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29 NE 102 St (12)Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 7-/ Time 4/4 .//5 a ,200Z -/35/ If 4/‘ /0,251- 3 or 7-C 1.°23 e Approved Correction Re-Insp'n Fee For Inspector: /- 2 •D 2 Name L7 f / l/aid ee; i i .fiefers„ f e s.:PiNoi) Q99 /c> /3 v PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 0 1 11- O Z— Job Address (99 / v &/oa Tax Folio Legal Description Historically Designated: Yes No '.. Owner/Lessee / Tenant J' Si C 1%4)05 an • Master Permit # 13, ?D Z c Owner's Address 9 4 -) • t / D X S T2 e e T Phone Contracting Co. X1 (= / e c fie i L * Address e.-Z/$ 57F Jf7 Z Qualifier C JJ f 4k0 ss# State # . 1200 /4 71 7 Municipal # Competency # Architect/Engineer Address Address , / 90, $/2 /74 Bonding Company Mortgagor Address Permit Type (circle one): BUILDIN ELECTRICAL LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION K r c ¢ ivy.. Square Ft. FEES: PE c\AbA / L p )i a a yC lc) - "► 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, ROOF t G and MECHANICAL WORK. OWNERS AVIT: I certify ' at a the foregoing information is accurate and that all work will be done in comp ance with all applicable laws regulating constructi • j and zoning. urth - or , I authorize the above -named contractor to do the work stated. Si gn. e of owner and/or Condo President Date Notary as to Owner and/or Condo President My Commission Expires: OFFICIAL NOTARYSEAL 14 6e, ARTHUR H STONEWKE JR ° COMMISSION NUMBER Q DD004689 MY COMMISSION EXPIRES OF F AR.21,2005 � N APPROVED: Zoning Mechanical Plumbing Building l � l �Z ate C.C. t ,..7 LEIS 1 o PlCk S114 NOTARY BOND a Notary as to Contractor or Owner- Builder My Commission Expi DDROTHEF BEAUDOIN MM Comm Exp. 12/10/2006 No. DD 077701 t 1 PefsonNy Known t 1 *halo. Structural Engineer • 1R Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/22/2002 Applicant: SISIE LAWSON Owner: JOB ADDRESS: 29 NE 102 ST Contractor NAGY, JEFF Contractor's Address: Local Phone: Parcel # 1132060131650 1.4 0 003S L511' A SOTO ROOTER SERVICES 280 NE 107TH STREET PH. 305 - 754 -76 MIAMI SHORES, FL 33161 AY ?THE /+ RDER OF ( Arev � S'\ oc? 2 $ Washington Mutual Washington Mutual flank, FA . North iamt/125th Street Financial Center 1728 900 NE. 125th Street North Miami, Ft. 33161 24 how • r Service A 1.800- 788.T000 I:2670E14L3LI:133 Legal Description: __0;.tA ,6 0, 0 Electrical Permit Permit Number: EL2002 -134 Permit Status: Approved Permit Expiration: 10/19/2002 Construction Value: $600.00 Work: KITCHEN OUTLETS GFI ON BACKSPLASH MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 15 & LOT 16 BLK 12 LOT SIZE /1 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection 4 8 273 L" DOLLARS 3515 DATE 0 -O L $ O • ,► Page 1 of 1 Total Fees: $@'69 Total Receipts: $0.00 ascribed in the application herefor in strict compliance with all statements or specifications that may have been submitted to Nith such ordinances or if the plans are changed without we assumes the responsibility for a thorough knowledge of the r specifications and that he assumes responsibility for work done nances and regulations pertaining thereto and in strict conformity his permit I assume responisibility for all work done by either • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE, Date i 0 - I - a i Job Address aq is.,iL /ca. ,..irax Folio • ,-/ 5 // •5". ' ..7 Legal Description /1 — .42 o 4. - o .3 --/i....1"‘-'_ _ Historically Desigaated: Yes _ /3 A. / .2 - / ..ii ,/,, - 7 - - 0 Owner/Lessee / Tenant Master Permit # Ovmer's Addl. - __. I Phone Contracting Co. Qualifier State # Architect/Engineer Bonding Company _ Mortgagor • Permit Type (circle one): BUILDING 4.LEC1 RICM,' PLUMBING MIVDANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION CE- / I / c- /?- ; ; 5 ,P'T • Lij Square Ft. WARNING TO ()WNER: YOU IVIUST REC.01(1) A NOTICE OF COMMENCEMENT AM) YOUR 1 TO 1)0 S() MAY RESULT IN IMUI: PAYINC TvvicE FOR 11111'140%'1:MENT!.