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ELECTRICAL PERMIT
PERMIT APPLICATION FOR MJNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address 1-)0 Legal Description I Master Permit 0 Owner / Lessee / Tenant 1 I �a I�l � � -� (� � P�' �-� � {� ' y Owner's Address Contracting Qualifier State ¢ Architect /Engineer . Bonding Company Mortgagor Permit Type (circle ignat re of Owner an ate: st i ;y ZRMIT FEE: APPROVED: E �� f�l.t. b f cvee co. 1-1-:-'01(cJetbie �cC -�v CC 3 (0 I� E, r Au tr4- ssuRi , -3L - Ih5k Phone p v coinpetency# Eco, P Ins. Co. President tl ; otary as to Owner and /or Condo President y Commission Expires: • . * . * * * * Fire Address Address Address Address one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION \N I V� — S �- V � lc. 0) rCW ‘i Square Fit. Estimated Cost DSO () WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE 3ECORDING YOUR NOTICE OF COMMENCEMENT). application is hereby made to obtain a permit to do work and installation as indicated above, and 'n the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate )ermits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. WNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work - ill be done in compliance with all applicable laws regulating construction and zoning. 'urthermore, I authorize the above -named contractor to Bo the work stated. Sign . a of C Date: (2 ■)-/ `1.v 16 00 I Zoning Building Tax Folio Phone Other Electrical 3 c/ r75 7- 1 g0-(4,S' -tires 97O)77 er- Builder Notary as to Contractor or Owner- Builder My Commission Expires: * * * * . * Mechanical * * Plumbing Engineering ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date /2/1 Permit No ��U... S....,� 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, F.o.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 /j /1,.....a �,�. No.. C" Street.4 /' / 1 / Registered Architect and /or Engineer /, �+ Employing Electrician's Name + / g‘ ...- . .4'•- PAC. r • No... 9: 3 1 � {' Street.PLO t..�5.- - Location and Legal Description Lot Block Subdivision. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of S.ories Service Underground Overhead Size Feeders Conduit Main Sw Amps Main Fuses . Amps Type of Installation— Conduit Tubing.... ... B. %.L.. Metal Moulding . ... .............................. Amount of Permit $ .... 58. MIAMI SHORES VILLAGE Street (Signed) u � � E lectri — caf Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his pbl:gations as an employer of labor under the Florida Workmeds 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 he posted for inspection site of the work such public noticf or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors on wor to be performed under' this r ,[ rmit, as are licensed by Miami Shores Village. (Signed) 4 (� 1(/ Master Electrician. STATE bF FLORIDA, l COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to Inc 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 , hen 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 i-t SERVIC:: PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. l p � .' RADIO TOTAL _I CHECK SERVICE TEMP. ENT. SW. DIST. CAB. CONTR. LIST 1 I CHECK �,.. C 1 1 ,'i!'1 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date /2/1 Permit No ��U... S....,� 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, F.o.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 /j /1,.....a �,�. No.. C" Street.4 /' / 1 / Registered Architect and /or Engineer /, �+ Employing Electrician's Name + / g‘ ...- . .4'•- PAC. r • No... 9: 3 1 � {' Street.PLO t..�5.- - Location and Legal Description Lot Block Subdivision. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of S.ories Service Underground Overhead Size Feeders Conduit Main Sw Amps Main Fuses . Amps Type of Installation— Conduit Tubing.... ... B. %.L.. Metal Moulding . ... .............................. Amount of Permit $ .... 58. MIAMI SHORES VILLAGE Street (Signed) u � � E lectri — caf Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his pbl:gations as an employer of labor under the Florida Workmeds 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 he posted for inspection site of the work such public noticf or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors on wor to be performed under' this r ,[ rmit, as are licensed by Miami Shores Village. (Signed) 4 (� 1(/ Master Electrician. STATE bF FLORIDA, l COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to Inc 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 , hen such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address - > E' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPA i TMENT APPLICATION FOR ELECTRICAL PERMIT (Si \i‘ s No..1.2\( . Registered Architect and /or Engineer Employing Electrician's Name No \1.L 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 Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ O (Signed) Electrical Inspector The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. Date Street ) — o b w :r ccepts his obligations as an employer of of Florida Permanent Supplement, and sub- contractors employed by him in the of the work such public notice or notices be performed under this permit, as are Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. I �°' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS 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. SERVICE PERM. MOTORS 0.1 HP MOTORS 141 HP N EON TRANS. RADIO TOTAL CONTR. LIST fa CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address - > E' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPA i TMENT APPLICATION FOR ELECTRICAL PERMIT (Si \i‘ s No..1.2\( . Registered Architect and /or Engineer Employing Electrician's Name No \1.L 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 Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ O (Signed) Electrical Inspector The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. Date Street ) — o b w :r ccepts his obligations as an employer of of Florida Permanent Supplement, and sub- contractors employed by him in the of the work such public notice or notices be performed under this permit, as are Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. I �°' 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. `/) MIAMI SHORES VILLAGE Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Jo.Q.ili... No. .. 720...N..Vi.• Street 191..51. Registered Architect and /or Engineer Employing Electrician's Name Sun...2 .fate. Electric, N...186 N.J.. Street.2 :Xd.. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No pATII6 88 owner State work to be performed and purpose of building (By Floors) Existing .Residence. New Building Remodeling Addition. ...1C Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $....14 00 (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of o ida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors ,or i ntractgrs 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 o 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. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date MPiy......1. 55. (Signed) 4 4:- Street aster Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P•T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL. CONTR. LIST 3P 1 14.0 CHECK `/) MIAMI SHORES VILLAGE Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Jo.Q.ili... No. .. 720...N..Vi.• Street 191..51. Registered Architect and /or Engineer Employing Electrician's Name Sun...2 .fate. Electric, N...186 N.J.. Street.2 :Xd.. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No pATII6 88 owner State work to be performed and purpose of building (By Floors) Existing .Residence. New Building Remodeling Addition. ...1C Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $....14 00 (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of o ida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors ,or i ntractgrs 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 o 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. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date MPiy......1. 55. (Signed) 4 4:- Street aster 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. THIS CERTIFIES THAT the wiring and apparatus installed at for f -7 Power: Connected load Other Apparatus MIAMI SHORES VILLAGE PERMIT Office of Electrical Inspector No. /I c ' 1 �' CERTIFICATE OF INSPECTION Address 1 -.-• owner, and occupied as J' has been inspected and ct}rrent is authorized to be turned on, until otherwise notified, for: Size of Service I t Number of Lighting Circuits f Range / t_, watts. Water Heater ':.,� r ` watts H P. Space Heaters f' ' watts f r ELECTRICA <S'PECTOR. APPLICATION FOR ELECTRICAL PERMIT Permit No./421 Registered Architect and /or Engineer Employing Electrician's Name — __ L Ss Location and Legal Description LoT' Service Overhead Size Feeders Conduit Main Sw Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amount of Permit $ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly appeared to me well known, and who, being by me first duly sworn, upon oath of the above described construction, that he has carefully read the therein by him stated are true. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Block 1 (Signed) 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 No —. Street No Street____ ' 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 Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) Subdivision____ �________ 1 Repairs —__ No. of Stories Main Fuses Amps. authorized to administer oaths and take acknowledgments, personally deposes and says that he is the foregoing application, and that be did sign the same, and that all facts Notary Public, State of Florida Master Electrican. 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 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. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. IST LIST CHECK APPLICATION FOR ELECTRICAL PERMIT Permit No./421 Registered Architect and /or Engineer Employing Electrician's Name — __ L Ss Location and Legal Description LoT' Service Overhead Size Feeders Conduit Main Sw Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amount of Permit $ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly appeared to me well known, and who, being by me first duly sworn, upon oath of the above described construction, that he has carefully read the therein by him stated are true. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Block 1 (Signed) 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 No —. Street No Street____ ' 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 Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) Subdivision____ �________ 1 Repairs —__ No. of Stories Main Fuses Amps. authorized to administer oaths and take acknowledgments, personally deposes and says that he is the foregoing application, and that be did sign the same, and that all facts Notary Public, State of Florida Master Electrican. 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. MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ,c/ 194 — ELECTRICAL PERMIT ■° 1055 Contractor's de/ PLUMBING License No. Owner of Building CONTRACTOR OR BUILDER ewrgifamor Work to be performed under this Permit Y "' ' "✓ . —0 f ' % c Architect Contractor or BnikiOi Legal Lot Bl. 'r' -� visbon Description Address of -"f ' Building = #' r l This permit is g anted 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 r,�sponsibility for a thorou h knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on.the plhnsor jbr in the statements or cifications and that he assumes responsibility for work done by his agents, servants or employees. , Signed. .f / " a... - By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. 4 -0,44/ 0 4 Value of Project BY r Amt. of Permit I • ELECTRICAL PERMIT A N° - .III € -- Owner of Building Architect and /or Engineer Contractor or Builder .` . / NAME Proposed Location It � � )4' y LOT / SLOG } 1 SUB•DIVIS 1 This permit is issued to � ' 1 L lt" To 2�–1 the building above described, as per aytplicatton, Plans and Specifications heretofore filed in this office. This permit is granted upon the expreu condition that all facts stated in the applicatio�t{{ are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at an ' e pon thg,,.siolation of any provisions of said laws, o inaltevr rules and regulations, or upon any change in the plans and specifications unautl� by�the tom $ Dated— AMOUNT RECD. PAYMENT ACCT. DEPT. 19.9f 678 ADDRESS ADDRESS NOTE: A charge of $1.00 will be made for making corrections or changes to this application after MIAMI SHORES VILLAGE i BUILDING INS TION DEPARTMENT ? .,s NO. LICENSE NO. '°y/ ‘ LICE INSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zonin, laws of Miami Shores Village and all rules and regulations of the building deRartment of Mimi Shores Village. (SEAL) royal has been obtained from the Planning Board. A re- inspection fee of $ 1.00 will be made when such re- inspection is made necessary by improper notice for nspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at 6` PERMIT No. by Address for owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for : Size of Service � = Number of Lighting Circuits r� - Range ' - watts. Water Heater watts Power: Connected load' / H P. Space Heaters watts Other Apparatus ELECTRICAL INSPECTOR. MIAMI SHORES VILLAGE PEilivig Office of Electrical Inspector No, P7r /i CERTIFICATE OF INSPECTION , i r <, 7 ,, , , i -• , i - , ,,.....:i THIS CERTIFIES THAT the wiring and apparatus installed at d e' f /; by ' r 1 1, 4t 4-1 for L , . fal 41,00i . , . owner, and vcupied has been inspected and current is authorized to be turri on,,until otheritise notified, for: si i f : Address Size of Service ir bf 'Lighting Circuits Range i / WOW yV Heater_ *# watts i ti V , t.. Power: Connected load : t' H P. Spice Heiters watts Other Apparat ELECTRICAL INSPECTOR. Permit No._ _2 _ Amount of Permit $_ STATE OF FLORIDA, } COUNTY OF DADE. C � MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT --------------- - -- (Signed) i . (Signed) , .. N"\ Date _ ,3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address = 2 _c_K__ No Street__ —_____ Registered Architect and /or Engineer __`— __ —��_X 1` �_ ________________ y� Employing Electrician's Name —.__�_ _ '- 5 � ^!? No +ti*� l u Street�L ___L�__._'� + r Location and Legal Description Lor______``i__i -- Block j______ Subdivision_ .� • Street and Number where work is to be performed —No ! - • -' State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs__ - Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses Underground Type of Installation— Conduit Tubing B.X.L. .Metal Moulding No. of Stories 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 com- plied 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared — - -- — -- - - - - - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that 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 Master Electrican. Amps. 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' WT 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. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. ST LIST CHECK Permit No._ _2 _ Amount of Permit $_ STATE OF FLORIDA, } COUNTY OF DADE. C � MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT --------------- - -- (Signed) i . (Signed) , .. N"\ Date _ ,3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address = 2 _c_K__ No Street__ —_____ Registered Architect and /or Engineer __`— __ —��_X 1` �_ ________________ y� Employing Electrician's Name —.__�_ _ '- 5 � ^!? No +ti*� l u Street�L ___L�__._'� + r Location and Legal Description Lor______``i__i -- Block j______ Subdivision_ .� • Street and Number where work is to be performed —No ! - • -' State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs__ - Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses Underground Type of Installation— Conduit Tubing B.X.L. .Metal Moulding No. of Stories 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 com- plied 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared — - -- — -- - - - - - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that 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 Master Electrican. Amps. 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. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No.___,�'_'l 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 Engineer. Employing Electrician's Name ____.t c 1..:_-__,...:.,._t ' U I L!, No. t I1 I) Street L , Location and Legal Description Lot _ £ __!. __ii Block .�__L__ Subdivision =-Z-_..1. :;_ '_ L'_ Street and Number where work is to be performed —No._ , Street ___ __________ State work to be performed and purpose of building (By Floors) New Building ES. MIAMI SHORES VILLAGE Remodeling_ Service Overhead Size Feeders Conduit Underground Type of Installation— Conduit Tubing Amount of Permit $ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly My Commission Expires Addition Repairs Main Sw. Amps. B.X.L Metal Moulding (Signed) (Signed) Date _a_ ' ` 17 `e Street / No. of Stories Main Fuses_____. Amps. authorized to administer oaths and take acknowledgments, personally rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub- contractors, on work to be performed under this permit, as are / , A Electrica Inspector. 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, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida i J Master Electrican. -f r 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL. CONTR. LIST 1q I( h G , CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No.___,�'_'l 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 Engineer. Employing Electrician's Name ____.t c 1..:_-__,...:.,._t ' U I L!, No. t I1 I) Street L , Location and Legal Description Lot _ £ __!. __ii Block .�__L__ Subdivision =-Z-_..1. :;_ '_ L'_ Street and Number where work is to be performed —No._ , Street ___ __________ State work to be performed and purpose of building (By Floors) New Building ES. MIAMI SHORES VILLAGE Remodeling_ Service Overhead Size Feeders Conduit Underground Type of Installation— Conduit Tubing Amount of Permit $ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly My Commission Expires Addition Repairs Main Sw. Amps. B.X.L Metal Moulding (Signed) (Signed) Date _a_ ' ` 17 `e Street / No. of Stories Main Fuses_____. Amps. authorized to administer oaths and take acknowledgments, personally rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub- contractors, on work to be performed under this permit, as are / , A Electrica Inspector. 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, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida i J Master Electrican. -f r 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._ Amount of Permit $ io STATE OF FLORIDA, } COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date i q . 40 se Application is hereby made for the approval of the detailed statement of the plans and specifications herewit submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordin nce 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 1` "t X 1 1 % G `' " '!C� ' i `t Street_ Registered Architect and /or Engineer Employing Electrician's Name ________ „!.^�_k !1 �+- �`L:.�� dk�e No. 9- H •:11 r✓ Street__ 611_,..-1 Subdivision 4.21.14.4etl Location and Legal Description Lot Y__1S_ Block 1 0 4# Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) (Signed) Street - New Building Remodeling____- Addition Repairs -1-1 1 4 ,.0 • Notary Public. State of Florida No. of Stories Service Overhead Size Feeders____ Conduit Main Sw Amps Main Fuses Amps. Underground Type of Installation — Conduit Tubing B.X.L. Metal Moulding ectrlEar Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) '_I,'-l..ked L fr a ster Electrican. 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, that he has carefully read the foregoing application, and that be 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST V4 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No._ Amount of Permit $ io STATE OF FLORIDA, } COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date i q . 40 se Application is hereby made for the approval of the detailed statement of the plans and specifications herewit submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordin nce 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 1` "t X 1 1 % G `' " '!C� ' i `t Street_ Registered Architect and /or Engineer Employing Electrician's Name ________ „!.^�_k !1 �+- �`L:.�� dk�e No. 9- H •:11 r✓ Street__ 611_,..-1 Subdivision 4.21.14.4etl Location and Legal Description Lot Y__1S_ Block 1 0 4# Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) (Signed) Street - New Building Remodeling____- Addition Repairs -1-1 1 4 ,.0 • Notary Public. State of Florida No. of Stories Service Overhead Size Feeders____ Conduit Main Sw Amps Main Fuses Amps. Underground Type of Installation — Conduit Tubing B.X.L. Metal Moulding ectrlEar Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) '_I,'-l..ked L fr a ster Electrican. 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, that he has carefully read the foregoing application, and that be 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. Permit No.__,f --!� MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made or 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 be kept at building during progress of work. Owner's Name and Address __ A � vt_i, Registered Architect and /or Engineer___ - -_ � tisl••� AZT, 0. ` Employing Electrician's Name __ _S__ _1#_ Aif_&L %_ _,S, No. 1. ') Location and Legal Description Lot ____.__ C. +� Block ___ Street and Number where work is to be performed —No. ✓__ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs lP I / A Service e Un rground Size Feeders 2,`t Conduit 2 � ), ,____ Main Sw.,� b.1p Amps Main Fuses Amps. Type of Installation —Conduit T in B.X.L. Metal Moulding Amount of Permit $ Elerical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts p g pp g p y y p ills obligations fat an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such materials and /or workmanship. (Signed) S �I Date • �'' �''� No._____) Street Rf 1( _ Street y= y�_�`� -- Subdivision __ a1] -_�!. Street __lit _l No. of Stories m Master Electrican. 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, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida re- inspection is made necessary by improper notice for inspection, or faulty 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 C L LIST . t J AL 17 1 Z / r3 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HPHP ' — ff / MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR., L IST S 6 0 2.- l L l • g nt �--�� CHECK Permit No.__,f --!� MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made or 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 be kept at building during progress of work. Owner's Name and Address __ A � vt_i, Registered Architect and /or Engineer___ - -_ � tisl••� AZT, 0. ` Employing Electrician's Name __ _S__ _1#_ Aif_&L %_ _,S, No. 1. ') Location and Legal Description Lot ____.__ C. +� Block ___ Street and Number where work is to be performed —No. ✓__ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs lP I / A Service e Un rground Size Feeders 2,`t Conduit 2 � ), ,____ Main Sw.,� b.1p Amps Main Fuses Amps. Type of Installation —Conduit T in B.X.L. Metal Moulding Amount of Permit $ Elerical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts p g pp g p y y p ills obligations fat an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such materials and /or workmanship. (Signed) S �I Date • �'' �''� No._____) Street Rf 1( _ Street y= y�_�`� -- Subdivision __ a1] -_�!. Street __lit _l No. of Stories m Master Electrican. 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, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida re- inspection is made necessary by improper notice for inspection, or faulty Permit No._,c Amount of Permit $ ELECTRICAL INSP DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT MIAMI SHOl ES VILLAGE 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. F Owner's Name and Address No Street__ — F Registered Architect and /or Engineer ' Employing Electrician's Name Location and Legal Description Lot C # Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Service oUndground Size Feeders V1.-/' Conduit } L M Sw.;___�' Amps. Type of Installation — Conduit Tubing B.X.L. Metal Moulding (Signed) 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 com- plied 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires . No Street___f_,_� Block___ a (Signed) _ Date 51____1 Y Subdivision X 11 Street 112 ! � 4. 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, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida No. of Stories ' Main Fuses Amps Master Electrican. 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET 1 RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O -I HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR.' LIST I CI_' t'. 2..- I ' C 1 . iL CHECK ! Permit No._,c Amount of Permit $ ELECTRICAL INSP DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT MIAMI SHOl ES VILLAGE 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. F Owner's Name and Address No Street__ — F Registered Architect and /or Engineer ' Employing Electrician's Name Location and Legal Description Lot C # Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Service oUndground Size Feeders V1.-/' Conduit } L M Sw.;___�' Amps. Type of Installation — Conduit Tubing B.X.L. Metal Moulding (Signed) 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 com- plied 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires . No Street___f_,_� Block___ a (Signed) _ Date 51____1 Y Subdivision X 11 Street 112 ! � 4. 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, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida No. of Stories ' Main Fuses Amps Master Electrican. 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 APPLICATION FOR MIAMI SHORES VILLAGE Date b -- U O - / / Job Address 7 IJE , / 0 / Tax Folio Legal Description LOT C-C. 10 Li Historically Designated: Yes No Owner/Lessee / Tenant 1..L.Li .1.( 1 T4��E 1 k ZaU U Master Permit # Q 4 O 1O) LP y ' Owner's Address 110 N , 101 Si . l Phone 31 &) 1s-1— 4 I [[[ 4 �_ Contracting Co. J.CID -5 - V-L L D1C . Address IS 1.1 IN 1 (0 4 ' ( 19A LuL\ Qualifier 4,QPIDAI , � ZS SS# Phone 30S) 2,4 ? 00 State # b O \L\ 1 D Municipal # 30 1l1 b 113 Competency # \ " VS" Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDIN a ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION -- nki c 1.:n - Dark TEcO ry Thai ASCE_ Square Ft. , 6G Estimated Cost (value) 1 t)0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT RADON Ins. Co. Signature of Contractor or Owner - Builder - ft --\ Date ' /7e ©0i N otary as to ContractW or Owner - Builder Date My Commission Expires: , 4.;,; i CC797277 MY COi1AMi EXPIRES DE C. 17,2002 C.C.F.1"j( -,I NOTARY BOND TOTAL DUE S APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering (AN APPLICATION FOR LUILDING PERMIT -MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BE OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. --1, IMO PLUMBING BATH TUB . BIDET 0ISHWASHER OISPOSAL ORINKING•FCUNTAIN FLOOR 'MAIN GREASE TRAP I NTERCEPTCAR LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER SINK. POT/3 COMP. SINK, RESIDENCE SINK, SLOP TE6PORARY WATER CLOSET LRINAL MATER CLOSET INDIRECT WASTES +PATER SUPPLY TO: A/C UNIT FIRE SPRINKLER HEATER -NEW INST. HEATER-REPLACE LAWN SPRINKLER -WELL SWIMMING POOL WATER SERVICE SEWER CONNECTIONS UTILITY -SEWER ITILITY -WATER EPTIC TANK ELAY 2AINFIELD, 4' TILE/RES. AP b ABANDON SEPTIC TAM( )AKAGE PIT CU. FT. ITCH BASIN `SCHARGE WELL GESTIC WELL :EA IIRAIN OF IN.ET LAR WATER HEATER RE STANDPIPE OL PIPING NN SPRINKLER SYSTEM S RANGE TER SET (GAS) $ PIPING . ADDEADUM TO BUILDING PERMIT APPLICATION UNIT FEE ITEM SWITCH OUTLETS LIGHT OUTLETS RECEPTACLES SERVIC: TEMPORARY SERVICE SIZE IN AMPS SERVICE REPAIR/WTER CHANGE APPLIANCE OUTLETS RANGE TtP OVEN WATER HEATER MOTORS 0- 1 HP MOTORS OVER 1- 3 HP MOTORS OVER 3- 5 HP MOTORS OVER 5- 8 HP MOTORS OVER 8- 10 HE MOTORS OVER 10- 25 HP MOTORS OVER 25-100 If 1DTORS OVER 100 HP A/C WIND3W AIR 1XI )ITIONERS STRIP MUTER GENERATORS TRANSFORMERS GENERATORS TRANSFCRJAERS GENERATORS TRANSFORMERS SPECIAL PURPOSE CUTLETS CO ERC I AL SIGN TUBES SIGN TRAHGFfA1,ERS SIGN TIME QOCI( FIX ANTENNA TELEVISION OUTLETS VIOLATION REINSPECTION ELECTRICAL UNIT FEE ITEM 3 SPACE HEATERS 5 Z MECHANICAL UNIT FEE -( ihfl ® .�, c 2 c2 L__La TAM /ADr!1S)3C3 N 7 i • 7! - o v QT'! � ZO tit E , 10 m / *( \ 1 - F i`sTI,UG QE U 00/0"" TO "BE CA/4 ?� 7Z iF do5T Sattia ST" T= LcC1 73 t.Tk zo (F, I S11.1 :riEcTRICAL 1i • MECHAIIICAL ROOFING BLDG. OFF:CIAL NOPAll 2MORES UH.c[LnE OWE SUBIECT TO COMPLIANCE V.1":`,' t:,!1 VEOERR, STATE AND COUNV RULES t GULATIONS. MIAMI S.HORES VILLACE ASSUMES NO RESPONSIBILITIES FOR ACURAGY or CR RESULl'S FROM THESE PINS. WTh usoum FLORIDA BUILORK; COOE 1 11;1?;OI L LI..1UIRFO. ARCHITEr.;T, : ..i 114 i•irlfitf KNOWLEPA: ' RE• WIi ThR QN UT . .4i5Q111 1 =f41,14 vs 11 •