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ELECTRICALPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 1- 7 - 01 Job Address 13 L 106 Tax Folio Legal Description Historically Designated: Yes X No Owner/Lessee / Tenant 8{^ y Cyc, 1 k o rai/I 5 Master Permit # '' j Owner's Address 13 N I01 tz+ 5'E' Phone 305 - 4 )05-Q 73 c, Contracting Co. f'e, d2irht 1 5y s, s 5 I F Etc I C. Address Qualifier SS# Phone 305- q 5 - 7 ` 1 State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Mortgagor Address Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President My Commission Expires: FEES: PERMIT p 9' ' ' RADON Address Permit Type (circle one): BUILDING E CTRICAL ' i UMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION DVS L e ` 7S /get Z , r i e4.. Square Ft. Estimated Cost (value) 4 3 000 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 above -named contractor to do the work stated. _ tor on c or Or -Bui der on 3d l a ssC 3'6 -o sir MOM I r Own t` a , w P� JVILLAR • NOTARY PUBHCSPATE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR.1 S Date Notary a o Contrac or My Commission Expire S � C.C.F. NOTARY BOND TOTAL DUES , 0 6 l ate APPROVED: Zoning Building Electrical 4 " ' 7 Q'/ Mechanical Plumbing Structural Engineer 1, o 1 f- .23 --0/ M UNIT FEE ITEM UNIT FEE tH OUTLETS SPACE HEATERS l OUTLETS 06 CENTRAL HEATING E PTACLES . A/C (WIND) V ICE TEMPORARY A/C (CENTRAL) ICE SIZE IN AMPS DUCT WORK ICE REPAIR/METER CHANGE REFRIGERATION IANCE OUTLETS PROCESS AND PRESS PIPING E TOP UNDERGROUND TANKS ABOVE GROUND TANKS E R HEATER U.F. PRESSURE VESSELS O RS 0- 1 HP STEAM BOILERS O RS OVER 1- 3 HP HOT WATER BOILERS O RS OVER 3- 5 HP MECHANICAL VENTILATION O RS OVER 5- 8 HP TRANSPORTING ASSEMBLIES . IS OVER 8- 10 HP ELEVATORS/ESCALATORS IS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS O RS OVER 25-100 HP COOLING TOWERS O RS OVER 100 If VIOLATION WINDOW REINSPECTION CONDITIONERS HEATER R ATORS TRANSFORMERS R ATORS TRANSFORMERS R ATORS TRANSFORMERS AL PURPOSE E TS COMMERCIAL TUBES TRANSFORMERS TIME CLOCK ES . NN SION CUTLETS ION ECTION - 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 ITEM BATH TUB BIDET DISHWASHER DISPOSAL DRINKING FOUNTAIN FLOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER SINK, POT /3 COMP. SINK, RESIDENCE SINK, SLOP TEMPORARY WATER CLOSET URINAL WATER CLOSET INDIRECT WASTES WATER SUPPLY TO: A/C UNIT FIRE SPRINKLER HEATER -NEW INST. HEATER- REPLACE LAWN SPRINKLER -WELL SWIMMING POOL WATER SERVICE ;EWER CONNECTIONS ITILITY -SEWER UTILITY -WATER EPTIC TANK ELAY RAINFIELO, 4' TILE/RES. UMQ S ABANDON SEPTIC TANK JAKAGE PIT CU. FT. 4TCH BASIN ISCHARGE WELL JMESTIC WELL REA DRAIN JOF INLET ILAR WATER HEATER RE STANDPIPE OL PIPING NN SPRINKLER SYSTEM S RANGE TER SET (GAS) S PIPING UNIT FEE ITE SWI LI REC SER SER SERV APPL RANG OVEN WAT MOT MOT MOT MOT MOT MOT MOT MOT A/C AIR STRIP GENE GENE GENE SPECI OUTL SIGN SIGN SIGN FI XTLR ANTE TELEVI VIOLA REINS? ELECTRICAL MECHANICAL - 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 ITEM BATH TUB BIDET DISHWASHER DISPOSAL DRINKING FOUNTAIN FLOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER SINK, POT /3 COMP. SINK, RESIDENCE SINK, SLOP TEMPORARY WATER CLOSET URINAL WATER CLOSET INDIRECT WASTES WATER SUPPLY TO: A/C UNIT FIRE SPRINKLER HEATER -NEW INST. HEATER- REPLACE LAWN SPRINKLER -WELL SWIMMING POOL WATER SERVICE ;EWER CONNECTIONS ITILITY -SEWER UTILITY -WATER EPTIC TANK ELAY RAINFIELO, 4' TILE/RES. UMQ S ABANDON SEPTIC TANK JAKAGE PIT CU. FT. 4TCH BASIN ISCHARGE WELL JMESTIC WELL REA DRAIN JOF INLET ILAR WATER HEATER RE STANDPIPE OL PIPING NN SPRINKLER SYSTEM S RANGE TER SET (GAS) S PIPING UNIT FEE ITE SWI LI REC SER SER SERV APPL RANG OVEN WAT MOT MOT MOT MOT MOT MOT MOT MOT A/C AIR STRIP GENE GENE GENE SPECI OUTL SIGN SIGN SIGN FI XTLR ANTE TELEVI VIOLA REINS? ELECTRICAL MECHANICAL ' PERMIT APPLICATION FOR MIAMI SHORES VILLAGE • Date S ! ,� a U Job Address / 4 A/6._/DI _Tax Folio Legal Description Owner/Lessee / Tenant Owner's Address 1 3 Phone a Addre ss /0 (0 / 1 J Me—ecA e . 