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1240 NE 100 St (9)r 'Inspection Number: INSP -13931 MAY 2 4 e Inspection Date: 05/23/2006 Inspector: Grande, Claudio e�. Owner: RUBIN, ALAN & ANGFELA Job Address: 1240 100 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: SANSON ELECTRICAL PLUS INC Building Deaartment Comments Monday, May 22, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: EL -4 -06 -861 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number 305 - 577 -1009 Parcel Number 1132050090050 Lot: Phone: 305 -443 -8808 Page 2 of 2 Passed Ea Inspector Comments 2 5 /7 e,/ e Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until r 'Inspection Number: INSP -13931 MAY 2 4 e Inspection Date: 05/23/2006 Inspector: Grande, Claudio e�. Owner: RUBIN, ALAN & ANGFELA Job Address: 1240 100 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: SANSON ELECTRICAL PLUS INC Building Deaartment Comments Monday, May 22, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: EL -4 -06 -861 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number 305 - 577 -1009 Parcel Number 1132050090050 Lot: Phone: 305 -443 -8808 Page 2 of 2 Issue Date: 4/6/2006 Owner's Name: ALAN & ANGFELA RUBIN Permit Type: Electrical - Residential Work Classification: Addition /Alteration Job Address: 1240 100 Street NE Miami Shores Village, FL 33138- Expires: 04/04/2007 Contractor(s) Phone Primary Contractor SANSON ELECTRICAL PLUS INC 305 - 443 - 8808 Yes Comments: CHANGE OF SERVICE 200 AMPS OVERHEAD TO UNDERGROUND *111012822 *, 04/25/2006 -n 000005940238867 m This is a LEGAL COPY of your check. You can use it the same 1-17 r - way you would use the original N check ■ co RETURN REASON -S Dm REFER TO ITEM t=1 r.1 Ill 0 � Lrl ru0 rR O *13480001* *637* *1* ra d ERWIN DUBON 08/2003 GRAND CANAL DR RAL GABLES. FL 33144-2529 Pay to the order of • r Fees Due Amount CCF $0.60 Education Surcharge $0.20 Permit Fee - Additions /Alterations $150.00 Scanning Fee $3.00 Technology Fee $3.75 Technology Fee $3.75 Total: $161.30 Finance Copy Miami Shores Village , 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Permit Number: EL - - - 861 Phone: 305- 577 -1009 Parcel #: 1132050090050 Block: Lot: Section: PB: Total Square Feet: 0 Required Inspections Alteration Underground Rough W W Total Valuation: $ 1,000.00 3cC- r g3(1-c 528 0.4 -- ► 1 - 0 MIkm' !: , v .Ul (!4 $ *`j . 3o 'oCE g o1 e,uE loo , pp • -� _ ^ Dollars 4 / r % i .F r NSh > - SunTIIwsr. Ac HRT0610001Q4 For t:0 6 3 LO 2 L 5 21: L0000 L 4 7 6 40 20" 0 5 28 0 EL-4-06-24382 Total: Invoice Number Lt A 4 :0 6 3 LO 2 L S 21: L0000 1 4 76110 2000 5 28 1 6 L 301" Amt Due $161.30 APR s PAID MAY 0 3 PAID Amt Pa 03.215/831 NOTICE: In addition to requirements of this permit, ther- ma' e additional restrictions applica• • this property that ma •: •and in the public records of this county. AND THERE MAY FROM OTHE Fo Vv Lk) 111 b f 1Ym CS �2-10G ) GOVERNMENTAL BE ENTIITTIES ADDITIONAL SUCH PERMITS AS WA ER MENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. - 1 - 01Y % ) 6 (3 I oG r'E (' 9,,l ; / ;r? I . 1 03 5 1f $161.30 1,;__� C=Ci1 i.��i.,JD 1 -l�.a "1.,�iQ�. JS,.�cw.� CHECK 'Inspection Number: INSP- 13926 Inspection Date: 04/20/2006 Inspector: Devaney, Michael Owner: RUBIN, ALAN & ANGFELA Job Address: 1240 100 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: SANSON ELECTRICAL PLUS INC Building Department Comments Wednesday, April 19, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: EL -4 -06 -861 Permit Type: Electrical - Residential Inspection Type: W W Work Classification: Addition /Alteration Block: Phone Number 305 - 577 -1009 Parcel Number 1132050090050 Lot: Phone: 305-443-8808 Page 1 of 2 