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ELECTRIC
MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 B ' lding Inspection Req.est Date? Z 1 ` 0 Type Insp'n / Permit No. Name qPrC1 Address CO v r v E l q j Company CaXt. Phone # Inspection Date Z[Z Approved Correction LX Re- Insp'n Fee ❑ BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address r2 7) 7 9" q S 1` City / /"M � S'h erns State ( L • Tenant/Lessee Name AO` -lam Job Address (where the work is being done) CEO % `t9' /7-1 d 1.4 . City Miami Shores Village County Miami -Dade Zip 3'3 ' 2 Is Building Historically Designated YES NO )c Contractor's Company Name IA A N cI a + wi- ��£LFL" Pl o e # 30_( ©- 30F73 3 3 ) Contractor's Address 1 Z--t /j---e D X L a� / City ,l9 & N ( 1 14 I - tA-4_ State c5--(c5--( Zip 33 / Qualifier p ©C e-V� 1 �fA l'ZWt State Certificate or Registration No. Z2---- Certificate of Competency No. 03f 61 90 ? `P Architect/Engineer's Name (if applicable) 4/4 $ Value of Work For this Permit 6519, v Total Fee Now Due $ ), (Continued on opposite side) Miami Shores Village Building Departmeitiir 10050 N.E.2nd Avenue, Miami Shores, Florida 13138 Tel: (305) 795.2204 Fax: (305) 756.8972 J 2 ))11 24 Permit No. et Ott - L Electrical Plumbing Master Permit No. Phone # c ' '• l "3 ? ) Zip Phone # 0.04, I Phone # Square Footage Of Work: Mechanical Roofing * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** A-74 Type of Work: ❑Addition ❑Alteration ❑New l e ❑ Repair/Replace ❑ Demolition Describe Work: i t ? / L - 2 00 / _ e l e T ui � _ c61 _s 9.- �v- - IAA / Submittal Fee $ 3 CC) Permit Fee $ /4r" ' a ' CCF $ e ? a CO /CC Notary $ S 0 0 Training/Education Fee $ 01 'Co . Technology Fee $ �S b Scanning $ 3 - 0 6 Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 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 constriction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: 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 must promise in good faith th a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose proper i sub' ct to attac ment Is-o, a certified copy of the recorded notice of commencement must be posted at the job sire for the first sp cti which occ rs s v n (7) days after the building inspection wil qt be roved an a rei is ection fee will be charged. Signature NOTARY Sign: Print: My Commission Expires: Chc 05/13/03 Signature Owner or Agent The foregoing instrument was acknowledged before m this day of , 20 _, by o e '0CIday of er who i onall known to e or who has produced T who p � _Y on h o 1 .7 UT) As identification and who did take an oath. S Coramission ..g,, )03 "/ on - r Thnz Atlantic Eondin r'c !etc. Sign: Print: My Commission Expir , 20 CA by Contra or The foregoing instrument was acknoo led_ed before n1e thin sonally nown to me or who has produced_1 s identifigattpn anclav did, e an oath. Commission #1)D23198/1 Expires ° 3, 200i Engineer Zoning ni {Co lilt * * * * * * * * * * ** ********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** „." APPLICATION APPROVED BY: I� ! (�� Plans Examiner ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIN)) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/EETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES - A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS 1 HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE. SWIMdING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION Ply & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. C I Pe i- -R- ( , fin CATCH BASIN srn, - r . (cr k DISCHARGE WELL �-,e DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING 4 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.) PLUMBING ELECTRICAL MECHANICAL Contractor AAA ON TIME ELECTRIC, INC. Local Phone: 305 - 308 - 7333 Parcel # 1132060134320 Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2004 -189 Printed: 7/13/2004 Applicant: KEITH REINHARD/ EDUARDO MENDOZA Owner: EDUARDO MENDOZA KEITH REINHARD/ JOB ADDRESS: 260 NE 99 ST Page 1 of 1 Contractor's Address: 12865 WEST DIXIE HWY. Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 4 & 5 & E1/2 OF LOT 6 BLK 32 LOT SIZE i. l 75 Fees: Description Amount FEE2004 -6973 Building Fee $100.00 FEE2004 -6974 CCF $0.60 FEE2004 -6975 Notary Fee $5.00 FEE2004 -6976 Training and Education Fee $0.20 FEE2004 -6977 Technology Fee $2.50 FEE2004 -6978 Scanning Fee $3.00 Total Fees: $111.30 Total Fees: $111.30 Total Receipts: 0.00 b ,3 Permit Status: APPROVED Permit Expiration: 1/8/2005 Construction Value: $650.00 Work: INSTALL 220 VOLT CIRCUIT FOR SPRINKLER PUMP 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 1 assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Date Type Insp n Permit No. — Name MIAMI SHORES VILLAGE BUILDING DEPARTM 305- 795 -2204 Building Inspection Req — Address c7 l O l/ eo Company y Phone # & 9' ' 3–N For Inspector: 0 Name & Date Approveb Correction ❑ 7 '°f.7 Re- Insp'n Fee ❑ A/o PERMIT YPPLICATION FdR. filaNtr Filcilq TILLAGE 10050 N.E. 2nd A ven& • Miami Shores, Florida 331 ... • • . •�Phene: 105 -7D5 -2;104 • Fax: 305- 756 -8972 . •.. Date Job Address Tax Folio ••• • • • •.. • • • • • . • • • • . • • . Legal Description i His1PriFally Designated: �s • 'v � • ,w � Owner /Lessee/Tenet / O 1' . Master Permit # 8 p - _2e),0 3 — 3 • 4 (� Ito © • •`J'. f' Owner's Address 61 tJ Q� tL c(1) Ma ^ g n O e.c\ • ••• •Phone • •• • • • • I •• . . . • Contracting Co. 311 QGC'� Z. l.. - C Address • 11' 3 ?:� ‘...e....., / 6 Q. Qualifier r4 v. o /4 A 4t PQ 7 SS# S V 5 2rY — /1 .6 3 Phone 5 —SOS S g 0 State # / ' 000 9 3 � I 9 Municipal # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING (ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: C( Q � 1 C PDd Square Ft. Estimated Cost (value) 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 ANY 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). 1 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 all disciplines. OWNERS AFFIDAVIT: 1 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, 1 authorize the above named contractor to do the work stated. r Y / L Signature of owner and/or Condo President Notary as to Owner and/or Condo President My Commission Expires FEES: PERMIT / 1°9r " RADON Date Signature of Contractor or Owner Bui Date Competency # Ins. Co. as • * d , ' 41 r i3�r1 6F FLORIDA Co s n xit MISSION NO. DD036024 MY. MM]SS1ON EXP. JUNE 24.2005 NOTARY 500 S+ e Date BOND APPROVED: TOTAL DUE Zoning Building Electrical . 4' Mechanical Plumbing Structural Engineer d,3 ADDENDUM' 40 BUILDING PZRMI , APPLICATION • • •• • • ••••• • • • :AN • APPLICATION F01t BIIILDINj • • • • • '' :• "! ' PERMIT !LUST ACCOKPAIIT TASS /I<DDENDuM. IF A MASTER PEtiMIT SAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) • • • • • • • • • • • • • • • .. • • ELECTRi1 A4:. •.: MECHANICAL aP sy PLUMBING TEM - :ATH TUB :MET ' ! 1 SHil ASTER 'ISPOSAL . R I18UNG FOUNTAIN '_OCR GRAIN REASE. TRAP KTERCEPTCR AVATORY WRY TRAY L0THES MASHER HOWER INK, POT/3 COMP. INK. RESIDENCE INK. SLOP E P0RARY MATER CLOSET RIVAL ATER CLOSET NOIRECT WASTES ATER SUPPLY T0: A/C UNIT FIRE SPRINKLER HEATER -HEM INST. NEATER- REPLACE LAWN SPRINKLER -WELL SWIMMING POOL HATER SERVICE EWER CONNECTIONS ILITMENER I L TTY -WATER :PTIC- TANIC 'AINFIELO 4' TILE/RES. t A81110011 SEPTIC TANK !AKAGEwPIT CU. FT. , TDIBASII ABIL LESTI iEU.: OF LAIC? REt *( GASP: = ITEM SW I TCH OUTLETS • • • • • -• • • • ••• • • •. b • • • • • •• • • LIGHT OUTLETS RECEPTACLES SERVICE TEMPORARY SERVICE SIZE IN AMPS SERVICE REPAIR/METER DWrGE APPLIANCE OUTLETS RANGE TOP WEN MATER NEATER 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 EP A/C MIKOW AIR CONDITIONERS STRIP HEATER GENERATORS TRANSFORVERS GENERATORS TRANSFOR1ERS GENERATORS TRANSFORMERS SPECIAL PLRPOSE OUTLETS (X UAL SIGN TIRES SIGN TRANSFORMERS SIGN TIME CLOCK FIXT1JES ANTENNA TELEVISION OUTLETS VIOLATION REINSPECTION Florfni r �•��� / 90�) • • 4144 •,. • • • ••. r . SPACE HEATERS CENTRAL HEATING A/C (MIND) A/C (CENTRAL) DUCT WORK REFRIGERATION PROCESS AND PRESS PIPING UACFRGROIIIO TANKS ABOVE GROUIO TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT MATER BOILERS MECHANICAL VENTILATION TRANSPORTING :ASSaeLIES ELEVATORS/ESCALATORS FIRE SPRINKLER SYSTEMS COOLING TOWERS VIOLATION REINSPECTION UNIT FEE Contractor PRO TECH 2000 ELECTRICAL CONTRACTOCdt ractor's Address: 8230 NW 168 ST Local Phone: 305 - 265 -8384 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/25/2003 Applicant: KEITH REINHARD/ Owner: EDUARDO MENDOZA JOB ADDRESS: 260 NE 99 Parcel # 1132060134320 70. 00 90.D Total Fees: $9:@O Total Receipts: $0.00 Work: ELECTRICAL POOL VXD If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection Permit Status: APPROVED Permit Expiration: 9/21/2003 fee is $50.00, which must be paid in advance before calling for another inspection. 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. Signe In consideration of the issuance to me of this permit, I agree to perform the work covered h with the plans, drawings, statements or specifications submitted to the proper authorities of myseJ ,.my agent, servants or employes. Signed:c Electrical Permit Permit Number: EL2003 -77 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 4 & 5 & E1/2 OF LOT 6 BLK 32 LOT SIZE (INSPECTOR) BY: (Contractor or Builder) EDUARDO MENDOZA KEITH REINHARD/ ST Construction Value: $900.00 Page 1 of 1 er in compliance with all ordinances and regulations pertaining thereto and in strict conformity ores Village. In accepting this permit 1 assume responisibility for all work done by either 01 n 20� 1305 d f 006529 CASH n � 00 REG I:01 042203 �.;�,, ,iG,iJI �,������, G,���, a,l,.ui, BY: Printed: 7 /25/2002 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Contractor SANSON .LECTRICAL PLUS INC Local Phone: L 1.8 0 Permit Status: Approved Permit Expiration: 1/21/2003 Work: ELECTRICAL WORK ON EXISTING HOUSE Signed' Signed: Electrical Permit Permit Number: EL2002 -247 Applicant: KEITH REINHARD/ EDUARDO MENDOZA Owner: EDUARDO MENDOZA KEITH REINHARD/ JOB ADDRESS: - 260 NE 99 ST Contractor's Address: 3995 SW 4 ST Construction Value: $8,000.00 Page 1 of 1 Parcel # 1132060134320 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 Lt_ S' R, 5 & E1/2 OF LOT 6 BLK 32 LOT SIZE 317- °5 co, mr Fees: $0O0 Total Receipts: $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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. SPECTOR) BY: 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. (Contractor or Builder) BY: ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT 3s- FEE _51r ITEM SPACE HEATERS UNIT FEE , BIDET' LIGHT OUTLETS S16 , CENTRAL HEATING DISHWASHER RECEPTACLES 510 ) f" A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AbPSOP ' ' „/,-- DUCT WORK • FLOOR DRAIN _ SERVICE REPAIR/METER CHANGE / ‘13 REFRIGERATION GREASE TRAP APPLIANCE OUTLETS J ? :.PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP / J0 UNDERGROUND TANKS LAVATORY OVEN •f' ABOVE GROU1'O TANKS LAUNDRY TRAY _ WATER HEATER 2 / U.F. PRESSURE VESSELS - CLOTHES WASHER MOTORS 0- 1 If STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE ` MOTORS OVER 5- 8 If TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTCRS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS - WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES _ A/C WINDOW REINSPECTION HATER SUPPLY TO: AIR CONDITIONERS .3" 7 A/C UNIT STRIP HEATER ,j- FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL - OUTLETS COMMERCIAL WATER SERVICE • SIGN TUBES EWER CONNECTIONS SIGN TRANSFORMERS ffILITY -SEWER SIGN TIME CLOCK ITILITY -WATER FIXTURES 'EPTIC TANK ANTENNA ' ELAY TELEVISION OUTLETS 1-- 7a RAINFIELO, 4' TILE/RES. VIOLATION UMP & ABANDON SEPTIC TANK REINSPECTION OAKAGE PIT CU. FT. ATCH BASIN ISCHARGE WELL JMESTIC WELL REA DRAIN JOF INLET JLAR WATER HEATER IRE STANDPIPE l0L PIPING 1WN SPRINKLER SYSTEM .S RANGE :TER SET (GAS) _ LS PIPING _ PLUMBING 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.) ELECTRICAL MECHANICAL The Sunshine State LICENSE MASER M532-201-64-212-0 EDUARDO A MENDOZA 1400 NE169 STREET APT 202 NORTH MIAMI BEACH, FL 33162 BIRTH DATE SEX HGT. REST. ENDORSE. 06-12-64 M 5-08 ISSUED EXPIRES DUPLIC.ATt 02-17-08 06-12-06 10-03-00 jJ MX010E130023 Operation d a motor vehicle constitutes consent to any sobriety test required by law. SAFE DRIVER N TTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, arid in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: o`p Q /VC tA,rr►t SNoQEC S I /�mn P 1 0 - 10 i<Yr �r- S 2. Description of improvement: , C /Q/ ' 3. Owner(s) name and address: interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: i I /.) / A • PLUS i J C_ - 12 iLion.A v So Sro Surety:(Payment bond required by owner from contractor. if any) \lame and address: -\mount of bond $ n1 A S. Lenders name and address: t., AS ■-4 tcro ran -r1) � � ag �l.r +rtmtZt;l� ctt;c�E C o,r�� Persons within.the State of Florida designated by Owner upon whom notices or other documents may be served as provided )y Section 71 3.13(1)(a)7., Florida Statutes. lame and address: /.) I A- �• STATE OF FLOR;DA, COUNTY OF D DE API CERTIFY this is a r e II1� to kl . In addition to himself, Owner designates the following person(sjto r1(Y6` ;, :� `�a •ection 713.13(1)(b), Florida Statutes. HARVEY RUVIN, CLW K, ?a u,ta By .ame and address: NIA Nature of net •int Owners Name 4 e 14I-k Rt!:inccr KEtTM tinE 1-0 h1Ak dAth .�.• ��� . . Expiration date of this Notice of Commencement: (the expiration date i . tferent date is specified) a Mary Public I 1 A NIP int Notary's Name Commission Expires' S •vorn to and subscribed before me this,25 day of 5�1 . 34200,Z II- 3�o6- 013- `f3ao original filed in this • 02846258 1 2002 JUL 25 12:24 / �/.(J0 C'IC fYtttvr+11 S b- c . 5 33/3K 92oR nw5 3 3� 5�n•L;sC, FL 33351 rom the date of recording unless a Prepared by: PAM e• D COMMISSION NUMBER DD096801 MY COMMISSION EXPfRES MAR. 172006 iCe �tt2 elAici • . 9 3 c 1 -oc. LA C6n s e WIZ- Si j FL. 33i3 t23At•52 293 Type Insp'n MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Nan) Address 0 Date. I Time Permit No L O n y gi„i G ict) • Compan �t,,'� Phone # DS _ For Inspector: 1) 0 /0„I E Name : la Approved Correction ❑ / 5'1.2.0'.02 Re-Insp'n Fee ❑ N\ 0 e 0 0 - 9, t_s MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 5 AC/�glime Type Insp'n 4 " / Dit A- Gd/ , 1 ' ,� ` — Permit No. 9 �' / �vs — 4 ' Name /Z e / ) /�/'zn Address 577 Company ,re%' /(.°) Phone # For Inspector: Name & D Approved Lf 60/ Correction ❑ ���'��� Re- Insp'n Fee ❑ LT-9/,3 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n Permit No. 9 3 - 2- Name Address L � ` /a � Company /1 Q (. 1' \ Phone # 30 S) l 5 0 5 ,?D For Inspector: / v Name & -Date Approved Correction ❑ 7 '3 / d/>2 G-2 3 Re- Insp'n Fee ❑ ( 2 c e ) "7 . /,/,/ t MIAMI SHORES VILLAGE BUILDING DEPART 305- 795 -2204 Building Inspection Req es Date Time Type Insp'n Permit No. e2 qq Name Address °W01) / qq y. Company O - �, Phone # r495 • 505 500 0 O9 ( e /Name i'ra't ' Approved a 3 D 4K Correctio � G Re- Insp'n Fee ❑ For Inspector: MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n / Permit No. G '02 • ei Name Y! 6 Time For Inspector: 62 Approved) i / 4 0 Correction dor Re- Insp'n Fee 71 l e fsJ4► d cd ,.a, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE �/ 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • 305 795 - 2204 Date i; // 3/' 2 Job Address a60 YE * S t Tax Folio Legal Description Historically Designated: Yes \� Owner /Lessee/Tenet Master Permit # � -) U n J— • • Owner's Address c2 b O AI E lekors r Phone 3o6 ?s / -,?7/? Contracting Co.�/1r.15 �" U h tCA1 �/ PAddress Qualifier OD. �• ->a-Z, � t2 N State # Municipal # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICA N ic WORK DESCRIPTION: ��__ = �J � *121 C Square Ft. Estimated Cost (value) )' i POO t C 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 ANY 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). 1 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 all disciplines. OWNERS AFFIDAVI • ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws re ating construc on and zon'ng. Furtherr re, I authorize the above named contractor to do the work stated. Signature of owner and/or Condo President otary A'fii!COtex •'!2 ent � ��ssI i£RG :'1'Bt•t� ATF OF FLORIDA CO;.IMiasJ NO ' 7"7732 MY COMMISSION EXP. SEPT 23 002 FEES: PERMIT 7 Z3 RADON Date Signature of Contractor s • ner uilder Date Notary o 3* 10.1004 My Co :; i � ' „ Tres cofnrr ion # CC979510 C.C.F 1 ( l NOTARY BOND APPROVED: Zoning Building Electrical . k _V >- Mechanical Plumbing 3 g Ys -S LJ SS# . Y' 5) (-4-3-860 Competency # Co. 9`t't D °OaS2 FIns. PLUMBING MECHANICAL ROO ING 6 /2 /( 6 I) CSI J)',tia 0 Date MORE NO Date TOTAL DUE Structural Engineer 2 - MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date �. Jq 1sd Permit No Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. f/!! / Owner's Name and Address A94( Registered Architect and /or Engineer �� ` Employing Electrician's Name.. .i. ., � - ./..••• •L..cr' NO 49.9IV ..,rE Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed — Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories LL / (Signed) . P trz: Street 0 T C- 33/3 1 3 40 Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Underground / Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amps Amount of Permit $ � (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 sub•conta‘ctors 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. Master Electrician. STATE OF FLORIDA, COUNTY OP 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 Notary Public, State of Florida NOTE: A r•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 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 NEATER STRIP H TOTAL CONTR. LIST • CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. /��y� V / - DA1 n // / MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. a�A RADIO h e I L Nai I i TOTAL °j' f `5 C LIST LIST CHECK J#cfI, = MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date �. Jq 1sd Permit No Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. f/!! / Owner's Name and Address A94( Registered Architect and /or Engineer �� ` Employing Electrician's Name.. .i. ., � - ./..••• •L..cr' NO 49.9IV ..,rE Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed — Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories LL / (Signed) . P trz: Street 0 T C- 33/3 1 3 40 Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Underground / Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amps Amount of Permit $ � (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 sub•conta‘ctors 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. Master Electrician. STATE OF FLORIDA, COUNTY OP 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 Notary Public, State of Florida NOTE: A r•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. Permit No Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. ss. building during progress of work. New Building APPLICATION FOR ELECTRICAL PERMIT ,p Date,,�t% / 1.,,57.5/ 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 My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT k ait,s44) Owner's Name and Address Registered Architect and /or Engine Employing Electrician's Name _ Location and Legal Description Lot Street and Number where work is to be perfo ed —No State work to be performed and purpose of building (By Floors) Service Overhead Size Feeders Conduit Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Before me, the undersigned authority, a notary public, appeared — - - -- — - -- - No.___ t o O �, No _Block Subdivision__ -- 24 (7 Street - - - - -- / - - -� - - -- I '�- -- Remodeling Addition.. Repairs_ 300 Street_ Gs�ers4 Main Sw __ — Amps. _ - -_____ Main Fuses (Signed) Notary Public. State of Florida Street_l__ _ ________ —___ No. of Stories Electrical Inspector, The undersigned applican for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen' Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions t ereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this pe t; and will post or cause to be posted for inspection on site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contracts n work to be performed under this permit, as are licensed by Miami Shores Village. Amps. (Signed)X__ �t' redestia Master Electrican. duly authorized to administer oaths and take acknowledgments, personally • 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 be 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 OUTLETS LIGHT OUTLETS PLUG RECE•P'T'S FIXTURES NO.LAMPS REPRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 1 .1m/if / I //- CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS O -1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. ss. building during progress of work. New Building APPLICATION FOR ELECTRICAL PERMIT ,p Date,,�t% / 1.,,57.5/ 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 My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT k ait,s44) Owner's Name and Address Registered Architect and /or Engine Employing Electrician's Name _ Location and Legal Description Lot Street and Number where work is to be perfo ed —No State work to be performed and purpose of building (By Floors) Service Overhead Size Feeders Conduit Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Before me, the undersigned authority, a notary public, appeared — - - -- — - -- - No.___ t o O �, No _Block Subdivision__ -- 24 (7 Street - - - - -- / - - -� - - -- I '�- -- Remodeling Addition.. Repairs_ 300 Street_ Gs�ers4 Main Sw __ — Amps. _ - -_____ Main Fuses (Signed) Notary Public. State of Florida Street_l__ _ ________ —___ No. of Stories Electrical Inspector, The undersigned applican for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen' Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions t ereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this pe t; and will post or cause to be posted for inspection on site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contracts n work to be performed under this permit, as are licensed by Miami Shores Village. Amps. (Signed)X__ �t' redestia Master Electrican. duly authorized to administer oaths and take acknowledgments, personally • 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 be 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. NO. Motors STREET PART OF LOT LOT BL'K SUBDIVISION V V .../4 , ' / if C. 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 cFhores9illage F L o A ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , , ,.�•G • /,> 19 LO CATI 0 N DESCRIPTION OF WORK NUMBER OF N° 223 -tit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with ifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Cbcit 'llage and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may, be revoked at any time c any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by , Electrical Inspector. •f the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with Ins and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the trical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami 19 t (Seal) Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee f / ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building contractor or Electrician • aiami cFhores9illage F L o A ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , , ,.�•G • /,> 19 LO CATI 0 N DESCRIPTION OF WORK NUMBER OF N° 223 -tit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with ifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Cbcit 'llage and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may, be revoked at any time c any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by , Electrical Inspector. •f the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with Ins and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the trical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami 19 t (Seal) CEILING BRACKETS RECEPTACLES SWITCHES STOVES WATER HEATERS SIGNS OTHER APPARATUS BRACKETS MAIN SUBS BRANCHES BASEMENT FLOORS FIXTURES ONLY NUMBER OF TOTAL OUTLETS SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS MAIN SUBS BRANCHES BASEMENT FIRST SECOND THIRD FOURTH A -6J LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION WILL BE RETURNED. LOT NUMBER " BLOCK NUMBER SUBDIVISION STREET AND NUMBER., ITi- I a r' SID OWNER ` „ OCCUPIED As BUILDING —NEW OR OLD (UNDERLINE WHICH) KIND OF INSTALLATION REMARKS CONTRACTOR RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN ROUGH WIRING FINAL No CORRECTED TEMPORARY DAYS. DATE ISSUED REMARKS ` APPLICATION NO 2 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 Inspector. SPACE BELOW FOR INSPECTOR'S USE ONLY FEE REMITTED OCCUPANT WORK — ADDITIONAL, NEW, ALTERATION OR REPAIR SPECIFICATIONS H. P. OF EACH MOTOR VOLTS TOTAL AMPS INSPECTION WANTED PHASE OPEN OR CONCEALED KNOB. RX., BX., MLDG., CONDUIT, METALLIC TUBING B ADDRESS INSPECTED INSPECTOR NO. 7 STREET ( , PART OF LOT LOT BL'K SUBDIVISION d Is 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 co :truction. Owner of Building C actor or Electrician aiami cShores9llage F L o A ID A OFFICE OF ELECTRICAL DEEP�A Miami Shores Village, Fla , ( le��+ �+' - / 19 DESCRIPTION OF WORK NUMBER OF LOCATION N? 223 • Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with d specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code )res Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time ‘tion of any provisions of said laws, ordinances, or rules and regulations, or upoP any ,cha in she plans and specifications unauthorized by tt. , Electrical Inspector. ration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with d the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations f the Electrical Department of Miami /44.G/ I 19' 1� r of -� _ (Seal) FLOORS FIXTURE ONLY NUMBER OF Total Outlets SIZE OF Size Service Conduit No. Circuits Lights Ceiling Brackets Mains Subs Branches asement— first :cond �.. �y'.. / hird ourth Form 246 LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICA- Lot Number and Numller ,, t Building —New or Old (underline which). H. P. of each motor Volts Total Amps Phase Kind of Installation Open or Concealed F S T Lights Ceiling REMARKS Received by Inspector U Block Numb r Brackets • Progress Will Inspect again Rough Wiring FINAL No Corrected Temporary .Days Date Issued Receptacles APPLICATION Electrical Department of the Cit of Miami Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated be- low, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by Inspector. TION WILL BE RETURNED LI 01 Subdivisio SPECIFICATIONS Switches Stoves nspection Wante No vS G DAT 1 93_a_ Water Heaters l Side Occupant Work — Additional, New, Alteration or Repair. Signs Other Apparatus Knob, RX., BX., Mldg. Conduit E BELOW FOR INSPECTOR'S USE ONLY Inspected Remarks Fee remitted /.' Inspector FLOORS FIXTURE ONLY NUMBER OF Total Outlets SIZE OF Size Service Conduit No. Circuits Lights Ceiling Brackets Mains Subs Branches asement_ a v .z / 7 irst :cond hird ourth AVOID Lot Number k) Street and Numb Occupied as Owner Building —New or Old (underline Kind of Installation Open or Concealed B F S T By Lights DATE I 1; �- / v 193 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 be- low, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by Inspector. LOCATION DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICA- r Ceiling Received by Inspector Progress Will Inspect again V Rough Wi 'ng FINAL No Corrected Temporary _Days Date Issued TION WILL BE RETURNED � _ ,�j j� , Block Number Subdivision MA Brackets which). v H. P. of each motor Volts Receptacles REMARKS APPLICATION N9 Work — Additional, New, Alteration or Repair. SPECIFICATIONS Switches •'1.,1.1 4,. " C ` Inspection Wanted Contractor ddress SPACE BELOW FOR INSPECTOR'S USE ONLY Remarks Fee remitted Occupant Inspected 5 " - Total Amps Phase Stoves I Water Heaters _Knob, R.X., BX., Mldg. Conduit r f Signs Inspector Other Apparatus FLOORS FIXTURE ONLY NUMBER OF Total Outlets SIZE OF Size Service Conduit No. Circuits Lights Ceiling Brackets Mains Subs Branches asement_ -- .• -- irst _ _ __ 2cond hird ourth Form 246 LO CATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICA- TION WILL BE RETURNED' Lot Number Block Number Subdivision 41/41' 7e ' .' Street and Number V d '4 E r 7 7 Side A " ` ' Owner ;;f° ......... : " 4 1:-A. o Occupant 0` . Occupied as ' A.G0 • Building —New or Old (underline which). Work— Additional, New, Alteration or Repair. H. P. of each motor Kind of Installation Open or Concealed Knob, $X., BX., Mldg. Conduit F S T By Lights Ceiling Brackets 1 REMARKS Contractor SPACE BELOW FOR INSPECTOR'S USE ONLY Received by Inspector I Progress Will Inspect agair. Rough Wiring FINAL No Corrected Temporary Days Date Issued APPLICATION No DATE -Ili / I t 193 ? 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 be- low, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by Inspector. Receptacles I mo, .0,42 at-c, Ecr r.� Remarks SPECIFICATIONS Volts Total Amps Phase Switches 2 � Fee remitted t' i • Stoves Inspection Wante ddress Inspected Water Heaters Signs Other Apparatus 4 Inspector 24