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ELECTRICAL PERMITSMIAMI SHORES VILLAGE BUILDING DEPARTMENT/ 305- 795 -2204 Building Inspection Request Time ‘ C.— • 7e 6:Z8 ` /724 42 fr e /,e w)2A%33 Grimm 24 - 13 Date Type Insp' *Permit No. Name /) - Address / / 7� A ` /s l / / / ---� Company Phone # For Inspector: D., Name & Date Approved ❑ Correction 171 ,,�/l43 Re- Insp'n Fee ❑ Date Type Insp'n Permit No. Name Address Company Phone # For Inspector: Approved 6 Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2- Building Inspection Re Time ,z7Frvw-i ©v - (o 9 YntizaeAO. � e',5 - 4 /6 MIAMI SHORES VILLAGE BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Request Date Time � Type Insp'n " '1,t9 Permit No. Name Address Company Phone # 7S0 92 For Inspector: Approved ( L f� Correction ❑ ;7d ,) Re- Insp'n Fee ❑ Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Requ l NE NE 7 5 �D/ J 756' 9,72 5 For Insp • Name i . - A roved D #4 PP Correct Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buil g Inspection Requestt Date ✓ /I1 G Type Insp'n Permit No. Name Address Company Phone # Inspection Date Approved Correction Re -Insp' n Fee S te / +1'® 2 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dated 1 U / T'me j Type Insp'n ��-� l /42 Permit No. L °t7 3 c ( Correction - Re- Insp'n Fee Name Y � — Address 15 A-(l % /0 Company a 0 7 Phone # g G For Inspector: p ) Approved 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 State DCA (Radon) Code Enforcement Fine Zoning Review Notary REVIEWED AND PREPARED BY. ••• • • •• • • •. • •• • • ••• • • • • • • • • ••• • ••. . • • • ••• • • • • • • • ; • • • ❑ PROOF OF OWNERSHIP .010 N•• • • • .. • • • • • • • •• • • • • ••• •• ❑' kiRS Mr rr1 (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ f er ?m t� • • • • • Metropolitan Dade County (C.C.F.) $ ) 1 j") v ( sq.ft. = x/1000 x ¢.60) 'Inspector State Educational Fund $ (¢.005 /sq.ft.) $ (0.01 /sq.ft.) $ Sy b 0 PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL c? ISSUING OFFICIAL SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE DATE: /�r' -‘95 CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305).756 -8972 • http : / /www.miamishoresvillage.com ELECTRICAL TyrE Minimum Fee Q'rv. 'I I'I Dryer ..• (ti.. : • TYPE t utlet, Appttdhc %' (in. 'I1PIE: Service Repair QT Y. t 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/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. 1 TYPE Condensate Drain QTY. TVPE Generator QTV. TYPE Refrigeration, Tons Q"1'V. A/C Central, Tons Q.Q.Y. 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 TYPE A/C Condensate QTY. 'I'Vpl; Drains, Roof Q mg.: Miscellaneous Fixture ()Ty. 'nil: Soakage Pit Q.Q.Y. 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 working pUfced and qu I ?ntity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 2 •.• • •.. • • • • ••. • • • • • ••• • • • • • • • • • • • • • ••• • • • • • PERMIT APPLICATION I IPORTANT NOTICES • , 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOFJR•NrALIDA1',U 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 MAINTAiNI'I5 rN t.t3,EskN NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHA.L'L BE It$PT rrEe FROM.. 1RT.A'ND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING ISAAOArApA 1 Y €QUIFM4N'C Olt 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. STATE F FLORIDA, COUNTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Owner CA-Tie-re g m Print Name Sworn to • Id subscribed before me this I w�S • .I1C • . A ,k A , S ature of Noj • blic - S . to o o r da SEAL: 900Z'21 iegwenoN sendx3 e bfs 1000S1•00 uo!sslwwo0 Ayr 3,3 9 W eiaCuy al Personally known OR, Produced Identification Type of Identification Produced: / ' 41-- Signature of Contractor / AA/ r'L.oN sa Print Name Swom to and subscribed before me this ` ° day of of, NOV. 7,2004 ta -' Flol <. FERNANOEZ �~ x COMMISSION NUMBER 9 R .• O CC972745 OF f`O (ti ( MY COMMISSION EXPIRES 0 Signature of Notary SEAL: Personally known OR, Produced Identification Type of Identification Produced: CONTRACTOR Name / NN � - `l(1,t1 ie d f f . l m Name /in be t, 1 ( A1AIA I �C�It`1G License No. LC h60 f4 \R ) , J Fax 2 , 1 ^ y f ._ 3 'L Address 3\Z SW Il M • WnllNAd \-e_ 1` (, Telephone 36 02 R, 0533 Fax c./ _ ci / . .. 7819 Qualifier Name A €e } A( 0 `,\ cr > Demolish PROPERTY OWNER Name / NN � - `l(1,t1 ie d f f . /a�G Address /U ! S ' d / 3-601_ & i t' (54o ref A ?:-q 137 / Home Telephone 3 oS . 7 sc _ ` , 7 , 3 y Business Telephone 3 6 S• .7 s i' yr v Fax 2 , 1 ^ y f ._ 3 'L 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 Step 1. b Address: / /7S rvE / ol Address Folio Number Lot Block Subdivision PB Current Use of Property Proposed Use of Property Tenant Information 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 INSTRUCTIONS - The following Steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which mils be alined by 4heNepe owntr.and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing c ' If •ro2fii & iork will be done, a roofing application must be submit- ted 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 r(dr-ok State Zip lei Soy acom.y) e _..14ISt4 n►eoJ N.q%niSfonhAc' av+ k wie r PG Zoning Linear Feet Square Feet 3 (300 Units Floors Value of Workc1f'/OO " Bldg Value Talc Assessed/Appraised Value Flood Zone Base Floor Elev. S Apt. City escription of Work ] 1 S i e . ENGINEER Name License No. Address Telephone Fax k1C) Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/17/2003 Applicant: JEFFREY Owner: MOWERS JOB ADDRESS: 1175 NE 101 Contractor Local Phone: PK Signed: Parcel # 1132050190230 t ettiAic, In consideration of the issuance to me of this permit, I agree to perform the we with the plans, drawings, statements or specifications submitted to the proper at myself, my agent, servants or employes. Electrical Permit Permit Number: EL2003 -69 MOWERS JEFFREY ST Contractor's Address: 312 S. W. 11 AVE Legal Description: MIAMI SHORES SEC 8 REV PB 43 -67 LOT 13 ,.,6&;4A A/1 Oa C C f. 0 Total Fees: $&00 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 9/13/2003 Construction Value: $1,400.00 Work: INSIDE PANEL SWAP 200 AM & INSTALL NEW MAIN DISCONNECT OUTSIDE NEXT TO METER If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct t~^ ` -- -- •— " - - - ordinances pertaining thereto and with the understanding that the work will be pr and approved by the proper municipal authorities. This Permit may be revoked INE B MOWERS authorization. A further condition upon which this permit is granted is the under: 1175 NE KATHERINE ST ordinances and regulations pertaining to the work covered hereby whether show MIAMI SHORES, FL 33138 by his agents, servants or em ployees. Si ne• / _• i;- • ECTOR) Pay tothe (Contractor S SunTrust Bank Page 1 of 1 BLK 176 LOT SIZE at(ta For 1: 67006076 L003 L 2 L67 211' 0664 Date 664 63- 607/670 Dollars Sma1tChoice Banking 8 6.sullly f..lur.. Boa. on ROYAL ELECTRIC, INC 312 SW 11 AVE. HALLANDALE, FL 33009 ( FF:954 -456 5457 fAX:954 -458 7862 Service over head from FPL 200 A MAIN 3/4 x10Lcooper ground rods Existing Panel 200A C (. 3# 3/0 THII N 2' Conduit. Metal water pipe 1# 6 THHN in 3/4 Conduit • • • •• • ..•••. ...... •••• Cathine Mowers 1175 NE 101 ST. Miami des FL • # description Wire Cond. Brk # description Wire Cond. Brk 1 General light 14 Romex 1 -15A 2 Refrigirator 12 Romex 1 -20A 3 General light 14 Romex 1 -15A 4 General light , 14 Romex 1 -15A 5 General light 14 Romex 1 -15A 6 Range 6 Romex 2 -50A 7 General light 14 Romex 1 -15A 8 Washer , 12 Romex 1 -20A 9 General light 14 Romex 1 -15A 10 Water Heater 10 Romex 2 -30A 11 General light 14 Romex 1 -15A 12 Water Heater 10 Romex 2 -30A 13 A/C 6 Romex 2 -60A 14 Dryer 10 Romex 2 -30A 15 A/C , 6 Romex 2 -60A 16 Dryer 10 Romex 2 -30A 17 Comp. 8 Romex 2 -30A 18 S mall appliance 12 Romex 1 -20A 19 Comp. 8 Romex 2 -30A 20 S mall appliance 12 Romex 1 -20A 21 Small appliance 12 Romex 1 -20A 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 BUS fi MING: 6t0-0 PANEL SCHEDULE i&e AMP. VOLTAGE 120/240 VOLT ROYAL ELECTRIC, INC 312 Ssw 11 Ave. Hallandale FL 33009 Tel: 305 219 -6533 Fax: 954 458 -7862 OPTIONAL CALCULATION FOR ADDITIONAL LOADS IN EXISTING DWELLING UNIT: FIRST 8000 WATTS © 100% 8000 WATTS REMAINDER © 40% 15240 WATTS 1 A/C OR HEATING @ 100% 10000 WATTS PROJECT: 0 NEW HEAD PUMP © 100% 0 WATTS TOTAL: 33240 WATTS AMPERES (WATTS /240 VOLT)= 138.5 AMP. DATE: EXISTING ELECTRICAL SERVICE OF 200 AMP. IS ADEQUATE FOR NEW LOAD. DESCRIPTION 3300 S.F. X 3 WATTS /SF 9900 WATTS 2 APPLIANCE CKTS X 1500 WATTS 3000 WATTS 1 LAUNDRY CKT (1500 WATTS) 1500 WATTS 1 RANGE (12000 WATTS) 12000 WATTS 1 REFRIGERATOR (1000 WATTS) 1500 WATTS 1 DISHWASHER (1200 WATTS) 1200 WATTS 0 GARBAGE DISPOSAL (1200 WATTS) 0 WATTS 1 MICROWAVW (1600 WATTS) 1500 WATTS 1 WASHER (1200 WATTS) 1,500 WATTS 1 DRYER (5000 WATTS) • • 0000 OA•1'6 2 HOT WATER HEATER (4500 WATTS) "':Ib00 VNAITS 0 SPRINKLER PUMP •••• 0 WATTS 0 POOL LIGHT • • 0 1Natt% •0 POOL PUMP ...... 0 V%TT$ SUBTOTAL: • • 46100 WATTS • .. Cathrine Mowers 1175 NE 101 ST> Miami Shores, FL. March 11, 2003 • • • •••• • • • • • • •• • • • • •• •• • ...... • • • ••.••' • • ••.••• • • •.•.. ..•••• •' • .••••• • • .....• • • • • • • • • . • • • • • • • • •••• • • • •••• • • • • .. • • • • . • • • . • . • • • .. • •••• • • • • • • • •••• . • • • • • • • Date RK DESCRIPTION: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305- 756 -8972 Job Addre Legal Description Historically Designated: No . • // Owner /Lessee/Tenet • • / v . -) . Owner's Address Contracting Co. Address Qualifier SS# State # Municipal # 5 iJ ! D� Tax Folio IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Per 't Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING Square Ft. Estimated Cost (value) 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 ANY 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). 1 certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. 1 understand that separate permits are required for all disciplines. OWNERS 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 zo i g. Furthermore, I authorize the above named contractor to .o the work stated. Signature of owner and/or ondo resident Notary as to Owner and/or Condo President My Commission Expires ,y� FEES: PERMIT"/' I RADON Date APPROVED: Zoning Building Electrical Mechanical Plumbing t, II Master P. rmit # Q s ig pi • L 24003- f etwcse- Q J- —• L Competency # Ins. Co. Signa re of Contractor or Owner Builder Date c44,0 '9 -‘3-,106.0 l- Date Notary as to C.ntract&Q t Oikvier B`ui17ea� dO s aidx oi;c tw00 Ac. �� 9 My Commissi xpt i se � Q y., r4- a3ewnN No�59lVdW�� � .�� I� �i t!b'rlln r sACro , o o ltGs Ab''AC b u_ ,n e nd Atld C. C.F NOTARY S OND Date TOTAL DUE 5- 0 Structural Engineer EA • .i 1' B UNIT FEE ITEM S•N I TD OUTLETS UNIT FEE ITEM SPACE WATERS UNIT FEE CET LIC-fT CUTLETS CENTRAL BEATING VIUSHER RECEPTACLES A/C (WINO) SAL SERVICE TEW WARY A/C (CENTRAL) INKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK OCR CRAIN SERVICE REPAIR/ TER CHANGE REFRIGERATION EASE TRAP APPLIANCE CUTLETS / PROCESS AND PRESS PIPING TERCEPTCR RANGE TOP UNOERGROUIO TANKS VATCRY OVEN ABOVE GROUND TANKS UNDRY TRAY WATER HEATER U.F. PRESSLRE VESSELS .OT'rES WASHER 1IOTCRS 0- 1 HP STEAM BOILERS OYER MOTORS OVER 1- 3 If HOT WATER BOILERS A. POT/3 COME. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION NX. RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES NX. SLOP MOTORS OVER 8- 10 if ELEVATORS/ESCALATORS •:+FCRARY WATER CLOSET MOTORS OVER 10- 25 Ff FIRE SPRINKLER SYSTEMS NAL MOTORS OVER 25.100 FP .O :TER CLOSET MOTORS OVER 100 FP VIOLATION , DIRECT WASTES A/C WINDOW REINSPECTION :TER SLPPLY TO: AIR COhOITIONERS . • A/C UNIT STRIP HEATER • � -1 FIRE SPRINKLER GENERATORS TRA?G?c 1ERS `EATER - NEW INST. GENERATORS TRA?SFCRM€RS �^ ?EATER- REPLACE GENERATORS TRANSFCAM€RS �— LAWN SPRINKLER - WELL SPECIAL PURPOSE SRIMMIING POOL OUTLETS COMMERCIAL MATER SERVICE SIGN TLBES rtIR CONNECTIONS SIGN TRANSFCFA€RS ILITY - SEWER SIGN TIME CLOCK ILITY -WATER FIXTURES =TIC TANK ANTENNA LAY TELEVISION CURETS AINFIELO. 4' TILE/RES. VIOLATION '-P & ABANDON SEPTIC TANK( RE I NSPECT I ON ` AKAGE PIT CU. FT. TCH BASIN '�- SOIARGE WELL 4:STIC WELL EA DRAIN CF INLET _AR HATER HEATER ;E STAItPIPE Cl PIPING •N SPRINKLER SYSTEM S RANGE TEA SET (GAS) 3 PIPING =N APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. :3TAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Miami Shores Village 10050 NE2nd Avenue Phone: 305 - 795 -2204 ? p 2A Printed:3 /17/2003 3C Mt' Applicant: JEFFREY Owner: MOWERS JOB ADDRESS: 1175 NE 101 Contractor ) Local Phone: Parcel # 1132050190230 Signed' Signed: ����Lt, Z Electrical Permit Permit Number: EL2003 -69 MOWERS JEFFREY ST Contractor's Address: 312 S. W. 11 AVE Legal Description: MIAMI SHORES SEC 8 REV PB 43 -67 LOT 13 -o, 00 C t•-'- I . o D Total Fees: $1k013- Total Receipts: $0.00 Permit Status: . Approved Permit Expiration: 9/13/2003 Construction Value: $1,400.00 Work: INSIDE PANEL SWAP 200 AM & INSTALL NEW MAIN DISCONNECT OUTSIDE NEXT TO METER Page 1 of 1 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. 41 TOR) BY: BLK 176 LOT SIZE In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in complian` 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. (Contractor or Builder) BY: ROYAL ELECTRIC, INC 312 SW 11 AVE. HALLANDALE, FL 33009 OFF:954 -456 5457 fAX:954 -458 7862 Service over head from FPL ®7'Tzi a. 0 0 200 A MAIN Existing Panel 200A 3# 310 TI-JEN 2' Conduit. 3/4 x 10 L cooper ground rods Metal water pipe 1# 6 THHN in 3/4 Conduit C thine Mowers 1175 NE 101 ST. Miami Shores FL # description Wire Cond. Brk # description Wire Cond. Brk 1 General light 14 Romex 1 -15A 2 Refrigirator 12 Romex 1 -20A 3 General light . 14 Romex 1 -15A 4 General light 14 Romex 1 -15A 5 General light 14 Romex 1 -15A 6 Range 6 Romex 2 -50A 7 General light 14 Romex 1 -15A 8 Washer 12 Romex 1 -20A 9 General light 14 Romex 1 -15A 10 Water Heater 10 Romex 2 -30A 11 General light 14 Romex 1 -15A 12 Water Heater 10 Romex 2 -30A 13 A/C 6 Romex 2 -60A 14 Dryer 10 Romex 2 -30A 15 A/C 6 Romex 2 -60A 16 Dryer 10 Romex 2 -30A 17 Comp. 8 Romex 2 -30A 18 S mall appliance 12 Romex 1 -20A 19 Comp. 8 Romex 2 -30A 20 S mall appliance 12 Romex 1 -20A 21 Small appliance 12 Romex 1 -20A 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 BUS RATING: AO o PANEL SCHEDULE /59- AMP. VOLTAGE 120/240 VOLT ROYAL ELECTRIC, INC 312 Ssw 11 Ave. Hallandale FL 33009 Tel: 305 219 -6533 Fax: 954 458 -7862 OPTIONAL CALCULATION FOR ADDITIONAL LOADS IN EXISTING DWELLING UNIT: FIRST 8000 WATTS @ 100% 8000 WATTS REMAINDER @ 40% 15240 WATTS 1 A/C OR HEATING @ 100% 10000 WATTS PROJECT: 0 NEW HEAD PUMP @ 100% 0 WATTS TOTAL: 33240 WATTS AMPERES (WATTS /240 VOLT)= 138.5 AMP. DATE: EXISTING ELECTRICAL SERVICE OF 200 AMP. IS ADEQUATE FOR NEW LOAD. DESCRIPTION 3300 S.F. X 3 WATTS /SF 9900 WATTS 2 APPLIANCE CKTS X 1500 WATTS 3000 WATTS 1 LAUNDRY CKT (1500 WATTS) 1500 WATTS 1 RANGE (12000 WATTS) 12000 WATTS 1 REFRIGERATOR (1000 WATTS) 1500 WATTS 1 DISHWASHER (1200 WATTS) 1200 WATTS 0 GARBAGE DISPOSAL (1200 WATTS) 0 WATTS 1 MICROWAVW (1600 WATTS) 1500 WATTS 1 WASHER (1200 WATTS) 1500 WATTS 1 DRYER (5000 WATTS) 5000 'WA'' TS 2 HOT WATER HEATER (4500 WATTS) 9000 WATTS 0 SPRINKLER PUMP 0 WATTS 0 POOL LIGHT 0 /JA1 TS 0 POOL PUMP 0 . WATTS SUBTOTAL: 46100 WATTS Cathrine Mowers 1175 NE 101 ST> Miami Shores, FL. March 11, 2003 ACCOUNT mem PAYMENT BAL. DUE DATE RECEIVED FROM 5 No. 197719 '6144444401 2ibauvait; "F e9 e $4f /0D DOLLARS P 41014:14r FZ- ,P - .7 CA ()CHECK O MONEY ORDER 050103 15341U01 006793 MISC. FRO TO 1182 Dat Owner /Lessee/Tenet Square Ft. / U V PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 11050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204 • Fax: 305- 756 -8972 U5 Job Address // ?S N/ /01 Sf /J1'°- ,' 5h0. Legal Description /(fti e/U ;ve ✓�/72ow S Owner's Address / I ) J AS , / 0/ S Contracting Co. +ice Address Qualifier SS# State # Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERI, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION: 'L Ul 51 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 ANY 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). 1 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 all disciplines. OWNERS 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 do the work stated. Signature of owner and/or Condo President ate Signature of Contractor or Owner Builder Date L SIS� (o / - 6W-/ - O 7 Itn 9@I 1 VII' NOTARY SEAL o ' ' )dent GLPDVS COMMISSION NUMEER ' 0009109 q*) MY COMMISSION EXPIRES MAR. 1,2006 Notary as to 0 er and/o Commission Expires FEES: PERMIT ‘e '/ ° 11:1' RADON C.C.F APPROVED: Zoning Mechanical Tax Folio PL 33 Historically Designated: Yes No G Master Permit # (El._ ?0 G 1 .-/C ,O DYlIl�iYyf,1 Phone PLUMBING MECHANICAL ROOFING Estimated Cost (value) 40° 0 , c Date Notary as to Contractor or Owner Builder My Commission Expires Building Electrical Phone NOTARY BOND TOTAL DUE Date CAS t DO Plumbing Structural Engineer Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/10/2003 Applicant: JEFFREY Owner: MOWERS JOB ADDRESS: 1175 NE 101 Contractor Local Phone: Parcel # 1132050190230 0 Sign OUC/ e s_.2-(A4}t Legal Description: MIAMI SHORES SEC 8 REV PB 43-67 LOT 13 BLK 176 LOT SIZE Permit Status: APPROVED Permit Expiration: Work: ELECTRICSAL OUTLETS IN KITCHEN If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employee Electrical Permit Permit Number: EL2003 -91 MOWERS JEFFREY ST Contractor's Address: )2e u 5)®IA.) 02A Total Fees: $ P ty C�� J 3 Total Receipts: $0.00 10/x//2003 Construction Value: $ 00.00 Page 1 of 1 PECTOR) BY: 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: Date Time Type Insp'n � Permit No. v • 03 Name Address Company Phone # For Inspector: O Approved Correction Re- Insp'n Fee 1 � AMI SHORES VILLAGE `JILDING DEPARTME T 305- 795 -2204 Building Inspection Request itteleAA j 75 /A- /6/: 75F — .77 2e/ Name & Date - ,,Ae SAC s 6-Fs 7A 'Y "-' 2 ,v , II t2 1? e %Gel ees • RECEIPT co D r O c m D m z 00 �o 0 0 Z m (I) mm c) x d 27-< 7C .. ; =335 ;. < O 0 n 0 c 0 0 0 m m gc-INt t MIAMI =11UI.tt. VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date. ..... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submittid for the building ot other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami 'Shores Village, Fluada, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation's 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....--B.. No V/5 Street \\ Registered Architect and/or Engineer Employing EleoricisA's No tAAtt Zgal ..epjn Lot. Block . /7 Sbdion2flJ rfl.WS Street and Number where work is to be performed—No \\1 .Street.. State work to be performed and purpose of building (By Floors) New Building Remodeling -Addition -Repairs......:1.XNS.S.i...--.No. of Stories----‘ ve. 0 :head Service Underground Size Feeders Conduit. .Main Sw -.Amps _Main Fuses. • .Amps Type of Installation--Conduit- Tubing ..B.X.L .Metal Moulding • t\%wviw af.. Amount of Permit $ (Signed) — 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' Perinanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or nib-contractors Misplayed 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•contractoi on work to be performed under this 'permit, u are licensed by Miami Shores Vlllage. idi er appeared. 1/45 ---- (Signed).. Electrician. COUNTY STATE OF FLORIDA, OF DADE. Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments, personally •-•••••-• to me well known, and who, being by me first duly rworn, 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 native for inspection, or faulty materials and/or workmanship. SWITCH OUT% VW LIGHT CINTIATO PL U 0 Ntez•p•rs PI *TUNICS No. LAMPS R ZIR 10. OUTLET IRON OUTLET RANO( OUTLET NANO( CONN. WATT.* NEATE R W. NEAT. CONN. SPACZ HEATER STRIP MIAMI ' TOTAL CONTR. LIST . ' . , I CNICC11 ■ ; ! • • . • ; EP.?. SW. 01111T. CAR. Summit TOW. Salo/fez PILIII M. MOTORS 0.1 HP ROTORS 1.4 HP NEON TRANS. RA010 • . ' TOTAL CONTN. LIST . . 1 . - • 1 ! CNacit ' , , . ! ■ 1 t MIAMI =11UI.tt. VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date. ..... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submittid for the building ot other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami 'Shores Village, Fluada, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation's 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....--B.. No V/5 Street \\ Registered Architect and/or Engineer Employing EleoricisA's No tAAtt Zgal ..epjn Lot. Block . /7 Sbdion2flJ rfl.WS Street and Number where work is to be performed—No \\1 .Street.. State work to be performed and purpose of building (By Floors) New Building Remodeling -Addition -Repairs......:1.XNS.S.i...--.No. of Stories----‘ ve. 0 :head Service Underground Size Feeders Conduit. .Main Sw -.Amps _Main Fuses. • .Amps Type of Installation--Conduit- Tubing ..B.X.L .Metal Moulding • t\%wviw af.. Amount of Permit $ (Signed) — 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' Perinanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or nib-contractors Misplayed 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•contractoi on work to be performed under this 'permit, u are licensed by Miami Shores Vlllage. idi er appeared. 1/45 ---- (Signed).. Electrician. COUNTY STATE OF FLORIDA, OF DADE. Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments, personally •-•••••-• to me well known, and who, being by me first duly rworn, 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 native for inspection, or faulty materials and/or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 7 3 � D ate Application is here y 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, whetherherein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Addre %'�� J � i /: - -- o /1 Str eet 4/ / 0 / Sj Registered Architect / and / r ii iie ,- 4 Employing Electricians Nam v � y �!�'- ! `� '-- N 1 LI J� Street W b a, • Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. sa. 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 Type of In all don— Conduit Tubing ' B.X.L Metal Moulding. ` `-4 N /-, �– /o —/a ® , , ( V (Signed) deal 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 sube contractors, on work to b performed nde 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 $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'7'S FIXTURES NO. LAMPS REPRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT: CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. O`rORS 0.1 HP MOTORS 1.0 HP N EON TRANS. RADIO TOTAL CL LIST .s,, v' I� r CHECK I , MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 7 3 � D ate Application is here y 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, whetherherein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Addre %'�� J � i /: - -- o /1 Str eet 4/ / 0 / Sj Registered Architect / and / r ii iie ,- 4 Employing Electricians Nam v � y �!�'- ! `� '-- N 1 LI J� Street W b a, • Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. sa. 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 Type of In all don— Conduit Tubing ' B.X.L Metal Moulding. ` `-4 N /-, �– /o —/a ® , , ( V (Signed) deal 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 sube contractors, on work to b performed nde 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 $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, FLORIDA ❑ DATE D PERMIT N? 3807 Contractors License No. Work to be performed wider this Permit B1 BUILDER BY Subdi- vision 1.4 <, Value of I Amount of z ' - ‹, kJ x _ _ K Project $ I Permit $ ted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- ±nce with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this standing that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and •ork covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- •gents, servants or employees. ,/ ' A 4 ' Signed fl.,/ # 1- • ' INSPECTOR suance to me of this permit I agree to perform the work covered hereunder in compli Lice with all ordinances and regulations onformity with the plans, drawings, statements or specifications submitted to the proper4authorities of Miami Shores Village. In ac• aponsibility for all work done by either, myself, my agent, servant or employee. i AUTHORITY ABBOT PRINT Permit No Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT v 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..Dr...Ja .eS...F...Ga11& her..... 1 DlE_. .1 : O . 1 . $t...La.tr'.e.Ett.Street Registered Architect and /or Engineer Employing Electrician's Name. flk... Schafer, Inc. 1036 NwW , Streetstreet Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No.... 1. 1. 7. 5... N.. E.. 1.O.1.8.t......Z.tire.e.tStreet State work to be performed and purpose of building (By Floors) New Building Remodeling Addition X 1 z � STATE OF FLORIDA, `) COUNTY OF DADE. J j ss' (Signed) (Signed) Repairs Date. .2/12/63 No. of Stories Service OrviceadX Sise Feeders.4 /.O Conduit.2. *" Main Sw Amps...2OO Main Fuses Amps Type of Installation — Conduit X Tubing. ,X B.X.L Metal Moulding The undersigned applicant for this building permit does hereby certify that he understands and labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General La has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on $york to licensed by Miami Shores Village. Electrical Inspector. epts his obligations as an employer of of Florida Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this rrnit, as are 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 REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST BT 12 12 16 12 2 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT v 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..Dr...Ja .eS...F...Ga11& her..... 1 DlE_. .1 : O . 1 . $t...La.tr'.e.Ett.Street Registered Architect and /or Engineer Employing Electrician's Name. flk... Schafer, Inc. 1036 NwW , Streetstreet Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No.... 1. 1. 7. 5... N.. E.. 1.O.1.8.t......Z.tire.e.tStreet State work to be performed and purpose of building (By Floors) New Building Remodeling Addition X 1 z � STATE OF FLORIDA, `) COUNTY OF DADE. J j ss' (Signed) (Signed) Repairs Date. .2/12/63 No. of Stories Service OrviceadX Sise Feeders.4 /.O Conduit.2. *" Main Sw Amps...2OO Main Fuses Amps Type of Installation — Conduit X Tubing. ,X B.X.L Metal Moulding The undersigned applicant for this building permit does hereby certify that he understands and labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General La has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on $york to licensed by Miami Shores Village. Electrical Inspector. epts his obligations as an employer of of Florida Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this rrnit, as are 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 PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA DATE r .41-- 195 ` ❑ PERMIT N° 7432 C is -` (' 7 0 ❑ Work to be performed under this Permit ` t f CONTRACTOR OR BUILDER Address of y% , Building ,y: •!' Bl. Value of 11 Amount of Project $ 11 Permit $ do" ^^- Signed Subdi- vision This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a t orough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dra ngs the statements or crficat' and that he assumes responsibility for work done by his agents, servants or employees. y INSPECTOR • BY: In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 6 ' BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building L 4 0 Lot MIAMI SHORES PERMIT N° ❑ CONTRACTCR OR BUILDER VILLAGE. FLORIDA DATE ; -- 195 L 5870 Contractor's License No. ' -' '.) Bl. Signed Work to be performed under this Permit i Subdi- vision Value of Project $ INSPECTOR . Amount of 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the stc ments or specs i ificons and that he assumes responsibility for work done by his agents, servants or employees. •) In consideration of the issuance to me of this permit I agree to perform the work covered.fiiereunder in compliance with all'ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements =or specifications sb to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. I ?` , O ' iF BY - AUTHORITY Permit No .7 Owner's Name and Address Registered Architect and /or Enginegri Employing Electrician's Name YY Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 7 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 Vil lage and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, ether herein specified or not. A copy of approved plans . and specifications mus!: be kept at building during progress of work. /I 0 J' 0 a ,/.Street /0 D ST. 0 �s .:........... Block Location and Legal Description Lot Subdivision f �! Street and Number where work is to be performed —No 1 Street....... ..(CT' 1 ° / 5 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories (Signed)...Cd (Signed) Street.. Service Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding I Electrica Insptor. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo da Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub tractors 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 a 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. 0 Master Electrician. STATE OP 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 REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. AGE HATER STRIP HEATER TOTAL CONTR. LIST �. .i4C� jc- % ,(/ L „” CHECK 0 0 � / lt / / rA' 9 ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.15 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No .7 Owner's Name and Address Registered Architect and /or Enginegri Employing Electrician's Name YY Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 7 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 Vil lage and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, ether herein specified or not. A copy of approved plans . and specifications mus!: be kept at building during progress of work. /I 0 J' 0 a ,/.Street /0 D ST. 0 �s .:........... Block Location and Legal Description Lot Subdivision f �! Street and Number where work is to be performed —No 1 Street....... ..(CT' 1 ° / 5 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories (Signed)...Cd (Signed) Street.. Service Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding I Electrica Insptor. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo da Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub tractors 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 a 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. 0 Master Electrician. STATE OP 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. .UILDING LECTRICAL LUMBING )wner of uilding i • :, tom• MIAMI SHORES VILLAGE, FLORIDA ERMIT N° 8612 Work to be performed under this Permit rchitect - ontractor r Builder egal 'escription ddress of • uilding This permit is granted to the contractor or builder named above to construct ition herefor in strict compliance with all ordinances pertaining thereto d with ans, drawings, statements or specifications that may have been submittec to and any time if the work is not done in compliance with such ordinances or if the f la rmit is granted is the understanding that the contractor or builder named abov a gulations pertaining to the work covered hereby whether shown on the plans o rility for work done by his agents, servants or employees. V` 70 V crew+ Lot t Bl. L •Wcp INSP CTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinan € and regulations :rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Mi mi Shores Village. accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. Si Subdi- vision Value of Project f CONTRACTOR OR BUILDER / BY ANNI...... the building or to install the equipment or device described in the appli- e understanding that the work will be performed in compliance with any prove lay the proper municipal authorities. This Permit may be revoked ns ar hash ed without authorization. A further condition upon which this ssum s the responsibility for a thorough knowledge of the ordinances and draw ngs or in the..stateme s or specifications and ,...- that . as umes respon- „ T _ � PI DATE 194( Contractor's License No. w t 6.1 nA,..Q.44 Amt. of Permit •s AUTHORITY Owner's Name and Address__ Location and Legal Description Lot__ STATE OF FLORIDA, COUNTY OF DADE. *$ CATION FOR ELECTRICAL PERMIT • -MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT AP ED } Permit No Application made for the approval of the detailed statement o f the plans and specifications herewith submi ted for th ng or der structure herein 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. f:-iCt t'L No Street ------------ -- ---------- - - - --- — - - - -- - Registered Architect and /or Engineer Employing Electrician's Name � d...-1 2. _4':e4 '' _ — _: _!Ct ____No. a 3 gg s Block_ __ ate Subdivision d__ Street and Number where work is to be performed— No.__ 1__j Street ikLj State work to be performed and purpose of building (By Floors)_ ___________________ — New Building li Remodeling_______ — Addition____ Repairs No. of Stories — (Signed) Serv Overhead Underground O _Main Feeders Conduit_—` _Main Sw.—____) (1— Amps Main Fuses___ t' Amps Type of Installation — Conduit_ Tubing _____ _B.X.L._____. Metal Mould g c�4 Amount of Permit $______ - '� t �'___ —fit' .a 'mow - --- ----- -�•� -- ------------ --- - -� (Signed )__ - - -- ----- - --- -- -- -- -- - - - - -- El cal Inspect r. The undersigned applicant for this building Ptrailljoes hereby certify that he nderstands and accepts his obligations as an emp lyer of labor under the Florida Workmen's Compensation Act, bein .I 5966, . .filed General Laws of Florida Permanent Suppleme t, and has complied with the provisions thereof, and will require similar comp lance 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 p osted for inspection on the site of the work such public notice or otices 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. 7 Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared_ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. ( ti, ti 3 "1 3 ® • , ^J - / CHECK 2 ' y 3 / /D / 4 __ -1S __/__ - - G / g,, 2, ,W ENT. DIST. SW. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0 -1 HP MOTORS 1 -5 HP N EON TRANS. RADIO TOTAL CONTR. LIST / �c . ("� Oi CHECK /t5.° Owner's Name and Address__ Location and Legal Description Lot__ STATE OF FLORIDA, COUNTY OF DADE. *$ CATION FOR ELECTRICAL PERMIT • -MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT AP ED } Permit No Application made for the approval of the detailed statement o f the plans and specifications herewith submi ted for th ng or der structure herein 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. f:-iCt t'L No Street ------------ -- ---------- - - - --- — - - - -- - Registered Architect and /or Engineer Employing Electrician's Name � d...-1 2. _4':e4 '' _ — _: _!Ct ____No. a 3 gg s Block_ __ ate Subdivision d__ Street and Number where work is to be performed— No.__ 1__j Street ikLj State work to be performed and purpose of building (By Floors)_ ___________________ — New Building li Remodeling_______ — Addition____ Repairs No. of Stories — (Signed) Serv Overhead Underground O _Main Feeders Conduit_—` _Main Sw.—____) (1— Amps Main Fuses___ t' Amps Type of Installation — Conduit_ Tubing _____ _B.X.L._____. Metal Mould g c�4 Amount of Permit $______ - '� t �'___ —fit' .a 'mow - --- ----- -�•� -- ------------ --- - -� (Signed )__ - - -- ----- - --- -- -- -- -- - - - - -- El cal Inspect r. The undersigned applicant for this building Ptrailljoes hereby certify that he nderstands and accepts his obligations as an emp lyer of labor under the Florida Workmen's Compensation Act, bein .I 5966, . .filed General Laws of Florida Permanent Suppleme t, and has complied with the provisions thereof, and will require similar comp lance 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 p osted for inspection on the site of the work such public notice or otices 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. 7 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. Permit No.D_ "__ APPLICATION FOR ELECTRICAL PERMIT [� Date l — _ 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 Registered Architect and /or Engineer 1 - 1 — Employing Electrician's Name ___ 1 - 41-i: Location and Legal Description Lot Amount of Permit $ 0---® STATE OF FLORIDA, COUNTY OF DADE. ss' My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) No. ___l Z�� °/ (_ Street_LQ/ No. 93 03 Street__ _Block Street and Number where work is to be performed —No 1/ 25 ___W_ _ _ _—____ Street_2__Q /' ____ _ _ _ _ _ _____ ____ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Service Overhead Size Feeders____ Conduit._ _ Main Sw._____ _ Amps. Main Fuses_ Amps. Underground Type of Installation— Conduit Tubing — B.X.L. Metal Moulding The undersigned applicant for this building permit does hereby certify that he tSr and 4s 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 are licensed by Miami Shores Village. (Signed) Electrical Inspector. 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 No. of Stories_______ Master Electrican. 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 O UTLETS PLUG R ECE'P'T'S FIXTURES N O. LAM PS REFRIG. O UTLET IRON OUTLET RANGE O UTLET RANGE CONN. WATER H EATER W. HEAT. CONN. SPACE H EATER STRIP H EATER TOTAL CONTR. LIST ' - / CHECK VV / /) �� ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP °TORS 1 -3 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No.D_ "__ APPLICATION FOR ELECTRICAL PERMIT [� Date l — _ 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 Registered Architect and /or Engineer 1 - 1 — Employing Electrician's Name ___ 1 - 41-i: Location and Legal Description Lot Amount of Permit $ 0---® STATE OF FLORIDA, COUNTY OF DADE. ss' My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) No. ___l Z�� °/ (_ Street_LQ/ No. 93 03 Street__ _Block Street and Number where work is to be performed —No 1/ 25 ___W_ _ _ _—____ Street_2__Q /' ____ _ _ _ _ _ _____ ____ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Service Overhead Size Feeders____ Conduit._ _ Main Sw._____ _ Amps. Main Fuses_ Amps. Underground Type of Installation— Conduit Tubing — B.X.L. Metal Moulding The undersigned applicant for this building permit does hereby certify that he tSr and 4s 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 are licensed by Miami Shores Village. (Signed) Electrical Inspector. 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 No. of Stories_______ Master Electrican. 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.