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ELECTRICALN/e Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. es, 1-(c /7K MIAMI SHORES VILLAGE /2, ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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. ,� f � Owner's Name and Address Y__ Z_ No !__ Street___. _�.. 9 P S /' Registered Architect and /or Engineer Employing Electrician's Name __ 4�_ � _�_____ L __� _fc_L��..�:.1_ �- No.___ _ Street �, •, Location and Legal Description Lot Block Subdivision__ Street and Number where work is to be performed —No V a: S State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs No. of Stories.____ My Commission Expires (Signed) Service Overhead Size Feeders Conduit_ Main Sw Amps. Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding 3 - iL//3 Date L 3- lee M ain Fuses_ ______ -- .Amps. (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 an licensed by Miami Shores Village. Notary Public. State of Florida 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. CAa. SERVICE TEMP. SERVICE PERM. MOTORS O.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST ' ' CHECK v .ill 1CL i . N/e Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. es, 1-(c /7K MIAMI SHORES VILLAGE /2, ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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. ,� f � Owner's Name and Address Y__ Z_ No !__ Street___. _�.. 9 P S /' Registered Architect and /or Engineer Employing Electrician's Name __ 4�_ � _�_____ L __� _fc_L��..�:.1_ �- No.___ _ Street �, •, Location and Legal Description Lot Block Subdivision__ Street and Number where work is to be performed —No V a: S State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs No. of Stories.____ My Commission Expires (Signed) Service Overhead Size Feeders Conduit_ Main Sw Amps. Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding 3 - iL//3 Date L 3- lee M ain Fuses_ ______ -- .Amps. (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 an licensed by Miami Shores Village. Notary Public. State of Florida 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. Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date /' / / Application is hereby m e for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein descri . 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 Employing Electrician's Name _(��v LF___ C_L EG�i�� !L } _3 J� Registered Architect and /or Engineer 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 Le' Addition Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. ss. My Commission Expires Block Service Overhead Size Feeders Conduit_ Main Sw. Amps. Underground Type of Installation— Conduit Tubing w_ B.X.L. Metal Moulding (Signed) (Signed) Street__!1 _Lei_ 98 Street -. C _ ,►•c./40 # V � _ , ____�___ —_ Street_ __ !• Repairs__________________,___ No. of Stories__._____ Main Fuses____ _ _Amps. Electrical Inspector. The undersigned pplicant for this building permit does hereby certify that he understands and accepts his obligations u 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 u 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. 4 v L f L T .„ i Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, 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 Elel(rian. 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 REFRIO. UTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST A X /O /171- / / / CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -3 HP NEON TRANS. RADIO TOTAL CONTR. ST LIST CHECK Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date /' / / Application is hereby m e for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein descri . 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 Employing Electrician's Name _(��v LF___ C_L EG�i�� !L } _3 J� Registered Architect and /or Engineer 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 Le' Addition Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. ss. My Commission Expires Block Service Overhead Size Feeders Conduit_ Main Sw. Amps. Underground Type of Installation— Conduit Tubing w_ B.X.L. Metal Moulding (Signed) (Signed) Street__!1 _Lei_ 98 Street -. C _ ,►•c./40 # V � _ , ____�___ —_ Street_ __ !• Repairs__________________,___ No. of Stories__._____ Main Fuses____ _ _Amps. Electrical Inspector. The undersigned pplicant for this building permit does hereby certify that he understands and accepts his obligations u 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 u 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. 4 v L f L T .„ i Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, 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 Elel(rian. 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. APPLICATION FOR ELECTRICAL PERMIT Permit No l Date f Y1.r i.'' ' 1. V I 3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte for the uilding 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 w gJc Owner's Name and Address Amount of Permit $.. STATE OF FLORIDA, COUNTY OF DADE 11 C. , 0 ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ( )S , & t uy --) • No Registered Architect and /or Engineer V Employing Electrician's Name.. .':SS....E.N.... .l -. '{ L.,1. r ,Z. -C- • No L. _ Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No ..... ._.... N 1.c T Street State work to be performed and purpose of buildin (By Floors t- S . N -.. $ E t L C - It c ' fik gr.L E .