Loading...
ELECTRICALBUDDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORID 4. -- DATE Contractor's License No. ERMIT N? 7429 Work to be performed under this Permit This permi is granted to the contractor or . `il.er named abov o construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinan es pertaining there '. and w th 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 :"+"e e 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 p U s are c without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above ssumes h esponsibility for a thorough knowledge of the o .' antes and regulations pertaining to the work covered hereby whether shown on the plans or . a _ r in the to - .ecifications and that he a mes respon- sibility for work done by his agents, servants or employees. Si= -d• INSPE � R In consideration of the issuance to me of this permit I agree to perform the ork covered hereunder in compliance wit • ordinances qnd regulations pertaining theret and in strict conformity with the plans, drawings, statements or specifications submitted to the prover antl,x � : ,, „ t In accepting this erm nsponsibility £ all work done by e' er myself, my ao t Pn �o ^• - -� - Subdi- vision Value of Project Amt. of Permit 194. BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA El DATF. <<: " Y,,7 !. 195—?__ ❑ PERMIT N° 5031 Contractor's ❑ License No. / t ❑ Work to be performed under this Permit Owner of f D Building Architect CONTRACTOR OR BUILDER Contractor or Builder Legal Lot Description 1' Bl. Address of ? Value of Building Project $ 1 Subdi- vision 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 specftchiions and that he assumes responsibility for work done by his agents, servants or employees. < e"'` / Signed. v. Bt INSPECTOR .Amount of Permit $ 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 ac• cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 6 UILDING LECTRICAL LUMBING wner of uilding rchitect ' ontractor Builder egal 'escription ddress of uilding This permit is granted to the contractor or Lot MIAMI SHORES VILLAGE, FLORIDA,., DATE k Contractor's License No. ERMIT N° 7429 Work to be performed under this Permit td", ammo Bl. Subdi- vision Value of Amt. of Project Permit ilder named abov to construct the building or to install the equipment or device described in the appli- ition herefor in strict compliance with all ordinances pertaining there and with the understanding that the work will be performed in compliance with any -ans, drawings, statements or specifications that may have been submitted to and approved he proper municipal authorities. This Permit may be revoked 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 zrmit is granted is the understanding that the contractor or builder named above ssumes hyresponsibility for a thorough knowledge of the o mantes and •gulations pertaining to the work covered hereby whether shown on the plans or • a or in the Staten „ � • )ecifications and that he a mes respon- bility for work done by his agents, servants or employees. Signed• � INSPECTOR' i otit, 4 '" , " In consideration of the issuance to me of this permit I agree to perform thework covered hereunder in compliance wit 1 ordinances nd regulations 3rtaining theret• and in strict co • ormity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Village. accepting this 'ermi r � ; .sponsibility all work done by ei • •r myself, my agent, servant or employee. BY fio4pLiz 4$ J AUTHORITY 194 ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Miami Shores Village, Fla , 19 Contractor or Electrician NO. Outlets Motors Receptacles STREET Generators Stoves OFFICE OF ELECTRICAL DEPARTMENT Water Heaters h1iami cShores IF I. 0 It I D A PART OF LOT NUMBER OF LOCATION Signs LOT BL'K DESCRIPTION OF WORK Billboards Other Apparatus SUBDIVISION N° 340 Permit Fee This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the Itate of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami hores Village. Dated , 19 (Seal) NO. STREET PART OF LOT LOT BL'K SUBDIVISION ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Contractor or Electrician Outlets Motors Receptacles Generators Stoves ciami =fhores9 'llage F L o R ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , 19 LO CATI 0 N DESCRIPTION OF WORK Water Heaters NUMBER OF Signs Billboards Other Apparatus I■l° 327 Permit Fee This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. Dated , 19 (Seal) NO. STRE T PART OF LOT LOT BL'K SUBD V . ION 0 1 0 ne qi il t--4—p/ o it/ , ,mo,,,,:,,, c,..,/„„,,-,,,,-,,, , Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee / / a-c ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building_ vAls =' 2 CACractor or Electrician , 19 aiarni =fhores F L O A ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla LO CATI 0 N DESCRIPTION OF WORK (/} This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upo the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any ch nge in e plans and specifications unauthorized by thepartment. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. / f Dated 2-/-2,e N° _ 327 , Electrical Inspector. NO. STREET PART OF LOT LOT BL'K SUBDIVISION Signs Billboards / ' Permit Fee Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building •tractor or Electrician J1iami cShores9llage F L O R ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , 19 LO CATI 0 N N° 340 • Th is Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by tl epartment. , Electrical Inspec or. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. Dated 19 DESCRIPTION OF WORK (Seal) Permit No Amount of Permit $ APPLICATION FOR ELECTRICAL PERMIT MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT My Commission Expires Date Y.M - 72elf Street Owner's Name a:ad Address Registered Architect and /or Engineer Employing Electrician's Name ' ! - - -. No. 9°2 0e Service Overhead Size Feeders__ Conduit Underground Type of Installarion— Conduit Tubing B.X.L _.Metal Moulding Main Sw.____ __ _ ___ Amps. (Signed) Street________ • Application is hereby made fo the approval of the detailed statement of the plans and specifications herewith su:mitted for the buil ng or other structure herein described. T application is made in compliance and conformity with the Building Ordinance of Miami Shores llage, 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. Street__ Location and Legal Description Lot__ -_.______ _______. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Main Fuses (Signed) ;, , --cc-- Electrical Instyector. Notary Public. State of Florida _Amps. The undersigned applicant for this building permit does hereby certify that he understan.s and accepts his obligations as an oyer of 1 or under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supple ent, and has #om- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work'' to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. • 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 tbe ______�_ — ��__. 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'8 FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST f 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 Amount of Permit $ APPLICATION FOR ELECTRICAL PERMIT MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT My Commission Expires Date Y.M - 72elf Street Owner's Name a:ad Address Registered Architect and /or Engineer Employing Electrician's Name ' ! - - -. No. 9°2 0e Service Overhead Size Feeders__ Conduit Underground Type of Installarion— Conduit Tubing B.X.L _.Metal Moulding Main Sw.____ __ _ ___ Amps. (Signed) Street________ • Application is hereby made fo the approval of the detailed statement of the plans and specifications herewith su:mitted for the buil ng or other structure herein described. T application is made in compliance and conformity with the Building Ordinance of Miami Shores llage, 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. Street__ Location and Legal Description Lot__ -_.______ _______. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Main Fuses (Signed) ;, , --cc-- Electrical Instyector. Notary Public. State of Florida _Amps. The undersigned applicant for this building permit does hereby certify that he understan.s and accepts his obligations as an oyer of 1 or under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supple ent, and has #om- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work'' to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. • 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 tbe ______�_ — ��__. 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. OUTLETS MOTORS RECEPTACLES GENERATORS STOVES WATER H'TERS SIGNS BILLBOARDS OTHER APPARATUS OUTLETS MOTOR GEN. MAIN SUB BRANCH Basement FLOOR NUMBER OF SIZES OF INSULATION OPEN OR CONCEAL'D NUMBER OF CIRCUITS OUTLETS MOTOR GEN. MAIN SUB BRANCH Basement First i � . , �, % ( ��%fi r Second Third_ • / Fourth J� �f ?'; 7 � f v �', Other „I — Floors iami fhores91llage F L 0 A 1 D A APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for issuance of permit for electrical installation as described below, and inspection of same after installation: Owner C-- on Building Contractor Electrical Contractor 7� Details of proposed work: Number of Motors Location of proposed work: Lot Block Subdivision Building: Old or new �, Number of stories Used as , ;,J e- Description of proposed work H P Volts Additional Information Signature of Applicant __C J' c( ; Address (if other than owner or contractor) U Date � Addre --,) Amps (SPACE BELOW FOR INSPECTOR'S USE ONLY) Work begun Inspected Work finished Final inspection Phase l , i F; < 193! or , Inspector OUTLETS MOTORS RECEPTACLES GENERATORS STOVES WATER H'TERS SIGNS BILLBOARDS OTHER APPARATUS MAIN b�'\ c BRANCH I / • FLOOR NUMBER OF SIZES OF INSULATION OPEN OR CONCEAL'D NUMBER OF CIRCUITS OUTLETS MOTOR GEN. MAIN SUB BRANCH Basement First Second Third_ Fourth Other Floors - , APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for issuance of permit for electrical installation as described below, and for inspection of same after installation: Owner Building: Old or new Details of proposed work: Number of Motors H P Additional Information dd1� c d tami bores illage " F L O A 1 D Building Contractor Electrical Contractor " Location of proposed work: Lot £ ,e-/,':14-5;Block / Subdivision Number of stories / Used as Description of proposed work Signature of Applicant a i Address (if other than owner or contractor) Address (SPACE BELOW FOR INSPECTOR USE ONLY) Work begun Inspecte Work finished Final inspection Date �% , 193L'_ i' Volts Amps Phase , Inspector PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY / (OWNER TO RETAIN COPY) q/ Job Address 37°5 AJI , '?R sr , . Date Legal Owner / Lessee / Tenant Owner's Address Contracting Co. Qualifier State# Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING PLUMBING - MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION ,5, d g (/ /, �e,.�.5 °' J ,a ! G U f " 5.??? Sauare Ft. Estimated Cost 7 • �G 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 1: - regulating construction and zoning. Furthermore, I authorize the above -named contractor o the work s ated. Tax Folio // J2Ft /Y 5G2G fr E;74//1/ r L� Description e P/J / Jj i�� Master Permit # Signature • Owner and /or Condo President Date: Noi As to Owner and/o Cpn do President My Expires: 0 )�0 * . * . * PERMIT FEE: APPROVED: WrAR3 t�� � r Zoning o\/ .K.777 GH4 L -i 1 /777' Building Address Phone 7g -° O.,' 3 -q �� /5 • 43OX -9.3 q' - Phone 6g / Competency# . 74 3 i Ins. Co. Address Address Address gnature offontractor or Owne - Buildet ate: (tar as to Contractor.or Owner - Builder y Commission Expires:7 /X Fire Other echanical Plumbing Engineering ihiv 9 ) ePoPe PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Contracting Co. / £i ' e R State _d_id0R7 Municipal # Date Job Address cir Legal Description Owner / Lessee / Tenant 4 tZ44 2cWJ Owner ' s Address 9/C /1 WORK DESCR I PT I0 %// '41Ar aut Date: j6 e the above -named ntractor to do the work stated. Notary as to Owne My Commission Exp gnature of owner an Condo President OFFICIAL SEAL 1 JULIO ROBLES My Commission Expires omc�o PP . 6 � 0 F , ; . omm. o. cc 205953 res • •...•• Tax Folio /l 1 Master Permit #4.0 t � Phone Address 7v ,i4) 5/' 57 " Qualifier �/ /LC � .� ° Phone .PGP " Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one )• BUILDING E ECT'DAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Square Ft. Estimated Cost(value) /4 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 Signature of Co = o or er- Builder • OFFICIAL SEAL Date: JULIO ROBLES ommission Expires June 4 19 Notary as to Cont* ve "'�oEoewnego, ; x•53 My Commission Expires: * * * * * * * * * * * * FEES: PERMIT / RADON C.C.F. NOTARY TOTAL DUE APPROVED: Fire Other ������� ..�� Zoning Building Electrical ¶ 2 Mechanical Plumbing Engineering ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ~ © � l Date ,�1L 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 Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. 88. IAMI SHORES VILLAGE Registered Architect and /or Engin er Employing Electrician's Name / q No 9 7 .a,/ Location and Legal Description Lot c� ?---r" l... Ar Block Street and Number where work is to be performed —No $3/X New Building Remodeling Addition.. State work to be performed and purpose of building (By Floors) No 3/s ,I (Signed)... (Signed) Street LA..S Street 9- Subdivi 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 complied with the provisions thereof, and will require similar compliance from all contractors or aub•contractora employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'8 FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST may I 7 1/ CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL. CONTR. LIST CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ~ © � l Date ,�1L 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 Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. 88. IAMI SHORES VILLAGE Registered Architect and /or Engin er Employing Electrician's Name / q No 9 7 .a,/ Location and Legal Description Lot c� ?---r" l... Ar Block Street and Number where work is to be performed —No $3/X New Building Remodeling Addition.. State work to be performed and purpose of building (By Floors) No 3/s ,I (Signed)... (Signed) Street LA..S Street 9- Subdivi 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 complied with the provisions thereof, and will require similar compliance from all contractors or aub•contractora employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CONTRACTOR New Construction Name c + in E)eC 1 1 4c - / tc License No. (� ^ OO C/ 7 n � � � ( E Address l Q l � / fl 1_ .. (t I g S i- 8 N .. PIV\ to"( ) 3318 Telephone3sS , I J ( 9J_3 3 ltJr -�Q Fa �Y�_ //a5 n Qualifier Nam 11 ` e -> � S [ e � T TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior ✓ Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other Step 1. LiVPNTEO`, CBP—OHO Job Address: 515" IV t E 9910 Address Apt. Fo t N lttglaVr , /7. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other v ARCHITECT Name License No. Address Telephone Fax a to 1. L r u 1 i EL Block PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection PROPERTY OWNE Name /1 ) e( Address r mealvJy v e Home Telephone Business Telephone Fax Flood Zone Master Permit N Subsidiary Permit City Tax Assessed/Appraised Value tz ( 54/ 77 No. PERMIT APPLICATION 1 , NSTH UCTIO1NS - Th e following steps m rbe ust taken to obtain a perniit front the Miami Shores Village: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. 4 State Zip Description of Work - P Od I) Y IJOI Jy, 'l Subdivisio i 11 N P; 0 , 't) Zoning Linear Feet — / Current Use of Property e e, 'v < Square Feet pQpp��nn Units Floors Proposed Use of Property Value of Work STA DO Bldg Value Tenant Information Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 PERMIT APPLICATION IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. 1. 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 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 OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Owner Print Name Print Name Sworn to and subscribed before me this day of o nd subscribed before me this Signature of Notary Public - State of Florida Signature . f Notary Pub ' • - State- of -FJpii ` ;:F,.:, .c, ; , :;,E" p '' e lf:, ANG.3:A M E(. ;■1W SEAL: SEAL: -Z �� 0 a� _�.:< 0.a.,...... u �, > ;, ?`. y a : X079 §Eg7 Personally known OR, Produced identification Personally known OR, Produced Identification Type of Identification Produced: Type of identification Produced: ELECTRIr ALI TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall ,, Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton - Piping, Flammable Liquid ]Fire Pump Outlet, Switch - Signs A/C Central 8-15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light ,- Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, IIntercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE I Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons 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 Solar Water Heater Air Handler, Tons Ductwork, Cost of - Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof Q'I'Y. 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 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: 1 Page 4 OFFICE USE ONLY 11IIICK;LIST ® OWNER - BUILDER FORM (Attach) • FIRE DEPARTMENT APPROVAL (Commercial / multi- family) CONCURRENCY (New Construction) La OTHER (Specify & Attach) CI PROOF OF OWNERSHIP (Attach) • HRS / DERM APPROVAL (Septic / Sewer) ® IMPACT FEE (New Construction) Ci OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) $ Miami Shores Village Bond Metropolitan Dade County (C.C.F.) (sq.ft. = x/1000 x ¢.60) Inspector State Educational Fund $ (¢.005 / sq.ft.) State DCA (Radon) $ (¢.01 /sq.ft.) Code Enforcement Fine $ Zoning Review 5 0 ISSUING OFFICIAL REVIEWED AND PREPARED BY: SECTION Zonin Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION • CONDO ASSOCIATION APPROVAL (Attach) • BPR APPROVAL (Restaurants) LI CONTRACTOR REGISTRATION (On File) TOTAL $ S, 1 o DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL o (305) 795 -2207 u FAX (305) 756 -8972 o http : / /www.miamishoresvillage.com MIAMI SHORES VILLAGE, FLA. JOB REMARKS: 0 !I INSPECTOR N9 5577 ADDRESS INSPECTION � `' �%+ 1?-21-1- ° TIME READY 2 A -r7 DATE 4'7'. 2