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640 NE 101 St (13)Project Address 640 NE 101 Street Miami Shores, FL 33138 -2468 Owner Information LOIS GRUNDHAUSER Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Contractor(s) MOODY ELECTRIC INC Phone Cell Phone (305)758 -2000 Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $5.00 $150.00 $3.00 $3.75 $163.35 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Address Permit Permit NO. EL-4 -07-823 Permit Type: Electrical - Residential Work Classification: Addition /Alteration Permit Status: APPROVED Issue Date: 4/26/2007 Expiration: 10/23/2007 Parcel Number 1132060172090 Block: Lot: 640 NE 101 ST MIAMI SHORES FL 33138 -2468 Phone Type of Work: ELECTRICAL Additional Info: NEW PANEL Classification: Residential Applicant Valuation: Total Sq Feet: LOIS GRUNDHAUSER $ 2,000.00 Available Inspections : 0 Cell Inspection Type: Final Alteration WW Service Change Underground Rough Fire Alarm Relocation Meter Box April 26, 2007 Date 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. Thursday, April 26, 2007 1 SERVICE REPAIR NEW PANEL NOT UPGRADE `g :?2 'ET L 2 Z Passed Inspector Comments CREATED AS REINSPECTION 01. FOR I &Pc' • , Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 05/22/2007 Inspector: Devaney, Michael Owner: GRUNDHAUSER, LOIS Job Address: 640 101 Street NE Miami Shores, FL 33138 -2468 Project: <NONE> Contractor: MOODY ELECTRIC INC Building Department Comments Monday, May 21, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060172090 Lot: Phone: (305)758 -2000 Page 1 of 2 SERVICE REPAIR NEW PANEL NOT UPGRADE 1 &J 1 ! K2 Passed Inspector Comments "r; /'Y ' / �� �G/ 0 Failed .) Correction Needed Re- Inspection Fee ($ No Additional Inspections can be scheduled re- inspection fee is paid . until ..... . .. ...... .............. .............. Inspection Date: 05/16/2007 Inspector: Devaney, Michael Owner: GRUNDHAUSER, LOIS Job Address: 640 101 Street NE Miami Shores, FL 33138 -2468 Project: <NONE> Contractor: MOODY ELECTRIC INC Building Department Comments Tuesday, May 15, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Electrical - Residenti I Inspection Type: F' al Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060172090 Lot: Phone: (305)758 -2000 Page 2 of 2 BUILDING PERMIT APPLICATION FBC 2004 Is Building Historically Designated YES Contractor's Address Architect /Engineer's Name (if applicable) Value of Work For this Permit $ (g Miami Shores Village 0��� Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795,2204 Fax: (305) 756.8972 BY: NO Permit Type: Electrical Owner's Name (Fee Simple Titleholder) t2/5 (�Sd &sntd4 �P /1 Phone # Owner's Address 1p7ea it )g k2/.5 city /' st,te AeA Permit No. ECO ( 3 Master Permit No 3/ Phone # Tenant /Lessee Name E -MAIL: Job Address (where the work is being done) c5�'/& City Miami Shores Villa _e County Miami -Dade FOLIO / PARCEL # Phone # Square / Linear Footage Of Work: 5� /6/ -2 Zip : 3I3 F Contractor's Company Name i tJ /„ 61/i LAJCi Phone # - jg.- eex 4q ibil Q65r City A (/ d State Fl Zip . 5 ! -i S Qualifier Name Jo t/ L, Phone # ? c- v '7 -)0 State Certificate or Registration No. ( , 040 Certificate of Competency No. E -MAIL: Type of Work: ❑Addition ['Alteration ['New A [Repair /Replace ❑ Demolition Describe Work: ; 44.4,<r7 AM/ ar e: -eC ***************************************Fees******************************************** Submittal Fee $ Permit Fee $ /..r-'4"1').0 i CCF $ 1 ;X Notary $ - '00 Training /Education Fee $ Q .40 Technology Fee $ 3 7 75 Scanning $ .500 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ CO /CC Structural Review. $ Total Fee Now Due $ /c'( See Reverse side —> Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) 4)/k 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 mus,' 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 reinspection fee will be charged. Signature (Revised 02/08/06) NOTARY PUBLIC: Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Owner or Agent The foregoing instrument was acknowledged before me this 14 day of kV! , 20 a, by 1J) W4/3f421Tie , who is personally known to me or who has produced f,va1'SGIL f ei 5756 As identification and who did take an oath. Sign: Print: My Commission Expires: Contractor The foregoin instrument was acknowledged before me this id day of , 20 Cj/, by who is personal known to me or who has produced as identification and who did t NOTARY PUBLIC: Plans Examiner Engineer Zoning TEM ATH TL3 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE IDET LIGHT OUTLETS CENTRAL HEATING ISHWASHER RECEPTACLES A/C (WINO) ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) RINKING FDJNTAIN SERVICE SIZE IN AMPS DUCT WORK LOOK DRAIN SERVICE REPAIR/METER CHANGE 0 REFRIGERATION REASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING NTERCEPTOR RANGE TCP UNDERGROUND TANKS OVEN ABOVE GROUND TANKS .AVATCRY TRAY WATER HEATER U.F. PRESSURE VESSELS .AUNDRY ;LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS ;HOWER MJTCRS OVER 1- 3 NF HOT WATER BOILERS ;INK, POT /3 COMP. MDTCRS OVER 3- 5 NP MECHANICAL VENTILATION ;INK, RESIDENCE MOTORS OVER 5- 8 H° TRANSPORTING ASSEMBLIES ;INK, SLOP MIJTCRS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTCRS OVER 10- 25 HP FIRE SPRINKLER SYSTEMG URINAL MDTCRS OVER 25-100 NF COOLING TOWERS WATER CLOSET 1 MOTORS OVER 100 HD VIOLATION INDIRECT WASTES 1 1 I A/C WINDOW REINSPECTJON WATER SUPPLY TO: I 1 J AIR CONDITIONERS A/C UNIT 1 STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 1 HEATER -NEW INST. I GENERATORS 1 I HEATER - REPLACE 1 I GENERATORS TRANSFORMERS 1 I LAWN SPRINKLER -WELL 1 SPECIAL PURPOSE I 1 SWIM4RING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES . SEWER CONNECTIONS ,*SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER F I XTLRES SEPTIC TANK ANTENNA RELAY 1 TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUMP E ABANDON SEPTIC TANK REINSP TION SOAKAGE PIT J. FT. CATCH BASIN Ph-AiO /6014 DISCHARGE WELL DOMESTIC WELL AREA DRAIN i I ROOF INN! ET SOLAR WATER HEATER I 1 FIRE STANdPIPE POOL PIPING LAWN SPRINKLER SYSTEM' 1 I GAS RANGE METER SET (GAS) 1 ( I 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.) GAS PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLIUAIIUN ELECTRICAL MECHANICAL Date Type Insp'n Permit No. Name Approved Correction Re- Insp'n Fee MIAMI SHORES VILL BUILDING DEPARTM 305- 795 -2204 Building Inspection Request / t A 6 G F--":1:: (utf- Address 6 l 0 , l lo! .PA Comp. (� Q Phone # - OS - - )J 1 Inspection Date /4 / oyf ttt MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 -795 -2204 Building Inspection Requ Date"-/ / Type Insp'n 7 L ` Permit No. Vii' a' ' / 4/ �- Name 6/' t Ai( hefe -tw 5 Eh Address k/ A.- " t 7 Company /-c 'e-?/ Phone # 17 4;y't e''‘/ Inspection Date Approved Correction Re- Insp'n Fee ❑ 2-W/ l''/ Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Miami Shores Village Permit No. a 200 Master Permit No. Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) g Mc .- k- G, re.,�,`b,«- IPhone # Owner's Address ( tL i S 'e --- City F'3 State t cc •,/ C Zip 3313 ' Tenant/Lessee Name Phone # Job Address (where the work is being done) (c3 L ( 0 - L ( (1( S -12- City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO ,-/--- Contractor's Company Name r tx__ , C C. Cc - k c vs-.0 Phone # -?., ` � - - 7 S is — .) C_ 0 (_ Contractor's Address It -L--'t 1U1)� 't( S�� -;= City \-L-ccc: - State 4--Lc ' c-� Zip 3 3 (SC ) Qualifier \,c :�1,.i\ -S • tCC� Architect/Engineer's Name (if applicable) K ( Phone # $ Value of Work For this Permit \ .. ( Square Footage Of Work: I A Type of Work: ❑Addition Describe Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ / 494' . '' ' e CCF $ J , "1 0 CO /CC Notary $ Training/Education Fee $ t Technology Fee $ ' ) v -S Q Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ /0 \ `� V� ' (Continued on opposite side) EAlteration XNew ❑ Repair/Replace ❑ Demolition C i (65), Q Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Application is hereby made to obtain a permit to do the work and instal :ations 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 regulatin;; 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 reinspection fee will be charged. Signature 0 er or Agent The foregoing instrument was acknowledged before me this / L day of C � , 20 (A , by V LAN - eok bftw -csE4 who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: ✓�� (Q- Print: _ '1 �- r2s * * * * * * * * ** State Certific **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED B Chc 12/15/03 State Zip State Zip Contractor // The foregoing instrument was acknowledged 'efore me this /,E:% day of i4 204Y, by -,10 CY , who is personally known to me or who has produced Zoning as identification and who did take an oath. NOTARY PURL Sign: Print: My Commissi t Ely National Notary Assn. *************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** My Commis io0Npitoes: OF OTARY SEAL �� NICOLE CO(E A BERGERT * I * * ddrIVItMeN * * -4,.. c D0033052 (Certificate of Competency Holder) e ° q. MY COMMISSNN EXPIRES OF Ft`' JULY 2.2005 a on o. UcX)t 1 c(oc Certi5cate of Competency No. ************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** a � f r t`'j3c fs� Plans Examiner Engineer t 1 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 -795 -2204 Permit Number: EL2004 -42 Printed: 2/20/2004 Applicant: JOHN GRUNDHAUSER Owner: GRUNDHAUSER JOHN JOB ADDRESS: 640 NE 101 ST Contractor MOODY ELECTRIC INC Local Phone: (305)758 -2000 Parcel # 1132060172090 Legal Description: AMD PL MIAMI SHORES SEC 4 Fees: Description Amount FEE2004 -1830 Building Fee $100.00 FEE2004 -1831 CCF $1.20 FEE2004 -1832 Training and Education Fee $0.40 FEE2004 -1833 Technology Fee $2.50 Total Fees: $104.10 Total Fees: $104.10 Total Receipts: $104.10 4 PAID Permit Status: APPROVED Permit Expiration: 8/16/2004 Construction Value: $1,150.00 Work: INSTALL 6 WEATHER PROOF GFI RECEPTICALES & REPAIR 2 LIGHTS Signed: (INSPECTOR) Electrical Permit Contractor's Address: 669 NW 90 ST Page 1 of 1 PB 15 -14 LOT 3-4 & E1/2 OF 5 BLK 103 .1-,\_NoSa 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: EN H TLB UNIT FEE ITEM SWITCH CURETS UNIT FEE ITEM SPACE HEATERS UNIT ET LIGHT CURETS CENTRAL HEATING WASHER RECEPTACLES A/C (WIND) SPOSAL SERVICE TEMPORARY A/C (CENTRAL) INKING FOUNTAIN SERVICE SIZE IN AMPS CULT 1fCRK OCR CRAIN SERVICE REPAIR/1ETER DWI REFRIGERATION EASE TRAP APPLIANCE CURETS PROCESS ANO PRESS PIPING 1ERCEPTCR RANGE TCP UNDERGROUND TANKS NATORY OVEN ABOVE GROUNO TANKS ,UNDRY TRAY WATER HEATER U.F. PRESSLRE VESSELS .OTHES WASHER MOTORS 0- 1 FP STEAM BOILERS AWfER MOTORS OVER 1- 3 PP HOT WATER BOILERS • NK, POT /3 COMP. MOTORS OVER 3- -5 PP MECHANICAL VENTILATION MK, RESIOENCE MOTORS OVER 5- 8 PP TRANSPORTING ASSEMBLIES INK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS WCRARY WATER CLOSET MOTCRS OVER 10- 25 PPP FIRE SPRINKLER SYSTEMS FINAL MOTORS OVER 25-100 FP COOLING TOWERS ;TER CLOSET MOTORS OVER 100 FP VIOLATION -- DIRECT WASTES A/C WINDOW -_ REINSPECTION ;TER SIPPLY TO: AIR CONDITIONERS . A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRA/5F01.VZAS HEATER -NEW INST. GENERATORS TRA SFCR1 BS HEATER - REPLACE GENERATORS TRANSFCR1 RS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL • CUTLETS COERCIAL WATER SERVICE SIGH TUBES JIER CONNECTIONS SIGN TRd1SFCRIVERS 'ILITY -SEWER SIGN TIME CLOCK "ILITY -WATER FIXTLRES :PT IC TANA ANTENNA :LAY TELEVISION CURETS U INFIELD, 4' TILE/RES. VIOLATION :TR & MOH SEPTIC TANK ■� RE I MS?ECT ION WAGE PIT CU. FT. ■ ■TCH BASIN SCHAA E WELL � = � tEA GRAIN :OF INLET RER ?CATER NEATER I aE STANDPIPE 301 PIPIPIG • 1WM SPRINKLER SYSTEM S RANGE - :TER SET (GAS) S PIPING *U APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A RASTER PERMIT HAS 13TAIN$D, T OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIO • PLUMBING ELECTRICAL MECHANICAL Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTIQN DEPARTMENT_ I APPLICATION FOR ELECTRICAL PERMIT Building Permit i14657 Date 8 - 4- 7 2 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, FILida, 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. & Yrs T- Aten 640 N.E. 101M. Street Owner's Name and Address' - • • • •• -• Street. Registered Architect and/or Engineer Frank Schafer, Inc. 10210 N. 7 t Vve nue Employing Electriciati's Name Street.. 3 & 4 & E of 5 Block 103 Y ia . .Shores Location and Legal Description Lot Subdivision. Street and Number where work is to be performed—No 640 N. E. 101st. Street Street State work to be performed and purpose of building (By Floors) New Building Remodeling XXXXX Addition XrACXX Service Size Feeders Conduit Main Sw Amps Main Fuses . Amps Overhead Underground Type of Installation—Conduit Tubing B.X.L Metal Moulding Relocate existing 300 ampere service Amount of Permit 88. (Signed) Repairs No. of Stories - 24 Nk Electrical In pector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ligations as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permanent Supplem t, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-cont ctors employed by in the work to be performed under this permit; and will post or cause to be posted for inspectio on th t of the 'work such public noti icnotices as are required by the Act. The undersigned agrees to employ only such subcontractor on r o be performed under this ., i , as are licensed by Miami Shores Village. , *A. (Signed) oV/ '( _ !- Master ectrician. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and 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 al: facts therein by him stated are true. Notary take acknowledgments, Public, State of Florida personally My Commission Expires --"' TE: A re-inspection fee of $1.00 will be made tailen such re-inspection is made necessary by improper notice for inspection, or faulty mata and/or workmanship. \ -. \' 7, 7 .1.1 I ,--- '.. ' . a 1 , SWITCH OUTLETS ---- — LIGHT OUTLETS , ..— PLUG IIECE'P'T'S F I X T U R E S NO LAMPS =F REPRIGI, OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER --1—.■......--..-7--.-.■—• STRIP TOTAL HEATER CONTR. LIST 33 13 33 1 3 3 CHECK ENT. SW. DIST. CAB. ----.n SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.9 HP N EON TRANS. RADIO TOTAL CONTR. LIST 1 CHECK Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTIQN DEPARTMENT_ I APPLICATION FOR ELECTRICAL PERMIT Building Permit i14657 Date 8 - 4- 7 2 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, FILida, 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. & Yrs T- Aten 640 N.E. 101M. Street Owner's Name and Address' - • • • •• -• Street. Registered Architect and/or Engineer Frank Schafer, Inc. 10210 N. 7 t Vve nue Employing Electriciati's Name Street.. 3 & 4 & E of 5 Block 103 Y ia . .Shores Location and Legal Description Lot Subdivision. Street and Number where work is to be performed—No 640 N. E. 101st. Street Street State work to be performed and purpose of building (By Floors) New Building Remodeling XXXXX Addition XrACXX Service Size Feeders Conduit Main Sw Amps Main Fuses . Amps Overhead Underground Type of Installation—Conduit Tubing B.X.L Metal Moulding Relocate existing 300 ampere service Amount of Permit 88. (Signed) Repairs No. of Stories - 24 Nk Electrical In pector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ligations as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permanent Supplem t, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-cont ctors employed by in the work to be performed under this permit; and will post or cause to be posted for inspectio on th t of the 'work such public noti icnotices as are required by the Act. The undersigned agrees to employ only such subcontractor on r o be performed under this ., i , as are licensed by Miami Shores Village. , *A. (Signed) oV/ '( _ !- Master ectrician. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and 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 al: facts therein by him stated are true. Notary take acknowledgments, Public, State of Florida personally My Commission Expires --"' TE: A re-inspection fee of $1.00 will be made tailen such re-inspection is made necessary by improper notice for inspection, or faulty mata and/or workmanship. \ -. \' 7, 7 .1.1 I ,--- '.. ' . a 1 , BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Lot 0. MIAMI SHORES VILLAGE. FLORIDA DATE 195 ❑ PERMIT N° 3038 Contractor's License No. ❑ Work to be performed under this Permit ,�. Address of /O Q M. f� Building Ll � . / .�11/" Bl 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed- f Subdi- vision Value of Project $ Amount of Permit $ /Si` �`. BY INSPECYOR 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY e„ico ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Errgineet..444 . � Employing Electrician's Name 1 / Location and Legal Description Lot..... }...1�..� Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Service Overhead� Size Feeders onduit ;, J? Main Sw. Amos Main Fuses / Amos Underground Type of Installation — Conduit 1! %' Tubing B.X.L Metal Moulding r�< Rv Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I ES. Remodeling MIAMI SHORES VILLAGE No Street No Block Additiun Repairs No. of Stories. / — t ! . < (Signed)./4./ Subdivision Street r( �7 Street � r Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit as are licensed by Miami Shores Village. (Signed) V \ \..... \\ . '....,, V — Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•ir. fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST ,.) a , i i /) / / CHECK ' ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST F7 ,- :, % �! , /'''. ? ": •. A t' ti .f. i ..,h CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Errgineet..444 . � Employing Electrician's Name 1 / Location and Legal Description Lot..... }...1�..� Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Service Overhead� Size Feeders onduit ;, J? Main Sw. Amos Main Fuses / Amos Underground Type of Installation — Conduit 1! %' Tubing B.X.L Metal Moulding r�< Rv Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I ES. Remodeling MIAMI SHORES VILLAGE No Street No Block Additiun Repairs No. of Stories. / — t ! . < (Signed)./4./ Subdivision Street r( �7 Street � r Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit as are licensed by Miami Shores Village. (Signed) V \ \..... \\ . '....,, V — Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•ir. 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.