500 >>>>>>»» Dishwasher 1,250 NEC 220 -30 (b) (4) >>>>>>»» Misc Continuous Load 0 >>>>>>>>» Irrigation Pump 1,250 >>>>>>»» Pool Pump 0 Total Other Load Per NEC 220 -30(b) 34,950 First 10KW at 100% 10,000 Remainder at 40% 9,980 NEC Table 220 -30(1) >>>>>>>>» Heat -A /C (larger one) 16,500 Total Demmand Load per NEC 220 -3 (optional Method) 36,480 Watts 152 Amps @240 Volts Minimum Wire Size per NEC Table 310 -16 Note 3 #1 /0 THHN Maximum Overcurrent Protection.(for that size wire) 175 Amps Minimum Grounding Electrode Conductor, NEC 250 -94 #4 Copper OFFICIAL Ng: FySE NOTARY P BONNIE/L. PUBLIC_( A COMMISSION 9 NO. CC6107 I'A MY COMMISSION EXP. AN. 12,2001 r 1 L E L L J Existing 200 Amp Service Equipment # 6 Romex (typical of both units) First Floor AHU w /IOKW Heat First Floor ACLU 3-1/2 Ton Second Floor ACCU 2 Ton Second Floor AHHU w/7 KW Heat L New AC Equipment and Wiring Qj U • o cu 7 111 E Li Q) o L- w o • CO Ln aJ t it14 /51 6 13 Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date February 19, 1981 Application is hereby made for the approval of the detailed statement of the plans 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 progress of work. 25 3 Owner's Name and Address Martin Green No Street N...E.- .9.9 _St.. Registered Architect and/or Eneineer 'Penny tIectricaI Contractors Employing Electrician's Name of -South Florida, Inc. No 11720 streetN.E. 2 Ave. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No 253 N.E. 99- •St. Street State work to be performed and purpose of building (By Floors) New Building Remodeling X Addition Repairs No. of Stories se_,;__ `"" Underground Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation---Conduit Tubing B.X.L .Metal Moulding Amount of Permit (Signed) M . < PIO° e 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 complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed).... Muter Electrician. STATE OP FLORIDA, } ss. COUNTY OP 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 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'••T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER NEATER W. HEAT. CONN. SPACE H STRIP H EATER TOTAL CONTR. LIST 1 2 • CHECK ENT. SW. DIST. DAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RAOI0 . TOTAL CONTR. LIST 200amp CHECK . t it14 /51 6 13 Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date February 19, 1981 Application is hereby made for the approval of the detailed statement of the plans 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 progress of work. 25 3 Owner's Name and Address Martin Green No Street N...E.- .9.9 _St.. Registered Architect and/or Eneineer 'Penny tIectricaI Contractors Employing Electrician's Name of -South Florida, Inc. No 11720 streetN.E. 2 Ave. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No 253 N.E. 99- •St. Street State work to be performed and purpose of building (By Floors) New Building Remodeling X Addition Repairs No. of Stories se_,;__ `"" Underground Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation---Conduit Tubing B.X.L .Metal Moulding Amount of Permit (Signed) M . < PIO° e 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 complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed).... Muter Electrician. STATE OP FLORIDA, } ss. COUNTY OP 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 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. • Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date U Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building cot other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address./.• R EED No 1.5 3 4 '' E Street rr ST Registered Architect and /or Engineer Employing Electrician's Namei ' { r ....... be (7o l? / No 3 2-17 Street pT7 te• Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ,a.,f 3 4' Street... PI ST" State work to be performed and purpose of building (By Floors) P T - te v i �E 6'cfi ' 4 r . ` 9 New Building Remodeling Addition Repairs 4 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 1. (Signed).i.t.`J! f.4K/.1v(01S es. /.. 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 complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of he work such public n ce or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, n work to S performed under permit, as are licensed by Miami Shores Village. (Signed) No. of Stories Master Electrician. STATE OF FLORIDA, t COUNTY OF DADE. J j Before me, the undersigned authority, a notary public, duly authorized 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. se. to administer oaths and take acknowledgments, personally My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of 11.00 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. L REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. NEAT. Comm. SPACE HEATER STRIP H TOTAL CONTR. LIST CRICK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHICK • Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date U Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building cot other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address./.• R EED No 1.5 3 4 '' E Street rr ST Registered Architect and /or Engineer Employing Electrician's Namei ' { r ....... be (7o l? / No 3 2-17 Street pT7 te• Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ,a.,f 3 4' Street... PI ST" State work to be performed and purpose of building (By Floors) P T - te v i �E 6'cfi ' 4 r . ` 9 New Building Remodeling Addition Repairs 4 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 1. (Signed).i.t.`J! f.4K/.1v(01S es. /.. 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 complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of he work such public n ce or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, n work to S performed under permit, as are licensed by Miami Shores Village. (Signed) No. of Stories Master Electrician. STATE OF FLORIDA, t COUNTY OF DADE. J j Before me, the undersigned authority, a notary public, duly authorized 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. se. to administer oaths and take acknowledgments, personally My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of 11.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No . APPLICATION FOR ELECTRICAL PERMIT 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 z �� No G �'� �� Street. Registered Architect and /or Engineer M � pj Employing Electrician's Name Z�l� No.....�ra� Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No :"-t../. Street A/E: i < , s-r/ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition 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 $ e (Signed) 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 complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) / i > Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. I �'' 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Date... .... 