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ELECTRICAL PERMITDat Type Insp'n Permit No. t MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildi : Inspection Request Name Address Company Phone # 3 o S- a o� - e l t D For Inspector: ) b l Approved , ,, / Correction IZ LI/P1 Re- Insp'n Fee ❑ 6 ,ev-<4 `Pe= /Gm A eiit,c cLJ'as7- 2 ,� i e Ste, �h- e 1E661/4-- BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building le i Plumbing Mechanical Roofing r� Owner's Name (Fee Simple Titleholder) 0 b LINA F V Phone # ��%S S 1 — 4 c 0 Owner's Address Q\ T S `E 0 C\ St City M \ 5E/J •State Zip ;31 3S Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES $ Value of Work For this Permit Number of: Bays Stories Type of Work: ['Addition Describe Work: isoo.c)a ❑Alteration Miami Shores Village Building Department JUL 9 2003 County Miami -Dade Zip 3 3 i3 5 NO Contractor's Company Name SOS ' ec\ C v :\ 4 C■C16 s Contractor's Address q0 ' ,O) (0 9) '3 c 1 City State � Zip Qualifier C'7 5 OS Master Permit No. Phone # (;0 Z� •—g4 0 0 ' Architect/Engineer's Name (if applicable) _ Phone # Architect/Engineer's Address City State Zip Families Bedrooms Baths ['New E Repair/Replace ❑ Demolition (Le, 1 V e-f V l C �--� Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * *,,* F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** County Escrow Fee $ 0 Education/Training Fee $ Tech $ Code Enforcement $ Bond $ Permit No. El ()(5 J DI L1 Permit Fee $ '69 Notary $ 5.00 • Scanning $ Struct. $ Radon $ 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 inus Plans Check Fee $ Total Fee Now Due $ (Continued on opposite side) a Ick @ -C 53o . c o . Bonding Company's Name (if applicable) 4 Bonding Company's Address City State Zip My Commission Expires: chc7/7 /03 trisr Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the ;•sence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this •Z\ day of , 20 in, by R.ben FoPniPS who is • ersona ly known to me or who has produced As identification and who did take an oath. NOT ' Y P : LIC: / c " A • = - M Becker . Sign: Print: — IP ♦ '� J(' Y Signature Contractor The foregoing instrument was acknowledged before me thisa day of (..) \ , 20 03., by Clay IG3 coq . , who is personall known to me or who has produced as identification and who did take an oath. NOTARY P Sign: Prin : My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ,- ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 0 /�J Plans Examiner APPLICATION APPROVED BY: ,�i��,,��il� Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE(2w/) 1 REFRIGERATION GREASE TRAP APPLIANCE OUTLETS `` PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS QVER 1- 3 If HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, .RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP - FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT - WASTES-- A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. .GENERATORS TRANSFORMERS ( ., HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS - SIGN TRANSFORMERS _ UTILITY -SEWER _ SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY -- TELEVISION OUTLETS DRAINFIELD, .4` TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING •ADDENDUM TO BUILDING PERMIT APPLICATION (!AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL DRIP LOOP i0 BE 10' , {(-l_ ) (MIN) 6' ri - 1:1..11P . u �.J 2OOA VAETER • 2' ABOVE ROOF 1 PLATile BV-10114 FDITS%tED GRATE 7o tank- miaow '-- .1 MAIN CD pl Sco'DRT 2c0 I1 i 13'Q' MN MP T11 1 • • was 1414Dila TEM MP J 1r rimiwn 111111 q • PANEL YOA n I BY KJJLK UI< MtiS•I • ,w • 1 - 1C1010.: 1 Z Conduc.".or • Conduit stz e % Conduit - type-_ They rooff YES NO MAIN. DIS YONNECT R &tin° •O Amps Ham 2'.0_9 Anps Sub Bra alcer-s Amps SUB FEEDER, ER New Ex is UncJ Type • Size Bond atze: • • INSIDE PANEL PER S.1 .R.C, 1506.Z(11) SIt;)IATUl1E OF Iir wlrc • Rating - 2OD AA,ps Nand Buss '1' es Locu i Az ,CONTRALI QR...LIl•.ENS • 1� E fin 0003s Z OR T. NOTARY — _. ^ ^.__._._. f\5 9e { The Sunshine State mane ramo3ER S CARLOS SOSA • 34S2VH 113 CT MIAMI, FL 33165,3420 BIRTH DATE 05-1443 ISSUED 034400 SEX HOT. REST. END ORSE AI SO9 EXPRES DUPLICATE 054404 0040.00 cssoccouom . Operation ate motor vehicle constkutes consent to sobriety test mooted by law..., Owner's Name and Address STATE OF FLORIDA, 1 COUNTY OF DADE. I Amount of Permit $..