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150 NE 100 St (3)MIAMI SHORES VILLAGE BUILDING DEPART MFNT 305- 795 -2204 Building Inspection Date 1 J 519 1 Type Insp'n Permit No. C ��^^ _. - 39 q 3hc3 - u•ei 1 Name Address a) NE, \ S Company '111H Phone # 15 -acre Inspection Date Approved Correction Re- Insp'n Fee (- 4 - /� ®� / / fG MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Requec____ Date Z 0 op Type Insp' n 6 1 1 Permit No. El o f _3 I ` - Name SY I,, Ioreq - Address ' 50 10054 Company 1400 E l ec _ Phone # 2.000 Inspection Date Approved Correction Re- Insp'n Fee `T v MIAMI SHORES VILLAGE BUILDING `DEPARTM]NT 305- 795 -2204 Building Inspection Request y-= Date Type Insp'n (J DYE- Cam ■ Permit No. L O 3 - 37 LJ Name Address ISO NC j 00 S { Company Phone # Inspection Date 1 2 ' 1 S ` 'Approved Correction Re- Insp'n Fee CONTRACTOR New Construction Name \lam \ ∎^ S l-t- Name f__c___C- - Z - L .f" 33 License No. _.C3C:) U C Repair Business Telephone d■ Address k c k.O'C-QcZ� Fax tom' IP` Demolish Telephone •7.5� _ D occ.. Fax .-. S q -( ? 3 Qualifier Name , _) et n `f Foundation Only c s- 6 ti.,.\ T ,n PROPERTY OWNER New Construction Name \lam \ ∎^ S l-t- Enclosure Address �U vs c...., 3OSs,C42,2--ss w� .C..t ..:. sV.c.+ -L. 33 Home Telephone 305 -- 7Sp G -• Ike- - 3 Repair Business Telephone d■ Alteration Interior Fax tom' IP` Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other Siep 1. RECEOVED DEC 8 8 2003 NX INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized, Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. • APPLICATION Job Address: k 5 Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. City Folio Number Description of Work Lot Block Subdivision PB PG Zoning Current Use of Property > s . _ ca -\ Square Feet a Units Floors Proposed Use of Property �5�c� e.-�' �. Value of WorlIPVzeto co Bldg Value Tenant Information PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address N Telephone Fax Master Permit No. E I oZt) 3 f7 4 Subsidiary Permit No. S( es Tax Assessed /Appraised Value State PERMIT APPLICATION Zip Linear Feet Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street /sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a wailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and /or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. 9. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE , / // '_ Signature o / iwner / �JC S huff f Print Name Sworn to and subscribed before me this A. day of LdC-C.-- SEAL: ignature of Notary Public - State of Florida Personally kno OFFICIAL NOTARY SEAL NICOLE A BERGERT COMMISSION NUMBER DD033052 MY COMMISSION EXPIRES OR, Rib16t1E2d20!>8ttificati n Type of Identification Produced: FLOR D • COUNTY OF MI: I -DADE Signature of Contractor / Qualifier � PERMIT APPLICATION Print Name ' l om d subscribed before me this "1 day of ture o Sign SEAL: Personally k MARY NotAry Public - State of Florida kM/CamE esMay 11,2005 Commission if DD 104873 Bonded By National Notary Assn. ca n Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas /Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold /Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range /Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p /PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps / � / l "� OA• MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall /Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process /Pressure Piping Supply, AC Well Bath Fan- Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer • Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile /Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee 4 Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY DATE: g.2::;a131F' Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond REVIEWED AND PREPARED BY ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) Metropolitan Dade County (C.C.F.) $ ) r c� 0 (sq.ft. = x /1000 x 0.60) Inspector State Educational Fund $ ki a (¢.005 / sq.ft.) State DCA (Radon) $ (¢.01 /sq.ft.) Code Enforcement Fine $ Zoning Review $ Notary $ SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES ISSUING OFFICIAL DATE: TOTAL $ CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com MOO e. 669 N.W. Tel: (305) ELECTRIC, INC. www.moodyelectric.com 90 Street • Miami, FL 33150 -2166 758 -2000 Fax (305) 754 -1333 FQL M45 .,/lA,/e /i /50 .tJG /00 �?,20 /"G , /2166e ,0a/i0. �D Ti,R!