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289 NE 102 St (4)r Date 2 - -- 1 ( 1 - 9' -- 2 y 9 f Job Address Legal Description Contracting Co. ** * APPROVED: * PERMIT APPLICATION FOR MIAMI SHORES VILLAGE • J & r 2®, a / 2-1 a23 — &, ci 31 — f.S.s.r,/+igri / ,R/0`70 Owner / Lessee / Tenant ry 1 ✓'`voi / Owner's Address �4' & /l/ 95 / cj/, iqhq/ J1 !'IorCl er I / z A/C • 2a 7 %/ /2„2 .r, Tax Folio //3,20 /./ 97 0 WORK DESCRIPTION / /i,✓ © ' 4/r►� JFr( / /re 1 Murex f2'r.✓ /K° owner a d Signature o Date: Tatary,asto Owner and /or Condo esid Mr,,Con.nission Expires: Notary Public. State of Flor CommIssio • I B onded thru PICHARD Ins. Agency or Condo President FEES: PERMIT L 1 x`7 RADON • Master Permit # a 7 Phone 7$• Y- 7Y S Address 337/ / 4.r5/72W_ Qualifier 1%n £ Gnier 7 ss# Phone 6'f/ State 4 #' 9O,9 9302 Municipal # Competency # o4E9 Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN Square Ft. 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 info .'...•tion is accurate and that all work will be done in compliance with all applicable laws regulati•_ c nstruction and zoning. Furthermore, I authorize the above -named contractor to do the work st 1 Notary as • • ', , ,� I� � er- NCTAR ATE OF FLORIDA ion COMMISSION NO. CC175737 MY COMMISSION EXP. FEB. 23,]996 * * * * . * ** C.C.F. 1 NOTARY TOTAL DUE Fire Other Zoning Building Electrical Mechanical Plumbing Engineering 7tid f/p2I> 7 l'ecZ4fl/e/fo /lee/ tole. ho do zel op e X -'o w " e do,ron kb" kv //ehj/ G uzer �A f �e Gamic � nor if AaleV w/Ien /awe corr cc f�1 9nol weY //»cA it 714, ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS ' V � NF FEE ? ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS ow, CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE / REFRIGERATION GREASE TRAP APPLIANCE OUTLETS 1, PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP 1 UNDERGROUND TANKS LAVATORY OVEN 0 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 / b HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 I-P ' 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 If COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW 5 ' O 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 SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES / 0,fi ►7 SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUMP 8 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 J✓ ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL STATE G b='_C IDA, COUNTY OF D4 E D j .77 ; •t; i' ; i; a $ruo•cop of r: ce.b c�;r L� w ra 0 9 - -ERMIT # State of Florida County of Dade Tax Folio No. 1132061319701 NOTICE OF COMMENCEMENT 94R 104333 1994 MAR 03 12:23 THE UNDERSIGNED hereby gives notice that improvement will be made to certain rea property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: (legal description of the property, and street address if available) 28c) N.F. 102nd StrPPt. Miami Shnros UNIT: 1 FLOORS: 1 SUBDIVISION: M.S. Section 1 & PB10 - 70 LOT: 20,21,22,23 BLOCK: 36 2. General description of improvement: New 200PMP service and house rewire 3. Owner information: a. Name and. Address: Mary Newman 140 N.E. 95th Street, Miami Shnrac b. Interest in property: Owner c. Name and address of fee simple titleholder(if other than owner): 4. Contractor: (name and address) Luzer Electric, Inc. 3371 N.W. 154th Terrace, Miami, FL 33054 5. Surety: a. Name and Address b. Amount of bond$ 6. Lender: (name and address) 7. Persons with the State of Florida designated by Owner upon . whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: (name and address) 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b) Florida Statutes. 9. Expiration date of notice of commencement (the expiration date is 1 year fror the date of recording unless a different date is specified) Ce -"2. L,+'( Signaturei2Of Owner :;worn o'and subscribed before me this day of /2 n. , 1990 atary, Public 7 Notary rut ii-, t . • r lnrrd E;y C.nmmlt;:lon Err June 18, 199` Bonded ihro PtC " iu;. Agency My Commission Expires: ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 3 t. CC? .. 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. his 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 f -- Employing Electrician's Name iis v� ?2 z ,:' czNo Location and Legal Description Lot Block £ Subdivision Street and Number where work is to be performed—No .._ -.., Lr ...� - State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Amount of Permit $ 86. My Commission Expires MIAMI SHORES VILLAGE z No / fi Street' = ' // '0,— (Signed) (Signed) /14-- � <i � Street t' Street Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground 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 hi bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo • Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-co ctors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. -�, 22 ,Master Electrician. 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. Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T's FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS MOTORS Ot HP 1.5 N EON TRANS. RADIO TOTAL CONTR. LIST � 4�i � f , �"- ' ,:,el l .. � ' o CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 3 t. CC? .. 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. his 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 f -- Employing Electrician's Name iis v� ?2 z ,:' czNo Location and Legal Description Lot Block £ Subdivision Street and Number where work is to be performed—No .._ -.., Lr ...� - State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Amount of Permit $ 86. My Commission Expires MIAMI SHORES VILLAGE z No / fi Street' = ' // '0,— (Signed) (Signed) /14-- � <i � Street t' Street Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground 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 hi bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo • Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-co ctors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. -�, 22 ,Master Electrician. 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. 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. Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT FOR ELECTRICAL PERMIT \APPLICATION 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. Amount of Permit $ ss. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name (Signed) (Signed) _____ LA reetJ__ Street__ il-HA •! _ '''"`` Location and Legal Description �F_�__B,lloocck/�; /® Z ' - ' , k - Street Street and Number where work is to be performed —No OZ9 _ mil!:__` _____ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition v Repairs My Commission Expires Notary Public. State of Florida No. of Stories Service Overhead Size Feeders Conduit.____ _— Main Sw._____ Amps. Main Fuses_________Amps. Underground Type of Installation— Conduit Tubing B.X.L.______________.Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. lPw aster Electrican. 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, 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. - Or' 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 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. L157 CHECK Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT FOR ELECTRICAL PERMIT \APPLICATION 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. Amount of Permit $ ss. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name (Signed) (Signed) _____ LA reetJ__ Street__ il-HA •! _ '''"`` Location and Legal Description �F_�__B,lloocck/�; /® Z ' - ' , k - Street Street and Number where work is to be performed —No OZ9 _ mil!:__` _____ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition v Repairs My Commission Expires Notary Public. State of Florida No. of Stories Service Overhead Size Feeders Conduit.____ _— Main Sw._____ Amps. Main Fuses_________Amps. Underground Type of Installation— Conduit Tubing B.X.L.______________.Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. lPw aster Electrican. 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, 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. - Or' UILDING LECTRICAL LUMBING , %weer of uilding rchitect - ontractor r Builder ,egal iescription ddress of Lot MIAMI SHORES VILLAGE, FLORIDA DATE . it/ / 194 Con. actor's License No. PERMIT N? 6601 Work to be performed under this Permit ° r !', r' r t' — Subdi- vision Value of • Project R _. • C • ACTO OR Ji Amt. of Permit uilding ' I This permit is granted tl, cont or b ` der named above to onstruct the building or to install the equipment or device described in the appli- ition herefor in strict compli. ce w ith all ordinances pertaining thereto and with the understanding that the work wil be performed in compliance with any fans, drawings, statements or spec that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked arty time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this ermit is granted is the understanding that the contractor or builder named above assumes the responsib•dity for a thorough knowledge of the ordinances and °g lations pertaining to the work covered hereby whether shown on the plans or ,dra .h'Sgs or in s ements or s e ' cations and that he assumes respbn 1 ,bility for work done by his agents$ servants or employees. / / . .., Signed: .t. By S' CTOR In consideration of the issuance to me of this permit I agree to perforril f the work covered hereunder in compliance with all ordinances and regulabonS ertaining thereto and in strict conformity with the plans, drawings, stater_ri+ents or specifications submitted to the proper authorities of Miami Shores Village i accepting this permit,I assume responsibility for all work done by eithe "r myself, my agent, servant or employee. AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING °' DATE f i V 194 ELECTRICAL PERMIT N ? 