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306 NE 102 St (9)z6f Est A _ MIAMI SHORES VILLAGE y BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request D /aa /Q Type Insp'n � 1 -VV CC Permit No. — 03 ( Name -1 i 2 b +h "Tr c--)'I Address NE 1 S� Company P Phone # C 5) 413 s - 9 "424 Inspection Date C / a31c 4 Approved Correction Re -Inspl n Fee Cl MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request � ) Date 13 „,,p n Type Insp'n (J ci 'P� v c L Permit No. 6 &QO$ ” L 3 Name Address Company Phone # Inspection Date Approved Correction Re- Insp'n Fee e'1 Fl - eck <,U (.5 ..) in a- ❑ um MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date O 00 Type Insp'n Ekt.a4 C(,l C Il1tfi y Permit No. EL LOOS ° 4;3 Name Ell Z,(.tb - Rec. y Address 366 NE (OZ g Company 'PZ f !'l c tc . c Phone # -305 (c4c - 6313 Inspection Date (%10 05 Approved Correction Re- Insp'n Fee '4rs 4 Miami Shores Village Building Department BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) _ Owner's Address ? 4 Ale Cite /vire2. 514- 3 State Qualifier 5C.<fi 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical r 5 . F"1C: Permit No. Master Permit No. Plumbing Mechanical Roofing e / Phone # Zip Sj /3 Tenant/Lessee Name Phone # Job Address (where the work is being done) , ?(` & /I- e /e -S% Cit Miami Shores Village County Miami -Dade Zip 33/.3CF Is Building Historically Designated YES NO Contractor's Company Name P ¢— it-1 C -T / /f-/ C ,.-„_ c h Phone # 0 - / V q e4_ Contractor's Address / e ?(D A./E / qg 5. Cite o4• - ,A--/f;:,4-7.• State • Fie . Zip 3 3/ 23 State Certificate or Registration No. / 56e)1 ' -7S Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 1- {C', "6 Type of Work: ❑Addition ❑Alteration ❑NewRepair/Replace ❑ Demolition Describe Work: e jig rete ` 47 /Ifs T(€ . - A. < < 5 el /1e t2 dye ,,4rie- ( Submittal F C ** * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * ** * * ** * * * * * * * * * * * * * * * * * * ** 3 — Permit Fee $ / P9, Notary $ Training/Education Fee 8 1 i al Technology Fee $ 4 7 Scanning $ Radon 8 Zoning Bond $ Code Enforcement $ Structural Plan Review. 8 Total Fee Now Due $ (Continued on opposite side) Square Footage Of Work: CCF $ . °'° CO /CC Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS. WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature (T 4 Owner or Agent The foregoing instrument was acknowledged before me this day of , , 2005" , by who ispersonally known to me or o has produced As identification and who did take an oath. My Commission Expires: Chc 05/13;03 APPLICATION APPROVED B NOTARY PUBLIC Sign( , Print: *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 11 Contractor The foregoing instrument was acknowledged before me this day of , 20 by who)s personally known to me or w.ho hn roduced NOTARY PUBLIC: 1C— Sign: Print: My Commission Expires: as identification and _diti an oath. it --- Plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS Res DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 if HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 IP 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 SWIPING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4" TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING • 1 ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION. FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED,.THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ELECTRICAL CONTRACTORS 1936 N.E. 148th Street North Miami, Florida 33181 (305) 949 -6373 Dade CC #16353 Broward CC #86 -CME- 1046 -X 225a Meter! Main 7 2 "c. w/(3) 3/O thhn / c.w.g. 225a d2cir. M.L.O. Panel A 2" U.G. from FPL Jennifer Pena 306 NE 102 Street Miami Shores, FL. 33138 100a 2dcir. M.L.O. Panel B 1 "c. w!(3) 3's thhn 10' gr. rods min. 6' apart This drawing prepared and submitted by: Scott Thrasher for P & M Electric, inc. EC13001875 /#/ NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. Z G�. S -o' 3 TAX FOLIO NO. STATE OF FLORIDA COUNTY OF DADE THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Legal description of property and street address: 36 to ,V //a1 57" /‘4,014 S %.-e3 2. Description of improvement: /d/e1k/ See-v/.-e- /A 4e /5 3. Owner (s) name and address: ,S e 30 (o • ,V , ' sr /44, 33138 Interest in property: Name and address of fee simple titleholder: L 4. Contractor's name and address: / d- . f"' r 474 G T� /e- / /1310 NV / V?? ST. A. e ( 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond: $ 6. Lender's name and address: 7. Persons within 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: '3 D4M'4( 8.In addition to himself, Owner designates the following person (s) to receive a copy of the Lienor's Notice as provided in Section 713. 13 (1) (b) 7., Florida Statutes: J Name and address: P 0-'14 Name and address: 9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified) XC' O r 500 43763 79 1gtt ature of Owner Print 's �y�llttiltlti:l S • ms Nam �� 31 Sw,c;i0 and ^ fo this 9 . r My �i ;tin Exiiree / 9Jc, /ve /` er ST mot .?Y Prepared by: 1 II CFN 2005R0294941 OR Bk 23205 Ps 0236; Ups) RECORDED 03/25/2005 12:04:32 HARVEY RUVII'lr CLERK OF COURT MIAMI —DADE COUh1TYr FLORIDA LAST PAGE 33 /,P/ Address: 09 44-e Farm tO NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. 