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70 NE 100 St (10)Date 9 -/.S • Q/ Job Address 7o — /J ' l D Q 5T Legal Description Owner/Lessee / Tenant f A7 (7A D l// e Owner's Address 7 0 A) _ l G /) S Contracting Co. /3 71 (7 A c A C. F (- 4 i Qualifier rf AA,CA3 Address 3 7 „) S 5 ci d f r, / ss# ? ? OS- 6 c� 7 State # 00/ 9 28 / Municipal # � ) _, /Q „y Compete g �0v1�? y9 Ins. r C o. g a � ,¢ a S� Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDIN ELECTRICAL LUMBING MECHANICAL ROOFING ` PAVING FENCE SIGN WORK DESCRIPTION R ,� P/A ('. E..-)// ( /t/ ee, // 6�-A ' ,P'9 �., r (,)c As-1P. hA „v F?41-,44,C P'9tiZ Square Ft. Estimated Cost (value) , WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construe and zoning. Furthermore, I authorize the above -named contractor to do the work stated. V Signature 0 No My Co (L owner and/or Cond. President loo - v C8 6 -? e3�an or o Pr APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 5;3 O Date a Nvim NINI! /AwM ! !lmm. , �S,v r T. J. O•mslley 'a Notary Public, State of Florida iCommission No. CC 647017 otno Commission Exp. 06/29/2001 ; 4 I.a004.NI0RAtaY• 11.. *my Swim do9oadi*{Co. ; •ffiM »VAVI »x»717 FEES: PE' i ?O. a✓ RADON C.C.F. .+ 60 Tax Folio 1 / 4- 0 / � Historically Designated: Yes No Master Permit # Phone ( £ g nature of Contraetor or Owner- Builder Notafy as to ontractor or • er- uilder Date My Commiss rY apialottt MIiW»»»r»>t»»»»!!! T. J. O'Malley Notary Public, State of Florida I Commission No. CC 647017 or Ito My Commlasion Exp. 06/29/2001 ' I4OO 3'. d0TARY . Fla. Now; Sen ipr R Bending Ca NOTARY ^ ( ^ BOND TOTAL DUE Building Electric0Y7 - . / Date O.46' 45/ Plumbing Structural Engineer ITEM :. BATH TUB UNIT FEE , ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER . RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AAPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/MUTER CHANGE A00 REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS - SIGN TRANSFORMERS . UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER _ _ SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELO, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING _ LAWN SPRINKLER SYSTEM GAS RANGE 4ETER SET (GAS) 3AS PIPING • ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Permit No Date 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. lA , Owner's Name and Address 14i & L.AC G; No 76 Registered Architect and /or Engineer Employing Electrician's Name /6 L //v L Z 1/G Location and Legal Description Lot 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 MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT - 7v NeNo.._. ./Y s Street Service Over_ Size Feeders Conduit Main Sw Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 6 o (Signed) The undersigned applicant for this building permit does hereby certify that h understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site N as are required by the Act. The undersigned agrees to employ only such sub - contractors, - .vtork to licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. 15g' My Commission Expires (Signed) Street Street Block Subdivision Ai / OD Repairs No. of Stories Main Fuses Amps Ele rical Inspector. ccepts his obligatio as an employer of of Florida Perman nt Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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. Notary Public, State of Florida /Siva& Master Electrician. NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUO RECE'P•T'S FIXTURES No. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. Sw. CAB. CAD. SERVICE TEMP. SERVICE PERM. 4 � J �� �/ MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST /' Lir Z7 _ / / __ L`CUJ CHECK Permit No Date 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. lA , Owner's Name and Address 14i & L.AC G; No 76 Registered Architect and /or Engineer Employing Electrician's Name /6 L //v L Z 1/G Location and Legal Description Lot 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 MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT - 7v NeNo.._. ./Y s Street Service Over_ Size Feeders Conduit Main Sw Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 6 o (Signed) The undersigned applicant for this building permit does hereby certify that h understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site N as are required by the Act. The undersigned agrees to employ only such sub - contractors, - .vtork to licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. 15g' My Commission Expires (Signed) Street Street Block Subdivision Ai / OD Repairs No. of Stories Main Fuses Amps Ele rical Inspector. ccepts his obligatio as an employer of of Florida Perman nt Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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. Notary Public, State of Florida /Siva& Master Electrician. NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 3/ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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 Registered Architect and /or Engineer Employing Electrician's NamLe > State work to be performed and purpose of building (By Floors) New Building Remodeling 55. Rai es or No.! D /V5 /00 N0.11$19.&i7 / gam 1.� Date Cg Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street rr a'?& / 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 $ i/..■-• . ,p.. (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, off+ • rk to be performed uncle is permit, as are licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE: I j 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 0 , ///111 ',� , 6 a ' 7 ' CONTR. LIST 7 .may / 7 CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.8 HP N EON TRANS. RADIO TOTAL 1 CONTR. LIST ' / a® CHECK A / Q� 3/ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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 Registered Architect and /or Engineer Employing Electrician's NamLe > State work to be performed and purpose of building (By Floors) New Building Remodeling 55. Rai es or No.! D /V5 /00 N0.11$19.&i7 / gam 1.� Date Cg Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street rr a'?& / 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 $ i/..■-• . ,p.. (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, off+ • rk to be performed uncle is permit, as are licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE: I j 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 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. . Owner's Name and Address No 0 Registered Architect and /or Enginee Employing Electrician's Name Street Subdivision Street and Number where work is to be performed —No '7 o Street f%'L) Location and Legal Description Lot 1 State work to be performed and purpose of building (By Floors) Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT s s. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Block New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing ' B.X.L > Metal 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 complied with the provisions thereof, and will require similar com pliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) No� ( 0 1 J7j Date A Street 4Ll /06 7i" 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 REPRICE OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. • MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK 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 No 0 Registered Architect and /or Enginee Employing Electrician's Name Street Subdivision Street and Number where work is to be performed —No '7 o Street f%'L) Location and Legal Description Lot 1 State work to be performed and purpose of building (By Floors) Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT s s. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Block New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing ' B.X.L > Metal 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 complied with the provisions thereof, and will require similar com pliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) No� ( 0 1 J7j Date A Street 4Ll /06 7i" 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. BUILDING ELECTRICAL PLUMBING ❑ ROOFING Owner of Building Architect Oontractor or Builder Legal Description. Address of Building Lot CONTRACTOR OR BUILDER ay � MIAMI SHORES VILLAGE, FLORIDA n PERMIT IT? 13828 ❑ Work to be performed under this Permit BI. Subdi- vision Value of Project $ DATE -- 195 Contractor's License No 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. ,._.._ Sign . .T �. BY IN8PE'rOR Amt. of Permit $ - �... In consideration of the issuance to me of this permit I agree to 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 Owner of Building Architect Contractor BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3136 Work to be performed under this Permit CONTRACT R BUILDER f c DATE Contractor's License No or Builder Legal Lot Bl. SSubdi- Description vision _ 3 -1"--.3 f � Address of,' r r Fj 7 Value of Amt. of Building / ' < Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipments device described 'fi't - the- - application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wilfbe 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 r < 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 regula- tions 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. AUTHO RITY • building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Service Overhead -2 Size Feeders Conduit. Underground Type of Installation— Conduit Amount of Permit $_____ APPLICATION FOR ELECTRICAL PERMIT s, �/� ( � Permit No.____- ____-_______________ Date 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. whe�ier herei .spec' d or not. A copy of approved plans and specifications must be kept at _ Street E mploying Electrician's Name _;!„G_ _ No . Street __— _______________-- ___________ Location and Legal Description Lot________ ___ Block __ _____ Subdivision___ - -____ -- -- ---- - ----- — - - - - - -- Street and Number where work is to be performed —No •;.•� Street___,_ _ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. ____ Repairs No. of Stories Tubing_________ B.X.L._ _____Metal Moulding The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, k COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) (Signed) _ to administer oaths Notary Public. State of Florida Main Sw.______ _ Amps. Main Fuses — Amps. Electri Inspector. rtify that h ' nderstands and accepts his obligations as an employer of labor Compiled eneral Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are Master Electrican. Before me, the undersigned authority, a notary public, duly authorized 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST k I� CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK • building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Service Overhead -2 Size Feeders Conduit. Underground Type of Installation— Conduit Amount of Permit $_____ APPLICATION FOR ELECTRICAL PERMIT s, �/� ( � Permit No.____- ____-_______________ Date 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. whe�ier herei .spec' d or not. A copy of approved plans and specifications must be kept at _ Street E mploying Electrician's Name _;!„G_ _ No . Street __— _______________-- ___________ Location and Legal Description Lot________ ___ Block __ _____ Subdivision___ - -____ -- -- ---- - ----- — - - - - - -- Street and Number where work is to be performed —No •;.•� Street___,_ _ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. ____ Repairs No. of Stories Tubing_________ B.X.L._ _____Metal Moulding The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, k COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) (Signed) _ to administer oaths Notary Public. State of Florida Main Sw.______ _ Amps. Main Fuses — Amps. Electri Inspector. rtify that h ' nderstands and accepts his obligations as an employer of labor Compiled eneral Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are Master Electrican. Before me, the undersigned authority, a notary public, duly authorized 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. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR / ELECTRICAL PERMIT Permit No.(_ Date' _ 412. _ 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, whe ter specified or not. A copy of approved plans and specifications must be kept at p I � Street building during progress of work. Service Overhead Size Feeders Conduit.____ —__ Main Sw. Underground Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE - -- — — Block -. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot__ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No _______ – -- -- -- – Street_______ - - - - -- -- – – -- -- Subdivision__ a Street- - -��__ No. of Stories Amps. Main Fuses_ Type of Installation— Conduit Tubing — B.X.L. Metal Moulding L'> _____� 4 7 4– (Signed) it . _� The undersigned applicant for this building permit does hereby certify that hnderstands 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 licensed by Miami Shores Village. (Signed) 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 Electrical Inspector. Amps. are Master Electrican. 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. $PACE HEATER STRIP HEATER TOTAL CONTRI LIST Y V CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. . MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR / ELECTRICAL PERMIT Permit No.(_ Date' _ 412. _ 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, whe ter specified or not. A copy of approved plans and specifications must be kept at p I � Street building during progress of work. Service Overhead Size Feeders Conduit.____ —__ Main Sw. Underground Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE - -- — — Block -. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot__ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No _______ – -- -- -- – Street_______ - - - - -- -- – – -- -- Subdivision__ a Street- - -��__ No. of Stories Amps. Main Fuses_ Type of Installation— Conduit Tubing — B.X.L. Metal Moulding L'> _____� 4 7 4– (Signed) it . _� The undersigned applicant for this building permit does hereby certify that hnderstands 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 licensed by Miami Shores Village. (Signed) 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 Electrical Inspector. Amps. are Master Electrican. 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.____ ` __ Z 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 _.i Employing Electrician's Name �ti�; +�> �' e '"? Location and Legal Description Lot _________ __ __Block L _____— _____________ Subdivision____ k _ t Y y Street and Number where work is to be per ormed —No A � _� 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. Underground Type of Installation — Conduit Tubing B.X.L.____.__________Metal Moulding Amount • of Permit $ -\ STATE OF FLORIDA, COUNTY OF DADE. ss' A PLICATION FOR ELECTRICAL PERMIT Date J ' My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT r'! No. Main Sw. �J. (Signed) Electrical Inspector. Y The undersigned applicant for this building permit does hereby certify that 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. (Signed t Amps. Main Fuses __ Amps. Notary Public. State of Florida r " -4- - n wy'/ 9 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 R I " FIXTURES NO.LAMPS / _ REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST o i Y CHECK ENT. SW. DIST. CA8. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP N EON TRANS. RADIO TOTAL. CONTR. LIST CHECK Permit No.____ ` __ Z 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 _.i Employing Electrician's Name �ti�; +�> �' e '"? Location and Legal Description Lot _________ __ __Block L _____— _____________ Subdivision____ k _ t Y y Street and Number where work is to be per ormed —No A � _� 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. Underground Type of Installation — Conduit Tubing B.X.L.____.__________Metal Moulding Amount • of Permit $ -\ STATE OF FLORIDA, COUNTY OF DADE. ss' A PLICATION FOR ELECTRICAL PERMIT Date J ' My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT r'! No. Main Sw. �J. (Signed) Electrical Inspector. Y The undersigned applicant for this building permit does hereby certify that 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. (Signed t Amps. Main Fuses __ Amps. Notary Public. State of Florida r " -4- - n wy'/ 9 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. • ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No._____ _ - =! _ Date ` 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 -a.r Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot f !_ __ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition —_ Repairs —__ No. of Stories Amount of Permit $ _____ ss. MIAMI SHORES VILLAGE No._ Street '.i 1 . • Street � �� �G-�`- w'----------- - -- - -- Service Overhead Size Feeders Conduit_ Main Sw. Amps. Main Fuses Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding (Signed) +' `I t - " 77 nCd The undersigned applicant for this building permit does hereby certify that be understands and accepts his obligations as an employer of 1aor . 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. 1 °' \ (Signed) Master Electrican. My Commission Expires Notary Public. State of Florida Electrical Inspector, Amps. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul materials and /or workmanship. 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, that be has carefully read the foregoing application. and that he did sign the same, and that all facts therein by him stated are true. 7 SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST L.,„, r� .,•''''* CHECK • ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No._____ _ - =! _ Date ` 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 -a.r Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot f !_ __ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition —_ Repairs —__ No. of Stories Amount of Permit $ _____ ss. MIAMI SHORES VILLAGE No._ Street '.i 1 . • Street � �� �G-�`- w'----------- - -- - -- Service Overhead Size Feeders Conduit_ Main Sw. Amps. Main Fuses Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding (Signed) +' `I t - " 77 nCd The undersigned applicant for this building permit does hereby certify that be understands and accepts his obligations as an employer of 1aor . 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. 1 °' \ (Signed) Master Electrican. My Commission Expires Notary Public. State of Florida Electrical Inspector, Amps. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul materials and /or workmanship. 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, that be has carefully read the foregoing application. and that he did sign the same, and that all facts therein by him stated are true. 7 JOB: BUILDING ELECTRICAL PLUMBING • • • • x • • • • Inspector's Report : - • • • • WORK PONE BY: :REQUESTED • • • • • The following is ready for Inspection: - 7d 7/ • • • WILL BE READY tte7— • J'OB: ELECTRICAL : WORK • DONE BY PLUMBING BUILDING ADD;,, 7,6 The Following is ready for inspactOn:- • Inspector's Report: - REQUESTED W.7:LL BE READY ktb: 2 0 0 0 / - _ _ JOB: 4 257;_if BUILDING ELECTRICAL ; PLUMBING • Inspector's Report : • • WORK • • DONE BY: // :REQUESTED • WILL BE READY The following is ready for Inspection: - AD: //- • `() MIAMI SHORES VILLAGE PERMIT No.. Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at by Address for owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Range watts. Water Heater watts Power: Connected Load H P. Space Heaters watts Other Apparatus ELECTRICAL INSPECTOR! MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at by Address for owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for : Size of Service Number of Lighting Circuits Range watts. Water Heater watts Power: Connected load H P. Space Heaters watts Other Apparatus PERMIT No...- ELECTRICAL INSPECTOR. Permit No. —__ _ _L I Amount of Permit $''\„ ° j MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 _I____��____�__ Employing Electrician's Name % r .. No Street__ ___ _______________________________ Location and Legal Description Lot _— ___Block_— _____— _______ k\L Street t np ss. 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 My Commission Expires (Signed) Date h 1 No — _ - -__— Street 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 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that 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. (Signed) _ . = , .� Jet 4 Master Electrican. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that 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 RECE'P'T'S FIXTURES NO.LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST . y � 1 ' n I A / 9 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. —__ _ _L I Amount of Permit $''\„ ° j MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 _I____��____�__ Employing Electrician's Name % r .. No Street__ ___ _______________________________ Location and Legal Description Lot _— ___Block_— _____— _______ k\L Street t np ss. 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 My Commission Expires (Signed) Date h 1 No — _ - -__— Street 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 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that 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. (Signed) _ . = , .� Jet 4 Master Electrican. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that 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. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No.____ 1 �CJ Date — ' 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 wor Owner's Name and Address _� `-d? No._ _ —__ — _ Street_ Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot `I Street and Number where work is to be performed —No Amount of Permit $ ss. 1 No _ _ Block_ _____ _____________________ _ Subdivision-_ — ) O State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs Service Overhead Size Feeders Conduit._ Main Sw.__ - Amps. Main Fuses____ Amps. Underground Type of Installation— Conduit Tubing _____ B.X.L. — ____.Metal Moulding _— _____-- ____________— __________ —_____ — (Signed) (Signed) _____ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that be 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. No. of Stories_______ Master Electrican. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is of the above described construction, that be 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. O UTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL CONTR. LIST . CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE MOTORS 04 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. L IST -."' CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No.____ 1 �CJ Date — ' 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 wor Owner's Name and Address _� `-d? No._ _ —__ — _ Street_ Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot `I Street and Number where work is to be performed —No Amount of Permit $ ss. 1 No _ _ Block_ _____ _____________________ _ Subdivision-_ — ) O State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs Service Overhead Size Feeders Conduit._ Main Sw.__ - Amps. Main Fuses____ Amps. Underground Type of Installation— Conduit Tubing _____ B.X.L. — ____.Metal Moulding _— _____-- ____________— __________ —_____ — (Signed) (Signed) _____ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that be 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. No. of Stories_______ Master Electrican. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is of the above described construction, that be 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. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Lot Address of .' Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 2568 Work to be performed under this Permit / II BI. Subdi- vision Value of Project DATE 194 r Contractor's r' License No. 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. Si ned• . g 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 regula- tions 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. Af IIY ''AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER 1 MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 4304 Work to be performed under this Permii . 4 J BL Subdi- vision Value of Project DATE Contractor's License No Arnt. 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 a pli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance wi any plans, drawings, statements or specifications that may have been submitted to and ,approved by the proper municipal authorities. This Permit may be r oked 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 w ch this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordin ces and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and tlt he assum respon- sibility for work done by his agents, servants or employees. Signed 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 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 9 y",gither myself, my agent, servant or employee. .Y 1 of BY AUTHORITY 194i_ BUILDING ELECTRICAL PLUMBING Owner of Building Architect MIAMI SHORES VILLAGE, FLORIDA DATE 194_ PERMIT ■9 2674 F r Work to be performed under this Permit f" r ontractor Dr Builder Legal g Lot ,� Bl. Description Address of / Building 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 crawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed ,�' 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 regula- tions 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. Subdi- vision Value of Project Contractor's License No. Amt. of Permit CONTRACTOR OR BUILDER BY AUTHORITY