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1217 NE 100 St (15)Address Compan Phone # For Inspector: Approve Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Oe. Permit No. ' 02- o c ' ) �3 Name All Gtr (34 F'90, Re- Insp'n Fee Time Name & Date Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 9- i7-e,2 Time Approved Correction Re- Insp'n Fee e 20 ®2 - 23r /2 / 2 N€ /80SY Cpt sr - 6,5 For Inspector: 9_ig' ® , Name & Date z'7 (.05 rifteov-j4 2 0 0 a lea /g 96W ®2- MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n c Permit No. G L A0,02 Name Address Company Phone # For Inspector: ,2Z Z Name & Date Approved 'LT Correction ❑ Z6j t V .047- Re- Insp'n Fee ❑ L a 4 rz /0ic kDYLe 30(<402.-4,ca°7 9 5 J Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date/'02S®?- Time A.;,pe pat fiLif -2002 - /73 /2/7,G' /ZDS,L i7d, .S'at 3t5 8 L s 7 For Inspector: 7_,,,z1.. Name Approved L I % %�, Correction ❑ 60•/Cll)/4 z Re- Insp'n Fee ❑ 7c MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n 00 A) Permit No. � (7 ' ) 9-3 Name d /') c6m20-&-v Address /pC / 7 / lL j 100 3.t__ Compan Phone # 634 L °1 (s0 For Inspector: /� /61 Name & Date Approved Correction Re- Insp'n Fee ❑ Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Printed: 5/22/2002 Contractor CURTIS LEWIS STEVEN Local Phone: Parcel # 1132050090631 Signed: Electrical Permit Permit Number: EL2002 -173 Applicant: ALBERT & KRISTINE ANDERSON Owner: ANDERSON ALBERT & KRISTINE JOB ADDRESS: 1217 NE 100 ST Contractor's Address: 17570 ATLANTIC BLVD Page 1 of 1 Legal Description: 5 53 42 EARLETON SHORES PB 43-80 LOT 2 BLK 5 LOT SIZE Q Ak o Total Fees: $0799- Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 11/18/2002 Construction Value: $500.00 Work: BATHROOM RECEPTACLE SWITCHES & JACUZZI 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. 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 Date (j• /6 OZ Job Address 1 °� 1 100 ST Legal Description Historically Designated: Yes No Owner /Lessee/Tenet . t kti'I t jVE AVICiQUSO')'1 Owner's Address AC/ Nei' too ' Qa. - Contracting Co.W/ ,f J 1n(/e 4 ( Qualifier ,ht/Ki sil/M rei4 �f S D Q ,J 7.) Municipal# 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. - ELECTRICAL PLUMBING MECHANICAL ROOFING Permit Type (circle one): WORK DESCRIPTION: 14 Signature o owner and/or Condo President APPROVED: Zoning Mechanical Nfary as to Owner a0 y Commission Master Permit # DO a- <6(07 - / y Phone 2° 7/2— /C/C) Address/7) ,r 7 ,'(5 f vii �) �[ / Competency # Ins. Co. 4/1 BUILDING A Square Ft. Estimated Cost (value) v d 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). 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 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, 1 authorize the above named contractor to do the work stated. or C p President M e as K. Edelsberg ▪ Commicsion # DD088207 d: Expires March 8, 2006 s'/ 77( Date ignature of Contractor r Owner BuHde L S//7 1 7 0 N • ary as to Contractor or Owner Builder ate 7/,Z ' • e7' A Date •,.,�•` Bonded 7'hru Atlestdc Bonding Co., Inc. FEES: PERMIT ice' RADON C.C.F 40 Building Electrica Tax Folio y Commission Expires wH, a Melinda K. Edelsberg f v— T %Commission # DD088207 4' Expires March 8, 2006 NOTARY ,,~ Atlantic BON .. Inc. v z Z TOTAL DUE ©° b o Plumbing Structural Engineer UNIT e FEE ITEM UNIT SWITCH CURETS FEE ITEM ' . " SPACE HEATERS • •. U^IIT FEE LIGHT CURETS CENTRAL )- AT UG ;:PR I RECEPTACLES a _ A/C (WINO) ' 0 SERVICE TEWF'CRJRY A/C (CENTRAL) -G FOUNTAIN SERVICE SIZE IN APS OUCT YORK GRAIN SERVICE REPAIR/1M CPANa I REFRIGERATION TRAP ! APPLIANCE OUTLETS PROCESS ANO FRESS PIPING gICR i RAW.1 TOP UNOERGROXI TANKS RY OVEN ABOVE 6ROL2.O TANKS Y TRAY s WATER MATER U.F. FRESSLRE VESSELS . S WASHER 10TCRS 0- 1 FP - STEAM BOILERS • - ( —^ 1OTCRS OVER 1- 3 FP HOT WATER BOILERS POT/3 CAP. 1 10TCRS OVER 3- -5 FP )O-WI ICAL VENTILATION - RES IOENCE I MOTORS OVER 5- 8 FP TRA,`S?CRT ING ASSE EL I ES SLCP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS L'RY WATER CLOSET 1OTCRS OVER 10- 25 FP WTCRS OVER 25-100 FP FIRE SPRINKLER SYSTEMS CQOLING TOWERS CLOSET MOTORS OVER 100 FP VIOLATION I :CT WASTES A/C WINDOW REINS?ECTION SLFPLY TO: [ AIR COtOITICNERS • I UNIT I STRIP HEATER SPRINKLER GENERATORS TRAISF .V:SS • ,TER INST. I GENERATORS TR. 'SFCRV .SS ,TER- REPLACE ( GENERATORS TRAN5FCAVtr1S IN SPRINKLER-WELL SPECIAL FLRPQSE WING POOL CUTLETS CCERCIJL •ER SERVICE • I SIGN TL6ES CONNECTIONS SIGN TR>v`LSFCr4ERS TY- SE'NER SIGN TIE CLOCK .TY -WATER 1 FIXTLRES C TANG( »(ENNA — TELEVISION CUTLETS f:IEIO. 4' TILE/RES. YIOIATION & 44400H SEPTIC TANK � '_ REINSPECTION ;E PIT CU. FT. . .-1 BASIN : WELL STIC WELL CRAM INLET R RATER NEATER ______. ' STANDPIPE • ... . PIPING t SPRINKLER SYSTEMt RAMS :R SET (GAS) PIPING «--__.------. PLICATIOr OR BUILDING P F' T I-c ST ACC.u;'.:ks? THIS ADD=?;DUJ.. Ir A 2==.STER Pa HAS B. :N=D, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL PAY TO THE ORDER OF ARCO CONSTRUCTION CORP. 1665 N.E. 137TH TER. NORTH MIAMI, FL 33181 FOR First Union National Bank Org. 003 R/T 067006432 .A00 . 743 6 firstunion.com c_.-- 00 L8680 1:067006432i: 209000 L9490 L30 1868 63-643/670 BRANCH 13093 DATE Qs 2? V sc3 le DOLLARS S ov Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2002 -173 Printed:5 /22/2002 Page 1 of 1 Parcel # 1132050090631 Signed: Electrical Permit Applicant: ALBERT & KRISTINE ANDERSON Owner: ANDERSON ALBERT & KRISTINE JOB ADDRESS: 1217 NE 100 ' ST Contractor CURTIS LEWIS STEVEN Contractor's Address: 17570 ATLANTIC BLVD Local Phone: 4 CC 40 Permit Status: Approved Permit Expiration: 11/18/2002 Construction Value: Work: BATHROOM RECEPTACLE SWITCHES & JACUZZI $500.00 Legal Description: 5 53 42 EARLETON SHORES PB 43 -80 LOT 2 BLK 5 LOT SIZE bo, 0 Total Fees: $04*- Total Receipts: $0.00 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. 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: 2 t1 O • D - 35 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7I 1 1p / b,) Job Address & \1 n1 \DD c St.0 t° Tax Folio Legal Description 9eS I c '(\Ce Historically Designated: Yes No Owner/Lessee / Tenant Wne k 41f \ 5 -6 ('y c\nde f 50 rl Master Permit # Q eg 00 a — , \ 1c4 Owner's Address \a \ AF \bO - a e-'C, Phone 30 5 - a -m\ 5 Contracting Co. Le u) t 5 51 1)en C v.f t■ 5 Address Y1S i s a "?)\‘),:\ v.3D9 Qualifier Le u)1 St ter\ Cu - t 5 SS# / Phone 7V0 - 4 R lv - 6'61 State # COO 3 115 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING LECT PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Se-tir /(X> 4&e; . WORK DESCRIPTION Square Ft. Estimated Cost (value) 6 V 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 perforied 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. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT /�O ® RADON gnature of Contractor or Owner - Builder 1 ate /te X- 7 No as to Contractor or Owner - Builder y Commission Expires: "'gip' Meluida K. Edelsberg °� Commission • DD088207 9 !! i - picee oadtd March 7�r1t 8, 2006 P!." t Boixding CO „ 11e, NOTARY BOND APPROVED: Zoning Building Mechanical Plumbing Structural Engineer 7 / 4 /f 2 TOTAL DUE 9 g Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2002 -235 Printed: 7/18/2002 Applicant: ALBERT & KRISTINE ANDERSON Owner: ANDERSON ALBERT & KRISTINE JOB ADDRESS: 1217 NE 100 ST Contractor Local Phone: Parcel # 1132050090631 If there is no permit narlfmn. PAY TO THE ORDER OF ced dry went. Sc back ( derails. @l s . a_u : i ry , ,, r� . rr r . rrr n Bank of America. .ACH fi/T 083100277 FOR L.S. CURTIS INC. 17570 ATLANTIC BLVD. UNFT 309 SUNNY ISLE, FL 33160 Electrical Permit Contractor's Address: Legal Description: 5 53 42 EARLETON SHORES PB 43 -80 LOT 2 Total Fees: -$O O Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 1/14/2003 Construction Value: $500.00 Work: SWITCHES LITEDS GFI RECEPTACLE DATE 1 30 3 L i" 1 :0 63 L00 2? ?I: 00 36 2? 