Loading...
237 NE 100 St (10)PERMIT / APPLICATION FOO13 MIAMI SHORES VILLAGE Date / / C' 6 Job Address ;) ifJ ( 0 O // Tax Folio Legal Description (/f� Owner/Lessee / Tenant / 4 J ' V/c/ Owner's Address Contractin Co. /4z' 2,,/eere;e_._ Qualifier •7 - 7 f 6® State # EZOOOM Municipal # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILD WORK DESCRIPTION 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 perfommed 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 Al"PIUAVIT: 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. 1 Signature of owner and/or Condo President Date otary as to Owner and/or Condo Presi My Co & OFFICIAL NOTARY SE, NICOLE A BERGERT n n COMMISSION NUMBER ... - ''�'II ' ,. * CC661267 TA O � Fl o� MY COMMISSION EXPIRES FEES: PERMIT APPROVED: Zoning Mechanical Date C.C.F. 110 Historically Designated: Yes No ik Address - 725,11 7 4 Master Permit # 75 ? 5 Phone - 25? ss# - . .Phone W - 15 7� Competency # Ins. Co. �� l Address Address Address LUMBING MECHANICAL ROOFING PAVING FENCE SIGN Signature of Contractor or Owner- Builder "ti NOTARY • LI '— BOND Notary as to Contractor or Owner- Build My Commissiok Exoitisp q OFFICIAL NOTARY SEAL. O %. NICOLE A BERGERT Z 1 ^ 0 COMMISSION NUMBER N, .�• �it. . Q CC661267 1!. ^ " � O MY COMMISSION EXPIRES �O F\O JULY 2,2001 TOTAL DUE, Building Electrical - /6 / Date Date Plumbing Structural Engineer Date 2- 9 7 Job Address 2 31 . •E ' /DO z Notary My Co Legal Description Lev)%eli C a.,essee / Tenant Ail- ` 4) Owners Address 2 31 kg - /0 o ST Architect/Engineer /..)/4 ' Address Bonding Company Address FEES: PERMIT 1,3 / w RADON PERMIT APPLICATION FOR MIAMI SHORES VILLAGE a -tZZ Signature of owner and/or Condo President Date � I . �.� L. , , _ .. ' . • ,' . ` • 'r'"� }' v uq � , _. t � t � • ,t, ion D ri• CORY PATRICIA BRIGGS 1(. J *' COWMIf33IOI NUMBER 1`' '!' Q CC335250 . .._ Ya Q MY COMMISSION ern e oF F\. JAN. 31,1998 /a- Date Tax Folio Address Address Notary as t■ Contract My Commission Exp APPROVED: Zoning Mechanical Plumbing Building Historically Designated: Yes No Master Permit # P h o n e 7 5 1 — 4 9 7 f Contracting Co. /1d D "CT72 /C C- • Qualifier Oo -, J 119..0 State # eCo6Y // 99 Municipal # Competency # Ins. Co / f ss# Phone .W/ —/ 0-71 4 Mortgagor Permit Type (circle one): BUILDIN ELECTRICA ' LUMBING / MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /so a- -CEA�/ C v ?6'x' Square Ft. Estimated Cost (value) /49a a ' 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. Signature of Contractor or Owner -Buil /4 / ® la . 4 L NOTARY SEAL (i EBARY PATRICIA BRIGGS t ) + *'' CO 31;7is IO NLICASER 'r CC33Z250 7f N : V P COMROSSION EXP. OF F\- JAN. 39 9990 Date l 2 C.C.F. J d NOTARY BOND TOTAL DUE -? - 2-D Engineering MOODY# ELECTRIC, INC. 669 N.W. 90 STREET MIAMI, FL 33150 -2166 TEL: (305) 891 -1374 FAX: (305) 758 -2000 RESIDENTIAL DEMAND LOAD CALCULATIONS 3 W / SQ. FT /szrZJ• .¢: K.W. REFRIGERATOR /•f K.W. APPLIANCES „1.0 K.W. DISHHWASHER /•2. K.W. GARBAGE DISPOSAL K.W. MICROWAVE .g K.W. CLOTHES WASHER K.W. DRYER .5%0 K.W. RANGE /2.6 K.W. WATER HEATER S K.W. OVEN K.W. FREEZER K.W. TRASH COMPACTOR K.W. GARAGE DOOR MOTOR K.W. JACUZZI K.W. JACUZZI BOOSTER HTR. K.W. IRONING BOARD K.W. POOL EQUIPMENT K.W. SPRINKLER PUMP / Z•. K.W. LANDSCAPE LIGHTS K.W. SPARE CAPACITY J K.W. K.W. K.W. TOTAL CONNECTED LOAD •Z K.W. FIRST 10 K.W. @ 100 % 10.0 K.W. REST @ 40 % H.3 K.W. A/C @ 10 % -TO K.W. TOTAL DEMAND LOAD 242 •3 K . W . 26.3 K.W. / 240 V. = 1043 AMPS UN.) f 4 E-4--d=4" 2 l 6 t o m e --- kJ,, 1 cq 5 MAF SeV.4 ,s -4i - t - - 1-144,..1z:::..: 3 1 ksr2'' it 't r . L a GoeN,r; --- >i , MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT IT Permit No � ` Date..le % JJ 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. ��rr Owner's Name and Address ' /' No. p2 7 Registered Architect and /or Engineer f _ Employing Electrician's Name 1 .t fC� /./fal 1 �'�``�`LQ� '�?lf;T ���� �// �tE elf 3/ Location and Legal Description Lot Block �) f Street and Number where work is to be performed— No. - V ? '/ C State work to be performed and purpose of building (By Floors) Street Subdivision 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 o �y Amount of Permit $ S (Signed) Q.S.` ............. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accep his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of ' orida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OP DADE. Before me, the undersigned authority, a notary public, duly authorized 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. 55. My Commission Expires to administer (ISigned). ,f Notary Public, State of Florida aster Electrician. oaths and take acknowledgments, personally NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. A H ATER STRIP HEATER u ,N, ere TOTAL CONTR. LIST / CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CL LIST Jam,) .9 pc//(� /7 / CHECK , MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT IT Permit No � ` Date..le % JJ 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. ��rr Owner's Name and Address ' /' No. p2 7 Registered Architect and /or Engineer f _ Employing Electrician's Name 1 .t fC� /./fal 1 �'�``�`LQ� '�?lf;T ���� �// �tE elf 3/ Location and Legal Description Lot Block �) f Street and Number where work is to be performed— No. - V ? '/ C State work to be performed and purpose of building (By Floors) Street Subdivision 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 o �y Amount of Permit $ S (Signed) Q.S.` ............. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accep his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of ' orida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OP DADE. Before me, the undersigned authority, a notary public, duly authorized 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. 55. My Commission Expires to administer (ISigned). ,f Notary Public, State of Florida aster Electrician. oaths and take acknowledgments, personally 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 Architect Contractor or Builder Legal Description. Address of Building Lot 12 PERMIT N° 9347 % i / Work to b CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORID DAT E/ Contractor's License No perfo med under this Permit Bl. Subdi- vision Value of Project $ v Amt. of Permit $ / This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 foF' 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 r specifications and that he assumes responsibility for work done by his agents, servants or employees. , / i 6 � �{ Signed: --g. BY f _/ Q INSPECTOR - In consideration of the issuance to me of this permit I agree to pettorm the work covered hereunder in compliance with.-till oltlinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities 6f Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 195 Owner of Building • Architect Contractor or Builder Legal Description Address of Building Lot R R BUILDING ELECTRICAL • PERMIT N° 9542 PLUMBING W to b • e - rm ler this Permit a Value of Amt. of Projec $ II Permit $ Signed: : b . ng or to install the equipment or device described in the a pp st. ing that the work will be performed in compliance with any p the proper municipal authorities. This Permit may be revoked at any ged without authorization. A further condition upon which this permit u s ponsibility for a thorough knowledge of the ordinances and regulations onsibility for work fL /Qc This permit is gra to tie contractor or builder named ab.) to con herefor in strict complian • with all ordinances pertaining thereto ! with drawings, statements or specifications that may have been submit to and a time if the work is not done in compliance with such ordinances or if the pia granted is the understanding that the contractor or builder named above ass pertaining to the work coy zed hereby whether sho or dra re done by his agents, se nts or employees. In consideration of the issuance to me of this pertaining thereto and in strict conformity with the plans. In accepting this permit I assume responsibility "for all work `� one Q ALALDSR MIAMI SHORES VILLAGE, FLORIDA j / DA t(.Q -O Contractor's License No y Subdi• vision /MPH erform the work covered hereunder compliance ents or _specifications submitted to the proper a either, nn my,age servant or employee. DT 195_0 11 ordinances and regulations es of Miami Shores Village. AunioRtry BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description. Address of -� Building mac" Lot MIAMI SHORES VILLAGE, FLORID DAT' PERMIT • N° 9347 / i J orkto,pperfo � tfi ` Signed • In consideration of the issuance to me of this permit I agree to pertaining thereto and in strict conformity with the plans, drawings, eta In accepting this permit I assume responsibility for all work done by eith c r: i : rrli c ar ‘ I C.: OR BUILDER License No- ed under this Permit Subdi- vision Value of Project $ BY Contractor's V BY INBPa QR the work covered hereunder in complian or specifications submitted to the proper au myself, my agent, servant or employee. Amt. of Permit $ 195 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 au rization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above mes the responsibility fo a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawl, s or in the statements r specifications and that he assumes responsibility for work done by his agents, servants or employees. 5 6 Registered Architect and /or Engineer _ Employing Electrician's Name___ (i f Location and Legal Description Lot I_L2 L' Block r. 3 7 A Street and Number where work is to be performed —No New Building Remodeling Addition MIAMI SHORES VILLAGE / I�Db✓ ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PE No.___ 7 '/ - �r ate./ Applietion is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted fjA= 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 t ry ° = e / No Street__ Street Z: _ �' ' Street_ -��/I t___ _! L" ' Subdivision / ' State work to be performed and purpose of building (By Floors) Repairs — No. of Stories Service Overhead Underground Size Feeders Conduit ... ___________Main Sw. _____________________Amps Main Fuses Amps Type of Installation—Conduit_ Tubing B.X.L._______ Metal Moulding Amount of Permit $ ..... ( Signed) ' — CU, — Electrical Insp ctor. The undersigned applicant for this buildin '.permit does hereby certify that he understands and accepts his obligatrOiis as an a ployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Suppl lent, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by im in the work to be performed under this permit; and will post or cause to be p osted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. I ss. 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 r REFRIG. OUTLET IRON OUTLET RANGE OUTLET / RANGE CONN. WATER HEATER / �' LF '_s W. HEAT. C / SPACE HEATER i STRIP HEATER TOTAL CONTR. LIST Lr r CHECK / 1 J / / �? - ENT. DIST. 5RVICE SW. CAB. TEMP. SER ICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CLIST LIST € VCS A ! 1 G CHECK to c _pc 5 6 Registered Architect and /or Engineer _ Employing Electrician's Name___ (i f Location and Legal Description Lot I_L2 L' Block r. 3 7 A Street and Number where work is to be performed —No New Building Remodeling Addition MIAMI SHORES VILLAGE / I�Db✓ ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PE No.___ 7 '/ - �r ate./ Applietion is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted fjA= 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 t ry ° = e / No Street__ Street Z: _ �' ' Street_ -��/I t___ _! L" ' Subdivision / ' State work to be performed and purpose of building (By Floors) Repairs — No. of Stories Service Overhead Underground Size Feeders Conduit ... ___________Main Sw. _____________________Amps Main Fuses Amps Type of Installation—Conduit_ Tubing B.X.L._______ Metal Moulding Amount of Permit $ ..... ( Signed) ' — CU, — Electrical Insp ctor. The undersigned applicant for this buildin '.permit does hereby certify that he understands and accepts his obligatrOiis as an a ployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Suppl lent, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by im in the work to be performed under this permit; and will post or cause to be p osted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. I ss. 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. 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__ - °-' cz`� il_ _ _ No. _- — - Street_- Registered Architect and /or Engineer Employing Electrician's Name___ e_,.e1 _L_•. _ L f� * - : .______ No JY /1 / C-- Street " if ' Location and Legal Description Lot_ _j ‘ v /7 __ Block 3 ey Subdivision_ 07 Street and Number where work is to be performed —No. �_� 1 __ -_._ Street_ -- / ICI- t.t�' • State work to be performed and purpose of building (By Floors)___ _ _i___, ^ - ,t -4 New Building________ Remodeling Addition Repairs No. of Stories Amount of Permit $_ APPLICATION FOR ELECTRICAL PERMIT ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) Date Service Overhead Si Fd z e eeers__________________ Conduit_____________Main Sw._________ —____ Amps Underground P Main Fuses______ ________ ___Amps 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 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 p osted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. 1 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. Master Electrician. 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 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__ - °-' cz`� il_ _ _ No. _- — - Street_- Registered Architect and /or Engineer Employing Electrician's Name___ e_,.e1 _L_•. _ L f� * - : .______ No JY /1 / C-- Street " if ' Location and Legal Description Lot_ _j ‘ v /7 __ Block 3 ey Subdivision_ 07 Street and Number where work is to be performed —No. �_� 1 __ -_._ Street_ -- / ICI- t.t�' • State work to be performed and purpose of building (By Floors)___ _ _i___, ^ - ,t -4 New Building________ Remodeling Addition Repairs No. of Stories Amount of Permit $_ APPLICATION FOR ELECTRICAL PERMIT ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) Date Service Overhead Si Fd z e eeers__________________ Conduit_____________Main Sw._________ —____ Amps Underground P Main Fuses______ ________ ___Amps 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 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 p osted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. 1 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. Master Electrician.