'V &S =o 3 TAX FOLIO NO. STATE OF FLORIDA COUNTY OF DADE THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Legal description of property and street address: 2. Description of improvement: 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond: $ 6. Lender's name and address: Name and address: 7 <o> 7 - day of rn 20 ()S • C,Name\,* • 4 1Lw4 Pr% r My azure of Owner U ' � -- • j P #1.9 a �:tl N 9;-:. e Y Print,` ....... s Name et/Kt Sw a nd sub Ii, ilia, befor this �'4 ■ :36 eo /vim /'e:A 57 3v C, N /ate sr_ STATE ®F FLORIDA, tO'h1 2 I MERE YCERT1Nthe? fi s! a" o e ^ r1r4 p oftho l 4a0 A WITNESS ray trend and iWARV Y RUNIC, C -nd Quay Courts D.C. /2' L/ (�- +Ll'P � rc�J� SP.�1.�ic� /4 tee- / 5 3. Owner (s) name and address: e „e/ c. Interest in property: Name and address of fee simple titleholder: 1 4. Contractor's name and address: . - � �c°GT� /G i%t e / 1 31 ivy / ve ST. A4,-7� Prepared by: 111111111111111111111111111111111111111111111 CFN 2005R0294941 OR Bk 23211; F's 0236; (fps) RECORDED 103/25/2)105 12:04:32 14:32 HARVEY RUVIN, CLERK OF COURT MIAM'II -DADE COUNTY, FLORIDA LAST PAGE it rQ, .� /. 33/3 g 3.3 /�'/ • 7. Persons within 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: 8.In addition to himself, Owner designates the following person (s) to receive a copy of the Lienor's Notice as provided in Section 713. 13 (1) (b) 7., Florida Statutes: Name and address: ;P ,4-, 4 Cie 1G ,, _ / 934 /✓ems /yam £ x/' "146.1. " 9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified) Address: � 1E I 'is Eire s +`' Form 104 °ROA � 11I!IIf1VVV�'\ Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/17/2005 Applicant: ELIZABETH TREACY Owner: TREACY ELIZABETH JOB ADDRESS: 306 NE 102 ST Contractor P & M ELECTRIC INC Local Phone: 305 - 949 -6373 Parcel # 1132060135170 Signed: (INSPECTOR) Electrical Permit Permit Number: EL2005 -63 Contractor's Address: 1936 NE 148 ST Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 11 & 12 BLK 38 LOT SIZE Fees: Description Amount FEE2005 -2129 Building Fee $189.00 FEE2005 -2130 CCF $3.60 FEE2005 -2132 Training and Education Fee $1.20 FEE2005 -2133 Technology Fee $4.73 FEE2005 -2134 Submittal Fee ($50.00) Total Fees: $148.53 Total Fees: $148.53 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 8/13/2005 Construction Value: $5,400.00 Work: SERVICE UPGRADE - INSTALLATION/WIRING OF NEW 225 A SERVICE W /U.G. PR 0 5 PAID In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: • / . 1. Permit No 4 ?(o / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date. ..1 19/4( -1 11 " No 3 ® k Street .._ #' Registered Architect and /or Engine ' © / //� Employing Electrician's Name... • J No '' 1 4/ street /�'7 —1-Y% Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires (Signed) -'4ii• . 7e A', (Signed) ....... Notary Public, State of Florida Electrical Inspector. Master Electrician. 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. 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. ACE HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. ,/ ....0 A�C��� '.I! 1 �� ea MOTORS 0-1 HP MOTORS ,7 11- -B HP p�y .. 1 6 NEON TRANS. RADIO TOTAL CONTR. LIST CHECK • / . 1. Permit No 4 ?(o / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date. ..1 19/4( -1 11 " No 3 ® k Street .._ #' Registered Architect and /or Engine ' © / //� Employing Electrician's Name... • J No '' 1 4/ street /�'7 —1-Y% Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires (Signed) -'4ii• . 7e A', (Signed) ....... Notary Public, State of Florida Electrical Inspector. Master Electrician. 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. 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. A 1 , J BUILDING ELECTRICAL PLUMBING ROOFING Owner of �. Z Building � 1 /- I ' i' / Architect Contractor or Builder Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA DATE 4 - '7 - k' 'V 19 o PERMIT y < <� • Work to be performed under this Permit_______ B1 N? 4967 CONTRACTOR OR BUILDER BY l f.: r.f,.. Contractor's 7 /0 License No. ; r •- Subdi- vision Address of Value of II Amount of Building ` r- 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 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. Signed ..' ;" 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. ' AUTHORITY .0T r fs- �l t • - BUILDING ELECTRICAL PLUMBING Owtier of Building Architect Contractor or Builder Legal Description Lot Work to be performed under this Permi (1 MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 5547 Bl.' Subdi- vision Address of / r Value of ! Amt. of Building ti,.' / 4 j 1 ( / 4 L. Project Permit 4 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 retioked 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 pr tIrawing,p • the statements or specification that he reeicnes respon- sibility for work done by his agents, servants or employees. e Signed j INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered heEeunder in compliance with � Jr dinances and a ns pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autho of Miami Shorr1�55 ge. ' In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. 