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285 NE 100 St (8)Miami Shores Village " ° f tIV °1 r Building Department pEC 0 7 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) MS Owner's Address L ` S t City \ \. . 4 _ Q'ESS State Tenant /Lessee Name Job Address (where the work is being done) CAS (V t City Miami Shores Village County Miami -Dade Zip 2 ) ' ;l is Building Historically Designated YES NO Contractor's Company Name A.6 Contractor's Address 17 c 6 5 /J WA-y 0 4-J City / I State / Qualifier A State Certificate or Registration No. Architect/Engineer's Name (if applicable) � \(1A{‘ (.Pre - Phone # $ (2 a,790 $ Value of Work For this Permit � ,/040 Square Footage Of Work: Type of Work: Describe Work: 3 13S ❑Addition ®Alteration ❑New Cc CC��l t6� Submittal Fee $ Permit Fee $ • e 0 Notary $ 5 Training/Education Fee $ Scannin ning Radon $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) 1E )? (3 0 /255 Certificate of Competency No. 2 L 9 2 9 '1 3 * * * ** * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** v O 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Plumbing Mechanical Roofing \,Q- -C (JQt3€ Phone # 7 'O Z j R(11 (O � CJ 4 L SA- Zip f2 (p0 Master Permit No. j (26u /251 Phone # Phone #(305/ 2t‘ 0 Zip Structural Plan Review. $ Permit No. et air (313 33/55 ❑ Repair/Replace ❑ Demolition CCF $ /. CO /CC Technology Fee $ Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a pennit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment: Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature , /•-• Slgnatl Owner or Agent The foregoing instrument was acknowledged before me this The fore ing instrument was acknowledges day of , 206 — f , by , day of , 20 by _ - _ , / V ho is personally known to me of who has produced who is personally known to • s w to as p• As identification and who did take an oath. A-LW -6a9 =-6;)"da en fication and who did take an oath. NOTAY PUBLIC: Sign: Print: f� E My Commission Expires: * * * * * * * * * ** APPLICATIO Clic 05/13103 ■ r C NOTARY PUBLIC: Sign: Contractor Print: ��q'., cr" %1' -� Ft Sl /i My Commission Expires: P� Expires: May 26, 2008 Thru *********************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * *'4tS * AetBtt ** Bonded ii•iBblfitib� ir76., IRENE a DAKOTA la 441114I6SKJii.Pli 255056 EXPIRES: Octobor t, 2007 F)on&d Thu Notary Pubic Urxi '+rigors before me * * * * * * * * * * * ** * * * * * ** *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Gonell Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12/10/2004 Applicant: BOB Owner: BOURNE JOB ADDRESS: 285 NE 100 Contractor ABLE ELECTRIC OF SO FLORIDA INC Local Phone: Parcel # 1132060134700 Electrical Permit Permit Number: EL2004 -343 BOURNE BOB ST Page 1 of 1 Contractor's Address: 7005 N WATERWAY DR 304 Permit Status: APPROVED Permit Expiration: 6/4/2005 Construction Value: $3,000.00 Work: GARAGE CONVERSION ELECTRICAL WORK BP2004 -1251 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 OF LOT 21 & LOTS 22 & 23 BLK 34 LOT Fees: FEE2004 -12392 FEE2004 -12393 FEE2004 -12394 FEE2004 -12395 FEE2004 -12396 FEE2004 -12397 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Submittal Fee Total Fees: Amount $225.00 $1.80 $5.00 $0.60 $5.63 ($50.00) $188.03 Total Fees: $188.03 Total Receipts: $0.00 ea...:41 Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work gone by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 B uilding Inspection Request Date 6 I2 D.3 Time Type Insp'n n Permit No. L X 003 // '/33 J £ Name 1G;t9 �i8�t/ 02C5 Aaeg Approved Correction Re- Insp'n Fee Address //ff ��- Company NO04 r- ` .t Phone # 30) / / /S 76 .2ave For Inspector: 6 a j: e3 7f e41 ti) h) _341 /? 7/T5/ Date s(/ b3 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 Job Address r5 f C� (X' S* __ Ct* Tax Folio Legal Description Historically Designated: Yes �+ No Owner /Lessee/Tenet (2lcwd t Q H f 1 `( I n 'i 1 00 Master Permit # t E 2 - / Address S c 7 N. F ) 0 0 1 Phone 3 0 .S) 7s 9—actg.? Contracting Co. l ' 1C'X'x� C �'C -`� `� \%1\ L Address \$ d�_ 9 C3 v'`�� Qualifier � �� �, �c� � L SS# ? \ Phone State #CC-ea) l (.0 Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle WORK DESCRIPTION: C I . Vif one): BUILDING ELECTRICAL r To ! - 6.r_9t. Square Ft. Estimated Cost (value) r/`DO" d 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 ANY 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 all disciplines. OWNERS AFFIDAVIT: 1 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 N otar as to O t„A:MekCor .�� • My Commissioi 'Jto�� 1 � * COMMISSION NUMBER `, �9 1r. Q DD033052 7 .. � ��' MY COMMISSION EXPIRES FEES: PERMIT OF F\ JULY 2,2005 ®f 1(72 RADON *30,00 -f' Pc APPROVED: Zoning Building Mechanical Da e Date C.C.F 3 Plumbing PLUMBING MECHANICAL ROOFING Signature of Contractor or Owner Builder 7,s 1is7o3 Date 1 e. .4 p .� , as to Co : = E�res U < ARY SEAL NICOLE A BERGERT CI * COMMISSION NUMBER Q DD033052 4�O MY COMMISSION EXPIRES OF fL JULY 2,2005 _ BOND TOTAL DU Electrical _may/ �/` �/4 Structural Engineer Notary My Co mmissio Date ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE • ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIN)) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS 1 4.00 DUCT WORK FLOOR GRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE CUTLETS 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 FP STEAM BOILERS SHOWER 0 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 MOTORS OVER 8- 10 HP TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS 3INK, SLOP TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS JRINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET- - • •' - ' MOTORS OVER ' 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION • CATER SUPPLY TO: -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 WATER OUTLETS COMMERCIAL 4 SERVICE EWER SIGN TUBES ' CONNECTIONS TILITY- SIGN TRANSFORMERS SEWER T I L I TY SIGN TIME CLOCK -WATER =PTIC FIXTURES TANK _LAY IAINFIELO, ANTENNA TELEVISION OUTLETS 4" TILE/RES. VIOLATION ,'MP E ABANDON SEPTIC TANK •: IAKAGE • • REINSPECTION PIT CU. FT. . • • . JOH BASIN 'SCHARGE WELL . IMESTIC WELL - ;EA DRAIN OF INLET . LAR WATER HEATER RE STANDPIPE OL PIPING 'I'M SPRINKLER SYSTEM S RANGE TER SET (GAS) 3 PIPING _ (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 MOODY# ELECTRIC, INC. www.moodyelectric.com 669 N.W. 90 Street • Miami, FL 33150 -2166 Tel: (305) 758 -2000 Fax (305) 754 -1333 �7 t /6 S / z2 M � l Sr /t��LCL1nI .'J.i�7D� �GA. Maim Oac n �3 d � a urA14N Pu r 8 fo k) i�ou.ap "•, Notary Public PAT ate ot of Public - State of Florida . My Corrableato EXpreS May ,200B Commission i DD 104873 Bonded By National Notary Assn. MOODY* ELECTRIC, INC. www.moodyelectric.com 669 N.W. 90 Street • Miami, FL 33150 -2166 Tel: (305) 758 -2000 Fax (305) 754 -1333 49Vo rA) 97e, A) /5 RESIDENTIAL DEMAND LOAD CALCULATIONS W /SQ.VP REFRIGERATOR APPLIANCES DISHWASHER GARBAGE DISPOSAL MICROWAVE CLOTHES WASHER DRYER RANGE WATER HEATER OVEN FREEZER TRASH COMPACTOR GARAGE DOOR MOTOR JACUZZI JACUZZI BOOSTER HTR. IRONING BOARD POOL EQUIPMENT SPRINKLER PUMP LANDSCAPE LIGHTS STEAM SHOWER A/C WALL UNIT SPARE CAPACI=TY SPARE CAPACITY TOTAL CONNECTED LOAD FIRST 10 K.W. @ 100% REST @ 40% A/C @65% /HEAT@ 100% eig . SG 32 /=6X L ) TOTAL DEMAND LOAD �o�S K.W. / 240 VOLT = AMPS 0Sa0 K.W. - - - -- K.W. = U K.W. /•S K.W. 1 /• K. K. 5 ":". 6 K. /c,1) K. V 5 K.W. K.W. /' K.W. K.W. K.W. K.W. K.W. K.W. 6Zt K.W. o�•o� K.W. K.W. K.W. K.W. 7, S K.W. /. K.W. qD • �4 {.W . 10.0 K.W. /s5K.w. /D K.W. 9)-5 K.W. MARY PAT BRIGGS Notary Public - State of kty Co �� 1 Florida • Commission S DD 104873 Bonded By National Notary Assn. c 9DO 52A ii;ee IP r., DATE TO THE ORDER OF. - - ACCTS. PAYABLE _ DISC. OTHER CHECK NUMBER 910 / U i63 — 0 A a 2 0 _ 0 a 0 0 0 a 0 a a m 0 A 0 0 a 0 a Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/21/2003 Applicant: \ 14 �4 Owner: SEN I ,y 4\ ng +O r) JOB ADDRESS: 285 NE 100 Contractor MOODY ELECTRIC INC Local Phone: (305)758 -2000 Parcel # 1132060134700 Electrical Permit Permit Number: EL2003 -133 Contractor's Address: 669 NW 90 ST p ouri - o t. 0, oo C c Total Fees: Total Receipts: Permit Status: APPROVED Permit Expiration: 11/17/2003 Construction Value: Work: 200 MAP SERVICE UPGRADE CHANGE FUSES TO BREAKERS C N Signed In consideration of the is conformity with the plans, c done by either myself, my Signe PAY AMOUNT HATTESEN 1 M r & ne- OY c 14; � ST Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 OF LOT 21 & LOTS 22 & 23 BLK 34 LOT B ORIGINAL DOCUMENT PRINTED ON CHEMICAL REACTIVE PAPER WITH MICROPRINTED BORDER - SEE REVERSE SIOE FOR COMPLETE SECURITY FEATURES a MOODY ELECTRIC, INC. 669 N.W. 90TH STREET MIAMI, FL 33150 (305) 891 -1374 atut_obo -/3 3 TOTAL BANK MIAMI, FLORIDA 1z- 11'0) ':066009)55': $2,000.00 EXPLANATION AMOUNT A's 35 L0307911'06 3 1 . 4 , - 0 DOLLARS 1 63-915/660 CHECK AMOUNT • 16342 I 39.ot) l MIAMI SHORES VILLAGE BUILDING DEPARTM 305- 795 -2204 Building Inspection Reques Date' c 1 I'0 Time Type Insp'n Permit No. L— - zoo / R 3 Name Address a2$ I V P ✓�. Company Phone # D ( Z D b D For Inspect D3 Name & D Approved Correction ❑ 3o trl ey Re- Insp'n Fee ❑ f,� � ,/a#.7/ d rte, zsgq_ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 6— ?- 43 Time Type Insp'n Permit No. J L .2O73 — t3 ' 3 Name /Li NE/00 c Address '26s J [- Compan X100 Phone # 3Z5 7 S DOD For Inspector: ' -4 _ 3 Na Approved ❑ Correction M AO Ju� -e Pf7 Re- Insp'n Fee ❑ /"® • Date Inspection Date Approved Correction Re-Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT /)( 305- 795 -2204 Buildin:- Inspection Reque is I Type Insp'n Permit No. F' /! o ct— 3 y 3 Name j d Address g5 __ / `J e 00 S 1. Company Z'e Phone # ` O� ? e3 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n ti nct 1 Permit No. ✓ tO I 34 Name Address eiE5 U Company Phone # Inspection Date Approved Correction Re-Insp'n Fee \ h i - 5 L. c. ycitsce G Pi MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buil.ing Inspection Request Date .- 10 Type Insp'n (i 6 Permit No. Name �- Address a�S /- re- u s/ Compan pL Phone # Inspection Date U 11 Approved Correction ❑ / / / -e W Re -Insp' n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Request Date /R. - Z • U' y Type Insp'n t old V G)-1 aD E irec,, Permit No. F L 70o(--\- Name 'C -c' � jc uti Address Company Phone # 1 -1c Inspection Date Approved l� Correction ❑ Re- Insp'n Fee ❑ Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2004 -352 Printed: 12 /22/2004 Applicant: BOB BOURNE Owner: BOURNE BOB JOB ADDRESS: 285 NE 100 ST Contractor SHINE MAINTENANCE ELECTRICAL Contractor's Address: 7323 NW 8 ST Local Phone: 305 - 269 -1151 Parcel # 1132060134700 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 OF LOT 21 & LOTS 22 & 23 BLK 34 LOT Fees: Description Amount FEE2004 -12977 Building Fee $150.00 FEE2004 -12978 CCF $0.60 FEE2004 -12979 Notary Fee $5.00 FEE2004 -12981 Training and Education Fee $0.20 FEE2004 -12983 Technology Fee $3.75 FEE2004 -12986 Submittal Fee ($50.00) Total Fees: $109.55 Total Fees: $109.55 Total Receipts: $0.00 Permit Status: APPLIED Permit Expiration: 6/12/2005 Construction Value: $1,000.00 Work: Low voltage surround systeam Signed: (INSPECTOR) .DEC 2 2 PAID CS:) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village Permit Type (circle): Building Building Department 10050 BUILDING C 1 4 I Permit No. el 611 - 5L PERMIT APPLICATIO Master Permit No. 13 PAo (-1 -( L - I FBC 2001 • Owner's Name (Fee Simple Titleholder) � d`r )�Qt� r) Phone # Owner's Address �) � ' ap v 7 City NI 1\ii ( ' /1V( State et Zip ?) k 3g Tenant/Lessee Name Phone # Job Address (where the work is being done) a IV I f , 1 OD City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name f) feet: �!4� �& Ci 6 1(4` Contractor's Address w tL g Cit AI! A.144 1 State rw Qualifier f_1!. State Certificate or Registration No. �� 000 ( I Li - $ Value of Work For this Permit Total Fee Now Due $ (Continued on opposite side) ores, Florida 33138 5) 756.8972 Plumbing Mechanical Roofing Phone # 0S 2 1 1 I Zip 12=6 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # 000 Square Footage Of Work: Type of Work: ❑Addition ❑Alteration , New ❑ Repair/Replace ❑ Demolition Describe Work: l 1. Pi nC C ;i! i 'V1 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ : } • 00 Permit Fee $ ti9i CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS. WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of ,20 who is personally known to me or who has produced NOTARY PUBLIC: Sign: Print: My Commission Expires: ********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05 /13/03 Signature Contractor The foregoing instrument was acknowledged before me this ! `� day of 1 ` , 20 O 1 , by - lit (>0 , who is personally known t ie or who has prod ed 'F w As identification and who did take an oath... 9 -c}j.- 7 entification and who did take an oath. My Commission Expires: NOTARY PUBL — , ` ��.._ 2(:,2008 '� rl d My (.4.:y'FOb FAO ?',: Bonded Thni Atlantic Bonding Co., Inc. Ginny H. Gonell • .`..6 Commission #DD' 2387C , C4q 5 lans Examiner Engineer Zoning 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 TEM'ORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AIRS 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 If STEAM BOILERS SHOWER MOTORS QVER 1- 3 If HOT WATER BOILERS S INK, POT /3 COW . MOTORS OVER 3- 5 If IkCHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 If TRANSPORTING ASSEIELIES SINK, SLOP MOTORS OVER 8- 10 if ELEVATORS/ESCALATORS TD.PORARY WATER CLOSET MJTCRS OVER 10- 25 If FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 If COOLING TOWERS WATER CLOSET MJTC%S OVER 100 If VIOLATION INDIRECT WASTES - ' A/C WINDOW RE INSPECT ION WATER SUPPLY TO: AIR CONDITIDNERS 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 F I XTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4 TILE/RES. VIOLATION PUIR & ABANDON SEPTIC TANK REINSPECT ION SOAKAGE PIT CU. FT. LOO 1)0,r&, CATCH BASI R.Ca Q / DISCHARGE WELL V46 L DOMESTIC WELL ze W Ell 1� AREA DRA I N i''o'r Rinrz-1 0 2 ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RAKE MATER SET (GAS) GAS PIPING 1 ! 1 PLUMBING 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.) �.Cll)-" /0014 - ELECTRICAL MECHANICAL Permit No 3 .. 11 3/ STATE OF FLORIDA, COUNTY OF DADS. I j es. 0 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ,Q Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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 sp fications muirbe -kep`t building during progress of work. Owner's Name and Address... ,/...a - Dr, .. /'e...e....n No .. ci? Q p Registered Architect and /or Engineer Employing Electriciad's Name , l ie. .n .Y Location and Legal Description Lot 7/�'' Street and Number where work is to be performed— No.... •- • .7. 'p .047 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories `i-e4 L No.. / Amount of Permit $ / O (Signed) .. (...... M. Block Subdivision (Signed) 14 + Street Street // 0 Street ... 7.� .. ....4.. f o �.• Serviu Underground Size Feede Conduit Main Sw � ps Main Fuses.. a Amps Type of Installation — Conduit `""-.. Tubing B.X.L Metal Moulding ?>"J k\k\SAi Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are Iiceneed by Miami Shores Village. O Muter 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, bcing 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 0 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. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•11 HP NEON TRANS. RADIO - TOTAL CONTR. I ST LIST 3 U U 4 .,W CHECK Permit No 3 .. 11 3/ STATE OF FLORIDA, COUNTY OF DADS. I j es. 0 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ,Q Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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 sp fications muirbe -kep`t building during progress of work. Owner's Name and Address... ,/...a - Dr, .. /'e...e....n No .. ci? Q p Registered Architect and /or Engineer Employing Electriciad's Name , l ie. .n .Y Location and Legal Description Lot 7/�'' Street and Number where work is to be performed— No.... •- • .7. 'p .047 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories `i-e4 L No.. / Amount of Permit $ / O (Signed) .. (...... M. Block Subdivision (Signed) 14 + Street Street // 0 Street ... 7.� .. ....4.. f o �.• Serviu Underground Size Feede Conduit Main Sw � ps Main Fuses.. a Amps Type of Installation — Conduit `""-.. Tubing B.X.L Metal Moulding ?>"J k\k\SAi Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are Iiceneed by Miami Shores Village. O Muter 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, bcing 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. ., 3 2 o y 2_ 2- (7))--1(5 Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Street and Number where work is to be performed—No APPLICATION FOR ELECTRICAL PERMIT Date 4 TV 40 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio:ida, 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 ?4# 771.70'1 ' No 2e‘• Street A jt --- /t ii Registered Architect and/or Engineer Employing Electrician's Name CZ-A/A g /AJC No 1 4 7 4 4 4 i Location and Legal Description Lot Block XeC State work to be performed and purpose of building (By Floors) Street 4 - 77iAi E. A . /Oo Subdivision Street 147//e/A4 ,%,e New Building Remodeling Addition Repairs No. of Stories Service Size Feeders Conduit Main Sw Ampe Main Fuses Amps v. 0 erhead Underground Type of Installation—Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ [12 OV (Signed). SkkG06(3.) 0 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 thc 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. (Signed) Master Electrician. STATE OF FLORIDA, } ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgmenu, 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'VT'S FIXTURES NO. L REPRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE HEATER STRIP H TOTAL CONTR. LIST 1. 454 CHECK if 80 ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 141 HP NEON TRANS. RADIO TOTAL CONTR. / s ' 3 7 CHECK 9( 60 . Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Street and Number where work is to be performed—No APPLICATION FOR ELECTRICAL PERMIT Date 4 TV 40 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio:ida, 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 ?4# 771.70'1 ' No 2e‘• Street A jt --- /t ii Registered Architect and/or Engineer Employing Electrician's Name CZ-A/A g /AJC No 1 4 7 4 4 4 i Location and Legal Description Lot Block XeC State work to be performed and purpose of building (By Floors) Street 4 - 77iAi E. A . /Oo Subdivision Street 147//e/A4 ,%,e New Building Remodeling Addition Repairs No. of Stories Service Size Feeders Conduit Main Sw Ampe Main Fuses Amps v. 0 erhead Underground Type of Installation—Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ [12 OV (Signed). SkkG06(3.) 0 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 thc 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. (Signed) Master Electrician. STATE OF FLORIDA, } ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgmenu, 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. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby snnde for the approval of the detailed statement of the plans and specifications herewith submitted for the build - ing 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 the work. State ww k to be done and purpose of building (by floors) STATE OF FLORIDA, COUNTY OF DADE. ss. Date.. /.� _.. ._— ....... , 19 Owner's Name and Address ......... • .. ........._ 8. .. �� No r � . Street_kio- W.9. R egistered Architect and /or Engineer ,. . ............ .......... . ...... Name and address of licensed contractor .�f5.1Yt.i � e. col- .L...._. it-°f ../.t 6 S > r' / Location and legal description of lot to be built on: / Y-o- KTV/ Lot Block Subdivision Street and Number where work is to be done a.. -_ . p.p. ," 0 s t- — - �• , e 1 .. b e f?, �a%,..c - pp" At c Q and for no other purpose. New Building Remodeling s'"" To be constructed of Kind of foundation oof5.overing Estimated Total cost of improvements $ •... -Q. - - Amount of Permit Si......1 11 Zone cubage required .. Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under theFlorida 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 , the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontr o •, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed). Addition Repairs No. of Stories Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally ap- peared _.. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. j y� Permit No.._.g' 12 Date 4 Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member ...... _---- ._..._. —.__._ Member — .. - -- Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection at faulty materials and /or workmanship. Permit No Service Overhead 93 L _ Owner's Name and Address.. r . Amount of Permit $ Ca STATE OP FLORIDA, 1 COUNTY OF DADE. I j 66. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor ,71V Registered Architect and /or En in r. /� Employing Electrician's Name /�� t �4.- ` "� No .1/ Street Location and Legal Description Lot Bloc Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories AA , wL� / %�/ v Cy' -�' r Underground Size Feeders // Conduit._ Main Sw {' a� Amps 1 Main Fuses Type of Installation — Conduit Tubing B.X.L Metal Moulding (Signed) .W' ` Street. Date. .L Street Z Subdivision � al Amps P Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h ..ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo '•a Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub tractors 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 ,formed 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•inspcction 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 LIOHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. IoMT[ STRIP HEATER TOTAL CONTR. v LIST _ 7 Ac g , QM ECK � 0;),0 • ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL ' IS R ------ C ECK . Permit No Service Overhead 93 L _ Owner's Name and Address.. r . Amount of Permit $ Ca STATE OP FLORIDA, 1 COUNTY OF DADE. I j 66. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor ,71V Registered Architect and /or En in r. /� Employing Electrician's Name /�� t �4.- ` "� No .1/ Street Location and Legal Description Lot Bloc Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories AA , wL� / %�/ v Cy' -�' r Underground Size Feeders // Conduit._ Main Sw {' a� Amps 1 Main Fuses Type of Installation — Conduit Tubing B.X.L Metal Moulding (Signed) .W' ` Street. Date. .L Street Z Subdivision � al Amps P Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h ..ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo '•a Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub tractors 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 ,formed 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•inspcction 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. Owner's Name and Address Amount of Permit $ 53. Registered Architect and /or Engine • Street and Number where work is to be performed —No... S' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date Application is hereby �ade for the approval of the detailed statement of the plans and specifications herewith submitted for the building r o her pp pp p p t d o t e o t 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. Employing Electrician's Name No ®e Street.. Location and Legal Description Lot Block Subdivon Street Street✓2 e 44 State work to be performed and purpose of building ()doors) New Building Remodeling �/ Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit ' Tubing B.X.L Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. ! j 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•7'S FIXTURES NO. LAMP- ' EFRIG. •UTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEAT/ r � W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 7-S r 4 / I ` ' CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. s- / 6,-- r I p �'�+ y -4, MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. _ _ ^ O RADIO ( "w� r �- �'= TOTAL vZ 1 ^:',_�'_ i CONTR. LIST CHECK 6 '1 . 7.) , Owner's Name and Address Amount of Permit $ 53. Registered Architect and /or Engine • Street and Number where work is to be performed —No... S' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date Application is hereby �ade for the approval of the detailed statement of the plans and specifications herewith submitted for the building r o her pp pp p p t d o t e o t 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. Employing Electrician's Name No ®e Street.. Location and Legal Description Lot Block Subdivon Street Street✓2 e 44 State work to be performed and purpose of building ()doors) New Building Remodeling �/ Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit ' Tubing B.X.L Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. ! j 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 )(?/ New Building Ref U ing Ad Amount of Permit $ MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subiVtted 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 / 77,7 No � 5' 1\r1:" U Street Registered Architect and /or Engineer �,, Employing Electrician's Name. -- " - Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No C pp `c.- No. .. ` �.. 7.Q..I.._NE A ONANc State work to be performed and purpose of building (By Floors) on Repairs No. of Stories Street g. Isr,Szi 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. 1) STATE OF FLORIDA, j 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. 88. (Signed).2,,, �. Master Electrician. 1 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 FIXT RES NO. LAMPS REFRIG. OUTLET IR• 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 -3 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No )(?/ New Building Ref U ing Ad Amount of Permit $ MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subiVtted 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 / 77,7 No � 5' 1\r1:" U Street Registered Architect and /or Engineer �,, Employing Electrician's Name. -- " - Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No C pp `c.- No. .. ` �.. 7.Q..I.._NE A ONANc State work to be performed and purpose of building (By Floors) on Repairs No. of Stories Street g. Isr,Szi 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. 1) STATE OF FLORIDA, j 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. 88. (Signed).2,,, �. Master Electrician. 1 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. MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION PERMIT No.. THIS CERTIFIES THAT the wiring and apparatus installed at by '""'"+ Address for owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuit3 .-- Range watts. Water Heater watts Power: Connected load H P Space Heaters watts Other Apparatus ELECTRICAL INSPECTOR. BUILDING ELECTRICAL PLUMBING PERMIT N9 1677 Work to be performed under this Permit f Owner of Buildings y y Architect Contractor or Builder - e Legal Lot Bl. Description Address of 2 Building MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project DATE 194 Contractor's License No. 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 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• t By INSPECTOR In consideration of the issuance to me of this permit I agree to perform f'he work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statdnients or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUI,LbER BY AUTHORITY JILDING - = LECTRICAL PLUMBING Owner of Building PERMIT N9 1674 Work to be performed under this Permit Architect Contractor Builder Legal Lot BI. Description " ••• Address of Building MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project DATE 194 Contractor's License No 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 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• B ! INSPECTOR In consideration of the issuance to me of this permit I agree to perform/he work covered hereunder in compliance with all ordinances and regula- tions pertaining th*eto and in strict conformity with the plans, drawings, stt,atttements or specifications submitted to the proper authorities of Miami Shores Village. In kce�_ttngiht permit I assume responsibility for all work done by either myself, my agent, servant or employee. ? t • f 1 r CONTRACTOR OR BUILDER BY AUTHORITY Permit No 12 __ ___ 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 „e._ tir-1 ''t � ( �c%f � L 6/1!01�F 644, . Street Registered Architect and /or Engine >!_t'_ Employing Electrician's Name __ No - Street t o Location and Legal Description Lot ' .� c Block __ Subdivision ‘6 t1 __�_ C/ — Street_____ Street and Number where work is to be performed —No State work to be erformed and purpose of building P P g (By Floors) ...__ Amount of Permit $__L__ ) a STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed Date 704<_- Notary Public. State of Florida New Building Remodeling Addition Repairs No. of Stories Service Overhead Underground Size Feeders __ Conduit /L Main Sw.___L r e Amps. Main Fuses_ f: __L Amps. Type of Installation— Conduit B.X.L Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his bligations 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' notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, work to be performed under this permit, as are licensed by Miami Shores Village. • t 44.1 Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires , 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 ! it PLUG REC 2 FIXTURES NO. LA r2, V REFRIG. OUTLET J — IRON OUTLET I_ RANGE OUTLET / RANGE CONN. WATER HEATER �/ as W. HEAT. CONN. SPACE HEATER �J 4 STRIP H EATER TOTAL C L STR 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 12 __ ___ 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 „e._ tir-1 ''t � ( �c%f � L 6/1!01�F 644, . Street Registered Architect and /or Engine >!_t'_ Employing Electrician's Name __ No - Street t o Location and Legal Description Lot ' .� c Block __ Subdivision ‘6 t1 __�_ C/ — Street_____ Street and Number where work is to be performed —No State work to be erformed and purpose of building P P g (By Floors) ...__ Amount of Permit $__L__ ) a STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed Date 704<_- Notary Public. State of Florida New Building Remodeling Addition Repairs No. of Stories Service Overhead Underground Size Feeders __ Conduit /L Main Sw.___L r e Amps. Main Fuses_ f: __L Amps. Type of Installation— Conduit B.X.L Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his bligations 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' notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, work to be performed under this permit, as are licensed by Miami Shores Village. • t 44.1 Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires , 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.