-- ce Iv, CA --` New Building Remodeling , Addition Repairs No. of Stories C (1-4- W .-`5L '\ (Signed) `NI Street...., r Z J Street. .....L .��.. Service Und Overhead ground L Feeders duit Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing ...A B.X.L Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo a Permanent Supplement, and has complied 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 undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) .„ 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 MOO 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'F'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. Sect Hamm STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE Tamp. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.0 HP NEON TRANS. RADIO TOTAL CONTR. LIST • L )11 - 1 .5 a CHECK 15 a 11 , O o APPLICATION FOR ELECTRICAL PERMIT Permit No l Date f Y1.r i.'' ' 1. V I 3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte for the uilding 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 w gJc Owner's Name and Address Amount of Permit $.. STATE OF FLORIDA, COUNTY OF DADE 11 C. , 0 ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ( )S , & t uy --) • No Registered Architect and /or Engineer V Employing Electrician's Name.. .':SS....E.N.... .l -. '{ L.,1. r ,Z. -C- • No L. _ Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No ..... ._.... N 1.c T Street State work to be performed and purpose of buildin (By Floors t- S . N -.. $ E t L C - It c ' fik gr.L E .-- ce Iv, CA --` New Building Remodeling , Addition Repairs No. of Stories C (1-4- W .-`5L '\ (Signed) `NI Street...., r Z J Street. .....L .��.. Service Und Overhead ground L Feeders duit Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing ...A B.X.L Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo a Permanent Supplement, and has complied 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 undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) .„ 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 MOO will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Owner's Name and Address / 2111 Registered Architect and /or Engin r . Employing Electrician's Name - -- t /44 Location and Legal Description Lot it V ' J _ _Block Street and Number where work is to be performed—No . ____ # State work to be performed and purpose of building (By Floors) — 111. New Buildin•""""' Amount of Permit $ '--- STATE OF FLORIDA, COUNTY OF DADE. ss' My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 11 APPLICATION FOR ELECTRICAL PERMIT Permit Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. 'Remodeling Addition Repairs (Signed) (Signed) / O � verhead / / / �j Service • Size Feeders`' Conduit___ Main Sw.___ _ ir' L[__ Amps. Main Fuses _ Amps. Type of Installation— Conduit Tubing___ B.X.L. Metal Moulding Electrical Inspector. The undersigned applicant for this built ermit 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- elied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be formed 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 ate -fired by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are l by Miami Shores Village. Date r e No. of Stories______ 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. 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 -1 / / ` E / CHECK NN _ /I/ ' l +� S kw V ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. /1 (7 R}r y e MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST 1 ,/ . / • J V,, ECK ii ! ki at- w J Owner's Name and Address / 2111 Registered Architect and /or Engin r . Employing Electrician's Name - -- t /44 Location and Legal Description Lot it V ' J _ _Block Street and Number where work is to be performed—No . ____ # State work to be performed and purpose of building (By Floors) — 111. New Buildin•""""' Amount of Permit $ '--- STATE OF FLORIDA, COUNTY OF DADE. ss' My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 11 APPLICATION FOR ELECTRICAL PERMIT Permit Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. 'Remodeling Addition Repairs (Signed) (Signed) / O � verhead / / / �j Service • Size Feeders`' Conduit___ Main Sw.___ _ ir' L[__ Amps. Main Fuses _ Amps. Type of Installation— Conduit Tubing___ B.X.L. Metal Moulding Electrical Inspector. The undersigned applicant for this built ermit 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- elied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be formed 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 ate -fired by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are l by Miami Shores Village. Date r e No. of Stories______ 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. 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. /f� Q APPLICATION FOR ELECTRICAL PERMIT Permit No.L' Date 060 e__af Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or otbp structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shorn Village, Fl " 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 of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plena and specifications must be kept building during progress of work. Owner's Name and Address ked. Registered Architect and /or Eng _ �/ i �.... ...:. - - No. , F!x Employing Electrician's Name � 6 $trit L� / , Block Subdiv ' Street and Number where work is to be performed— No _2_!