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121 NE 100 St (6)1 � o f • j o© PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 101 I l 101 Job Address \..i t.) - • I OO 11 Sc - T Tax Folio ll- 3,-Of - O 1 aoqO Legal Description I - 3 O (Q - O 13 O 4 O Historically Designated: Yes No Owner/Lessee / Tenant 51 ie-O'n PICSEKS r Permit # 50 3 —L.J Owners Address \ • E. 10.0 `� aT'i2fifc� Phone 305- 7510 - "Z.3�FS Contracting Co. EizIa. 1404 S EszE Qualifier SoE. Koh1CuY 11 , SS# Phone 3b' 5 " 3p State # f Q, ()CO (3 (o Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING (ELECTRICAL. PLUMBING MECIIANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION \( ,.W \- SE NN) C� - &,"-- Square Ft. Estimated Cost (value) 1 SS S • o ( 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 OF 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 AF F"IDAVIT: 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. Signatur of owner and/or C President . /.._//!r N. .1 as to • er and/or Condo President My Commissiop„pxpires: .y .., 7C Shawn Crow 2Q. •'*: MY COMMISSION # CC910817 EXPIRES February 15, 2004 BONDED THRU TROY FAIN INSURANCE, INC. APPROVED: Zoning Mechanical FEES: PERMIT RADON Plumbing Date C.C.F. Building Electrical Address \1850 /3' E . • 5 - J6_ TYY1 • /o // / / g na a of Contractor or Owner -Buil . er Da e do . s /p 0/ Lary as to Contractor or Owner- Builder Date My Commissio,Expires: � �" "• JC Shawn Crow . • ,b %* MY COMMISSION# CC910817 EXPIRES i'>p February 15, 2004 BONDED THRU TROY FAIN INSURANCE, INC. NOTARY BOND TOTAL DUE- 0 0C / 6 Structural Engineer n\ `‘ vise e‘o edd ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT %1.�. FEE •• •. • • .. •• ••• . •• .ITEA . :.:.; ; ; ;. •. • • • • • •• • • . ' •SPABE +IEAI;EAS • ... .. • UNIT FEE BIDET LIGHT OUTLETS /D. CENTRAL HEATING DISHWASHER RECEPTACLES VA A/C (WINO) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AIRS DUCT WORK FLOOR DRAIN _ SERVICE REPAIR/1ETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS y PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUNO TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTCRS OVER 1- 3 HP _ HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 3- 5 IP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTCRS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP - FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 FP 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 TR(NSFCRM€RS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELO, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK .. REINSPECTION . SOAKAGE PIT CU. FT. CATCH BASIN D I SCHARGE 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 i PPL.ICAVIQ L. • ••.• • ••... • • • • • ••• • • • • (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDIIM.: ?P.A :MrliSTOER.PIIMIT HAS B. OBTAINED, THE' OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL • •• • • • • • • • •• • • • • • • • • • • • • • . .. 'C}IANT�AL • • • PERMIT ' PLICATION FOR MIAMI SHORES VILLAGE Date Job Address 1 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenank t � 2,s ) t3l n- 44 alta # Owners Address / 21 1LL 6 1 S T IH I DMA t S FfitYbES 33 (C Phone 30S 2 2r (03 Contracting Co. Eb 1'WAS E L r -lc. I ►-�(� Address 1f1693 S A Vo PF( I A wl ( 3 Qualifier SS# - Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN l WORK DESCRIPTION 1 EL€arac see_o ( - ro A-t Y ,1 Square Ft. t S 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. QWNER'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 constru tion and zoning. Furth e, I authorize the above -named contractor to do the work stated. APPROVED: Zoning Mechanical Atlantic Bonding Co., Inc. FEES: PERMIT J 1� / ' RADON C.C.F. 2 Notary as t • • er an or " t to mn�}� ' My Co ���jj 11 C : °1•" j / � (� it� tJ r o ]�m ► �'I c l 4 �r 713 �• .. � nd0 d t � Estimated Cost (value) 1 L f ( 55s. 00 NOTARY r Notary as to Contractor My Commissio ontractor /?3f2r / Date OFFICIAL NOTARY SEAL G RUDOLPH O F ARAM I. COMMISSION NUMBER CC838720 OF 0.0 MAY 19,2003 MY COMMSSION EXPIRES BOND TOTAL DUE 3,0 / O e /5 / Date Building Electrical / 6 / mod✓ Plumbing Structural Engineer NOTICE OF COMMENCEMENT PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED herebygives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: Lor 17 AND THE EAST /0 FEET OF Lo r /6 840c1 15, OF »Il WDEb P.AT OP M14NI SQoRES SECT /DA/ 1 12. / NE loo SreeFr M i14H r SHORES F L 331 38 2. Description of improvement: Ro' W /R /a/R of 464.Tt 3. Owner(s) name and address: SHAUN Z . ROG edes 4,441A N 4 AI#vr /1. D4 VEY - /�oGt RS C.1 / /u o 54 tit -c / e2A -mss i .?3/ s Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: EDD 4 tLferg/c i- t oNTe4e /NG /7R .'V S 4vt M7 33/62 - /Doe 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Uenor's Notice as.provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this. Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) o nature of Owner Print Owners Name Sr/R'uN Z) Sworn to and subscribed b Notary Public Print Notary's Name My Commission Expires: 19 . S:AT° OF FLORIDA, COUNTY OF DADE I NVIEGY MINA' thot this Is o eruct copy of the r cloy of ®r l' of fllod In this office 0 A C 19 IJe_r, WITNESS ay h ^rl and Official Seal. HARRVrY UVIN CL ' r Circuit 'lid County Courts o,c. pn Prepared by: idif-1474 . Address: / 78 S 2)145.-3-4(42:r WKlbm Menton KOK1011 I -f R3/ 2/' :849 Ezpfree June 24, 3003 %f0S'"(�"3 2x2) Atlantic Bonding Oo., Inc 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 AIDS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE I 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. PRESSLRE VESSELS CLOTHES WASHER 1 MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 If H0T WATER BOILERS SINK. POT /3 COMP. MOTORS OVER 3- 5 IP MECHANICAL VENTILATION SINK, RESIDENCE MJTCRS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK. SLOP MOTORS OVER 8- 10 NP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 IP COOLING TOWERS WATER CLOSET MOTORS OVER 100 if 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 COMAERCtAL , WATER SERVICE , SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANG( REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN • DISG`IARGE 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 � daxelknce. SINCE "1975" STATE US 1339 1 1 Edd Helms Electrical Contracting, Inc. 17850 N.E. 5th Ave., Miami, Florida 33162 Dade: (305) 653 -2520 • (800) 329 -2520 • Fax: (305) 651 -5527 PROPOSAL No. B101199R C U T 0 M E R Description of work or service: We propose to provide material and labor to perform work as outlined below to rewire house. 1. To rewire all existing receptacle drops and to install new receptacles as required by code. 2. To rewire all existing switch drops as needed. 3. To rewire all existing lighting drops as needed. 4. To repair existing electrical that has been changed or upgraded that has not been done correctly, excluding the electrical service. 5. Minor patching included where required, no painting. 6. Major patching if required not included, but will not proceed with out owner permission. This would qualify as an unforseen oondition. 7. Not responsible for any unforseen conditions that would cause major work above and beyond scope of work in order to achieve task at hand. 8. To relocate wash machine and dryer electric. 9. To install GFI's where required. 10. There will be no work or repairs to the air condition electric. If required additional cost will incur. 11. To rework electric for two (2) in wall cabinets in dining room. 12. Fixtures not included (supplied by others). 13. All electrical devices to be changed out. (Switch, dimmer receptacles). 14. No overtime is included - If required in order to meet dead line additional cost will incur for the premium time only. 15. Electrical work to be completed by November 30, 1999 if work is started by November 8, 1999. 16. Permit included. 17. We will need a minimum of 2 weeks from start to finish to do the work outlined above. Price for the work or service to be performed: FOURTEEN THOUSAND FIVE HUNDRED FIFTY FIVE DOLLARS 514,555.00 69.00 TOTAL $ All additional work performed shall be paid for at the rate of $ per regular working hour . Additional materials used in extra work shall be paid for at our normal rates. Edd Date SHAUN and NADINE RODGERS 121 N.E. 100 Street Miami Shores, Florida Attn: Nadine Ph: (305) 820 -7561 Fax: (305) 512 -9600 PAYMENT TERMS: C.O.D. 0 CREDIT 0 OTHERxO (SPECIFY BELOW) 30% Deposit to start work, 30% due upon 60% completion, 30% due upon completion of work, final 10% due upon final inspection of work All payments shall be due in accordance with the terms described above. Customer agrees to pay all court costs and attorneys fees should legal means be necessary for collection. This proposal shall be valid for a period of is days from the date submitted below. Submitted by, Co , cting, Inc. Bill Kendall, Electri «Estimator November 1,1999 L 0 A T O N Authorized Signature & Tit 2 Date Thank you for being a valued customer! SAME 1. Rewire Residence Permit No MIAMI SHORES 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 submitted for the building oc other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and specifications must be kept at building during progress of work. P f Lf No /Y °' Street ieo Owner's Name and Address.../]' 716/) , Registered Architect and /or Engineer ,/ j Electrician's � O Narqe._.' 4/�//c DY" � G� C C� ° No 1......S.ed Street (n� pp .- , canon and Legal Description Lot ..../. la / "6 - Block ( / $ Subdivision .IX..,?.,A2!/� 1r P Amount of Permit $ Street and Number where work is to be performed— No ............. t.. ?r.�....14..:� State work to be performed and purpose of building .(By Floors) / U'O4 New Building Remodeling Addition Zo Repairs No. of Stories Overead / ,� Service hUnderground Site Feeders.. Conduit.... Main Sw 74) f' Amps Main Fuses Amps Type of Installation — Conduit :Tubing B.X.L .Metal Moulding (Signed). ... p r o ... C3y Street TVA 4 — ( - 2' PR, /< Electrical Inspector. The undersigned applicant for this budding 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 3966, 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, o orkj9 be performed under this permit, as are licensed by Miami Shores Village. My Commission' Expires (Signed). Notary Public, State of Florida Electrician. STATE OF FLORIDA, COUNTY OF DADE. I °° 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 rvinspection fee of 81.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH 0 LIGHT OUTLETS PLUO RECE•P•T•S FIXTURES NO. LAMPS REFR10. OUTLET IRON OUTLET RANG[ OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER �J ` / "'r\ TOTAL CONTR. LIST , j [f CHICK ENT. SW. C BT. CAB. SERVICE TEMP. SERVICE / PERM. / c MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK 9 (rit, /Vtk- .. Permit No MIAMI SHORES 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 submitted for the building oc other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and specifications must be kept at building during progress of work. P f Lf No /Y °' Street ieo Owner's Name and Address.../]' 716/) , Registered Architect and /or Engineer ,/ j Electrician's � O Narqe._.' 4/�//c DY" � G� C C� ° No 1......S.ed Street (n� pp .- , canon and Legal Description Lot ..../. la / "6 - Block ( / $ Subdivision .IX..,?.,A2!/� 1r P Amount of Permit $ Street and Number where work is to be performed— No ............. t.. ?r.�....14..:� State work to be performed and purpose of building .(By Floors) / U'O4 New Building Remodeling Addition Zo Repairs No. of Stories Overead / ,� Service hUnderground Site Feeders.. Conduit.... Main Sw 74) f' Amps Main Fuses Amps Type of Installation — Conduit :Tubing B.X.L .Metal Moulding (Signed). ... p r o ... C3y Street TVA 4 — ( - 2' PR, /< Electrical Inspector. The undersigned applicant for this budding 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 3966, 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, o orkj9 be performed under this permit, as are licensed by Miami Shores Village. My Commission' Expires (Signed). Notary Public, State of Florida Electrician. STATE OF FLORIDA, COUNTY OF DADE. I °° 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 rvinspection fee of 81.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. APPLICATION FOR ELECTRICAL PERMIT Permit No Date // 7 Application is hereby ma 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, hether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. 1 ■ Owner's Name and Address STATE OF FLORIDA, `) COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT A No / Z Street t- f d D Registered Architect and /or Engineer nn Employing Electrician's Name / 4 �— � — N �.. 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: Street?' Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he and stands and accepts his obligations as an empoyer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gen al Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance Vora all cont actors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection .n the site of the work s ch public not or notices as are required by the Act. The undersigned agrees to employ only such sub- ontractors, .n work to be rfor. under thi permi as are licensed by Miami Shores Village. ss. (Signed lectrician. Before me, the undersigned authority, a notary public, duly authorized to administer . oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. `. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P•T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. 'v ' Ste,_ E SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. I LIST LIST CHECK APPLICATION FOR ELECTRICAL PERMIT Permit No Date // 7 Application is hereby ma 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, hether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. 1 ■ Owner's Name and Address STATE OF FLORIDA, `) COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT A No / Z Street t- f d D Registered Architect and /or Engineer nn Employing Electrician's Name / 4 �— � — N �.. 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: Street?' Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he and stands and accepts his obligations as an empoyer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gen al Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance Vora all cont actors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection .n the site of the work s ch public not or notices as are required by the Act. The undersigned agrees to employ only such sub- ontractors, .n work to be rfor. under thi permi as are licensed by Miami Shores Village. ss. (Signed lectrician. 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. `. LIGHTS CEILING BRACKETS RECEPTACLES SWITCHES STOVES WATER HEATERS SIGNS OTHER APPARATUS MAINS SUBS BRANCHES BASEMENT — FIRST FLOORS F XTURES ONLY NUMBER OF TOTAL OUTLETS S IZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS MAINS SUBS BRANCHES BASEMENT — FIRST SECOND THIRD FOURTH Form 246 75 LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLg OR APPLICATION WILL BE RETURNED. LOT NUMBER a BLOCK NUMBER y SuBDIyISIo STREET AND NUMBER 1 /_ / fY ' c 416 �� . OWNER A.9� l -` ' tea- 1. "Z?r, OCCUPIED As BUILDING —NEW OR OLD (UNDERLINE WHICH) REMARKS APPLICATION DATE // 2,1 9 ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by Inspector. OCCUPANT SPECIFICATIONS H. P. OF EACH MOTOR VOLTS TOTAL AMPS PHASF KIND OF INSTALLATION OPEN OR CONCEALED KNOB. RX., BX.. MLDG. CONDUIT CONTRACTOR a, INSPECTION WANTED RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN ROUGH WIRING FINAL No CORRECTED TEMPORARY DAYS. DATE ISSUED X 0, 1 INSPECTED SIDF WORK — ADDITIONAL. NEW. ALTERATION OR REPAIR. SPACE BELO FOR INSPECTOR'S USE ONLY 9 :(1 / i i '77 No. /2/3 p BY �� ADDRESS 0 ' REMARKS FEE REMITTED INSPECTOR FLOOR NUMBER OF LIGHTS CEILING OUTLETS BRACKET OUTLETS NUMBER OF CIRCUITS Basement /� 3 A 1st Floor T /1 /0 T 2d Floor 3d FIoor 4th Floor 6th Floor 6th Floor 7th Floor 8th Floor Attic Y ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your Certificate of Approval, application is hereby made for an inspection of the electrical installa- tion in the premises stated below, for which the undersigned agrees to correct any infractions of the National Electrical Code and the City Rules pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. Lot Number ALL SPACES MUST BE FILLED, 0 APPLICATION WILL BE RETU N Block Number 45 - / Street and Number /c / /6110 d :4/ 1 Side , Owner < Occupant �1 Occupied as Building —New or Old (underline which). Z ..1' y � t k• REMARKS: IL Work will be started N T (Applicant sign here) I Received by Inspector CERTIFICATES ' Progress Will Inspect Again Rough Wiring FINAL No. 'It Corrected 4 Temporary Days N 7', Approved Letter Date Issued FLONICA FAINTING CO YIAYI FLA Form 155— P.0.30332- 2- 10 -26 -5M Time Allowed: APPLICATION No.7 ?C Date , 192 FOR FIXTURE WORK ONLY SPAC ELOW FOR INSPECTOR'S US t ON Inspected Correct Location n n r Correct Equipmenb� ( 1 DEFECTIVE Days Fee remitted Remarks: Work— Additional or New (underline which). SPECIFICATIONS 7 will be finished Address Street 4 0 C f El�ctri fight , Inspector