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until 'Inspection Number: INSP- 13926 Inspection Date: 04/20/2006 Inspector: Devaney, Michael Owner: RUBIN, ALAN & ANGFELA Job Address: 1240 100 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: SANSON ELECTRICAL PLUS INC Building Department Comments Wednesday, April 19, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: EL -4 -06 -861 Permit Type: Electrical - Residential Inspection Type: W W Work Classification: Addition /Alteration Block: Phone Number 305 - 577 -1009 Parcel Number 1132050090050 Lot: Phone: 305-443-8808 Page 1 of 2 Inspection Number: INSP -13926 Permit Number: EL- 4- 06-861 Inspection Date: 04/20/2006 Inspector: Devaney, Michael Owner: Job Address: Project: <NONE> RUBIN, ALAN & ANGFELA 1240 100 Street NE Miami Shores Village, FL 33138- Contractor: SANSON ELECTRICAL PLUS INC Building Department Comments Wednesday, April 19, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Electrical - Residential Inspection Type: W W Work Classification: Addition /Alteration Block: Phone Number 305 - 577 -1009 Parcel Number 1132050090050 Lot: Phone: 305 -443 -8808 Page 2 of 2 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -13926 Permit Number: EL- 4- 06-861 Inspection Date: 04/20/2006 Inspector: Devaney, Michael Owner: Job Address: Project: <NONE> RUBIN, ALAN & ANGFELA 1240 100 Street NE Miami Shores Village, FL 33138- Contractor: SANSON ELECTRICAL PLUS INC Building Department Comments Wednesday, April 19, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Electrical - Residential Inspection Type: W W Work Classification: Addition /Alteration Block: Phone Number 305 - 577 -1009 Parcel Number 1132050090050 Lot: Phone: 305 -443 -8808 Page 2 of 2 Permit Number: EL -4 -06 -861 Invoice Number: EL -4 -06 -24382 Applicant: ALAN & ANGFELA RUBIN Company Name: Date 04/19/2006 Permit Receipt Payment Type CheckNum Check 528 Amount $161.30 Total Payment: $161.30 Wednesday, April 19, 2006 Page 1 of 1 Issue Date: 4/6/2006 Owner's Name: ALAN & ANGFELA RUBIN Permit Type: Electrical - Residential Work Classification: Addition /Alteration Job Address: 1240 100 Street NE Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 04/04/2007 Contractor(s) Phone SANSON ELECTRICAL PLUS INC 305 - 443 -8808 Primary Contractor Yes Comments: CHANGE OF SERVICE 200 AMPS OVERHEAD TO UNDERGROUND Type of Work: ELECTRICAL SERVICE Additional Info: Classification: Residential 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, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Technology Fee Total: Amount $0.60 $0.20 $150.00 $3.00 $3.75 $3.75 $161.30 Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: EL -4 -06 -861 Phone: 305 - 577 -1009 1132050090050 Lot: PB: Total Square Feet: 0 Total Valuation: $ 1,000.00 Required Inspections Alteration Underground Rough WW Service Change Meter Box Fire Alarm Relocation Final Invoice Number Amt Due EL - 4 - 06 - 24382 $161.30 Total: i 9 PAID Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. 4(o1 4 :05'M BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building ( Electrica j' Plumbing Owner's Name (Fee Simple Titleholder) A L am) e...181,J paCE Phone # Owner's Address 1L '&P N C- L o 0 ST (40...1.4..." City (L p i S K.