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ELECTRICALPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address ) N t 11 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant &/ - ye actok h2 e----b. Master Permit # 3 v7-. . V Owner's Address f z /" 99 Phone • Contracting Co. ' �j g--/ ;� hiAa Address „17‘.r i✓W /.3-0- Qualifier -,�J� to i P ia..Qi7 SS# phone f "7-- f �� �6 z State # 4 0 cv 91; Municipal # Architect/Engineer Bonding Company Mortgagor Address Notary as to Owner and/or Condo President Date My Commission Expires: Competency # Address Address Ins. Co. Permit Type (circle one): BUILDING T EC PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION L�rl� -lets ° //3 023 Square Ft. Estimated Cost (value) a- 'fl t 1 i 9v - 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 an tha work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named co tractor t. do the work stated. Signature of owner and/or Condo President Date Signa "!� l�r� ',�' �! Date Notary as to tractor • r Own -Bui der Date My Commission Expires: FEES: PERMIT - RADON C.C.F. NOTARY BOND TOTAL DUE 3 ®. APPROVED: /oPi tf_ 7 Zoning Building Electrical Mechanical Plumbing Engineering Permit No vit MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT / 1 Date 4119.�(4 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio;ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whe her herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. RCS /. f> r Owner's Name and Address p 4.49 Registered Architect and /or Engine r Employing ElectriciaA's Name Location and Legal Description Lot Street and Number where work is to be performed —No ® v' 9 " Street State work to be perfor ed purpose of building (By Floors) New Building (/ Remodeling Addition Repairs No. of Stories / .No Street Block Street... '33 Subdivision pttk1' 4 Amount of Permit $ 1 7 (Signed) `r'19/ c 0 Amps Main Fuses Amps Service uverne y�� Size Feeders qiPConduit Main Sw s n . erground Type of Installation — Conduit.... Tubing B.X.L .Metal Moulding (Signed) '� i E — Electrical Inspector. The undersigned applicant 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 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. cater Electrician. STATE OF FLORIDA, l COUNTY OF DADE. 1 68. 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•1 FIXTURES NO. L REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE H STRIP H TOTAL TR. COU NS7 ® /1-11 44 e ' y �' t i r 00 �J I� ►f 1 ^k 1 %.4 1.05 / r CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK 4 t f Permit No vit MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT / 1 Date 4119.�(4 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio;ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whe her herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. RCS /. f> r Owner's Name and Address p 4.49 Registered Architect and /or Engine r Employing ElectriciaA's Name Location and Legal Description Lot Street and Number where work is to be performed —No ® v' 9 " Street State work to be perfor ed purpose of building (By Floors) New Building (/ Remodeling Addition Repairs No. of Stories / .No Street Block Street... '33 Subdivision pttk1' 4 Amount of Permit $ 1 7 (Signed) `r'19/ c 0 Amps Main Fuses Amps Service uverne y�� Size Feeders qiPConduit Main Sw s n . erground Type of Installation — Conduit.... Tubing B.X.L .Metal Moulding (Signed) '� i E — Electrical Inspector. The undersigned applicant 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 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. cater Electrician. STATE OF FLORIDA, l COUNTY OF DADE. 1 68. 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 $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT .x,04� APPLICATION FOR ELECTRICAL PERMIT Permit No 61-$ Date o7 / 79 Application is hereby made for the approval of the detailed statement of the plans and specifications herew th submitte for the building oI other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu :ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No Owner's Name and Address Registered Architect and /or Enginter 1) Employing Electrician's Name '`v� L' ` "a No 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 ock (Signed) ` / / 4; Street / � _ Subdivision v ° WE Street 9 Street Remodeling Addition Repairs No. of Stories service Underground Site Feeders Conduit Main S w Amps to D Main Fuses Amps Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ 00 (Signed) ) c 1 LU )•19 rN Electrical Inspector. The undersigned applicant 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 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. STATE OF FLORIDA, COUNTY OF DADE. I j 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 81.00 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 14 W. HEAT. CONN. SPACE H STRIP H TOTAL CONTR. LIST CHECK ENT. SW. DIET. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 141 HP NEON TRANS. RADIO TOTAL CONTR. LIST 1 CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT .x,04� APPLICATION FOR ELECTRICAL PERMIT Permit No 61-$ Date o7 / 79 Application is hereby made for the approval of the detailed statement of the plans and specifications herew th submitte for the building oI other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu :ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No Owner's Name and Address Registered Architect and /or Enginter 1) Employing Electrician's Name '`v� L' ` "a No 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 ock (Signed) ` / / 4; Street / � _ Subdivision v ° WE Street 9 Street Remodeling Addition Repairs No. of Stories service Underground Site Feeders Conduit Main S w Amps to D Main Fuses Amps Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ 00 (Signed) ) c 1 LU )•19 rN Electrical Inspector. The undersigned applicant 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 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. STATE OF FLORIDA, COUNTY OF DADE. I j 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 81.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.