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ELECTRICAL
MIAMI SHORES' VILLAGE BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Request Date„ j Type Insp'n \ n(\ 1� J inT Permit No. C OV 4 - 10 1 Name I 44r. 13 Address 2( 0 7 - Imo' E c-16 S Company IJ -7 C n —G04-7 Phone # 1 J ► Inspection Date 5/7 Approved Correction ❑ / V ©�� Re- Insp'n Fee rl MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 c�,,, Building Inspection Rey' estl -t LS Date ime Type Insp'n Permit No. Name Address Company Phone # 3 oS I 1 1 ame For Inspector: Approved Correction Re- Insp'n Fee P\N\ -/t6 MIAMI SHORES VILLAGE BUILDING DEPARTMFN 305- 795 -2204 Building Inspection Request Date`\ 1 ) 1 Type Insp'n .� 0 /J! ? Permit No. Name -4"5 Address 2 6 Company 0 Q Phone # ` _ 0 / S b ' For Inspector 'j 11 tI ) Q Name & Date_ Approved /4:- Correction /WA Re- Insp'n Fee ❑ h 61,_ A te",‘Ae /�Qd r� MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request a Time Dat Type Insp'n Permit No. Name Address ( 1►C C � �� Company 4 ,(,Q�Q C -/ 9 A Phone # For Inspectora) 7 /D3 E Na - i . - Approved I7 - - -/% A0f Correction Re- Insp'n Fee ❑ // c- MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request /' 2 Date Type Insp'n ` 1 Permit No. Name Address Company Phone # OP Inspection Date - Approved ❑ Correction ❑ Re- Insp'n Fee ❑ CONTRACTOR + New Construction Name 1 e_7 /1- Name Address 2,6 i/t- 9d 5T/ ' eQct ` k �( License No. Business Telephone Address I +�+ �/� j V� l Y - ∎ -- 6._„-r1\ 1 Q ( a F 1 t *33 tag Telephone Az:J -7�� Q- 7s eel / Qualifier Name j 4 f r\ w PROPERTY OWNER New Construction Name 1 e_7 /1- e:62) 4- / Address 2,6 i/t- 9d 5T/ ' Home Telephone 3 03 7 9,; az, 7 6 Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment C Other Add'I Detachment / Other ob Address: rf-U 4V Address PERMIT TYPE (✓ ) Building Electrical Mechanical ]Plumbing LPGX Roofing Fence Other • • • •• •• • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• - • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••• ••• ••• • • • ••• INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete theAt'acled:)ev airliiatriewhjehomust be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type td all r0;or i lore a ecuua processing of your application. If roofing work will be done, a roofing application must be submit- • ted along will. his pelvic licat�ons • Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Folio Number Lot Block Subdivision PB PG to are.. /cur / iblex3 State Zip SEA (C.4 / Current Use of Property Square Feet Proposed Use of Property - Ydlue of Work 38191, Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Apt. City scription of Work P.0 /77,o/t1 PERMIT APPLICATION Master Permit No. Subsidiary Permit No. 33./3 ? Zoning Linear Feet Units Floors ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMI'6AND PERMIT CARD. .S y i g tfpr a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday througi Friday from '7:30 a.m to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SAJTAI1X cONDJTIONN free frpnticpnstruction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DIBRI§ s i 1 o o s • : • 0 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHoCLES, A 4D P01 OEZJSrD FOR STORAGE. A bond is required for work in or near the street/sidewalk. 00 000 • • 0 • • •0 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE 0 . •R' , COUNTY OF MIAMI -DADE - J\ Signattu of Owner Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: Personally known OR, Produced Identification Type of Identification Produced: O 0 0 0. 0 • •• 0 o 0 0 •• 0 • • 0 0.0 • 0 0 0 0•• ItERAIT APPLICATION STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of //01 A die! Signatur of Notary Public - State of Florida SEAL: ''�� P �/ �•, Ros ssio a Jerez co 808716 Co �ina # ri =mo ►►lmi :Fib t • :� ; �:�: Q Expires Feb. ct tiled 22, � O3OR, Produced Identification a l kn B .. t�DTf ant ic Bonding Co., 1n Type of Identification Produced: ELECTRICAL TYPI Minimum Fee • • • Q':'7. • • 'i' 'p • Ipryer : • _ _ . • • QTY. TypE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall ' Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light / (0 Parking Lot Lights Spas/Hot Tubs t A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal I Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic I Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher 1 Low -volt, Television Service, Number of Amps )c) r r) ME TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYI'E Generator QTY. TYI'E Refrigeration, Tons 1 QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 • • • • • • • •• • • • • • • • • • ••• • • • • RECEIVED AND REVIEWED BY: • • • • • • ••• • • • • • • •• • • •• • • • • • • • INSTRUCTIONS: Rl'ease indicate the tr gf'work being performed and quantity(ies) in the space provided below. ••• ••• •a . PERMIT APPLICATION DATE ' 1 ` �' 2r Page 4 OFFICE USE ONLY CI OWNER - BUILDER FORM (Attach) El FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ® CONCURRENCY (New Construction) OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary CI PROOF OF OWNERSHIP (Attach) • HRS / DERM APPROVAL (Septic / Sewer) • IMPACT FEE (New Construction) • OTHER (Specify & Attach) ( x .60) x/1000 $ (¢.005 /sq.ft.) $ (¢.O1 /sq.ft.) • • o 0 0 • o • • • • • • :P$ 000 • •• RMtT APPLICATION 0 0 0 • • o • • • • • • CHECKLIST • 00 ° CON15O X OCfnIMAPPROVAL (Attach) 0 00 • • • • • • • ••• o • • • • • • • • 0 0 O BQR' .t Pi(3VIi (Re'staurants O 0 • • • • • • • 00 000 0 • • • 0 •• CI CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY SECTION Zonin Electrical Mechanical Plumbin Public Works Structural Building Official DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12/27/2002 Applicant: VICTOR Owner: LEONI JOB ADDRESS: 262 NE 98 Contractor ASCUNCE ELECTRICAL CONSTRUCTION INContractor's Address: 1032 NE 78 RD Local Phone: Parcel # 1132060134170 Permit Status: APPROVED Permit Expiration: 6/25/2003 Construction Value: $3,000.00 Work: ELECTRICAL FOR ADDITION If there is no pe fee is $50.00, whir This Permit is grante ordinances pertaining tl and approved by the pn authorization. A further ordinances and regulati by his agents, servants Signed/ in U Z H Z In consideration of th g - with the plans, drawing N miself, my agent, serv, zt /. Signed: UNION PLANTERS BANK NATIONAL ASSOCIATION 3550 BISCAYNE BOULEVARD MIAMI, FL 33137 / g 0 63-841/670 ! 0 PAY TO THE irY' -" ,L� i ii /7` -2 : LEONI DEVELOPMENT, INC. 01 -92 225 NORTHEAST 34TH STREET, #203 MIAMI, FL 33137 -3800 Electrical Permit Permit Number: EL2002 -422 LEONI VICTOR ST Page 1 of 1 1 Total Fees: Total Receipts: $0.00 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 5 & E1/2 OF 6 BLK 31 LOT SIZE 7849 Nv DATE .. LI = : TiTCF,NSF, NBR , �`: a ii, "`�„ 07/31 /7 "002 200'02`81111 RQ01 1099 , ;r � to «�.: AC #05 STATE OF FLORIDA DEPART•t$ED 4"N b•UBtgltS AND PROFESSIONAL • • • • • • • • • • • • • ... • • • ELECTRICAL, tONt LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••• ••• ••• • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ASCUNCE, LUIS A ASCUNCE ELECTRICAL CONTR 1041 NE 78 RD #1 MIAMI FL 33138 The ELECT RI;CAL, CONTRACTOR Named below REGISTERED c " , r - Under •'the provisions of Chap Expiration date: AUG 31, 200p ( MUST MEET,. ALL. LOCH REQUIREMENTS PRIOR TO CONTRALTI ASCUNCE,. LUIS A!. ASCUNCE CONTR 1032 NE 78 RD #1 MIAMI FL :33138 • DETACH HERE STATE OF FLORIDA REGULATION STATE OF FLORIDA (850) 487 -1395 AC#05112 BUSINESS AND PROFES,SXQNAL RREGULATION ER00110994,•'t,. 0 P/'3 1,0 *;200028338 REG ELECTR'I.0 ,.C.9111. j ASCUNCEI!F;S,. ASCUNCE•ELE.TRId (I ND I V I DUAL' LICENSINGREQUIRRMENTS PRIOR TO CONTRALTI .TG, ; 1NY AREA) HAS REGISTERED under the provisions of Ch .489 vs Expiration date: AUG' 31, 2004 SZQ # L02073100929 CwOR OuTR' ` aE,ET. LOCAL v DEPARTMENT;OF " AND PROFESSIONAL REGULATION. ELECTRICAL. CONTRACTORS LICENSING BOARD • SEQ #1,02 07 3 10 0 92 9 JEB BUSH:':` KIM BINKLEY =SEVER GOVERNOR DISPLAY AS REQUIRED BY LAW SECRETARY MIAMI -DADE COUNTY BUILDING CODE COMPLIANCE OFFICE 140 W. FLAGLER ST: StJ•T€ .60.2 • • • • • • • MIAMI, FL 331r• • • o :6•11 • (305) 375 -2527 • • • ••• • • • • • • • o • • • • • 0•• • • • • ••• BUSINESS o CERTIFICATE QF.GOMPETENFY W EXPIR S•aN p1 /33QQ/20 3• • ASCUN E C4JT2 CoCO N0.: 000017226 OW Q0A.: ASCUNCE LUIS S0S0 NW.% Z • • • • • • • • • T AGENT- h f r stipilwas, •p • R FRANCISCO J. QUINTANA, R.A. • Secretary Construction Trades Qualifying Board • • • - • • • • ••• • • le SIGN — ATTACH PICTURE — FOLD — LAMINATE 20 NOTIFY- CONTRACTOR SECTION OF "ANY.CHANGE OF ADDRESS. 