3c / D/ Qualifier R /6 Phone C ' 5 ) ? /a d 9 d State # E/,19) 3 SS Municipal # Competenc # ear-703 j "Ins. Co. Square Ft. Contracting Co.F Signature of owner and/or Condo President Notary as to Owner and/or Condo President Date \bZG(e? D� or Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA WORK DESRIPTION WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY OF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be perfonned 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 wor : - done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the wor Date Signs Estimated Cost (value) d Q® / My Commission Expires: My Commission Ex'res• Historically Designated: Yes No Master Permit # (,W 3 Y 2 —)969 7/ / ROOFING P * 1 G FENCE SIGN iaJ . / 7 stated. ontractor o FEES: PERMIT. /,'Pt RADON C.C.F. NOTARY BOND � er a i � � �rolr Date No as to Contractor or Owner- Builder Date OFFICIAL NOTARY SEAL GLADYS j VILIAR NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR.1 vv APPROVED: Zoning Building Electrical Mechanical Plumbing Structural Engineer TOTAL DUE ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS 3 CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP 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 FP HOT WATER BOILERS SINK, POT /3 C MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTCRS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTCRS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTCRS OVER 100 hP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY T0: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 1 HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COM,IERCIAL WATER SERVICE L SIGN TUBES $EWER CONNECTIONS SIGN TRANSFORMERS ITILITY - SEWER SIGN TIME CLOCK ITILITY -WATER FIXTLRES ;EPTIC TANK ANTENNA IELAY TELEVISION OUTLETS )RAINFIELD, 4' TILE/RES. VIOLATION 'UMP & ABANDON SEPTIC TANK REINSPECTION ;OAKAGE PIT CU. FT. 'ATCH BASIN IISCHARGE WELL CMESTIC WELL REA DRAIN OOF INLET OLAR WATER HEATER IRE STANDPIPE DOL PIPING 0 AWN SPRINKLER SYSTEM AS RANGE _ , _TER SET (GAS) - AS PIPING . ,.r (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 ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date „I-IA/Mg Job Address , /J,C, Tax Folio Legal Description 06 Historically Designated: Yes No Owner/Lessee / Tenant )- j 7} Master Permit # ` / 6 q 2 3 Owner's Address / /iJE /b/ c--,1) �^ Contracting Co. G'//,, -_S 7 /JU 7 J ,JJ C 7 if/ C co, Address 934,2 ,S — , j J .r9 4i,� Qualifier /q%C%e GL), /.C.4"i4.4=/e SS# Phone 7425 State # �f� 00 i ail 90 Municipal # Jet Competenc # 7 o Oa 1 s Co. /3 S / /us CO! Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ,/,() C/�.1 =/tf e S'.G ��Ivrl c' T� XO4/ 7 l2 /moo dcwT siu� ,� 1.f 402a s oA/2 /iw,,c<- 76) l•.9//4G.0 1'J /l. /./ae • 4aekbe -,' .9),A ,G2.v S r A /6//7/ , 6/6 £CAP/? g cv c, Square Ft Estimated Cost (value) 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 •erformed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required f',r LECTRIC • PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractorto do the work stated. Commission Expires: Attl Phone Signature of owner and/or Condo President Date Signature of C ntractor or wner- Builder dzik � t 9 Date Date Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner -build My Commission Expires: F w P = - • 7 ?..1� (7.. %BARBARA !"'-,+ ," 1 ,it * COMMISSIOi f ;:'. MY COMMISSION :: OF F�� MAR, i FEES: PERMIT //q )f . RADON C.C.F. NOTARY 5 . BOND TOTAL DUE / 2 7-5— . 4 APPROVED: Zoning Building Electrical ,,444 Pl Mechanical Plumbing Engineering C ta 1 /100/4 /2o/1f M�TTR 04160 aco 7/Y0/4.9j /'.S/.01✓e€ j c /D/ ST /)2 /4 3 ?i 4 j ,t l CAA S7,t)V i ,E idEC'7R / C CC) . �3� t Sw 3S s T" M rt r4.4 6 30 - 0s+ Og4,t cc q 7 o00 /91 ?,E6- 2' oo /1990 EXIS ltoito Pvam- Fi / ✓�s�co G07,400 tk) SIl)J RE51pE/ ( I0S101= GIV( N /ovs1r PAL 3 %3 q/�3 ..4. I. ?ye_ RISER /0 • So &iL 4 14 2 k /\ // 77 Z G /14 LI 6 4449 ti»/?,E 14- C v - 11Alk) D,ScvA)/ 1-T 147E ri/vo SogFIED 3 two CO.C40a C70'? SSuo vim, /0 4.40'S 3;4 add, ale /00 44/1 0A.0 ANT 1' 1' pyc a /00510)a P 11)42 — re9vL.b pp SOU D SOS Qo,uo uSi tiG 40c ,rig,) /,us�,E o DoaP �CX)4/'?PS o ?CO /44405 ITEM BATH TL8 UNIT FEE ITEM SWITCH OUTLETS UNIT 41 FEE G ITEM SPACE HEATERS UNIT FEE BIOET LIGHT OUTLETS / G CENTRAL HEATING DISHWASHER RECEPTACLES I() ..z.4' A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS L 00 I 33.. DUCT WORK FLOOR DRAIN SERVICE REPAIR/WTER CHANGE REFRIGERATION GREASE TRAP" APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UM ERGROUND 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. MOTORS 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 FP. COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS _ A/C UNIT STRIP HEATER . FIRE SPRINKLER GENERATORS TRANSFORMERS ' HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS ` LAWN SPRINKLER -WELL SPECIAL PURPOSE 6 3i J rO SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES 7 /m SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS ORAINFIELO, 4' TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION . SOAKAGE PIT CU. FT. fr ,.- 0,a,Z4 / ; CATCH BASIN J DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET /18 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 BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 2'3/ ` / (J Job Address / / �' E //e)) 5 Tax Folio /1 ,3 () I(/ 01 5a ozro Legal Description I Historically Designated: Owner/Lessee / Tenant a) & �T7 0 -rn Owner's Address / 3 (j /1 t l D l s 7 s7(1` rir2 Contractin Co. ` ' ANC A Qualifier — 3 c 1 l.- fr/1 L 0./ SS# State # `69V - O D 2 O� Municipal # Signature •. f o fl er and/or Condo President Date Notary as to Owner My Commission Exp FEES: PERMI ,S 2ADON e PRY P ' 66i BARBARA ANN NOTARY ZI UGAZ 4( m !! CONM1SSON NU9ABER a Q CC723463 cp. MY COMMISSION EXPIRES OF FLO MAR. 29 L 2002 Competency # Not a, Yes No Master Permit # Phone 1 ?c a ) / 3 3 ce 30r - a� - 5 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING�ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION \' k p — Square Ft. Estimated Cost (value) 1 ./3 15119 c l 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 - w� wil be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named • • :1,,v; + stated. ►' or Owner- Builder • Ny Corrynission ' .'. J VILLAR NOTARY : UCSTATE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR 1,2002 0 0 0 eo C.C.F. �- off- NOTARY 5 v r BOND Date �/ - .24V - o Date TOTAL DUE 4Z, APPROVED: Zoning Building Electrica Mechanical Plumbing Engineering 3/ j 1,1y ITEM BATH MB UNIT FEZ ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT CURETS CENTRAL HEAT 1 NG DISHWASHER RECTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS OLCT YORK FLOOR GRAIN SERVICE REPAIRAETER MANZ REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UIDERGKUN0 TANKS LAVATORY OVEN ABOVE GROUIO TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 if STEAM BOILERS SHOWER MOTORS OVER 1- 3 If HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIOENCE MOTORS OVER 5- 8 NIP TRANSPORTING ASSEMBLIES SINK, SLOP MOTCRS OVER 8- 10 HP ELEVATORS/ESCALATCRS TEMPORARY WATER CLOSET MOTCRS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 If COOLING TOWERS WATER CLOSET MOTORS OVER 100 if VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY T0: M AIR CONDITIONERS • A/C UNIT STRIP HEATER F IRE SPRINKLER GENERATORS TRANSFCRAERS • HEATER -NEW. INST. GENERATORS TRAWORMERS HEATER - REPLACE GENERATORS TRANSFORMERS . LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIWING POOL - CUTLETS COMMERCIAL WATER SERVICE • SIGN T1,BES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY-WATER F I XTLRES SEPTIC TANK ANEMIA RELAY TELEVISION OUTLETS DRAINFIELO, 4' TILE/RES. • VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. C5 (- 1 --. YO ' / iV,9-- CATCH BASIN • O v, Lr3 it /l rD . 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. NEEDr. NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. 9r!' _ Date__ . .774-0 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. I fyj "" - No._ _____ ________ —_. Street__ *_ 1. Owner's Name and Address ` _____'. —._ _— _ ____ _— Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot !P / Block Subdivi 'on____— Street and Number where work is to be performed —No A Street r. ®_ State work to be performed and purpose of building (By Floors)6 °1Y- _ d`C'e_`_"!'''`_- New Building Remodeling Addition.. Repairs _________________________ No. of Stories___ Amount of Permit $__ 4—r) • SS. Service Overhead Size Feeders Conduit Main Sw Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding __—_____ ___ ______ ___�__— __�— _— _— __________ ctrical Inspector. The undersigned applicant for this building permit does hereby certify that h:Qnderstands and accepts his obliga ' .s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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 •e performed under this permit, as are licensed by Miami Shores Village. My Commission Expires MIAMI SHORES VILLAGE No __(Signed) Amps. (Signed) Main Fuses___— Amps. Notary Public. State of Florida Street____ - - -- - ------- - - - - -- Master El 'rican. 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, that be 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. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL. CONTR. LIST CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. 9r!' _ Date__ . .774-0 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. I fyj "" - No._ _____ ________ —_. Street__ *_ 1. Owner's Name and Address ` _____'. —._ _— _ ____ _— Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot !P / Block Subdivi 'on____— Street and Number where work is to be performed —No A Street r. ®_ State work to be performed and purpose of building (By Floors)6 °1Y- _ d`C'e_`_"!'''`_- New Building Remodeling Addition.. Repairs _________________________ No. of Stories___ Amount of Permit $__ 4—r) • SS. Service Overhead Size Feeders Conduit Main Sw Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding __—_____ ___ ______ ___�__— __�— _— _— __________ ctrical Inspector. The undersigned applicant for this building permit does hereby certify that h:Qnderstands and accepts his obliga ' .s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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 •e performed under this permit, as are licensed by Miami Shores Village. My Commission Expires MIAMI SHORES VILLAGE No __(Signed) Amps. (Signed) Main Fuses___— Amps. Notary Public. State of Florida Street____ - - -- - ------- - - - - -- Master El 'rican. 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, that be 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. BUILDING ELECTRICAL PLUMBING Owner of Building Contractor or Builder Legal Lot Description. Address of 4 / Building `. ry - -- LPL...,•,,.'' - 77, t ..� CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9115 Work to be_performed under this Permit Bl. it€ Subdi- vision Value of Project $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed:__, %: R 0 ; f �'r. By f - INSPECTOR In consideration of the issuance to me of this permit I agree to p form 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 f of Miami Shores Village. In acceptin this permit I assure responsibility for all work done by either, myself, my agent, servant or employee. DATE Contractor's License No Amt. of Permit $ (• #' • AUTHORITY V 195 APPLICATION ;1` A Date j FOR FIXTURE WORK ONLY ELECTRICAL, DEPARTMENT OF THE CITY OF MIAMI Desiring your Certificate of Approval, application is hereby made for an inspection of the electrical instal- lation in the premises stated below, for which the undersigned agrees to correct any infractions of the Nat- ional Electrical Code and the City Rules pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION ALL SPACES MUST BE FILLED, OR APPLICATION WILL BE RETURNED it / .A Side Lot Number Floor Basement 1st Floor 2d Floor 3d Floor 4th Floor 5th Floor 6th Floor 7th Floor 8th Floor Attic REMARKS: Work will be started (Applicant sign here Number of Lights Received by Inspector ...J.. F11 -5M -6-26 CERTIFICATES Building —New or Old (underline which). Progress Will Inspect Again Rough Wiring FINAL No. Corrected Temporary Days Approved Letter Date Issued Time Allowed: Block Number Street and Number ��i ° � ... ■ � !�� 6 �.� 57„ Owner t� ° %t' �` Occupant l'� ,,2 Occupied as Ceiling Outlets ivy e A .� 0 DEFECTIVE Days Work — Additional or New (underline which). SPECIFICATIONS SPACE BELOW FOR INSPECTOR'S USE ONLY Inspected J1 Correct Equipment ,f !'� Correct Location - Bracket Outlets will be finished Address t 1. Street Fee remitted ^.® No. 5 a0 o. i J � (! DtA.V ,, 1 Number of Circuits Electric Light Co. Remarks: , Inspector Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus / LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLI- . CATION WILL BE RETURNED 0 ? Lot Number _L - ' B • ck Number / � � ' ' ,,_ ∎.'., 2 ii `' .-t- Street and Number y ' 1 ` S`� Side -� CHI'' Owner W Occupied as Building —New or Old (underline which). H. P. of each motor Number of Motors Greatest Number of Lights on one Branch_ FLOOR Basement.____ First — ___ Second Third__ Fourth Other Floors Progress Will inspect again Rough Wiring FINAL No. Corrected Temporary Approved Letter Date Issued__ __________ Outlets CERTIFICATES Electrical Department of the City of Miami Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Rules pointed out by Inspector. Occupant NUMBER OF Motor REMARKS • Work will be started (Applicant sign here) Days H P. Gen. Correct Equip DEFECTIVE Time Allowed Days SPECIFICATIONS Volts____________ Amps Main APPLICATION Date — Work Additional or New (underline which). , 192 Phase _(Nature of Work) Open — Concealed Knob— Mldg.— Conduit SIZES OF Sub Will be finished Address . ! �_ .4', / 7 _ Street SPACE BELOW FOR INSPECTORS USE ONLY - — Received by Inspector - _= -- n /� � - - CofFe� /lro a`tiion Branch INSULATION OPEN OR CONCEALED NUMBER OF CIRCUITS Electric Light Co. Fee remitted Remarks • Inspector ;0 3 3 0) -a! -, ) (,-'7? 2-- -11 ■:-.-_-,,-------- .---- - A' ' *2 , /