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ELECTRICALNk c , c) FEES: PERMIT S PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address / /GO L/' )cO i" Date Legal Description Historically Designated: Yes No Owner/Lessee / Tenant clA i A.1 A A AJ' Master Permit # Owner's Address Yr' /140 , N f /0O S7 M SAM : —51/0 a4S Phone 3 - 7 s7 - / 7 7 Y C ontracting Co. CA / o a Ai 1114 r2 , cA. / _5/4 (/) c L Address Yf 0 3 Ng SHC. Tt /L e, Qualifier -1174 5 Col / N o w a SS# ~ Phone Q. y 972 .3 C S y State # Municipal # Competency # 97ed00 Z Th Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDINGLELECTRICALIPLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION - pi; N tz L Signature of owner and/or Condo esident 2 Ca i Not j P/ 1 • ;" oLre ld�e�rrt My < o � • ! g£L Sin < + n .Notary Public, State of Florida ,A 't � cr_•:uission No. CC 669689 > ; < " 4 '0F n.O My Commission Exp. i;9 /14/2OO1 < I4003= ItiOTAl2Y Ph. Notary Service & Bonding Co. i RADON Square Ft Estimated Cost (value) 2. Z. 00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. I a-Hit Date X Date Tax Folio / / 32 QED / 9 b y / b e of Contractor or Owner - Builder )t-d-7.4 it /y / 7YS' Notary 4o Contractor or Owner - Builder ate My Commission Expires: ,.sk Lynn M Morris a ,.•'�','4 y , Lynn M MOMS * , 4 *My Commission CCi:::.* � *My Commission CC704 4 i •` Expires December 21, . Expires December 21.2001 C.C.F. 1 9D NOTARY APPROVED: Zoning Building Mechanical Electrical 938 BOND ///y/o Date O TOTAL DUE � 7® Plumbing Engineering • DRIP LOOP ire BE 10' ',n: (MIN) 6' •t-,•_ • r■• (:L•trlP J ( ' 200A METER 1 a' ADOVE IZLJDF 1 F11 ITS) IED GRAIDE 1•VC SLErN Z A-. HAIN CB t PANEL U "l1' ?11N BEP Ti 1 1 Moos Y•H1►Q T ENI lour CLAW 3.ru z Ir GRW14A eun cttlu SUB CB PANEL ,CONTR [DILL I.rSNSCtl 2 . 3 __ _ ._._ _ I'EIR I 1- 10011 ' ft Conductor stze� _ 0 Cc( Conduit stz c___ /!ULf1 Conduit type- .2 w► Thru roo F___> ' Y E ► Ground Wlrc :srze_ ___ MAIN, DIS YONIIECT Ra�inp �•z' �° ArrpS Hot% 2. 0 O _Ar.1pr: Sub 73rciolcer -s Ants • SUB FEE ER New Type Size Bond ;MI - INSIDE PANEL . R4 "Lino , ;_ O O Aa•rp Bond Bus s h1n 1. oCc.'k10 n _ 4505.2(B) e , aN Lynn M Mortis • * *MY Commrsslon CC704087 — •_..., ExpiresDecernber 21.2001- ) ITEM BATH 1.8 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIOET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WINO) OIS?OSAL SERVICE TEWORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS 2 DUCT WORK FLOOR DRAIN SERVICE REPAIR/ IER CHANGE V REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUIO TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIOENCE 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 ),OTCRS 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 TRI�CRMERS . 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 ORAINFIELO, 4' TILE/RES. VIOLATION PULP & 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 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date f /' - / Z ~ 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, Fiurida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. / Owner's Name and Address. P No /f 6 Street Registered Architect and /or Enginee /�� p r P y g Electricians Name .:. 6 -' "1 to in Em '( No 3 T St ree t .5 7 =Q �� J J " ! !i// - !/ -F - 3 ) 6. 6 ,�y Location a d Legal Description Lot Block Subdivision (!//' e S treet -an Number where work is to be performed —No Street St wo k to performed and purpose of building (By Floors) l.New ding Remodeling Addition C. Repairs No. of Stories Permit No 13 (13 J STATE OF FLORIDA, COUNTY OF DADE. } ss ' MIAMI SHORES VILLAGE Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P Type of Installation— Conduit.. Tubing. B.X.L .Metal Moulding Amount of Permit $ (Signed) (Signed) Electri Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations &an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. v / 0 b 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 REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date f /' - / Z ~ 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, Fiurida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. / Owner's Name and Address. P No /f 6 Street Registered Architect and /or Enginee /�� p r P y g Electricians Name .:. 6 -' "1 to in Em '( No 3 T St ree t .5 7 =Q �� J J " ! !i// - !/ -F - 3 ) 6. 6 ,�y Location a d Legal Description Lot Block Subdivision (!//' e S treet -an Number where work is to be performed —No Street St wo k to performed and purpose of building (By Floors) l.New ding Remodeling Addition C. Repairs No. of Stories Permit No 13 (13 J STATE OF FLORIDA, COUNTY OF DADE. } ss ' MIAMI SHORES VILLAGE Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P Type of Installation— Conduit.. Tubing. B.X.L .Metal Moulding Amount of Permit $ (Signed) (Signed) Electri Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations &an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. v / 0 b 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. 2. • APPLICATION FOR ELECTRICAL PERMIT L Date_ Permit 'No Application is hereby de for the approval of the detailed statement of the plans and specifications herewith submi ted for the building or other PP y pP P P g 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 building during progress of work. _ ?`' , ■ Owner's Name and Address _____t ____ "i- —� /�� / No __ __ry ' Street_ _ Registered Architect and /or Engineer Employing Electrician's Name 1_ � _�� % ' ' ; ' • 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 Addition.. Repairs Overhead .- s ? /� /' ( // Service U�nt rgueg d Size Feeders_________ ____ Conduit.__ ? Main Sw. J Amps. Main Fuses____________.____ ___Amps. Type of Installation— Conduit — ______ Tubing B.X.L. Metal Moulding Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss' My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT / " i � r No. -- 143 - -� � Street----- �= '- �=- ;%'-- -�- - -- / _Block _ a �_.— =___ Subdivis ;on S treet_ W___ r ,'_� n :, • _ �� (Signed) / Electrical Inspector. No. of Stories 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 to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) , _----- - --- -- _�__ ' • Master Ele scan. Notary Public. State of Florida • at 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. 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, . p REFRIO. OUTLET // ' IRON OUTLET RANGE LET OUTLET / //• / RANGE CONN. WATE R HEATER ✓ \ / / W. HEAT. CONN. \ SPACE HEATER .. STRIP HEATER TOTAL CONTR. LIST OI / ' •P bi �/ 7 3 CHECK / i " i. ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST . CHECK 2. • APPLICATION FOR ELECTRICAL PERMIT L Date_ Permit 'No Application is hereby de for the approval of the detailed statement of the plans and specifications herewith submi ted for the building or other PP y pP P P g 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 building during progress of work. _ ?`' , ■ Owner's Name and Address _____t ____ "i- —� /�� / No __ __ry ' Street_ _ Registered Architect and /or Engineer Employing Electrician's Name 1_ � _�� % ' ' ; ' • 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 Addition.. Repairs Overhead .- s ? /� /' ( // Service U�nt rgueg d Size Feeders_________ ____ Conduit.__ ? Main Sw. J Amps. Main Fuses____________.____ ___Amps. Type of Installation— Conduit — ______ Tubing B.X.L. Metal Moulding Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss' My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT / " i � r No. -- 143 - -� � Street----- �= '- �=- ;%'-- -�- - -- / _Block _ a �_.— =___ Subdivis ;on S treet_ W___ r ,'_� n :, • _ �� (Signed) / Electrical Inspector. No. of Stories 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 to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) , _----- - --- -- _�__ ' • Master Ele scan. Notary Public. State of Florida • at 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. 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 P UMBING N Owner of . Building Architect Contractor or Builder Wor MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N® 4901 t . be performed under this `permit 1 Legal Lot 6.0080 Description . Address of ' `l/ 4 0 ) 0'0 cil. ue Building Project Sjgned: Subdi- vision, ,71 Contractor's License No. / k -. ti"- '! This permit is granted to the co rtctor or builder named bove to construct the building or to install the equipment device deseribed;in n the appli- cation 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 anged without author ation. A further condition upon which this permit is granted is the understanding that the contractor or builder named abovy.,. , . .:,.,• ponsi.l'lity f• a Borough knowledge.of' the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or . o e s • - ecifications: and that he assumes respon- sibility for work done by his agents, servants or. employees:. 1 - r�/ By • consideration of the • issuance to me of this permit I agree to perform the wor cov ed hereu der in compliance witl ordinances : :• iFations perta '. ing thereto and in strict conformity with'the plans, drawings, statements or specifics tions submitted to the proper authbrities..of Miami hores Village: epting this permi I assume responsibility for all work done by either myself, my agent, servant or employee. 1 CONTRACTOR OR BU DER • 'AUTHORITY lUILDING LECTRICAL 1 LUMBING 7wner of 3uilding Architect MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N? 4901 Worf be performed under this Permit Co, ( VI' r /.5 Contractor pr Builder Legal Lot Bl. Description Address of /it. °°"*. - � Building 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 rZvoked at any time if the work is not done in compliance with such ordinances or if the plans arc clia ed withouf authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above -as s ae erP ons ;lit f r a, thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or . a 'or n the o ations and that he assumes respon- sibility for work done by his agents, servants or employees. // 1+, / ak Ecroi CONTRACTOR OR BUIJiDE Signed. Lvil Subdi- vision hie•of Project . 21J BY 194_' Contractor's License No. 7 Amt. of Permit By .. "" consideration of the issuance to me of this permit I agree to perform the work covd hereunder in compliance with all ordinances alot regulations perta. ng thereto and in strict conformity with the plans, drawings, statements"cnpecifie tions_ submitted to the proper authorities of Miami Shores Village. , ting this perm trI assume responsibility for all work done by either myself, my. agent, servant or employee. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 4696 Work to be performed under this Permit Bl. Subdi- vision DATE Contractor's License No. Address of Value of Amt. of Building' Project Permit , ,f p' ..•- ••+� 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 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 asumes respon- sibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER BY Signed: By ' INSPECTbR 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. AUTHORITY