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810 NE 100 St (13)Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • 305-795-2204 t/ t%v� Job Address 71 ! v � C• /DDL5 / Tax Folio Legal Description _ e Historically Designated: Yes No Owner /Lessee/Tenet �"ZL�t/ Master Permit ' �`� /� /s Owner's Address 70 I ✓ ' E. )0400 Phone 75 �r C Contracting CO7V i 4 C C c Address 1q3e0 ' V E- 1 4 st e Qualifier 4 Ui 1ci ► 1 SS # ) Phone 36.5 — 9 4 57 State # C.- 9 Q)O g Municipal # Competency # Ins. Co. - V) C IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING WORK DESCRIPTION: Square Ft. Estimated Cost (value) /2(1, WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contracts • do the work stated. 9 ,(Ij :t_ 4) a. Signature of owner 41 d/dr Condo President Date AI L. s Li ks- Lk,- 4 ‘, Fci q - / ....." ,!� / . �r a s to 1 wn an • , Condo • sident y Commission Exptres ", i '. • a. ''I ,k: ' FEES: PERMIT 3 ii7 1 ) 1P c RADON C.C.F APPROVED: Zoning Mechanical kV Building Electrical Plumbing AL PLUMBING MECHANICAL ROOFING ( t tary as to ontracto or Owner : uilder My Commission Expires o � FS V p(1© A. c to q2 1 )1 • C coa:• C.f NOTARY BOND TOTAL DUE U/ Gi /() D Structural Engineer Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4 /8/2002 Applicant: CARMEN ETA Owner: JOB ADDRESS: 270 NE 100 Contractor P & M ELECTRIC INC Local Phone: Parcel # 1132060134450 t A 4 io, oo 00 cL b Total Fees: $046- $0.00 Total Receipts: Permit Status: Approved Permit Expiration: 10/5/2002 Work: METER CAN (DAMAGED) W /NEW 200 AMP METER/MAIN I fl ORDER TF E t)fl 714 ( o P & M ELECTRIC, INC. 1936 N.E. 148TH STREET NORTH MIAMI, FL 33181 -1137 MEMO Electrical Permit Permit Number: EL2002 -120 CARMEN ST Contractor's Address: 1936 NE 148 ST Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 3 & 4 Construction Value: $1,200.00 Bank of America ACH R/T 063100277 Ir00 ?L ?311' 1 :0 6 30000 4 71: 00 LS S2920 .VediC491,4,,k, -BLK 33 LOT SIZE 7173 DOLLARS with all ordinances d approved by the urther condition upon irtalning to the work conformity with the nyself, my agent, UNIT TL8 FEE ITEM UNIT SWITCH OUTLETS FEE ITEM . - SPACE HEATERS'. UNIT FEE LIWT OUTLETS CENTRAL HEATING 'ASeFR RECEPTACLES A/C (WINO) SAL SERVICE TEMPORARY A/C (CENTRAL) :ING FOUNTAIN SERVICE SIZE IN AbPS (MT WORK i ['RAIN SERVICE RE?AIR/1ETER MANa REFRIGERATION ;E TRAP APPLIAME OUTLETS PROCESS AND PRESS PIPIM :.CEPTCR RANGE TCP UrDERGROIfiO TANKS (CRY OVEN ABOVE MUM TANKS NY TRAY WATER NEATER U.F. PRESSLRE VESSELS 1 •ZS WASI€R MOTORS 0- 1 FP STEAM BOILERS • _R - M]TCRS OVER 1- 3 FP H3T WATER BOILERS . POT/3 C04 M]TCRS OVER 3- -5 FP MECHANICAL VENTILATION - RESIDENCE MOTORS OVER 5- 8 FP TRANEPCRT I Ftu ASSE}BL I ES SLCP )XNTCRS OVER 8- 10 HP ELEVATORS/ESCALATCRS ' CRARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS AL M]TCRS OVER 25-100 FP C00LIHG TOWERS . R CLOSET MOTORS OVER 100 FP VIOLATION RECT WASTES A/C WINDOW REItS?ECTION :R SLFPLY TO: AIR CONOITIOHERS iC UNIT STRIP NEATER IRE SPRINKLER GEKERATCRS TRARSFCRASS :ATER -NEW I1ST. GENERATORS TR:2SFCR.VrRS EATER- REPLACE GE'+ERATCRS TRANSFORMERS 1 — l *IN SPRINKLER -hal. SPECIAL FLRPOSE ilVMING POOL CUTLETS CCkI.ERCIAL ATER SERVICE - SIGN TUBES :R CONNECTIONS SIGN TIU,'SFGi4ERS _ITY- SE'NER SIGN TIME CLOCX _ITY -WATER FIXTLRES TIC TANG( ANTENNA AY TELEVISION CUTLETS INFIELD, 4' TILE/RES. VIOLATION ? & ABANDON SEPTIC TANGS REINSPECTION KALE PIT CU. FT. CH BASIN CHARGE WELL ZSTIC WELL ACRAIN F DIET AR 1(ATER NEATER - iE STANDPIPE :L PIPIM IN SPRINKLER SYSTEM ; RANGE :ER SET (GAS) ; PIPING AP7LICATION FOR BUILDING PERMIT MUST ACCOMPANT THIS ADDENDUM. IF A MASTER P RHIT HAS 3. AIMED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL DRIF' LOOP irk DE 30' .AFT.; CAIN) (.L.111P \ 200A M E T E R 2' ABOVE ROOF 1 • • • � •••• L"' 7o(n(rc; minima e' PLM11C " C I str -111116 Fl1ITT11ED (RAI)E • .i 1 - MAIN CD PANEL PVC SL.E3: U•0 H11 11E1'711 \\I Tt:Nt 1(t!7• CLAM' J ( .�/ w.o M►c p-81 a✓ _ r If ratin4ln Rut auUu SUB CB • PANES. PER S.F.II.C, • .CONTRA] 1 2 ` „ � _ k1JL1� UI\ Conductor 51:xe o • Conduit stz C Conduit type. Th -u [irokincl wtrc taZe_ RAIN. DI S YI]NNECT R atm° , 0 Ar1ps Mums Amps Sub 13repl(e • Amps SUB -FEEDER New '__ T yp o s>zcs Bond :s'LZe PANE ) 5 ''`� Rntincg 4 O Bond Buss 'i es Isla _rrie:e'-Cc 0 S 1 GNA OF CONTR 4505 L ocv - t>o n,! - - NO 11:-Etti.F.1_ e_aa2bos NOTAny Date / // / Legal Description k F� �6 9 Owner's Address Lessee / Tenant l , 4/V ,'068 /A1 8W) ) G / OO ( Phone Contracting Co. MOOD C= C- 1 /U Address /VW 4 O5? Qualifier JOH/J J. 111 000_( SS4�� -�- Phone 8q//37 `. State # ECoOOIIQ9 Municipal # Competency # Ins.Co. / / ie/ Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDI PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION SEED/ e-6 Liy° ,gA 2 L I c f ?s / / SW/ TUf / / adetorACC Square Pt. Estimated Cost(value)4W90- 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 construction an zoning. Furthermore, I authorize th above -named contractor to do the work stated. Job Address 316 N /00 S ignature of owner and /or Condo President Date: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ** ' * * * * * * Notary as. Condo President • My Commxas gM:STATE OF FLORIDA MY COMMISSION EXP. JAN.31,1994 BONDED THRU GENERAL INS. UND. Tax Folio /1 .2o614 io>Q` r Master Permit CAW �� P ure of Contractor ,or igna Date' ems- Builder Notary as l o Contractor or' � er- Bu�ld>z ` My Comm31$bfiU6ifgli•OF FLORIDA ----: MY COMMISSIONN EXP. 3AN.31,1994 BONDED THRU GENERAL INS. UND. * ** FEES: PERMIT 0 RADON C.C.F. ) 4% NOTARY TOTAL DUE 43 U' bZ7 APPROVED: Fire Other Zoning Building ElectricaliV ( t7,J Mechanical Plumbing Engineering BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA coe PERMIT 6 218 contractors { License No. 0 Owner of Building + Y Architect Contractor Builder I yit: Legal Lot Description II Bl Address of Building r , >j ;t I DATE 4 . 19 46 Work to be performed under this Permit >l i Subdi- vision Value of Project $ r t Amount of vf 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 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 statementaor specifications and that he a ;times respon- sibility for work done by his agents, servants or employees. ,' Signed. In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance th all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autl} s of Miami Shores Village. In ae cepting this permit I assume responsibility for an work done by either, myself, my agent, servant or employee. to Le! I CONTRACTOR OR BUILDER BY INSPECTOR AUTHORITY AS SOT MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Z ` Datt) /t! 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 Employing Electrician's Name. STATE OF FLORIDA, 1 COUNTY OF DADE. I 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 L Service Overhead Size Feeders Conduit... Main Sw Amps Main Fuses Amps Underground P P Type of Installation — Conduit Tubing._.. B.X.L ........ ..... ._ .....Metal Moulding Amount of Permit $ (Signed) The undersigned applicant for this building permit does hereby certify that he 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 as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. SS. , My Commission Expires (Signed No Street S Notary Public, State of Florida Zj Master Dom El rical Inspector. ccepts his obligati n as an employer of of Florida Per (a • nt Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, ai:re 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. 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 OUTLE S PLUG RECC . FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST lsr J CHECK ENT. SW. DIET. CAB. SERVICE TCI: P. SERVICE PERM. / / / CD v N 9OTOR6 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Z ` Datt) /t! 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 Employing Electrician's Name. STATE OF FLORIDA, 1 COUNTY OF DADE. I 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 L Service Overhead Size Feeders Conduit... Main Sw Amps Main Fuses Amps Underground P P Type of Installation — Conduit Tubing._.. B.X.L ........ ..... ._ .....Metal Moulding Amount of Permit $ (Signed) The undersigned applicant for this building permit does hereby certify that he 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 as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. SS. , My Commission Expires (Signed No Street S Notary Public, State of Florida Zj Master Dom El rical Inspector. ccepts his obligati n as an employer of of Florida Per (a • nt Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, ai:re 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. NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description. Address of Building Lot Noe I MIAMI SHORES VILLAGE. ° PERMIT N9 8030 Bl. FLORIDA DATE /f- r7!. I 195 Contractor's License No r . r Work to be performed under this Permit Subdi- vision Sq. Ft Value of Project $ Amt. of Permit $ • This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specificatons' and that he assumes responsibility for work done by his agents, servants or employees. 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 by either, myself, my agent, servant or employee. f LE; CONTRACTOR OR BUILDER Signed BY AUTHORITY i 7 ?wner of 3uilding CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA lUILDING ❑ :LECTRICAL ° PERMIT o 'LUMBING ❑ N • 8161 GOOFING ❑ ❑ Work to be performed under this Permit 'zrchitect : ontractor Jr Builder •egal Lot BI. )escriptiorl ' ddress of . (". Subdi- vision Sa. Ft Value of Project $ DATE 3 Contractor's ; 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 ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, irawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is 'ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ',ranted 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 lone 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 ass a responsibility for ,all work done by either, myself, my agent, servant or employee. 13Y AUTHORITY Permit No 3, 1; Date ) Z I Application is herebyy 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 (fngin Employing Electrician's Name 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) r New Building Remodeling Addition Repairs No. of Stories Overhead l Service Underground Site Feeders P Conduit Main Sw IA" Amps *2 Main Fuses Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ APPLICATION FOR ELECTRICAL PERMIT STATE OF FLORIDA, } COUNTY OF DADE. s '' 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 or 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) No I a Street E 7 ( ' (Signed) � Notary Public, State of Florida El'ecttical Inspector. Master Electrician. NOTE: A rvinspection 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. ACE F. STRIP HEATER TOTAL `� sr 7.0 � � 3 g- J ! / l/ CHECK ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. Di 5 /IDg , ,t . G . 6 MOTORS ..o.r MOTORS 7 1.B HP NEON TRANS. RADIO TOTAL CONTR. LIST 9 /vV / / ." CHECK / Permit No 3, 1; Date ) Z I Application is herebyy 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 (fngin Employing Electrician's Name 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) r New Building Remodeling Addition Repairs No. of Stories Overhead l Service Underground Site Feeders P Conduit Main Sw IA" Amps *2 Main Fuses Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ APPLICATION FOR ELECTRICAL PERMIT STATE OF FLORIDA, } COUNTY OF DADE. s '' 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 or 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) No I a Street E 7 ( ' (Signed) � Notary Public, State of Florida El'ecttical Inspector. Master Electrician. NOTE: A rvinspection 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 'S-c) 3 b ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date I /- i.3 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 /o ngin r Employing Electrician's Name...' Location' and Legal Description Lot Street and Number where work is to be performed—No. Frio b_n Amount of Permit $ Z (Signed) STATE OF FLORIDA, } COUNTY OF DADE. 65. MIAMI SHORES VILLAGE Block (Signed) No Street No Street Street Subdivision State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground `s„ Type of Installation— Conduit Tubing B.X.L Metal Moulding - Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of/Florida Permanent Supplement, and has 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 REPRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST • CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK _ -__ _. ._ _ ._ Permit No 'S-c) 3 b ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date I /- i.3 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 /o ngin r Employing Electrician's Name...' Location' and Legal Description Lot Street and Number where work is to be performed—No. Frio b_n Amount of Permit $ Z (Signed) STATE OF FLORIDA, } COUNTY OF DADE. 65. MIAMI SHORES VILLAGE Block (Signed) No Street No Street Street Subdivision State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground `s„ Type of Installation— Conduit Tubing B.X.L Metal Moulding - Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of/Florida Permanent Supplement, and has 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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.