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290 NE 100 St (10)Date - Type lnsp'n S l RUfl. Permit No. Name Address Compan Phone # Inspection Date CP Approved Correction Re- Insp'n Fee 223(0'Z cc,lti!os MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buil4ing Inspection Request /® ✓ yr' e°:. d /� - LTG � G- 387/ s0�� MIAMI SHORES VILLAGE BUILDING DEPARTMENT c0® 305- 795 -2204 Building Inspection Request p Date -1 (w Type Insp'n 'iv&( ft Permit No. ZCOE 103 Name�.��5 q r, Address lg ° N \Vast Company ^ak \Ci�.�(�( Phone # 1 °n/S56 Inspection Date R47-(D Approved Correction Re- Insp'n Fee 19_0 ! y✓� m / �l 1 0 a. i t 0/2- j L. iet /• 4 t'#' etf Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2005 -103 Printed: 4/18/2005 Applicant: SANTIAGO BERNAL Owner: BERNAL SANTIAGO JOB ADDRESS: 290 NE 100 ST Contractor CARLY ELECTRICAL SERVICE Contractor's Address: 680 FLAGAMI BLVD. Local Phone: (305)261 -8077 Parcel # 1132060134440 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 1 & 2 BLK 33 LOT Fees: Description Amount FEE2005 -4861 Building Fee $150.00 FEE2005 -4862 CCF $1.20 FEE2005 -4863 Training and Education Fee $0.40 FEE2005 -4864 Technology Fee $3.75 FEE2005 -4865 Scanning Fee $3.00 FEE2005 -4866 Submittal Fee ($50.00) Total Fees: $108.35 Total Fees: $108.35 Total Receipts: $0.00 Jo Permit Status: APPROVED Permit Expiration: 9/18/2005 Construction Value: $1,900.00 Work: ELECTRICAL INTERIOR ALTERATIONS Signed: (INSPECTOR) Page 1 of 1 APR 1 PAID In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: • BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Job Address (where the work is being done) . . tO !J C, IQO City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name (i) L j A £L.- S (\\; Contractor's Address b kL �Lk t'O t City ,&AV ,` rr State C Qualifier Ack1 S �G� JJ tt / J b 6z_ State Certificate or Registration No. (;) Z-' 1 $ Value of Work For this Permit I O Q • t Type of Work: ['Addition Describe Work: Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 9 7 2 Permit No. 6 t D 5- '(03 Master Permit No. MO 5 lectrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) �Qr17%G00 32 ✓✓t Phone # �'3O > (s y y7 Owner's Address 200 GO, 4...Uel.w Q / Z City 7 '0,...4...418€ 44 State Zip j 3j 3 Tenant/Lessee Name Phone # Square Footage Of Work: 2Pae, Zip Phone # 5 Zip 3314 Certificate of Competency No. 'le 000 � O Architect/Engineer's Name (if applicable) Phone # Iteration [New ❑ Repair /Replace ❑ Demolition * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 0 Submittal Fee $ -ermit Fee $ /6`®i " CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ rc, 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 APPLICATION APPROVED BY. chc 05 /13/03 ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this lc day of , 20 , by day of M4124.44 , 20 O ' , by C. A2c..05 lierusn.'ite , who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identifbJon and who did ae z: DD T 8 NOTARY PUBLIC: NOTARY PUBLIC: 4_ 07 2008 Sign: Sign: :sa.35O5161 Print: Print: Mokett,A OIRce My Commission Expires: My Commission Expires: >.' s -‹ 3 / 5 �'�r•eS - Plans Examiner Engineer Zoning ITEM BATH 11.8 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 A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE (MOUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOI9ER MOTORS QVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS 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 M)TCRS 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 FIXTURES SEPTIC TANK ANTENNA ' RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP S ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. 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 (AN AOLICATION 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 Date. o - r DU Job Address o2 9 0 NE /0 o & i€CC T Tax Folio / I 32 013 '4 0 Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Aig art . �} /' , � ° Master Permit # ( �3 Owner's Address a 9 0 / 0 0 S f. Contracting Co. A V 71 G , Qualifier A n/ i i-i State # ,t ie- 00 0 Fs Municipal # / 77 9 !o Competency # Ins. Co. .5"1,q JL FA .eh1 _LA's Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Re- /0 c Tr o Square Ft. Estimated Cost (value) a, 14 0 0 • WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. �� Signature of Contractor o • , uild 9' / A g, 01 1 f • r i. 4 as to mcrofq*/r, : cialittkient rterWiffOlmissioN • CC 876032 1 +ff 1‘,0 EXPIRES: Oct 3, 2003 1-800-3-NOTARY Fla. Notary BoMo, & Bonding Co. a e Signature Not My C PERMIT APPLICATION FOR MIAMI SHORES VILLAGE r and/or Condo President LL-0 RADON 02 N9,4 q/01) ate Building Phone 3 0s 7-5 - 03 /a Address /a5 SS S S Scva Pm J'2(. SS# Phone 0 S a 2 9 — 6 1 - ' , 1 1 G—� c- `72icAc S -eetl/ Notary as t My Commissi . KIM ECKHARDT O Comm Exp. 12/13/2002 PUBLIC No. CC 796779 y Known 1 1 Other 1.D. Electrical .67 C.C.F. / ' NOTARY TOTAL DUE APPROVED: Zoning Mechanical Plumbing Engineering Service Overhead Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI 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 4 ( �Y �� J�` No Registered Architect and /or Engines ,VO` /V —!�! `- � f Employing Electriciaf's Name... 4/4 /e - !'' - i C No/ 6 c-�y ) � `°° Street.. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ....90 .... / Street 1 0 0 Si State work to be performed and purpose of building y Floors) /d C k ff4S - e t!hi/ /C e New Building Remodeling Addition Repairs No. of Stories Underground Site Feeders. Type of Installation--Conduit Amount of Permit $ MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT Date le:— ( r be. ELECTRICAL INSPECTION DEPARTMENT °� nduit� Main Sw.... Amps (Signed) (S Street.. /00 5 w nie, 3 /V . ?-C Main Fuses . / 3-7) Amps Tubing B.X.L Metal Moulding ectrical Intel or. The undersigned applicant for this building permit does hereby celtify that he understands and accepts his oblig ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P anent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontract s 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 -co . .ctor., on _ '° to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. 1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made %hen 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 � /0 , , CHECK 4' ,S � ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. ��� l /' ( /•� /{ f i MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST ,� 77 ll�((// , //� 1 ,, I� � 3 a . 1 (FS� yy �� P CHECK 3 - g ,0 Service Overhead Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI 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 4 ( �Y �� J�` No Registered Architect and /or Engines ,VO` /V —!�! `- � f Employing Electriciaf's Name... 4/4 /e - !'' - i C No/ 6 c-�y ) � `°° Street.. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ....90 .... / Street 1 0 0 Si State work to be performed and purpose of building y Floors) /d C k ff4S - e t!hi/ /C e New Building Remodeling Addition Repairs No. of Stories Underground Site Feeders. Type of Installation--Conduit Amount of Permit $ MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT Date le:— ( r be. ELECTRICAL INSPECTION DEPARTMENT °� nduit� Main Sw.... Amps (Signed) (S Street.. /00 5 w nie, 3 /V . ?-C Main Fuses . / 3-7) Amps Tubing B.X.L Metal Moulding ectrical Intel or. The undersigned applicant for this building permit does hereby celtify that he understands and accepts his oblig ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P anent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontract s 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 -co . .ctor., on _ '° to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. 1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made %hen such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT l(�. APPLICATION FOR ELECTRICAL PERMIT Permit No .l ( Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or otter 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 Mi.smi 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. ��Jp� Owner's Name and Address 1... a ° �l f fl `lr.'i� :r4'/L_ No R.! D Street..92 rP / Registered Architect and /or En _ ,, Employing Electrician's Name ���y�l./s ! � � t-Q ^ No .7 6 / Street.. 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) yy New Building Remodeling Addition /� Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type eif Installation — Conduit Tubing....., B.X.L Metal p Moulding „ c .. r V (r T 4 -. Qtr 57-e tit Amount of Permit $ { (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. STATE OF FLORIDA, 1 COUNTY OF DADE. I S S. 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 facto therein by him stated are true. My Commission Expires (Signed) Notary Public, State of Florida Master Electrician. 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 / CHECK • ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT l(�. APPLICATION FOR ELECTRICAL PERMIT Permit No .l ( Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or otter 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 Mi.smi 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. ��Jp� Owner's Name and Address 1... a ° �l f fl `lr.'i� :r4'/L_ No R.! D Street..92 rP / Registered Architect and /or En _ ,, Employing Electrician's Name ���y�l./s ! � � t-Q ^ No .7 6 / Street.. 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) yy New Building Remodeling Addition /� Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type eif Installation — Conduit Tubing....., B.X.L Metal p Moulding „ c .. r V (r T 4 -. Qtr 57-e tit Amount of Permit $ { (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. STATE OF FLORIDA, 1 COUNTY OF DADE. I S S. 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 facto therein by him stated are true. My Commission Expires (Signed) Notary Public, State of Florida Master Electrician. 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 ELECTR.AL PLUAING Owner of Building Architect Contractor or Builder • • MIAMI SHORES VILLAGE, FLORID CONTRACTOR OR BUILDER PERMIT N° 7514 Work to be performed under this Permi Signed. In consideration of the issuance to me of this permit I agree to perform pertaining thereto and in strict conformity with the plans, drawings, statem In accepting this permit I assume responsibility for all work done •y either Subdi- vision Value of Project BY DATE 1.1 194j C + tractor's License No. Legal Lot Bl. Description Address of i E e; : Building �: �, d This permi is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and 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 state or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Amt. of Permit INSPECTOR ork covered hereunder in compliance with.. or4inan es gnddegg1{►�ions r specifications submitted to the proper authonties o ami""�Sho a % - Village. my agent, servant or employee. AUTHORITY BUI DING ELO f RICAL PLUMBING Owner of Building This permit is cation herefor in strict plans, drawings, state Architect Contractor or Builde Legal Lot Description Address of Building ted o the contra or : builde n. ` : '' . bov mpliance with all ordinances pertaining thereto ents or specifications that may have been submitt at any time if the w. is not done in compliance with such ordinance permit is granted is the understanding that the contractor or builder regulations pertaining to the work covered hereby whether shown o sibility for work done by his agents, servants or employees. INSPECTOR In consideration of the issuan e to e of this permit I agree to perform the •ork covered hereunder in compliance with all ordinances and reg pertaining thereto and in strict co. tit, drawings, statements or specifications submitted to the proper authorities of Miami Shores In accepting this permit f * espo ility for a i work done by either myself, my agent, servant or employee. CONTRACTOR IR BUILDER Work to b MIAMI SHORES VILLAGE, FLORID ERM1T N° 7426 p formed under this Permit Subdi- vision struct the building or to with the understanding to and approved b the r if the plans are c nged med above assume 1 e re the plans or drawi Sigh d• BY DATE 194_ Contractor's License No. the equipment or de ice descn .. in the appli- e work will be performed in complia i with any municipal authorities. This Permit may be revoked rizatio • A urther condition upon which this knowledge of the ordinances and ti • s and that he . sumes re. on- By -- AUTHORITY lions illage. Permit No.___, MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date / 1 4 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 No � �" Street Registered Architect and /or Engineer ° Employing Electrician's Name ____ 1 I { I , No ` f Street Location and Legal Description Lot ) 4 2 -- Street and Number where work is to be performed —No /_ / ( Street_L S / C ci State wo k to be performed and purpose of building (By Floors) Block -5 Subdivision (F Build' g Remodeling Addition .Repairs No. of Stories t ___ d 1 Underground Service Overhead Size Feeders -_ Con -L Main Sw Amps Main Fuses Amps _,__ Type of Installation— Conduit �Tubin B.X.L Metal Moulding, r ,- / / /f 7 r t ) Electrical Inspector. (Signed,) The undersigned Applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the lorida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. 1? ss. ( Signed) ..._ 4 i ' -t LA 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 RECCE'P'' IL J .. a- FIXTURES NO. LAMPS Pi . ± . . REFRIG. OUTLET J �t C.�- IRON OUTLET / rte, RANGE OUTLET 1 e -i. RANGE CONN. I WATER HEATER W. HEAT. C i t�i+a SPACE HEATER • <� STRIP HEATER TOTAL CONTR. LIST 111 \ 1 .,\.1) - --.__ ` t1 }O `i' V _ . -- CHECK ENT. SW. DIST. CAB. , / /// ig, T ''' »'GGGGGG��� , SERVICE PERM. 1 MOTORS 0-1 HP / M ORS N EON -I HP TRANS. 71 , RADIO TOTAL CONTR. LIST • CHECK /Y� ,/ V �J I ! I9 F r Permit No.___, MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date / 1 4 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 No � �" Street Registered Architect and /or Engineer ° Employing Electrician's Name ____ 1 I { I , No ` f Street Location and Legal Description Lot ) 4 2 -- Street and Number where work is to be performed —No /_ / ( Street_L S / C ci State wo k to be performed and purpose of building (By Floors) Block -5 Subdivision (F Build' g Remodeling Addition .Repairs No. of Stories t ___ d 1 Underground Service Overhead Size Feeders -_ Con -L Main Sw Amps Main Fuses Amps _,__ Type of Installation— Conduit �Tubin B.X.L Metal Moulding, r ,- / / /f 7 r t ) Electrical Inspector. (Signed,) The undersigned Applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the lorida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. 1? ss. ( Signed) ..._ 4 i ' -t LA 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. UILDING ECTRICAL LUMBING wner of uilding rchitect ontractor Builder CDN' hAerOR 1R BUILDER 1 MIAMI SHORES VILLAGE, FLORID DATE ERMIT N° 7426 Value of Project Amt. of Permit Work to b pe ormed under this Permit egal Lot .escription ddress of uilding This permit is gr : ed • the contra or . . uilde n ove •titn herefor in strict +mpliance with all ordinances pertaining thereto ans, drawings, state -nts or specifications that may have been submitt any time if the wo is not done in compliance with such ordinances 3rmit is granted is t e understanding that the contractor or builder :gulations pertaining to the work covered hereby whether shown o bility for work done by his agents, servants or employees. Subdi- vision struct the building or to with the understanding to and approved by the if the plans are c nged med above assumes • e re the plans or drawi BY Sign - By INSPECTOR In consideration of the issuan.• to of this permit I agree to perform the .rk covered hereunder in compliance with all ordinances and reg raining thereto and in strict co. 5, drawings, statements or specifications submitted to the proper authorities of Miami Shores i accepting this permit I :. .. -spun '' ility for a work done by either myself, my agent, servant or employee. 194 Contractor's License No. the equipment or de ce descr • • in the appli- e work will be performed in complia . - with any municipal authorities. This Permit may be revoked out aut rizatio . urther condition upon which this sibility f. .' • nowledge of the ordinances and statem . e: + ti and that he . •sumes res . n- tions �11age. AUTHORITY Amount of Permit $_ MIAMI SHORES VILLAGE ©P - o ELECTRICAL INSPECTION DEPARTMENT I (, l> APPLICATION FOR ELECTRICAL P RMIT 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. a Owner's Name and Address _______' • __ j_�,,. _ -- No Street _1.( Registered Architect and /or Engineer Employing Electrician's Name — _ - - -__ Location and Legal Description Lot Block 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 Service Overhead Size Feeders Conduit________ —_Main Sw.________ Amps Main Fuses Amps, Underground Type of Installation— Conduit __Tubing B.X.L._ —___ Metal Mo . lding E ctrical 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 p.st or cause to be posted for inspection on the site of thew k such public notice or notices as are required by the Act. The undersign d a e:. to emp •y • ly h sub - contractors, on work to be rfo ' ed u . er this permit, as are licensed by Miami Shores Ville n �.', STATE OF FLORIDA, COUNTY OF DADE. ss. (Signed)_ public, duly — — .No. (Signed) /1',c7© o- Street Subdivision • Master Electrician. a uthorized to administer oaths and take acknowledgments, personally Before me, the undersigned authority, a notary appeared_ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Q : , Amount of Permit $_ MIAMI SHORES VILLAGE ©P - o ELECTRICAL INSPECTION DEPARTMENT I (, l> APPLICATION FOR ELECTRICAL P RMIT 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. a Owner's Name and Address _______' • __ j_�,,. _ -- No Street _1.( Registered Architect and /or Engineer Employing Electrician's Name — _ - - -__ Location and Legal Description Lot Block 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 Service Overhead Size Feeders Conduit________ —_Main Sw.________ Amps Main Fuses Amps, Underground Type of Installation— Conduit __Tubing B.X.L._ —___ Metal Mo . lding E ctrical 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 p.st or cause to be posted for inspection on the site of thew k such public notice or notices as are required by the Act. The undersign d a e:. to emp •y • ly h sub - contractors, on work to be rfo ' ed u . er this permit, as are licensed by Miami Shores Ville n �.', STATE OF FLORIDA, COUNTY OF DADE. ss. (Signed)_ public, duly — — .No. (Signed) /1',c7© o- Street Subdivision • Master Electrician. a uthorized to administer oaths and take acknowledgments, personally Before me, the undersigned authority, a notary 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.