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ELECTRICALPERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) 70), Tax Folio/410105-157 60 #0 ? Date Job Address Legal Description /r 44/1 /L/ 5 i Master Permit # Owner / 1561;s4 1J7�44l1 Owner's Address / /(3 2 /O /. Phone Contracting Co. A. C ._'pA /s A(C - Address 3/9 W. 30 1K epo./k1:90(c..> SSia ? Phone Ea 5_LI ?Ks State# iR g'S ' O Competency# a/ / Y Ins. Co. Qualifier Architect /Engineer Bonding Company Mortgagor Sign.'ure .Owner acid /or Condo President Date: Nota as / o Owner and /or Condo President My Commission Expires: °ij // f PERMIT FEE: APPROVED: , 124-40 1 Zoning �Jb 3 SOV Mechanical * * Fire Building Plumbing Address Address Address Permit Type (circle one): BUILDING PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION /! � L/ 2.i/ Square Ft. Estimated Cost ? O C) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to he work stated. /1/ g � ure of Contractor or Owner- Bu'ildary't' ot. as to Contractor or Owner- Bui1dar My Commission Expires: * * * • * Engineering * * * 1` �� �� , - ,fie JILDING ECTRICAL UMBING wner of iilding •chitect ontractor Builder ,gal escription Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 8559 Work to be performed under this Permit ( Bl. Subdi- vision DATE Contractor's License No. 194 ddress of / / ` / Value of Amt. of iilding ,./ / / Project Permit j LL M . 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- tion herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any ans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this -rmit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- Jility for work done by his agents, servants or employees. / Signed ✓ By . 41"` 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 :rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY Permit No.__ ._ ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement o f 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. ss. Owner's Name and Address__ Registered Architect and /or Engineer Employing Electrician's Name_______ Amount of Permit $_____ ! MIAMI SHORES VILLAGE Service Overhead Underground Size Feeders Conduit__ __ —_Main Sw._ Type of Installation — Conduit_____ —_— _____Tubing_ B.X.L._____— Metal Mo lding N o . t° ��. .. — No. Street ------_ ...... — — -- — - - - - - -- -- Location and Legal Description Lot F � , Street and Number where work is to be performed— No.____ ��_ �__.________ _______ �.___ ___Street___ —_ State work to be performed and purpose of building (By Floors) y � '__ `, . ' New Building _Remodeling Addition_____— Repairs No. of Stories___—____—_____ Block' ( gned) (Signed) r __Amps Main Fuses____— ______ ___Amps Electrical pector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a an emplo er of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Suppleme , and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hi in the work to be performed under this permit; and will post or cause to be p osted 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. Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. 1? 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 TOTAL CONTR. LIST CHECK / ..� ENT. SW. CAB. GAB. SERVICE TEMP. SERVICE PERM. 6-' , �. - TORS c MO 0.1 HP MOTO 1 -5 H NEON TRANS. RADIO TOTAL CONTR. LIST • - CHECK Permit No.__ ._ ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement o f 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. ss. Owner's Name and Address__ Registered Architect and /or Engineer Employing Electrician's Name_______ Amount of Permit $_____ ! MIAMI SHORES VILLAGE Service Overhead Underground Size Feeders Conduit__ __ —_Main Sw._ Type of Installation — Conduit_____ —_— _____Tubing_ B.X.L._____— Metal Mo lding N o . t° ��. .. — No. Street ------_ ...... — — -- — - - - - - -- -- Location and Legal Description Lot F � , Street and Number where work is to be performed— No.____ ��_ �__.________ _______ �.___ ___Street___ —_ State work to be performed and purpose of building (By Floors) y � '__ `, . ' New Building _Remodeling Addition_____— Repairs No. of Stories___—____—_____ Block' ( gned) (Signed) r __Amps Main Fuses____— ______ ___Amps Electrical pector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a an emplo er of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Suppleme , and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hi in the work to be performed under this permit; and will post or cause to be p osted 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. Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. 1? 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. APPLICATION FOR ELECTRICAL PERMIT / / Permit No.___ .6_- ___ � • Date. - _ —__ -1 ! — — e_ — ^ - - Application is hereby made or th app va1 of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name__— _ No.__L__2Zl _Street__ Location and Legal Description Lot_______` Block ,/ 7 Subdivision_ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building 11 Remodeling — Addition Repairs Service Overhea Underground Size Feeders Under Type of X L —__ Metal Moulding Amount of Permit $ 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 Compens 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. } ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Conduit] _Main Sw._ /J 6 Amps. (Signed)_. (Signed No. — — — — — Street _No. of Stories Main Fuses -------- _______ —_Amps Master Electrician. Before me, the undersigned authority, a notary public, duly a uthorized to administer oaths and take ' owledgments, 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 TOTAL. CONTR. LIST (, q 1 i r " { 3 ' CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK APPLICATION FOR ELECTRICAL PERMIT / / Permit No.___ .6_- ___ � • Date. - _ —__ -1 ! — — e_ — ^ - - Application is hereby made or th app va1 of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name__— _ No.__L__2Zl _Street__ Location and Legal Description Lot_______` Block ,/ 7 Subdivision_ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building 11 Remodeling — Addition Repairs Service Overhea Underground Size Feeders Under Type of X L —__ Metal Moulding Amount of Permit $ 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 Compens 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. } ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Conduit] _Main Sw._ /J 6 Amps. (Signed)_. (Signed No. — — — — — Street _No. of Stories Main Fuses -------- _______ —_Amps Master Electrician. Before me, the undersigned authority, a notary public, duly a uthorized to administer oaths and take ' owledgments, 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.