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333 NE 102 St (10)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 33 rl , e /0 Date Job Address , Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant C f) /3 tO 7 p/v b L Master Permit # 1/ U / 6 3 Owner's Address 3 } j 3 /V C /t). 2 C Phone P .r 7 S q - v () 5 7, Contracting Co. t (. .142 (_. C ! . r i / i - c Address , 1 ' -D ,�: k- (: (. Or -) f= Qualifier ( C 1 i C /i r',' f 4 " , SS# Phone .) t' l z, State # C L° t ) Municipal # Competency # ,/j; 2 .e =�� Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 6 f r. ( r` - / 5t' Square Ft. / 5. ; o l My Commission Ex of owner and/or Condo 'resident Date L. * .• 3b -6 Q o o4r+O I� ' ' � OTANY SEAL 14' 'te # ANGELA M BECKER _ cohacsuoN NUMBER r 'IIN -h Q C786697 c. EXPIRES 9l `c OF FL NOV. CL I r t' t t• r ate r Estimated Cost (value) e of Contractor or Owner- Builder My Conunission Expires: jt .04: ;! WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. l lit /� Date D.L. f- 6S 1— i- (ot-o Iilul-d //)/) a Contractor or Owner- Builder ( Date P(Z 0FHe ... -o:_ idyl I = IA" 't�t / � 'Y`y A , .Y , 511FP: i « ii # lir cP Mi it ; :ri r�.p!Irs 1 O F FAO _.... _.. ;, FEES: PERMIT F' 6' RADON C.C.F. NOTARY `_ O a BOND APPROVED: TOTAL DUEL t Zoning Building Electrical6/7) AZ ,, `0fr oly Mechanical Plumbing Structural Engineer ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WITH) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS ISO A- 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 HP 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 HP VIOLATION VIOLATION INDIRECT WASTES A/C WINDOW 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 COWERCIAL WATER SERVICE SIGN TUBES EWER CONNECTIONS SIGN TRANSFORMERS TILITY -SEWER SIGN TIME CLOCK TILITY -WATER FIXTURES EPTIC TANK ELAY ANTENNA TELEVISION OUTLETS VIOLATION VIOLATION WAINFIELO, 4' TILE/RES. MP & ABANDON SEPTIC TANK )AKAGE PIT CU. FT. UCH BASIN C1-4 PA, L G. C l rel ni /C I SCHARGE WELL p A ,,,z t IV iS& ;NESTIC WELL AcL,S, S _ . t t u o C f:' LEA DRAIN OF INLET LAR WATER HEATER RE STANDPIPE OL PIPING WN SPRINKLER SYSTEM S RANGE TER SET (GAS) i PIPING S PI SI Ci 0 D( AF RC SC Fl PO LA 3A ?A; 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 AtDRes 5 CONTRACTOR OLI trek- Pekk 6 ( -c C i P-1Oti1E 30 • ALL cog oRG 51'ZF..,D T o TI4RU ROOPP- HaIGHT . A E; C:"/ OOP -' MIN 2'o" MA%4 3S" MIN R15ER 2" RIGID / TMC C0144) u t WIRE. — 5 AVAJ6 ?e A) GoPjac�� .,. .A1G RATtt.l (110-o!) MAIN 260 PART P a) FU5E ,BREAK R c.) D IST• 1''ANEL A%C'. 011(7 -e)) ar 150 A. AMPS PANEL FR o)iJeuJ Iloid GoNDu1T ! - 3# / AwCo -7- P41-1,) WIRE. / -co (u, 4, 7 A.) Gecond wire per 250-95 CAl2RY LOAD CA LF -AT Et PER Q20 • Ct.EARAtAcES 230 -24 4 Geo ->: . • DRIP L.oOPS 280 54 CO • TKRu 1r44E RooF '3e.E SFE5C 4 50(.1 Cf),NEC 230* * SF5c 340 (FOR Roo PSNETRATIOI SEAL) THRU. Roo= '( 5 4.14c HGT TO CENrER OF ME'( �-- (FPL) 5' -1•o 6' zc(A z� OUTSIDL t'15CD►.1NECT 450(o . I C.a.) Main a) Fus as Bretk c) - Dicer - .1=i - („ Aw�� 7N-1-3 G eDVD t> E LE CoNp 250 -9 q tI •--. cw P 1 a GROu4's4G ? o -8► - 26o -63 til1NlM �� � PF 2 T 5. 8 O t n' ®mac p (,ABU, • NOTES: CDMPLY W tTH 250 -1 W1�4ERE APP4 -1GA SO N D - I u CZ� 250- (: ±) . F P L . 1Z E Q v 1 Rt 6 tti/1 ELF t.. R 5'- (o' AB0N a GRADE. CYTO CENTER OF MET ER.) e - L Ec U c1' A- (� C— �- L�. PANEL 41 WINE - . .4 W 6 21 • 40 SA 2 ammo WARN oemeit 321 414 vr 34 44 V2 lb RECEPTIGUE. 0514? O 14. MIT r DR creak 120,240 V f 3 U e> • Racepuf,LE6 OCIINEc11E0 „-A Mt • LOAD V-A e> L1611113 • 1015ZEPTACUE6 3 . ! ' � 9 R. GAS ove4 Mill ra 1 lim En . pure. n law, ice- 1159.. G0141281101146 LINT MYER eAaaaER Fire !PAM erg WRIMATED DEMAND Ap�?RE 55 CbN`7/2-/ac' rn OLIUE2 PE2/21 PNoNE 3v5 a.40 34y8 MIa rt(L E o v , GC / oo u Q m bT.M 1 1 fa =CZ= 1 or 3 A 4 . - • 2 31W 40 • are cm :wawa G caw I u wow an Wl1* Et� c'�/ll c c ••u= OXL••x #e® ELEI,TRICAL DEMAND LOAD CALCULATIONS: r1EC x10-30 Aoa�ESs C31V R AC'T V D U U E — PC RR 1..{ P molt/ a 305 ;>41:› 34 (18 ` 1 HTS 4 RECEPTACLES LOAD= OM SE.)C WW a 51085 USER C01.1ECMD LOADS (FROM -PANEL SCHEDULE) . 28A40 CONNECTED LOAD ON PANEL. = 34)28 vA MIKratiMOLING AH U - • BOOS 1,680 CONDENSING WIT • 100% 13,304.0 TOTAL A= DEMAND LOAD • 6AS0 VA LOAD SUMMARY (NEC. 220 -30) FIRST 10 KYA_+ice 10000 REMAINING 341 KYA • 40% Stii80 AC LOAD b DO 26,630 VA TOTAL DEMAND FOR PANEL '4' 26 *30 VA440V • 111 AMPS EXISTING SERVICE PROVIDED - 150 AMPS C l Ec?R r GI -7 E & C rat v CG # / 920o Legal Description M IA.r11 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 6,3 Job Address . .3 NL 7( 2 Y / Tax Folio 11 2_0( 1?) 5 576 7 Soma. sEC I A i b Pe, 1 010 i 1 c 1 /2-1(. 31 Owner / Lessee / Tenant [ . L' /C �// e Owner's Address 3 /I/' L f a .2 s 7 �� % % /a's% // �� �s C> Phone ;1 c C O S Contracting Co. Cf01, -o r'i it 0, Address 2 Vie M el . 3 2 /1 /4I //I/ ”1 ,�f Qualifier /19 / fr. / '14 g5# �/ - % Phone . e 6 State # ' O(W f/8 /Municipal #/23/02 -6 Competency #Cd iC /L/ ?IZIns.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN LECTRICAL Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: Master Permit #f1 3 L/ t 7 WORK DESCRIPTION / e' C / / c / / i i C / c �c /re./ G // ett7---et/ 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 information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. g Signatu Date: 9 ij ntractor or Owner- Builder Notary as to Contractor or Owner- Builder My Commission ExpizefiRY PUBLIC, STATE OF FLORIDA. MY COMMISSION EXPIRES: Dec. 6, 1991 BONDED THRU NOTARY PL3LIC UNDERWRITER& ** * * * * * * * * * * * * ,t, * * * ** FEES: PERMIT /*) RADON C.C.F. NOTARY 5r 41 11' TOTAL DUE "5 1661 APPROVED: Fire Other Zoning Building Electrical Mechanical Plumbing Engineering MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date / Z"' Z— Permit No Applic tion 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 du:it+..g progress of work. Owner's Ncme and Address 55. 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 Amount of Permit $ (Signed) No ° 3 ` Street /`/ / 0 2– Registered Architect and /or Engineer Employing Electrician's Name. e'. Vt € 4. No Location and Legal Description Lot Block Subdivision 3 3 3 Street. C. / 2– J Street44> r – Repairs No. of Stories Service Overhead Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L .Metal Moulding The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ,' 4 - e C . ,s- a 4 `,° ` t- (Signed) C;, _ o ' f,t,.g / Master Electrician. Notary Public, State of Florida Electrical Inspector. STATE OF FLORIDA, COUNTY OF DADE. Before me, thi 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 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 REPRICE. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. H EAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST • ''' < CHECK () i' D 11ST. CAB. SERVICE TEMP. / // —� c. NT. SW. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date / Z"' Z— Permit No Applic tion 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 du:it+..g progress of work. Owner's Ncme and Address 55. 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 Amount of Permit $ (Signed) No ° 3 ` Street /`/ / 0 2– Registered Architect and /or Engineer Employing Electrician's Name. e'. Vt € 4. No Location and Legal Description Lot Block Subdivision 3 3 3 Street. C. / 2– J Street44> r – Repairs No. of Stories Service Overhead Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L .Metal Moulding The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ,' 4 - e C . ,s- a 4 `,° ` t- (Signed) C;, _ o ' f,t,.g / Master Electrician. Notary Public, State of Florida Electrical Inspector. STATE OF FLORIDA, COUNTY OF DADE. Before me, thi 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 NOTE: A re•inspection fee of $1.00 will be made when such re - inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING • Owner of MIAMI SHORES VILLAGE, FLORIDA DATE 194 PERMIT N° 8754 Work to be performed under this Permit Building ' Architect 1 Contractor or Builder Legal Lot Bi. Description Address of .-, Value of Building - / %. Project 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 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. i / / Signed I •--r ./ r.. 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 iami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. Subdi- vision CONTRACTOR OR BUILDER BY Contractor's License No. Amt. of Permit AUTHORITY BUILDING ELECTRICAL PLUMBING 1 Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N° 8848 Work to be performed under this Permit Contractor's License No. Architect Contractor or Builder Legal Lot Bl. Subdi- Description vision Address of Value of Amt. of Building Project Permit i/ r 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 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 By SP 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. CONTRACTOR OR BUILDER BY AUTHORITY Permit No._ Amount of Permit $L_6—_ APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewit #ubmitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinan 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 ___________'! / c„. eat e t " L' d 1 - – -- ------ - - - - -- -- -- --------- ------- - - - - -- — - --------- No.--- 3 --- - ----- ---- ----------- - - - - -- Street_ - � �� - - -- Registered Architect and /or Engin er_ z 4 ' — }, � !�l r' -- Employing Electrician's Name___ _4,z1 .e_ 4&-r- c , Le— No._ , 1 / _Street E • � 15 � .Lj t--. Location and Legal Description Lot______________________ ,___ Block , 1 Subdivision Street and Number where work is to be performed —No Street_N' F -- - 4..e .2 4� State work to be perform and purpose of building (By Floors) — New Building Remodeling Addition Repairs No. of Stories ) ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Service Overhead Underground Size Feeders 1_ Conduit__ I __Main Sw._ U p ___________ _Amp s.________ — — Main Fuses— _ —_____ Amps Type of Installation— Conduit_ k Tubing__ ____ .B.X.L._ —.._ Metal Moulding_ —_— --------------------- I (Signed) _ (Signed) ' Date.__ • 51 1 /3 Master Electrician. Electrical Inspector. The undersigned hpplicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be p osted 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. STATE OF FLORIDA, 1 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST I / / 1 2 4 / . / / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1-5 HP NEON TRANS. RADIO TOTAL CONTR. LIST /004 f r _r____ CHECK Permit No._ Amount of Permit $L_6—_ APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewit #ubmitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinan 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 ___________'! / c„. eat e t " L' d 1 - – -- ------ - - - - -- -- -- --------- ------- - - - - -- — - --------- No.--- 3 --- - ----- ---- ----------- - - - - -- Street_ - � �� - - -- Registered Architect and /or Engin er_ z 4 ' — }, � !�l r' -- Employing Electrician's Name___ _4,z1 .e_ 4&-r- c , Le— No._ , 1 / _Street E • � 15 � .Lj t--. Location and Legal Description Lot______________________ ,___ Block , 1 Subdivision Street and Number where work is to be performed —No Street_N' F -- - 4..e .2 4� State work to be perform and purpose of building (By Floors) — New Building Remodeling Addition Repairs No. of Stories ) ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Service Overhead Underground Size Feeders 1_ Conduit__ I __Main Sw._ U p ___________ _Amp s.________ — — Main Fuses— _ —_____ Amps Type of Installation— Conduit_ k Tubing__ ____ .B.X.L._ —.._ Metal Moulding_ —_— --------------------- I (Signed) _ (Signed) ' Date.__ • 51 1 /3 Master Electrician. Electrical Inspector. The undersigned hpplicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be p osted 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. STATE OF FLORIDA, 1 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. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. _7:7' Date —/ / / - _ 0 Application is hereby made for the approval of the detailed statement o f the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address________ Registered Architect and /or Engineer__ ( �/ :2. Employing Electrician's Name______ Y�__—_ _ ,�_ YS1SC No ( i 7 Q 1 .. I. L Street____ — ,[.c1_i ' Location and Legal Description Lot I.7_1 e _____I p______ Block 3 7 Subdivision__ _ L & Street and Number where work is to be erformed— No.______ E. -�ti� 4- 1 p � � Street__ State work to be performed and purpose of building (By Floors) New Building v Remodeling Service Overhead Underground Size Feeders Conduit Main Sw._ Type of Installation — Conduit_________ — _Tubing______— _____�. j .L.______ Metal Moulding__ Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. L 1 t Y - A - Cc No Street_ Addition ( Signed) Repairs No. of Stories — _____ Amps ______ _________ _______ _Main Fuses-_-- -_________ --Amps Electrical Inspector. gations as an employer of ermanent Supplement, and The undersigned applicant for this building permit does hereby certify that )feinderstands and accepts his labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, licensed by Miami Shores Village. on work to be performed under this permit, as are yam' ' � ( S i g n e d ) ! ! Master Electrician. Before me, the undersigned authority, a notary public, duly a uthorized 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 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. _7:7' Date —/ / / - _ 0 Application is hereby made for the approval of the detailed statement o f the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address________ Registered Architect and /or Engineer__ ( �/ :2. Employing Electrician's Name______ Y�__—_ _ ,�_ YS1SC No ( i 7 Q 1 .. I. L Street____ — ,[.c1_i ' Location and Legal Description Lot I.7_1 e _____I p______ Block 3 7 Subdivision__ _ L & Street and Number where work is to be erformed— No.______ E. -�ti� 4- 1 p � � Street__ State work to be performed and purpose of building (By Floors) New Building v Remodeling Service Overhead Underground Size Feeders Conduit Main Sw._ Type of Installation — Conduit_________ — _Tubing______— _____�. j .L.______ Metal Moulding__ Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. L 1 t Y - A - Cc No Street_ Addition ( Signed) Repairs No. of Stories — _____ Amps ______ _________ _______ _Main Fuses-_-- -_________ --Amps Electrical Inspector. gations as an employer of ermanent Supplement, and The undersigned applicant for this building permit does hereby certify that )feinderstands and accepts his labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, licensed by Miami Shores Village. on work to be performed under this permit, as are yam' ' � ( S i g n e d ) ! ! Master Electrician. Before me, the undersigned authority, a notary public, duly a uthorized 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.