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ELECTRICALDate M-2.4-58 Job Address z.410 N , / Of sr. Tax Folio / -3ZO - 01"3 Legal Description (DP) l 3 l`U S - ''+ r5N Historically Designated: Yes 1 f Owner/Lessee / Tenant J 4 id 4 - 0 I of e lJ � Owner's Address _ Z4. (O ' t/St, '-1 . m"S State # Cc / e of owner an • r • - , • i • President Date *`75 -53 -O " _40 /:i 4 . nt sion E D S NOTAR PUBLIC STATE OF FLORIDA COMMISSION NO. CC727979 MY COMMISSION EXP. MAR' 1v 4 Sign Notary as t My Comm APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE FEES: PERMIT .7_/ RADON ate Building Electrical No�� Master Permit # Phone rr II .3 91S I IV. I1 t 4 . 1 - Contracting Co. %ra. S E C-, Address Qualifier 0Erzovxkl ' SNk1 P-S SS# Phone 1 ) ( -1 - 1 003 Municipal # 30-11 '13 Competency # ('7'3 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIP'T'ION H-I Wh ikiG .D. kit' TTZ.t Y f %I D ( Z_.) 15L� 'f`I -1 ZCOrr1 Tora L- U0 M1 5E12.- OF Uo - us - r Fcra SVa -ES/ Lkt( 1 pr EtHT Cg Square Ft. Estimated Cost (value) 17_00, 60 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 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 forELECTRICALjPLUMBING, 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 re: • ting construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Si a e of Contracto. Owner Builder Date OYARYSEAL It �� Qy�� C.1•l • on acto tuVl "AKY • • 11; 0 y `. ATE OF FLORIDA s: COMMISSION NO. CC714 P. 1 Notary as t My Co mmission xprr t/4 FOi_ S536- 32q- t/- ,2a9 -o Date C.C.F. / . 0 NOTARY c BOND TOTAL DUE `a /• °).° Plumbing Engineering r , NO. OF STORIES JOB ADDRESS 2:.4(o v mil. C� 2±C_& ' LD Q - PIA► S OWNER 1-1tsLAI C.Aniz- • 1 Di 5i; NO.OF LIVING UNITS • c % IJ J 1 lc y �1 1Y1 I A tv\ 1J0. -b1 • PROFESSIONAL ENGINEER' OR QUALIFYING '. AGENT SEAL,SI.GNATURE DATE APPROVED ZONING -I- BY DATE - -i - - - - -- L STRJCTVRAL � ELECTRICAL - - -- - %!/ 1 PLUMBING - ���:I MECHAITCAL ROOFING - - -- - ■ BLDG. OFFICIAL _ - -- _ 1 _ - - -- - - I r SUBJECT TO COMPLIANCE WITH AU. FEDER , STATE AND COUNTY RULES AND REGULATIONS. MIAMI SHORES VILLAGE ASSUMES NO RESPONSIBILITIES FOR ACCURACY OF OR RESULTS FROM THESE PLANS. COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & SUB CONTRACTORS ARE CHARGED WITH THE KNOWLEDGE OF ALL BUILDING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. NDANg SHORES VOLM E ITEM BATH TLB UNIT FEE ITEM SWITCH OUTLETS UNIT Z FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS 4 CENTRAL HEATING • OISHWASHR RECEPTACLES Z_ A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN _ SERVICE SIZE IN AAPS OLCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR � RANGE TOP UNDERGROUND TANKS LAVATORY _ OVEN ABOVE MHO TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER . MOTORS OVER 1- 3 If HOT WATER BOILERS SINK. POT/3 COMP. MOTORS OVER 3- 5 HP WECHANICAL VENTILATION SINK. RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEM6LIES SINK. SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TE.WORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WIDOW REINSPECTION WATER SLPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSEt11IERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE OUTLETS COMMERCIAL SWIMMING POOL ' WATER SERVICE ." • SIGN TUBES SEWER CONNECTIONS SIGN TRANSFQ'MERS .... . . UTILITY-SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES . SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS ' GRAINFIELD, 4' TILE/RES. VIOLATION . PUMP & ABANDON SEPTIC TANK RE INSPECTION • SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA CRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING • " LAWN SPRINKLER SYSTEM . GAS RANGE MET SET (GAS) GAS PIPING . ADDENDUM TO BUILDING PERMIT APPLICATION (AN * APPLICATION TOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. Ir A MASTER PERMIT HAS B_ OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL 9 MECHANICAL BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description. Address of Building ❑ Le PERMIT 1ST? 13798 11 ❑ Work to be performed under this 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 _t Lie contractor L _ or t ..:i fo e d a1111 n vp ?ASmes 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 assumes responsibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Bl. Signed Subdi- vision Value of Project $ . ` 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' / 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. INSPECTOR DATE Contractor's License No BY Amt. of Permit $ 4 f r BY AUTHORITY 195 MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT Permit No 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. ELECTR ICAL INSPECTION DEPARTMENT A Owner's Name and Address No Street Registered Architect and /or Engineer Employing Electrician's Name r^ 9 ? ^ No t Date e I ,e ' f 1 ' " Street Location and Legal Description Lot Block . ).Street Street and Number where work is to be performed —No C" State work to be performed and purpose of building (By Floors) New Buildin g Remodelin .... < Addition Repairs 4,..h Remodeling 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 Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I ss. (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. 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 aterials and /or workmanship. SWITCH OUTLETS <' " WOW - =' QUTLLIS U 7 ,, } PLUG RgCE'P'T'S 5. L ./ FIXTURES NO. LAMPS 4 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 D CHECK MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT Permit No 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. ELECTR ICAL INSPECTION DEPARTMENT A Owner's Name and Address No Street Registered Architect and /or Engineer Employing Electrician's Name r^ 9 ? ^ No t Date e I ,e ' f 1 ' " Street Location and Legal Description Lot Block . ).Street Street and Number where work is to be performed —No C" State work to be performed and purpose of building (By Floors) New Buildin g Remodelin .... < Addition Repairs 4,..h Remodeling 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 Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I ss. (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. 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 aterials and /or workmanship. Permit No ____ g`_3_______ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte building 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 Buildin 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. �fi�n Owner's Name and Address�!XI!_-� _ __ rn —•__ __ _�___ No. �5!_ r_____�__ —___ _ Street_! J�t__ Registered Architect and /or E er Employing Electrician's Name Location and Legal Description Lot Amount of Permit $_ MIAMI SHORES VILLAGE �s APPLICATION FOR ELECTRICAL PERM i� / 7 \ \� Date_ _ d for tife ss. My Commission Expires ELECTRICAL INSPECTION DEPARTMENT /__ __ __ 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 Service Overhead Size Feeders Conduit_ Main Sw. Underground Type of Installation— Conduit Tubing _ B.X.L. Metal Mould' (Signed) Street (Signed) — _— __ —_ —_�, Master T.ctrlcan. Notary Public. State of Florida 3 1 00 6 No 3 3_/ lO— — Street , —'1 O --- — — • No. of Stories Amps. Main Fuses_ —______— ____Amps. Elecal Inspect r. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer f labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and h s 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 ublic notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be perfo ed un er this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT O UTLETS PLUG R ECE . P'T'S FIXTURES NO.LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. H EAT. CONN. SPACE HEATER STRIP H EATER TOTAL CL LIST / 7e5 / 50 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 ____ g`_3_______ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte building 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 Buildin 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. �fi�n Owner's Name and Address�!XI!_-� _ __ rn —•__ __ _�___ No. �5!_ r_____�__ —___ _ Street_! J�t__ Registered Architect and /or E er Employing Electrician's Name Location and Legal Description Lot Amount of Permit $_ MIAMI SHORES VILLAGE �s APPLICATION FOR ELECTRICAL PERM i� / 7 \ \� Date_ _ d for tife ss. My Commission Expires ELECTRICAL INSPECTION DEPARTMENT /__ __ __ 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 Service Overhead Size Feeders Conduit_ Main Sw. Underground Type of Installation— Conduit Tubing _ B.X.L. Metal Mould' (Signed) Street (Signed) — _— __ —_ —_�, Master T.ctrlcan. Notary Public. State of Florida 3 1 00 6 No 3 3_/ lO— — Street , —'1 O --- — — • No. of Stories Amps. Main Fuses_ —______— ____Amps. Elecal Inspect r. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer f labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and h s 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 ublic notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be perfo ed un er this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING PLUMBING • • : • • ELECTRICAL : • • • • • • • • Inspector's Report: •- JOB ;.�[ � . " ADD: -L-L`6 ( 6 1 • The following is \eady for Inspection: NOTE: REQUESTS FOR INSPECTIONS MUST BE MADE BY THE CONTRACTOR PERFORMING THE WORK„ : WORK : DONE BY: • REQUEST FOR • INSPECTION • WAS MADE • WILL BE READY • • • • ( 1 Permit No./1_ of Miami Shores Village shall be complied building during progress of work. Owner's Name and Address Registered Architect and /or Enginee Employing Electrician's Name Location and Legal Description Lot New Building • c. Service Overhead Underground Amount of Permit $_ Size Feeders STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date _ c 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 whether herein specified or not. A copy of approved plans and specifications must be kept at with, �r A 2 s 2 treet__ • No:_ LJ ,C! td Street__ " ' Subdivision f' Street and Number where work is to be performed—No Street___ L ® s� State work to be performed and purpose of building (By Floors) � ,f_L Block____! (Signed) (Signed Conduit___ _ Main Sw._ Remodeling Addition Repairs Notary Public. State of Florida No. of Stories > Amps.s_ Main Fuses _OD Amps. Type of Installation— Conduit Tubing ] B.X.L. Metal Moulding 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 com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, o . work to be performed under this permit, as are licensed by Miami Shores Village. 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. 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 FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL CONTR. LIST sr /0 fi /g 9 / / / / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. , ' 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / .fig' / ,/ / CHECK Permit No./1_ of Miami Shores Village shall be complied building during progress of work. Owner's Name and Address Registered Architect and /or Enginee Employing Electrician's Name Location and Legal Description Lot New Building • c. Service Overhead Underground Amount of Permit $_ Size Feeders STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date _ c 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 whether herein specified or not. A copy of approved plans and specifications must be kept at with, �r A 2 s 2 treet__ • No:_ LJ ,C! td Street__ " ' Subdivision f' Street and Number where work is to be performed—No Street___ L ® s� State work to be performed and purpose of building (By Floors) � ,f_L Block____! (Signed) (Signed Conduit___ _ Main Sw._ Remodeling Addition Repairs Notary Public. State of Florida No. of Stories > Amps.s_ Main Fuses _OD Amps. Type of Installation— Conduit Tubing ] B.X.L. Metal Moulding 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 com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, o . work to be performed under this permit, as are licensed by Miami Shores Village. 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL : PLUMBING • Inspector's Report: - REQUEST FOR INSPECTION WAS MADE The following is ready for Inspection: - NOTE: REQUESTS FOR INSPECTIONS MUST BE MADE BY THE CONTRACTOR PERFORMING THE WORK. ( __.,,,, ( ...___,,,,, ‘ , e , - ( t t k \-- : WORK DONE BY: t,1 WILL BE READY • • • • • • • • • • • • • • • • • • • • • Permit No. _ /2 Date `' ' )! «mil. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ___ _____ I- Registered Architect and /or Enginee _ 4 L Employing Electrician's Name r�€' = „ y-,[''' '-= — Location and Legal Description Lot s ��_i__ «___ ___ _Block Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building Service Underground Overhead Size Feeders Conduit___'_ Main Sw._�? Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amount of Permit $ APPLICATION FOIR ELECTRICAL PERMIT The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. f ss. materials and /or workmanship. 4 Remodeling My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT • No._d / J L _.!./ °J Street__l �} Subdivision_ /A 7!i! Addition Repairs No. of Stories (Signed) Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) 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. 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 .2.71 hoxatreet q Street_ Amps. ____ ,t___ _ Main Fuses Notary Public, State of Florida Master Electrican. • Amps. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE' WT S FIXTURES NO. LAMPS REFRI G. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP H EATER TOTAL CONTR. LIST /0 9 -le �y X 7 ifif / / / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST IST / CHECK Permit No. _ /2 Date `' ' )! «mil. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ___ _____ I- Registered Architect and /or Enginee _ 4 L Employing Electrician's Name r�€' = „ y-,[''' '-= — Location and Legal Description Lot s ��_i__ «___ ___ _Block Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building Service Underground Overhead Size Feeders Conduit___'_ Main Sw._�? Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amount of Permit $ APPLICATION FOIR ELECTRICAL PERMIT The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. f ss. materials and /or workmanship. 4 Remodeling My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT • No._d / J L _.!./ °J Street__l �} Subdivision_ /A 7!i! Addition Repairs No. of Stories (Signed) Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) 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. 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 .2.71 hoxatreet q Street_ Amps. ____ ,t___ _ Main Fuses Notary Public, State of Florida Master Electrican. • Amps. • — — 2, • • 1' 1, 7 r( el , A, i / / ' '7 n /..? r if • • / f' ^, .• • - I e r - 7> 1 • '7 • / • • (7 t71- 7' 7/ 7 MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION PERMIT No f 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: 1Y Size of Service Number of Lighting Circuits Range watts. Water Heater watts Power: Connected load H P. Space Heaters x watts Other Apparatus 7 / ELECTRICAL INSPECTOR. MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS ERTIFIES THAT the wiring and apparatus installed at 2 4 by t (' 7, I, Address for— ilf A • �/ inspect and owner, and occupied as has bee nins p current is authorized to be turned on, until otherwise notified, for: Size of Service Range Power: Connected loa H P. Space Heaters Other Apparatus C /Jew PERMIT NO / /` Number of Lighting Circuits watts. Water Heater ECTRICAL INSPECTOR. watts BUILDING A �T ELECTRICAL PERMIT A N° 818 BUILDING INSPECTION DEPARTMENT PLUMBING _" 1 " 4 t ner of Building-- * y • ` c tt ° - . -s i►- s,r „ - -- o NAME ADDRESS LICENSE NO. chitect and /or Engineer____ ` `- NAME ADDRESS c ontractor or Builder - - 4-4, 2_ 4 -e_ t 1 . e e i 4 1,4_44:_: - NAME ADDRESS LICENSE NO. $ AMOUNT Proposed Location __ C/ _ - --- - -�-�L -j NO. STREET To.__ _, filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complis's strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unaut razed by the biding inspector. SUB -DI ISION This permit is issued to 4 ik ` the building above described, as per application, Plans and Specifications heretof LOT BLOCK s.. . f r RECD. PAYMENT ACCT. DEPT. MIAMI SHORES VILLAGE i -1 . 19 INSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of al building laws of the State of Florida, all the I I building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the builing department of Miami Shores Village. Dated 4 e. 19_ = • _ (SEAL) 1 NOTE: A cha a 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 made when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.