_ J� State work to be performed and purpose of building (By Floors) New Building Addition_______ ______ Repairs No. of Stories________ Location and Legal Description Lot____ Overhead 1J Service Tlitda� Size Feedent— __ Conduit_] A. Main Sw.__�� o Amps Type of Installation --- Conduit____ Tubing___ B.X.L. __________.Metal Moulding Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. es. My Commission Expires MIAMI S H O R E S VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and ban plied with the provisions thereof, and will require similar compliance from all contractors, or sub - contractors employed by him in the week performed under this permit; and will post or cause to be posted for inspection on the Ate of the work such public notice or nodal as required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed ender this pewit, as licensed by Miami Shores Village. (Signed) Street_ Main Fuses.. Master Before me, the undersigned authority, a notary public, duly authorized appal – – — — -- – – 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 fact "` therein by him stated are true. to administer oaths and take acknowledgments, 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 faifty materials and /or workmanship. SWITCH OUTLETS ' LIGHT OUTLETS PLUG RICET'T'I FIXTURES N •. REFRIO. T OUTLET IRON OUTLET RANGX OUTLET RANG[ CONN. WAVIER HEAR HEATER W. HEAT. CONN. PACK HEAT** STRIP Haman . ,. CONTR. LIST /9 , / W /4' CHECK ENT. SSW . DIST. CAS. SERVICE TIM P. SERVICE PIERM. MOTORS 0-1 HP MOTORS 1 -5 NP NIXON TRANS. RADIO CONTRIST . L /Al 4 4,...:5,...i,..,..:.,..... [I] '''.,:,..... : . ..,.....,. CHECK /f� Q APPLICATION FOR ELECTRICAL PERMIT Permit No.L' Date 060 e__af Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or otbp structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shorn Village, Fl " 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 of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plena and specifications must be kept building during progress of work. Owner's Name and Address ked. Registered Architect and /or Eng _ �/ i �.... ...:. - - No. , F!x Employing Electrician's Name � 6 $trit L� / , Block Subdiv ' Street and Number where work is to be performed— No _2_!_ J� State work to be performed and purpose of building (By Floors) New Building Addition_______ ______ Repairs No. of Stories________ Location and Legal Description Lot____ Overhead 1J Service Tlitda� Size Feedent— __ Conduit_] A. Main Sw.__�� o Amps Type of Installation --- Conduit____ Tubing___ B.X.L. __________.Metal Moulding Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. es. My Commission Expires MIAMI S H O R E S VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and ban plied with the provisions thereof, and will require similar compliance from all contractors, or sub - contractors employed by him in the week performed under this permit; and will post or cause to be posted for inspection on the Ate of the work such public notice or nodal as required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed ender this pewit, as licensed by Miami Shores Village. (Signed) Street_ Main Fuses.. Master Before me, the undersigned authority, a notary public, duly authorized appal – – — — -- – – 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 fact "` therein by him stated are true. to administer oaths and take acknowledgments, 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 faifty materials and /or workmanship. THIS CERTIFIES by for Size of Service Range Power: Connected load / Other Apparatus MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION THAT the wiring and apparatus installed at ued owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Number of Lighting Circuits watts. Water Heater H P. Space Heaters .< PERMIT Address watt ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PE Permit No.. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of mi Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regul ons of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and pecifications must be kept at building during progress of work. c4 Owner's Name and Address v 4-tAl `' J l..l -.0 �.No. �l _t .Street Registered Architect and /or Engineer / Employing Electrician's Name J Q . C �"r��' No. O(' `ri./ ��r /7. Location and Legal Description Lot 1 . 7 1 Amount of Permit 5.. STATE OF FLORIDA, COUNTY OF DADE. I m4erials and /or workmanship. 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 rs No. of Stories MIAMI SHORES VILLAGE Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding z°5—"m mow.. (Signed) 55. Block 1 �� 2 ._Fi / Street (Signed).... -'i '1 Date. 3 Subdivision The undersigned applicant for this building permit does hereby certify that he und stands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Electrical Inspector. ij`kti7/ p44e- - Master Electrici n. 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 SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'Y'S FIXTURES NO. LAMPS I EFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H STRIP H EATER TOTAL CONTR. LIST T'A. (�� CHECK ENT. S \Y. DIf T. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST /'i`� lam} ��!ttiT' CHECK / (�' ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PE Permit No.. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of mi Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regul ons of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and pecifications must be kept at building during progress of work. c4 Owner's Name and Address v 4-tAl `' J l..l -.0 �.No. �l _t .Street Registered Architect and /or Engineer / Employing Electrician's Name J Q . C �"r��' No. O(' `ri./ ��r /7. Location and Legal Description Lot 1 . 7 1 Amount of Permit 5.. STATE OF FLORIDA, COUNTY OF DADE. I m4erials and /or workmanship. 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 rs No. of Stories MIAMI SHORES VILLAGE Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding z°5—"m mow.. (Signed) 55. Block 1 �� 2 ._Fi / Street (Signed).... -'i '1 Date. 3 Subdivision The undersigned applicant for this building permit does hereby certify that he und stands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Electrical Inspector. ij`kti7/ p44e- - Master Electrici n. 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 $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty BUILDING ELECTRICAL PLUMBING Owner of )/9 Building Architect Contractor or Builder C1 V Legal / Lot / Bl. Description/ Address of Building This pe "" "` " '" """•* a . ove to construe lding or to ins cation herefo . comp ance with all ordinances pertainmg thereto and with the understanding that plans, drawings, statements or specifications that may have been submitted to and approved by the pro at any time if the work is not done in compliance with such ordinances or if the plans are changed wi permit is granted is the understanding that the contractor or builder named above : i ' e res • onsi regulations pertaining to the work covered hereby whether shown on the plans or dr sibility for work done by his agents, servants or employees. ork toy perfor `?I , �J MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 6240 and : this Permit ,,,$igned: Subdi- vision In consideration of the issuance to me of this permit I agree to perform the work covered hereund in compliance with ordinances pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoffides of Miami In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. Cj vs, e h. CONTRACTOR OR BUILDER DATE Contractor's - ,License No By 1 „80 /7c4" tall the equipment or device described in the appli- the work will be performed in compliance with any municipal authorities. This Permi be . a orization. A further . or a u knowl ations AUTHORITY • BUILDING ELECTRICAL PLUMBING i Owner of f (Architect Contractor ( or Builder Legal Lot Descriptfofi MIAMI SHORES VILLAGE, FLORIDA DATE /�i' PERMIT N? 5954 Work to be perf ( 3 ,; rmed under this Permit Address of Building This p it is granted to the contractor .uilder named above to construct the building or to install the equipment or devide desesii ed in the cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in eomphance with plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be 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 permit is granted is the understanding that the contractor or builder named above assumes the r .4 nsi • ility for a thorough know regulations pertaining to the work covered hereby whether shown on the plans or drawings or in . s or . ecifications sibility for work done by his agents, servants or employees. Signed: In consideration of the issuance to me of this permit I agree to perform the work covered b i er in compliance wi rdinances i 44 pertaining thereto and in stri t conformity with the plans, drawings, statem +• ecifications submitted to the proper aut�s Miami Sl In accepting this permit I as me respgbility for all work done by ei - ,lj* ! agent, servant or employee. Contractor's License No. /718 19 Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE - __. . ELECT ^ICA ELECTRICAL DEPARTMENT INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Street and Number where work is to be performed —No '2 (Signed) Date_ - - -_ _ 2 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. ` / � r Owner's Name and Address _A/1E __4 4 01SC_ -_.,W . YE_ No Registered Architect and /or Engineer Employing Electrician's Name ___L. v,(� tC____ h- —_ 2 L No 3 �� 1 Street_ rZ?�_ � �.�/2_� ✓: Location and Legal Description Lot _ ___ r Subdivision G� p Street__ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs____ ____ _____ No. bf Stories____s_-___ Service Overhead Size Feeders Conduit. Main Sw _ — Amps. Main Fuses Amps. Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (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 u art required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit. as scat licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. es. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. MEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST _ CHECK Q L" o C'Jr� 7 DV TGefF; ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE - __. . ELECT ^ICA ELECTRICAL DEPARTMENT INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Street and Number where work is to be performed —No '2 (Signed) Date_ - - -_ _ 2 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. ` / � r Owner's Name and Address _A/1E __4 4 01SC_ -_.,W . YE_ No Registered Architect and /or Engineer Employing Electrician's Name ___L. v,(� tC____ h- —_ 2 L No 3 �� 1 Street_ rZ?�_ � �.�/2_� ✓: Location and Legal Description Lot _ ___ r Subdivision G� p Street__ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs____ ____ _____ No. bf Stories____s_-___ Service Overhead Size Feeders Conduit. Main Sw _ — Amps. Main Fuses Amps. Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (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 u art required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit. as scat licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. es. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Work to be performe Legal `Lot t / 1 Bi. Description Address of �' Building This p it is granted to the contractor or bu + er named above to construct the building or to install the equipment or de ce describe% in the applip cation herefo 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 co • ' ' • u op n white this permit is granted is the understanding that the contractor or builder named above assumes the res • onsib' , ty for a orou h know l : AO • • (l fdinan ant meats s regulations pertaining to the work covered hereby whether shown on the plans or . • "ngs • in E p '•` .. assumes respon sibility for work done by his agents, servants or employees. ' '- IF 11 In consideration of the issuance to me of this permit I agree to perform the work covered hereun y ! * in co ance withai ordinances an pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submi to the proper authonnes of Miami Sh In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA ERMIT N? 6107 Signed- DATE C rector's Li nse No. AUTHORITY sr 194 49 iyy8 r � BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Contractor's Company Name Cont,kctor's Address $ Value of Work For this Permit 1 7, Submittal Fee $ Notary $ �--� Scanning $ Total Fee Now Due $ /7 3Z0 (Continued on opposite side) Miami Shores Village Building 1 � - nt 10050 N.E.2nd Avenue, anu o - � %WED Tel: (305) 795.2204 Faa1(,7iQ ,5) 756.8972 ""fill" 1 20!4 Type of Work: ,Addition ❑ Alteration Describe Work: COMP roS Cinc \ Code Enforcement $ Structural Plan Review. $ ❑New A kers Ma F Permit No. Plumbing Mechanical Roofing Phone # * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** it No. (...,204 3(91 cx- -) J � `- 1 e 1 r ► I C Phone # CQ`i) `i J 3 -7 11 1 With Ave ❑ Repair/Replace ❑ Demolition Permit Fee $ 8d [ / O /CC , 010 CCF $ C C Training/Education Fee $ 0 -W U Technology Fee $ ' • ` Radon $ Zoning ` Bond $ Owner's Name (Fee Simple Titleholder) QOrrl ` ► �P �� Phone # Owner's Address �'() 1 1 C.l Ve City 1111 C'1` i ► 51)pr'eSState Tenant/Lessee Name Zip Job Address (where the work is being done) err-') Frf) nE a Ave, City Miami Shores Village County Miami -Dade Zip is Building Historically Designated YES NO Ci p (fl162 �1 i1P S State F ( Zip J` )�p� Qualifier ,, -yy ll 11 V4 Y State Certificate or Registration No. E R - C 5 Certificate of Competency No. C� EOOD3y S Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: `\9 P-u\ Bonding Company's Name (if applicable) Bonding Company's Address c ' a City State Zip Mortgage Lender's Name (if applicable)' Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. 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 commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: APPLICATION APPROVED BY: Chc 05/13/03 Signature Signature Owner or Agent ontractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this/ a day of , 20 _ , by , day of , 200-f , b� +ed who is personally known to me or who has produced w>is-pellonally known_9>ne or who has produced As identification and who did take an oath. as identification and who did take an oath. Print: Print: 0-41 C_Q'YlC cL..✓vx.,01 My Commission Expires: My Commission Expires: � a nnon **************:************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** �:oaBB� * 9 23 ** 4 ' moires Msy 22, 2005 av ' 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 DRAIN SERVICE REPAIR/I€TER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAU)RY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COW. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES - A/C WINDOW REINSPECTION WATER SUPPLY T0: 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 SWI)W NG POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4 TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. C a crt t ✓ u ! t ) CATCH BASIN 4 41%14' / U DISCHARGE WELL _ f a DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING (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 ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Date Type Insp'n Permit No. Name Address Company Phone # Inspection Date Approved Correction Re- Insp'n Fee • MIAMI SHORES VILLAGE 4 BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Type Insp'n Address Approved Correction Re- Insp'n Fee MIAMI SHORES VILLA BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reque Date u \r) E Pcrmit No. E Wv - 3 Name foxy t ��--- Company Phone # I Inspection Date 1 1 L / ❑ / 4 / ✓ C.411'4+1'' Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/16/2004 Applicant: BARRY UNIVERSITY Owner: STUDENT UNION JOB ADDRESS: 11300 Contractor DOUG HEDDEN ELECTRIC, INC. Local Phone: 888 - 672 - 7177 Parcel # 1121360000040 N MIAMI Legal Description: Electrical Permit Permit Number: EL2004 -321 STUDENT UNION BARRY UNIVERSITY AVE Contractor's Address: 2200 N. W. 118 AVE. Page 1 of 1 Permit Status: APPROVED Permit Expiration: 5/11/2005 Construction Value: $4,000.00 Work: CAMERAS AND SPEAKERS Fees: FEE2004 -11249 FEE2004 -11250 FEE2004 -11256 Description Building Fee CCF Training and Education Fee Total Fees: Amount $380.00 $2.40 $0.80 $383.20 Total Fees: $383.20 Total Receipts: $0.00 Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: