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237 NE 102 St (11)x Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING MOME7� Permit No. E L R fl 0 PERMIT APPLICATION FEB 1 5 2Q07 aster Permit No. FBC 2004 Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) Owner's Address Z /v L l oc " x471.4 Cit fl't^ L 1.1,014 State f Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name 3 Ltd .G Contractor's Address 1 1 7 fJ �- (tro S City pvt•' fowl Jtva +—p3 State Qualifier Name Value of Work For this Permit $ ) ■ 1 7 Submittal Fee $ Notary $ 5' Scanning $ Bond $ Training/Education Fee $ paivi J414,2+ County I Radon $ DPBR $ Code Enforcement $ Plumbing Zip Miami -Dade Permit Fee $ Structural Review. $ Phone # Double Fee $ Phone # Mechanical Roofing Li3 Z -1.2J Ce2 2 - aQ = / /6i4 1460 Zip Phone # 3 °� *2i 4 Z ip 3 ( 3 ZS Phone # State Certificate or Registration No.e C- a d O a--° `i Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square / Linear Footage Of Work: Type of Work: EAddition EAlteration ❑New ❑ Repair //Replace ❑ Demolition Describe Work: f"5 (A)C ( 4'. 19�T5f *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ 1.0 CO /CC Technology Fee $ 3 : 15 Zoning $ Total Fee Now Due $ 1 t J4 • j5 See ' itPAID Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issu- In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature / The foregoing instrument was acknowledged before me this 1L The forego instrument was acknowledged before me this day of fw , 20 () (; by "t7 d i/b.304 , day of / , 20 G 7, b 3 G-. -� y who is personally known to me or who has produced / t✓t7i5 Z6vho� onal n ne or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: d1 �� • � 1 Print: My Commission Expires: Signature Owner or Agent Sign: Print: My Commission Expires: Contractor (Revised 02 /08/06) APPLICATION APPROVED BY: s 4 - �tiGP��c-2 /. c`', ') pians Examiner Engineer Zoning INSTALL 5 GFCI RECEPTACLES MAR 0 6 2007 Passed Inspector Comments /de__ /AL/2- d Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 03/06/2007 Inspector: Devaney, Michael Owner: ALLISON, DUANE MERLE Job Address: 237 102 Street NE Miami Shores, FL 33138 -2426 Project: <NONE> Contractor: JC ELECTRIC INC Building Department Comments Monday, March 5, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number (305)439 -1625 Parcel Number 1132060134950 Lot: Phone: (305)754 -6949 Page 2 of 2 Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: EL -2 -07 -270 Invoice Number: EL -2 -07 -27561 Applicant: DUANE MERLE ALLISON Company Name: Owner Address: 237 102 Street NE MIAMI SHORES, FL 33138. Job Address: 237 102 Street NE Miami Shores, FL 33138 -2426 Date Monday, February 26, 2007 02/26/2007 Check Payment Type Check Number 5177 Amount $164.15 Change $0.00 Total Payment: $164.15 HO Page 1 of 1 Issue Date: 2/16/2007 Expires: 08/15/2007 Owner's Name: DUANE MERLE ALLISON Permit Type: Electrical - Residential Work Classification: Addition /Alteration Job Address: 237 102 Street NE Miami Shores, FL 33138 -2426 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Contractor(s) JC ELECTRIC INC Phone (305)754 -6949 Primary Contractor Yes Additional Information Type of Work: ELECTRICAL Classification: Residential Additional Info: In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Notary Fee Permit Fee - New Construction Scanning Fee Technology Fee Total: Amount $1.80 $0.60 $5.00 $150.00 $3.00 $3.75 $164.15 Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: EL -2 -07 -270 Phone: (305)439 -1625 1132060134950 Lot: PB: Total Square Feet: 0 Total Valuation: $ 3,000.00 Required Inspections Alteration Underground Rough W W Service Change Meter Box Fire Alarm Relocation Final Invoice Number EL - 2 - 07 - 27561 Total: Amt Due $164.15 c ti/7 FEB 2 6 PAID 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. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date /c%I.. �I )1 Job Address 237 NE ma sr- Tax Folio //— 320 ^ ("/ "5 / LTD Legal Description Historically Designated: Yes No ......-V •j�j ; /Lessee / Tenant baA-,o-e_, //)JJ 5 d 4- Master Permit # I / i Owner's Address 0 1� / /" E � - ST Phone '3 �t� / 6 I l Contracting Co. l I L ;S 1� 1 u mpA0 Cr -1-! l L - Address 8 UU . a 9 Trr, 33/72 Qualifier �. nn i 5 D 1 gtat e.76. ss# / Phone 3:15.-25-9— '/ 3 /73 State # 6r—e, 6134 via Municipal # Competency # CR.) d -110 Ins. Co. ni2p Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRIC PLUMBING N y C Cebt/b) tAAINILX sera 3 Square Ft. Address Address Address ECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION P - 0/ 1 /4€;=4RH 71: Cap 5 c -7 De 4--(4) /4 CJQ Estimated Cost (value) 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. 71 6 7( 2 0' ( O A MY COMMISSION # CC 860763 14.0F 1`00 EXPIRES: Aug 4, 2003 1.800.3N0TARY Fla Notary Service & Bonding Co. ignature AiA Ai r. as to • i iiC6AtfIdsi NMA` P ommissio F wner and/or ndo President Date Signature of Co , ctor or Owner - Builder FEES: PERMIT O RADON APPROVED: Zoning Mechanical Plumbing C.C.F. O 7 NOTARY' — e , Notary a My C r- Builder 4 1? .k ., a "9 tr, SUSAN J. NE✓SENMH'.•J MY COMMISSION # CC 660)63 'co, Of EXPIRES. Aug 4, 07 1-e00.3NOTARY F10. Notary SeryiCb g. Cpppgigt! CO Date / /4 3 BOND -5° D ✓ zD TOTAL DUE 222(2-8! Date odoi Building Electrical Structural Engineer CONSTRUCTION PERMIT New System [ Repair AP LICANT: PROPERTY ADDRESS: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT CONSTRUCTION PERMIT FOR [ / Existing System Abandonment S a C SYSTEM DESIGN AND SPECIFICATIONS AND•DISPOSAL SYSTEM , Jam' [ � Holding Tank [ /� I Innovative Temporary [(�� ry All/ Erod LOT: 14 I ( o ff (1 BLOCK: g _ SUBDIVISION: [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] PROPERTY ID # : -. 294 — A „3 -- 5''0 [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E -6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SAFTISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. /, T [ 1 oO ] GALLONS / GPD i lign /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN- SERIES A [ ] GALLONS / GPD CAPACITY MULTI- CHAMBERED /IN- SERIES VI N [ ] GALLONS GREASE INTERCEPTOR CAPACITY, [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] x [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @ [ ] DOSES PER 24 HRS # PUMPS [ ] D [ZOO] SQUARE FEET PRIMARY DRAINFIE D SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [I / STANARD [ FILLED , f MOUND [ I CONFIGURATION: [Al/TRENCH BED ( , F LOCATION OF BENCHMARK: FIJI - p I ELEVATION OF PROPOSED SYSTEM SITE [.Z$• 2� ` = /FT] [ABOVE/ E BOTTOM OF DRAINFIELD TO BE 47. [I ( S /FT] [ABOVE/ D FILL REQUIRED: [ INCHES EXCAVATION REQUIRED: INCHES • -11P 1 11 1 1=7 .0 .111MPTIWZ I VII i� GlCjill ARr SPECIFICATIONS BY: S TITLE: APPROVED BY: DATE ISSUED: `�7 DH 4016, 12/99 (Page 1 (Previdus Editions May Be• Used) J ll n ; pt. 1. Health Departni�nt I zd PERMIT NO. •/R. -10,3 DATE PAID: 7 _• q 4,/ FEE PAID: 7 40 RECEIPT #: 3 ¢B,S !3_ ep - 74 7 7 / L L l 04 (1 1 BENCHMARK /REFERENCE POINT BENCHMARK/REFERENCE POINT EXPIRATION DATE: u�. �., ..�,. �✓Utri1P.,vyi51,� ,$) U ! Il; ,i �� pt. 3: Installer ontrador pt. 4: Building Department Page 1 of 3 A INSTRUCTIONS: PERMIT NUMBER: Permit tracking number assigned by CPHU. CONSTRUCTION PERMIT FOR: Check type of permit, if "Other" specify type in blank. APPLICANT: Property owner's full name. TELEPHONE: Telephone number for applicant or agent AGENT: Property owner's legally authorized representative. MAILING ADDRESS: P.O. Box or street mailing address for applicant or agent. LOT, BLOCK, SUBDIVISION or PROPERTY ID #: 27 character id number for property. (CHD may require property appraiser ID # or section/township /range/parcel number) SYSTEM DESIGN AND SPECIFICATIONS: TANK: Minimum specifications from Chapter 64E-6, FAC. DRAINFIELD: Minimum specifications from Chapter 64E-6, FAC. OTHER: Other specifications, such as operating permit requirements, low- volume flush toilets, variance provisos. SPECIFICATIONS BY: Name of individual providing specifications. If designed by a registered engineer must be sealed. APPROVED BY: County Health Department (CHD) personnel reviewing and approving permit. • DATE ISSUED: Date permit is issued by CHD EXPIRATION DATE: One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the date issued. Scale: Each,biock represents 5 feet and - 1 inch a 50 feet. -. • M S ■ 9 fl p ! a :r ifa'$. - : Iii te! Ing II MS ./M remplilr : ■ / ■ 11.11■ ■11 ■ uI ■■.. ■■ /mil rr IMO 1111 mini MOM u II II 111JP■//■A■ :: : : :: ::o am : � ; a_ :� - 1 : ba ill : : i i : : S :Ii a a i a : rm rammTairre•••••••••rim. milimmumm mum. MI ■a '. a WM • ugoi n�{ ■ �'Ai�11 /■ I'�tt±""a .I :'r ■ ■llia ■■ a am :r NI am mai 2 .4222 mammal Bali 0 so 111111111 ■//■■/amai ■ ■ ■, ■ � , �a:U: 1111 ■Y � a !S ■ ■ ■■a■■ to E � ■ ■/ M ■ .� ' j ■■ ; 0 ■ ■ : 1111■■■ 1111 : : 17e : : : tt *M1 UUU 1 :: : : 11■■■a ■ c. ■ : aaly tea 'ia 1111.11111111tI11/11 ■!■1111 11■ 11 (/11 ■ ■ 11 .1111/11111111 ■ 11111111■ r 1 t_ • . 4 b 1 r 1 t ' --4 / /-r1 d t ;- 7 f y , i t .al fi ' l i t t 2 t �' i . _ 5 -4-4- - + -t 't . ..t r .' +. Y tr .11 t 11 l uizjri`i l 1 J ature Not- Approved Ti —4 t 4 - Notes: PART II -SITE PLAN Site Plan submitted Plan Approved By /OQff . (liapIkes 14Ra -14 Form 4QI5.■11,11 may to Lts4 ► f �cY �5 a liZ Gil , tv-p Date ALL CHANGES M t ST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT i 1 � ttt +' 1 { .: 41 J t 5 ) - ) , 6- County :Health Department Page 2 of. 3 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 CURETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY 4.. 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. MDTCRS 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 MDTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS . A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL _ OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES . SEWER CONNECTIONS 4 SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK it ` ANTENNA RELAY 10P TELEVISION OUTLETS . DRAINFIELD, 4' TILE/RES. i VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address a.39 (JE' IN, , 53- Tax Folio k (Q _ O - 4C � Y Le Description Lo-( t(' ((p ('1 ?i Ate Historically Designated: Yes No Owner/ Lessee / Tenant r N \*) R )a R L4..\ D Master Permit # �o 7 O w n e r ' s Address c ? j 1 1 J ` (n� � f t I i r s S N ( } k e i 313 P h o n e \ - \ - \ (p T Contracting Co. G-11. `'1�= L-n'ls P ( �- Address 1 g k)e J' Rog M t Ait tic . I G•Z Qualifier ■.Q s l fik r P,1v∎-f ss# - ?hone (q 53 -A S State # EC OO 0 No 4- Municipal # Competency # ' OW 0 (A' Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDIN ELECTRICAL LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION f ,) A ) n.)-a.) >r l i7 cG 1 e:1 .5( s4s -r- t t(d. ( A ) D k W l\a. S if 4, dyte, - 11•11. v c40,+. Square Ft. Estimated Cost (value) ' 4 00 Cr a 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 o owner and/or o : o Presid - nt Date ary as to Own eiidior Condo President My Commission Expires: '•, "OFFICIAL SEAL" .; =4 = Linda Riggle " , ,. M y Commission Expires 7/3112.. `:OF F.ao Commission #CC 295067 1''I:ES: PERMIT � RADON a-c 3 5'4. Date Contractor or O 11/ � 1 i444I 696 caner- Builder Date Date s. or i wner- Builder tary as to Contract as to Contract My Commission Expires: r �ar a y "OFFICIAL SEAL" Linda Riggie ,.� Qa` icy Commi ssion Expires 7/311 ,•r OF Fuo Commission .1CC 2950'07 C.C.F. - SD NOTARY TOTAL DUE 55 - - APPROVED: Zoning Building Electric— Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE *4SOo8 Date L iM/ / 62 Job Address 2-3 1 V E I o Sf Legal Description / Owner / Lessee / Tenant bLJP(') P-C L & t Master Permit 31 c,(Q1 Owner's Address ' `� ' E )62- S - Er.i2i ' Phone 7151 - 1 Cole) Contracting Co. Ebb - \m E L c- tcci Address 46 1 1 BC-6 NE S ' /Ive. Qualifier'i ' k01'11IN SS# Phone State # ECo001310 `"Municipal # Competency # Ins.Co. Architect /Engineer Bonding Company Mortgagor Permit Type(circle one WORK DESCRIPTION N/A N l NI )4 : BUILDIN PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN Square Ft. Estimated Cost(value) rap 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 My Commission Expires: ** * * * * * * * PEES: PERMIT 3 RADON APPROVED: * * C.C.F. t Tax Polio Address Address Address c lder Date: ** ** as to mmissio ry '•. OFFICIAL SEAL JOSEPH R. KELLY t$r o rf x . r r s�9, 1 e Comm. No. CC 231394 * * * * * * ** NOTARY TOTAL DUE Fire Other Zoning Building Electrical Mechanical Plumbing Engineering DRIP LOOP TO BE 10' APG (14:1N) J a Z a LL H 0 5 : S' -s /_ tjt CLAMP • a _ J cc• »Five /! - / 1 2' ABOVE RDOF 1 .METER I 3= pfd F1H SHED GRADE artacIPG - - '1 PVC M.S.....7%1Lh t re'Xr 8'D' MIN DEPTH EED imo 1 1 MAIN /CB PANEL i t . *Aar limas a�*a TEAR IFISP CLAtiP SUB CB PANEL P ER R. aR OR Height j 7 Conductor s tze Ccndul t - Condud t t !P A / __I LtV Tbru roof 1 0 4 ' NO Ground wire 4 1. MAST' re log lvter♦ec'l MAIN DIScONlECT Moog Sub Breakers S.F.B.C, SUB FEEDER 45052(B) t r n I _17 ... i B Y fpS Amps Amps INSIDE PANEL Rat-mg • 2, 0 - amps Bond Bass Yes No L occ n K t f I l ',CONTRASTOR LIC _ENSE, EC Coo13CoI _____ Commission #CC 295067 i"'r !TrTfl I Permit No...S2k MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date /5 2 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 V / (Si )2 '7 Registered Architect and /or Engineer // 7 Employing Electrician's Name '`� dA Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No /� 3 7 Street.. 4'" State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories (Signed) l6 A 5T Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground p P Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $....> . d 0 (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 complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE 1 COUNTY OF DADE. I TATE OF FLORIDA, "' 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 O UTLETS PLUG RECE'P'T'S FIXTURES N O. LAMPS REFRIO. O UTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. H EAT. 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 N EON TRANS. RADIO TOTAL CONTR. LIST / / ''y � p�>b CHECK / Permit No...S2k MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date /5 2 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 V / (Si )2 '7 Registered Architect and /or Engineer // 7 Employing Electrician's Name '`� dA Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No /� 3 7 Street.. 4'" State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories (Signed) l6 A 5T Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground p P Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $....> . d 0 (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 complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE 1 COUNTY OF DADE. I TATE OF FLORIDA, "' 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. Z S 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 2 ! / 7 / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP M OTORS 1.3 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK a' -26yi? Permit No 13 y APPLICATION FOR ELECTRICAL PERMIT Date a1�1. ..1.6. ' 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 /9M 5 Registered Architect and /or Engi eer Employing Electrician's Name MDeg..S E�-I �.C1/ ..._.No.. /2 &?. u1!.L /5 ' Street /1.1.:. 1'L� .1 7 Location and Legal Description Lot. . /.+ tg ._.. e Block 36. Subdivision.. 4l/4 Street and Number where work is to be performed —No 3. 7.. ,. S / State work to be performed and purpose of building (By Floors) ...5 r K i S New Building Remodeling Addition Service Overhead Size Feeders Conduit Main S Amps Main Fuses Am Underground y' Amps P P Type of Installation — Conduit Tubing B.XIL..... Metal Moulding f ! Amount of Permit $ COUNTY OF DADE. } - a My Commission Expires MIAMI SH R �S VILLAGE ELECTRICAL DEPARTMENT INS ECTION ELECTRICAL INS EC ETION DEPARTMENT W, Cs e:),,,) No Street 1 }( Signed) The undersigned applicant for this building permit does hereby cersify that he understands labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General has complied with the provisions thereof, and will require similar compliance from all contr work to be performed under this permit; and will post or cause to l posted for inspection as are required by the Act. The undersigned agrees to employ only such sub-contractors, licensed by Miami Shores Village. STATE OF FLORIDA, ss. (Signed) .4 774 Notary Public, State of Florida rAeort <5 Repairs No. of Stories trical Inspector. and accepts his obliga.:ns as an employer of Laws of Florida Pe (anent Supplement, and or subcontractors employed by him in the site of the work such public notice or n. ces k to be performed under this ermit, . s are aster '$lectrician. Before me, the undersigned authority, a notary public, duly authorized to administer 'oaths and takes acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No STATE OF FLORIDA, } COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date. � / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address �Y / L C 0 ') Registered Architect and /or Engineer / ( p Employing Electrician's Name„i .. rtr. 41.f��l� GLEE J£c %N{ 79 Street er (Signed) No Z 3 7 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) a. -!✓!./.. New Building Remodeling Addition Repairs No. of Stories Street 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 $ (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 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, o work to be perf•rn under this permit, as are licensed by Miami Shores Village. 1 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. Notary Public, State of Florida Master Electrician. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P•T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS t•5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No STATE OF FLORIDA, } COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date. � / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address �Y / L C 0 ') Registered Architect and /or Engineer / ( p Employing Electrician's Name„i .. rtr. 41.f��l� GLEE J£c %N{ 79 Street er (Signed) No Z 3 7 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) a. -!✓!./.. New Building Remodeling Addition Repairs No. of Stories Street 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 $ (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 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, o work to be perf•rn under this permit, as are licensed by Miami Shores Village. 1 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. Notary Public, State of Florida Master Electrician. 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 El MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL PLUMBING ❑ PERMIT N° 8277 ROOFING ❑ 0 Owner of / Building (, -?- x1.1640 Architect Contractor or Builder -" �✓ - - �,,.I Legal ) Lot / Description 1 1 1 BI Address of ; {'p Building d CONTRACTOR or BUILDER Work to be performed under this Permit BY Subdi- vision Sq Ft Value of 11 Amount of Project $ 11 Permit $ Thii permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named abo , assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether hown on the plans : r drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, s-rvants or emplo Signed` INSPE + • BY In consideration of the issuance to me of this permit I agre .. perform the work covered hereunder in compliance with all ordinances and regulations pertaining /hereto and in strict confgrmity with the plans, drawing ., atements or specifications submitted to the proper authorities of Miami Shores Village. In accept[ this permit I assume spgnsibility for all work do y either, myself, my agent, servant or employee. L cen e — a f d 3 AUTHORITY 1947 BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA �� Date — 19_ . ELECTRICAL ❑ 7 PLUMBING ❑ PERMIT Np 8545 Contractor's 0 '"7 " ?. 4. License No. ROOFING ❑ ❑ Work to be performed under this Permit Owner of d �` Building i 3 s'> r'.+ Architect Contractor or Builder r' - Legal Lot Description I 1 B1 Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder nar9wped above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered her by whetherilhown on thfh' pla or t d'tawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, erwts employees. Signed Subdi- vision Sq. Ft. alue of I I Amount of 3 'Project $ II Permit $ _(INSPECTOR) BY In consideration of the issuance to me of is permit I agree to ,p form the work covered hereunder in compliance with all ordinances and regulations pertaining thereto a in strict conformity wi t - plans, drawings, state ents or specifications submitted to the proper authorities of Miami Shores Village. In accepting this rmit I assume responnbil y r work done byieit er, myself, my agent, servant or employee. t t f J : eve j 1 CONTRACTOR or BUILDER BY AUTHORITY ELECTRICAL INSPECTION DEPARTMENT � ( �y APPLICATION FOR ELECTRICAL PERMIT Permit No .11 2 / 7 Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name t "" /( No Location and Legal Description Lot Street and Number where work is to be performed —No New Building Remodeling Addition Service Overhead Size Feeders Underground Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. 11 SS. My Commission Expires MIAMI SHORES VILLAGE -< 7 (Signed) No (Signed) ea(?., 6 2' g 60 Street 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 sub' contractors, on work to licensed by Miami Shores Village. Notary Public, State of Florida ‘7 7 t"�`Street /6 2 lock Subdivision f 0 2 Street State work to be performed and purpose of building (By Floors) Repairs No. of Stories Conduit Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding ectrical Inspecto ccepts his o. i y < tions as an employer of of Florid. P rmanent Supplement, and sub•cont . . - ors employed by him in the of the work such public notice or notices be performed under this permit, as are Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG REC s FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST LI51 CHECK ENT. SW. D1ST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK ELECTRICAL INSPECTION DEPARTMENT � ( �y APPLICATION FOR ELECTRICAL PERMIT Permit No .11 2 / 7 Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name t "" /( No Location and Legal Description Lot Street and Number where work is to be performed —No New Building Remodeling Addition Service Overhead Size Feeders Underground Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. 11 SS. My Commission Expires MIAMI SHORES VILLAGE -< 7 (Signed) No (Signed) ea(?., 6 2' g 60 Street 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 sub' contractors, on work to licensed by Miami Shores Village. Notary Public, State of Florida ‘7 7 t"�`Street /6 2 lock Subdivision f 0 2 Street State work to be performed and purpose of building (By Floors) Repairs No. of Stories Conduit Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding ectrical Inspecto ccepts his o. i y < tions as an employer of of Florid. P rmanent Supplement, and sub•cont . . - ors employed by him in the of the work such public notice or notices be performed under this permit, as are Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERM ham• Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewi 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. Dat,e. Owner's Name and Address �—c U `'— No 3 ' Street Registered Architect and /or Engineer, Employing Electrician's Name: P '" ` C. / �� G�/r410 9% / 7 Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 3 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.. Underground Type of Installation— Conduit Tubi Amount of Permit $ (Signed).. (Signed) S eet l`& / Ps Mouldin 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 sub-contractors, pa4 work to licensed by Miami Shores Village. � Main Fuses Amps /-?„,/ Master Electrician. Electrical Insp • 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 performe r this permit, as are STATE OP FLORIDA, 't COUNTY OF DADE. I sa. 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 REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE H & TER STRIP HEATER TOTAL CONTR. LIST / /� 1- /ry f /�i / / / CHECK ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. // ////77 N �F66 s Q ht, / MOTORS 0.1 HP MOTORS 1.0 HP NEON TRANS. RADIO TOTAL. CONTR. LIST / / CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERM ham• Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewi 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. Dat,e. Owner's Name and Address �—c U `'— No 3 ' Street Registered Architect and /or Engineer, Employing Electrician's Name: P '" ` C. / �� G�/r410 9% / 7 Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 3 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.. Underground Type of Installation— Conduit Tubi Amount of Permit $ (Signed).. (Signed) S eet l`& / Ps Mouldin 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 sub-contractors, pa4 work to licensed by Miami Shores Village. � Main Fuses Amps /-?„,/ Master Electrician. Electrical Insp • 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 performe r this permit, as are STATE OP FLORIDA, 't COUNTY OF DADE. I sa. 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 REPRIO. 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 / A, e g 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. 2 � Owner's Name and Address..ak% Q 1�: r- '..(Y�`e—e No� 2 C n Street ,ll Registered Architect and /or Engineer /f�. _ �,,� . Employing Electrician's Nam A.� -i 1 "4( Yegf ' j t .1... No. . .7. ,3.. 0 Street... Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ,14441..4' Street State work to be performed and purpose of building (By Floors) ' N ew Building Remodeling Addition Repairs No. of Stories STATE OF FLORIDA, 1 COUNTY OF DADE. I APPLICATION FOR ELECTRICAL PERMIT Date �C ... 0 68. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) .... .... . ..� 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 $ (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 complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act.' The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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, FLORIDA iibs BUILDING ❑ Date 19 47 ELECTRICAL ❑ PLUMBING ❑ PERMIT Np 9148 Contractor's License No. fen 11.I' Z ROOFING ❑ Owner of Building Zish .t ctw Address of Building ❑ Work to be performed under this Permit Architect or Builde 1 A,{ ` t- or Builder t. As. +F � �..�I,,,,� AE �- Legal Lot Description ZP CONTRACTOR or BUILDER ! f v Signed. In consideration of the issuance to me of thi pertaining the . : nd in strict conformity wi the In accep • ermit assume respo 1 BI /f et' s, fr s t C- - Subdi- vision Sq. Ft. Value of II Amount of 2 cal Project $ II Permit $ iF This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and a' .roved 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 t plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named abo assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or . wings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or mployees SPECTOR) BY erform the work covered hereunder in compliance with all ordinances and regulations ments or specifications submitted to the proper authorities of Miami Shores Village. ther, myself, my agent, servant or employee. BY MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ® PERMIT N? 8284 PLUMBING , ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building G' c' �- t--- f" e t C 7 "t* r lT�eft 7/A • r j Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER Bl. d c Signed d`l Subdi- vision .) 7 D t' BY DATE I. 3 U Contractor's License No Sq. Ft Value of Project $ AV , f'TI d 1 Amt. of Permit $ 1 9 1 w" t... AIM 195 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 stat ents or specifications and tjat he assumes responsibility for work done by his agents, servants or employees. 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 regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications f stl6mitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, mysel f, y ag�t..''ervant or employee. AUTHORITY / g/ 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. /^ 9 } � ,�C,. Owner's Name and Address .. L S.r No 2 e� 3 7 Street / 0 yl// Registered Architect and /or Engi •e Employing Electrician's Name . . t-' No 3 7 Q/ Street )71,4-€.-,--,--' . Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 2/ 3 2 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 $ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accep is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of ' orida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT 58. My Commission Expires ELECTRICAL INSPECTION DEPARTMENT (Signed) (Signe .. Date I ' .1]•. / .... Street .. ... ...�Z�..I..Q.�-�� 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. 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. c,0 SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T's FIXTURES NO. LAMPS REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. %W U S H TLR STRIP HEATER , /j�/J .P ,t' _ TOTAL CONTR. LIST 5 /Ij V ( 5 , CHECK G, ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS I•s HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK / g/ 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. /^ 9 } � ,�C,. Owner's Name and Address .. L S.r No 2 e� 3 7 Street / 0 yl// Registered Architect and /or Engi •e Employing Electrician's Name . . t-' No 3 7 Q/ Street )71,4-€.-,--,--' . Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 2/ 3 2 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 $ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accep is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of ' orida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT 58. My Commission Expires ELECTRICAL INSPECTION DEPARTMENT (Signed) (Signe .. Date I ' .1]•. / .... Street .. ... ...�Z�..I..Q.�-�� 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. 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. c,0 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot ❑ PERMIT N? ,7 MIAMI SHORES VILLAGE, FLORIDA • Bl. i t l e 01 Work to be performed under this Permit • • p 1,• �• ` 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 • 8147 Subdi- vision Sq. Ft Value of Project $ DATE / / / 195•` Contractor's 3- ! License No r Amt. of Permit $ 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 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, servant or employee. d �. r 1 d f CONTRACT R. OR BUILDER BY /1 AUTHORITY I7 Permit No MIAMI SHORES VILLAGE x ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date /.1////r 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. 111,, Owner's Name and Address....12'U/ 4 ] � i� 24 "'"�'� l No c2,3 7 Street. - 73 :e / 02j7 Registered Architect and /or En'. ee`... -_� '' Employing Electrician's Name... �? �:e'^. 'e— C40 No .370/ Street" 1/ Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No a / Street £ 1 02--17--. ..2 J7 State work to be performed and purpose of building (By Floors). Yl .. ... �-G.- / 4 --P-4 4 - 4112- -"' New Building Remodeling Addition Repairs No. of Stories Serv Overhead iaises'd Size Feeders ' C Conduit.... Main Sw / ( Amps Main Fuses Amps Type of Installation— Conduit ✓ Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) lectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, t COUNTY OF DADE. I 6s. 1 My Commission Expires (Signed) d.ti.t... �. 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 jwho, 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 applicatioq, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re•inspcction 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. AC E H�TER STRIP HEATER TOTAL I X CONTR. LIST / 4 ' a / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / — 1 _� - --,a CHECK Permit No MIAMI SHORES VILLAGE x ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date /.1////r 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. 111,, Owner's Name and Address....12'U/ 4 ] � i� 24 "'"�'� l No c2,3 7 Street. - 73 :e / 02j7 Registered Architect and /or En'. ee`... -_� '' Employing Electrician's Name... �? �:e'^. 'e— C40 No .370/ Street" 1/ Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No a / Street £ 1 02--17--. ..2 J7 State work to be performed and purpose of building (By Floors). Yl .. ... �-G.- / 4 --P-4 4 - 4112- -"' New Building Remodeling Addition Repairs No. of Stories Serv Overhead iaises'd Size Feeders ' C Conduit.... Main Sw / ( Amps Main Fuses Amps Type of Installation— Conduit ✓ Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) lectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, t COUNTY OF DADE. I 6s. 1 My Commission Expires (Signed) d.ti.t... �. 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 jwho, 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 applicatioq, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re•inspcction 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 B'lder Legal Description. Address of Building MIAMI SHORES VILLAGE, FLORIDA DAT "•� X95+ Contractor's License No • PERMIT 1I N °. 13410 ❑ Work to be performed under this Permit Lot /1r "� & . e..101,, COIRACTOR a BUILDER B1 Signed• 'Subdi- vision X � Value of Amt. of �y + 0 / a Project $ 1 Permit $/ / This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted, is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work co' ered 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. EOM 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 confo with the plans, drawings, statements o specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume r ponsibility for all work done by either, m .elf, my .Sent, serva t or employee. BY AUTHORITY Permit No Owner's Name and Address __ . Registered Architect and /or En Employing Electrician's Na MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PE Dat Application is hereby made for the approval of the detailed statement of the plans and specifications herew'/' submitt:" 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 wor No. __ .. Street__ i'40 No Q – Street__�_ Block Subdivision___________ Street and Number where work is to be . 'formed —No }_ 2_ n,, __�a_ .____�_________ Street__) Q _ - - -- State work to be performed and purpose of building '1(13y Floors) New Building Remodeling Addition.. Repairs Location and Legal Description Lot No. of Stories Service Overhead Size Feeders Conduit. —____ Main Sw. Underground Amps. _________ Main Fuses__ Amps. Type of Installation— Conduit Tubing B.X.L Metal Moulding ______________ _____ ___—___—_____— ___________ Amount of Permit $__ 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 contra tors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for ins : r ion on e site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such s r contracto on work t. be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires _(Signed) to administer oaths and take acknowledgments, personally Notary Public, State of Florida Master Electrican. Before me, the undersigned authority, a notary public, duly authorized 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T'S FIXTURES NO.LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL LIST / ' /�I4/--- CHECK /eD ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. • MOTORS 0-1 HP MOTORS NEON 1 -5 HP TRANS. RADIO TOTAL LIST 7 `\ � /� 'T CHECK Permit No Owner's Name and Address __ . Registered Architect and /or En Employing Electrician's Na MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PE Dat Application is hereby made for the approval of the detailed statement of the plans and specifications herew'/' submitt:" 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 wor No. __ .. Street__ i'40 No Q – Street__�_ Block Subdivision___________ Street and Number where work is to be . 'formed —No }_ 2_ n,, __�a_ .____�_________ Street__) Q _ - - -- State work to be performed and purpose of building '1(13y Floors) New Building Remodeling Addition.. Repairs Location and Legal Description Lot No. of Stories Service Overhead Size Feeders Conduit. —____ Main Sw. Underground Amps. _________ Main Fuses__ Amps. Type of Installation— Conduit Tubing B.X.L Metal Moulding ______________ _____ ___—___—_____— ___________ Amount of Permit $__ 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 contra tors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for ins : r ion on e site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such s r contracto on work t. be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires _(Signed) to administer oaths and take acknowledgments, personally Notary Public, State of Florida Master Electrican. Before me, the undersigned authority, a notary public, duly authorized 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. 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. o 1 APPLIC TION glo 4 ., 1 ,-. , FOR F i v b ' ORK ONLY ( ELECTRICAL DEPARTMENT OF THE CI OF MIAMI Desiring your Certificate of Approval, application is hereby made for an inspection of the elec- trical installation in the premises stated below, for which the undersigned agrees to correct any infractions of the National Electrical Code and the City Rules pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED, OR APPLICATION WILV BE RETURNED. Lot Number 1 Ca Block Number Street and Number 2 . t 0,1- v -- 4 014 Side Occupant Owner Occupied as Building—New or Old (underline which). FLOOR Basement 1st Floor 2d Floor 3d Floor 4th Floor 5th Floor 6th Floor 7th Floor 8th Floor Attic REMARKS: Work will be started (Applicant sign here) Received by Inspector Progress Will Inspect Again Rough Wiring FINAL Corrected F' o8o 3000 2-7-24 -ttA 04 . 0 . t r 1 NUMBER OF LIGHTS ?),), LD CERTIFICATES No. 6 e att ra ff0V -.8-1926 Approved Letter ga l iss /VIEMBER 27 192 CEILING OUTLETS 61, -L SPACE BELOW FOR INSPECTOR'S USE ON Inspectea Correct Location Correct Equipment Days Days 6 DEFECTIVE Time Allowed: Work—Additional or New (underline which). SPECIFICATIONS '_14. Electric Co. Fee remitted will be finished Address Street «A* BRACKET OUTLETS NUMBER OF CIRCUITS CAA- e 4 ■ 14 r , Inspector f