— tja SS. . MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 1 ...1.. 11.. 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. (Signed) (Signed) No Street Registered Architect and /or Engineer T Employing Electrician's Name (J f 4 .61 L Cul /G N 4 7 J �J �w Street Location and Legal Description Lot Block j Subdivision Street and Number where work is to be performed —No / / / Y ' S ` Street G / /- 5 ' State work to be performed and purpose. of building (By Floors) — 4- G ' ©v ¢ L c a_ New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding 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 mploy such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires 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'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. yy�� 4.0 • Od d6GIs MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST q d I CHECK . Owner's Name and Address STATE OF FLORIDA, 1 COUNTY OF DADE. I Amount of Permit $..— tja SS. . MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 1 ...1.. 11.. 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. (Signed) (Signed) No Street Registered Architect and /or Engineer T Employing Electrician's Name (J f 4 .61 L Cul /G N 4 7 J �J �w Street Location and Legal Description Lot Block j Subdivision Street and Number where work is to be performed —No / / / Y ' S ` Street G / /- 5 ' State work to be performed and purpose. of building (By Floors) — 4- G ' ©v ¢ L c a_ New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding 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 mploy such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ❑ DATE 195 © PERMIT N° 14984 Contractor's ❑ License No. ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot II BI. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project $ Amt. 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 statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: , ' 4 .. .. — f c BY >•..1 , ) a.. .�., ,e..... "L INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Lot Addre of /1 // ) /— Building / MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 6973 Contractor's License License No / jf Work to be performed under this Permit Bl. Subdi- vision Value of Project DATE Amt. off Permit 194 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 with the understanding that the work wil 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 orydinances and ix regulations pertaining to the work covered hereby whether shown on the plans or drawings or the or specifications and, •that e- assumes respon- sibility for work done by his agents, servants or employees. ! / Signed / r + r ,. � , ( By ' Ils1SPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the' proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY Permit No. Date Subdivision 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 __ ^ - L� r No.__ 5 � . Registered Architect and /or Engineer Yi !1:. � � r� v. ,- � �/ t _ ? ti (! -� ' / 41 A / :L.... �_ �... . 1 .- •�' Location and Legal Description Lot_ Employing Electrician's Name ___ __, �_��• ,. . —�� ___ � _1'_ No. /_,, 1i Street _ /L _ 9:. � ; __._ ' t _______.____- g ___;_ _�_— — _______Block____ �, _ ___ division � --- - -- - -- - - �� if Street - ____L____:1 s Street and Number where work is to be performed—No./1 State work to be performed and purpose of building (By Floors) 7 ; : New Building 0 Remodeling Addition.. Repairs No. of Stories 1 Overhead k Service _# __ Size FeedersI__ Conduit.__ _ G Main Sw. / Amps. Main Fuses__ f C1 — Amps. Underground ,_ __ s. ` —__ j Type of Installation— Conduit Tubing_________ B.X.L. Metal Moulding Amount of Permit $ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts bis 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. STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ii PPLICATION FOR ELECTRICAL PERMIT My Commission Expires ELECTRICAL INSPECTION DEPARTMENT (Signed) (Signed) l � 4:;Z ' ` r� - f ' f " 2- - 7' Mas ter Elects an. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CL T / y / W /7 / / / -1- CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. IST LIST CHECK Permit No. Date Subdivision 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 __ ^ - L� r No.__ 5 � . Registered Architect and /or Engineer Yi !1:. � � r� v. ,- � �/ t _ ? ti (! -� ' / 41 A / :L.... �_ �... . 1 .- •�' Location and Legal Description Lot_ Employing Electrician's Name ___ __, �_��• ,. . —�� ___ � _1'_ No. /_,, 1i Street _ /L _ 9:. � ; __._ ' t _______.____- g ___;_ _�_— — _______Block____ �, _ ___ division � --- - -- - -- - - �� if Street - ____L____:1 s Street and Number where work is to be performed—No./1 State work to be performed and purpose of building (By Floors) 7 ; : New Building 0 Remodeling Addition.. Repairs No. of Stories 1 Overhead k Service _# __ Size FeedersI__ Conduit.__ _ G Main Sw. / Amps. Main Fuses__ f C1 — Amps. Underground ,_ __ s. ` —__ j Type of Installation— Conduit Tubing_________ B.X.L. Metal Moulding Amount of Permit $ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts bis 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. STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ii PPLICATION FOR ELECTRICAL PERMIT My Commission Expires ELECTRICAL INSPECTION DEPARTMENT (Signed) (Signed) l � 4:;Z ' ` r� - f ' f " 2- - 7' Mas ter Elects an. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Service Overhe Underground Type of Installation Amount of Permit S__ My Commission Expires MIAMI SHORES VILLAGE ELECTR.-ICAL INSPECTION DEPARTMENT • APPLICATION FOR ELECTRICAL PERMIT 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 � l ?rein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. 7 Ce , s , Owner's Name and Address J _ _ P_r � ___ No.____ 1 11 Registered Architect and /or Engi ` ppe � E� , ° Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Co duit__ Main Sw.______ — Amps. Main Fuses Amps. bing B.X.L. Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees 4o employ only such sub- contractors, on Work to be perforted under this permit, as are licensed by Miami Shores Village. (Signed) No Street_ Street STATE OF FLORIDA, COUNTY OF DADE. ss. 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 be 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 OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET V RON 1 •UTLE "ANGE •UTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 1 UM IMP CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SE =�' C. .I) I i' M OTORS 0-1 HP M OTORS 1 -5 HP N EON TRANS. RADIO TOTAL CONTR. LIST , , � I 1 v CHECK - 11 ! 7 1 I rr o. A , Service Overhe Underground Type of Installation Amount of Permit S__ My Commission Expires MIAMI SHORES VILLAGE ELECTR.-ICAL INSPECTION DEPARTMENT • APPLICATION FOR ELECTRICAL PERMIT 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 � l ?rein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. 7 Ce , s , Owner's Name and Address J _ _ P_r � ___ No.____ 1 11 Registered Architect and /or Engi ` ppe � E� , ° Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Co duit__ Main Sw.______ — Amps. Main Fuses Amps. bing B.X.L. Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees 4o employ only such sub- contractors, on Work to be perforted under this permit, as are licensed by Miami Shores Village. (Signed) No Street_ Street STATE OF FLORIDA, COUNTY OF DADE. ss. 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 be 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. BUILDING ELECTRICAL PLUMBING Owner of Building / - J` Contractor or Build Legal Description Address of Building PERMIT N° • 6973 Work t ,welp a' BBR7,"' MIAMI SHORES VILLAGE, FLORIDA erformed under this Permit ex Subdi- vision Value of Project BY DATE 194_ Contractor's / /5 L3cerse No / Amt. o/ a _ 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 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 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 condi ': .0 on which this permit is granted is the understanding that the contractor or builder named above assu me �fhe r•:.Visibility for a thorough knowled:= i e rdinances and regulations pertaining to the work covered hereby whether shown on the 61ans draw'gs'or ' e statements or " Eifications a� a ssumes respon- sibility for work done by his agents, servants or employees. "� n ' k Signed. � "_ {l gin► B SPECTOR In consideration of the issuance to me of this permit I agree to perfo the work covered hereunder in compliance with all rdinances atld egfatfiiIns pertaining thereto and in strict conformity with the plans, drawings, tate, ents or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY