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1285 NE 101 St (11)D to /JobAddress I l6 E Le D cripti n ph V 1 P 4 Owner/Lessee / Tenant ? M. L C L i Fro eD Master Permit # 5 0 o 3 3 Phone 7s7 -agf76 Contractin Co. m QOr9 £L&:nei L J D t✓ Address 669 Mai '7 osr Qualifier ribii -A). SS# _ - © Phone Oq/ /J?7 y State # R (.(J n Q f Municipal # Competency # /WOO; Ins. Co. R Architect/Engineer I Owner's Address 1 265 I" E i n t S� Bonding Company Mortgagor Permit Type (circle one): BUILDING LECTRICALD PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION £0D Amp sUI C € 1 P6RAD E. Square Ft. Estimated Cost (value) # 1/94,t9 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 (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the : bove -named contractor to do the work stated. Signature, /of/9wner and/or Condo President , p Notary as to m Own My Comissio PERMIT APPLICATION FOR MIAMI SHORES VILLAGE on "' � To tu* �9�I Q COMMISSION NUMBER CC741860 7... e ' „4'. MY COMMISSION EXPIRES MAY 11,2002 FEES: PERMIT ‘4 O® RADON APPROVED: Zoning Mechanical Plumbing Building 4- Hi ''orically Designated: Yes No ate Address Address Address lo[glof /OM Date Signature of Contractor or Owner- Builder Date Date C.C.F. 3 .0 0 NOTARY Tax Folio 1 1 3 aOS •oo op /1) / I ./r /� t;v �L. • FRCt L N Notary as t Contractor te: � i.' Sider My Commission Expires ; , Q MISSION NUMBER CC741860 � � MY COMMISSION EXPIRES O FP. 9 M AY 11 2002 :41 0 2 Electrical BOND Structural Engineer ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS • CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIN)) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN A PS / . AQ aosACUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRW APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY .„ OVEN ABOVE (MOUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS /ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA -• RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL .PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN. APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL U. NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: 0 1R550928 2001 OCT 09 13:19 THE UNDERSIGNED hereby gives 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: 1 285 (01 1'� 1A�VI 51-tote 3/3g 2. Description of improvement: 6 (CE u-P6d2A c ` "I Aim 105) 3. Owner(s) name and address: W/ ti L k/0 f -1 I LL. (U P Interest in property: Name and address of fee simple titleholder: /J1 A 4. Contractor's name and address: mow/ tow/ � .. loo w) qo i 4 m, 53i 6O 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: P/A Amount of bond $ 6. Lender's name and address: /U/ 4 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: NOME- 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor'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 difjeren) date is specified) Notary Public ' Print Notary's Name ''ommission Expires to- Sig , lure of Owrier int Owner's Name •A i I IN - Cb-Lee e 6' i;ro/ Sworn to and subscribed before me this 9 day of 0 of ab er- , 2001 .1` . \ p CC741880 MAY it 2002 STATE OF FLORIDA, COUNTY � OF DADE he o of I HEREBY CERTIFY that this ts -1 h y o f origin() .ed i this .ff'ce on A D 20 6 � WITNESS my hand and Official Seal. HARVEY VI CL 1 a ^�lit C ounty Courts . By .1 Prepared by m Ae41 p elf` 67. Address: Wog k) fAi q0 - 111)l GL3315) MOODY 669 N.W. 90 Tel: (305) 891 ELECTRIC I NC. www.moodyelectric.com Street • Miami,FL 33150 -2166 -1374 Fax: (305) 758 -2000 `rho RESIDENTIAL DEMAND LOAD CALCULATIONS W / SQ. FT g(5,00 REFRIGERATOR / S K.W. APPLIANCES 3• D K.W. DISHWASHER / 5 K.W. GARBAGE DISPOSAL K.W. MICROWAVE K.W. CLOTHES WASHER / 'S K.W. DRYER SD K.W. RANGE /� ��•W WATER HEATER /' 5K.W. OVEN K.W. FREEZER /iS K.W. TRASH COMPACTOR K.W. GARAGE DOOR MOTOR / K.W. JACUZZI ^ K.W. JACUZZI BOOSTER HTR. K.W. IRONING BOARD POOL EQUIPMENT K.W. SPRINKLER PUMP K.W. LANDSCAPE LIGHTS i K.W. STEAM SHOWER K.W. A/C WALL UNIT K.W. SPARE CAPACITY K.W. SPARE CAPACITY K.W. TOTAL CONNECTED LOAD FIRST 10 K.W. @ 100% 1// REST @ 40% A/C @ 65% / HEAT @ 100% /5,,&& TOTAL DEMAND LOAD /7' 4 K.W. / 240 VOLT = AMPS 10.0 K.W. K.W. p RY pGe . ..._ OFIGAI : . e, MARY P BRIGGS w'lll +� Q CAMMISS NUMBER TA o MAY 11 2002 4. I i l f O O DY ELECTRIC, INC. www.moodyelectric.com 669 N.W. 90 Street • Miami,FL 33150 -2166 Tel: (305) 891 -1374 Fax: (305) 758 -2000 A 3k. 0(50 0 M'i3 ' 72,0/ e's /85 6,49/w 1. 3 0/ofti11 ♦ • ed71 (/''� -44 i / C It9ez r 49/0e-/ X41 ▪ 1-C1 V PG MARY P ARY SEAL * COMMISSION NUMBER CC741860 7". OF FlO MY COMMISSION EXPIRES MAY 11.2002 i i ,X ';'',V1 ,,s,ca 6 , ?.::9 S, , G,O : u' l.'.l ,lat nr • C'l.LJ r ; i • r.iiiLd Dv:. hEd �te�: O 9. d:' 1 �� Uet d • �e:t.�.� Es. 30r.F.:: ' 3t i� P��: !�� c�J � �Pr V Cr� >�1v D aeiV7lti.v ° �l! r C�,� - !J £Ol' :Tt�AS/ , ;�:. ���..:��� (c2 .� l ge of Miami Shores JOB l� /4- 4) ADDRESS % S INSPECTION TIME READY _ g REMARKS y N° 4247 INSPECTOR DATE /e 'Vi lla', o f Miami Shores JOB ii,- ; 6 e) ADDRESS s / © ,sr , INSPECTION TIME READY 1 ( i fi p . o V'— ' ° « C REMARKS P 41 INSPECTOR N? 4517 DATE � 47." ? Permit No Owners Name and Address l MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMI Date 43 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. 14-K # r p ftf' No / 74 Street..JO.. Registered Architect and /or Engineer...., Employing Electrician's Name Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1 J ' 7 /v Street / No Street State work to be performed and purpoP = n# building (By Floors) New Building Remodeli Addition Repairs No. of Stories Servi ndergro 1ze Feeders Conduit . Main Sw Amps Main Fuses Amps 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 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. Ss. (Signed) Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. 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 C� a C// b l ` P' V / /0 C — r / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 MP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CLNTR. LIST 0/' t 1 U CHECK Permit No Owners Name and Address l MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMI Date 43 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. 14-K # r p ftf' No / 74 Street..JO.. Registered Architect and /or Engineer...., Employing Electrician's Name Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1 J ' 7 /v Street / No Street State work to be performed and purpoP = n# building (By Floors) New Building Remodeli Addition Repairs No. of Stories Servi ndergro 1ze Feeders Conduit . Main Sw Amps Main Fuses Amps 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 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. Ss. (Signed) Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. 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. BU EteetRiewAIII PERMIT A N° 4'LU . Owner of Buildi _ _ _ __ t x j NAME Contractor or Builder= DatecL " 910 Architect and /or Engineer ADDRESS LOT BLOCK SUBDIVISION NO. In consideration of the issuance to me of this permit I hereby agree to the proposed construction in plans and specifications thereof heretofore by me submitted, and in compliance with all provisions b building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the , 19_ MIAMI SHORES VILLAGE BUH4ING INSPECTION DEPARTMENT 19 ------------------------------------- LICENSE NO. NA E ADDRESS NAME ADDRESS LICENSE NO. Proposed Location ____'! `_`_ _ ___— _�_II_____ C 1 sr • STREET This permit is issued to_ the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ord" , . nces or rules and reg lations, or upon an change in the plans and specifications unauthorized by the building inspector. ' ► /'r RECD. PAYMENT ACCT. DEPT. INSPECTOR strict To_el.` " conformity with the application and laws of the State of Florida, all the of Miami Shores Village. A (SEAL) A charge of $1.00 will be made for making corrections or changes to this application after approval has been ob ined from the Planning Board. 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. NO. STREET PART OF LOT LOT BL'K SUBDIVISION Signs f • Other Apparatus . . . Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee y ELECTRICAL PERMIT N.B. —This Permit must be on display on the premises during the Owner of Buildi Contractor or Electrician , this Department. aiami Jhores9illage F L O R 1 D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla., DESCRIPTION OF WORK NUMBER OF LO CATI 0 N 19. N? 678 • This Permit is granted upon the express condition that all facts stated in the Application are 4pa and 4 i nstruction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida apd with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the tate of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami bores Village. \ Dated 7 , 19 pow III NO. ` f j STREET f PART OF LOT LOT / / ~ BL'K C ^ {. SUBDIVISION s . � Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee / 4 - , i' -1 .i . d r ' 4 ,,, _._...._ ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the,onstruction. 4 Owner of Building` 1/ Co actor or Electrician Mian i Shores Village, Fla , if/ f., 'f LOCATION , 19 aiami c1 hores9llage F L O R ID A OFFICE OF ELECTRICAL DEPARTMENT DESCRIPTION OF WORK NUMBER OF N° 678 • This Permit is granted upon the express condition that all facts stated in the Application are Afela nstruction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit max be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. , Electrical Inspec r. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with -he Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Depa, tmeut -pf Miami Village. (S" Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus 7,;0 1 Permit Fee .,c dr • ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the. construction. #/el, Owner of Buildin •tractor,_or Blectricia P rt Dated 1- .2 ► , 19 c 7Y1iami �hores9illage F L O R I D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , _•- NUMBER OF f - 2 19.,x LO CATI 0 N LOT /f/ BL'K DESCRIPTION OF WORK ift-x) is /67 eat_ SUBDIVISION N° 715 This Permit is granted upon the express condition that all facts stated in the Application are true an that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Villa e. This Permit xy be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, o upon any chan in the plans and ecifications unauthorized by this Department. GL' • / - r - /" ` ef , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I heresy agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical pepartment of Miami Shores Village. ELECTRICAL PERMIT A N9 LNG •ner of Building Architect and /or Engineer NAME 285 ADDRESS LICENSE NO Contractor or Builder______ ��yy NAME Proposed Location /!_:,t ''`2f' P" LOT BLOCK ADDRESS / c' ,f/ 4 SUB- DIVISION NO. P. This permit is issued to f I { 1 �' ' S� ° -_ - _ k. - the building above described, as per applicati Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, an,0 rules and regulations of the building department of Miami Shores Village..- This permit may be revoked at any time upon the violation of any provfons of said laws, ordinances pr rules and regulations, or up any change the plans and specifications unauthorized by the building inspector. r +.11. $ � ---- _ - - - 1 AMOUNT RECD. / ACCT. DEPT. ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 1,7 ..: , , 19.3 INSPECTOR • In consideration of the issuance to me dT This permit I hereby agree to the proposed construction in strict conformity with the application and ns and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Sires Village and all rules and regulations of the building department of1Miafrri Shores Village. . ,,14 Dated __hi J% ar. 19 1 . � ) l (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. 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. NO. Motors Receptacles Generators STREET , PART OF LOT LOT BL'K SUBDIVISION j 6 } j Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee " f +� or ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Contractor or Electricia aiami ehoresc llage F L 0 It 1 D A OFFICE OF ELECTRICAL DEPARTMENT s : r Miami Shores Village, Fla , LO CATI 0 N DESCRIPTION OF WORK NUMBER OF N° 715 This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and frpecifications unauthorized by this Department. (,s ,; i- { , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. Dated _ f , 19 , r t:• `�. °. . "C Y eal) J ELECTRICAL } PERMIT A N? 285 Contractor or NAME w. J,__� f Proposed Location/140 �.� �'____ __�� -�� _'____. AMOUNT RECD. ,a1[YMENT ACCT. DEPT. Owner of Building__ _ 1_' ADDRESS NAME Architect and /or Engineer NAME ADDRESS ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT re s LICENSE NO. LICENSE NO. LOT BLOCK SUB- DIVISION NO. SIRE This permit is issued to_____ �, —__..1.'__ °' << _ � _ ___.s____4 _Y________ L- ___ To_ 0.•,,.,0 __________ the building above described, as per application. Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, aqd rules and regulations of the building department of Miami Snores Village - ' permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or uppri any change the plans and specifications unauthorized by the building inspector. 0,' -- 'ti INSPECTOR In consideration of the issuance to me t" is permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami S res Village and all rules and regulations of the building department of Miami Shores Village. Dated_ -"OE- ~ Q) ___ _ 3.2 19_ 1 (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from, the Planning Board. 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 afd/at.workntinehip. MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at f 4 4- fi ' "/ / � t 4;64,: PERMIT No. _- . by t for . mo 1.4>t, te.�.01 owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: / Size of Service v Address Number of Lighting Circuits Range watts. W H r+� watts fi Power: Connected road � �_ / t Space I $tei?s ' watts Other Apparatus ELECTRICAL INSPECTOR. OUTLETS MOTORS RECEPTACLES GENERATORS STOVES WATER H'TERB SIGNS BILLBOARDS OTHER APPARATUS MAIN SUB / Basement First FLOOR NUMBER OF SIZES OF INSULATION OPEN OR CONCEAL'D NUMBER OF CIRCUITS OUTLETS MOTOR GEN. MAIN SUB BRANCH Basement First Second Third Fourth Other Floors 6 /1/1 iami fhores L O A 1 D A APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for issuance of permit for electrical installation as described below, and for inspection of same after installation: Building Contractor Owner Address Date ,6' _e h 193 Electrical Contractor Location of proposed work: Lot r Block Subdivision Building: Old or new `'" f Number of stories Used as Description of proposed work �, --_,. :� •:..:= � �..r �.,_ - ��..•_. =- Details of proposed work: Number of Motors / Additional Information H P //-,/ Volts Amps Phase Signature of Applicant % f t- A' ( -, - ,� ,-•` ■ Address (if other than owner or /contractor) (SPACE BELOW FOR INSPECTOR'S USE 0 r \. 0 o ` Work begun Inspected !, . mei 1 Work finished Final inspection , � / , Inspector Permit No is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether l rein specified or not. A copy of approved plans and specifications must be kept at building :qia5 Owner's Registered Arch f ct and /or Engi Employing Electrician's Name 0 4 0 Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT No. t5 �L. Location and Legal Description Lot — __ .Block _ Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs (Signed) (Sign Date__ (i+ w _____ Street Streett__f S Street 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 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub- contracto k be performed under this permit, as are licensed by Miami Shores Village. )//1_j Master Electrican. STATE OF FLORIDA, k COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ______ ____ - -� to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL CONTR. LIST ,,/(r 3 { / - J / E' CHECK • ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether l rein specified or not. A copy of approved plans and specifications must be kept at building :qia5 Owner's Registered Arch f ct and /or Engi Employing Electrician's Name 0 4 0 Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT No. t5 �L. Location and Legal Description Lot — __ .Block _ Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs (Signed) (Sign Date__ (i+ w _____ Street Streett__f S Street 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 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub- contracto k be performed under this permit, as are licensed by Miami Shores Village. )//1_j Master Electrican. STATE OF FLORIDA, k COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ______ ____ - -� to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No - Amount of Permit $ 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 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 -Qrogres STATE OF FLORIDA, COUNTY OF DADE. j ss' Owner's Nam Registered Architect and /or Engi Employing Electrician's Name ---/ 4 Location and Legal Description Lot My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Sign Date Street ° ' 1� Notary Public. State of Florida s Block _ Subdivision___ ? ' i ___4 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. of Stories Service Overhead Size Feeders Conduit ______ Main Sw. Amps. ____ Main Fuses Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding (Signed) — — — — - - -- — — — — - - - -_ — - - - -- - -- Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or 'notices as are required by the Act. The under signed agrees to employ only such sub - contractors' ". n �� .` kto be performed under this permit, as are licensed by Miami Shores Village. Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAM PS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST s 3 & 4 / � CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LI , CHECK Permit No - Amount of Permit $ 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 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 -Qrogres STATE OF FLORIDA, COUNTY OF DADE. j ss' Owner's Nam Registered Architect and /or Engi Employing Electrician's Name ---/ 4 Location and Legal Description Lot My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Sign Date Street ° ' 1� Notary Public. State of Florida s Block _ Subdivision___ ? ' i ___4 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. of Stories Service Overhead Size Feeders Conduit ______ Main Sw. Amps. ____ Main Fuses Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding (Signed) — — — — - - -- — — — — - - - -_ — - - - -- - -- Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or 'notices as are required by the Act. The under signed agrees to employ only such sub - contractors' ". n �� .` kto be performed under this permit, as are licensed by Miami Shores Village. Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. qiirwarnslia. THIS CERTIFIES THAT the wiring ail apparatus installed at r .(1 t , for / 1 7-7 owner, and occupied as by has been inspected and current is authorized to be turned on, until otherwise notified, for : Size of Service Range 11111 'MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION Address Number of Lighting Circuits watts. Water Heater - 1' watts Power: Connected load A H P. Space Heaters '9" watts Other Apparatus PERMIT No.4/ ELECTRICAL INSPECTOR. - -'- -ms ' J Owner's Name and Address . , [_4_�= x Registered Architect and /or Engineer _ Amount of Permit $ . STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit 4� _ 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„, r No. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs r F (Signed) — "l — d Street_ tom_ ...c My Commission Expires Notary Public, State of Florida Employing Electrician's Name _4 '� ® _ ' 4.___,4.0t � r _ L- * <,� No ° " d "s__:� Street__ �! __ . _ fi`- _L___1_,..;,_ Location and Leal Description Lot __i__ __ __ e .2 2 Block r Subdivision_ _ 1 „.---, Street and Number where work is to be performed —No I',e'__ __-,.,r Street _ 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 fir" --- ---- - -- - - -- Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Electrical. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ------- -- --_ -__ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ------- - -- --- NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. Lis"' 1 /F + CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK - -'- -ms ' J Owner's Name and Address . , [_4_�= x Registered Architect and /or Engineer _ Amount of Permit $ . STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit 4� _ 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„, r No. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs r F (Signed) — "l — d Street_ tom_ ...c My Commission Expires Notary Public, State of Florida Employing Electrician's Name _4 '� ® _ ' 4.___,4.0t � r _ L- * <,� No ° " d "s__:� Street__ �! __ . _ fi`- _L___1_,..;,_ Location and Leal Description Lot __i__ __ __ e .2 2 Block r Subdivision_ _ 1 „.---, Street and Number where work is to be performed —No I',e'__ __-,.,r Street _ 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 fir" --- ---- - -- - - -- Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Electrical. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ------- -- --_ -__ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ------- - -- --- NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. .0ORS PIATUNZO or4Ly NUMBER OF TOTAL OUTLETS SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS MAIN SUBS BRANCHES c..- . / , ENT . • Z ( ? r . / ° 9 1 ■ - , . D H • v. AVOID LOT NU'MBE F BAIRN FiRST SECON THIRD FOURT REMARKS DELAY BY STREET AND NUMBER / ) OCCUPIED. As CEILING BRACKETS ' KIND OF INSTALLATION OPEN OR CONCEALED MASTER ELECTRICIAN ; ; ;4, BY / RECEPTACLES 4- 1, ROUGH WIRING FINAL. No CORRECTED TEMPORARY DAYS. DATE ISSUED SWITCHES APPLICATION STOVES WATER HEATERS SIGNS SPACE BELOW FOR INSPECTOR'S USE ONLY NO DATE 1 ELECTRICAL DEPARTMENT OF TIIE 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 In- spector. LOCATION GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED PPLICATION WILL BE RETURNED. t BLOCK NUMBER d SUBDIVISION a 10 te: i , • SIDE OWNER OCCUPANT BUILDING--NEW OR OLD ( UNDERLINE WHICH) WORK-ADDIez EW, L ER arl. To 0 OR EP A I SPECIFICATIONS H. P. OF EACH MOTOR jegnir VOLTS TOTAL AMPS PHASF OTHER APPARATUS KNOB. RX., BX., MLDG., CONDUIT. METALLIC TUBING , N INSPECTION WANTED 1 " ' ) • • ' " ADDRESS RECEIVED BY INSPECTOR INSPECTED PROGRESS WILL INSPECT AGAIN REMARKS FEE REMITTED INSPECTOR 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 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 Amount of Permit $ OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Date — I a" d �_ No. _? .1 Street_,! _ Registered Architect and/or Engineer _ Employing Electrician's Name _ �•f Ala 1 11tt` _�' 3 ._ t No - --- -�- -- /2‘ ---- - ___-•- `- --�- "i____...� -- Street--= ----- ------ -- =-�-* �+- -- Location and Legal Description Lot_ ,I f 1- ' '" Block Subdivision__ fr. / Street and Number where work is to be performed —No � _ s..e Street :_____ _. 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 (Signed) E r /� Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ----- _- - - - -, -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Electrical. 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 t li CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O -I HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK 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 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 Amount of Permit $ OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Date — I a" d �_ No. _? .1 Street_,! _ Registered Architect and/or Engineer _ Employing Electrician's Name _ �•f Ala 1 11tt` _�' 3 ._ t No - --- -�- -- /2‘ ---- - ___-•- `- --�- "i____...� -- Street--= ----- ------ -- =-�-* �+- -- Location and Legal Description Lot_ ,I f 1- ' '" Block Subdivision__ fr. / Street and Number where work is to be performed —No � _ s..e Street :_____ _. 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 (Signed) E r /� Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ----- _- - - - -, -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Electrical. 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.