30 ABIDE BY.THE RULES AND REGULATIONS OF CHAPTER 10 OF THE CODE OF MIAMI —DADE COUNTY. ASCUNCE ELECTRICAL CONTRACTORS 1032 NE 78 RD # 1 MIAMI FL 33138 MIAMI -DADE COUNTY BUILDING CODE COMPLIANCE OFFICE TRADE: 140 W. FLAGLER ST., SUITE 1602 MIAMI, FL 33130 (305) 375 -2527 ELECTRICALTER PERSONAL CERTIFICATE OF COMPETENCY EXPIRES ON 09/30/2003 ASCUNCE LUIS SS1e 265 -61 -9805 Certificate Not Valid For Contracting ASCUNCE LUIS 923 N 31 AVE CONTRACTOR TRADE: ELECTRICAL INSTRUCTIONS Signature of Qualifying Agent CATEGORY(S): ELECTRICAL BURGLAR ALARM FIRE ALARM-SPECL W CATEGORY(S): W ELECTRICAL = BURGLAR ALARM o FIRE ALARM SPECL O W Signature of Certificate Holder FRANCISCO J. QUINTANA, R.A. Secretary Construction Tracfea Oualify■n0 Board INSTRUCTIONS PLACE PHOTO HERE to SIGN CERTIFICATE — ATTACH PICTURE — FOLD — LAMINATE 2e NOTIFY CONTRACTOR SECTION OF ANY CHANGE OF ADDRESS. 3e ABIDE BY THE RULES AND REGULATIONS OF CHAPTER 10 OF THE CODE OF MIAMI —DADE COUNTY. _L117111_V�ifr : - t -�_- ______. ___- L'r 1"1r\ )1 PLACE PHOTO HERE MIAM 4OADF• COl1fVTY 9j11(I4 • O � • • .._... .. . COMPLIANCE OFFICE 140 MIAMyFL 63ILE E 130• ST. •:: IT �S 160x • • • • • • • • • • • • • • • •••• • • • • • • • • •••• (305 ) 37 5-2527 BUSINE SS �CU�h7EECO3JE.�F3�2 ENCY F3 _:,. ERtr QQ • . :.. ..Cr I_•E • RICHE• •rONTRA ,, CTOO C.C. NO. . -; Q•A ASC 000 017226 00 01722b S. . V Glli ' •• ;t AND CCNTAOL ALL wcf,c, t 1. SIGN • CERT IFICATE ` r —• 1. SIGIF ., AT•TACH. PICTURE :_ 3. ABIDE .BC THE S ECTION.:.OF' AN FOLD — LAMINATE OF. T RULES, °,ANDEGUL'ATI CHANGE OF ADDRESS. THE CODE; OF`4sMI'AMhDADE-COUNTY. CHAPTER 10 C ONTRACTOR - TRADE: E LECTRICAL tLEC 1(S). BURGLAR 'ALARM FIRE -ALARM : ;SPECL Signature of Quali in FRANCISCO � g A gent Secretary Construction QUINT OANAn R.A. INSTRUCTIONS Qualifying Board ASCUNCE ELECTRICAL CONTRACTORS 1 032 NE 78 RD id 1 MIAMj FL 33138 PLACE PHOTO HERE BUILDING PERMIT APPLICATION FBC 2001 Contractor's Company Name Contractor's Address City Qualifier $ Value of Work For this Permit Type of Work: ['Addition Describe Work: Total Fee Now Due $5 3 (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 l ro Permit No. T Z 0' N Master Permit No. 4/-4 �� —� hone # (7r6J33/ 3 �7 State - - -�ri ip .6) ) c / /9 /J Permit Type (circle): Building Electrical ) Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Phone # Owner's Address Q- : b c_ ??e g am ° /� f�2i� City /2'7tt�.-�- z:e4447 ate Cam"(" Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) c %' ? 7 2 , - 9f-& �� City _ Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Architect/Engineer's Name (if applicable) Phone # 4 Square Footage Of Work: Alteration ❑New ❑ Repair/Replace ❑ Demolition k) U Few 4 l Submittal Fee $50, V Permit Fee $ / 4 2 , 9 e c p CCF $ . b 0 CO /CC Notary $ Training/Education Fee $ e o (3 Technology Fee $ a1S 7) * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip APPLICATION APPROVED BY: Chc 12/15/03 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. 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 that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commence : • st be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. _ absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature k, A j Signature 1 S 471-- ,rte,/,, 411 "" Owner , The foregoing instrument was acknowledged before me thiso day of , 20., by who is personally known to me or who has produced As identification and who did take an oath. State Certificate or Registration No. Certificate of Competency No. Contr, ctor The foregoing instrument was acknowledged before me day of 2 , 20 oby who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: � /' ��, � a,-,,,z NOTARY PUBLIC: Si &-. 6r244-- (`r;..F:� % ) Sign: ' C % '��� Print: M'5 3/)/? e Print: Ma (r i?a- My Commission Expires: e Alba Gana y my Commission DD224108 My Commission Expires , N Alba Gaona * * * * * * * * * * * * * * * * * * * * * * * * * ** *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ° > *'> '* o ssion0D224106 (Certificate of Competency Holder) a a " Expires July '26, 2007 ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** „�f'29 .0--� Plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR FAIN SERVICE REPAIRAETER CHANGE REFRIGERATION • GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAJNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 If STEAM BOILERS SHOWER MOTORS OVER 1- 3 If HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE •MOTORS OVER 5- 8 HP TRANSPORTING ASSEM3LIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 If F IRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES- A/C WI NDOW RE INSPECT ION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS CONAERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS .SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER F IXTI.RES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUP 8 ABANDON SEPTIC TANK REINSPECT ION SOAKAGE PIT CU. FT. clr 5 (gr C.Icwi,.A J ` CATCH BASIN 1 pa / /gyp_ $ d¢.:c.ec (/ DISCHARGE WELL 1 DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING �• 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 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/14/2004 Applicant: JAY ALLISON Owner: ALLISON JAY JOB ADDRESS: 262 NE 98 ST Contractor ADT SECURITY SERVICES INC Local Phone: 305 - 628 -7434 Parcel # 1132060134170 Signed: (INSPECTOR) Electrical Permit Permit Number: EL2004 -101 Page 1 of 1 Contractor's Address: 7747 NW 48 ST 160 0 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 5 & E1/2 OF 6 BLK 31 LOT SIZE Fees: Description Amount FEE2004 -3947 Building Fee $100.00 FEE2004 -3948 CCF $0.60 FEE2004 -3949 Training and Education Fee $0.20 FEE2004 -3950 Technology Fee $2.50 Total Fees: $103.30 Total Fees $103.3 Total Receipts iThn0 53,3D Permit Status: APPROVED Permit Expiration: 10/10/2004 Construction Value: $750.00 Work: BURGLAR ALARM 1 MASTER 8 DEVICES 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: Date_ / >� Time Type Insp' n t L I �J // . i't, 1 . Permit No. Nam Address Compan Phone # For Inspector: Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request 7l Approved ,2 Lg- 1 Re- Insp'n Fee ❑ L� �®� ®i PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date \•- 1e3-Q1' S Job Address Qlsa Q4d Legal Description ScnL b 4av Owner / Lessee / Tenant M aL_CUOan C,etrnIIb ekt Owner's Address S Contracting Co. V1tC Ave.S4ev, Qualifier A.\ 14vA tM Q \:C4 State # N1 Municipal # Competency # oe.00 l q i 03`d Ins . Co.W , s CCu Dor) — c*+os Architect /Engineer wia Bonding Company a4 / Q Address 4414 Mortgagor 1 4 Permit Type(circle one): BUILDING ELECTRICAL WORK DESCRIPTION - T - E„(1 , -,T For T •' Square Ft. Estimated Cost(value) 4S4 o. o O 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 fl dp2k4A ;A Signature of owner and /or Con o President avA11,4cortftmlum . '• •iEAo nS RWIWOAsMown L 1 4, COMMISSION NUMBER CC401261 7 /k `+ "+ � COY COMMISSION .EXP. 1. OF F' AUia. 1 19 Date: No My ** FEES: PERMIT 3�,� RADON C.C.F. C) APPROVED: Zoning /' /C do President Dat Tax Folio 1l obit 3 "109 Se-e, \A 1..AA s p ia l.Q 1 3k Master Permit #32= Phone 4- Conk. TIn C . Address Ma3 N . F . (4 H0.k F(A . 33K?( SS # Phone oo-n- Address fi r' Address d PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Signature of Gontr tor or Owner- Builder 4 i N{1 i aacc MEEL 3 �%:� ' to I NUMBER ‘" CC401261 � " Q� MY COMMISSION EXP. 0 00- ° *AUG. 1 171998* ov NOTARY -. TOTAL DUE 3 S_� Fire Other Building Electrica r Owner- Builder * * * Mechanical Plumbing Engineering It is understood that the cemoora y— ale. :ncal iogrovit by ;he Data County 3uilding ,ic Zoning Deputineat given in :onnecdon with the building being constructed under Budding Permit No. Ind Electrical Permit No. • u For METROPOLITAN DACE COUNTY — BUILDING & ZONING OE ?ARTME`IT ELECTRICAL CATEGORY 15 AFFIDAVIT FOR 180 DAY TEMPORARY ELECTRIC SERVICE (ELEVATOR) (To be executed by Owner and/or Tenant, Building & Elec7ical Contractor) NOTE: ELECTRIC SERVICE WILL SE DISCONNECTED 'WITHOUT NOTICE" UPON 180 DAY TERMINATION UNLESS APPLICATION IS RENEWED. OWNERS is being given only for elevator construction and installation use, being made in said struct Necessity shall Include the use of current for elevator construction pruposes, provided the Electrical Contractor and owner does hereby agree to assume the responsibility of maintaininc the installation in such a manner that there is no hazard to life and property. THIS APPLICATION SHALL BE RENEWED AT 180 DAYS. Such approval is in no event to be considered A RELEASE of said structure for purposes of use and occupancy, and no occupancy shall be granted or permitted until final Inspections have been called for and approved by the inspection divisions concerned, and an occupancy permit obtained. The undersigned also understand that the temporary electric approval is subject to rescission and cancellation, and electric power can be cut off at the discretion of the Building and Zoning Department and will be disconnected if the building concerned is occupied before final inspections are approved and occupancy permit obtained. 