■ 'Et) PROPER Ft' lOt; INTENI)P) OBTAIN E'INANC1NG, CONSULT WEITI YOUR LENDER OR AN ATTORNEY BEFORE REA:.)121)1N( Y()Uk NO t I(E. OP COMMENCEMENT.) • Application is hereby t ; luau: to permit to do v.(111: ;11.1 litstatlat“:.it inda au.:(1 above, and q)ii the att:tehet.1 td1 nfappl k1 ceritt y that 1111 '.V011 VIII he perlOnned to incel th( tu iti1: otIi !aws levitating cowl] 1,.t it; .his Jertstli 1 t .c.n.n; . Liat sepal ate petiiiii;:' for 111:(I RICAI PLUMBING, SI(.,NS, P0()I..S, R(.X.)Fll's( .t and MECIIANI('AL OWNER'S AFFIL)AVIT: 1 certify that all the h;rei-:,;)ini., inforie.ttion as:cnrite atl that all \vo k wi II be ;lone in Loinplialiee with ail applicable laws regiihitini • and/or construction and zoning It: ()NVI My Commission Expires APPROVED: Zoning klunicipal . 1 ore. I authorize the tit:OVe-11,1tin.:::i al'iW4:.11/4 ICI 10 do the work stated. - On President a te Estimated Cost (value) Notary as to Owner andioi• Condr4si4tatt . AL ..s. ,PS' i ' . A,i TA -, 1"(..)fiELP -orA \i'': ,'''il '• : c41-4,4wssIffiNaiaei; .4 -,..;c0046119 ,-,.... ,.., . ..., I ....'.r..:4AMI5.41‘.7t4 C.:,■P11.`. MA::1 21 2005 FEES: PERMIT RADON C t.:.1; NOlAR BOND ..... .._ ... Mechanical Plumbing Address 61. rEc SSit C/5 7_1174-7 I ns. Co Add re:ss Addt ess Address a "si er No as to ContraL for or OwiieFT3iiItier - My C'onimission Expires Building Electrical 7 ,7 / ! ractoi o it.S. OFFICIAL NOTARY SEAL DAN1ELLE CERNY NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC710303 ON EXP. FEB. 16 002 Structural Engineer 1) Date TOTAL DUE._ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7 -‘0-0( Job Address () �/ p tit f O( Y/ . Tax Folio • Legal Description /Tenant_anICS'✓ Si rp ko Owner's Address Son 2 Contracting Co. /7/00 t 00 � 2 /G 1 iV Qualifier J'ohf J 1i ss# % 8?/ / State # eC / 1 q 9 Municipal # Competency # / 660 Z Ins. Co. HAP— -7 R0 Architect/Engineer A)/ 4 Address Bonding Company /V/ A- Address Mortgagor IJ /r` Address Permit Type (circle one): BUILDINCCELECTRICAL WORK DESCRIPTION Ain p Seeo,CE- LL Pae4- D E Square Ft. Estimated Cost (value) *2-06 .00 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 ce construction and zoning. F ture of owner an/or APPROVED: Zoning Mechanical ondo President Notary as i• . er aid/'l, kV, ;IS FResidsnt My CO �• 1 `� �u COMMISSION NUMBER *ryjl' Q CC741860 9f(e OF fk, 0�o MY COMMISSION EXPIRES MAY 11,2002 FEES: PERMIT i 9 RADON that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating ore, I authorize the above -named congactot ode the work stated. Plumbing IND/ Date 7 b 0/ Date Historically Designated: Yes /' Master Permit # 7 7 y/s Phone Address 66 9 pa) 41 os7L • PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Signature of Contractor or Owner- Builder L aded 1L.4 f.. SEAL I CI .01P MARY P 8�f3O3 .01P ` Q COMMISSION NUMBER 9 r „ ' �` O CC741860 eop F10 MY MISSION EXPIRES MAY 11,2002 Notary as t Con My Commission C.C.F. 1 • V� NOTARY 0 BOND Structural Engineer TOTAL DUE No Building Electrical Gil �� ✓�LY�� Date Date ITEM BATH TL8 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/MWTER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY ,... OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMA. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTCRS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS 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 SWIM,IING POOL OUTLETS COMh€RCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION CUTLETS ORAINFIELO, 4' TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN Se/„r te- Up ya J 2a7 DISCHARGE WELL 7" DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING (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 ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL MOODY ELECTRIC, INC. www.moodyelectric.com 669 N.W. 90 Street • Miami,FL 33150 -2166 Tel: (305) 891 -1374 Fax: (305) 758 -2000 F0� ti ei2.1 / O i gq /u /0 Mta'm ) /' ,4 . /06 ..o-/.49/ez d' TA41A01 s vorhottio Afi Ficnalk 1 %.cam A) V9 d All- P 3 ,00( 6 LAP: I Alc/pol2 • ce p A4,1-16 1 0 • g hi ,UeL AJewl A P a-c6po //9 op,RY PU B QP MARY P IRIGO SEAL o �, i i ,,..7 Q COMMISSION NUMBER • ` I :. 