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1189 NE 102 St (11)Date Type Insp'n,� Permit No. E L 7 C) Na • L Co •. an /l a _A Address Phone # S— For InspectorT2 (1'2_117) 03 amei Approved Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Re-Insp'n Fee ❑ Time 1,_J 0 0 L Date Type Insp'n Permit No. Nam Address t l /- Comp Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTME 305- 795 -2204 Building Inspection Request 3 0 s. 6 30 - aS 1 Z �IZ��y MIAMI SHORES VILLAGE BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Request Dat§P Type Insp'n 19 n. \ r y Permit No. "EA acx3 - '3 Name hl CAC , Address 1 1 O —` 1•r ( E cY 1 - 4- Company �r L� (1 (o h -e Phone # o.( f - Inspection Date (9- Approved ❑ Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date , 7_ p Time Type Insp'n ��,,++,, Permit No. V 0 L 2 v.7 Name 0 /6 Address I/ il dji /02 Si Company 4- T 67di Phone # ] h o3) J For Inspector: P'J 0 a Name & .' •to f iLZX/4" X 55 Approved Correction ❑ / r 6'4 ' Re- Insp'n Fee ❑ x .cos .‘1 2 9V f 2 pay eA� �- G Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Printed: 1 /23/2002 Applicant: ALICE Owner: GLADDING Contractor G & T ELECTRIC COMPANY Local Phone: Parcel # 1132050190100 Job Address: 1189 NE 102 ST Fees: FEE2002 -381 F E E2002 -382 Permit Status: Approved Permit Expiration: 7/17/2002 Work: REWIRE ONE DRYER AND RANGE %If there is no permit paci fee is $50.00, which must t This Permit is granted to the con: ordinances pertaining thereto and H and approved by the proper municif authorization. A further condition u1 ordinances and regulations pertainir by his agents, servants or employee Signed: e� In consideration of the issuance tc with the plans, drawings, statement: myself, my agent, servants or emplc Signed: PAY TO THE ORDER OF ACH R/T 063100277 Electrical Permit Permit Number: Address: 9550 NW 12 ST Cellular: Legal Description: MIAMI SHORES SEC 8 REV PB 43 - 67 LOT 10 Description Amount Building Permit Application Fe$60.00 CCF $0.60 Total Fees: $60.60 Bank of America. FOR l.3_e.a_f GI 11'0076 ':0 GLADDING ALICE Construction Value: EL2002 -25 00 2??': 00 15 $800.00 Look focyellow background on the front of this'check; and the imageSafe® logo on hack. If not present. do not cash. •• W 9587369ll G. & T. ELECTRIC COMPANY INC. 305 - 592 -0534 9550 N.W. 12 ST. BAY NO. 15 MIAMI, FL 33172 f 07 -00 /Yry 77Oc-2 Page 1 of 1 BLK 175 LOT SIZE Total Fees: $60.60 Total Receipts: $0.00 DATE ( //� to l DOLLARS 7635 63- 27/631 FL 993 $ 6° a Page 4 OFFICE USE ONLY ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ 640 '0'.e $ ( sq.ft. = x/1000 x ¢.60) $ (t.005 /sq.ft.) $ (¢.0l /sq.ft.) REVIEWED AND PREPARED BY: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE • PERMIT APPLICATION CHECKLIST ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ G7 t/ ♦ b ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. 1 TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8-15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window. FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top I Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New NIECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C WaWWin. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUI'IBING TYPE A/C Condensate QTY. TYPE. Drains, Roof QTY. TYI'E Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: /Q- d 2— Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. '. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE FLORIDA, COUNTY OF MIAMI -DADE Signatur8 f urn er c� Print Name Sworn to and subscribed before me this day of1 2002. %�/i ;.6- 4' Si aure iota Puy ic, .�, offer SEAL: KILPATRICK m Exp. 9/27/2002 No. CC 778417 Palatally Known 1101W La Personally known n`^ OR, Produced Identification Type of Identification Produced: 1/ Signature of Contractor / Qualifier rat itrev /' Signat SEAL: Personally known Type of Identification Produced! PERMIT APPLICATION COUNTY OF M AMI -D = . E Print Name �/ w'' Sworn to and subscribed before me this /. J day of e Ti pu. - s Im t c MARY A. KILPATRICK [ My Can . 9/27/2 y ' No. CC 778417 / Personally Known t 1 Otha L0. OR, Produced Identification A— PROPERTY OWNER Name P.dRGE /f. QZ.A Address // 8 q �E /02 St . MIAMI .(4unes, FL 33(3 Home Telephone 30 S 7S9 -- // 2 Business Telephone Fax CONTRACTOR Name r w, /_" ` 7G �CIG CO. / .Z -i — License No. a n /6O i1 9 d Address rys� 4/W /2) 3/Q'� /� 7 "t ift a FL 33172_ Telephone336 5 5 -34 Fax 3o3--5992_9 %2 7 Qualifier Name ,.) ien ewski er�li TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior ' Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'! Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION \Job Address: 1/8? N 10 S f Address Apt. Master Permit No. PERMIT APPLICATION Subsidiary Permit No :Tit ' o • c),"j 331.3? KAM! /d City State Zip Folio Number 11 - 34O5" - O1 ct -0 \O0 Description of Work PsW�1r-e.. o.- �O c`y r 010-41", Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property LS 1 de►.) e.,e Square Feet Units Floors Oe Proposed Use of Property (&e s' e( e.'-3 '_ k Value of Work eaa Bldg Value Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other ARCHITECT Name License No. Address Telephone Fax Chg. Contractor Renewal Revision Extension Supplement Reinspection Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) ENGINEER Name License No. Address Telephone Fax Date Legal Description Owner /Lessee/Tenet Owner's Address —574/:2 V& Qualifier , / " 4 SS #/ -44 A/ 7-/- State # Ee dLp/ 7 Municipal # G;4 Competency # Contracting Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Signature of owner and/or Condo President Notary as to Owner and/or Condo President My Commission Expires FEES: PERMIT 6• RADON APPROVED: Zoning Mechanical • • •• •• • • • - 'P,RMIT APPLICATI0 1bRI1A SHORES VILLAGE M • • • • • • • ••• 10050 N.E. 2nd Avenue • Miami Shores, MAIM 33138 • Phone: 305- 795 -2204 • Fax: 305- 756 -8972 Z Job Address //c9 ry / ?/ g •• • • • G/G% Niacter Permit # • •• • • /4 97 /oZ • Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION: .��' f y� C � e • • ••• ' Square Ft. Estimated Cost (value) T • • • • • • • • •• . . • • Historicaliy Desigdated: Yes No Date Signature o C.0 F Building Electric 1,3 op Phone /' 1 ' ` b Ins. Co. dr- ' PLUMBING MECHANICAL ROOFING )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 ANY 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 all disciplines. 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. Furthermore, 1 authorize the above named contractor to do the 'rk -stat ' a7/02 Date NOTARY uilder Date Notary as to Contractor or Owner Builder My Commission Expires Date BOND Plumbing Structural Engineer ITEM BATH TUB UNIT FEE . • _• - • ::_ ITEM •• ' • • ' SWITCH OUTLETS " ' UNIT . �� FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE / REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET- - • • - '' MOTORS OVER • 100 If VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: ..: _ AIR CONDITIONERS A/C UNIT . .. STRIP HEATER FIRE SPRINKLER 'GENERATORS TRANSFORMERS HEATER -NEW INST. "f.';: GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL. SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE • SIGN TUBES ;EWER CONNECTIONS SIGN TRANSFORMERS ITILITY- SEWER SIGN TIME CLOCK TILITY -WATER FIXTLRES EPTIC TANK ANTENNA . ELAY TELEVISION OUTLETS RAINFIELD, 4" TILE/RES. VIOLATION UMP & ABANDON SEPTIC TANK - • • REINSPECTION OAKAGE PIT CU. FT. . • ATCH BASIN ISCHARGE WELL ' 7MESTIC WELL lEA DRAIN )OF INLET )LAR WATER HEATER !RE STANDPIPE IOL PIPING ;WN SPRINKLER SYSTEM S RANGE TER SET (GAS) S PIPING .4 L_ (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY•THISDf) DUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATU�SE NEED ISOi BF�,4,RE$ENT ON SUBSEQUENT APPLICATIONS.) • • • • • PLUMBING • • :• ••• .. •: : •ADDENDUM TO BU 't'�I 16- REF{M�T A PPLICATION ••• •• ELECTRICAL. •• .. ;;••..;:• •• MECHANICAL DRIP LOOP ia DE �O' (AEG (MIN) 6' •ri -. ( 1-. METER Mb 2' ABOVE ROOF • • FIIITSItED GRAT1E _1oud IXtflW14 `1 a � a- MAXI IC eL�auc PVC SUOCVL MAIN CI3 i PANEL WO' t+ w IIEP TU U _ r. 1 W mai M HDAi mut Mr J 1� SUB CD • 1 . PANEL ,CONTRJ T L1.&L -:_�. HAIN. DI S ONIIECT R a Hutt Sub Breathers INS EDE PANEL PER S.F.u_C, ntinS,2(1) • SI GHAT UIIG CONTRACTOR NOTARY n > BY •1 -Ic10 t Ft . . Cond... for sccr $2 2 /Y/ Conduit stir ' s Conduit typp• .4-^1.Z:. • roof YES,_. -___NO Ground • SUB FEEDER Ne�►_� . Type Size Bond AMPS ps ,� Am W :Atips ExIs ino__,._ ---1— Rating - • - Arias Bond Buss , Yeg AC# U 4 (1. b b 3 STATE OF FLORIDA FORM NO.- 401- 280/AC 25-061 S T A T E OR COUNTY CERT/REG # 9 8- C M E -1815 - R Business Location Address: 5742 SW 75 ST 102 3 3144 DADE - COUNTY BUSINESS PHONE; (305)630••2549 THIS UCENSEAUST,8,.CONSPICVOUSLY DISPLAYED TO PUBUC VIEW AT i LOCATION ADDRESS A DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD SEQ #L02070100499 • 7 At/ G 1511oR Ev00nn104 The . R L SYSTEM. CONTRACTOR I Named ,Oow -0 H;AS, : REGISTERED ' �" 7� Under °- the provisions of Chapter:489_FS. Expiration date: AUG 31, 2004;, (INDIVIDUAL -MUST MEET ALL LOCALT LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) lrff2 S 1li�' 4 �1R1�: .7 aS ' - 1 2iz , r 4 4 B RQ 5',, STE 201- ',fr0� _, MI1M�"',` ,;r11 -. L:3.3144 4b Vi "• ,, • . • ( ;, #rR :4 1i= ; r t ` , ", • ` DISPLAY AS REQUIRED BY LAW J� STATE OF FLORIDA •k+ '''D "OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD S EQ #L0207 0100477 MINTATAIMMITIMMI T.TrrNSE NBR n7 t l` >' , I7* g'1`4(11 F`R0fli 259Q ` : The ELECTRICAL CONTRACTOR Named` - belovi ?HAS REGISTERED P Under the provisions of Chapter. .489 FS. Expiration date: AUG 31, 2004 - (INDIVIDUAL MUST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) MESA P AUL MESA BROTHERS 'INC 5742 SW. � 7T _ ST, STE 201 (�y .FL 33144 lb RENEWAL ' ❑ TRANSFER SEC # ❑ NEW DATE BUSINESS OPENED 01/01/02 18 / 181 4Pd 4A1NARD M f, "DISPLAY AS FEQUIREp BY LAW Boarc hot County Commissioners, Browerd County Florida BROWARD COUNTY OCCUPATIONAL LICENSE TAX FOR PERIOD OCTOBER 1, 2002 THRU SEPTEMBER 30, 2003 BRO COUNTY REVENUE COLLECTOR 115 S. A • rews Avenue, Governmental Center Annex FORT LAUDERDALE, FL 33301 0000017895 000 0002700 , 000000184002169 1001 2 TAX 27.00 BACK TAX 8 1 . 00 PENALTY 22.95 TC.FEE 75.00 TRANSFER TOTAL 205.95 r- MESA BROTHERS INC MESA RAUL 5215 SW 103 AVE •MIAMI FL TYPE OF LICENSE TAX PAID "-.COUNTYMASTER ELECT;,! /BURG /FIRE F L O R I D A 10 U N I T S 2002 - 2003 • 33165 KIM BINKLEY -SEYER SECRETARY KIM BINKLEY -SEYER SECRETARY RENEW ON OR BEFORE SEPTEMBER 30, 2003 OCT %NALTIES IF P -15".6 ; • DEC. - 20% I • After DEC. 31 - 25% • Plus Tax Collection Fee of up to $25.00 Based on Cost of License if Paid On or After November 30, 2002 181-0002160. „f, t ; Y■-I ALARM ACCOUNT NUMBER PAYMENT RECEIVED AS VALIDATED ABOVE 'SEE BACK FOR TRANSFER INFORMATION fL; rr . , ..e., ° . , .• . VI P .' .'-' ;-',' . -. STATE OF FLORIDA 0 A F .4' ; '■'. ' ' - 7 ' . - '' . ' • ' A ND ' IDEA NT RTME OF 'BUSINESS ND PROFESSIONAL REGULATION ,-.4. .,, _.‘__122. . _ • ELECTRICAL CONTRACTORS LICENSING BOARD • 1111010 LTC NBR I r P i r O C A M 5 7 1 t t f i " 1 " ; 1 ; 4 + 4 : b 9' FiR n'n 1 2 5 9 94 ' I - t • • --. The: _ELgctp.xdAL CONTRACTOR .. _ ' \Neimed4aillisi5VIMAS ,REGISTERED :- : ,7 'il , Under Otiii provisions of Chapt 9. , FS. Expiration date: AUG 31, 2 0 04 (INDIVI 'MUST MEET ALL LOdAL REQUIREMENTS, PRIOR TO CONTRACTING.: IN ANY AREA) •-,''' '.'• --i`r3/4 c 4;0,~ ',.-...,-;•:::;.....--,:.i.- ...,, v , , „ , c . i<?.. ,:s.';; ,f,,:•, . 'iMESII:t. 1.13r : k 1 P4 - 4tkr,-,*.!,.. - • :,. ,.;•1(4:, a.,..4:,• ;,,'• 4. 7170,f-' N,''../ ■S ; .201 . , :.? 1 i .,.. !.. v,-, , . ,;:. ' ,-- 1 1' ' " -:. kF,Lr; 1 •''.'s4rP., •4\p„:1) ..,,,:•tu ," :,,„1.,),.:k::.■•,,,,„, ,,, ., 4 7‘1:4. , •. 1 .- - i.' IREQuIREp BY LAW wtt , ,OITES GOVERNOR DEPARTMENT Oirv:;BUSINESS AND PROFESSIONAL REGULATION • ELECTRICAL CONTRACTORS LICENSING BOARD DATE -‘07 03M Fi r.* vn'n n n in4 The ;ALARN• SYSTEM. CONTRACTOR . Named $46'elow"? vREGISTERED' 'Under the liroVibions of Chapter'. 4)39-5FS Expiration date: AUG 31, 20041.1 " (INDIVIDUAL MUST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) • KESAuBROTHEIte • ,STE r ::41'STATEOF!FLORIDA LT rENSE NBR Y . •••• SEQ#L0207010047 ,!. ,••••• • • •0 • KIM • • '••! BINICLEY-SEYER SECRETARY SEQ#L02070100494 IL:y:3.3144; • .201 • • • ..t . „ • „ , • :: 4 1 0 ! ...• • • KIM BINKLEY-SEY'ER'' - DISPLAY AS REQUIRED BY LAW SECRETARY tAMl )AQE`COUNIfy;BOILDINQ CODE COMPLIANCE OFFICE 140V.•FLAGLER'ST., SUITE 1602 MIAMI, FL 33130 V"• aj.. .r. P !RS.ON'AL` C RTIFIC'ATE' OF. COMPETENCY ' EXPIRES 0N709/30/2003 :ME S•A RAUL SSC: 103 -44 -1525 M AMI.unuE CO :WILDING CODE COMPLIANCE OFFICE 140 FLAGLER ST., SUITE 1602 MIAMI, FL 33130 (305) 375-2527 i,SIN S'S . ` ERTIFICATE•OF,COMPETENCY EXPIRES ON 09/30/2003 MESA BROTHERS INC C.C. NO.: 000008799 Q.A.: MESA RAUL S.S. NO.: 103 -44 -1525 CiUALFYNO Aura taA) MST SUPOWE E DIFECf AND CONMOL ALL WORK. 4- (305) 375-2527 w w I w I 0 TRADE: ELECTRICAL SKILL: MASTER CATEGORY(S): CTR IC GLA RM L SPECL Signature o Certificate Holder FRANCISCO J. QUINTANA, R.A. Secretary Construction Trades Qualifying Board CONTRACTOR TRADE: ELECTRICAL CATEGORY(S): BUR AR ,ltt •� M n' F E AL -AR SPECL Signature of Qualifying Agent FRANCISCO J. QUINTANA, R.A. Secretary Construction Trades Qualifying Boat° PLACE Pt-1 ; st HERE PLACE PHOTO HERE ':iIT•MI•DADE COUNTY L:L.ILDING FLAGLER ST.. SUrTE tt30. MIAMI. FL 33130 ':•QADE COUNTY 5.,1l.!1t4„ FLAGLER ST. Sur. FL 33130 nE SCNAL C. .'. TIFLCA1'i - X21' :F S (' - Or CONT; CT(JR TRAL)L: ELECT■ICAL w CA.TEGORY(Sl: US INE aS fr ELCT •r. CA1 . • CE R tIFTCATU.. ,j -'t TECY w k1Ur ,LAr2 AL ' •1 !_XP.IRES ON 0:J />t7 '.00 = r CL NESA BROTHi RS IN:. CI C.C. NQ. 00 .,a � ER0012599 OUAUFYING AGENT (QA) MUST tiUPERVISE. r oVOT AND CONTRC.. ALL. WORK. Certificate Not Valid For Contracting STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION EY0000104 07/,.4)1/02 011151408 REG ALARM SYSTEM CONTRACTOR MESA, RAUL MESA BROTHERS, INC. (INDIVIDUAL MUST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) HAS REGISTERED under the provisions of Ch .489 FS Expiration date: AUG 31 , 2004 SEC N L02070100454) STATE OF FLORIDA "DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION REG ELECTRICAL CONTRACTOR MESA, RAUL MESA BROTHERS INC (IN: VIDUAT, MUST MEET AL. .,G`;•:.. i., ICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) HAS REGISTERED under the provie:r,,nv o: x•; 99 ,� j F .,.., a:.iondatv: AUG 31, 2 004 SEQ a L0207010047 %.) COMPLIANCE OFFICE (305) 375 -2527 )DAPI.IR ^l(.E OFFICE (305) 3'5.2527 (t. NC. •. Y 07/01/02 011151409 TRAL .:: ELECTRICAL SKILL: MASTER LL) ■r ALAk'"1 fir.; , n•, +Ir .•r I G•'fln. I I' PLACE HERE Pi • OF LICENSENO. 30- 0405779 CC NO: . 000008799 BUSINESS NAME / LOCATION MESA BROTHERS INC 5742 SW 7 ST OWNER :MESA BROTHERS INC NOT VALID IN: AVENTURA, HIALEAH, KEY BISCAYNE, PINECREST & SUNNY ISLES Licensee must: register,tn the - where work is be done. PAYMENT' RE MI OAAO 002400. 000200 MIA1AI =b TAX CO 140'W 1 040577 -9 BUSINESS NAME / LOCATION MESA BROTHERS INC 5742 SW 7 ST 33144 MIAMI OWNER MESA BROTHERS INC Sec. Type of Business 196 ELECTRICAL CONTRACTOR n3 IS AN OCCUPATIONAL AA ONLY. IT DOES NOT I'.MMIT THE LICENSEE TO IODATE ANY EXISTING ,EGULATORY OR ZONING ..AWS OP THE COUNTY OR :.mES. NOR . DOES IT EXEMPT THE LICENSEE =ROY ANY O1NER LICENSE OR PER= REQUIRED OY LAW. TINS IS NOT A CERTIFICATION .T NE UCENSEE'S . 'CA- PAYMENT YIAMOAQE `2002 /_'200 } 2 0003;1: 50 SEE OTHER SIDE MUNICIPAL CONTRACTOR'S , ; .2003 QCC�IPATIQ 4 LICEN3F �1 OH* ' , Qt n q , p. ATE' OFD L fIDA'rc RSU of .Ali ,4 i l �?f 2+ ` IR - A . 4 200 ELECTRICAL CONTRACTOR MESA BROTHERS INC 5742 SW 7 ST #102 MIAMI FL 33144 DO NOT FORWARD x 2002 OCCUPATIONAL:LICENSE'TAX . 2063'': , MIAMIDADE COUNTY t. STATE . OF FLORIDA z - EXPIRE4'SEPT. 30; 2003 MUST BE DISP{AYED AT,PLACE,AF BUSINESS PURSUANT TO COMM CODE CHAPTER 44'4 ART; 8 S10 'ry 102 DO NOT FORWARD MESA BROTHERS INC 5742 SW 7 ST #102 MIAMI FL 33144 WORKERS 10 rIHS I'•CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 IS HEREBY LICENSED TO DO BUSINESS AS A CONTRACTOR AS SPECIFIED HEREON. RENEWAL LICENSE NO. 040577-9 C C # 000008799 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1 /13/2003 Applicant: ALICE GLADDING Owner: GLADDING ALICE JOB ADDRESS: 1189 NE 102 ST Contractor MESA BROTHERS INC Local Phone: Parcel # 1132050190100 Total Fees: $0.00 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 7/12/2003 Construction Value: $700.00 Work: SERVICE CHANGE If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed Signed: c Electrical Permit Permit Number: EL2003 -13 Page 1 of 1 Contractor's Address: 5742 SW 7 ST 102 Legal Description: MIAMI SHORES SEC 8 REV PB 43 -67 LOT 10 BLK 175 LOT SIZE SPECTOR) BY: 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. REG IC01 011503 1620 NC #01 004037 CASH $60.00 (Contractor or Builder) BY: Issue Date: 1/18/2002 Owner's Name: GEORGE GLADDING Permit Type: Imported Permit Work Classification: <NONE> Job Address: 1189 102 Street NE Additional Information Applicant Copy Miami Shores Village, FL 33138- Fees Due Amount Total: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 08/17/2004 Contractor(s) G &T ELECTRIC COMPANY Phone Primary Contractor Yes Perm Type: Electrical Alpha Four: Alpha Six: Pay Amount: 60.6 Alpha Two: Alpha Five: Residential Pay Date: 1/25/2002 Pay Comments: PAID W 7625 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. Parcel #: Block: Section: Permit S Permit Numbe one: Total Square Feet: Total Valuation: Required Inspections 1132050190100 Lot: PB: 0 $ 800.00 Electrical , Invoice Number Total: Amt Due Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. For Inspections, Call (305) 795 -2204 exts 431 & 442. Requests must be received by 3 pm for following day inspections. Obtain Certificate of Ocupancy /Completion Before Using the Building Issue Date: 1/18/2002 Owner's Name: GEORGE GLADDING Permit Type: Imported Permit Work Classification: <NONE> Job Address: 1189 102 Street NE Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 08/17/2004 Contractor(s) G &T ELECTRIC COMPANY Phone Primary Contractor Yes Additional Information Perm Type: Electrical Alpha Four: Alpha Six: Pay Amount: 60.6 Alpha Two: Alpha Five: Residential Pay Date: 1/25/2002 Pay Comments: PAID W 7625 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. County Copy Parcel #: Block: Section: Total Square Feet: Total Valuation: Required Inspections Permit Status: CLOSED Permit Number: EL2002 -25 Phone: 1132050190100 Lot: PB: 0 $ 800.00 Electrical Fees Due Amount Total: Invoice Number Total: Amt Due Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Issue Date: 1/18/2002 Owner's Name: GEORGE GLADDING Permit Type: Imported Permit Work Classification: <NONE> Job Address: 1189 102 Street NE Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 08/17/2004 Contractor(s) G &T ELECTRIC COMPANY Phone Primary Contractor Yes Additional Information Perm Type: Electrical Alpha Four: Alpha Six: Pay Amount: 60.6 Alpha Two: Alpha Five: Residential Pay Date: 1/25/2002 Pay Comments: PAID W 7625 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount Total: Finance Copy Parcel #: Block: Section: Total Square Feet: Total Valuation: Required Inspections Permit Status: CLOSED Permit Number: EL2002 - Phone: 1132050190100 Lot: PB: 0 $ 800.00 Electrical Invoice Number Total: Amt Due Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Issue Date: 1/18/2002 Owner's Name: GEORGE GLADDING Permit Type: Imported Permit Work Classification: <NONE> Job Address: 1189 102 Street NE Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 08/17/2004 Contractor(s) G &T ELECTRIC COMPANY Phone Primary Contractor Yes Additional Information Perm Type: Electrical Alpha Four: Alpha Six: Pay Amount: 60.6 Alpha Two: Alpha Five: Residential Pay Date: 1/25/2002 Pay Comments: PAID W 7625 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. Building Department File Copy Applicant Signature Parcel #: Block: Section: Total Square Feet: Total Valuation: Required Inspections Permit Status: CLOSED Permit Number: EL2002 -25 Phone: 1132050190100 Lot: PB: 0 $ 800.00 Electrical Fees Due Amount Total: Invoice Number Total: Amt Due Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. DATE TIME S,R -TIME DISTANT STATION ID 12/09 16:47 00'37" 93055929462 MESSAGE CONFIRMATION MODE TX 12/09/2005 16:48 ID =MIAMI SHORES VILLAGF PAGES RESULT 002 OK D.CODE S.C. 0000 • Atamw Slot:714 BUILDING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138 - 2382 TELEPHONE: (305) 795 - 2204 FAX: (305) 756 - 8972 FAX TRANSMITTAL BLDG DEPT DATE: DEC 1 2 2005 TO: fiafl) FAX: z50515{2_41444 FROM: )frrtc& ' FAX: (305)756 -8972 NUMBER OF PAGES INCLUDING COVER MESSAGE: THANK YOU Miami Shores Village Hall ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 6 & Date Amount of Permit S MIAMI SHORES VILLAGE Registered Architect and /or Engineer Employing Electrician's Name r! No.. Street and Number where work is to be performed —No ` r 9 State work to be performed and purpose of building (By Floors) .619K.IK (Signed) (Signed) ><. Location and Legal Description Lot Block Subdivision Street Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s itted 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. / / R �j f Owner's Name and Address .. a No.1 `� Street . ! e. /1) 'v( 9 P / Street 4 (IF/�"V �..� 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 Electrical 'spector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are . licensed by Miami Shores Village. \‘ Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. I 6a. 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 REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. Sp ACE HEATER STRIP HEATER TOTAL CONTR. LIST 3 JJJ VVV / J v 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 6 & Date Amount of Permit S MIAMI SHORES VILLAGE Registered Architect and /or Engineer Employing Electrician's Name r! No.. Street and Number where work is to be performed —No ` r 9 State work to be performed and purpose of building (By Floors) .619K.IK (Signed) (Signed) ><. Location and Legal Description Lot Block Subdivision Street Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s itted 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. / / R �j f Owner's Name and Address .. a No.1 `� Street . ! e. /1) 'v( 9 P / Street 4 (IF/�"V �..� 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 Electrical 'spector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are . licensed by Miami Shores Village. \‘ Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. I 6a. 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. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERM Permit No // Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith ( ubmit ed for the buildi g or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of ami Shores Vil ge, 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 Enginee Employing Electrician's Name C'CJ • No Location and Legal Description Lot Block Street and Number where work is to be performed—No ....... ... _. State work to be performed and purpose of building (By Floors) 3 &La - C uo mount of Permit $ 58. MIAMI SHORES VILLAGE (Signed) No /L.. 1 Streea L 2 (Si netl gjci Street Street. Subdivision w ` f New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type o nstallation— Conduit A Tubing B.X Memel Moulding a.kli Elect al Inspe The undersigned applicant for this buiI ing permit does hereby certify th t he un. rstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co .filed eneral Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, r 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. H EAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK �/� 1 OAT/ ENT. SW. DIST. — CABS.— ( r SERV TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST • CHECK lit(Y) ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERM Permit No // Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith ( ubmit ed for the buildi g or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of ami Shores Vil ge, 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 Enginee Employing Electrician's Name C'CJ • No Location and Legal Description Lot Block Street and Number where work is to be performed—No ....... ... _. State work to be performed and purpose of building (By Floors) 3 &La - C uo mount of Permit $ 58. MIAMI SHORES VILLAGE (Signed) No /L.. 1 Streea L 2 (Si netl gjci Street Street. Subdivision w ` f New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type o nstallation— Conduit A Tubing B.X Memel Moulding a.kli Elect al Inspe The undersigned applicant for this buiI ing permit does hereby certify th t he un. rstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co .filed eneral Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, r 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect 'Contractor or Builder Legal Description. Address of Building agr PERMIT IN? 13592 Work to Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA be performed under this Permit BL Signed• Subdi- vision Value of Project $ BY DATE Contractor's License No 9''- '��••195 Amt. of Permit Yts I A%. This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the st tements or specifications and that he assumes responsibili1ty for work done by his agents, servants or employees. INSPECTOR In consideration of the issuance to me of this permit I agree to `'° orm 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 do by either, mysef, my agent, servant or employee. AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder • - Legal Lot Description Address of Building 8842 Value of Project DATE Work to b CONTRACTOR OR BUILDER S Subdi- vision t .. This permit is gr.: ted to the cantracto r :¢r .0 aer named abore'to construct the b ilding. or�rto install the equipment or. device described in the appli- cation herefor in strict compliance witi all o>jdinanee 'perfa nng thIlietb and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have peon s ibm tted 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, ord Lances 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 gamed above assume the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered Hereby whether shown on the 'plans Or kawmgs # 4r in the stater .nts or specifications and that he assumes respon sibility for work done by his agents, servants Or employees. I i I i Signed: i Amt. of Permit INSPECTOR In consideration of the issuance to me of this permit I agree to perform the .'o k covered hereunder in compliance with all orch .. oes and regulation pertaining thereto and in strict conformity with the plans, drawings, statements /Or s submitted to the proper authorities"of ,Miami Shores Village In accepting this permit I assume responsibility for all work done by either myself, r iy agent, servant or employee. f l By Permit No / 1 ' Owner's Name and Address Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I materials and /or workmanship. C. ...7.:. p. C S S. F MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Registered Architect and /or Engineer Employing Electrician's Name HO ic 7 ?I' e ( ( No Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) PI- U C New Building Remodeling Addition (Signed) (Signed) cr / 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. P C) Adi l C No // ' Street / / © �' s 7- Block Subdivision Street /U6 iv re , '�`/? i a b fir; r) ( -r oA'C '.., Repairs No. of Stories /l_.__L__.1 lers Conduit Main Sw Amps Main Fuses Type of Installation—Conduit Underground Tubing B.X.L .Metal Moulding ro /"�' / i S P C 17 o /V Street Ay Master Electrician. Electrical Inspector. The undersigned applicant for this ilding permit does hereby certify that he understan . s . nd accepts his obligations as an employer of labor under the Florida Workmen's pensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions th reof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. efore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally te aced 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 1�, 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. M OTORS 0.1 HP M OTORS 1.5 HP N EON TRANS. RADIO TOTAL. CONTR. LIST CHECK Permit No / 1 ' Owner's Name and Address Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I materials and /or workmanship. C. ...7.:. p. C S S. F MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Registered Architect and /or Engineer Employing Electrician's Name HO ic 7 ?I' e ( ( No Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) PI- U C New Building Remodeling Addition (Signed) (Signed) cr / 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. P C) Adi l C No // ' Street / / © �' s 7- Block Subdivision Street /U6 iv re , '�`/? i a b fir; r) ( -r oA'C '.., Repairs No. of Stories /l_.__L__.1 lers Conduit Main Sw Amps Main Fuses Type of Installation—Conduit Underground Tubing B.X.L .Metal Moulding ro /"�' / i S P C 17 o /V Street Ay Master Electrician. Electrical Inspector. The undersigned applicant for this ilding permit does hereby certify that he understan . s . nd accepts his obligations as an employer of labor under the Florida Workmen's pensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions th reof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. efore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally te aced 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 1�, A • Permit No.___2_ _ .2. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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. 1 /, 1 - - Registered Owner's Name and Address____ .1 J! ___) __ Architect and /or Engineer � __ Employing Electrician's Name_ _ ,;!!1___1�r ' , 4! "! _No _ Location and Legal Description Lot Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) _e_ New Building___ i " _ ' _ r Remodeling _______Addition___ _____Repairs No. of Stories Block /1 Conduit/ / ____ Main Sw.�__ — _ -- Amps. -- _ -Q_— Main Fuses_____ _Cd_______Amps Service Overhead Size Feeders_ _ t Type of Installation— Conduit Tubing _- __4___ B.X.L.____._ Metal Moulding_ of Permit STATE OF FLORIDA, COUNTY OF DADE. } ss. --- - - - - -- — - -- - -- �(Signed)— (Signed) _ Date_ - _Street____ Subdivisiop_ Street__ lectrical Inspector. The undersigne. • ' . s 's building permit does hereby certify that ' - nderstands and accepts his o tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, p' ed General Laws of Florida ermanent Supplement, and has complied with the provisions thereof, and will require similar complianc -,f all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be p osted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared_ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 r 7 / J 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.___2_ _ .2. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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. 1 /, 1 - - Registered Owner's Name and Address____ .1 J! ___) __ Architect and /or Engineer � __ Employing Electrician's Name_ _ ,;!!1___1�r ' , 4! "! _No _ Location and Legal Description Lot Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) _e_ New Building___ i " _ ' _ r Remodeling _______Addition___ _____Repairs No. of Stories Block /1 Conduit/ / ____ Main Sw.�__ — _ -- Amps. -- _ -Q_— Main Fuses_____ _Cd_______Amps Service Overhead Size Feeders_ _ t Type of Installation— Conduit Tubing _- __4___ B.X.L.____._ Metal Moulding_ of Permit STATE OF FLORIDA, COUNTY OF DADE. } ss. --- - - - - -- — - -- - -- �(Signed)— (Signed) _ Date_ - _Street____ Subdivisiop_ Street__ lectrical Inspector. The undersigne. • ' . s 's building permit does hereby certify that ' - nderstands and accepts his o tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, p' ed General Laws of Florida ermanent Supplement, and has complied with the provisions thereof, and will require similar complianc -,f all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be p osted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared_ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. 3 5 1itJ 1 d 1,2-11 12. ,145Z- ,, 1 r"11 /12.2.y i )‘- 4 2 - 1 1 so. 41 Dasr / 2/ 1 / 11/ e MIAMI SHORES VILLAGE \\) APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. Owner's Name and Address STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned peared and who, being by of the abo - describ therein by i im state Permit N Di Name and address of licensed contractor — Location and legal description of lot to be built on: BUILDING INSPECTION DEPARTMENT Date Date first duly swo d constructio are true. No Street Registered Architect and /or Engineer Lot Block Subdivision Street and Number where work is to be done I V State work to be done and purpose of building (by floors) _ . _1_ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $Q — _Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed J r:P} • 'ty, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- th deposes and /says that he is the refully read the foregoing application, and that he did sign the same, and that all facts it:) Read, Sworn to and Subscribed before me. Notary Public, State of Florida to me well known, Building nspector \ My Commission Expires PLANNING BOARD 1 DATE Member Member 'Member Member Member Council Approved Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. p %pt k. ooLK?--c?- .L9