�R & Tenant/Lessee Name Job Address (where the work is being done) 1' 2`tV "G 100 S 1 City Miami Shores Village Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Code Enforcement $ Total Fee Now Due $ !GI. 30 (Continued on opposite side) State Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Vorida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 F�- i 000, County Miami -Dade is Building Historically Designated YES NO r- 001 &O tAoKep 0 Structural Plan Review. $ CAN- 5N tit 19 PAID Permit No. Master Permit No. Zip * 313?? Phone # Phone # Square Footage Of Work: La gcgIIMgl APR 0 4 2006 a kis 1 0 Mechanical Roofing tot- )ti2r 0 Zip 33 /35 Contractor's Company Name -SI SOe0 aec,412 i:cfd Pry S • Phone # 000 7 - n - , 39-p Contractor's Address 7 s" SUS Lt-51 City M 1 A4Aj State Zip '33 Qualifier State Certificate or Registration No. Certificate of Competency No. ci f" Type of Work: ['Addition ['Alteration ['New ® Repair/Replace [1 Demolition Describe Work: Of2440C CF s!%lelitee 1 .00 AMPS. OUE) -- 0 JDer-foe.CC,CD * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ / i ' / CCF $ .60 CO /CC Notary $ Training/Education Fee $ • Z 0 Technology Fee $ 3.15 Scanning $ 1.0° Radon $ Zoning Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City y State Zip Mortgigtteng ame pplicable) el* Mortgage Lender s Addres City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction ilktpis juris jJiction. I.pnderstand that a separate permit must t e secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS; TANKSralid AIR kONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify.that all the foregoing information is accurate and that all work will be done in compliance'with all b ., applicable laws regulating construction and. zoning. • "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is su ct to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspecti n w ch occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will n app oved and a reinspection fee will be charged. Signature Chc 05/13/03 Owner or Agent The foregoing instrument was acknowledged before me this day of A / A ( , 20 L by A t'1 - Ce, C ( J ) who is personally known to me or who has produced I L' L As identification and who did take an oath. NOTA Y PUBLIC: Sign: Print: My Commission Expires:' +` t( 6 c= (/ i9 6 .)/4 0 ..; Signature ti M -TV r' • ^ n fl'dsS! „ n • TL$211.5 . ri r tOi 'I 0. 20015 ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * APPLICATION APPROVED BY My Commission Exti es: V Contractor The foregoing instrument was acknowledged before me this 4-- da of A P L ,200 by f2 / J , who is personally known to me or who has produced Y b L as identification and who did take an oath. NOTARY PUBLIC: Sign: z Print: = ?M4 ..,., 7r.V,S$3 ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * *** ** ** ** ** ** *** * *** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** e'Z lans Examiner Engineer Zoning TEM ATH TLB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE MET. LIGHT OUTLETS CENTRAL HEATING 1 ISHWASHER RECEPTACLES A/C (WIND) ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) RINKING FOUNTAIN SERVICE SIZE IN ALPS 1 004 DUCT WORK LOOK DRAIN SERVICE REPAIR/METER CHANGE 1/ REFRIGERATION CREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING NTERCEPTOR RANGE TCP UNDERGROUd) TANKS I 1 OVEN ABOVE GROUND TANKS i .AVATCRY TRAY WATER HEATER U.F. PRESSURE VESSELS J .AUNDRY :LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS ;HOWER M{OTCRS OVER 1- 3 HP HOT WATER BOILERS ;INK, POT /3 COMP. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION ;INK, RESIDENCE MOTORS OVER 5- 8 H° TRANSPORTING ASSEMBLIES ;INK, SLOP MOTCRS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 1C- 25 HP FIRE SPRINKLER SYSTE).G URINAL MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET MOTORS OVER 100 I VIOLATION INDIRECT WASTES 1 1 I A/C WIN 011 RE IWSPECT J ON WATER SUPPLY TO: ` 1 I AIR CONDITIONERS A/C UNIT 1 STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 1 1 HEATER -NEW INSi. ( 1 GENERATORS TRANSFORMERS 1 HEATER - REPLACE 1 j GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL 1 SPECIAL PURPOSE 1 SWIWING POOL OUTLETS COM4€RCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS ,'SIGN TRANSFORMERS _ UTILITY-SEER SIGN TIME CLOCK I)T I L I TY -WATER 1 FIXTURES SEPTIC TANK ANTENNA 1 RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK RE I RS?ECT I ON SOAKAGE PIT CU. FT. CATD1 BASIN DISCHARGE WELL DOMESTIC WELL AAREA CDRAIN i 1 ROOF INLET SOLAR WATER HEATER 1 FIRE STANDPIPE 1 1 POOL P I P I N O 1 1 LAWN SPRINKLER SYSTEM GAS RANGE • METER SET (GAS) I 1 1 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.) GAS PI?INr• PLUMBING ADDENDUM TO BUILDING PERMIT APPLIUAIIUN ELECTRICAL MECHANICAL TYPE: NLA • MOUNTING: SURFACE CIR LOAD SERVED 1,3 RANGE 5 SMALL APPL 7 SMALL APPL 9 REFERGATOR 11 DISHWASHER 13,15 WATER HEATER 17 DISPOSAL 19 GEN. LTS 1616 S.F. AREA X 3 KVA 2 SMALL APPLIANCES ©1500 WATTS LAUNDRY / WASTER CKT. RANGE DISHWASHER DISPOSAL REFRIGERATOR WATER HEATER CLOTHES DRYER SUB TOTAL FIRST 10.0 KVA © 100% REMAINDER 23.8 @ 40% SUB TOTAL NC LAOD © 100% SUB TOTAL 29.72 KVA / 240 VOLTS PLOES / TRIP KVA LOAD WIRE 2/60 12.0 2#6 1/20 1.5 2 #12 1/20 1.5 2 #12 1/20 1.2 2 #12 1/20 1.2 2 #12 2/30 5.0 2 #10 1/20 .8 2 #12 1/15 1.0 2 #12 LOAD DATA PER NEC SECTION 220 -30 =4.6 KVA =3.0 KVA =1.5 KVA .12.0 KVA =1.2 KVA =0.8 KVA =1.0 KVA =4.5 KVA =5.0 KVA =33.8 KVA =10.0 KVA =9.52 KVA =19.72 KVA =10.2 KVA =29.72 KVA =123 PANEL "A" CONDUIT • 3/4 1/2 1/2 1/2 1/2 3/4 1/2 1/2 METER c CIR LOAD SERVED 2. WASHER 4,6 DRYER 8 GEN. OUTLETS 10 GEN. OUTLETS 12 GEN LTS 14,16 AHU 18,20 NC COND SEE LAOD DATA 29.72 KVA / 240 VOLTS = 123.83 AMPS INC 2" d3# 3/OTHWN I . :" PVC 1# 4THWN 1 -2 "PVC 3# 3/0 THWN 1# 4 FOR GRD. VOLTS: 1 PH. 3W 120/240 VOLT MAINS: 200AMP NETURAL FUL TYPE MAINS: MLO PLOES/TRIP . KVA LOAD WIRE COND 2/20 .5 .2 #12 3�4- 2/30 5.0 3 #10 3/¢ 1/20 .8 2 #12 112 1/20 .8 2 #12 1/2 1/15 1.0 2 #12 1!2 2/50 10.2 2 #6 3/4 2/30 5.0 2 #10 3/+ PANEL "A" PANEL 'A" TO REMAIN \� t GD.TO WATER GROUND RODS � 6'0" APART gc fth, WPCIMIVIEN 7-ii 0-4 gt APR 0 4 200 6 PT BY: _J�i Dour MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date April 2, 1970 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 Grizzle No 1240 Street N. E. 100 Street Registered Architect and /or Engineer Employing Electrician's Name Brother's Electric Corp. No 13339 Street N. W. 7 Avenue Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1240 MXXXXXXEK Street N . E. 100 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Permit No 1 Z 1 ' • 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 $ 7.50 (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his . Yigations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid 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 under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. ss. (Signed) aster 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. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 14/ HP NEON TRANS. RADIO TOTAL CONTR. LIST LIST 200 A 4 hp 7.50 CHECK Dour MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date April 2, 1970 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 Grizzle No 1240 Street N. E. 100 Street Registered Architect and /or Engineer Employing Electrician's Name Brother's Electric Corp. No 13339 Street N. W. 7 Avenue Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1240 MXXXXXXEK Street N . E. 100 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Permit No 1 Z 1 ' • 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 $ 7.50 (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his . Yigations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid 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 under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. ss. (Signed) aster Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Lot • Architect Contractor or Builder Legal Description MIAMI SHORES VILLAGE, FLORIDA ,••■ DATE " 11-44, 19 ❑ PERMIT N9 6444 Contractor's License No r B Work to be performed under this Permit_ I t ,! - t Subdi- vision Th f B Address T i' o -� 0 Value of Amount of d , ui ng Project $ 1 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, servants or employees. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compli with all ogtt3nses 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER Signed- BY AUTHORITY A° !OT v. Permit No APPLICATION FOR ELECTRICAL PERMIT 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 Mi3mi 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 W L Pierce Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot 5 Block 1 Street and Number where work is to be performed —No Lewis 0 Wagner 1240. N E Street State work to be performed and purpose of building (By Floors) Wire...Re8 e New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders 1 Conduit 1i Main Sw Underground Type of Installation — Conduit X Tubing B.X.L Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. 65. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Date The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to licensed by Miami Shores Village. 1 Nov 12/53 N 264 Street Palmeto pr No 9930 Street Oentral Blvd Subdivision Earleton Shores 100 Amps Main Fuses Amps Metal Moulding (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as are (Signed)....1 t..: 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 facto therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials an. /or workmanship. SWITCH O UTLETS LIGHT O UTLETS PLUG R ECE'P'T'S FIXTURES N O. LAMPS REFRIG. O UTLET IRON O UTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. SPACE H EATER STRIP H EATER TOTAL CONTR. IST LIST L 12 4 16 2 " al t 16 1 1 1 / 2 • CHECK r r ��[[ wJTJ i� JOd �j G a �] l % 7 _� S� So ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP M OTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST . 1 1 1 CHECK / /�/ / Q/(>0 . j� ( `'; (7 (: 3 /� ,f g ,,. 0 Permit No APPLICATION FOR ELECTRICAL PERMIT 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 Mi3mi 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 W L Pierce Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot 5 Block 1 Street and Number where work is to be performed —No Lewis 0 Wagner 1240. N E Street State work to be performed and purpose of building (By Floors) Wire...Re8 e New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders 1 Conduit 1i Main Sw Underground Type of Installation — Conduit X Tubing B.X.L Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. 65. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Date The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to licensed by Miami Shores Village. 1 Nov 12/53 N 264 Street Palmeto pr No 9930 Street Oentral Blvd Subdivision Earleton Shores 100 Amps Main Fuses Amps Metal Moulding (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as are (Signed)....1 t..: 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 facto therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials an. /or workmanship. BUILDING ❑ ELECTRICAL CV PERMIT N° 15442 PLUMBING ❑ ROOFING ❑ Work to be performed under this Permit Owner of r) Building S rI Architect Contractor or' Builder Legal Description Address of Building Lot II Bi CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project $ DATE % / ' 4 - 3. , 195 Contractor's License No. Amt. of Permit $ 1 y This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed _,,� R B Y , IN3P OR In consideration of the issuance to me of this permit I agree to p the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY