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ELECTRICALMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time 4' Type lnsp'n Permit N • r) Name Address Company Phone # 6 I � PI For PI .....,Name s� Approved J For Inspector: I Correction El / -1-40' Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ( e, — Cfr :a FTime Type Insp'n 70 "it Permit No. ,[ ` 42 4:b2 e Name Address 3 $ 7 Company Y-17 ' Phone # 741 'y 2 For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 / Building Inspection Request Date L 0.1-Time Type Insp'n Permit No. Name Address, Company . r-§ 4 6 6 6 l I m C \/ 0 &tame &Date Approved LY Correction ❑ 7.6 ; " 7---41 ' For Inspector( Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. Name Address 3 ri Company Time (D as Phone # 3 -C-- For Inspector: 11 1 /OA LName Approved Correction ❑ r dam® 7— Re- Insp'n Fee ❑ I 3\ip ?eG Po' Src)i ®y PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • 305-795-2204 Date O /4 °1 Job Address 3 Kt foafih St Tax Folio 11 — Sz 0 0 ' 0 13 — 3 70 Legal Description "Volt 51.14/ Sec 1 4M0 Pf31s - 70 Historically Designated: Yes No c' /t h V 1 - 1 - aa 37 I mo, 1 C.•1?;1ZI '.3J Owner /Lessee/Tenet 5 a V ( G 40E L 'F Et. 412(..-14 i r_ r►� Master Permit # � / Owner's Address 379 N E f. 07X r / Phone J N. ( t E l L. tie OL Contracting Co. es- Cc f !G Address k' �I t0 L a f vi tw 0 9 . Qualifier /l! /fg 6.1 C• /9/.. fbeaf State# £ C De, oo a 4 77 Municipal # 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 one): BUILDING WORK DESCRIPTION: Re knit" .Srwutcc ?v. ha(o r p f k, ( Jim. /2 'e/ Square Ft. 0) P 7 7 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: 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 oning. Furthermore, I authorize the above named contractor to do the work stated. 0 ond. President I o gn • . f owner and/or Condo -- - '1► N W • to O ner an My Commission Ex iipstiv p09 <., t 0/0 )\ sident Date 0 1CIAI.!'. FEES: PERMIT l 0'0 RADON Date SS# Phone 3os^ 7z - 6.c f/ Competency # Cc g eL% Ins. Co. l ? kt f -tt PLUMBING MECHANICAL ROOFING Estimated Cost (value) .2 uo v i ature of Contracto or Owner Builder ), a otary as t s Contract r or.Aw My Commission Expir t p c� �� !+ ,, 7. 1 \ i * NOTARY .5 t� C TOTAL DUE C t Date BOND APPROVED: Zoning Building Electrical Mechanical Plumbing Structural Engineer Date 2 07q 2- S"Pa arpbanCc 1 - L.7usdl /polo 3)% X3 Va S au! of 379 ME /call% st m,2,,, Shorts , FL. FAO t 1- 3206 - o 13 -53 90 6237 Va 3avv Ng 1 Sao ✓a r 0737 Va 3 oao ✓� 30001/a 7 737 ✓a o7QrVat r 17o7.gS Net. Q flf / ty kt. 7 / 5 7 0 8• got gg. (2.skiv Rfnf c N�rk< pi .kr4. • ga Kiv 4 -A.04 ht lf?NctS; 01s^ W?s r a w2Itti. Orate 3 s In 32 - V5i- arric ta r► ,, sr t i• Olei. x = t 75 %8034 SPAcG Heal' R•ls /a g Ak urats 49[0 ($6Oell Vt. row 374 $4,0 two; 15 72-O va Bit s S w IJ a J 5600 ✓t 027 ✓; 4/c 137/7 1/4 3qo SI V2 scti.re c C Q IG1 ;rya s /JJ 7 0 9/37° z _ • \s, DRIP LOOP 10 BE 30' %FU (MIN) gamer 6' •ri - CW CLAMP • 200A NETER a' ABOVE ROOF 1 A" AMC • • • • • • • F11I1311Eb I jRA I1E 1 • • • • • 4 GE 7 •.A . MAIN CD lICC PANEL r sonwn amens =C iumanG PVC 1 tro# HIM IMP T11 1 • 4— • • • • ITiw IarP CLASP • Ru» o+tro t.• SUB C . >>wM+ • PANEL • at4t/ KEAN UR • MAS'1" • • (I-F n v Conductor stcr • Conduit stz C., Conduit typc--4-4..0 -.:- T -u r•Oot,._.._ le" Y ES — Ground *ire MAIN. D[S{ECT Ro tinO Man ..li•� �_Mt� 2s b Brooker -0 ..P AO Mlaa • • • SUB FEEDER New e ' . . Typo IM T , ENSEDE PANEL . R stng Ib s Aond 3uac „_,Ae Ytc ___W4 L occe-tron„ let t'• t+ au _ PER S,F.O.C, 4505.2(D) • • CONTRItmL.T.U.EttiLL G O • • • • DRIP LOOP rO BE 10' 4FG (MIN) wimmi••■••rM•■•■••• • •••• ' zooa METER • 2' ABOVE ROOF 1 All Am c • • •• ow' am F111'111E13 BADE • • •••• w i4• i IC 71101100 P 7PLArlIC • • .► 444 GE 'ls1rl "SO Q te/ ..A • MAIN CI3 PANEL 4— • 3411 i1 PVC • • _• • • • • • • TVA Mir CLASP • >,-a r +ut UEYTII aui wuu 1 t.. R SUB C© . •.ssz•rev • `PANEL • • • 9 et 6- • 114th It PER 1uCILx UR MAS • Mut- CoorJuctor site • • • .Conduit sac_ • Coaodw tYf�r.�d4•� ■h1 u Ground wire she. 'e MAW. DIS iECT • Ro.1,nO .. Mps Hain Stab Breakers _1 0 _Arcs ENS EDE PANEL . • • SUI3 FEEDER Nay e � Typo, AFi.El.. Bond Vice.—• • • Rating pv - ,.. A 1 4 31 and )u ic �� Y •g _Ho S .F.0.C. A5QR.2() ,CONTRI T L,I. tat ,W, ,...L.g G O °".° �7:_..._... • (F'F ] n� 2o7q" x3 Va 2- .5%"aIl a pp ' ance 1- t,auhdr /St /polo % Met. (2.51(1R2h Wm., pI'T4- 3 ;4 Kt, D q . 11Ied 4#112N' SPArc Heat A/c L #i tf S au! Gad o! 37'7 AtE /oo t4 st m,2•r SAo•-es , Fl. Folio t (- 3206 - o t3 -.4 6237 V woo "9 1Soo Va r 037 v 3o O ✓2 7737 Va blola v0.190) r 2w.1 r1 otsk w?sl's Wate Hfatc arric Fa n s 2.xva to c�er+� 37 lo3(8 3744 ."14 ;Yyo l��ro 10 0% 75% 8 °3L 15 72-014 3 oao t/4 17 o7.15" 57 got 5 . Va Jz s 4 6027 vg 4/ 137 zY 1/4 7; fel Set o S g vz 7/dd,6 c%17,97e; tqcre(e � r [k- / • • Miami Shores Village 10050 NE 2nd Avenue 0 Phone: 305-795-2204 r.- Printed: 10 /3/2002 U Applicant: MARIELENA Owner: GADOL JOB ADDRESS: 379 NE 100 I ^ Contractor HERBERT ELECTRIC �►�7CJ Local Phone: Parcel # 1132060135390 P —Z.Ai-ct ' ' -C a..., 0 0 c-- 1,ao S. o c7 1)-4 Total Fees: 40480 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 4/1/2003 Construction Value: Work: REBUILD SERVICE AND RELOCATE KITCHEN PANEL If there is no permit package accessible on the job -site for in fee is $50.00, which must be paid in advance before calling for This Permit is granted to the contractor or builder named above to construct the IN ordinances pertaining thereto and with the understanding that the work will be perfon and approved by the proper municipal authorities. This Permit may be revoked at ar authorization. A further condition upon which this permit is granted is the understanc ordinances and regulations pertaining to the wow ered hereby whether shown on by his agents, servants or employees. Signed: PECTOR) 4 In consideration of the issuance to me of this permit, I agree to perform the work c with the plans, drawings, statements or specifications submitted to the proper autho myself, my agent, ants or employes. > Signed: 2 Electrical Permit Permit Number: EL2002 -317 Contractor's Address: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 LOT 21 & LOT 22 BLK 39 LOT SIZE (Contractor or Builder) GADOL MARIELENA ST SAUL GADOL MARIELENA GADOL 379 NE 100TH ST MIAMI, FL 33138 -2420 ORDER O HE / , / l /1 M j S io eri O ORDER OF r'] 1 1� �G/J LXI`7 Merrill Lynch 64NK_ °ONLE BANK ONE COLUMBUS, PIA MEMO ,a5r-e - BY: Page 1 of 1 5285 CNA Cash Management Account' DATE CT I j O (LL4GA l $ ((o. ,Da DOLLARS t8 )gfaioe 25- 80/440 oat Mr I:04 30 1! 3 4 3 2? 211° 5 285 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • 305-795-2204 Date Job Address ' 3 /\/"E /60 C 7 / / Tax Folio + (""' a6 t ~ O,3 -5390 Legal Description ) Historically Designated: Yes n� No Owner /Lessee/Tene( CU ( �, M id) 1/ Master Permit i#--1/- - , - j - - 2 - • ? .Owner's Address 3 G) A� / 00 /, Phone 303 ,5) 755) Contracting Co. .f1 L k .A/ / Address Qualifier State # P ke)1t WeiZAd 5s« unicipal # Phone 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 $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): ;WORK DESCRIPTION: Square Ft. PLUMBING MECHANICAL _6 b() sleA4611612. BUILDING ELECTRICAL Estimated Cost alu) 0 ' DO ROOFING WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). 1 certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. gnature of owner and/or Condo President Di-- Gs 34 D, `7;� �—� I) 1 w r• o,n ate otary as to My Commission FEES: PERMIT ,69 e'G RADON e nt; . ,,;.. i Date Notary td o ptca+ctof , c q c;, , 3 u C.97 My Commis Expire$ C.C.F l) NOTARY —5. 0 L' BOND TOTAL DUE APPROVED: Zoning Building Electrical Mechanical Plumbing Structural Engineer _ a.1 A. 4,. a-- 1 rL. _ 1 1 --r -r . F LORIDA MIRE . - The Sunshine State SAUL CADOL 379 NE 100 ET . MIAMIrtlIC TEr. �L33�3B -2420 00 .. . ■ th 09-06 -27 M -0 09 -q3 -199.3 r 1 C340- 780 -27 -326 -0 09 -0 -1997 • CLASS: D • 0000 £099 1145 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9 /4/2002 Applicant: MARIELENA . . GADOL Owner: GADOL MARIELENA JOB ADDRESS: . 379 NE 100 ST' Contractor HOLBERT ELECTRIC INC Local Phone: Parcel # 1132060135390 X Electrical Permit Permit Number: EL2002 -285 Contractor's Address: 4960 LAKEVIEW DR Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 LOT 21 & LOT 22 BLK 39 LOT SIZE o CC 1� 1, -4 Total Fees: $8100 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 3/3/2003 Construction Value: $2,000.00 Work: UPGRADE ELECTRICITY If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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. Signe Signed: S <TOR) BY: 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. .(Contractor or Builder) BY: SAUL GADOL 5262 MAR !ELENA GADOL CAM Cash Management Account' 379 NE 100TH ST MIAMI, FL 33138 -2420 DATE SEPT_ t_,._CP° 25- 80/440 PAYTOTHE 1 ' SI-fog S Et Y. I $ �� Cho ORDER OF ` ` T Pr , s { g • � . b SIX 6? • DOLLARS 8t Merrill Lynch Strcutity BlWK ONE, COLUMBUS, NA � ',� � BANKCONF.. A COa r im � eu + �. , i p /►� MEMO.IJ) I j 6 wF. I •i 1 ^�� r t x:044000804 30LL3432 ?20' 5262 ti ,1I SHORES VILLAGE, FLA. No 5703' JOB ADDRESS <372 ,/• 6 • INSPECTION 1 / e, TIME READY 2-IC- REMARKS • INSPECTOR DATE APPLICATION FOR ELECTRICAL PERMIT Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address • Employing Electrician's Name Amount of Permit $ 7 ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 27 ©Y? ' - 2 No Street -3 7 9 4 e /t W. , Registered Architect and /or E . ► eer gg ol C' (, . Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling .././ Addition Repairs No. of Stories (Signed) L1ji Date a . / /i'7' No...f - Street. Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding ElectricaI Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepty/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•contraotors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)../ aLz. Muter Electrician STATE OF FLORIDA, } 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. sect HETTER STRIP HEATER a .LD A dAy.eR / TOTAL - . ] (.1 e CONTR. LIST / 2 / - ! / , 4 L . ) CHECK / - ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST i, a o , CHECK l � J.: (1' , 0 APPLICATION FOR ELECTRICAL PERMIT Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address • Employing Electrician's Name Amount of Permit $ 7 ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 27 ©Y? ' - 2 No Street -3 7 9 4 e /t W. , Registered Architect and /or E . ► eer gg ol C' (, . Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling .././ Addition Repairs No. of Stories (Signed) L1ji Date a . / /i'7' No...f - Street. Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding ElectricaI Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepty/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•contraotors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)../ aLz. Muter Electrician STATE OF FLORIDA, } 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, 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 ❑ :LECTRICAL 'LUMBING ❑ OOFING ❑ ?wner of /; r ? luilding "rchitect ontractor 1 ,r Builder ! " -egg Lot - )escription "ddress of wilding 7 Y• 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 ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, Irawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime 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 ,ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations 'ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or,elStcif tions and that he assumes responsibility for work one by his agents, servants or employees. ki CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA DATF , _ �' 195_ Contractor's License No �r Work to be performed under this Permit r r ' ' ' 1 f j PERMIT N° 7526 Bl. Signed • r. Subdi- vision Sq. Ft Value of Project $ BY Amt. of J Permit $ • BY 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 ,ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY 7 BUILDING ELECTRICAL PLUMBING _ ❑ ROOFING Owner of Building hi►"�!'�"'/I / Architect Contractor or Builder Legal Description Addr ess of Buildi C Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 15044 Work to be performed under this Permit BUILDER 31. Subdi- vision ng This permit is gr ed J7 7 he contractor or builder named a '°' M ' struc the b herefor in strict compli e with all ordinances pertaining thereto and with the underst drawings, statements or pecifications that may have been submitted to and approved b time if the work is not one in compliance with such ordinances or if the plans are chang granted is the understanding that the contractor or builder named above ass es the res pertaining to the work covered hereby whether shown on the plans s,r A :. s or in th done by his agents, servants or employees. Signed• n cons • ration of the issuance to me of this rier.14,it I agree to pe eto and in strict confor..ity with the plans, stat cepting this permit I issume . sibility for all work done Value of Project BY DATE Contractor's License No. AUTHORITY 1955_ uilding or to install the equipment or device described in the lication anding that the work will be performed in compliance with a lans, the proper municipal authorities. This Permit may be revoked ny without authorization. A further condition upon which this perm nsibility for a thorough knowledge of the ordinances and regulatio tatements or specifica 'ons and that he assumes responsibility for work t ' • NT OR OR • INSPECT rf m the work covered hereunder in compliance with all ordinanc is or specifications submitted to the proper authorities of Mia er, myself, my agent, servant or employee. and regulations Shores Village. Owner's Name and Address Date A lication is hereby mad for the (i ` pp y � pproval of the detailed statement of the plans and specifications herewith submitted or the building or other structure herein described. This a lication 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. Registered Architect and /or En in ' Employing Electrician's Name.... APPLICATION FOR ELECTRICAL PERMIT Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.. .Metal Moulding. Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. a ' MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT No (Signed). (Signed No... ._ 2y. Street Street. . .... a : Electrical Inspec The undersigned applicant for this building permit does hereby certify th he understands nd accepts his obligations as an em oyer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co ailed Gener. Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance fro ractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspecti. the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contract/ -on work to be performed under this permit, as are licensed by Miami Shores Village. Mate Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. 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 Owner's Name and Address Date A lication is hereby mad for the (i ` pp y � pproval of the detailed statement of the plans and specifications herewith submitted or the building or other structure herein described. This a lication 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. Registered Architect and /or En in ' Employing Electrician's Name.... APPLICATION FOR ELECTRICAL PERMIT Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.. .Metal Moulding. Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. a ' MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT No (Signed). (Signed No... ._ 2y. Street Street. . .... a : Electrical Inspec The undersigned applicant for this building permit does hereby certify th he understands nd accepts his obligations as an em oyer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co ailed Gener. Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance fro ractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspecti. the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contract/ -on work to be performed under this permit, as are licensed by Miami Shores Village. Mate Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No.- { -r - CT 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 Registered Architect and /or Engineer Amount of Permit S- MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT My Commission Expires /— '?4 444 - No._ (Signed) Employing Electrician's Name ____,,.�..c,.��,, _ per's - i,2„.." No. Street__ Location and Legal Description Lot__ �___& — f viz' viz' , � !___Block _ Subdivision__ Street and Number where work is to be performed —No 1__W______ Street___ State work to be performed and purpose of building (By Floors) New Building ,___ Remodeling Addition.. Repairs a Service Size Feeders Overhead _# f __ Conduit._____ Main Sw._ Amps. LL - canaad ���— ® Main Type of Installation— Conduit Tubing_ __ B.X.L. Metal Moulding p (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that hes4tgderstands 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, on yrk to be performed under this permit, as are licensed by Miami Shores Village. Date �a� cJ Street_ No. of Stories_ ...... Master E e l ctrican. STATE OF FLORIDA, COUNTY OF DADE. ss. 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 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. 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 REC p E'P'T'S s / FIXTURES NO.LAMPS 45 REFRIG. OUTLET / IRON OUTLET RANGE OUTLET / RANCE CONN. WATER HEATER __ W. HEAT. CONN. SPACE HEATER M STRIP HEATER TOTAL C LIST / T / 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.- { -r - CT 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 Registered Architect and /or Engineer Amount of Permit S- MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT My Commission Expires /— '?4 444 - No._ (Signed) Employing Electrician's Name ____,,.�..c,.��,, _ per's - i,2„.." No. Street__ Location and Legal Description Lot__ �___& — f viz' viz' , � !___Block _ Subdivision__ Street and Number where work is to be performed —No 1__W______ Street___ State work to be performed and purpose of building (By Floors) New Building ,___ Remodeling Addition.. Repairs a Service Size Feeders Overhead _# f __ Conduit._____ Main Sw._ Amps. LL - canaad ���— ® Main Type of Installation— Conduit Tubing_ __ B.X.L. Metal Moulding p (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that hes4tgderstands 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, on yrk to be performed under this permit, as are licensed by Miami Shores Village. Date �a� cJ Street_ No. of Stories_ ...... Master E e l ctrican. STATE OF FLORIDA, COUNTY OF DADE. ss. 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 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. 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.