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463 NE 100 St (9)MIAMI SHORES VILLAGE BUILDING DEPARTME 305- 795 -2204 Building Inspection Request Type Insp'n /') � Permit No. �/ 1i 5 d Name 5 Addressor 0 O Company 0.. Phone # 75g 006 For For Inspector: f 93 Name & Date Approve dl ❑ Correction LEA' �` ''7 ''3 Re- Insp'n Fee ❑ 6 -e" c A,62fr mss' eP i,) 2,'V e 12 0 Date Type Insp' Permit No. Name Address Company Phone # For Inspecto Approv6 Correction Re -Insp' nFee MIAMI SHORES VILLAGE BUILDING DEPART 305- 795 -2204 Building Inspection Requ Time ■ /. -2 Name o �s� Miami Shores Village 10050 NE 2nd Avenue Phone: 305-795-2204 _ Printed: 4/15/2003 Applicant: MARY Owner: SERDA JOB ADDRESS:. 463 NE .100 Contractor MOODY ELECTRIC INC Local Phone: (305)758 - 2000 Parcel # 1132060170520 p _ eurtt l-A 4 40_ b D 1. 2 Permit Status: Approved Permit Expiration: 10/12/2003 Work: SERVICE UPGRADE If there is no permit fee is $50.00, which m This Permit is granted to th ordinances pertaining thereto and approved by the proper n authorization. A further condi ordinances and regulations pt by his agents, servants or em Signeck2 In consideration of the issw with the plans, drawings, state myself, age rvants 01 � Signed: Electrical Permit Permit Number: EL2003 -94 SERDA MARY ST Legal Description: AMD PL OF MIAMI SHORES SEC 4 Contractor's Address: 669 NW 90 ST Construction Value: $2,000.00 Page 1 of 1 PB 15 -14 LOT 20 & LOT 21 BLK Total Fees: Total Receipts: $0.00 41 PAY AMOUNT OF DATE Op) \) MOODY ELECTRIC, INC. 669 N.W. 90TH STREET MIAMI, FL 33150 (305) 891-1374 TO THE ORDER OF �aAdnua. hi la- EXPLANATION 20 / /ooiS ACCTS. PAYABLE DISC. AMOUNT OTHER DOLLARS! CHECK NUMBER 16� TOTAL BANK MIAMI, FLORIDA 63- 915/660 16325 CHECK AMOUNT I roe .261 www.moocilyelegtric.00m • 669 N.W. 90 Street • Mini, ;L:3:3150 -2166 : Tel: (305) 758 -2000 Fax (305) 754 -1333 .. • • • .. ... .. • • 4 &.3 5l/oReS RESIDENTIAL DEMAND LOAD w /sQ.Fr 2,5 REFRIGERATOR APPLIANCES DISHWASHER GARBAGE DISPOSAL MICROWAVE CLOTHES WASHER DRYER RANGE WATER HEATER OVEN FREEZER TRASH COMPACTOR GARAGE DOOR MOTOR JACUZZI JACUZZI BOOSTER HTR. IRONING BOARD POOL EQUIPMENT SPRINKLER PUMP LANDSCAPE LIGHTS STEAM SHOWER A/C WALL UNIT SPARE CAPACITY SPARE CAPACITY TOTAL CONNEC;11.D LOAD FIRST 10 K.W. @ 100% 46 Z REST @ 40% 36 Z A/C @ 65% / HEAT @ 100% ] At 10 14.14/ TOTAL DEMAND LOAD • 48 K.W.1240 VOLT = 144 AMPS CALCULATIONS iS K.W. / ,5 K.W. 3.6 K.W. K.W. K.W. /15 K.W. /:5 K.W. 5:6 K.W. /2 K.W. K.W. K.W. K.W. K.W. K.W. K.W. K.W. K.W. K.W. Z. Z K.W. 1) 5 K.W. K.W. 2, Z K.W K. K.W. LjtD.Z K.W. 10.0_ K.W. 14 K.W. 10 K.W. 3L. K.W. /7S1ip S L h2E y Amps Am/ MOODY# ELECTRIC INC. www.moodyelectric.com 669 N.W. 90 Street • Miami, FL 33150 -2166 Tel: (305) 758 -2000 Fax (305) 754 -1333 • 211 �i9lo Gti cJ f 3 2/o MR Roof' .. • • .. • • .. • • • ••• .•• • • •••• • •••• • •••• • •• .• •• • .1 . 8 ' 241 ° ✓ • ..1.p1 -176 • • :Ivy A 31S. • •• Pvc- - .Z Y lo +'Ni) Rods 6 ApRr /2x!Z ke 4 NEti n 344 0 WI LLIAM s &REA '-/6 3 NE !00st /`41HI`vl1 SH &f L S 33138 Zoon Z o -24o l ph 32 c'4. pNL IVEM I iv: w 3 #. /D • • • • • • • • • • • • ••• • • .. • . ••• • • • • • •••• •••• • • .... .... • ... • • • • .. .. .. • • • • •••• • • .... • • • . • • • • .. • • • AtICSODY# ELLCIFt y i NC% www.moodyelectr10;�om • ..• • • • • .. . 669 N.W. 90 Street • Miami',•FL i3I5p -2f6fi ; ••: Tel: (305) 758 -2000 Fax (305) 754 -1333' • •• • • • •• ••• •• • ic.3 /O067 ' /lfr /`e/ 1 5 /./oPES • RESIDENTIAL DEMAND LOAD CALCULATIONS 3 W / SQ. FT 2,5 1 , 5' K.W. REFRIGERATOR 1,5' K.W. APPLIANCES 3,.(� K.W. DISHWASHER J 5 K.W. GARBAGE DISPOSAL K.W. MICROWAVE /,5 K.W. CLOTHES WASHER /15 K.W. DRYER 56 K.W. RANGE f2.0 K.W. WATER HEATER 4,5 K.W. OVEN K.W. FREEZER K.W. TRASH COMPACTOR K.W. GARAGE DOOR MOTOR K.W. JACUZZI K.W. JACUZZI BOOSTER HTR. K.W. IRONING BOARD K.W. POOL EQUIPMENT K.W. SPRINKLER PUMP 2. z K.W. LANDSCAPE LIGHTS 1 K. STEAM SHOWER A/C WALL UNIT 2: Z K. SPARE CAPACITY L K.W. SPARE CAPACITY //3" K.W. TOTAL CONNECTED LOAD if (p.1 K.W. FIRST 10 K.W. @ 100% 46, Z 10.0_ K.W. REST @ 40% 36, z i y y8 K.W. A/C @ 65% / HEAT @ 100% 1,1 - 1®14 14 / 0 K.W. TOTAL DEMAND LOAD 3`1. K.W. 34•iI S K.W. / 240 VOLT = 1 � 4 AMPS o - c-coo / /9q 175v i p 1 Aktips I'WW • MOODY4 ELECTRIC, INC. www.moodyelectric.com 669 N.W. 90 Street • Miami, FL 33150 -2166 Tel: (305) 758 -2000 Fax (305) 754 -1333 • 2" zyia 14 " 11 7L/C) TIRO Roof' •. .. .. • . • •••• • • ••• • •• .. • ••• •••• • • •••• • •••• •••• • • .. •• • • PV(- 2 % Y 10' G'NV Roc15 6 �4 arZT 12x1Z u 5/ N&1 r1 3R iT 436x W I LL1AP7 S &? DA 1 E6 3 NE 100- S 14 oG S 33/38 ��I2C /O cw? Zo o /4 /2o -24 kph, 3 Cog. PA/L_ A/EMA / • . • • • • • • • . • • •••• • • . • • • .... • • .••• • • • • •••• • •••• • • •••• •••• • ••• • • • • • • •• •• •• • • • • •••• • • • • • • • • • •• • • • • • • • • • CONTRACTOR Name Li/ IL1IAP'Y, SEA 1.3j (( I Name Y v\ tc_ `� L \� Home Telephone License No. C x) 1 t c 9 �� I Fax CPS? Fre•2 -..5. Address ( lv (3 C) 0A C-L 33(SO Telephone. ..1 S0_ ,DOCO Fax 30S_ -. 't-(_ (333 Qualifier Name v tr,, 3 . `. Jo PROPERTY OWNER Name Li/ IL1IAP'Y, SEA 1.3j Address 43 --- roo Home Telephone Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other Step 1. 9 - o,3 Job Address: ' . rte. lull►:; � j` ''�� L� Jt _ INSTRUC'T'IONS - The following steps must be taken to obtain a permit from the Miami Shores Village: PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other •.•••. •. • • . . . •...... Address Apt. • •••. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax • • • • • ••. • • • .•. •• :Master Permit No >� • • • . ••• • • • • • • lubsidiary Permit No. • • . .. • . . PERMIT APPLICATION Complete the attached permit application wrhir must ba ci the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more;ac4urite arooe4il of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit apli1itatiot1. • • • • • • • • • Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION 9 (0 &3 E (oo 7- 61,AZ SIA_crr f 33 State Zip Folio Number Description of Work c' C. /G6 7 , 4 Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property c oc.A. Q... 11 r rx . Square Feet 25 co Units Floors Proposed Use of Property Value of Work 2.000. Co Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. City ENGINEER Name License No. N l� Address Telephone Fax Page 2 ... • • • ... • • • • • • ••• • • • • • • • • • ••• • • • • ••• • • • • PERMIT APPLICATION IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEW, ➢IEA'} �NpSAItiI�i�R� Ch,MIT1oN free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE l;IIOM IIIXtT IMR1r: . • 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUPAUEN,I,GRV14i16,PS,:1I) %V NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. 1. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware 'that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, P' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNT MIAMI -DADE Q Signature of Owner W (L Lt •t .+1 C. S Print Name Sworn to and subscribed before me this day of 2O:75? ature o SEAL: • - C. ., O �P(>Y P U 6l . ' N 1"4. ` 1COLE A BERGERT / * COMMISSION NUMBER ' DCO33052 9 '-' QP MY ISSIONEXPIRES OFfV JULY 2,2005 Personally known OR, Produced Identification Type of Identification Produced: TE OF FLORIDA, r OUNTY OF IAMI -DADE Signature of Contractor / Qualifier Print Name U Sworn to and subscribed before me this - 7 day of - 1 SEAL: Personally known OR, Produced Identification Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dr9& • • • • • • • • QTY. • • TYPE Outlet, Appliance QTY. TYPE Service Repair QTV. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps ,_ A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain. QTY. TYPE Generator Q'I'V. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # -• Fireplaces, Number of . Pressure Vessel Pump and Abandon PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TY Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas = Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet x ,_ Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor , Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Pale 3 ... • • • • • • ••• .• •• • • • •• •• • • • •• • • • • • • • • ••• • • • • • • • • ••• • •.• • • • •• • • • • • • • • • • • • PERMIT APPLICATION . . . • • • .• INSTRUCTIONS: Please indicate tae type oi:work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) (Attach) • • ••• • • • • (.Attach) • PERMIT FEES $3.00 per page (Scanning Fee) $ Miami Shores Village Bond •.• • • • • • ••• • • • ••• • • •• .• • • • • • • • • • • • • Metropolitan Dade County (C.C.F.) $ / , 2. 0 ( sq.ft. = x/1000 x ¢.60) Inspector State Educational Fund $ (¢.005 / sq.ft.) State DCA (Radon) $ (0.01 /sq.ft.) Code Enforcement Fine $ Zoning Review $ Notary $ REVIEWED AND PREPARED B, SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE • •. • • •• • • • • • • • • • • • ••. • • • • • • PERMIT APPLICATION` ❑ CONDO ASSOCIATION APPROVAL ❑ HRS / DERM API ROVAI; • : : W bit :APPROVAL (Restaurants) •. ... . . • • • •• (Septic / Sewer) • • ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ DATE: /0�7 ©3 CONDITION OF A PPROVA 1. Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com MIAMI SHORES VILLAGE' ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No.... (� Date Application is hereby made for the approval of the detailed statement of the p ans and specifications herewith submitted for the building or other structure herein described This application is made in complia lee 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 th•t 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 . rogress of wor �" Owner's Name and Address. ,1� .�.!. -/%f76/ J/ C' No... >/o.. Ale .,..street../00 S Registered Architect and /or Engineer Employing Electricians ame. S# T/? n, .RR DI' /N(- No / S. Strees /t/e:. `Q.' {)-d Location and Legal Descriptioi Lot Block ..- ....... Subdivision Street and Number where work is to be performed —No . 4Z I- / 3f 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 Underground Amps Main 'uses . Amps Type of Installation— Conduit. . ....... ...T Ibing.. B.X L...... Metal Moulding Amount of Permit $ Electri :-al Inspector. The and rs'gned applicant for this building permit does hereby certify that he understands and accepts his ..1 ations as an employer of labo und• r the Florida Workmen's Compensation Act being Section 5966, Compiled General Laws of Florid: ermanent Supplement, and has .omplit.d with the provisions thereof, and will require similar compliance from all contractors or sub -con'. ctors employed by him in the work to be performed under this permit; and will post o:: cause to be posted for inspection on the site of the wo k suca public notice or notices as are required b1 the Act. The undersigned agrees to ..iploy only such sub contractors, on work to be pafon -Led under this permit, as are licensed by Miami Shores Village STATE OF FLORIDA, } COUNTY OF DADE. ss. (Signed).. . (Signed).... Master El e rician. 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 construLtion, and he h.:– 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 LIGH•: OUTLU "S PLUG REC'"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. S% . DIST. CAB. SERV.CE T:MP. SERVICE PE RM MOTORS O•I HP MOTORS 1•3 HP NEON TRANS. RADIO TOTAL CONT .. _�"Yy / /�'�']CJ_ CHE K MIAMI SHORES VILLAGE' ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No.... (� Date Application is hereby made for the approval of the detailed statement of the p ans and specifications herewith submitted for the building or other structure herein described This application is made in complia lee 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 th•t 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 . rogress of wor �" Owner's Name and Address. ,1� .�.!. -/%f76/ J/ C' No... >/o.. Ale .,..street../00 S Registered Architect and /or Engineer Employing Electricians ame. S# T/? n, .RR DI' /N(- No / S. Strees /t/e:. `Q.' {)-d Location and Legal Descriptioi Lot Block ..- ....... Subdivision Street and Number where work is to be performed —No . 4Z I- / 3f 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 Underground Amps Main 'uses . Amps Type of Installation— Conduit. . ....... ...T Ibing.. B.X L...... Metal Moulding Amount of Permit $ Electri :-al Inspector. The and rs'gned applicant for this building permit does hereby certify that he understands and accepts his ..1 ations as an employer of labo und• r the Florida Workmen's Compensation Act being Section 5966, Compiled General Laws of Florid: ermanent Supplement, and has .omplit.d with the provisions thereof, and will require similar compliance from all contractors or sub -con'. ctors employed by him in the work to be performed under this permit; and will post o:: cause to be posted for inspection on the site of the wo k suca public notice or notices as are required b1 the Act. The undersigned agrees to ..iploy only such sub contractors, on work to be pafon -Led under this permit, as are licensed by Miami Shores Village STATE OF FLORIDA, } COUNTY OF DADE. ss. (Signed).. . (Signed).... Master El e rician. 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 construLtion, and he h.:– 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. BUILDING ❑ PLUMBING ELECTRICAL ° PERMIT zv° 9871 ROOFING ❑ Owner of / { ., Building 0 Architect C Contractor or Builder `+ pt .A Legal Lox Description Address of t. /6, Building 4 1 CONTRACTOR or BUILDE MIAMI SHORES VILLAGE, FLORIDA � Work to be performed under this Permit Bl j l.)* ' 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. Date— 19 Contractor's EN License No. Subdi- vision Sq. Ft. '""S tq a=4 Value of 11 Amount of --- Project $ 11 Permit $ ` Signed • ' .. l ` " ---.' (INSPECTOR) BY In consideration of the issuance to me of this permit I are 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. /441., BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot 1 This perniit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of -the 'ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawing or in the statements or specifications and -th assumes respon- sibility for work done by his agents, servants or employees. In cons }derationi£_tbe issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining eto an in strict conformity with the plans, drawings, s tements or specifications submitted to the proper authorities of Miami Shores Village. In ace th4uermit I as u' me responsibility for all work done b Aber' myself my age t, servant or employee. i ,)-- 1 ,it ' is , ; $., BY" CONTRA OR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 6772 Work to be performed under Bl. is Permit 1 • � i `.