4c 1, L. CO 61. an 1110 e , being first duly sworn, depose and say that I am thelowner of the above described property, and that I agree that the structure covered in this agreement shall not be occupied until the building contractor has obtained approval of final inspections. Sworn and subscibed before me this / 0 day of , 19. , Notary Public. State o oCCI nda at Large My commission * co • tot = ION N CC401261 ' I ' 7 ". Qs taV CONINISStON EXP. , bem t: s; pv v. Et '" am the Electrical Contractor for the above described property and that the eiectriul installations u now existing will not create a saiery hazard if temporary— sonic* It connected. Swom and subscribed before me this ( v day of , 19 q , Notary Public, State of rlorida at Large My corssmission Swom and subscibed before me this 'day of - • , l9 Notary Public, State of Florida at Large My cortsrnission expires: SIGNATURE OF ELECTRICAL INSPECTOR DATE: DATE RELEASED TO F,P,S L: Rev. 8/89 ua IV E_. 'AS Vr. . IM r'ow� i Sinra�e ACOR ESS C-S 01 1 r SIGNATURE OF OWNea N /;(1/ �i SaNOwa W l90NTIEL if ..�f tB11ii4' ' 6 IC •:. : nl'. : v Zr CC401261 I ,q_ . 9� ' ' 4 � NY COP IISS10N Exp. l OF FA AUG. 1 P 4 eposel In 199e •cry that 1 _rs the Building Contractor of the above described properr/ and that 1 will not permit occupancy of this building until final inspections have been called for by the contractors and sub-contractors ccnc :rned and final approval by the inspecrion division obtained and that I have the authority insofar u the owner of said property Is concerned. :o prohibit oc upancy until suc:i Finni inspectioru ue obtained. SIGNATURE CF 3UILOING _7NTRACTCR• 4IGN.1TLRE NOT.a1Y : ?L:BL :C • Permit No. 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 Block Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building Remodeling_______ Addition Repairs Service Overhead Size Feeders Underground Type of Installation— Conduit or Amount of Permit $ — APPLICATION FOR ELECTRICAL PERMIT Conduit Tubing__ B.X.L.______________.Metal Moulding 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. Before me, the undersigned authority, a notary public, duly appeared SS. to me well known, and who, being by me first duly sworn, upon oath of the above described construction, that he has carefully read the therein by him stated are true. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No. No Street Street Notary Public, State of Florida Street Subdivision. --__� No. of Stories Main Sw. Amps. Main Fuses Amps. (Signed)' Electrical Ins ctor. rtify that he understands and accepts his obligations as an empf`oyer 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 work to be performed under this permit, as are 4 (Signed) 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 P CHECK - ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK • Permit No. 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 Block Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building Remodeling_______ Addition Repairs Service Overhead Size Feeders Underground Type of Installation— Conduit or Amount of Permit $ — APPLICATION FOR ELECTRICAL PERMIT Conduit Tubing__ B.X.L.______________.Metal Moulding 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. Before me, the undersigned authority, a notary public, duly appeared SS. to me well known, and who, being by me first duly sworn, upon oath of the above described construction, that he has carefully read the therein by him stated are true. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No. No Street Street Notary Public, State of Florida Street Subdivision. --__� No. of Stories Main Sw. Amps. Main Fuses Amps. (Signed)' Electrical Ins ctor. rtify that he understands and accepts his obligations as an empf`oyer 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 work to be performed under this permit, as are 4 (Signed) 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. Permit iVo.