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435 NE 101 St (5)Inspection Date: 06/30/2006 Inspector: Devaney, Michael Owner: Job Address: Project: <NONE> ARENAS,.JORGE^ S.23- 97- Street NE 1 /9 . 7J',E / /j7 Miami Shores Village, FL 33138- Contractor: SYS-FEMS'CORP Building Department Comments Thursday, June 29, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: t .... ....... ��:':..ii: ii:;i:;T:Cji :}•::: :: v::::: is Permit Type: Electrical - Residential Inspection Ty^°• t i +Ald Work Classification `— P- ooI ---P ivate Phone Number Parcel Number Lot: Phone: Page 2 of 2 Passed Inspector Comments 7 .r / . ' 5 Failed Correction Needed Re- Inspection Fee ($ No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 06/30/2006 Inspector: Devaney, Michael Owner: Job Address: Project: <NONE> ARENAS,.JORGE^ S.23- 97- Street NE 1 /9 . 7J',E / /j7 Miami Shores Village, FL 33138- Contractor: SYS-FEMS'CORP Building Department Comments Thursday, June 29, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: t .... ....... ��:':..ii: ii:;i:;T:Cji :}•::: :: v::::: is Permit Type: Electrical - Residential Inspection Ty^°• t i +Ald Work Classification `— P- ooI ---P ivate Phone Number Parcel Number Lot: Phone: Page 2 of 2 Issue Date: 3/22/2006 Expires: 03/22/2007 Owner's Name: MARTIN AND JODI MENNES Permit Type: Electrical - Residential Work Classification: Addition /Alteration Job Address: 435 101 Street NE Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: CHANGE ELECTRICAL SERVICE FROM OVERHEAD TO UNDERGROUND Type of Work: ELECTRICAL PANEL SERVI Additional Info: Classification: Residential 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 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: EL -3 -06 -749 Phone: (305)796 -9507 1132060170650 Lot: PB: Total Square Feet: Total Valuation: Required Inspections 0 $ 500.00 Alteration Underground Rough W W Service Change Meter Box Fire Alarm Relocation Final Invoice Number EL - 3 - 06 - 24208 Total: MAR 22 Amt Due $162.55 CC . Amt Paid $162.55 $162.55 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. BUILDING PERMIT APPLICATI FBC 2004 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) f r `A }n) . M G vt e 5 Owner's Address City k Tenant/Lessee Name Job Address (where the work is being done) y 3 N L /O I City Miami Shores Village County Miami -Dade FOLIO / PARCEL # 1/ 3 a©( - -- 0 Co S yy © Is Building Historically Designated YES NO /� Contractor's Company Name At -7/ , c' Contractor's Address City Qualifier Name State Certificate or Registration No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: Describe Work: Notary $ Training/Education Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Review. $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 1 110 il)E /0/ ST sko ce 5 State FL State Zip Phone # i ' S • Cqquare / Linear Footage Of Work: ['Addition ['Alteration ❑New '1102-0) e & I«-f -r G2c v �e ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ /G G' / G° G> DPBR $ Zip Permit NoE L- - `7 4 Master Permit No. bing Mechanical Roofing Phone # Phone # Certificate of Competency No. Double Fee $ Phone # CCF $ Total Fee Now Due $ �s) 79G- 950' Zip 33 13 Repair/Replace c ID Demolition - V. 4 cD M OUe 0 e. ' CO /CC Technology Fee $ Zoning $ See Reverse side - Bonding Company's Name (if applicable) Bonding Company's Address City State Zip 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 which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be appro� •d and a reinspection fee will be charged. Signature The fore oing instrument was acknowledged before me this �2 The foregoing instrument was acknowledged before me this day of V 1 O }C , �y O n - ' `4 CnYay of , 20 _, by who is personally known to me or who has produced who is personally known to me or who has produced NOTARY PUBLI : Sign: Print: My Co *************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED B (Revised 02/08/06) on Expires: Owner or Agent As identification and who did take an oath. Signature Contractor NOTARY PUBLIC: /kR3P..�Plans Examiner as identification and who did take an oath. Sign: Print: My Commission Expires: ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Engineer Zoning rjP,IF LOOP - FU BE 10' CHIN) 1 2' /1110vE 1200F (00A e- uothrto %METER eusacuni e- PLArne IAX-10I1G HSI IED 410 tomm.... r?s‘c &LLE HAIN CB trEr ti lIEJ)1111 rs • w TENt lit* r claelP1 SUB CB PANEL - RY )1A111. DI Sr.;01411ECT °0° /4.0 Ra1ii 52 Amps 4/ Sco'obe- t-iton Sub Brealcers • • A Arspra ICI:A UI< MAST conductor size 4 fiZ•C'04P4- • Conduit stze Conduit typo- • G Th—u Es ovnd wirc 2jrz CO 614 • SUB FEEDER New Type ---t— Size Bond :Size. ENS EDE PANEL Rating Bond ItAg, _Ho .Locc. NM" PER S.F.11.C, 4505,2(11) cP1V)Ye •••■ ••• ••■• m.s •■. •■•• •••••• S MATURE OF CONTRACTOR NOTARy IR 11 \,/ 1- 11) / 5. I understand that as an owner - builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigateany contract disputes. Initial 6. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company or person. Initial 44 G✓l///( 7. I understand that if any person gets injured on my construction project —they are entitled to workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. Initial / 8. I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my property with out first obtaining the proper permits by licensed contractors. Initial MwlM Was acknowledged before me this 2.Z_ day of Mo VCn , 20 O r• _ ByPtC ( Y 1 ` Cn S who was personally known to me or who has (d Produced there License or as identification. OF FLORI f .I He el • col LI j, 1111;) Q/ '��1 , 1J ��11)11.w ���� • a Bonded NO NAME: VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT / / N 7 S DATE: ADDRESS: V3 S /x /O / 5 r / Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one- family or two- family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with- holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. l . I hold title to the above property and I am planning on doing this construction Initial M0 2. I understand that as an owner - builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application Initial M(4/ 3. I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. 4. I understand that the building official and inspectors are not there to design, alter or give advice on how to meet code — only if the structure meets the minimum code. Initial Y W ll/1 Initial / W M • 4 .I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No /F42/ Date / -- Z. ') \--- Application is hereby made for the approval of the detailed statement of the p1: ans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conforini ty with the Building Ordinance of Miami Shores Village, Fiu :lda, and all provisions of the Laws of the State of Florida, all ordinances of Miami S6 ores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or n ot. A copy of approved plans and specifications must be kept at building during progress of work. ,�/e Owner's Name and Address.. 7 ' e < Yd H •. .No. 0255 ate- Street ( 6 / ` Registered Architect and/or Engineer t, Employing Electriciafl's Name ' R.''4.'' No 4 9.0 0 �• T' crest Location and Legal Description Lot B lock 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 sery ; ee Overhead $ize Feeders Conduit Main Suv Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.1: Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby cep tify 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, qn work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Notary Public, State of Florida Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. l 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 NOTE: A re• inspection fee of $1.00 will be made when such re•inspect;on is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P•T'B FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RAP. I 2 OUR.ET RANGE CONN. WATER HE W. HEAT. _ CONN. SPACE H STRIP HEATER TOTAL CONTR. LIST CHECK MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL ENT. DIST. CAB. SERVICE TEMP. SERVICE PERM. CONTR. LIST SW. /1 a CHECK . • 4 .I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No /F42/ Date / -- Z. ') \--- Application is hereby made for the approval of the detailed statement of the p1: ans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conforini ty with the Building Ordinance of Miami Shores Village, Fiu :lda, and all provisions of the Laws of the State of Florida, all ordinances of Miami S6 ores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or n ot. A copy of approved plans and specifications must be kept at building during progress of work. ,�/e Owner's Name and Address.. 7 ' e < Yd H •. .No. 0255 ate- Street ( 6 / ` Registered Architect and/or Engineer t, Employing Electriciafl's Name ' R.''4.'' No 4 9.0 0 �• T' crest Location and Legal Description Lot B lock 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 sery ; ee Overhead $ize Feeders Conduit Main Suv Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.1: Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby cep tify 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, qn work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Notary Public, State of Florida Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. l 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 NOTE: A re• inspection fee of $1.00 will be made when such re•inspect;on is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 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. x s4. Owner's Name and Address... No Registered Architect and /or Engineer.. Employing Electrician's Name wilfagi elder New Building Remodeling Service Overhead Size Fee Underground Amount of Permit $ STATE OF FLORIDA, i COUNTY OF DADE. I ss. My Commission Expires MIAMI SHORES VILLAGE Addition. Q 2 &nduit Main Sw (Signed) (Signed) No Pao Location and Legal Description Lot /7 0 Block Subdivision Street and Number where work is to be performed — No Sssee 4 3 .f State work to be performed and purpose of building (By Floors) Date 01 Street V / Street Notary Public, State of Florida Repairs No. of Stories Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding rical 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. 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. 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. RACE HEATER STRIP HEATER TOTAL CONTR. LIST ' ! 6 / i U 6 / j CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.0 HP NEON TRANS. RADIO TOTAL CONTR. LIST !/ ( J CHECK - — . 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. x s4. Owner's Name and Address... No Registered Architect and /or Engineer.. Employing Electrician's Name wilfagi elder New Building Remodeling Service Overhead Size Fee Underground Amount of Permit $ STATE OF FLORIDA, i COUNTY OF DADE. I ss. My Commission Expires MIAMI SHORES VILLAGE Addition. Q 2 &nduit Main Sw (Signed) (Signed) No Pao Location and Legal Description Lot /7 0 Block Subdivision Street and Number where work is to be performed — No Sssee 4 3 .f State work to be performed and purpose of building (By Floors) Date 01 Street V / Street Notary Public, State of Florida Repairs No. of Stories Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding rical 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. 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. 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. 55. MIAMI SH RES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT . .1, / e rmit No J T Date....� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv :ida, 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 f/?�l?. /tv /.`...../ P ' No for Street AO /St Registered Architect and /or Engiineer Employing Electrician's Name....aZZ/h t'. 44-/ / (J f- 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)/. ./e.0 7"' /� % 0 (Signed��— ir - cohcl.°77o New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses . &mps Underground Type of Installation— Condduit ( Q., (7 Tubing B.X.L Metal Moulding / � o _ / K I �'- l o Q 1!G? e C� C c 7 co r r e -- / h ' /7 ` `o C 4d A-1.-- y o c,, ev L � r ✓ c- e_ A A- -C7v f Amount of Permit $ 7 (Signed) I—r r�•••� Electric.. nspector. The undersigned applicant for this building permit does hereby cer tify that he understands and accepts hi'bligations as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Flo, .a 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. 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, 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 RECC'►'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANCE OUTLET RANGE CONN. . WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RAOIO TOTAL LIST * CZ CHECK 55. MIAMI SH RES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT . .1, / e rmit No J T Date....� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv :ida, 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 f/?�l?. /tv /.`...../ P ' No for Street AO /St Registered Architect and /or Engiineer Employing Electrician's Name....aZZ/h t'. 44-/ / (J f- 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)/. ./e.0 7"' /� % 0 (Signed��— ir - cohcl.°77o New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses . &mps Underground Type of Installation— Condduit ( Q., (7 Tubing B.X.L Metal Moulding / � o _ / K I �'- l o Q 1!G? e C� C c 7 co r r e -- / h ' /7 ` `o C 4d A-1.-- y o c,, ev L � r ✓ c- e_ A A- -C7v f Amount of Permit $ 7 (Signed) I—r r�•••� Electric.. nspector. The undersigned applicant for this building permit does hereby cer tify that he understands and accepts hi'bligations as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Flo, .a 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. 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, 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. ;U1 DING ❑ . ECTRICAL -UMBING ❑ ?FING pier of .!ding - hitect tractor . ,. •' 1 ! ` I ;Wider ' Lot BI. ription • '"` PERMIT 120 11038 ❑ Work to be perfonned under this Permit CONTRACTOR kR,,,,BUILDER MIAMI SHORES VILLAGE, FLORIDA J oa,„ Subdi- vision BY DATE Contractor's License No BY rIlrv- Tess of Value of Amt. of !ding / r /''. --4 #0 Project $ Permit $ f .��w •wa. { 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 for in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, ings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any 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 zd is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations -ning to the work covered hereby whether shown on the plans or drawings or i v the statements or specifications and that he assumes responsibility for work by his agents, servants or employees. In consider l"on of the issuance me of this permit I agree to .erform the work covered hereunder in compliance with all ordinances and regulations aining thereto and in strict confor Tty with the plans, drawings, ements or specifications submitted to the proper authorities of Miami Shores Village. ccepting this permit '> sume r onsibility for all. work done either, myself, my agent, servant or employee. AUTHORITY 195 Permit No 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 Street Registered Architect and /or Engineer APPLICATION FOR ELECTRICAL PERMIT MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT a Employing Electrician's Name 'No. Location and Legal Description Lot 1 .1 :_ �� Block i �� Subdivision ���...:::L '" Street and Number where work is to be performed —No tweet � r State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories cr Overhead /� 1 Service �� Size Feeders Conduit Main Sw. Amps 4....A(...QMain Fuses ! D ® Amps Type of Installation n duitt ubin B.X.L .Metal Moulding / .. 5 Amount of Permit $ (Signed) y✓T Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understand anddccepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gener 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 inspecti 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•contractor on work to be performed and this permit, as are licensed by Miami Shores Village. /' /' 7 STATE OF FLORIDA, } COUNTY OP DADE. as. Before me, the undersigned authoo appeared s ,,— (Si ' ! ' � Date r) � Street Notary Public, State of Florida Master Electrician. nuly authorized to administer oaths and take acknowledgments, personally 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 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 N O. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. H EAT. CONN. SPACE H EATER STRIP H EATER TOTAL ` LIST " �k ,¢ /' / ; / ' / N / ) ■= �� �' / q 7.r / /' J ,11 . CHECK Y � I 6.7 - /............ / / ' p / ,,+� . 6 -0 ENT. SW. DIST. SERVICE CAB. TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / / / CHECK _J/ / v / LJ'i% / °'` i% Permit No 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 Street Registered Architect and /or Engineer APPLICATION FOR ELECTRICAL PERMIT MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT a Employing Electrician's Name 'No. Location and Legal Description Lot 1 .1 :_ �� Block i �� Subdivision ���...:::L '" Street and Number where work is to be performed —No tweet � r State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories cr Overhead /� 1 Service �� Size Feeders Conduit Main Sw. Amps 4....A(...QMain Fuses ! D ® Amps Type of Installation n duitt ubin B.X.L .Metal Moulding / .. 5 Amount of Permit $ (Signed) y✓T Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understand anddccepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gener 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 inspecti 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•contractor on work to be performed and this permit, as are licensed by Miami Shores Village. /' /' 7 STATE OF FLORIDA, } COUNTY OP DADE. as. Before me, the undersigned authoo appeared s ,,— (Si ' ! ' � Date r) � Street Notary Public, State of Florida Master Electrician. nuly authorized to administer oaths and take acknowledgments, personally 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 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.