/rJ ftirkliiko CA-mv QRAfY PAT BRIGGS NotAry Public ' t; lo = , e Commission 8 DD 104B73 thySI ,' Bonded By Nailanal Notary Assn. MOODY ELECTRIC, INC. www.moodyelectric.com 669 N.W. 90 Street • Miami, FL 33150 -2166 Tel: (305) 758 -2000 Fax (305) 754 -1333 RESIDENTIAL DEMAND LOAD CALCULATIONS W / SQ. FT REFRIGERATOR APPLIANCES DISHWASHER GARBAGE DISPOSAL MICROWAVE CLOTHES WASHER DRYER RANGE WATER HEATER OVEN FREEZER TRASH COMPACTOR GARAGE DOOR MOTOR JACUZZI JACUZZI BOOSTER HTR. IRONING BOARD POOL EQUIPMENT SPRINKLER PUMP LANDSCAPE LIGHTS STEAM SHOWER A/C WALL UNIT SPARE CAPACITY SPARE CAPACITY TOTAL CONNECTED LOAD FIRST 10 K.W. @ 100% REST @ 40% A/C @ 65% / HEAT @ 100% / dFe6T /So ICJ /DO 5 i '54 e /, /24 /Soo 375 �7 S /D TOTAL DEMAND LOAD Si•OOK.W. / 240 VOLT = / AMPS PIU • K.W. _ _ K.W. K.W. /5 K.W. -�' K.W. /5 K.W. Jc K.W. S 0 K.W /g•OK.W. K.W. K.W. K.W. K.W. • S K.W. K.W. K.W. K.W. K.W. K.W. r---- K.W. K.W. K.W. K.W. K.W. MARY PAY BRIGGS .1 Commission Notary Public - Ststo of Florida My Gambol° Egires May 11,2006 IW Bonded By National Notary Assn. Y7-5 10.0 K SD K. p p .0 K.W. 31 Ag K.W. / ? 9 9 / a-I P CVeCel Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2003 -374 Printed: 12 /9/2003 Applicant: EVELYN Owner: SHUFELT JOB ADDRESS: 150 NE 100 Contractor MOODY ELECTRIC INC Local Phone: (305)758 - 2000 Parcel # 1132060132140 Signed: (INSPECTOR) Electrical Permit SHUFELT EVELYN ST Contractor's Address: 669 NW 90 ST Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 8 & 9 BLK 16 LOT SIZE 100.000 Fees: Description Amount FEE2003 -8056 Building Fee $100.00 FEE2003 -8057 CCF $1.20 FEE2003 -8058 Training and Education Fee $0.40 FEE2003 -8059 Technology Fee $2.50 Total Fees: $104.10 Total Fees: $104.10 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 6/5/2004 Construction Value: $2,000.00 Work: 200 AMPS UPGRADE 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: BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL PLUMBING ❑ PERMIT N? 9366 Contractor's ROOFING ❑ License No. Owner of Building -/f .. e Architect Contractor or Builder Legal Description Address of Building Lat ❑ Work to be performed under this Permit CONTRACTOR or BUILDER Bl Subdi- vision Sq Ft Value of Project $ Date // / 1 Amount Permit BY AUTHORITY '""> of 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. ' Signed•( ' 4 e° • .:f 'G (INSPECTOR) BY In consideration of the issuance to / me of this permit agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, awings, statements or specifications submitted to the proper authorities of Miami Shores Village. In cepting this permit I assume responsibility for all w rk done by either, myself, my agent, servant or employee. . j. (._ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT / APPLICATION FOR ELECTRICAL PERMIT l� IT Permit No �' 0 C 6 Date /1 / — 6 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 f - 7C:" , / Employing Electrician's Name l�. Q..� » / e � / ' 1JZ' 1�To. /r/ 4/.4)1 Street .. ? Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No /S-Q 4 10 0 44 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 ..X B.X.L Metal Moulding Amount of Permit $ , STATE OF FLORIDA, 1 COUNTY OF DADE. I No../ Street.i. /a o (Signed) .../1_,..2 (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and a o pts 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. d), Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and . he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'8 FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. .RACE MESTER STRIP HEATER TOTAL CONTR. LIST r / /1 K' CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 141 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK I /,'S6 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT / APPLICATION FOR ELECTRICAL PERMIT l� IT Permit No �' 0 C 6 Date /1 / — 6 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 f - 7C:" , / Employing Electrician's Name l�. Q..� » / e � / ' 1JZ' 1�To. /r/ 4/.4)1 Street .. ? Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No /S-Q 4 10 0 44 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 ..X B.X.L Metal Moulding Amount of Permit $ , STATE OF FLORIDA, 1 COUNTY OF DADE. I No../ Street.i. /a o (Signed) .../1_,..2 (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and a o pts 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. d), Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and . he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL PLUMBING ❑ PERMIT Np 8505 ROOFING ❑ 0 Owner of �- Building f'~� -a S C iC. t ' . S / 1 ' -'r L_ E.+ Architect Contractor or Builder a)dt Legal Lot Description 1 Bl Address of Building I 1 r / " 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 drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. 7 ' (I NSPEC h TOR) BY In consideration of the issuance to me of this permit I agree perform t e work co 4ereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawin , atements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work don either, myself, my agent, servant or employee. ' 41a Signed • ONTRACTOR or BUILDER 7 Work to be performed under this Permit C. 1 Date f 17 / 19_47 Contractor's License No. ", '= �►► Subdi- vision Sq Ft Value of 11 Amount of Project $ 11 Permit $ BY AUTHORITY MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ....... .�..1._.� L —��cS No /7 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. c Owner's Name and Address , �t ar. c' T No ,�C? (+ O Street /v G /©© Registered Architect and /or Engineer Employing Electrician's Nam2 (C 1/7/1-. L f 4tc.J' Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No /S : 71 State work to be performed and purpose of building (By Floors) j New Building Remodeling Addition v Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P P Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ Electrical'Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts 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 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 cork to be performed u this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. 1T ss. (Signed) 41 ... (Signed) /f /17 Street AVE - /0 O Repairs No. of Stories Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST � v i� CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ....... .�..1._.� L —��cS No /7 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. c Owner's Name and Address , �t ar. c' T No ,�C? (+ O Street /v G /©© Registered Architect and /or Engineer Employing Electrician's Nam2 (C 1/7/1-. L f 4tc.J' Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No /S : 71 State work to be performed and purpose of building (By Floors) j New Building Remodeling Addition v Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P P Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ Electrical'Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts 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 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 cork to be performed u this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. 1T ss. (Signed) 41 ... (Signed) /f /17 Street AVE - /0 O Repairs No. of Stories Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. APPLICATION FOR ELECTRICAL PERMIT Perm No D � 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. / ,C Owner's Name and Address 7..u..S..S'.e� /. ..... . S/ .� f 4°�./ No 1150 . Street / 4/ Registered Architect and /or Engineer Employing Electrician's Name No Street Location and Legal Description Lot Block ..// Subdivision Street and Number where work is to be performed —No 1-� a 4( , Street../ ' / . f State work to be performed and purpose of building (By Floors).... P .eI'.f /.f?.e.. fA!.. p/.ft r 1.9 ?.. for....,5�?rLnler 4�,� .1.4 ° New Building • Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Underground Type of Installation— Conduit Tubing 0 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Amount of Permit $ •� (Signed) 63 STATE OF FLORIDA, , l COUNTY OF DADE. I SS. Date Xar..c. /7 1.,9.4? Main Sw Amps Main Fuses 7'O Amps B.X.L Metal Moulding The undersigned applicant for this building permit does hereby certify that he understands and accepts his labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid has complied with the provisions thereof, and will require similar compliance from all contractors or sub-cont 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. (Signed). ,.L te# Electrical Inspector. igations as an employer of ermanent Supplement, and actors employed by him in the Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST .? 2 /`, P L',tll /„ CHECK APPLICATION FOR ELECTRICAL PERMIT Perm No D � 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. / ,C Owner's Name and Address 7..u..S..S'.e� /. ..... . S/ .� f 4°�./ No 1150 . Street / 4/ Registered Architect and /or Engineer Employing Electrician's Name No Street Location and Legal Description Lot Block ..// Subdivision Street and Number where work is to be performed —No 1-� a 4( , Street../ ' / . f State work to be performed and purpose of building (By Floors).... P .eI'.f /.f?.e.. fA!.. p/.ft r 1.9 ?.. for....,5�?rLnler 4�,� .1.4 ° New Building • Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Underground Type of Installation— Conduit Tubing 0 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Amount of Permit $ •� (Signed) 63 STATE OF FLORIDA, , l COUNTY OF DADE. I SS. Date Xar..c. /7 1.,9.4? Main Sw Amps Main Fuses 7'O Amps B.X.L Metal Moulding The undersigned applicant for this building permit does hereby certify that he understands and accepts his labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid has complied with the provisions thereof, and will require similar compliance from all contractors or sub-cont 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. (Signed). ,.L te# Electrical Inspector. igations as an employer of ermanent Supplement, and actors employed by him in the Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. • BUILDING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLQ14IDA DATE 3 194 Contractor's License No. PERMIT N9 7448 Work to be performed under this Permit Architect Contractor or Builder Legal ; Lot f Description , Address of