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970 NE 100 St (11)MIAMI SHORES VILLAGE BUILDING DEPARTMENT O \D 305- 795 -2204 Buildin • In pection Request Date T Type Insp'n di et- Permit No. ifitd Name Address 970 PE /00 c Company Phone # 0.5/7/0 1J “? Inspection Date / / / b / D T Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPART ENT 305- 795 -2204 Builyling Inspection Req Date � Type Insp'n D , e"V oq i Permit No. lJ d 0 Name arid lid Prro Address `I /lJ a 100 Company 1 rcIS, Phone # �� Izs Inspection Date Approved Correction Re- Insp'n Fee LS BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address ?7 (/ Air ., l Q 2 S City /PAM/ $/I _ ' State Qualifier Architect/Engineer's Name (if applicable) Air $ Value of Work For this Permit Type of Work: Describe Work: Miami Shores Village 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES NO Contractor's Company Name 6 4 �a� A. C Phone # Contractor's Address .3 7 S'(',e../ 6 City .'- l ( State E / • Zip El Addition ❑Alteration ['New ill/Repair/Replace •PseNt4 06(0_1 Pezp ( 2 Building Department 6 r) 0 AfE 00 County Miami -Dade Zip Permit No. Master Permit No.6P0 — CW) Mechanical Roofing Phone # " Zip 375/37 Phone # Square Footage Of Work: 3� l 37 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 7 7 r3 7 ❑ Demolition Submittal Fee $ a: CO Permit Fee $ /m o r '1 '� CCF $ 1, a 0 CO /CC Notary $ Training/Education Fee $ L J Technology Fee $ ,S D Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ S " 10 (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address J City s 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 approved and a reinpection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this ( l day of I , 20 by 4 V , day of r/ ��'+ ,20 �, by --1042f who is pers all known to me )r who has produced who is .ers pall known to me or ho has P Y P Y � produced P as identification and who did take an oath. Chc 12/15/03 As identification and who did take an oath. APPLICATION APPROVED BY Signature ontractor NOTARY P IC: �j� NOTARY PUBLI Sign: �� ('i m • � k/(?./ Sign: Lt -(1l/ /' /. 7)(/ Print: / >l Janice M Muckier My commission OD08 r2 Janice M Muckier Print: u My Commission Expires: %» J Expires Femur/ Fe 14, 2006 My Commission Expires: +a My commission u Expires February 14, 2006 ********************** ft* ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. 9 0 ( 0 /9 0 . ” Certificate of Competency No. / 956 Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT S FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TCP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES - A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS :SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTIRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING AEmgNDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/24/2004 Applicant: RICHARD RAYMOND Owner: RAYMOND RICHARD JOB ADDRESS: 970 NE 100 ST Contractor BARAJAS ELECTRIC INC Local Phone: (305) 260 -2851 Parcel # 1132060340190 Electrical Permit Permit Number: EL2004 -237 Contractor's Address: 3725 SW 60 CT Page 1 of 1 Legal Description: MIAMI SHORES SEC 8 PB 14 -33 LOTS 3 & 4 BLK 170 LOT SIZE 100.000 X Fees: Description Amount FEE2004 -8524 Building Fee $100.00 FEE2004 -8525 CCF $1.20 FEE2004 - 8526 Training and Education Fee $0.40 FEE2004 - 8527 Technology Fee $2.50 Total Fees: $104.10 Total Fees: $10$.10 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 2/13 /2005 Construction Value: $1,200.00 Work: ELECTRICAL REMODELING KIT CABINETARY Signed: (INSPECTOR) c -C 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. Signed: (Contractor or Builder) BY: 2 APPLICATION FOR ELECTRICAL PERMIT ' p Permit No Z l ✓ Date V i�/� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation& 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 Zga Registered Architect and /or Engineer Street and Number where work is to be performed —No f ZQ New Building Amount of Permit $ iho STATE OP FLORIDA, } COUNTY OF DADE. as. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT � (Signed) (Signe No 97o at d O g � Street 1 Oc' ' `zL`e C'1�R C �. C / Employing P triciah'� ,]di ne. p1- L ©T 3 # N 0 31 U � 37 St � lit� 3 ? g o a egaPDe d ( t i Block/ Subdivision 1c 54.1.77 Street State work to be performed and purpose of building (By Floors) P RT LOCf4r '4(.1 S`t i 4t r — L i_C' C, kv3f ■MNk. 1 elfin Addition Repairs No. of Stories service Overhead Site Feeders Conduit Main Sw Am Main Fuses Amps Underground P Type of Installation — Conduit Tubing......... B.X.L Metal Moulding Notary Public, State of Florida 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, oork 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 LIOHT OUTLETS PLUG Rccc•P•T'e FIXTURES NO LAMPS RE /RIG. OUTLET IRON OUTLET RANOt OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP H TOTAL CONTR. LIST ` t /� CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•1 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK APPLICATION FOR ELECTRICAL PERMIT ' p Permit No Z l ✓ Date V i�/� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation& 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 Zga Registered Architect and /or Engineer Street and Number where work is to be performed —No f ZQ New Building Amount of Permit $ iho STATE OP FLORIDA, } COUNTY OF DADE. as. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT � (Signed) (Signe No 97o at d O g � Street 1 Oc' ' `zL`e C'1�R C �. C / Employing P triciah'� ,]di ne. p1- L ©T 3 # N 0 31 U � 37 St � lit� 3 ? g o a egaPDe d ( t i Block/ Subdivision 1c 54.1.77 Street State work to be performed and purpose of building (By Floors) P RT LOCf4r '4(.1 S`t i 4t r — L i_C' C, kv3f ■MNk. 1 elfin Addition Repairs No. of Stories service Overhead Site Feeders Conduit Main Sw Am Main Fuses Amps Underground P Type of Installation — Conduit Tubing......... B.X.L Metal Moulding Notary Public, State of Florida 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, oork 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. BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA Date r- 19_c. ELECTRICAL IA PLUMBING ❑ PERMIT N° 9021 Contractor's ROOFING ❑ License No. +b'7' 'l 3' Owner of Building t 7 4., �- Architect Contractor 1 or Builder r L. .1 i" r, / rs C.. Legal Lat l i Description i 1 B1. e (t ) Address of - 7 c> 0.4 Building ❑ Work to be performed under this 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 whet a her shown 1�q the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, ser nts employees. Signed.' t ' (INSPECTOR) BY In consideration of the issuance to me of this permit I agfee o perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, tatements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work dby either, myself, my agent, servant or employee. • CONTRACTOR or BUILDER Subdi- vision f , Sq Ft Value of Amount of $ 11 Permit $ t Y � BY AUTHORITY 1 a Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith bmitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name t c 1 •13 1/fY7N ,..No. .V & S1 . .Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Amps Size Feeders Conduit Main Sw Amps Main Fuses Am Underground P P Type of Installation— Conduit Tubing n B.X.^ Metal Moulding Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I APPLICATION FOR ELECTRICAL PERMIT SS. C7 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi' labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) (Signed Date No 7 .0A.. .$treet.1 D UL-ee:A Notary Public, State of Florida 1 & i 1-° �oc7 (seLet_e ' ectrical Inspector. ions as an employer of manent Supplement, and 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. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS MOTORS 0-1 HP 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST � 1 "A ' � I y",YJ CHECK 1 a Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith bmitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name t c 1 •13 1/fY7N ,..No. .V & S1 . .Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Amps Size Feeders Conduit Main Sw Amps Main Fuses Am Underground P P Type of Installation— Conduit Tubing n B.X.^ Metal Moulding Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I APPLICATION FOR ELECTRICAL PERMIT SS. C7 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi' labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) (Signed Date No 7 .0A.. .$treet.1 D UL-ee:A Notary Public, State of Florida 1 & i 1-° �oc7 (seLet_e ' ectrical Inspector. ions as an employer of manent Supplement, and 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. BUILDING ELECTRICAL PLUMBING Owner of Building - 1,�e'..t.•�:� Architect Contractor or Builder Legal Description Address of Building L✓�PERMIT N° 9603 Lot I 7 Work to be performed c � `r t / �+ Value of Amt, of !/ r !/ j Project $ Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 ; draw.ings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed In consideration of the issuance to me of this permit I agree to per orm the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, sta,fen>$nts or specifications submitted to the proper authorities of Miami Shores Village. In accepti g this permit I assume responsibility for all work e by either, myself, my agent,,, servant or employee. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA- DATE= Bl. 'der this Permit r Subdi- vision BY 195 Cont License No. INSPECTOR Y r, AUTHORITY • SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST , • CHECK ENT. SW. DIST. CAB. SERVICE TEMP. S RVICE ERM. MOTORS 0.1 HP MOTORS 1 -5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Application is hereby rrlade for the approval of the detailed statement o f 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. A Owner's Name and Address_________ 1 tl ` No J Stree_� 1Q_S2_3_T__.__ _ Registered Architect and /or Engineer 1" 4,z Engineer No ' / Employing Electrician's Name � /�__ 0 � � Location and Legal Description Lot as F Block j Service Overhead Underground Size Feeders STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT ss. Street and Number where work is to be performed —No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT �Subdivision. Street 40 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Conduit Main Sw Amps Main Fuses Amps Type of Installation — Conduit_ Tubing B.X.L. Metal Moulding Amount of Permit $___.‘ (Signed) - , . / , � i o f = - ` - f - Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he ' nderstands and accepts his obligations as an employer er of S PP gP Y Y � P g i Y 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 p osted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractorss,='on work to be performed der this permit, as are licensed by Miami Shores Village. (Signed) Date Street, 1; Before me, the undersigned authority, a notary public, duly a uthorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No. Owner's Name and Address.. STATE OF FLORIDA, 1 COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date .... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wore ; I t N o 9 - 70 /Y,6 Street Registered Architect and /or En r ��-- p / Employing Electrician's Name .. `�- deG 0 • No q70 ! �/ ' Street Location and Legal Description Lot 3 . 1 4 Block on Subdivisi, -I • .1 / � ` Street and Number where work is to be performed —No V! �� Street.. O 0 ' State work to be performed and purpose, of building (By Floors) New Building ire Remodeling Addition Repairs No. of Stories " Service Overhead m Size Feeders � Conduit... /.. V Main Sw l A.Q Amps Main Fuses / Amps Type of Installation — Conduit Tubing i" B.X.L .Metal Moulding Amount of Permit $... (Signed) ,� y� � � • day ectrical Inspector. The undersigned applicant for this building permit does hereby certify that h ui/derstands and accepts his Qhtig Lions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Com iled/ General Laws of Floridi 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 suc h subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. S S. (Signed) 1' o0 S ;fjl d 5 ,, / M aste r 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 N O. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST I f /� J 31 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP M OTORS 1 -5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No. Owner's Name and Address.. STATE OF FLORIDA, 1 COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date .... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wore ; I t N o 9 - 70 /Y,6 Street Registered Architect and /or En r ��-- p / Employing Electrician's Name .. `�- deG 0 • No q70 ! �/ ' Street Location and Legal Description Lot 3 . 1 4 Block on Subdivisi, -I • .1 / � ` Street and Number where work is to be performed —No V! �� Street.. O 0 ' State work to be performed and purpose, of building (By Floors) New Building ire Remodeling Addition Repairs No. of Stories " Service Overhead m Size Feeders � Conduit... /.. V Main Sw l A.Q Amps Main Fuses / Amps Type of Installation — Conduit Tubing i" B.X.L .Metal Moulding Amount of Permit $... (Signed) ,� y� � � • day ectrical Inspector. The undersigned applicant for this building permit does hereby certify that h ui/derstands and accepts his Qhtig Lions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Com iled/ General Laws of Floridi 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 suc h subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. S S. (Signed) 1' o0 S ;fjl d 5 ,, / M aste r 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.