398 NE 100 St (9)Issue Date: 2/1/2007
Owner's Name: MARJORIE WARREN
Permit Type: Mechanical - Residential
Work Classification: New
Job Address: 398 100 Street NE
Expires: 07/31/2007
Additional Information
Miami Shores Village, FL
Contractor(s) Phone
BLUE BREEZE AIR CONDITIONING 305 - 865 -1220
Primary Contractor
Yes
Tons:
Classification: Residential
Additional Info:
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 responsibility for all work done by either myself, my agent, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
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. Futhermore, I authorize the above -named contractor to do the work
stated.
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee - New Construction
Scanning Fee
Technology Fee
Total:
Amount
$2.45
$0.82
$5.00
$143.00
$3.00
$3.57
$157.84
Building Department File Copy
Applicant Signature
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: MC -1 -07 -160
Phone:
1132060135410
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 4,090.00
Required Inspections
Rough
Rough Duct
Ventilation
Smoke Test
Hood
Smoke Det Test
Final
Invoice Number
MC - 2 - 07 - 27377
Total:
,cfrifi- 095n
Amt Due
$157.84
Amt Paid
REBI 0 2PGD
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
CEILING
BRACKETS
RECEPTACLES
SWITCHES
STOVES
WATER HEATERS
•IGNS
OTHER APPARATUS
/2
40°'
;
/.2
/
BASEMENT
-
FLOORS
FIXTURES ONLY
NUMBER OF
TOTAL
SIZE OF
SIZE SERVICE
CONDUIT
tr
No.
CIRCUITS
LIGHTS
CEILING
BRACKETS
OUTLETS
MAIN
SUBS
BRANCHES
BASEMENT
-
/ t
o,___i
o
FIRST
•
SECOND
•
THIRD
e
FOURTH
A-63
LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE 1 FORMATION. ALL SPACES MUST BE FILLED OR APPLICATION
M WI RETURNED.
LOT NUMBER BLOCK N UMBER ,C SUBDIVISION
y r
STREET AND NUMBER ? � t �� Ore j ` et II I 4/r / / SIDF `� �'� �i/ .�t
/
qA 1 n YY _ :
-� - Y
OWNER � I�� Fi i G__�,� S P'1% � ' !a fi I /^' ,' _ _ . OCCUPANT W I) ✓N
,• q i
OCCUPIED As 0 j •
`((
BUILDING — NEW OR OLD (UNDERLINE WHICH)
H. P. OF EACH MOTOR
KIND OF INSTALLATION
CONTRACTOR
RECEIVED BY INSPECTOR
PROGRESS
WILL INSPECT AGAIN
ROUGH WIRING
FINAL No
CORRECTED
TEMPORARY DAYS.
DATE ISSUED
99(
APPLICATION
ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI
Desiring your certificate of Approval, application is hereby made for an inspection of the electric
installation in the premises stated below, for which undersigned agrees to correct any infractions
of the National Electrical Code and the City Ordinance pointed out by Inspector.
REMARKS
SPECIFICATIONS
VOLTS TOTAL AMPS
OPEN OR CONCEALED
REMARKS
SPACE BELOW FOR INSPECTOR'S USE ONLY
WORK — ADDITIONAL, NEW, ALTERATION OR REPAIR
KNOB. RX.. BX., MLDG., CONDUIT. METALLIC T UBI
INSPECTION WANTED
BY ADDRESS
DATF
-
NO '
2/F 193
PHASF
L
FEE REMITTED
INSPECTOR
J
NO.
STREET
PART OF LOT
LOT
iaK
SUBpIVISION
Signs
aim. 4
oliiiliirrIrds
Other Apparatus
�„
p mit Fee
'
Outlets
Motors
Receptacles
i- � x"14.R.
Stoves
Water Heaters
Signs
aim. 4
oliiiliirrIrds
Other Apparatus
�„
p mit Fee
'
ELECTRICAL PERMIT
N. B.—This Permit must be on display on the premises during
Owner of Building
Contractor or Electrician
the construction.
State of Florida all_th Electrical Ordinaixes
Shores Village. " �
,� 2 j
Datedr "; , 19'
and Codes
Y Liarni Aores9llage
F L O A D A
OFFICE OF ELECTRICAL DEPARTMT ..7) e
ti v
EN
Miami Shores Village, Fla ,
LD'CATI D
of Miami Shores Village, and all
i�
. _} C t 47 D ESCRIPTION OF WORK
/ �� : ; NUMBER OF
19 '
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies s trict' tvitl`i
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of Miami Shores Village and the rules and regulations of the Electrical 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 unauthorized by
this Department.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in co is ce w h all p'ro isions of all Electrical Laws of the
tion/o the Electrical Department of Miami
N? _ 252
•
, Electrical Inspe
(Seal)
NO.
STREET
PART OF LOT
LOT
BL'K
SUBDIVISION
� �' 4r '
- BiIIbt Aids
Other Apparatus
a
Outlets
Motors
Receptacles
Generators'
Stoves
Water Heaters
Signs
- BiIIbt Aids
Other Apparatus
Permit Fee
a
,n
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building
Contractor or Electrician
cJhores
Miami Shores Village, Fla ,
F L O A D A
OFFICE OF ELECTRICAL DEPARTMENT
LO CATI 0 N
19
N° 252
DESCRIPTION OF WORK
NUMBER OF
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies stricirly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of Miami Shores Village and the rules and regulations of the Electrical 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 unauthorized by
this Department.
, Electrical Inspector.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of /the Electrical Department of Miami
Shores Village.
Dated , 19
(Seal)
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
a
Architect
Contractor
dF Builder
Legal
Description
In consideration of
pertaining thereto and in
In accepting Is permit I
Work to be performed under this Permit / �% --.►, - �. *�. �... ,
IA
et / rI+ fF:r�
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE � °
PERMIT N °` 5222
Bl.
Signed.
Subdi-
vision
Address of `" " Value of I Amt. of
Building f 0 K 1 Project Permit
This permit i granted to the contractor or bu der 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 ass the res.onsibility for : thorough knowledge of the ordinances and
��r ',11,
regulations n _specifications and that he assymes respon-
regulations pertaining to the work covered hereby whether shown on the plans or dr
sibility for work done by his agents, servants or employees.
BY
Contractor's
License No.
By
the issuance to me of this permit I agree to perform the work covered /ereunder in compliance with a
strict conformity with the plans, drawings, statements or specificatio
assume responsibility for all work d e by either myself, my agent, servant or employee.
!4"
submitted to the proper authoVl.
19
A rdinances andegylaons
of Miami Sh ' age.
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
c
Architect
Owner of
Building
Contractor r {{ r f
or Builder 4.41.4 .l.r.
MIAMI SHORES VILLAGE, FLORIDA
DATE 1 1 191_
PERMIT N? 5222
Work to be performed under this Permi
Legal Lot
Description
Address of
Building J /
• This permit is .ranted o the contractor or bur . er named above to construct the builtliilg 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 assumerthe responsibility for - thorough knowledge of the ordinances and
ecifications and that he assumes respon-
B f f f 4
Bl.
f
regulations pertaining to the work covered hereby whether shown on the plans or drawrngs or statmg
tat
sibility for work done by his agents, servants or employees. ,
Signed. 4 . C
0' .Ft w
e ` ' IN $ or
r
In consideration of the issuance to me of this permit I agree to perform the work covered $reunder 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 responsibility for all worker by either myself, my agent, servant or employee.
' .
' 1
CONTRACTOR OR BUILDER
Subdi-
vision /V
Value of
Project
BY
Contractor's
License No.
Amt. of
Pennit
AUTHORITY
1
Permit No
2
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 alb 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.
/cis v.
Owner's Name and Address
Registered Architect and /or Engine
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
Service Overhead Size Feeders
• Underground
Type of Installation— Conduit Tubing — B.X.L Metal Moulding
Amount of Permit $
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. -
STATE OF FLORIDA,
COUNTY OF DADE. 88.
My Commission Expires
M I A M I SFr V I L LA G E
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Conduit____— Main Sw
Date
No._ 3 �Q _ Street_ ! 4947
No.____---- --_--- _____ -. Street_ _YA1, 7 'eye•
(Signed)
(Signed)
Subdivision_
Street
Repairs
Amps. Main Fuses ...Amps.
Notary Public. State of Florida
No. of Stories
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'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
H EATER
TOTAL
CONTR.
LIST
/
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
M OTORS
1 -5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
1
Permit No
2
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 alb 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.
/cis v.
Owner's Name and Address
Registered Architect and /or Engine
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
Service Overhead Size Feeders
• Underground
Type of Installation— Conduit Tubing — B.X.L Metal Moulding
Amount of Permit $
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. -
STATE OF FLORIDA,
COUNTY OF DADE. 88.
My Commission Expires
M I A M I SFr V I L LA G E
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Conduit____— Main Sw
Date
No._ 3 �Q _ Street_ ! 4947
No.____---- --_--- _____ -. Street_ _YA1, 7 'eye•
(Signed)
(Signed)
Subdivision_
Street
Repairs
Amps. Main Fuses ...Amps.
Notary Public. State of Florida
No. of Stories
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 (
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description.
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATF j C� o� �� t 195
Contractor's
License No
I,,r1' PERMIT N? 13964
❑ Work to be performed under this Permit
CONTRACTOR OR BUILDER
Bl.
- t
Subdi-
vision
Value of
Project $
Amt. of
Permit
$
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. ,.,..,,..,..
Signed • ` --n .' a .. av ... ' . ,�.
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in -compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
0 : 0
Permit No
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for t e approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This a plication 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 'p
Employing Electrician's Name B �1�
B . & W. ELECTRIC No < 'r 4 Street /1' Noel e tt A C,
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No S 9i Street AW / 4,0 X
State work to be performed and purpose of building (By Floors) .5:._.
New Building Remodeling Addition .._.1/ Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing .. B.X.L Metal Moulding
Amount of Permit $
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on tybrk to be performed under this permit, as are
licensed by Miami Shores Village.
' ' 4 '
STATE OF FLORIDA, 1
COUNTY OF DADE. I
ss.
MIAMI SHORES VILLAGE
(Signed)
(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
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
�-- -�
X/
7
7
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
0 : 0
Permit No
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for t e approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This a plication 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 'p
Employing Electrician's Name B �1�
B . & W. ELECTRIC No < 'r 4 Street /1' Noel e tt A C,
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No S 9i Street AW / 4,0 X
State work to be performed and purpose of building (By Floors) .5:._.
New Building Remodeling Addition .._.1/ Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing .. B.X.L Metal Moulding
Amount of Permit $
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on tybrk to be performed under this permit, as are
licensed by Miami Shores Village.
' ' 4 '
STATE OF FLORIDA, 1
COUNTY OF DADE. I
ss.
MIAMI SHORES VILLAGE
(Signed)
(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
materials and /or workmanship.
Date
11 PERMIT 3 FOR MIAMI SHORES VILLAGE
_a rt (/ t�J� ob Address 3 q p / 1 /OO S :Tax Folio
Legal Description
Owner/Lessee / Tenant /Liar: fOri T/ V)
Owner's Address SV 4J, 6, /00 � f
Contractin _®+ H F L e c' 7Y 1 C
Quaifer vt.u./ 1 cols -e \
State # E)&O 1 D 5 Municipal #
Historically Designated: Yes
Master Permit # (r7 ZS 7
Phone /-
Address j ! 34 N. E .
SS# Lam' ►LPL' Phone sciLi / 4373
Competency #
Address
Address
No
Ins. Co. Z-1-41t1 C-11
Architect/Engineer
Bonding Company
Mortgagor Address
ELECTRIC
Permit Type (circle one): BUILDIN
WORK DESCRIPTION
PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
C
Square Ft. Estimated Cost (value) it cc a0C (.100
a
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.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that a work will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to a ork stated.
Signature of oaf and/or Condo President
Notary as to Owner and/or Condo President Date
to
My Commission Expires:
FO £ k ,�fo -- sS 3 —� -- R80-6
Contra to
Signature of Co r or Owner - Builder
Notary as to Contractor or Owner - Builder
My Commission Expires:
FEES: PERMIT h DtQ' RADON C.C.F. NOTARY BOND
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Structural Engineer
TOTAL DUE
Date
Dat
TRIP LOOP
;Q BE 10'
ilFG (MIN)
C
1
I 200A
tMETER
2' ABOVE ROE1F
1
FINISHED GRADE
MAIN CB
1 PANEL a 31
i ll i 4.--
MOMS "Th
t i"" PLASM
KCMG
PVC =
1
i
wet wiscos
77.:41 1
CLAMP
sir x
8'D' MIN DEPTH R ms criDo
SUB CB
BY
PAN
PER S.F.B.C,
K1;�E.k L11< MAST
. t -ie)ght
Conductor. size
CondL4t stz[ / � '
Conduit t3'pf'
Thu
G r - a�,rd wire S.z c `P
MAIN DI 14ECT
P_atinp ps •
Maas __ Amps
Sub Breakers Ar+ps
SUB FEEDER
Nes" Existing _' -
Type
Size
INSIDE PANEL �11
Rectrua D _At,ps
Bond mss _ _ _ Yes ___
.Locu. _ ( %lye,
4505.2(B)
SIGNATURE O-F CONTRACTOR
P P R
Bond ;t1
c7 do
\ E
t — I r" C` T FI T C% Al ri T\ t T c` T f to