360010 �,r -----3—ca—mmurrre3gams AWOL 3031 DOLLARS 8 63- 27/631 FL 966 Page 1 of 1 M' e= inspection atton herefor in strict compliance with all ications that may have been submitted to or if the:plans'are changed without onsibility for a thorough knowledge of the hat he assumes responsibility for work done ri BLK 5 LOT SIZE s pertaining thereto and in strict conformity sponisibility for all work done by either ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES / A/C (WINO) , DISPOSAL SERVICE TE1F RARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN APS DUCT ILK FLOOR DRAIN SERVICE REPAIR/IETER GNOME REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS »O PRESS PIPING INTERCEPTOR RANGE TCP Ut0ERI1ROUtO TANKS LAVATC#tY OVEN ABOVE GR M TANKS WOW TRAY WATER HEATER I U_F. PRESSIRE VESSELS CLOTHES WASHER - A. MOTORS 0- 1 HP / STEAM BOILERS SHOWER • MOTORS OVER 1- 3 HP HOT RATER BOILERS SINK, POT/3 COMP. _ MOTORS OVER 3- 5 HP IEOIANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRMSPORTING ASSEMBLIES SINK, SLOP MRS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP _ FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TIMERS WATER CLOSET _ MOTCRS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SLFPLY TO: AIR CONDITIONERS A/C UNIT STRIP NEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS. TRAt6FOA1EAS HEATER - REPLACE _ GENERATORS TRANSFORMERS LAWN SPRINKLER-WELL SPECIAL PLAPOSE , SWIWING POOL - • OUTLETS Ct> IAL WATER SERVICE • SIGN TUBES _ SEWER CONNECTIONS SIGN TRANSFORM UTILITY-SEWEA SIGN TIME CLOCK UTILITY -WATER FIX1LRES SEPTIC TANK ANTENNA , RELAY _ TELEVISION OUTLETS ORAINFIELO, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REItSPECTION SOAKAGE PIT CU. FT. CATCH BASIN OISCtiARGE IIEU. DOMESTIC. WELL AREA DRAIN ROOF INLET r SOLAR MATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RAM E METER SET (GAS) !_ GAS PIPING I _ • ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT RUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWN NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL � J 1'73a Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of 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 plans and specifications must be kept at building during progress of work. C1.ifford No 1217 its. . , 1'�iami snores, Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Namei•ietro li1 t?C t . rlc. ., .1335.0... 111...- E.... .... .l'Sl�f�l •• 33181 Location and Legal Description Lot 2 Block.... Subdivision..lsarJ..a t oil. Street and Number where work is to be performed —No 1- 21 7.- _l.. .!- 1 0 . Q__.: . t. A Street State work to be performed and purpose of building (By Floors) Jy� zr1 - poo New Building.x 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 cfr 7 �• /Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT (Signed) Date Oct. 12, Electrical nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 3966, Compiled General Laws of ' orida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed u er this permit, as are licensed by Miami Shores Village. (Signed). 1977 a Master Electrician. STATE OF FLORIDA, 1 COUNTY OP DADE. j es. 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 RE ►RIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE H STRIP H TOTAL CO NTR. LIST 1 CNECR ENT. SW. DIST. CAB. SERVICE TEMP, SERVICE PERM. M OTORS 0.1 HP MOTORS 1 -5 HP N EON TRANS. RADIO TOTAL CONTR. LIST 3 CHICK � J 1'73a Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of 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 plans and specifications must be kept at building during progress of work. C1.ifford No 1217 its. . , 1'�iami snores, Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Namei•ietro li1 t?C t . rlc. ., .1335.0... 111...- E.... .... .l'Sl�f�l •• 33181 Location and Legal Description Lot 2 Block.... Subdivision..lsarJ..a t oil. Street and Number where work is to be performed —No 1- 21 7.- _l.. .!- 1 0 . Q__.: . t. A Street State work to be performed and purpose of building (By Floors) Jy� zr1 - poo New Building.x 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 cfr 7 �• /Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT (Signed) Date Oct. 12, Electrical nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 3966, Compiled General Laws of ' orida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed u er this permit, as are licensed by Miami Shores Village. (Signed). 1977 a Master Electrician. STATE OF FLORIDA, 1 COUNTY OP DADE. j es. 