__�-------------- ____ -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for th( 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 No. ___ Stree7� Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, appeared to me well known, and who, being by me first of the above described construction, that be therein by him stated are true. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT SS. My Commission Expires No. Block Subdivision_ tr t_J�'! . I Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) (Signed) (Signed) f Date /© - ' __ L___— Stree 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 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understaiids 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, on ark t be perfo ed under this_ permit, as are licensed b y M iami Sh ores Village. scan. a notary public, duly authorized to administer oaths and take acknowledgments, personally duly sworn, upon oath deposes and says that he is the has carefully read the foregoing application, and that he did sign the same, and that all facts Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST / CHECK • ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit iVo.__�-------------- ____ -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for th( 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 No. ___ Stree7� Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, appeared to me well known, and who, being by me first of the above described construction, that be therein by him stated are true. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT SS. My Commission Expires No. Block Subdivision_ tr t_J�'! . I Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) (Signed) (Signed) f Date /© - ' __ L___— Stree 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 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understaiids 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, on ark t be perfo ed under this_ permit, as are licensed b y M iami Sh ores Village. scan. a notary public, duly authorized to administer oaths and take acknowledgments, personally duly sworn, upon oath deposes and says that he is the has carefully read the foregoing application, and that he did sign the same, and that all facts 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. Employing Electrician's Name Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Amount of Permit $ ,,. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No.__1 > —___�_ Application is hefeby 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 _ se __ 2r No 2 w' Street Registered Architect and /or Engineer ____,— _____. 7 t.0 (Signed)_` — Date Location and Legal Description Lot Block Subdivision_ Street_�f -_a_ My Commission Expires Notary Public. State of Florida Street 7,ee../ 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 ,�: 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 employe by him in t Ie work to be performed under this permit: and will post or cause to be posted for inspection on the site of 'the *ork such w � 1isc notice' or !notices notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on wdrk" to be performed under this ,,'permit, as are licensed by Miami Shores Village. (Signed) ,------------------------------- ,Master Electrican. 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 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. LIST � /' CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Employing Electrician's Name Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Amount of Permit $ ,,. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No.__1 > —___�_ Application is hefeby 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 _ se __ 2r No 2 w' Street Registered Architect and /or Engineer ____,— _____. 7 t.0 (Signed)_` — Date Location and Legal Description Lot Block Subdivision_ Street_�f -_a_ My Commission Expires Notary Public. State of Florida Street 7,ee../ 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 ,�: 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 employe by him in t Ie work to be performed under this permit: and will post or cause to be posted for inspection on the site of 'the *ork such w � 1isc notice' or !notices notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on wdrk" to be performed under this ,,'permit, as are licensed by Miami Shores Village. (Signed) ,------------------------------- ,Master Electrican. 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 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 FOR ELECTRICAL PERMIT cam' Permit No.___t��_____ 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 = __c._1�___— ____t -_;,_ � No. ___y � Street Registered Architect and /or Engineer .ti -_ `f -f� !� Employing Electrician's Name � _ f�-%- �_ ���_ _ 1 � No '_ __2 Location and Legal Description Lot Block Subdivision _________________________, Street and Number where work is to be performed— No. _2" ('e 2 y __ 2 Stregt t 4 � �" State work to be performed and purpose building (By Floors) " _ ` i S P P ur ose of buildin � L' `�' 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 $ _Z (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 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 be performed under this ,permit, as are licensed by Miami Shores Village. / e (Signed) d�� — 1 �' Master Electrican. i. Stree L / o 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 he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. SS. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL CONTR. LIST / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT cam' Permit No.___t��_____ 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 = __c._1�___— ____t -_;,_ � No. ___y � Street Registered Architect and /or Engineer .ti -_ `f -f� !� Employing Electrician's Name � _ f�-%- �_ ���_ _ 1 � No '_ __2 Location and Legal Description Lot Block Subdivision _________________________, Street and Number where work is to be performed— No. _2" ('e 2 y __ 2 Stregt t 4 � �" State work to be performed and purpose building (By Floors) " _ ` i S P P ur ose of buildin � L' `�' 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 $ _Z (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 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 be performed under this ,permit, as are licensed by Miami Shores Village. / e (Signed) d�� — 1 �' Master Electrican. i. Stree L / o 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 he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. SS. 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. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No.._ ;,% Application is he 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 No. J C Street Registered Architect and /or Engineer ____, Employing Electrician's Name /2' 'No "° 1 Location and Legal Description Lot Block Subdivision_ Street and Number where work is to be performed —No Street__1'____ —_ —__ ______________� "__________ 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 $_ —_ (Signed) Date___ Street./ 1 ; t' Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an em oyer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Genera Laws of Florida Permanent Supplement, nd has com- plied with the provisions thereof, and will require similar compliance from all contract rs or sub - contractors employee by him / in t e work to be performed under this permit; and will post or cause to be posted for inspection on t e t of // otk such ublic?notic(or notices as are required by the Act. The under signed agrees to employ only such sub - contractors n rk�td ee /p ,erfo ed�'uodet this ermit, as are licensed by Miami Shores Village. My Commission Expires (Signed),/ / 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 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. Notary Public, State of Florida Master Electrican. 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 FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER �'.A'TER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST IST 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 FOR ELECTRICAL PERMIT Permit No.._ ;,% Application is he 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 No. J C Street Registered Architect and /or Engineer ____, Employing Electrician's Name /2' 'No "° 1 Location and Legal Description Lot Block Subdivision_ Street and Number where work is to be performed —No Street__1'____ —_ —__ ______________� "__________ 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 $_ —_ (Signed) Date___ Street./ 1 ; t' Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an