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268 NE 102 St (10)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp n Permit No. Name Address Company Phone # 0 Xi 1oa s' 3os z33- For Inspector: g— 2 (42 Name Approved Correction Re- Insp'n Fee ❑ 213 .62trier9 Type Insp n Permit No. Name r ,60 Nl Address' I v )O; Lni Company MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Tim Phone # c .50. ?n0 `5 �; For Inspector: 0 2 ' i Name & D Approved 1 \ ' 0 Correction ❑ Re- Insp'n Fee ❑ a.3e Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date `7 ° 3 A Time /1;k41/49 -�_ L X33 pe 7 For Inspector: ?0D2 Approved ❑ Correction ❑ Re- Insp'n Fee ❑ 7J"8 ;C21.7® 2 10 Name & Date MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ' / /'Q� Time Type Insp'n �^-/y Permit No. F L 3,OD ,Z, " J - Name L > 1 Address 262 i✓V e / D� c7 f J1€ Company a Phone # 3 05 l 3 3 ,a7df For Inspector:3_ o 2 0 _Q,7 Pte) *1- Approved Re- Insp'n Fee Name & Date ` P/zaPc.% z 1, /:c* P.112 )715) Aepepty MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n Permit No 06z. .25 Name 0 01 Address d `` l/ /O a J+ Company Phone # 5 , _2e/ Le 6 R For Inspector: I fl Nam Approved' Correction Re- Insp'n Fee ❑ (50s) 7qs Date Z 101 Job Address c a NE 1 01. S& ' T Tax Folio Legal Description r CS I d Cr1 f1 C1. Historically Designated: Yes No Owner/Lessee / Tenant M i C h Gel S +GC K Master Permit # Owners Address 09 (a N E d z S C(T Phone /5) - 75 7 " 51 Co Contracting Co. K1 1 h \I El C c +l C, Address 1 72 O S (,J 107 PItX , Qualifier limes L Howard SS #)(,, Phone 305) 233 2 5 State # CCO 00, j y Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDIN ELECTRICAL LUMBING MECHANICAL ROOFING PAVING FENCE SIGN CCU r /V) I SC - ( of /Ghvs WORK DESCRIPTION Square Ft. Estimated Cost (value) I 400 • 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. 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, I authorize the above -named contractor to do the work stated. Signature PERMIT APPLICATION FOR MIAMI SHORES VILLAGE and/or Condo Pressit Date 0 Novas to Owner and/o ondo PresidentJ. KIDSONDate My Commission Expires: Notay Public - State of Rondo My Commission mires Jan 6, 2004 Commission # CC900308 FEES PERMIT APPROVED: Zoning Mechanical a' RADON C.C.F. /0056 N aye. NOTARY BOND -Z-oz TOTAL DUE Building • ElectricalQ i < ■4241�m Z Plumbing Structural Engineer rluut..11uulrt 1 u tiUILU1NU rtUM1 I ANNL1LAi lUN (AN APPLICATION FOR BUILDING PERMIT RUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED,,THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) TEM ATHTB IDET ISHWASHER ISPOSAL KINKING FOUNTAIN LCCR DRAIN EASE TRAP YTERCEPTOR AVATCRY AUNDRY TRAY _OTHES WASHER bWER INK, POT /3 COMP. INK, RESIDENCE INK, SLOP :M ORARY WATER CLOSET IINAL T ER CLOSET D IRECT WASTES ;TER SLFPLY TO: A/C UNIT FIRE SPRINKLER WATER SERVICE 4ER CONNECTIONS ILITY -SEWER ILITY -WATER 'TIC TANK .AY AR WATER HEATER STANDPI . PIPING RANGE :R SET (GAS) PIPING PLUMBING SPRINKLER SYSTEM UNIT FEE ITEM A DRAIN '--� F INLET SWITCH OUTLETS • LIGHT OUTLETS RECEPTACLES SERVICE TEMPORARY SERVICE SIZE IN AMPS SERVICE REPAIR/TER CHANGE APPLIANCE OUTLETS RANGE TCP OVEN ABOVE (MOUND TANKS WATER HEATER U.F. PRESSURE VESSELS MOTCAS 0- 11P STEAM BOILERS MOTORS OVER 1- 3 HP HOT WATER BOILERS MOTORS OVER 3- 5 HP MECHANICAL VENTILATION MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES MOTORS OVER 8- 10 FP _ ELEVATORS/ESCALATORS MOTORS OVER 10- 25 NP FIRE SPRINKLER SYSTEMS MOTORS OVER 25-100 FP COOLING TOWERS MOTORS OVER 100 FP VIOLATION A/C WINDOW RE INSPECTION AIR CONDITIONERS STRIP HEATER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL SIGN TUBES SIGN TRANSFORMERS SIGN TIME CLOCK FIXTURES ANTENNA ELECTRICAL ;INFIELD, 4' TILE/RES. _ TELEVISION OUTLETS P & ABANDON SEPTIC TANK VIOLATION RE INSPECTION KAGE PIT CU. FT, CH BASIN CHARGE WELL repairs ESTIC WELL P 1) /,/ /5x UNIT FEE ITEM UNIT /0 SPACE HEATERS /0 CENTRAL HEATING /0 A/C (WIND) A/C (CENTRAL) DUCT WORK REFRIGERATION PROCESS AND PRESS PIPING UNDERGROUND TANKS MECHANICAL FEE Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204, Printed: 8/7/2002 Applicant: MICHAEL Owner: JOB ADDRESS: 268 NE 102 ST Contractor KILBY ELECTRIC CO Local Phone: Parcel # 1132060134720 46©,o d C CU 1 ao 6 l , av Total Fees: $O Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 2/3 /2003 Work: REPAIR MICS CODE VIOLATIONS 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: 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. Electrical Permit Permit Number: EL2002 -258 STOCK Contractor's Address: 18720 SW 107 AVE Page 1 of 1 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 3 & 4 BLK 35 LOT Construction Value: $1,800.00 PECTOR) BY: (Contractor or Builder) BY: - 7 7 777771772777 7 7 Sancrxsasonorro , ae 77777= KILBY ELECTRIC CO PH. 305-233-2965 18720 SW 107 AVE MIAMI, FL 33157-6731 taV() d -e PAY TD THE ORDER OF ['KM BA_ !_ TOUR PERSONAL RAW Perrino, FL 33157.5692 PERRINE BRANCH 110 17940 Frani° Road FOR 5rieK A ar.", • 1:0 6 600 15 SI: OOL2LL'?/ 2302 DATE 2302 63-915/660 BRANCH 110 $ ..... . DOLLARS el 17g!'• °^ 277.7k.. 0 HARLAND PERMIPAPPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 Date I 6 bAddress P'6 8 NE /02'57 Tax Folio Legal Description n Historically Designated: Yes m / - � No Owner /Lessee/Tenet 0 p f, 1 i -6 /✓ n eI a. plQ 1 n -& Master Permit # -e ( i r c v v cat 3 Owner's Address .50411-L/ Phone 7 c - 2, Contracting Co. MO /- 119 G Address 6 /0a)% 5 Qualifier J � D h n SS# 26C Phone 7 - 2M5 State # e /'q Municipal # Competency # Ins. Co. / 4 /- irf 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. Permit Type (circle one): BUILDING 'ELECTRICAL PLUMBING MECHANICAL ROOFING / ')shuA 26 `/ ,'e fkc/ s awry, d .r lin -Q Square Ft. Estimated Cost (value) 3Z-C WORK DESCRIPTION: 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, I authorize the above named contractor to do the work stated. Signature o :r MY COMMI ' # CC 981445 EXPIRES: March 10, 2005 Ite Bonded Thru Notary Public Underwriters i L+w•• Notary as to Owner and/or Condo President My Commission Expires RADON 7 -O Z Date Signature of Contractor or Owner Builder Y/24 Date Notary as to C. tracto MARY PAT BRIGGS My Commission Expir:. ° ,t '• s Notary Public - State of Florida •- My Carrrribthi Flies May 11, 2008 Commission # DD 104873 Bonded By National Notary Assn. C.C.F + NOTAR BIN 7 2 Date FEES: PERMIT APPROVED: TOTAL DUE, • O, ‘ d Zoning Building Electric %' !�7 Mechanical Plumbing Structural Engineer ITEM . BATH TUB UNIT FEE. ITEM SWITCH OUTLETS UNIT FEE .ITEM SPACE HEATERS. UNIT FEE BIOET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES *Grx A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN ALPS 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 FP STEAM BOILERS EWER MDTCRS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTCRS OVER 8- 10 FP .* ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET _ MOTORS OVER 10- 25 If FIRE SPRINKLER SYSTEMS URINAL _ MOTORS OVER 25-100 HP ` COOLING TOWERS HATER CLOSET MOTCRS OVER 100 FP 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 EWER CONNECTIONS SIGN TRANSFORMERS ITILITY -SEWER SIGN TIME CLOCK rTILITY -WATER FIXTURES EPTIC TANK ANTENNA ELAY TELEVISION OUTLETS . RAINFIELD, 4" TILE/RES. VIOLATION UMP & ABANDON SEPTIC TANK REINSPECTION OAKAGE PIT CU. FT. ATCH BASIN iKeenov- , r /me. I WELL / JMESTIC WELL 4EA DRAIN )OF INLET - )LAR WATER HEATER IRE STANDPIPE )0L PIPING 1WN SPRINKLER SYSTEM .S RANGE :TER SET (GAS) S 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 v Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7 /18/2002 Applicant: Owner: JOB ADDRESS:._ 268 NE 102 ST Contractor MOODY ELECTRIC INC Local Phone: (305) 891 -1374 Parcel # 1132060134720 Permit Status: Approved Permit Expiration: Work: INSTALL 4 20 AMP GFI RECEPTACLES REMOVE DRYER LINE Signe Signed: Electrical Permit Permit Number: EL2002 -233 Contractor's Address: 669 NW 90 ST Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 3 & 4 BLK 35 LOT P a-<44:<)(- 4 144, D C r 16. b 6 0. 6 6 Total Fees: $10'00 Total Receipts: $0.00 1/14/2003 Construction Value: $385.00 Page 1 of 1 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. SPECTOR) BY: In consideration of the issuance to me of this permit, 1 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. (Contractor or Builder) BY: DATE TO THE ORDER OF ACCTS. PAYABLE DISC. OTHER CHECK NUMBER 1 i(9101/ i ll id V IL O V ,��_ 010 PAY AMOUNT OF ti MOODY ELECTRIC, INC. 669 N.W. 90TH STREET MIAMI, Fl, 33150 (305) 891 -1374 vt-efrr 11'016080o 1:066009 15 51: • EXPLANATION AMOUNT DOLLARS 35103079006 l 63- 915/660 16080 CHECK AMOUNT 1 60 .601 0 CONTAINS HEAT BENBItNE INA OR PRESS WERE • RED IMAOB OOAPPEA MTM NEAT. a TOTAL BANK MIAMI. FLORIDA Permit No �� Y ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT �( Date /.f' / 11 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and 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. k./ Owner's Name and Address.�lg' ? r%e t,1 Registered Architect and /or Engineer ' / A- 21 oian/Lai g iciah ee.. .. f e G / N C • No.45ZC Street Ale /3 1 / Description L t.f . 'T Block 1 -5 -- Subdivisiot.s.. / Street and Number where work is to be performed —No S Street N - ( <0 2— EP State work to be performed and purpose of building (By Floors) .- .0.. New Building Remodeling ✓ Addition Repairs No. of Stories 7.---- ss. My Commission Expires MIAMI SHORES VILLAGE Amount of Permit (Signed) No 2 48 Street /e / 2- S'T Notary Public, State of Florida Muter Electricia service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding A Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of labor under the Florida Workmen's Compensation Act, being Sectio 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 w. k to _ • r ed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. 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 0 LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO -fPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP H TOTAL CONTR. LIST h L / / O CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No �� Y ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT �( Date /.f' / 11 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and 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. k./ Owner's Name and Address.�lg' ? r%e t,1 Registered Architect and /or Engineer ' / A- 21 oian/Lai g iciah ee.. .. f e G / N C • No.45ZC Street Ale /3 1 / Description L t.f . 'T Block 1 -5 -- Subdivisiot.s.. / Street and Number where work is to be performed —No S Street N - ( <0 2— EP State work to be performed and purpose of building (By Floors) .- .0.. New Building Remodeling ✓ Addition Repairs No. of Stories 7.---- ss. My Commission Expires MIAMI SHORES VILLAGE Amount of Permit (Signed) No 2 48 Street /e / 2- S'T Notary Public, State of Florida Muter Electricia service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding A Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of labor under the Florida Workmen's Compensation Act, being Sectio 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 w. k to _ • r ed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. 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 $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No ` 1 MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ` Date J /Z! 6 / Application is hercby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 01 other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fi.,:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation's of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progreu of work. np Owner's Name and Address ,' Z-$ .4,/1°J R. I No t Q Street AU b ' 3 7 - A ee Registered Architect and /or Engineer Employing Electrician's Name Fed C-/ N / 1 No.. sr-e9,0 Street... W /i$ 6 1 e Q n'' /4 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No f� / r State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Amount of Permit S (Signed) Repairs No. of Stories Street. ./(-) . /®a S r 6Q c e—/— Service Underground Siae Feeders cc �l(� Conduit PZ Main Sw � f� ?Amps Main Fuses Amps Type of Installation -- Conduit Tubing B.X.L Metal Moulding 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, bang Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) .r ►� r �./ Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. j "' 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 $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH 0 LIGHT OUTLETS PLUG RECE' P'T's FIXTURES No L A � , t REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIFT '2 J /l " UK u CHECK 1 (`16 1 ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL LIST a0CS CONTR. 'I- CHECK r 5 •. Permit No ` 1 MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ` Date J /Z! 6 / Application is hercby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 01 other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fi.,:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation's of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progreu of work. np Owner's Name and Address ,' Z-$ .4,/1°J R. I No t Q Street AU b ' 3 7 - A ee Registered Architect and /or Engineer Employing Electrician's Name Fed C-/ N / 1 No.. sr-e9,0 Street... W /i$ 6 1 e Q n'' /4 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No f� / r State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Amount of Permit S (Signed) Repairs No. of Stories Street. ./(-) . /®a S r 6Q c e—/— Service Underground Siae Feeders cc �l(� Conduit PZ Main Sw � f� ?Amps Main Fuses Amps Type of Installation -- Conduit Tubing B.X.L Metal Moulding 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, bang Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) .r ►� r �./ Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. j "' 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. 41, FLOOR Basement 1st Floor 2d Floor 3d Floor 4th Floor Floor 6th Floor 7th Floor 8th Floor Attic REMARKS • Received by Inspector CERTIFICATES Progress Will inspect again Rough Wiring FINAL No NUMBER OF LIGHTS L' / . Form 155 FOR FIXTURE WORK ONLY ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your Certificate of Approval, application is hereby made for an inspection of the electrical installa- tion 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 WILL BE Rl i tNED. Lot Number Block Number 3 .5 iZ c,...r... LW e • T.j Street and u er 4 1 _i Side 4 0 Owner .Q ► i Occupant Occupied as N Building —New or Old (underline which). Work will be started will be finished (Applicant sign here) • Correct Location Correct Equipment DEFECTIVE Time nays 3' •, Remarks Corrected Temporary Days Approved Letter Date Issued CEILING OUTLETS BRACKET OUTLETS S I No Work— Additional or New (underline which). SPECIFICATIONS 192 NUMBER OF CIRCUITS Address V ,N Street / ! r SPACE BELOW FOR INSPECTOR'S USE 0 LY w a. Inspe tee A 'MOM ‘,67,MWAriffl‘ ,11,74,071FAINTI , • Allowed: 3 1'. ��G 1 (J LPL o inspector it)