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400 NE 101 St (10)Inspection Date: 08/22/2006 Inspector: Devaney, Michael Owner: PAULSON, CARL Job Address: 400 101 Street NE Project: <NONE> Contractor: HEFFERNAN ELECTRIC INC Building Department Comments Monday, August 21, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 0 2 g PEC`D Block: 0 Inspection Number: INSP -18093 Permit Number. EL -5-06 -1369 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: New Phone Number (305)754 -9370 Parcel Number 1132060170480 Lot: Phone: 305 - 757 -8380 Page 1 of 2 Passed Inspector Comments Air, , _��� Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 08/22/2006 Inspector: Devaney, Michael Owner: PAULSON, CARL Job Address: 400 101 Street NE Project: <NONE> Contractor: HEFFERNAN ELECTRIC INC Building Department Comments Monday, August 21, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 0 2 g PEC`D Block: 0 Inspection Number: INSP -18093 Permit Number. EL -5-06 -1369 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: New Phone Number (305)754 -9370 Parcel Number 1132060170480 Lot: Phone: 305 - 757 -8380 Page 1 of 2 Inspection Number: INSP- 180810N 0 7 ENTD Permit Number. EL -5-06 -1369 Inspection Date: 06/06/2006 Inspector: Devaney, Michael Owner: PAULSON, CARL Job Address: 400 101 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HEFFERNAN ELECTRIC INC Building Department Comments Monday, June 5, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Electrical - Residential Inspection Type: W W Work Classification: New Phone Number (305)754 -9370 Parcel Number 1132060170480 Lot: Phone: 305 - 757 -8380 Page 1 of 2 Passed Inspector Comments , 6 J 6(fr 4 Q ‘' ni ---,., ), /i3O' G / Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP- 180810N 0 7 ENTD Permit Number. EL -5-06 -1369 Inspection Date: 06/06/2006 Inspector: Devaney, Michael Owner: PAULSON, CARL Job Address: 400 101 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HEFFERNAN ELECTRIC INC Building Department Comments Monday, June 5, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Electrical - Residential Inspection Type: W W Work Classification: New Phone Number (305)754 -9370 Parcel Number 1132060170480 Lot: Phone: 305 - 757 -8380 Page 1 of 2 4. 11 Pm BUILDING PERMIT APPLICATIO FBC 2004 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address City Tenant/Lessee Name 15I25I (Co- fee) 1 e /DC Is Building Historically Designated YES Contractor's Company Name L��t�ih Contracto 's Add ess City Qualifier Name M2 C State Certificate or Registration No. Ft- /3 MAO Architect/Engineer's Name (if applicable) Value of Work For this Permit $ 5Q l� Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BY: Permit No. - (36 9 Master Permit No. Plumbing Mechanical Roofing Phone # (3 State Zip Phone # Job Address (where the work is being done) 5' e_ 45' W0 v"`` City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # 1O$ 7 PE NO tate �. Phone # 3 71 -d3ga Zip 35 Phone # 0 ygp is Certificate of Competency No. ( /3 06/ YD v2 Phone # Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alter [New g // Repair/Replace / Demolition Describe Work: ir�[x,� u d7 .RSUld F L) 4 fC ' C�2G _ /kS- l (04-q, ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** Submittal Fee $ Permit Fee $ /.. �' CCF $ 0 EDO CO /CC Notary $ 6 - C ..) Training/Education Fee $ CD, � — 7 D Technology Fee $ E Scanning $L.3- CO Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ / Structural Review. $ Total Fee Now Due $ l (, 2- - �J �pQ See Reverse side —> 6\ 1 d\"�"CCp�� GIW 1 9 a Avo, Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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 and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection • h occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection w . of be a pro ed and a reinspection fee will be charged. Signature Sign: Print: My C (Revised 02 /08/06) NOTARY PUBLIC: APPLICATION APPROVED BY: Owner or Agent The fore oing instrument was acknowledged fore me this 1 The foregoing instrument was acknowledged • before e hi 2, .— day i~ -�1( ►'C , 2 y CQ L b 1 G Lt Ve/L day of �'lC� -.•- , 20 by I - Lci L k d.,k L Y who is personally known to me or who has produced LO-1 who is personally own to me or who has produced As identification and who did take an oath. Lt:.A as identification and who did take an oath. fission Expires: Signature Zip NOTARY PUBLIC: IaOTARY PUBLIC - STATE f. Yor • $ He rn ,...,. # DDS' 4: Sign: �.� 4 90 t I ec ,• , .;,.,• Pri t: My Co fission Expires: .A—e Examiner Engineer Zoning MIAMI SCORES VILLAGE BUILDING DEPARTMENT 30 5- 795 -2204 Building Inspection Request Date 1 T.,.... T -- -> \ / 1. I Issue Date: 5/2512006 Owner's Name: CARL PAULSON Permit Type: Electrical - Residential Work Classification: New Job Address: 400 101 Street NE Additional Information Miami Shores Village, FL 33138- Expires: 11/18/2006 Contractor(s) Phone HEFFERNAN ELECTRIC INC 305 - 757 -8380 Primary Contractor Yes Comments: OVERHEAD TO UNDERGROUND FPL SERVICE CHANGE, INSTALLING A SERVICE LATERAL Type of Work: Classification: Residential Additional Info: In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $150.00 $3.00 $3.75 $162.55 Building Department File Copy Applicant Signature ( Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Parcel #: Block: Section: Permit Status: APPROVED Permit Number: EL -5 -06 -1369 Phone: (305)754 -9370 1132060170480 Lot: PB: Total Square Feet: 0 Total Valuation: $ 500.00 Required Inspections Alteration Underground Rough W W Service Change Meter Box Fire Alarm Relocation Final Invoice Number EL - 5 - 06 - 24975 Total: Amt Due $162.55 ei2A4a MY 2 6 PAID Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. CONTRACTORA /. Name (; #1.4 1 , 6 Address 6 yDv /V. e=. / 0 / '/4M i SLj i't1 ICI 3e /3 V Name Business Telephone Fax License No. E < ' ( 0/ 7 r0 Repair Address 3 (9/4 xmi 2 AI/ US. Demolish Telephone 1W 7 )-6 - Z ( Y — a-r 5 // Qualifier Name a1Fxtt �P /ez- Z Foundation Only PROPERTY OWNER Name (; #1.4 1 , 6 Address 6 yDv /V. e=. / 0 / '/4M i SLj i't1 ICI 3e /3 V Home Telephone 30 S 7G 7 k — .32-/ Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other Step 1. INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: Folio Number Lot Block Subdivision PB PG Current Use of Property i& /c 7 %4L Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other ARCHITECT Name License No. Address Telephone Fax Ago, �. 2 2003 Voo Address / $ ;"cci Apt. Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) S PERMIT APPLICATION Master Permit No. 6 L °••• 33 City sidiary Permit No. g 19 riff' (5 State Description of Work 4j0 -.Y JDD - Am, 1-) #rho s1 ,/ if i = # �=• 7-cheei 6 / bh;r Zoning Linear Feet Square Feet Units Floors Value of Work a ve dC Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. 33/ 3 S' Zip ENGINEER Name License No. Address Telephone Fax Page 2 11 IPOR'I'A NT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall • Construction Lien Law and Choosing a C. tractor. Signature of Owners (44L 4 v L o Print Name l{, Sworn to and subscribed before me thisA Signature of N SEAL: OUNTY OF MIAMI -DADE tate o 11 o day of Nod y A. Loos Commission #DD146019 Expires: Feb 15, 2004 Bonded Thru Atlantic Bonding Co., Inc. Personally known OR, Produced Identification Type of Identification Produced: 'b L4 P L < u azo 1 F L O 011•, Y STATE OF Signature of C Print Name ,(// lo V , / Swo and subscribed before me this / day of a Signa SEAL: PERMIT APPLICATION OF MIAMI -DADE '. 4 • 7i!,. ', stat ,•1 � � . rgas missioOM D231984 Tres: Jul 13, 2007 Bonded Thru antic Bonding Co., Inc. Personally known OR, Produced Identification Type of Identification Produced: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/13/2003 Applicant: BRIGID Owner: PAULSON JOB ADDRESS: 400 NE 101 Contractor A -1 FIRE EQUIPMENT CORP. Local Phone: 305 -477 -0444 Parcel # 1132060170480 Signed: (INSPECTOR) Signed: (Contractor or Builder) Electrical Permit Permit Number: EL2003 -332 SAIA CARL ST Contractor's Address: 3619 NW 2ND AVENUE Legal Description: AMD PL OF MIAMI SHORES SEC 4 Page 1 of 1 PB 15 -14 LOTS 11 & 12 BLK 90 Fees: FEE2003 -7120 FEE2003 -7121 FEE2003 -7122 FEE2003 -7123 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $192.33 $3.60 $1.20 $4.80 $201.93 Total Fees: $201.93 Total Receipts:' °' a ° ., Cc L)/& 1 5 L Permit Status: APPROVED Permit Expiration: 5/10/2004 Construction Value: $5,495.00 Work: REPAIR 200 AMP SERVICE AND LIGHTING AND KITCHEN REPAIR BY: (' IL 14 I S �- Nov 14 PAID In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. ELECTRICAL Tl'PE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. /( TYPE Service Repair QTY. ZOO , A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton - Piping, Flammable Liquid Fire Pump Outlet, Switch /0 Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel Oven - Space Heater (kw) A/C Central 16 -20 Ton Fixture Light /G , Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps e' Water Heater New MECHANICAL TYPE Minimum Fee QTY. 'TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower - Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of - Paint Booth Ventilation, Cost Solar Water Heater Air Handler, Tons Ductwork, Cost of - Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System - Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLUMBING TYPE A/C Condensate QTY. TYPE Drains, 'Roof QTY. 'I'YI'E Miscellaneous Fixture QTY. "Tl'1'i: Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zoning Electrical - 17� -- /1- A ge e Mechanical Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST LI OWNER - BUILDER FORM (Attach) LI FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) LI OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review ISSUING OFFICIAL REVIEWED AND PREPARED BY: ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ 3. 6 o (¢.01/sq.ft.) (sq.ft. = x/I000 x ¢.60) (¢.005 / sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) k 5a. rk i LI) TOTAL $ 2 V I1 13 CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2' AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ' C , 0 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 H ATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS NEON 1.3 HP TRANS. RADIO TOTAL LIST / CONTR. AA h e 2'f " CHECK I _`earl S z Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 4-11 - 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. k.,� Owner's Name and Address../ y` ■ ar 6e r Registered Architect and /or Engineer / n q ,, Employing Electrician's Name.. �jf2 1 SCI ,, e J Pry' No �V ," Street Location and Legal Description Lot Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) cislew Building Remodeling Addition ' Repairs No. of Stories Service Underground Size Feeders ConduitF..`. X 5 .1 Main Sw Amps /� Main Fuses Amps Type of Installation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) STATE OF FLORIDA, l COUNTY OF DADE. I j SS. No /vU (Signed). �j _ Subdivision a) AC Street / ©,l Eketrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acc ¢ts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws' f Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors 'r sub•contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Street.... Al 5 fvz e f . 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 rc.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, FLORIDA BUILDING I DATE / d " .7 4 195 ELECTRICAL Ii.,1PE R M IT IT? 12207 Contractor's PLUMBING ❑ License No ROOFING ❑ Work to be performed under this Permit Owner of Building �,• -�, _}. �`r . L Architect Contractor or Builder Legal Description Address of Building l e i CONTRACTOR OR BUILDER Bl. Cl L - , Subdi- vision Value of Project $ Signed ' ! BY INSPECTOR C Amt. of Permit $ Sr 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. In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building s `� Architect Contractor or Builder Legal Lot Description Address of Building n Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA ERMIT le 11969 BL v Subdi- vision Value of Project $ DATE S i 195 Contractor's License No Amt. of Permit BY AUTHORITY $ ' I Y' This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby 'whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed ti gy 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. Permit No Application is hereby made r the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. his 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 Addressir. °.,. .. No Street Registered Architect and /or Engineer , Employing Electrician's Name__, ` No F7 Street Location and Legal Description Lot / / i ' � r o ' f � .1;� Block _.. Subdivision � r 7� i Street and Number where work is to be performed —No ` 4 / ...... Street.._:. - State work to be performed and purpose of building (By Floors) New Building L --- Remodeling Addition Repairs No. of Stories / Service Overhead �d Site Feeders./ Conduit / a � Main Sw / ,.7 Amps /' Main Fuses Amps Type of Installation — Conduit Tubing B.X.L .Metal Moulding STATE OF FLORIDA, COUNTY OP DADE. 11 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date s (Signed) Electrical Inspector Amount of Permit $ The undersigned applicant this building permit does hereby certify that he undefstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 65. 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 Notary Public, State of Florida NOTF/. 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 nd /or workmanship. (Signed) 271 .Kf 31 1Vlaster Electrician. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS 2/ tf REFRIG. OUTLET 1 � / IRON OUTLET RANGE OUTLET � , /,:: RANGE CONN. WATER HEATER I 1 L J W. HEAT. CONN. �4 1r1�+,s-r SPACE HEATER / rM STRIP HEATER TOTAL CONTR. LIST 77 /' 2 3 0 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP M OTORS 1.5 HP N EON TRANS. / � ,%/ RADIO . 1 TOTAL CONTR. LIST I --- L .. / / CHECK ' 00 yr 4 : f /' �J' 0 17- - Permit No Application is hereby made r the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. his 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 Addressir. °.,. .. No Street Registered Architect and /or Engineer , Employing Electrician's Name__, ` No F7 Street Location and Legal Description Lot / / i ' � r o ' f � .1;� Block _.. Subdivision � r 7� i Street and Number where work is to be performed —No ` 4 / ...... Street.._:. - State work to be performed and purpose of building (By Floors) New Building L --- Remodeling Addition Repairs No. of Stories / Service Overhead �d Site Feeders./ Conduit / a � Main Sw / ,.7 Amps /' Main Fuses Amps Type of Installation — Conduit Tubing B.X.L .Metal Moulding STATE OF FLORIDA, COUNTY OP DADE. 11 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date s (Signed) Electrical Inspector Amount of Permit $ The undersigned applicant this building permit does hereby certify that he undefstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 65. 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 Notary Public, State of Florida NOTF/. 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 nd /or workmanship. (Signed) 271 .Kf 31 1Vlaster Electrician. • 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 Location and Legal Description Lot Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Registered Architect and /or Engineer Employing Electrician's Name ' ' • ' r' Street and Number where work is to be performed —No 1 State work to be performed and purpose of building (By Floors) SS. No • .s! New Building 1 Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit , /..Tu , ng B.X.L .Metal Moulding l (Signed) Date J No Street Street..... Block Subdivision ti ... Street (Signe Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. f . 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. Master Electrician. 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 "1TR. ST VC I ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL /ONTR. 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 Location and Legal Description Lot Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Registered Architect and /or Engineer Employing Electrician's Name ' ' • ' r' Street and Number where work is to be performed —No 1 State work to be performed and purpose of building (By Floors) SS. No • .s! New Building 1 Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit , /..Tu , ng B.X.L .Metal Moulding l (Signed) Date J No Street Street..... Block Subdivision ti ... Street (Signe Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. f . 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. Master Electrician.