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ELECTRIC
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA �� Date ELECTRICAL PLUMBING ❑ PERMIT N? 9207 Contractor's ROOFING ❑ License No. ' t'S 1'"` Owner of Building Nit" $ T ❑ Work to be performed under this Permit �-L Architect Contractor or Builder —' a' i'_ om , t L C C - i Legal Lot Description 1 B1 Address of r 1 c.... -�' Cr +�► Building ! t� ELS. z- i C— Subdi- vision Sq. Ft. Value of 11 Amount of Project $ 11 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion 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 up�o�p which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the_ dTdinances and regulations pertaining to the work covered hereb whether shown on the plans o drawings or in the statements or specifications and that hi assumes respon sibility for work done by his agents, servants ploy Signed • — " s SPECTOR) BY In consideration of the issuance to me of this permit I agree t. rform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, ments or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done either, myself, my agent, servant or employee. — J �• CONTRACTOR or BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor' or Builder Legal Lot Description Address of Building • This permit is granted to the contractor or buildef named above to construct the budding cation herefor in strict compliance with all ordinances thereto and with the plans, statements specifications that may have � submitted to at any time if the work is nit done in compliance with such ordinances or if t .aye permit is granted is the ding that the contractor or builder named regulations pertaining to the work covered hereby whether shown on the sibility for work done by his agents, servants or employees. ' In consideration of the issuance to me of this permit I agree top work covered hereunder in compliance with ell ordinances and thereto and in strict conformity with the plans, drawings, statements or specifications ollinitted to the proper authorities of Mlami $lspr j 7 11 11- = acre g this p I assume responsibility for all work done by either myself, my agent, sertint,:linistuinyee. CONTRA bst BUILDER 1 SHORES VILLAGE, FLORIDA DATE Value of to install the the work municipal au authorization. for a ts in the MIAMI SHORES VILLAGE BUILDING DEPARTMENT - 305- 795 -2204 Building Inspection Request Date 1 /` 0 Time Type Insp'n Permit No. f1 . -Z E'r 51' Name / ,t Address `� 4; Company C R io ii•� f e rte° , - -• Phone # For Inspector: L Approved Correction Re- Insp'n Fee Name Date- Name Address Date Company Phone For Inspecto Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time Type Insp'n Permit No. 7 L/ ' G • e l L g Name & Date /7/7-,-)2 v'aii i cv/2- 1/4°1 - e 'owl 4 f eeeL t dve rA i f -1 ® /� MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp' n f // Permit No. i 6' �'- • q Name PR/ Address 6 ' Q S 5 Coma Phone # �• _ For Inspector: 27 i gK ) 1 /© Name & D Approved Correction ❑���� Re- Insp'n Fee ❑ g Permit No Ian 9 Amount of 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, Flucida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer. Employing Electrician's Name � . pr) STATE OF FLORIDA, COUNTY OF DADE. Ij ss' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT No t No A- G e .Li)" (Si (Signed) Date -6 (0 - C1ti 1 Street Street The undersigned applicant for this building permit does hereby certify that he understands and acce labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws o has complied with the provisions thereof, and will require similar compliance from all contractors or .ub- work to be performed under this permit; and will post or cause to be posted for inspection on the site of as are required by the Act. The undersigned agrees to employ only such sub - contractors, on y�ork to be licensed by Miami Shores Village. I I oaths and Master Electrician. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit. Main Sw Amps Main Fuses . Amps Underground P p Type of Installation — Conduit Tubing B.X.L Metal Moulding Electrical Inspector. his obligations as an employer of orida Permanent Supplement, and contractors employed by him in the e work such public notice or notices pe rformed unde this permit, as are Before me, the undersigned authority, a notary public, duly authorized to administer 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. take acknowledgments, personally My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK , , ,� ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK g Permit No Ian 9 Amount of 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, Flucida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer. Employing Electrician's Name � . pr) STATE OF FLORIDA, COUNTY OF DADE. Ij ss' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT No t No A- G e .Li)" (Si (Signed) Date -6 (0 - C1ti 1 Street Street The undersigned applicant for this building permit does hereby certify that he understands and acce labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws o has complied with the provisions thereof, and will require similar compliance from all contractors or .ub- work to be performed under this permit; and will post or cause to be posted for inspection on the site of as are required by the Act. The undersigned agrees to employ only such sub - contractors, on y�ork to be licensed by Miami Shores Village. I I oaths and Master Electrician. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit. Main Sw Amps Main Fuses . Amps Underground P p Type of Installation — Conduit Tubing B.X.L Metal Moulding Electrical Inspector. his obligations as an employer of orida Permanent Supplement, and contractors employed by him in the e work such public notice or notices pe rformed unde this permit, as are Before me, the undersigned authority, a notary public, duly authorized to administer 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. take acknowledgments, personally 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. de MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 7 Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. • Owner's Name and Address +V / v--7-4 No Streetl v V/ '7 r - 7 Registered Architect and /or Engineer.. Employing Electrician's Name C i9. L. - e. No / Street. N V / L9 i S T Location and Legal Description Lot Block p Subdivision Street and Number where work is to be performed —No � °... ! ! 7 Sl Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead on Size Feeders Conduit Main Sw Am s Main Fuses Amps Underground p P Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) • Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or 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. (Signed)e Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. as. 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'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER pgy c , TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK de MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 7 Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. • Owner's Name and Address +V / v--7-4 No Streetl v V/ '7 r - 7 Registered Architect and /or Engineer.. Employing Electrician's Name C i9. L. - e. No / Street. N V / L9 i S T Location and Legal Description Lot Block p Subdivision Street and Number where work is to be performed —No � °... ! ! 7 Sl Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead on Size Feeders Conduit Main Sw Am s Main Fuses Amps Underground p P Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) • Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or 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. (Signed)e Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. as. 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 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, Flotida, 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 P 1 ,91 Street Registered Architect and/or Engineer Employing Electrician's Name..C.ANPI4 . . fiV No/0-1 ‘i‘e / .Street. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No. 0 No.W I State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders..741 ........... Conduit 2 — Main Sw.Z.S74.../.3 Amps Main Fuses Amps Underground Type of Installation—Conduit Tubing B.X L Metal Moulding Amount of Permit $ 3 STATE OF FLORIDA, } ss. COUNTY OF DADE. ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT My Commission Expires - it nr.x.r- .F I S • (Signed). ..,. F H - 1? sibE Date .e — .2 3 5' Street et/Z lectricd1 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 Supplem,ent, 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 wok 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. • Notary Public, State of Florida 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. 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'TS FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO TOTAL CONTR. LIST 11c67A . CHECK MIAMI SHORES VILLAGE 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, Flotida, 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 P 1 ,91 Street Registered Architect and/or Engineer Employing Electrician's Name..C.ANPI4 . . fiV No/0-1 ‘i‘e / .Street. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No. 0 No.W I State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders..741 ........... Conduit 2 — Main Sw.Z.S74.../.3 Amps Main Fuses Amps Underground Type of Installation—Conduit Tubing B.X L Metal Moulding Amount of Permit $ 3 STATE OF FLORIDA, } ss. COUNTY OF DADE. ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT My Commission Expires - it nr.x.r- .F I S • (Signed). ..,. F H - 1? sibE Date .e — .2 3 5' Street et/Z lectricd1 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 Supplem,ent, 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 wok 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. • Notary Public, State of Florida 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. 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. 1/Permit No.d./. �J... / c 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, Fiv:rda, 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. / � { 'I > /j O wner's Name and Address � � � (Dern ��� we// No -5 V . &. Street.. Registered Architect and /or Engineer t f mpl ing El ctri iafi'e N e...!.. /ee J "e% e Location anPLegar Zescription Lot Z/Jtreet and Number where work is to be performed —No STATE OF FLORIDA, COUNTY OP DADE. I U. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT (4et20 5ba; //State work to be performed and purpose of building (By Floors) Date —6-81 o Street r kj BBlock.. Subdivision F`( wt� � „.) f �' S� Street Boa j //J:f 4164-Wi4 New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit.. Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing.. ... B.X.L.. .Metal Moulding Amount of Permit s... .3 5 ( Signed Of' . 7 i ... 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 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. 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 tt:�rzin 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 /i' / �p / j, PLUG RECE'P'7's FIXTURES NO LAMPS RIFRIO. OUTLET IRON OUTLET RANGE OUTLET RANG[ CONN. WATER HEATER W. HEAT. CONN. SPACE H STRIP H TOTAL CONTR. is LIST / �C /C CHECK /5 � /D O& M es ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHICK 1/Permit No.d./. �J... / c 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, Fiv:rda, 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. / � { 'I > /j O wner's Name and Address � � � (Dern ��� we// No -5 V . &. Street.. Registered Architect and /or Engineer t f mpl ing El ctri iafi'e N e...!.. /ee J "e% e Location anPLegar Zescription Lot Z/Jtreet and Number where work is to be performed —No STATE OF FLORIDA, COUNTY OP DADE. I U. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT (4et20 5ba; //State work to be performed and purpose of building (By Floors) Date —6-81 o Street r kj BBlock.. Subdivision F`( wt� � „.) f �' S� Street Boa j //J:f 4164-Wi4 New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit.. Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing.. ... B.X.L.. .Metal Moulding Amount of Permit s... .3 5 ( Signed Of' . 7 i ... 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 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. 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 tt:�rzin 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. ALARMS TPO y SEC !TY Residential Expert Dade 17506 Hector Sanchez Broward 82CLVB181X 93 ° 8— 0 19054 N.E. 26th Court • Miami, Florida / Permit No 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, Fiv: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. Owner's Name and Address 3 y3-����� --‘9 .� f- No e- ..–) �� Street � i/ Registered Architect and /or Engineer Amount of Permit $ APPLICATION FOR ELECTRICAL PERMIT MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT E to ing Electricia e Nee ..... �) No Street i Locaatfon Leal l esci'3ption Lot l" .... Block l o Subdivisio ._ rP Street and Number where work is to be performed —No L � Street. � – , New Building Remodeling Addition Repairs No. of Stories State work to be performed and purpose of building (By Floors) ��� QS` "lfi1� Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding (Signed).. Date Pt CoCis 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 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. „ \ ) (Signed) J ✓� STATE OP FLORIDA, � ,�t.�J COUNTY OF DADS. j es 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 OU LIGHT OUTLETS PLUG RECE' ►'T'S FIXTURES NO LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP H TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 NP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK . / Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv: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. Owner's Name and Address 3 y3-����� --‘9 .� f- No e- ..–) �� Street � i/ Registered Architect and /or Engineer Amount of Permit $ APPLICATION FOR ELECTRICAL PERMIT MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT E to ing Electricia e Nee ..... �) No Street i Locaatfon Leal l esci'3ption Lot l" .... Block l o Subdivisio ._ rP Street and Number where work is to be performed —No L � Street. � – , New Building Remodeling Addition Repairs No. of Stories State work to be performed and purpose of building (By Floors) ��� QS` "lfi1� Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding (Signed).. Date Pt CoCis 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 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. „ \ ) (Signed) J ✓� STATE OP FLORIDA, � ,�t.�J COUNTY OF DADS. j es 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. BUILDING ELECTRICAL PLQMBING Owner of Building t /l / .,(� Architect Contractor ,+ - or Builder °7 Legal Lot Bl. Description Address of ' Building / CONTRAC •R OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 194 PERMIT N9 6789 Co actor's Li e se No. Wq� to be performe under this Permit 1' 1 r Subdi- vision Value of Project 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto 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 by the proper municipal authorities. This Permi may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are c anged witho authorization. A further conditi•' up•. which this permit is granted is the understanding that the contractor or builder named above assume . e resp si s •ty for a thorough knowledge . e , ances and regulations pertaining to the work covered hereby whether shown on the plans o dra • ' or i e : Cements or s ��.'. tions and f _ ! es respon- sibility for work done by his agents, servants or employees. Signed.- INSPECTOR In consideration of the issuance to me of this permit I agree to per . the work covered hereunder in compliance with a11 ald legaaitims 'S 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 .,;v it I assume responsibility for all work done by either myself, my agent, servant or employee. r)-/ "� /...L BY Amt. of Permit AUTHORITY Permit No (, Service Overhead Size Feeders Underground Amount of Permit $ .Its My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT AI?PLICATION FOR ELECTRICAL PERMIT Application is hereby (evade for t approval of the detailed statement of the plans and specifications huewith submitted for the b structure herein described. This placation is made in compliance and conformity with the Building Ordinance of Miami Shores V and all provisions of the Laws the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the B of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications building during progress of work. Owner's Name and Address __..__ -_ Registered Architect and /or Engineer Employing Electrician's Name 1�1l1..t.,E?.e�.!'...d.�___ Location and Legal Description Lot.___ !y-! f . ._ __Block NosF Stmt_-- -LO— Dater. - - - -_- ___ Stuet_ ,f -e Subdavision_// Street and Number where work is to be performed —No ..,%ef_?2___hA) State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs No. of S Conduit.__Z le___ Main d a _w- Amps. Main Fuses ± 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 under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida Permanent Supplement, and has plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wets performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or rocket required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this pertlmiti licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. ss. Before me, the undeitgned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persona 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 be did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida Master 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 RECK'P'T'S FIXTURES NO.LAMPS RE ►RIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER CONTR. JS /%13 2 O , j / / - / / / y . A CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PER . MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO CONTR. LIST r fr- CHECK T i . Permit No (, Service Overhead Size Feeders Underground Amount of Permit $ .Its My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT AI?PLICATION FOR ELECTRICAL PERMIT Application is hereby (evade for t approval of the detailed statement of the plans and specifications huewith submitted for the b structure herein described. This placation is made in compliance and conformity with the Building Ordinance of Miami Shores V and all provisions of the Laws the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the B of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications building during progress of work. Owner's Name and Address __..__ -_ Registered Architect and /or Engineer Employing Electrician's Name 1�1l1..t.,E?.e�.!'...d.�___ Location and Legal Description Lot.___ !y-! f . ._ __Block NosF Stmt_-- -LO— Dater. - - - -_- ___ Stuet_ ,f -e Subdavision_// Street and Number where work is to be performed —No ..,%ef_?2___hA) State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs No. of S Conduit.__Z le___ Main d a _w- Amps. Main Fuses ± 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 under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida Permanent Supplement, and has plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wets performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or rocket required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this pertlmiti licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. ss. Before me, the undeitgned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persona 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 be did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida Master 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 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. Permit No k '' APPLICATION FOR ELECTRICAL PERMIT Owner's Name and Address �� ' ' (� z . � 4 /ice Registered Architect and /or Engineer Employing Electrician's Name 4 : ` ' ' ' ?.. No ' . ..Z2 . .1 Street //` -', Location and Legal Description Lot.....; 7. g.,. Block Subdivision s ` Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ I STATE OF FLORIDA, l COUNTY OF DADE. I 85. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) ,f Date Street (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - 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. y ter 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's FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST /2 CHECK ENT. SW. DisT. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 141 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK 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. Permit No k '' APPLICATION FOR ELECTRICAL PERMIT Owner's Name and Address �� ' ' (� z . � 4 /ice Registered Architect and /or Engineer Employing Electrician's Name 4 : ` ' ' ' ?.. No ' . ..Z2 . .1 Street //` -', Location and Legal Description Lot.....; 7. g.,. Block Subdivision s ` Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ I STATE OF FLORIDA, l COUNTY OF DADE. I 85. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) ,f Date Street (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - 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. y ter 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. CONTRACTO Name' Name S1L, ►.s Address cg yzci 9f s T f i r` S/ e S /�� �.S f) License No. 0) (/ P . �. r Business Telephone Address /pO //o 7_5 .. 7t / ,4iT/, A '// Repair Telephone ( 7.5.7.0s.-4 fv Fax J 7.f / 6 7 7 -7 ,) Qualifier me Demolish PROPERT WNER Name' Address cg yzci 9f s T f i r` S/ e S /�� �.S f) Home Telephone Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior / Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the properly 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. APPLICATION 1 Job Address: ( F N S T - " l Address Apt. Folio Number I I " 0 1- ® Description of Work ;//.�'/ti�rc- 5t,',CE3 � goo '/irs Lot Block / \ / Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Proposed Use of Property Value of Work ) 0 O . Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. City State PERMIT APPLICATION Zip Units Floors ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES 1. 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. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STTE ORIDA, COUNTY OF MIAMI -DADE Signature of 0 Print Name Sworn to and subscribed before me this 20O SEAL: 74 Signature of Notary Public -State of Florida day of /Z , tion STAT. !," ORIDA, COJ Y OF MIAMI -DADE Signal e of +ntractor / ifier ..'- e2_ Pri tNC t'"/ PERMIT APPLICATION Sworn to and subscribed before me this day of `C 7rZ . .?avcvp— Signature of Notary Public - State of Florida C'.^c;:da E. Urn A! SEAL: ersonally known J OR, Produced Identification Type of Identification Produced: pe o dentification Produced: ELECTRICAL Tl'PP. Minimum Fee QTY. TYPE Dryer Q'1'1'. TYPE Outlet, Appliance QTY. TYPE Service Repair ' QTY. A/C Central 1 -3 Ton Heating Strips, each Fan Outlet, Wall Service, Temporary Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch Piping, Flammable Liquid Signs A/C Central 8 -15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16-20 Ton - Pressure Vessel Fixture Light Parking Lot Lights Spas/HotTubs 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, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps 7de i Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE. Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons QTY. Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of - Pressure Vessel Gas - Appliance PLUMBING TY.l,l. A/C Condensate QTti TYPl. Drains, Roof QTY. 'TYPE Miscellaneous Fixture QTY. T't.1,E 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: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ / ' V Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $ ( sq.ft. = x/1000 x ¢.60) $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ l (� ` . °2 ISSUING OFFICIAL DATE: CONDITION OF A PROVAL Revised July 2001 10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Printed: 2/11/2002 Applicant: CHERYL Owner: SELL Contractor STATE POWER & ELECTRIC INC Local Phone: Parcel # 1131010330210 Job Address: 58 NW 98 ST Permit Status: Approved Permit Expiration: Work: UPGRADE SERVICE 200 AMPS If there is no permit package fee is $50.00, which must be pal This Permit is granted to the contractor ordinances pertaining thereto and with the and approved by the proper municipal autt authorization. A further condition upon wh ordinances and regulations pertaining to th by his agents, servants or employees. Signed: In consideration of the issuance to me of with the plans, drawings, statements or spt myself, my agent, servants or employes. Signed: Electrical Permit Permit Number: EL2002 -49 Address: 9760 N MIAMI AVE Cellular: Legal Description: MIAMI SHORES SEC 6 PB 10 -39 LOT 8 E1/2 OF LOT 9 BLK 129 LOT SIZE 8/10/2002 Construction Value: SELL CHERYL STATE POWER & ELECTRIC, INC. 9760 N. MIAMI AVE. MIAMI SHORES, FL 33150 (305) 759-0566 MEMO (.P.e) • D 0 Total Fees: $0.00 Total Receipts: $0.00 NATIONSBANK, N.A. FLORIDA Page 1 of 1 000 L99011' 1:063000047 00 L59646 1,8330 RIZED SIGNATURE 1990 63 -4/630 8 CHECK AMOUNT Saestly oftaw c. too NP IJRir LOOP 1O BE 30' AFC (MIN) i 2' iujQvE $zcjOF 1 • FRI IED IRABE • t^ /C SLED trtY ?UN 1)0'111 x t- r;aciiwn alt. • MAIN 031. 1 1 1 PANEL 1 • . U l-HA . \ 1 i~ 7o tnnci 1 tt J • - • ; Grou wiry :3t4e .� »_ - - -- • r HAUL D[S YOWHHECT • I A r -- ) r� I Y IU�L UR • mri t • Conductor sue • d •C onclut - t: stzr Cohdutt typp- G •Thru rroof ._Y Riifino 2 Amps Masi � ZOO Arip Sub Breakers � Anna S UI3 FEED ER Tyr! TVbt/A/ Si-r_Q Bond .";tza- =��. •�" �-. 1.U1; LUt_ PANEL E,cl tUnp Rntine ' 20 ti jav Bond Bua s °f a L ocr.-tlon — G444 -6 PER s,F,t ;.G, 45Off,Z(1) • • s • • . , 1 clawir NOTARY \,/ r-- -n