7 � 3 • CONTRACTOR OR BUILDER BY DATE Contractor's License No. /3 By AUTHORITY c 194 BUILDING ELECTRICAL PLUMBING PERMIT N° 5768 1 Architect Contractor or Builder Work to be_performed under Owner of Building 1'11 1•L1 ',/ './1t'"` 7 ! Legal Lot Bl. rj ` Description / ` r Z" • Q Address of , J Building �Q ?( (/ MIAMI SHORES VILLAGE, FLORIDA DATE ' 1947_ this Permit Signed vision 27/S f I vision Value of Project Contractor's License No. Amt. of Y/! `J Permit By. 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 upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowled of the or antes and regulations pertaining to the work covered hereby whether shown on the plans a z ings pr ' the statements or specifications a mes respon- sibility for work done by his agents, servants or employees. / .4/ INS TOR In consideration of the issuance to me of this permit I agree to perform the work covered heieunder in compliance with al ordinances an re�gyigtions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autlf c s of Miani.SI &refs+ ilage. In accepting this permit I assume responsibility for all work done by either}sayself, my agent, servant or employee. • r CONTRACTOR OR BUILDER ..4 BY AUTHORITY ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 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. Owner's Name and Address ____ _ _________ • No._ J Street-- - Registered Architect and/or Engineer Employing Electrician's Name Location and Legal Description Lot_ —_ Block Subdivision / A 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__. _ Main Sw Underground Type of Installation—Conduit Tubing ______ B.X.L. Metal Moulding Amount of Permit $ STATE OF FLORIDA, ss. COUNTY OF DADE. MIAMI SHORES VILLAGE No .4 Stunt —2 (Signed) z, • Street L. No. of Stories / Amps. Main Fuses_ (Signed) Master Electrican. My Commission Expires Notary Public, State of Florida A - 1 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. 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 facu 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 5 FIXTURES N O. LA M PS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. / , - 1 ----- / / / / / / ,---- CHECK I ; t ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1-5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 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. Owner's Name and Address ____ _ _________ • No._ J Street-- - Registered Architect and/or Engineer Employing Electrician's Name Location and Legal Description Lot_ —_ Block Subdivision / A 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__. _ Main Sw Underground Type of Installation—Conduit Tubing ______ B.X.L. Metal Moulding Amount of Permit $ STATE OF FLORIDA, ss. COUNTY OF DADE. MIAMI SHORES VILLAGE No .4 Stunt —2 (Signed) z, • Street L. No. of Stories / Amps. Main Fuses_ (Signed) Master Electrican. My Commission Expires Notary Public, State of Florida A - 1 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. 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 facu 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 Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date (- t;t t-e' T 7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. 1 r r , —f/ – —_— - - -- -- – – —, Street Location and Legal Description Subdivision_—_ --___ ./ Street and Number where work is to be performed —No J i/ —_— Street___ /V t 1 0 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs My Commission Expires r No._ — r_ - -_ No._ Service Overhead Size Feeders Conduit._ Main Sw.___ —_ __ Amps. Main Fuses __Amps Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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. } 1- (Signed)` Notary Public. State of Florida Street -''e." / l/ .T' No. of Stories Master Electrican. STATE OF FLORIDA, Cc JNTY 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. 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'3 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. CAD. SERVICE TEMP. SERVICE PERM. MOTORS O -I HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. .? LIST CHECK Permit Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date (- t;t t-e' T 7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. 1 r r , —f/ – —_— - - -- -- – – —, Street Location and Legal Description Subdivision_—_ --___ ./ Street and Number where work is to be performed —No J i/ —_— Street___ /V t 1 0 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs My Commission Expires r No._ — r_ - -_ No._ Service Overhead Size Feeders Conduit._ Main Sw.___ —_ __ Amps. Main Fuses __Amps Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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. } 1- (Signed)` Notary Public. State of Florida Street -''e." / l/ .T' No. of Stories Master Electrican. STATE OF FLORIDA, Cc JNTY 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. 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.