00741860 9A "" (Ls MY OOMMISSION EXPIRES �O F F . MAY 11,2002 NiCIODY# ELECTRIC, INC. www.moodyelectric.com 669 N.W. 90 Street • Miami,FL 33150 -2166 Tel: (305) 891 -1374 Fax: (305) 758 -2000 RESIDENTIAL DEMAND LOAD CALCULATIONS W / SQ. FT g Oa ‘, G K.W. REFRIGERATOR /' S K.W. APPLIANCES 2 `D K.W. DISHWASHER /,S K.W. GARBAGE DISPOSAL K.W. MICROWAVE X _ K.W. CLOTHES WASHER /, S K.W. DRYER S K.W. RANGE / 2 4 K.W. WATER HEATER l�. S K.W. OVEN FREEZER TRASH COMPACTOR K.W. GARAGE DOOR MOTOR / g K.W. JACUZZI K.W. JACUZZI BOOSTER HTR. —� K•W• IRONING BOARD . �S K.W. POOL EQUIPMENT K.W. SPRINKLER PUMPS . K. LANDSCAPE LIGHTS /' 5 K.W. STEAM SHOWER K.W. A/C WALL UNIT K.W. SPARE CAPACITY K.W. SPARE CAPACITY K.W. TOTAL CONNECTED LOAD FIRST 10 K.W. @ 100% REST @ 40% A/C @65% /HEAT@ 100% 1 k'c / 5 5 9- /tea -n/ S,hos/wo •� . K.W. / K.W. 0•.W. 4/ 10.0 K.W /cP.RA.W. / /o- K.W. TOTAL DEMAND LOAD K.W. • SR K.W. / 240 VOLT 1 AMPS :C 1 /99 AM 13EAL 1P 17 6 R M C AR V P BRIf�G3 o �. * * COMMISSION NUMBER T.4 wl? Q CC741860 F, pi s MY COMMISSION EXPIRES Of f� MAY 11 2002 7 PPAI PPr� WHAM SHORES VILLAGE SUBJECT TO COMPLIANCE WITH PLLF D AL STATE AND COUNTY RULES - n I I�l��a SHORES VILLAGE ASSUMES 0�� THESE PLANS. FOR ACCURACY i OF OR RESULTS COMP�aAiiCE WITH THE SOUTH FLORIDA HE ARCHITECT, BUILDER BUtLQER & SUB �q;F,MI Si'ORES VILLAGE IS REQUIRED. CONTRACTORS ARE CHARGED WITH THE ALLY IN E HE BUILDING REGULATIONS WHETHER OR NOT SP MOODY# ELECTRIC, INC. www.moodyelectric.com 669 N.W. 90 Street • Miami,FL 33150 -2166 Tel: (305) 891 -1374 Fax: (305) 758 -2000 Foy 0 -7e /2,o /e j ( /uiE /2 / 'ZGa,-n.i �n� ,' . 12/ 6 e/ 9l % - ice Nauale / 0_Onn136 #11-rdyA) Yea e.5716 - IU It 6' L op �,G G M. LA G l 0 s6 cCT PA it/644 a � caoo ,./57c? OFFICIAL NOTARY SEAL e, MARY P BRIGGS n * COMMISSION NUMBER CC741860 "r d F p` MY COMMISSION EXPIRES OF 0 MAY 11 2002 MOODY4 ELECTRIC, INC. www.moodyelectric.com 669 N.W. 90 Street • Miami,FL 33150 -2166 Tel: (305) 891 -1374 Fax: (305) 758 -2000 ieiep/e j 2e5 (Qq A) /off 5 ' 'iorwo j •� RESIDENTIAL DEMAND LOAD . CALCULATIONS W /SQ. gaOO 6, K.W. REFRIGERATOR /‘.6 K.W. APPLIANCES 3.Q K.W. DISHWASHER /,6 K.W. GARBAGE DISPOSAL <--- K.W. MICROWAVE ' 6 K.W. CLOTHES WASHER 1 K.W. S K.W. RANGE 1'x4 K.W. WATER HEATER /. S K.W. OVEN K.W. FREEZER / 3 K.W. TRASH COMPACTOR K.W. GARAGE DOOR MOTOR g K.W. JACUZZI K.W. JACUZZI BOOSTER HTR. K.W. IRONING BOARD K.W. POOL EQUIPMENT K.W. SPRINKLER PUMP ', 9. K.W. LANDSCAPE LIGHTS /15 K.W. STEAM SHOWER K.W A/C WALL UNIT K. SPARE CAPACITY K.W. SPARE CAPACITY K.W. 4'a•2{.W. TOTAL CONNECTED LOAD FIRST 10 K.W. @ 100% /. - / -D 10.0 K.W. .A, W. (iY P i C1AL N07ARY 3FJrL REST @ 40% �U o1 U e e �, MARY P BA1Q A/C @ 65% / HEAT c.1) 100% / �,t> ��'G�DK•W• N fT „ coMMlssIONNUMeER .4 ..- '1 1. c C741 sso TOTAL DEMAND LOAD 3a , g 8 K.W. I 'OF FLo�` MYc MissioN� IREs j02 • S `d K.W. / 240 VOLT = / 7 AMPS .YSaD t/G U C C.Ch o6/ /'� MIAMI SHORES VILLAGE SUBJECT TO COMPUANCE WITH r.LI. FEDERAII STATE AND COUNTY RULES AND REGULATIONS. MIAMI SHORES VILLAGE F OR RESULTS FROM ES FOR ACCURACY TFI SE FLAri� CGS", LIAMCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY SHORES VILLAGE IS REQUIRED. THE ARCHITECT, ARCHI3 BUILDER & SUB - '!- CCdTRA(1ORS ARE CHARGED WITH THE KNOWLEDGE OF ALL BUILDING :,E(;;;IAT;CNS WHETHE.R OR NOT SPECIFICALLY INDICATED HEREIN. 0 - 1- J ( Job Address (9' »& /Oa Jf Tax Folio 1A4 ) k\A "/ 15 d--I 6 ti R '' .s /� sac 1 X) . p a )0-0.0 Legal Description // — J j o G - o 3 - /4. s° Historically Designated: Yes /3.4 -.0 Owner/Lessee / Tenant $ T e r p j E J k p Master Permit # J T7 vs Owner's Address Contracting Co. C7 iVi1! 2 J i 2 / e Date Qualifier cT A/146 SS# ; ,( Ti Z- / 747 State # -66 term 7 Municipal # 3e , , I Ts 0 Competency # 71- 0-1&- IZ7 Ins. Co. /f 2,5 3 6 z � Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ' I,ECTRICAP PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION o 7-+.i /c 4c- 2c-c %a- / eA4 o ETS swi Tc NC S petop . / 44 -/c „9" e f'f /.;H 7 r 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. 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. Furthe if ore, I authorize the above -named contractor to do the work stated. Notary as to Owner and/or Condo 1> r UR H STONE \ .€ JR COMMISSIt UMOR 1 X0004689 \\ 9 J 'rail COMMISSION EXPirs' — OF Fo MAR"21,2005 FEES: PERMIT (6 e• RADON My Commission Expires: APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE v1!' ndo President r ate esiaent _ . _. Dat Plumbing C.C.F. wilder OFFICIAL NCE NOTARY PUBLIC STATE OF FLORIDA COMMISSION. NO. CC710303 . ION EXP. FEB. 16 002 Date Si Building Phone Address ZOK Z2( S FF d . ' U)( 44- 72 as to Contractor or Owner- My Commission Expires: p n NOTAR Electrical il3d06 o13 /650 - BOND TOTAL DUE Z /O °b Structural Engineer ITEM 3ATH RE UNIT FEE ITEM SWITCH CUTLETS / ;e. op UNIT 20 FEE 3-3-- ITEM SPACE HEATERS UNIT FEE 3I0ET LIGHT CUTLETS z y 3c CENTRAL HEATING JISrMASHER RECEPTACLES y o 3 o A/C (WINO) JI SERVICE TEIRCRARY A/C (CENTRAL) [.-/':tr c/(jC. ,•. r.., {. :KINKING FOUNTAIN SERVICE SIZE IN AIRS DUCT WORK FLCCR CRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE CURETS .6 PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP / I , , ,7- DERGROUND TANKS LAVATORY .�- OVEN / ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER / U.F. PRESSURE VESSELS :LOTHES WASHER MOTORS 0- 1 FP STEAM BOILERS S (WEER MOTORS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MJTCRS OVER 5- 8 FP TRANSPORTING ASSEMBLIES SINK, SLCP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 NP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 FP COOLING TOWERS HATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES A/c WINDOW REINS?ECTION MATER SLFPLY TO: AIR CONDITIONERS Lf:S T A/C UNIT STRIP HEATER a.NsT- FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWI ING POOL OUTLETS 00M0ERCIAL WATER SERVICE SIGN TUBES ;EWER CONNECTIONS SIGN TRANSFORMERS TILITY -SEWER SIGN TIME CLOCK TILITY -WATER FIXTURES EPTIC TANK ANTENNA `LAY TELEVISION CUTLETS RAINFIELD, 4' TILE/RES. VIOLATION '.MP & ABANDON SEPTIC TANK REI SPECTION OAKAGE PIT CU. FT. 'f C'eil/.rs A- 4,... ATCN 8AS (N - 6.-Y fi r ,'. 4 Fs = o j I SG -(ARGE WELL / 0 s f - OMESTIC WELL • REA CRAIN JOF INLET `—' JLAR WATER HEATER IRE STANDPIPE JOL PIPING ANN SPRINKLER SYSTEM .S R.&4 E �'— :TER SET (GAS) US PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (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.) PLUMBING ELECTRICAL MECHANICAL Amount of Permit $ OC -@tr) MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No � t �D "are 1.---c.--...—, 1 ' 6/f � Application is hereby made for the approval of the detailed statement of the plans and specifications her ith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building,9 dinance 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 ( 5 I No 7 Street If E / 0 2 S,/` Registered Architect and /or Engineer . ngineer �/ /' y � / Employing Electrician's Name %� �N / % _.r Street /V i � ,q>/- Location and Legal Description Lot .c Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Eln a s I 6il or The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an ( pl ployer o 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. (Signed) - • / MasterLElectrician. STATE OF FLORIDA, COUNTY OF DADE. I "' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T's FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE H ATER STRIP HEATER TOTAL CONTR. LIST C HECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. _.... / // MOTORS 0.1 HP MOTORS 1.8 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK - - - - Amount of Permit $ OC -@tr) MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No � t �D "are 1.---c.--...—, 1 ' 6/f � Application is hereby made for the approval of the detailed statement of the plans and specifications her ith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building,9 dinance 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 ( 5 I No 7 Street If E / 0 2 S,/` Registered Architect and /or Engineer . ngineer �/ /' y � / Employing Electrician's Name %� �N / % _.r Street /V i � ,q>/- Location and Legal Description Lot .c Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Eln a s I 6il or The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an ( pl ployer o 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. (Signed) - • / MasterLElectrician. STATE OF FLORIDA, COUNTY OF DADE. I "' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Pei/10W 3 F.46'3 Date Job Address .79 D)- 5I7 Tax Folio p g_-( Legal Description Owner / Lessee / Tenant ..4 Owners Address 2 9 AJ6 Contracting Co. 4_ /f Qualifier % /4/ , 41`y X71064 SS4t / - Phone -STrO 44 State !EF # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING EL PLUMBING PLLUMBING MECHANICAL ROOFING PAVING FENCE SIG WORK DESCRIPTION �.� - 3O �O 3 Square Ft. Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO D. SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEN TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, an on the attached addendum (if applicable). I certify that all work will be performed to meet th standards of all laws regulating construction in this jurisdiction. I understand that separat 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 wil be done in compliance with all applicable laws regulating construction and zoning. Furthermore, authorize the above -named contractor to do the work stated. Signature of owner and /or Condo President Signature Date: Date: Notary as to Owner and /or Condo President My Commission Expires: Master Permit it Phone Address .2 76f--A✓w /1.7 i' �✓ - 1 k ?/!4 -� Notary as to Contra •tor •r Owner - Builder My Commission Expi es: ** * * * * * * * * * * * * * * * ** FEES: PERMIT RADON C.C.F. NOTARY TOTAL DUE APPROVED: Fire Other Zoning Building Electrical Mechanical Plumbing Engineering BUILDING ELECTRICAL PLUMBING ROOFING Owner of ` Building 2 - Architect Contractor or Builder Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA O �.r DATE f• y � � �9 ❑ PERMIT N9 5409 Contractor's License No. 0 ❑ Work to be performed under this Permit_' • / Address of °- Value of I Amount of Building / - $ -) Project $ I 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 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 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 respon- sibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER BY Subdi- vision Signed / j y. ^ � .. .- •i �% j9: ! r -' INSPCTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance = all ordinaxic a nd - refju lotions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY ABBOT BUILDING ELECTRICAL PLUMBING PERMIT N° 6781 Work to 11 performed under this Permit Owner of /; ` ; ' Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE ; � � 194_ Contractor's License No. Architect / ' Contractor ,- / t r c t . or Builder Legal Lot Bl. Subdi- Description vision / / Address of , ./y ( r ,/ A - P of ct of 1 Permit f / / 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 o 'nances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or In e statements or s ecifications and tl�,z mes respon- sibility for work done by his agents, servants or employees. Signed. -- 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 acceptin this permit I assume responsibility for a work done by either myself, my agent, servant or employee. �r' 1 ! 1" BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Build Legal Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 6581 Work to be perfo ed under this Permit Lot A/ J CONTRACTOR OR BUILDER Bl. Subdi- vision Value of Project BY DATE This permit is grant to the contractor or builder named above to construct the building or to install the equipment • device described in the appli- cation herefor in strict co pliance with all ordinances pertaining thereto and w th 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 conditio u.on which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge o • ances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the st rents or specifications and mes respon- sibility for work done by his agents, servants or employees. Signed - Contractor's Li nse No. " 194& In consideration of the issuance to me of this permit I agree to perfo p the work covered hereunder in compliance with all ordinances and regulations, pertaining thereto and in strict conformity with the plans, drawings, stat ments or specifications submitted to the proper authorities of Miami Shc esyt age: In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 6781 • Work to e- perfor d under this Permit �:' Y (�L� Owner of Building Architect Contractor or Builder Legal Lot Description Address of ` �/ / /) Value of Amt. of / D/ Building v/ r/Q �J Project 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 appli- cation 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 uson which this permit is granted is the understanding that the contractor or builder named above assume the res.o. sibility for a thorough knowledge of . . ..:. ances and regulations pertaining to the work covered hereby whether shown on the plans or .r: w' _s or i - statements or spe ifications and ilia". respon- sibility for work done by his agents, servants or employees. i\W Bl. Signed. Subdi- vision BY INSPECTOR DATE Contractor's License No 194Z y In consideration of the issuance to me of this permit I agree to perfo it d e work covered hereunder in compliance with all_ ordinances arr3�d x gitl a taat t ns ; p pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Sho \i1le. , In acceptin this permit I a su�me / responsi�bilitty for all work done by either myself, my agent, servant or employee. - %1 Y I CONTRACTOR OR BUILDER AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of r,, `• 1; Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE . `/ 194 E R M I T N° 6581 Contractor's License No. Work to be performed under this Permit Bl. Building Architect Contractor or Builder Legal Description Address of Value of Building ' e Project Subdi- vision BY Amt. of / C , Permit • This permit is granted o the contractor or builder named above to construct the building or to install the equipment or evice described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 respon- sibility for work done by his agents, servants or employees. Signed: r 5 ' �f' B 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. } AUTHORITY Permit No Application is hereby made for the approval structure herein described. This application is and all provisions of the Laws of the State of of Miami Shores Village shall be complied building during progress of work. New Building ' '4 Remodeling Service�g Size Feeders_ - 1 ndergroun P1 Amount of Permit $_j__ ____( MIAMI S H O RES VILLAGE •• . ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT alju e y No. — — – __— — – —. Street -- Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No Z/ -1 -tea- No g 11 ! – – Street_-LVr_ �✓v 5 S 6 --- -- I __ _ Block P _ ,t�division_ JAL Street_l_ _ ?- - JAL- S $ State work to be performed and purpose of building (By Floors) of the detailed statement of the plans and specifications herewith itted fJr the building or other made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division with, whether herein specified or not. A copy of approved plans and specifications must be kept at Addition.. Repairs —___ No. of Stories Conduit. — Main Sw.__� �_ _____ Amps. Type of Installation — Conduit Tubing._ ____________ B.X.L. Metal Moulding (Signed) Date_ Main Fuses_ Amps. 