0 Notary Public, State of Florida NOTE: A re-inspection fee of S1.00 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 REPRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE H ATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIET. CAE. SERVICE TEMP. SERVICE PERM. 4 D(L� �' MOTORS 0.1 HP MOTORS 1.3 HP NEON TRANS. RADIO TOTAL CONTR. LIST 1 CHECK Permit No . APPLICATION FOR ELECTRICAL PERMIT 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 z �� No G �'� �� Street. Registered Architect and /or Engineer M � pj Employing Electrician's Name Z�l� No.....�ra� Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No :"-t../. Street A/E: i < , s-r/ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition 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 $ e (Signed) 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 complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) / i > Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. I �'' 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Date... .... 0 Notary Public, State of Florida NOTE: A re-inspection fee of S1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Owner of Building Architect Contractor or Builder Legal Description Lot Address of Building 3 1 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ 1 ELECTRICAL DATE 195 ELECTRICAL ❑ PERMIT N° 9 7 2 1 Contractor s PLUMBING License No w., r j 1 ROOFING ❑ 1:1 Work to be performed under this Permit Lt' k Bi. Subdi- vision Sq. Ft Value of Project $ Amt. of Permit $ BY AUTHORITY 4. 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. - Signed • : a - 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. t 17 APPLICATION FOR ELECTRICAL PERMIT r � Permit No.�__ "1 Date – Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address _______ __ —__. Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot_ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Block Street and Number where work is to be performed —No Over d No. Street __4.- State work to be performed and purpose of building (By Floors) ' -' /' ' New Building Remodeling I.' Addition Repairs � __ No. of Stories LLetB erground Size Feeders Conduit_____ w Main Sw _____ 'r �ppe. �__ –__ Main Fuses__..________________Amps. Type of Installation — Conduit Tubing — Service Amount of Permit My Commission Expires B.X.L. Metal Moulding (Signed) Notary Public. State of Florida Electrical Inspector. . The undersigned applicant for this building permit does hereby certify that he understands d 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, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. es. 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 be 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 O UTLETS LIGHT OUTLETS PLUG RECE'P'T'8 FIXTURES N O.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTL " ON N. WATER H EATER W. HEAT. CONN. SPACE H EATER STRIP H EATER TOTAL CONTR. LIST s. CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SER RM. , ; .,` MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST IST CHECK APPLICATION FOR ELECTRICAL PERMIT r � Permit No.�__ "1 Date – Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address _______ __ —__. Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot_ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Block Street and Number where work is to be performed —No Over d No. Street __4.- State work to be performed and purpose of building (By Floors) ' -' /' ' New Building Remodeling I.' Addition Repairs � __ No. of Stories LLetB erground Size Feeders Conduit_____ w Main Sw _____ 'r �ppe. �__ –__ Main Fuses__..________________Amps. Type of Installation — Conduit Tubing — Service Amount of Permit My Commission Expires B.X.L. Metal Moulding (Signed) Notary Public. State of Florida Electrical Inspector. . The undersigned applicant for this building permit does hereby certify that he understands d 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, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. es. 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 be 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. BUILDING ELECTRICAL PLUMBING Architect Contractor r Builder al Lot - ription press of t: Aiding -- v MIAMI SHORES VILLAGE, FLORIDA et_ PERMIT N9 2634 Work to be performed under this Permit -' ' Owner of Building { y: Bl. Subdi- vision Value of Project DATE Contractor's License No. r Amt. of / Permit i f _ ! 194L 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. ' 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 accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. a .eONTRACTOR OR BUILDER BY AUTHORITY APPLICATION FOR ELECTRICAL PERMIT �j� 6 Permit No. ____f_ 3 _ i Date ( " 4 / ? > 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 Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description 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 Overbe�d Size Feeders _ Conduit. Main Sw._ Untie rground Type of Installation— Conduit Tubing W_ Amount of Permit $___ __s as . My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT w , (Signed) Street__' £ i 7 _' + Y ;re. Subdivision- __— _____-____.__ ,.5-3 - -- r ` __ _.'r .�`- __ a �— ,/ ------------------- Addition. Repairs ______________ r ___ No. of Stories Street B.X.L Metal /Tiding (Signed) Main The undersigned applicant for this building permit does hereby certify that he understands . d 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 inspecti f► 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, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public. State of Florida Electrical Inspector. o f Master Electrican. 1 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, that be 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' T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTL •Ppl.NOE` CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST r ■"-r CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERyiCt 1 ,,.PERM. �., "-s., MOTORS 0-1 HP MOTORS 1 -3 HP NEON TRANS. RADIO • TOTAL CONTR. LIST CHECK APPLICATION FOR ELECTRICAL PERMIT �j� 6 Permit No. ____f_ 3 _ i Date ( " 4 / ? > 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 Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description 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 Overbe�d Size Feeders _ Conduit. Main Sw._ Untie rground Type of Installation— Conduit Tubing W_ Amount of Permit $___ __s as . My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT w , (Signed) Street__' £ i 7 _' + Y ;re. Subdivision- __— _____-____.__ ,.5-3 - -- r ` __ _.'r .�`- __ a �— ,/ ------------------- Addition. Repairs ______________ r ___ No. of Stories Street B.X.L Metal /Tiding (Signed) Main The undersigned applicant for this building permit does hereby certify that he understands . d 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 inspecti f► 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, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public. State of Florida Electrical Inspector. o f Master Electrican. 1 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, that be 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.