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 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 of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flu :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 plans and specifications must be kept at building during progress of work. Owner's Name and Address 1...- i_, ,- 0 No 1 Al.. / 7 Street 6 ' / 0 0 -. "' Registered Architect and /or Engineer Employing Electriciad's Nam 1. .G.. k < L � 41.4-1,J No /7 Location and Legal Description Lot Block Subdivision -�/ _ /� Street and Number where work is to be performed— No..... 1 / 7 - / � Street /'� � /N o / l- ,/ - State work to be performed and purpose of building (By Floors).. (LA c r e-/ . L/L c #ti4JECP _D A L/CT ° Are< New Building Remodeling Addition Repairs No. of Stories Overhead Service Underground Size Feeders.'? Conduit.f V Main Sw Amps Main Fuses . Amps Type of Installation — Conduit ✓ Tubing B.X.L Metal Moulding r.- Electrical Spector. The undersigned applicant for this building permit does hereby certify that he understands and accept his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws oorida 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, •.n work to be per d under this permit, as are licensed by Miami Shores Village. ° (Signed Master Electrician Amount of Permit $ 58. Street.. STATE OF FLORIDA, COUNTY OP DADE. l j 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'8 FIXTURES No. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. AO !-.,\ ✓ MOTORS 0.1 HP MOTORS 1.8 HP NEON TRANS. RADIO TOTAL CONTR. LIST 9/y'Z /;949 l fp / /,), Th CHECK .. 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 of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flu :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 plans and specifications must be kept at building during progress of work. Owner's Name and Address 1...- i_, ,- 0 No 1 Al.. / 7 Street 6 ' / 0 0 -. "' Registered Architect and /or Engineer Employing Electriciad's Nam 1. .G.. k < L � 41.4-1,J No /7 Location and Legal Description Lot Block Subdivision -�/ _ /� Street and Number where work is to be performed— No..... 1 / 7 - / � Street /'� � /N o / l- ,/ - State work to be performed and purpose of building (By Floors).. (LA c r e-/ . L/L c #ti4JECP _D A L/CT ° Are< New Building Remodeling Addition Repairs No. of Stories Overhead Service Underground Size Feeders.'? Conduit.f V Main Sw Amps Main Fuses . Amps Type of Installation — Conduit ✓ Tubing B.X.L Metal Moulding r.- Electrical Spector. The undersigned applicant for this building permit does hereby certify that he understands and accept his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws oorida 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, •.n work to be per d under this permit, as are licensed by Miami Shores Village. ° (Signed Master Electrician Amount of Permit $ 58. Street.. STATE OF FLORIDA, COUNTY OP DADE. l j 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. 1 ,0 0 I ■ Permit No .t..Q 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 Employing Electrician's Na../.C4..... 1/.Y /.rf.. A-C/' LACSIC _ No / 27a Street. .... Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed -No -- ?/ e � No / / 7 Street /t/ / 0 State work to be performed and purpose of building (By Floors) New Building Remodeling V Addition Repairs No. of Stories ice Overhead Amps Size Feeders Conduit Main Sw Am s Main Fuses Amps f y n Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE _— , ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT No / /7 Street../ 1 ' /00 -J7 (Signed) (Signed) /9,id Master Electrician. Ele Heal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio s 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 sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, o work to be performed under this permit, as are licensed by Mimi Shores Village. 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 7 4 C - 5 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP MOTORS 1.3 HP N EON TRANS. RADIO TOTAL. CONTR. LIST / CHECK 1 ,0 0 I ■ Permit No .t..Q 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 Employing Electrician's Na../.C4..... 1/.Y /.rf.. A-C/' LACSIC _ No / 27a Street. .... Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed -No -- ?/ e � No / / 7 Street /t/ / 0 State work to be performed and purpose of building (By Floors) New Building Remodeling V Addition Repairs No. of Stories ice Overhead Amps Size Feeders Conduit Main Sw Am s Main Fuses Amps f y n Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE _— , ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT No / /7 Street../ 1 ' /00 -J7 (Signed) (Signed) /9,id Master Electrician. Ele Heal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio s 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 sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, o work to be performed under this permit, as are licensed by Mimi Shores Village. 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 ❑ MIAMI SHORES VILLAGE, FLORIDA f , ELECTRICAL ❑ Date�`2 4 PLUMBING ❑ PERMIT N? 10674 Contractor's CA0 7 ROOFING ❑ License No Owner of Building C L % F' r•) L Architect Contractor or Builder Legal Lot Description Address of Building ❑ Work to be performed under this Permit ,(...)41(1. - ( `2 • /C C. CONTRACTOR or BUILDER r BI. T 7 Subdi- vision Sq Ft Value of 11 Amount of Project $ 11 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 applica- tion 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 respon- sibility for work done by his agents, servant r empl}'ees. ft Signed I' ( vCr (INSPECTOR) BY In consideration of the issuance to me of this permit I agr )t. to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawi , statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work doe by either, myself, my agent, servant or employee. BY AUTHORITY KUILDING ELECTRICAL PLUMBING ROOFING Owner of Building 's, L / JE DATF 3 195 0 PERMIT N° _ 4435 Contractor's 7 ,, l ❑ License No. 0 Work to be performed under this Permit Architect Contractor i ; or Builder L v l 1 / 6 C, p.> L. Legal Lot Description Z 11 Bl. Address of ; " Building 1 7. t f /- 2- This permit is granted to the contractor or builder named above to construc 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. i Signed r BY " ` •� INSPECTOR ! In consideration of the issuance to me of this permit I agree to perform the work coverei#•'liereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications st.thmitted 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. t CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA BY Subdi- . vision Value of Project $ • Amount of Permit $ AUTHORITY 6 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 4329 Architect Contractor or Builder Legal Lot Description Bl. Address of Building 2 . J Signed. / f / Subdi- vision x r DATE • Contractor's License No. 195 Work to be performed under this Permit Value of Amount of Project $ Permit $ This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the appllcation 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. / ! 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILD R BY AUTHORITY 6 Village of Miami Shores JOB </. a C f> - ADDRESS /2 ) 7 it • C. /e INSPECTION 7 TIME READY���� • INSPECTOR N? 4953" DATE `� r '`pillage of Miami Shores N° 4962 JOB ADDRESS / ° A INSPECTION TIME READY • REMARKS Q) INSPECTOR DATE �7 Village of Miami Shores JOB ADDRESS / 2/ 7 .- . INSPECTION 7E- P e TIME READY REMARKS n fi • fi • n , INSPECTOR DATE Y. tk• SZ / CD- NI? 4 , • MIAMI HORES VILLAGE, FLA. ADDRESS / 1 7 Id, r=- r, INSPECTION 7; JOB TIME READY 1 N9 5296 REMARKS 43z? -- INSPECTOR /2 a DATE fe,i2 Permit No ¢� 6 Date... STATE OF FLORIDA, COUNTY OF DADE. I "'' ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT MIAMI SHORES VILLAGE Amount of Permit $ / [...u. (Signed) (Signed) Service OvcrheadP Size Feeders Conduit..../fr- .Main Sw l� 0 Amps Y o ' Underground ✓ + �"' Type of Installation — Conduit 4 ' Tubing B.X.L Metal Moulding Street < Subdivision.RI�! ®f.�1.�/S 5 Street and Number where work is to be performed —No o. 4 ..7 4r.. ..1° Street../ State work to be performed and purpose of building (By Floors) Building f•', Remodeling Addition Repairs No. of Stories 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 "' A - 4 1 S b Ay QQ No.. �1. Street Registered Architect and /or Engineer g� Employing Electrician's Name 4 !--t � --"i GEL .No.. e 4/ Location and Legal Description Lot el4w �•/ Block cte 2 Main Fuses. Amps Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 4 Master Et rician. 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 REC['P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. AC E H TEN STRIP HEATER TOTAL CONTR. LIST / wj `✓ S n t 7 S. _ /,/ _i___ / ) /r ( /Sw! 4ff0 CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO TOTAL CONTR. LIST i / CHECK fe,i2 Permit No ¢� 6 Date... STATE OF FLORIDA, COUNTY OF DADE. I "'' ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT MIAMI SHORES VILLAGE Amount of Permit $ / [...u. (Signed) (Signed) Service OvcrheadP Size Feeders Conduit..../fr- .Main Sw l� 0 Amps Y o ' Underground ✓ + �"' Type of Installation — Conduit 4 ' Tubing B.X.L Metal Moulding Street < Subdivision.RI�! ®f.�1.�/S 5 Street and Number where work is to be performed —No o. 4 ..7 4r.. ..1° Street../ State work to be performed and purpose of building (By Floors) Building f•', Remodeling Addition Repairs No. of Stories 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 "' A - 4 1 S b Ay QQ No.. �1. Street Registered Architect and /or Engineer g� Employing Electrician's Name 4 !--t � --"i GEL .No.. e 4/ Location and Legal Description Lot el4w �•/ Block cte 2 Main Fuses. Amps Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 4 Master Et rician. 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 STATE OF FLORIDA, COUNTY OF DADE. I U. 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 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 '. .: ^ ° No �r . 1 � .Q Street 14 l� Registered Architect and /or Engineyri Employing Electrician's Name < - n W .4' No �n 0 . 3 v Street.. Location and Legal Description Lot 2 Block Subdivision Street and Number where work is to be performed —No / 2.1.7 A/15- ! n 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 Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ / (Signed) bz) 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 employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ter 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 OUTLITS PLUG RLCL'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET R OE N. WATER HEATER W. HEAT. CONN. g AC HEATER STRIP HEATER TOTAL CONTR. LIST I CHECK I i I / ENT. SW. DIET. CAS. SERVICE TEMP. SERVICE PERM. 4 % �`-' .'� MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. -- RADIO TOTAL CONTR. LIST CHECK Permit No STATE OF FLORIDA, COUNTY OF DADE. I U. 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 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 '. .: ^ ° No �r . 1 � .Q Street 14 l� Registered Architect and /or Engineyri Employing Electrician's Name < - n W .4' No �n 0 . 3 v Street.. Location and Legal Description Lot 2 Block Subdivision Street and Number where work is to be performed —No / 2.1.7 A/15- ! n 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 Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ / (Signed) bz) 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 employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ter 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. E. F. W. SALISBURY PHONE 89-5791 Miami Shores Village. Gentlemen, SALISBURY CONSTRUCTION CO. BUILDERS T Miami Shores. MIAMI 38, FLORIDA November 23rd. 1956 Attention Mr. Bradford. This will give you the list of sub contractors who performed work on the house 1217 N. E. 100th. Street. 434; Plumbing. Williams Plumbing Co. ¢ 3 Electrical. Lewis C. Wagner Electric Co. 44 3 Roof. Lang Roofing Co. Tile. Metro Tile Co. Plasterer, Tommy Qiuck. Heating. Miami Aluminum Products. Mathes. Kitchen Cabinets. Well Hilt Products Co. Carpenter Whitehead & Moore. Whitehead & MObre supervised as general contractors and took out the permit. I trust this is all the information you require and will appreciate approval of witing electrical installation to Florida Power and Light as soon as possible as I am anxious to get the permanent electric service in. Thanking you. Very truly. fi - 4, t )144,2 4`.4 * AN-4-64/ Nittkat 41.0. cf.444-0 (Le* 1 Y: