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ELECTRICAL PERMITPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Datee V 9, 4 Job Address 1 430 N C• 1 O 1 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Owner's Address Qualifier .AL k e,,t.c.. State # 1;:'R 0-069 l4 ti lo Contracting Co. 4j E Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION NC tJ it ( In p us . Square Ft. A 33o 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 owner and/or Condo President Date FEES: PERMIT 6 . 4 -49 # P RADON C.C.F. Master Permit # Phone 1 0'b 5r+ 7 5 4 ¥o2k Address ( 06 o f Al 4 l ri C 01'1 SP, ,,,y s Pc SS# ( Phone 954 345 9o Municipal # Competency # ° 14 - E ()co 3 5 Ins. Co. ON Pt le Building 00 Estimated Cost (value) 1,11129 Zgpc Cp Signature of Contractor or Owner- Builder otary as to Contractor or Owner- Builder Notary as to Owner and/or Condo President Date My Commission Expires: My Commission Expires: II 0 t'.':: 'gin ca r° f,, :�'IGL 1 .. , 71 :1p. NOTARY .-...rr c7 L1c /'i "/ i 4..4 Date Date TOTAL DUE ro ? /. O O APPROVED: Zoning Mechanical Plumbing Engineering Electrical 024-„ce-Rer ITEM BATH TUB UNIT • FEE ITEM SWITCH OUTLETS eg 1 ii r FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS /4-it + p1§f CENTRAL HEATING DISHWASHER RECEPTACLES 103 ; A/C (WIN)) ' DISPOSAL SERVICE TEMPORARY 9L/ CD A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS 35 /� /,�� DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER t REFRIGERATION GREASE TRAP APPLIANCE CUTLETS C. ( PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP S Ti UNDERGROUND TANKS LAVATGRY OVEN C,-/IS ABOVE (ROUND TANKS LAUNDRY TRAY WATER HEATER GAS U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP c X {1 �2� STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 MP. 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 HP COOLING TOWERS WATER CLOSET _ MOTORS OVER 100 If VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS :- '� k . A/C UNIT STRIP HEATER 2 - 5Ku f - io k w 3 Z_y FIRE SPRINKLER GENERATORS TRANSFORMERS . . HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE 1 GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SW I MIA I NG POOL OUTLETS COMMERCIAL , WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA ' RELAY TELEVISION OUTLETS 0 GRAINFIELD, 4' TILE/RES. VIOLATION e� //� PUMP & ABANDON SEPTIC TANK .• - , 6 � l� r SOAKAGE PIT CU. FT. CATCH BASIN '71 IlOVo({S t:e+ec f 1)1r 6..A6 � Fo+-Z Scc, PR L - tq(wt ( 'A / DISCHARGE WELL DOMESTIC WELL AREA DRAIN "Dodo TZP►■ 4 / ROOF INLET 7 SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING P 11IT 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 .1 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ! (g Q ( Job Address t I t '30 rye. t O t 5-t' v.9 (' Tax Folio Legal Description Historically Designated: Yes �y Owner/Lessee / Tenant ,� 1 L ()'M Master Permit # 3 / 7 7 Owner's Address Phone Contracting Co. D 1 E 1 E c-t r i c. /tic-, Address 1 060( A) L) 4-( S fv -•-e -f `O L P t 5 Qualifier T)ON e5 -QvcL SS# Phone C l 54 34-5 7040 State # p. 120 6 ct Municipal # 3 0— `366 5 tF k Competency # q "- E 003351 Ins. Co. E \ 6r t)A L /NS C „ - W , G t_ a9. as5adai'ce co. OP`lvtiev�c•, Architect/Engineer Address X37 Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDIN i ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION //1L5 ci(1 - re,vnpbv v Ftxuav- Pole CO,A/Lec-f S/iG CONS - true -k 'T ✓atk P®v 9j S'cnsk p w.�L jQCS• CPA/54d % Square Ft. Estimated Cost (value) 2_ 50 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 owner and/or Condo President Date Notary as to Owner and/or Condo President Date Tl otary as to Contractor or Owner- Builder My Commission Expires: My C nim s}o t � xj o x e 3ql. NOTAQV — _ CCE4301201 Qd.aG ; /Or,; a •ctt�. v f FEES: PERMIT ?5 _ ' mO RADON C.C.F. NOTARY J ' TOTAL DUE APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering 6 lelg4 Date Date Signature of Contractor or Owner- Builder ITEM BATH TUB UNIT _ FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY v 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 GROUND 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 MOTCRS OVER 5- 8 HP TRANSPORTING ASSEMBLIES • SINK, SLOP MOTORS 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 _ MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS . LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS ORAINFIELO, 4' TILE/RES. ,_VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. [oNNzc■ i-CONS-1.�Cratt4.G CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM ' GAS RANGE METER SET (GAS) GAS PIPING • ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Permit No 3 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..l 1/Yts AWE X, /i Registered Architect and /or Engineer p p�o 1 g 1e trician' me. ,C Z /LtiC,re 6 No P. Street /84..5.T ti. ALA F"�i Location and legal�escriptio(Lot 6 Block / Subdivision s � Ce Street and Number where work is to be performed —No /Y 3 0 /✓A Street.../ ° / 51 r State work to be performed and purpose of building (By Floors) 4 �K / ii11/T t O/?o t $t/ /r/4 L 4 teo4t, Service Overhead APPLICATION FOR ELECTRICAL PERMIT New Building Remodeling ` Addition Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing !f B.X.L Metal Moulding ....... CLP 11 9'�,x Amount of Permit $ STATE OF FLORIDA, j COUNTY OF DADE. I s° ' therein by him atatr, STATE OF FLORIDA 1:30 ia - /0 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT • Pl er1 o/ Repairs No. of Stories (Signed) No. IV 3 /0 Street.. 5/e Date 4/P V /1 /FPS Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspec f n 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-contract • ,• on work � fo be performed under this permit, as are licensed by Miami Shores Village. (Signe ` � � / ✓ �k i 173 CC I7 'D•` M aster 1?lectrician. • Before me, the undersigne authority, a notary publi, duly tho d 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 lras caiefu'lty read the foregoing applicatioj . and that he did sign the F and- that all facts BONDED THRU NY COMMISSION EXP. qI 31,18 RU GENERAL 1 gS. IlMDo My Commission Expires Notary P , ic, ma of Flo NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE 14 STRIP HEATER trLIST / /. 5 I 1 6 DV / 1 i • Q F/11yf •' ib, � CHECK 3 ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. � /1 l ,s " y � Dit / p/1/ M OTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST * 0✓ ) I e, 400/ P 1P� heV{Iqo CHECK Permit No 3 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..l 1/Yts AWE X, /i Registered Architect and /or Engineer p p�o 1 g 1e trician' me. ,C Z /LtiC,re 6 No P. Street /84..5.T ti. ALA F"�i Location and legal�escriptio(Lot 6 Block / Subdivision s � Ce Street and Number where work is to be performed —No /Y 3 0 /✓A Street.../ ° / 51 r State work to be performed and purpose of building (By Floors) 4 �K / ii11/T t O/?o t $t/ /r/4 L 4 teo4t, Service Overhead APPLICATION FOR ELECTRICAL PERMIT New Building Remodeling ` Addition Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing !f B.X.L Metal Moulding ....... CLP 11 9'�,x Amount of Permit $ STATE OF FLORIDA, j COUNTY OF DADE. I s° ' therein by him atatr, STATE OF FLORIDA 1:30 ia - /0 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT • Pl er1 o/ Repairs No. of Stories (Signed) No. IV 3 /0 Street.. 5/e Date 4/P V /1 /FPS Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspec f n 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-contract • ,• on work � fo be performed under this permit, as are licensed by Miami Shores Village. (Signe ` � � / ✓ �k i 173 CC I7 'D•` M aster 1?lectrician. • Before me, the undersigne authority, a notary publi, duly tho d 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 lras caiefu'lty read the foregoing applicatioj . and that he did sign the F and- that all facts BONDED THRU NY COMMISSION EXP. qI 31,18 RU GENERAL 1 gS. IlMDo My Commission Expires Notary P , ic, ma of Flo 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. PgS •2;IT.R•v 11/79 I• TO CONSTRUCTION. SECTION mil- 3 SCALE G. BY ( c1/7..." CONSTRUCTION NOTES 1.) LOCATE ALL U/G UTILITIES PRIOR 2.) RESTORE ALL DISTURBED AREAS TO PRIOR CONDITION. 48 HOURS BEFORE DIGGING BROWARO • PALM BEACH • INDIAN RIVER • . ST. LUCIE • MARTIN COUNTIES CALL TOLL FREE 1 -800- 432 -4770 U. N. C. L E. UNOERGROUNO UTILITIES NOTIFICATION CENTER ?7/1/.:L c) o u.S • pga Z / ,2ISE_.2- oe. TO ,fa r7 /) 02 - STI9,_D - /UP7 - C 4STvr,ef.. I✓ IL.L R eP/a Smr ' ti c /eo Vz /, , G2S 3 2 2 V(c e /0/ 4 opl,s GAS SYST£M ,Inc p,Qc 1 /2 12 rST'C- s v W/ , - 0G. ize 1 y 2' , DATE /0 //0 SHE'T .� /2 J.O. B(o/700eo A.F.E. o Z Tv,OiE>r rAiD r— s /oE whe FrTnM'- S,DE cvRLVZ I' I-_ L e e L /5 �0 2 A s S /3- � A M e e f T-T'E1A/ 0.:› C • / /9sPh'Ae -7 , I / G THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT i • WITH NO VARIANCES • WITH VARIANCE(S) LISTED IN "REMARKS" NO OTHER DEVIATIrn S FROM THE MIA:11 SHORES BUILDING AND ZONING ORDINANCES WILL BE PERMITTED, UNLESS SPECIFICALLY LISTED BELOW. ALL OTHER APP! InB' E STATE AND COUNTY LAWS MUST BE COMPLIED WITH BY ALL PARTIES. ' Auttio i Strture T Date , FIRE DEPARTMENT PUBLIC WORKS POLICE DEPARTMENT 6 4!" . ._ 1 w BUILDING DIRECTOR PLANNING & ZONING BOi!... VILLAGE COUNCIL APPROVAL PRELIMINARY: E MMA REMARKS COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQUIRED. TEE ARCHITECT, BUILDER & SUB CONTRACTORS ARE ^"t 'Ur) h"IT; ''" K'iOWLF.OrF OF ALA BUILD- ING R( GULATBONS WHETHER OR NOT SPECIFICALLY INDICATED HERE 1 Permit No Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. 88. 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 co plied 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 Registered Architect and /•, 'ngineer Employing Electrician's Name.. No 0 /9 Date Street Street /v Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) ��v.. /Teel 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 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. 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. ACE HATER 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 No Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. 88. 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 co plied 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 Registered Architect and /•, 'ngineer Employing Electrician's Name.. No 0 /9 Date Street Street /v Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) ��v.. /Teel 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 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. 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. Permit No Application is hereby made for the approval of the detailed statement of the plans and spe structure herein described. This application is made in compliance and conformity with the and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village of Miami Shores Village shall be complied with, whether herein specified or not. A copy building during progress of work. ' Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name STATE OF FLORIDA, 1 COUNTY OF DADE. Il as. Street and Number where work is to be performed —No No / s/o'd ,-'e/ Amount of Permit $ (Signed)...L/ 1 4 — (Signe MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date / ‘5" cifications herewith submitted for the building or other Building Ordinance of Miami Shores Village, Florida, and all rules and regulations of the Building Division of approved plans and specifications must be kept at No 0 Street Street Location and Legal Description Lot Block Subdivision //3 o Street ,/t.-/ 70 / J orme State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead on Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P Type of Installation — Conduit Tubing B.X.L Metal Moulding /his Electrica Inspector. obligations as an employer of orida Permanent Supplement, and The undersigned applicant for this building permit does hereby certify that he understands and acce labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of 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 uch —pu. 'c notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to b under this permit, as are licensed by Miami Shores Village. 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 REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 7.----ii 2 i CHECK ENT. Sri. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / yC CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and spe structure herein described. This application is made in compliance and conformity with the and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village of Miami Shores Village shall be complied with, whether herein specified or not. A copy building during progress of work. ' Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name STATE OF FLORIDA, 1 COUNTY OF DADE. Il as. Street and Number where work is to be performed —No No / s/o'd ,-'e/ Amount of Permit $ (Signed)...L/ 1 4 — (Signe MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date / ‘5" cifications herewith submitted for the building or other Building Ordinance of Miami Shores Village, Florida, and all rules and regulations of the Building Division of approved plans and specifications must be kept at No 0 Street Street Location and Legal Description Lot Block Subdivision //3 o Street ,/t.-/ 70 / J orme State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead on Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P Type of Installation — Conduit Tubing B.X.L Metal Moulding /his Electrica Inspector. obligations as an employer of orida Permanent Supplement, and The undersigned applicant for this building permit does hereby certify that he understands and acce labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of 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 uch —pu. 'c notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to b under this permit, as are licensed by Miami Shores Village. 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. �f MIAMI SHORES VILLAGE Permit No 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 / 1 J� kELL Registered Architect and /or Engineer Employing Electrician's Name 0m /ni fC Location and Legal Description Lot Block / Vio Street and Number where work is to be performed —No ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT G Date "' 7 No /1/30 Street No / Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Service Overhead on Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 50 (Signed) anc The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on t. to as are required by the Act. The undersigned agrees to employ only such sub - contractors .r. to licensed by Miami Shores Village. STATE OP FLORIDA, 1 COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths appeared 6S. Street Subdivision �v. C./o/ St. /9.4ve . r. No. of Stories ectrica nspector. ccepts his o tions as an employer of of Florid. ermanent Supplement, and subcontractors employed by him in the of the work such—public o ic� notices i b perfo • under his per it, as are (Sign Master Electrician. and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same,- and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CL LIST c7 T ( CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.8 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK �f MIAMI SHORES VILLAGE Permit No 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 / 1 J� kELL Registered Architect and /or Engineer Employing Electrician's Name 0m /ni fC Location and Legal Description Lot Block / Vio Street and Number where work is to be performed —No ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT G Date "' 7 No /1/30 Street No / Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Service Overhead on Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 50 (Signed) anc The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on t. to as are required by the Act. The undersigned agrees to employ only such sub - contractors .r. to licensed by Miami Shores Village. STATE OP FLORIDA, 1 COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths appeared 6S. Street Subdivision �v. C./o/ St. /9.4ve . r. No. of Stories ectrica nspector. ccepts his o tions as an employer of of Florid. ermanent Supplement, and subcontractors employed by him in the of the work such—public o ic� notices i b perfo • under his per it, as are (Sign Master Electrician. and take acknowledgments, personally 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 4c] PLUMBING PERMIT ❑ ! tOOFING ❑ Owner of Building Architect ., ontractor or Builder Legal Description Lot Address of /1 Building G� / e CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Contractor's License No. Work to be performed under this Permit B1 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 r in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. IN'PECTOR 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 ac- cepting this it I assume responsibility for all work done by either, myself, my agent, servant or employee. Signed N? 6512 Value of Project DATE Amount of q?' /" Permit $ Permit AUTHORITY Subdi- vision APPLICATION FOR ELECTRICAL PERMIT Permit No / 17! f 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 i "11' No Street Registered Architect and /or Engineer Employing Electrician's Name / Location and Legal Description Lot h► Block Subdivision Street and Number where work is to be performed —No / `V 3 Ar �a / ( Street State work to be performed and purpose of building (By Floors) New Building ` Remodeling Addition Repairs No. of Stories Amount of Permit $ 1 SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 0'U (Signed) 1 +. No Date Street Service Overhead Size Feeders...... Conduit ' �`� Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, i COUNTY OF DADE: I 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 RECCE'P {T''S FIXTURES NO. LAMPS 1 �P REFRIO. OUTLET I IRON OUTLET RANGE OUTLET (! RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL t. LIST LIST O`_. CHECK / ! v � ! `� /� ( /mo lar �/ V �' 02� s1- ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS ! MOTORS 0.1 HP 1•5 HP N EON TRANS. RADIO TOTAL CONTR. LIST / .� f� �/ 11�.. Q CHECK / a //n) / PO / V APPLICATION FOR ELECTRICAL PERMIT Permit No / 17! f 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 i "11' No Street Registered Architect and /or Engineer Employing Electrician's Name / Location and Legal Description Lot h► Block Subdivision Street and Number where work is to be performed —No / `V 3 Ar �a / ( Street State work to be performed and purpose of building (By Floors) New Building ` Remodeling Addition Repairs No. of Stories Amount of Permit $ 1 SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 0'U (Signed) 1 +. No Date Street Service Overhead Size Feeders...... Conduit ' �`� Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, i COUNTY OF DADE: I 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.