Building v This permit is grante to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance_with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be 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 tatement or specifications and that he assumes respon- 141 sibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER d)"il "CZ Signed. In consideration of the issuance to me of this permit I agree to perform pertaining thereto and in strict conformity with the plans, drawings, stateme In accepting this permit I assume responsibility for all work done by either m Subdi- vision Value of Project Amt. of Permit 0 INSP CTOR ork covered hereunder in compliance with-all ordinates aneRreiilations r specifications submitted to the proper authorities of Miami Shores Village. elf, my agent, servant or employee. AUTHORITY ILDING `CTRICAL JMBING pier of ding iitect MIAMI SHORES VILLAGE, FLORIDA DATE jfee . ? 194_ Contractor's License No. PERMIT N? 7448 Work to be performed under this Permit tractor :udder .k. d#44 41 of Bl• Subdi ription vision Tess of / Value of ain -." ` .- .: . r Amt. of f t' " Project Permit G This permi is granted to is contra .r or builder named above to construct the building or to install the equipment or device described in the appli- •i herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked y 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 it is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and ations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or pecifications and that he assumes respon- , .y for work done by his agents, servants or employees. �. Signed. rE - In consideration of the issuance to me of this permit I agree to perform the wor covered hereunder in compliance with all ordinance/nd regulations ;fling thereto and in strict conformity with the lans, drawings statements or sp cifications submitted to the proper authorities of Miami Shores Village. cepting this permit I assume responsibility for a work done by either myself, rtiy agent, servant or employee. Nb CTnR CONTRACTOR OR BUILDER BY V AUTHORITY Permit NO.___ r__ Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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 progress of work. Name and Address- -_____ ___ --> -- -• -- _ No. i -_'r 0 Street' (- / 0 0 S' Registered Architect and /or Engineer — Employing Electrician's Name__ 1 _ __ 1 No._____i __ . 411 1 Street Ai ' ___& S 1 ' Location and Legal Description Lot Block ) C _y ' 4 g A Subdivision +_ t r__ ss. Street and Number where work is to be performed —No. / S 13. dP_ S C� ti S State work to be performed and purpose of building (By Floors) New Build —____ _Remodeling Addition Repairs No. of Stories I / Service Overhead Size Feeders : / Conduit____I ___ Main Sw.________________________Amps Underground Main Fuses Amps Type of Installation — Conduit______ -___ Tubing — ______B.X.L.____— _______Metal Moulding._____— ......... ________ ..... _ - -_ —__ _— _ —_ ___ -- -- - -- - - - -1 6 Date / 2 .- 2 3 & s Electrical Inspector. The undersigned applicant for this building permit does hereby certify th e understands and accepts 'hi ; o igations 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, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) " [ t L/— k Master Electrician. Before me, the undersigned authority, a notary public, duly a uthorized 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. ST LIST 1 2. ) / ? / 2. ‘)f 1 . 0-4 / ��' 1 - ,, h _/_ --),„-c-'' / /. � CHECK e. 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.___ r__ Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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 progress of work. Name and Address- -_____ ___ --> -- -• -- _ No. i -_'r 0 Street' (- / 0 0 S' Registered Architect and /or Engineer — Employing Electrician's Name__ 1 _ __ 1 No._____i __ . 411 1 Street Ai ' ___& S 1 ' Location and Legal Description Lot Block ) C _y ' 4 g A Subdivision +_ t r__ ss. Street and Number where work is to be performed —No. / S 13. dP_ S C� ti S State work to be performed and purpose of building (By Floors) New Build —____ _Remodeling Addition Repairs No. of Stories I / Service Overhead Size Feeders : / Conduit____I ___ Main Sw.________________________Amps Underground Main Fuses Amps Type of Installation — Conduit______ -___ Tubing — ______B.X.L.____— _______Metal Moulding._____— ......... ________ ..... _ - -_ —__ _— _ —_ ___ -- -- - -- - - - -1 6 Date / 2 .- 2 3 & s Electrical Inspector. The undersigned applicant for this building permit does hereby certify th e understands and accepts 'hi ; o igations 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, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) " [ t L/— k Master Electrician. Before me, the undersigned authority, a notary public, duly a uthorized 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.