= f Signed- / r Byz INSPECTOR 1 Subdi- vision Value of Project DATE • _ ! r Contractor's License No. 194, Amt. of Permit AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor'., or Builder Legal Description Building eration of the is eto an. n s i' c per it I me e' • In cons pertaining th In CON R OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N? 6772 Work yd be i formed under jis Permit ‘Y4,08'31& lifi ' (io Bl. Address of / � / Value of Amt. of Project 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 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 change without authorization. A further conditi.n u on which this permit is granted is the understanding that the contractor or builder named ab as tlnTes th r ponsibility fora thorough knowledge � ' rdinances and . regulations pertaining to the work covered hereby whether shown on the plans or awing or the statemenrs6'specifications an. Peel, assumes respon- sibility for work done by his agents, servants or employees. nce to me of this permit I agree to perf rmity with the plans, drawings, st respoiisibility for all work done b r Subdi- vision traitor's( icense 1 By INSPECTOR the work covered hereunder in compliance witlfrAl ordinances1mX rt?u §tiong ments or specifications submitted to the proper authorities of Miami Shores Village. m self, ' y agen , servant or employee. AUTHORITY 4P FOR ELECTRICAL PERMIT f Permit No._ _ _ --- Date IGi' f '- - / ' «(,) 1 . �'�' � o Application is here m de for the approval of the detailed statement of the plans and specifications herewith submitte2ldfor the building or other structure herein described. This application is made in compliance and conformity with the Building Ordindnce 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 Employing Electrician's Name ___ _ No a— Street _ Location and Legal Description Lot_ ______ _______— ____________________B1ock Subdivision T � _ —� Street and Number where work is to be performed —No ?. JY _L _ - . _ _______ Street____IQ —__ _______________ State work to be performed and purpose of building (By Floors) New Building Remodeling___________ Addition STATE OF FLORIDA, COUNTY OF DADE. ss' Amount of Permit $_ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No �LS Repairs No. of Stories_______ Service Underground Size Feeders___ ___ Conduit__,- Main Sw._ ti Amps Main Fuses__,LJ__,) Amps. Type of Installation— Conduit_ Tubing _______ B.X.L. Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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 work to be performed under this permit, as are licensed by Miami Shores Village. Street Notary Public. State of Florida Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well kitown, 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 HEATER / W. HEAT. CONN. SPACE HEATER / STRIP HEATER TOTAL CONTR. / 7 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST /D / /t o CHECK 4P FOR ELECTRICAL PERMIT f Permit No._ _ _ --- Date IGi' f '- - / ' «(,) 1 . �'�' � o Application is here m de for the approval of the detailed statement of the plans and specifications herewith submitte2ldfor the building or other structure herein described. This application is made in compliance and conformity with the Building Ordindnce 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 Employing Electrician's Name ___ _ No a— Street _ Location and Legal Description Lot_ ______ _______— ____________________B1ock Subdivision T � _ —� Street and Number where work is to be performed —No ?. JY _L _ - . _ _______ Street____IQ —__ _______________ State work to be performed and purpose of building (By Floors) New Building Remodeling___________ Addition STATE OF FLORIDA, COUNTY OF DADE. ss' Amount of Permit $_ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No �LS Repairs No. of Stories_______ Service Underground Size Feeders___ ___ Conduit__,- Main Sw._ ti Amps Main Fuses__,LJ__,) Amps. Type of Installation— Conduit_ Tubing _______ B.X.L. Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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 work to be performed under this permit, as are licensed by Miami Shores Village. Street Notary Public. State of Florida Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well kitown, 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.