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. ✓�� (Signed) - -- ------ �--------- ��= - �------- ---- - --�- -- Master 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 be 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 $LOO will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. -4 SWITCH OUTLETS �" k LIGHT OUTLETS PLUG RECE'P'T'S ` t • FIXTURES NO.LAMPS / 1 REFRIG. OUTLET I IRON OUTLET RANGE RANGE OUTLET CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL C L157 / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PER R7. MOTORS 0-1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No Application is hereby made for the approval structure herein described. This application is and all provisions of the Laws of the State of of Miami Shores Village shall be complied building during progress of work. New Building ' '4 Remodeling Service�g Size Feeders_ - 1 ndergroun P1 Amount of Permit $_j__ ____( MIAMI S H O RES VILLAGE •• . ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT alju e y No. — — – __— — – —. Street -- Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No Z/ -1 -tea- No g 11 ! – – Street_-LVr_ �✓v 5 S 6 --- -- I __ _ Block P _ ,t�division_ JAL Street_l_ _ ?- - JAL- S $ State work to be performed and purpose of building (By Floors) of the detailed statement of the plans and specifications herewith itted fJr the building or other made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division with, whether herein specified or not. A copy of approved plans and specifications must be kept at Addition.. Repairs —___ No. of Stories Conduit. — Main Sw.__� �_ _____ Amps. Type of Installation — Conduit Tubing._ ____________ B.X.L. Metal Moulding (Signed) Date_ Main Fuses_ Amps. 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. ✓�� (Signed) - -- ------ �--------- ��= - �------- ---- - --�- -- Master 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 be 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 $LOO will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. -4 Date _.1:1 1 9 8- 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. cc -- qq qq Owner's Name and Address __,A,/ +.� c .!:s�`- � Nor�_! Street _IV Permit No._ MIAMI SHORES VILLAGE �FLECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Registered Architect and /or Engineer Employing Electrician's Name C a Street_1stVi._ Location and Legal Description Lot L S' Block Street and Number where work is to be performed —No ______ ______ S Z' . State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories____________ Service Overhead Size Feeders Conduit _ Amps Main Fuses____________________Amps. Underground – – – nduit Main Sw.___ Type of Installation— Conduit Tubing_ B.X.L. .Metal Moulding Amount of Permit $ £ t^v I' - (Signed) Electrical Inspector. The undersigns applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida orkmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) _.9 – – – Master Electrican. STATE OF FLORIDA, } COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida 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 O.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Date _.1:1 1 9 8- 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. cc -- qq qq Owner's Name and Address __,A,/ +.� c .!:s�`- � Nor�_! Street _IV Permit No._ MIAMI SHORES VILLAGE �FLECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Registered Architect and /or Engineer Employing Electrician's Name C a Street_1stVi._ Location and Legal Description Lot L S' Block Street and Number where work is to be performed —No ______ ______ S Z' . State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories____________ Service Overhead Size Feeders Conduit _ Amps Main Fuses____________________Amps. Underground – – – nduit Main Sw.___ Type of Installation— Conduit Tubing_ B.X.L. .Metal Moulding Amount of Permit $ £ t^v I' - (Signed) Electrical Inspector. The undersigns applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida orkmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) _.9 – – – Master Electrican. STATE OF FLORIDA, } COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida 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.