em oyer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Genera Laws of Florida Permanent Supplement, nd has com- plied with the provisions thereof, and will require similar compliance from all contract rs or sub - contractors employee by him / in t e work to be performed under this permit; and will post or cause to be posted for inspection on t e t of // otk such ublic?notic(or notices as are required by the Act. The under signed agrees to employ only such sub - contractors n rk�td ee /p ,erfo ed�'uodet this ermit, as are licensed by Miami Shores Village. My Commission Expires (Signed),/ / 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 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. Notary Public, State of Florida Master Electrican. 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. if t or er Lct ion gl Subdi- vision of Value of Project Amt. of Permit BUILDING ELECTRICAL PLUMBING Owner o Building Architec Contract or Build Legal Descripti Address Building MIAMI SHORES VILLAGE, FLORIDA DATE 194 r Contractor's License No. - PERMIT N9 2938 Work to be performed under this Permit 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. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 2366 DATE Work to be performed under this Permit Subdi- vision Contractor's License No. 194 / 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 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. CONTRACTOR OR BUILDER Value of Project Amt. of Permit 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 Shore#. Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING • Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 2785 Work to be performed under this Permit Subdi- vision Value of Project DATE Amt. of Permit 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. e f CONTRACTOR OR BUILDER Contractor's License No. BY AUTHORITY 1941 JOB: BUILDING • • ELECTRICAL PLUMBING • • • Inspector's Report: • • WORK DONE BY: • • • • REQUESTED • • • • o • ▪ • The following is ready for Inspection: • • : WILL BE READY • • • • JOB: BUILDING 2V) • . , ELECTRICAL • . ,-- • ,‘ WORK PLUMBING • . DONE BY: :REQUESTED • WILL BE READY ,/ • i; ( 7 • ', -JV '"--------r -7 - /; / • The following is ready for Inspection: - Inspector's Report : • AD: n e .•C7) l ( A a 0 7) • for • MIAMI SHORES VILLAGE PERMIT No. Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at ' " <,'� • ' by �z�� ���/� /'. Address owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Range watts. Water Heater watts Power: Connected load H P. Space Heaters watts Other Apparatus ELECTRICAL INSPECTOR. Permit No. 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 APPLICATION FOR ELECTRICAL PERMIT 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 STATE OF FLORIDA, COUNTY OF DADE. SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No . Street No.. Street U� 1 Block ) __.L Subdivision_ ' a Street L �1 Addition Repairs (Signed) My Commission Expires Notary Public, State of Florida No. of Stories Overhead _ Service Underground Size Feeders_ _ Conduit__: Main Sw Amps. Main Fuses. Amps. Type of Installation— Conduit Tubing___ _— B.X.L. Metal Moulding Amount of Permit Z (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 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. 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 G� PLUG RECE'P'T'S / JI L FIXTURES NO.LAMPS ^ (.i REFRIG. OUTLET IRON OUTLET RANGE OUTLET i . �: RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST t v ��)�, d C% CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No. 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 APPLICATION FOR ELECTRICAL PERMIT 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 STATE OF FLORIDA, COUNTY OF DADE. SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No . Street No.. Street U� 1 Block ) __.L Subdivision_ ' a Street L �1 Addition Repairs (Signed) My Commission Expires Notary Public, State of Florida No. of Stories Overhead _ Service Underground Size Feeders_ _ Conduit__: Main Sw Amps. Main Fuses. Amps. Type of Installation— Conduit Tubing___ _— B.X.L. Metal Moulding Amount of Permit Z (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 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. 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.