6601 Con ractor's �; s 3 = //ft PLUMBING �1 I License No. O this Permit % ' r ' Owner of Building Architect Contractor )1 r x or Builder' - 1 { t 47 Legal Lot Description Work to be performed under Bl. Address of / , r Value of Amt. of 47 ,.. C ..... Building ( f ( Project Permit This permit is granted o the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compli nce 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 responsijility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans o - dr or in a atements or etfications and that he assumes respon- sibility for work done by his agents, servants or employees. h Signed . t t r ?�G #, By NS ECTOR In consideration of the issuance to me o f this permit I agree to perfo f the work covered hereunder in compliance with all ordinances and r gtia ns .: pertaining thereto and in strict conformity with the plans, drawings, stat ents or specifications submitted to the proper authors of Miami Shor .T311ae. In accepting this permi I assume responsibility for a work done by either myself, my gent, servant or employee. A I CI RACT4 ORB ER ` Subdi- vision ;2 )) (kit AUTHORITY building during progress of work. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT , 7/0 a Date +1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted fdr 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 Owner's Name and Address 1_ \47 ; 4L_, r� No Street Registered Architect and /or Engineer Employing Electrician's Name / _ t No Street Location and Legal Description Lot_— _ _ ' s i ' Block_ _ 5_&. Subdivision Street and Number where work is to be performed —No e `__ Street____— _�___T 9Z I1i IfIIi!I o State work to be performed and purpose of building (By Floors) New Building _ Remodeling .Addition Repairs No. of Stories Service Overhead X Size Feeders j_ Conduit__ _K Main Sw.mps. Main Fuses__ e2 Amps. Underground ` — / > Amps. p Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. (Signed) My Commission Expires E)(ctrical Inspector. The undersigned applicant for this building permit does hereby certify that e understands and accepts his obligatip s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compile. General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) aster Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that 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. 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 H EATER STRIP HEATER TOTAL CONTR. LIST 41 6 / r / / // / 1 Q� _-�/!_� CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CLI LIST ��PE{�R/M. ± ± CHECK building during progress of work. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT , 7/0 a Date +1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted fdr 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 Owner's Name and Address 1_ \47 ; 4L_, r� No Street Registered Architect and /or Engineer Employing Electrician's Name / _ t No Street Location and Legal Description Lot_— _ _ ' s i ' Block_ _ 5_&. Subdivision Street and Number where work is to be performed —No e `__ Street____— _�___T 9Z I1i IfIIi!I o State work to be performed and purpose of building (By Floors) New Building _ Remodeling .Addition Repairs No. of Stories Service Overhead X Size Feeders j_ Conduit__ _K Main Sw.mps. Main Fuses__ e2 Amps. Underground ` — / > Amps. p Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. (Signed) My Commission Expires E)(ctrical Inspector. The undersigned applicant for this building permit does hereby certify that e understands and accepts his obligatip s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compile. General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) aster Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that 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. WORK DONE BY: MIAMI SHORES VILLAGE Permit No APPLICATION FOR ELECTRICAL PERMIT Date ja , / — __ __ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted f r 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 __ t_ Amount of Permit $L a SS. ELECTRICAL INSPECTION DEPARTMENT Registered Architect and /or Engineer Employing Electrician's Name __ r ___ No. Location and Legal Description Lot____ _Black Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Service Overhead Size Feeders _. _ Conduit_ 4_ Amps. /P_ Amps. Undergro nd Main Sw. _fl Am s. Main Fuses__ of Installation— Conduit Tubing_X B.X.L. Metal Moulding My Commission Expires (Signed) _ o. Street__ Subdivision____ Notary Public. State of Florida No. of Stories ctrical Inspector. The undersigned applicant for this building permit does hereby certify tha e understands and accepts his obligat s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966. Compil d General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. aster Electrican. 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, that be 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 74.,11; 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 1 -J l, 34 J 1 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE rrrtttPE'''R�t�M. �y MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CL LIST CHECK MIAMI SHORES VILLAGE Permit No APPLICATION FOR ELECTRICAL PERMIT Date ja , / — __ __ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted f r 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 __ t_ Amount of Permit $L a SS. ELECTRICAL INSPECTION DEPARTMENT Registered Architect and /or Engineer Employing Electrician's Name __ r ___ No. Location and Legal Description Lot____ _Black Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Service Overhead Size Feeders _. _ Conduit_ 4_ Amps. /P_ Amps. Undergro nd Main Sw. _fl Am s. Main Fuses__ of Installation— Conduit Tubing_X B.X.L. Metal Moulding My Commission Expires (Signed) _ o. Street__ Subdivision____ Notary Public. State of Florida No. of Stories ctrical Inspector. The undersigned applicant for this building permit does hereby certify tha e understands and accepts his obligat s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966. Compil d General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. aster Electrican. 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, that be 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. THIS CERTIFIES THAT the wiring and apparatus installed at by Address for owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Range watts. Water Heater H P. Space Power: Connected load Heter°s� watts Other Apparatus MIAMI SHORES VILLAGE PERMIT No. Office of Electrical Inspector CERTIFICATE OF INSPECTION • d ELECTRICAL INSPECTOR. watts ..,7k JOB: BUILDING Q .,. 33 0 l 4. ELECTRTCAL PLUMBING The fo110 Inspector s Report:: �: • 89 / ,//4 WORK DONE BY : ing. is ready for Inspection: REQUESTED . kfi • WILL B:E READY Permit No. 1 ` "� " Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for th[ 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 compli 1Mi.jh, whet er herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. O1 �.�► � f� Owner's Name and Address No Street ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT t. 1 , % Registered Architect and /or Engineer e_ �_ r. • Employing Electrician's Name _ New Building Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE No. Street Location and Legal Description Lot � _ /- `. Street and Number where work is to be performed— No._' ° J` ±_ Street__,.__'________.w" �r State work to be 1erformed and purpose of building (By F1oors)_w___________::a Remodeling Addition Repairs No. of Stories Overhead Size Feeders / nduit __ __ __ Main Sw Amps. __a V d Main Fuses Amps. Underground Type of Installation — Conduit A» °`. `I'i�btfl'g t--- - - - - -- B.X.L. Metal Mou ldin g (Signed) (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify t � understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance fr all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, c work to be pejformed under this permit, as are licensed by Miami Shores Village. 0 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared – - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida Master Electrican. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST �w CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No. 1 ` "� " Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for th[ 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 compli 1Mi.jh, whet er herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. O1 �.�► � f� Owner's Name and Address No Street ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT t. 1 , % Registered Architect and /or Engineer e_ �_ r. • Employing Electrician's Name _ New Building Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE No. Street Location and Legal Description Lot � _ /- `. Street and Number where work is to be performed— No._' ° J` ±_ Street__,.__'________.w" �r State work to be 1erformed and purpose of building (By F1oors)_w___________::a Remodeling Addition Repairs No. of Stories Overhead Size Feeders / nduit __ __ __ Main Sw Amps. __a V d Main Fuses Amps. Underground Type of Installation — Conduit A» °`. `I'i�btfl'g t--- - - - - -- B.X.L. Metal Mou ldin g (Signed) (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify t � understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance fr all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, c work to be pejformed under this permit, as are licensed by Miami Shores Village. 0 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared – - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida Master Electrican. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE by Address PERMIT Office of Electrical Inspector No. `q, 0 CERTIFICATE OF INSPECTION THIS C IFIES THAT the wiring and apparatus installed at Ye �' E & /0 by Address TA- -4h for Ac/ , owner, and occupied as #4 £&4 has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Range watts. Water Heater Power: Connected load H P. Space He Other Apparatus - watts watts ELECTRICAL INSPECTOR. UILDING ELECTRICAL PLUMBING „F ,,ork •Owner of - 7 41r Building Architect / Contractor ors/4i1 Address of Building PERMIT N9 2036 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA p e performed under this Permit • , ,iii. -, , .., , t . 1" Legal Lot Bl. A Description L ,/` l / DATE Subdi- „ vision BY Contractor's • - No AUT Value of Amt. of I /../ /” i. Project Permit / i ■ 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 no done in compliance with such ordinances, nrif the ptAns are changed without authorization. A further condition upon which this permit is granted is the lunderstanding that the contractor or builde' named above assumes the responsibility for a thorough knowle e of the ordinances and regulations pertaining to the work covered hereby whether shos4 on the 01,14 oe drawings -d in the statements oyspeca • .„, ..,..-. ....N■ormitewr h and - that he assumes responsibility for work done by his agents, servants or employees. ./ ....ire' Signed. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the ;York covered hereunder in compliance with all ordinances and reguja- ions pertaining thereto and in strict conformity with the plans, drawings, statemth'ts or specifications submitted to the proper autho es of Miami Shores 1 'illage. In accepting this permit 1assucrie responsibility for all work done by either myself, my agent, servant or emplo ,e By for MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION owner, and occupied as 71 has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting C Range watts. Water Heate Power: Connected load Other Apparatus PERMIT No. 1 7)- 2 THIS CERTI IE S THAT the wiring and apparatus installed at g Y )16 by Address watts P. Space Heaters watts ELECTRICAL INSPECTOR. 7 �C„Lb1NG E LECTRICAL LUMBING Owner of Building Architect Contractor oe•B ilaer Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PE MIT N9 1722 Work to be?performed under this Permit - J 1 w t� BI. • Subdi- vision Value of Project dio" DATE Coinftractor's LJcense No. 194 "6 Amt. of Permit ) This permit is granted to t e contractor or builder named above to construct the building or to install the equipment or device described in t herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in complia ce with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit misy 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 tin the statements . ©r - specifications and that he assumes responsibility for work done by his agents, servants or employees. ,�?_ W- Signed '° • ` . ` B ' INSPECTOR In consideration of the issuance to me of this permit I agree to perform the wox, "covered hereunder in compliance with all ordi ces and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statementg"`or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done b 6rher my f, my agent, servant or employee. 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. f �-+- Owner's Name and Address __ Registered Architect and /or Engineer ___ Employing Electrician's Name ___— __,;E1 ' _ __ _ —_ -__ No Street Location and Legal Description Lot "SL_ Block_ > Subdivision _ • '" - - i - - -- -— SJ Street Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building _ Remodeling Addition Repairs No. of Stories. Overhead Service Underground Size Feeders Conduit Main Sw Amps. Main Fuses Amps. l Type of Inst�lla ion —Co duit ido Tubing B.X.L Metal Moulding Amount of Permit $_�_1 STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT SS. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) (Signed No. Date Notary Public. State of Florida - StreetL__ll_ _S i_ Electrical Inspector. — The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labot under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O -I HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST 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. f �-+- Owner's Name and Address __ Registered Architect and /or Engineer ___ Employing Electrician's Name ___— __,;E1 ' _ __ _ —_ -__ No Street Location and Legal Description Lot "SL_ Block_ > Subdivision _ • '" - - i - - -- -— SJ Street Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building _ Remodeling Addition Repairs No. of Stories. Overhead Service Underground Size Feeders Conduit Main Sw Amps. Main Fuses Amps. l Type of Inst�lla ion —Co duit ido Tubing B.X.L Metal Moulding Amount of Permit $_�_1 STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT SS. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) (Signed No. Date Notary Public. State of Florida - StreetL__ll_ _S i_ Electrical Inspector. — The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labot under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that 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 Owner's Name and Address ___ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Registered Architect and /or Engineer _ Employing Electrician's Name ee�� Location and Legal Description Lot `a,.4 , 3 Street and Number where work is to be performed— No ._____4 State work to be performed and purpose of building (By Floors) 9 No. Street!__IJ__14 No. Street New Building Remodeling Addition Repairs —___ No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps. ___ Main Fuses Amps. U Type of Inst Nation —Co duit Tubing___ B.X.L. .Metal Moulding -- — dam! -_1.11 Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires (Signed) (Signed) _ Stre et__ Date Subdivision Notary Public. State of Florida Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared — __- --- ___ -_— to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK • Permit No Owner's Name and Address ___ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Registered Architect and /or Engineer _ Employing Electrician's Name ee�� Location and Legal Description Lot `a,.4 , 3 Street and Number where work is to be performed— No ._____4 State work to be performed and purpose of building (By Floors) 9 No. Street!__IJ__14 No. Street New Building Remodeling Addition Repairs —___ No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps. ___ Main Fuses Amps. U Type of Inst Nation —Co duit Tubing___ B.X.L. .Metal Moulding -- — dam! -_1.11 Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires (Signed) (Signed) _ Stre et__ Date Subdivision Notary Public. State of Florida Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared — __- --- ___ -_— to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that 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. : Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the 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 h, 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 Location and Legal Description Lot New Building Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Bjock ..-_- T Subdivision_ Street and Number where work is to be erformed —No' �' p ? — '.1,.._.... Street ‘. __f__�._ • ��•_ State work to beerformed and purpose of building (By Floors) i My Commission Expires MIAMI SHORES VILLAGE (Signed (Signed) No. Street No. , Street Remodeling Addition Repairs Service Overhead Size Feeders - __/ __ on uit_ __ __ __ Main Sw. Amps. Underground Type of Installation— Conduit WrabiTri B.X.L Metal Mo lding Date Notary Public, State of Florida No. of Stories l Main Fuses Amps. Electrical Inspector. The undersigned applicant for this building permit does hereby certifyt.e understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co • General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance fry all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, o work to be performed under this permit, as are licensed by Miami Shores Village. Mastgr Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST ata CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK : Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the 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 h, 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 Location and Legal Description Lot New Building Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Bjock ..-_- T Subdivision_ Street and Number where work is to be erformed —No' �' p ? — '.1,.._.... Street ‘. __f__�._ • ��•_ State work to beerformed and purpose of building (By Floors) i My Commission Expires MIAMI SHORES VILLAGE (Signed (Signed) No. Street No. , Street Remodeling Addition Repairs Service Overhead Size Feeders - __/ __ on uit_ __ __ __ Main Sw. Amps. Underground Type of Installation— Conduit WrabiTri B.X.L Metal Mo lding Date Notary Public, State of Florida No. of Stories l Main Fuses Amps. Electrical Inspector. The undersigned applicant for this building permit does hereby certifyt.e understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co • General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance fry all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, o work to be performed under this permit, as are licensed by Miami Shores Village. Mastgr Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that 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 PERMIT, No. ; •- Office of Electrical Inspector CERTIFICATE OF INSPECTION i ';" THIS CERTIFIES THAT the wiring and apparatus installed at by - . Address . """` ".. `...�,.... .. for owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for; Size of Service Number of Lighting C Range watts. Water Heat Power: Connected load Space Heaters watts Other Apparatus I 1' r / ELECTRICAL INSPECTOR. watts //,1 /72 JOB: BUILDING .ELECTRICAL PLUMBING Inspector's Report: - • r • WORK • • > / • • DONE BY v • • • REQUESTED • • The following is ready for Inspection: -