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349 NE 102 St (4)Square Ft. t, O , 47 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date - /' #• Job Address .3' /q /V /c 5 -//' e-' Tax Folio Legal Description er/Lessee / Tenant - sidat jr,e,VIS, Nie rc e — I er's Address /7 (eel 3 / /o 4/. •33 13 ' / c Co. 1 /J/ /-1 Q441 y�t i�' P Address 1 7 g S� IV L: 5 A ✓,C /4%4 33/( Qualifier c.3 -e ph 1 tate # LC, OOD /369 I hitect/Engineer 1 foMct /ri onding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 5 ( v Jit) C.f ea S � a ,u el , e, Poo k 009 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 construct' n and zoning. Furthermore, I authorize the above -named contractor to do the work stated. _ rm o 3.c- v/ –�1- 66.o9. 0 9 -7 f-0o // / / %nature of owner and/or Condo President Date j,:•. as to Owner an. or Condo President y Commission}, Expires: ; A.v iPk, JC Shawn Crow �n MY COMMISSION # CC910817 EXPIRES ,; -g , P; February 15, 2004 • • ",of ;,,•` BONDED THRU TROY FAIN INSURANCE, INC FEES: PERMTIy AO5'; mORADON Historically Designated: Yes No ss# Municipal # Competency # Address II 3_ d63 o�`) Master Permit # C '7(S"6 ✓ Phone 30 S' 7 T 3 t;7 J 3. Ins. Co. Estimated Cost (value) 9 7 O a /` C.C.F. 02 ' y O NOTARY — Phone 3oS6 S' 3 S ? gnatur= , f Contractor or Owner- Builder ,4 7336 as to Contractor or Owner- Builder My Commi R Expires: JC Shawn Crow p .t MY COMMISSION # CC910817 EXPIRES eat �naii February 15, 2004 F BONDED THRU TROY FAIN INSURANCE, INC. BOND TOTAL DUE APPROVED: Zoning Building Mechanical Plumbing Structural Engineer Electrical �%/ l�� ev Date 19/ Date ,ere-C> MJ1 r'SAiORES VILLAGE, FLA. 3 C e ® mo TIME READY 1 I t / -/r" 5 ? JOB ADDRESS INSPECTION REMARKS N9 5606 44-ozi ,?? PECTOR DATE MIAMI SHORES VILLAGE, FLA. JOB X _� �� A 1 ADDRESS ®IL INSPECTOR N9 5618 INSPECTION TIME READY // , l - 7- 0-7 REMARKS: DATE z s'7 Sub 200 amp Sub fed 3 # 2/0 THHN volts 120/240 Panel Phase 1 1 Lighting 15 amp exsisting 2 Kitchen 20 amp exsisting exsisting 3 Lighting 15 amp exsisting 4 Kitchen 20 amp 5 Lighting 15 amp exsisting 6 Kitchen 20 amp - exsisting 7 spare 8 spare l 9 spare 10 Range 50 amp exsisting 11 Receptacles 15 amp exsisting 12 Range 50 amp exsisting 13 Receptacles 15 amp exsisting 14 Dish washer 20 amp exsisting 15 Receptacles 15 amp exsisting 16 Garbage dis. 20 amp exsisting 17 Receptacles 15 amp exsisting 18 water heater 30 amp exsisting 19 A/C air handler 50amp New 20 water heater 30 amp exsisting 21 A/C air handler 50amp New 22 A/C condenser 30amp New 23 Washer 20 amp exsisting 24 NC condenser 30amp New 25 Dryer 30 amp exsisting 26 Air Haneler 60amp exsisting 27 Dryer 30 amp exsisting 28 Air Haneler 60amp exsisting 29 Sprink pump 20 amp exsisting 30 Pool pump 20 amp exsisting exsisting 31 Sprink pump 20 amp _exsisting 32 Pool pump 20 amp N 0 n� 0 ITN 0 0 W m w a z z = 1 cn 0 0 rn ALL CoN Ou'rvRS 5 /ZED To CAA2y T RH soot~ 11(161 A604( Root - Mir! 01'0" MAX 38 it • Mrs! RIsf.G o Zn ,& f t • 3tt ' o r o ? oo Aw.P 3 .tt. c /So 1Y 34t = goo 0 LoAb. C'ALCuLarE ?ems a• /Yo1 — cr. G) c orr+pLy oat. aso -1 , )A &iu Ape Li -r Cdr aogt) 'Busts /1s a3' •7a(d) Ca) rPt,. 1? grGlvitErs'l.•Iarvc.,s= 6' A 6 o 4 c. 6teide• (to core . r e t. CLEF 4Z 411c ES a40.- 680 -8 y DRIP 1-0oFS a30- q (E) • TI4Rv THE Roo r S 5 Ec.a3o a&' SF° 45d6•I(1) 5 fee- 3 Ctbc Roof: PErl t"r"RAT, 0 / SEAS -) . 71-14v Roar A: Yr s d) i o tierr To CC zJrrr 2 o4 Moen. (FPL' el 6 .4 -- ours,dh' b sGo11,/Gc sFec ys'o6. 1 (A) M a tr1 ' C1 � sr' PAN6L ,trr;ke:�', i 861 c1 0 C w P , • •G it o utt D►;•.,q Etc Cott o15'o .914 . - r' .- GRougb.t0G- Edo 8 c o a.5' - 81- 4 °?s )/E d a t?o �s 'geed 1 'Ro ccS 0 3 To A.) ACV. 1 Lighting 2200 Sq Ft *2 Appliance 2 at 3 Laundry 1 at 4 Refrigerator 1 at 5 Dishwasher 1 at 6 Washing Mach 1 at 7 Pump 2 at 8 Garbage Disp. 1 at 9 Clothes Dryer 1 at 10 Water Heater 1 at 11 Oven/Range 1 at 12 Window AC 0 at Demand per N.E.C. 220-30 3 1500 1500 1200 1200 1200 1200 900 5000 4500 12000 1500 Existing Service New Service Residential Minimum Service Calculation See N.E.C. Chapter 9 Example 2 See N.E.C. Section 220 -30(a) & Table 220-30 1 phase service • see also section 210-54 " see section 210 -52(b) exception (2) New to 96 Code 150 Amps 200 Amps VA VA VA VA VA VA VA VA VA VA VA VA See table 220 -3(b) See section 220 -4(b) See section 220 -4(c) Total VA 1st 10,000 KVA at 100 % Remander 29500 At 40% HVAC ( coincidental loads ) 1st 30VA Heating 0 KW 31800 Divided b 240 Volts 132.50 Amps 6600 3000 1500 1200 1200 1200 2400 900 5000 4500 12000 0 39500 10000 11800 21800 10000 31800 Main 200 amp volts 120/240 Phase 1 Main Panel Feed thru 3 # 2/0 THHN 1 Spare New 3 Spare New 2 4 Spare new Spare new r : MIAMI SHORES VILLAGE I RULES AND N ,EG U FEDERAL I I� S STATE COUNTY 1 , 4 "Iitv:4 cI,ORL:, ✓fLUl 1 E ASSUMES NO RESPONSIBILITIES FOR ACCURACY r OF 01? RESULTS FROM THESE PLAN'S. ..044N: vlr7P THE SOUTH FLORIDA BUILDING • : SAGE IS , ? _. REQUIRED. THE ARCHITE DE AS ADAPT ED BY .: . ._. CHARGED WITH , - — � BUILDER & SUB 'f ` '; ERORNOTSPECIFICALLY I UILDING a. Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address.. Registered Architect and /or Engi eery /, V Employing Electrician's Name S�/ .�'Y �� ... Location and Legal Description Lot Block ._ Subdivision p�A Street and Number where work is to be performed —No B( "� Street)/ State work to be performed and purpose of building (By Fl ors) New Building Remodeling Service Overhead Site Feeders Conduit Main Sw Amps .Main Fuses Amps Underground Type of Installation —fond titer Tubing B.X.L Metal Moulding 0 Amount of Permit $ (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 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 beeferformed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. I SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT l - ! 5" (Signed ) r Date ) k ` ' No Jq9 Street Street k/ / Z 9 i Master Electrician. 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 TER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address.. Registered Architect and /or Engi eery /, V Employing Electrician's Name S�/ .�'Y �� ... Location and Legal Description Lot Block ._ Subdivision p�A Street and Number where work is to be performed —No B( "� Street)/ State work to be performed and purpose of building (By Fl ors) New Building Remodeling Service Overhead Site Feeders Conduit Main Sw Amps .Main Fuses Amps Underground Type of Installation —fond titer Tubing B.X.L Metal Moulding 0 Amount of Permit $ (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 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 beeferformed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. I SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT l - ! 5" (Signed ) r Date ) k ` ' No Jq9 Street Street k/ / Z 9 i Master Electrician. 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. • Owner of ° f Building ' � /mot t( # ,,s Architect Contractor or Builder Legal Description Address of Building Lot % MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ P PERMIT M I T 11T °. 4921 PLUMBING ❑ ROOFING ❑ B1 Contractor's / r_ ; License No Work to be performed under this Permit r ' f :an,.i. "s-'t - Subdi- vision Value of Project $ Amount of Permit $ f- This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statemei ts2.r spe cations and that he assumes responsibility for work done by his agents, servants or employees. $ ' 3 / d + Signed. �/ .fit , - 4 ` 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 ac- cepting this r permit I assume responsibility for all work done by either, myself, my agent, servant or employee. L 4 f tor 6 • CONTRACTOR OR BUILDER AUTHORITY O BUILDING ELECTRICAL PLUMBING • Owner of Building Work to be performed under this Permi C ; C i ze5 41 W i t,14 1 414 0 4 10 11 W ir 411114 Acef • Bl. 0 S •mg th n or to Amt. of Permit i ordin i ces an re authorities of iami Sh es one Architect Contractor or Builder Legal Lot Description �•- - �r Address of l' ' A V Building � /. �'""' /►� Project This permit is gran d to • contr . or or bu der n med above t• o truct the buil catiori herefor in strict com•lian' with al ordinances pertaining thereto an. ith the unde plans, drawings, statements or ecifications that may have been submitted • and approv at any time if the work is no 9 one in compliance with such ordinances or if the plans ar permit is granted is the and rstanding that the contractor or builder named above ass regulations pertaining to the work covered hereby whether shown on the plans or dra sibility for work done by his agents, servants or employees In consideration of the issuance to me of this permit I agree to pertaining thereto and in strict conformity with the plans, drawin! In ac•ep 'ng this • • it I assume responsibilby for all work done i:lr► • / • CONTRACTOR OR BUIL MIAMI SHORES VILLAGE, * FLORIDA RMIT N° 6537 Signed- di- sion DATE IN ` OR e work covered hereunder in complia statements o •ecifications submitted to the pro ithese o y agent, servant or ployee. age. tall the equipment or device described in�the appli . the work will be performed in compliance with any e er municipal authorities. This Permit may be revoked`• #';. ithout authorization. A further condition upon which this` ponsibility for a thorough knowledge of the ordinances and. r the aten • t • specifics ' nd tha sst nes espoYi AUTHORITY BY BUILDING ELECTRICAL PLUMBING Owner of Building (1/ Architec-AP - Lot Work to be ',z v PERMIT N? 6619 MIAMI SHORES VILLAGE, FLORIDA DATE 6 194 ontractor's cense No. per Urmed under this Permi Bl. In consideration of the issuance to me of this permit I agree.to pertaining thereto and in strict conformity with the plans, drawings, In accep is permit I assume responsibility for all work done by CONTRACTOR OR BUILDER 0 Contractor or Builder Legal Description Address of Building _ This permit`i ::ranted t• e contra tor or builder name above to construct the building or to install the equipment . device describbd in the appli- cation herefor in strict cornplia ce 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 abo e assumes the responsibility for a thorough knowledge ()Ube -ordinances and aw regulations pertaining to the work covered hereby whether shown on the plans .r . ings o" in the stateients or specifications and tki'a "f be as'umes respon- sibility for work done by his agents, servants or employees. Subdi- vision Value of Project BY • Sign Amt. of Permi S'7�7CTOR By` - • form the work covered hereunder in compliance with all ordinances arid re.g4ations tatements or specifications submitted to the proper autlitiities of Miami Sl #1�s CL llage. r myself, my agent, servant -or employee. AUTHORITY Permit No.__ —_ Employing Electrician's Name erground Type of Installation Amount of Permit $ ELECTRICAL INSPECTION DEPARTMENT APPLICATIJ JN FOR ELECTRICAL PERMIT Owner's Name and Address ___ STATE OF FLORIDA, COUNTY OF DADE. j ss. MIAMI SHORES VILLAGE Registered Architect and /or Engineer My Commission Expires Location and Legal Description Lot r / CZ-L-Z No 1 State work to be performed and purpose of building (By Floors) New Buildin Remodeling Addition.. Repairs Main Sw ..... Amps. Size Feeders__ t / Conduit._ ubing_ B.X.L Metal Moulding (Signed) VAA (Signed) ''_:r2 Date Application is hereby made or 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. _ Street_____ ✓__l / 2 Notary Public. State of Florida , V CO, No _t:_� _ � ° Street ---- - - - - - =— 1 Block -- _____— ____________ Stibdivision _— _- -_______—___________ Street and Number where work is to be performed —No t ._ 449./mb ' / 0. 2, _ t _ _ Street No. of Main Fuses_ fif U v e _y r Electra Inspector. The undersigned a plicant for this building permit does hereby certify that he understands an cepts his obligations as a employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Suppt ent, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. _ Master Electrica_ n. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared — — - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST ® / /// ' 3 � � Z 6 /, e3 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST 7, - 6 (y k CHECK / Permit No.__ —_ Employing Electrician's Name erground Type of Installation Amount of Permit $ ELECTRICAL INSPECTION DEPARTMENT APPLICATIJ JN FOR ELECTRICAL PERMIT Owner's Name and Address ___ STATE OF FLORIDA, COUNTY OF DADE. j ss. MIAMI SHORES VILLAGE Registered Architect and /or Engineer My Commission Expires Location and Legal Description Lot r / CZ-L-Z No 1 State work to be performed and purpose of building (By Floors) New Buildin Remodeling Addition.. Repairs Main Sw ..... Amps. Size Feeders__ t / Conduit._ ubing_ B.X.L Metal Moulding (Signed) VAA (Signed) ''_:r2 Date Application is hereby made or 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. _ Street_____ ✓__l / 2 Notary Public. State of Florida , V CO, No _t:_� _ � ° Street ---- - - - - - =— 1 Block -- _____— ____________ Stibdivision _— _- -_______—___________ Street and Number where work is to be performed —No t ._ 449./mb ' / 0. 2, _ t _ _ Street No. of Main Fuses_ fif U v e _y r Electra Inspector. The undersigned a plicant for this building permit does hereby certify that he understands an cepts his obligations as a employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Suppt ent, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. _ Master Electrica_ n. 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. New Building Amount of Permit $__—___ STATE OF FLORIDA, COUNTY OF DADE. t ss' MIAMI SHORES VI LLAG E ELECTRICAL hNSPECTION DEPARTMENT A P P LICATION FOR ELECTRICAL PERMIT Date__,_._______ _ Application is hereby made for the approval y pproval 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 • s ified or not. A copy of approved plans and specifications must be kept at building during progress of work. C 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 State work to be performed and purpose of building (By Floors) 2 __2 No Remodeling The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. My Commission Expires NOTE : A re- insp fee of $1.00 will be made when such materials and /or workmanship. Street Street ______ _______________ —_______________ ,� / S ____________�— __________ _ �% Street- 4 _Block Addition _ Repairs Service Overhead Size Feeders Conduit.___ Main Sw Underground Type of Installation— Conduit Tubing_____________ B.X.L Metal Moulding (Signed Amps. Main Fuses No. of Stories________ _Amps. (RIR � Electrical Inspector0 rtify that he understands an accepts his obligations as an employer of labor Compiled General Laws o Florida Permanent Supplement from all contractors or sub - contractors employed by hi .' in the work to be inspection on the site of the work such public n•tice or notices as are sub - contractors, on work to be7performed under this permit, as are 1 Master Electrican. authorized to administer oaths and take acknowledgments, personally Before me, the undersigned authority, a notary public, duly appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true. Notary Public. State of Florida re- inspection is made necessary by improper notice for inspection, or faulty SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT.. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK New Building Amount of Permit $__—___ STATE OF FLORIDA, COUNTY OF DADE. t ss' MIAMI SHORES VI LLAG E ELECTRICAL hNSPECTION DEPARTMENT A P P LICATION FOR ELECTRICAL PERMIT Date__,_._______ _ Application is hereby made for the approval y pproval 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 • s ified or not. A copy of approved plans and specifications must be kept at building during progress of work. C 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 State work to be performed and purpose of building (By Floors) 2 __2 No Remodeling The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. My Commission Expires NOTE : A re- insp fee of $1.00 will be made when such materials and /or workmanship. Street Street ______ _______________ —_______________ ,� / S ____________�— __________ _ �% Street- 4 _Block Addition _ Repairs Service Overhead Size Feeders Conduit.___ Main Sw Underground Type of Installation— Conduit Tubing_____________ B.X.L Metal Moulding (Signed Amps. Main Fuses No. of Stories________ _Amps. (RIR � Electrical Inspector0 rtify that he understands an accepts his obligations as an employer of labor Compiled General Laws o Florida Permanent Supplement from all contractors or sub - contractors employed by hi .' in the work to be inspection on the site of the work such public n•tice or notices as are sub - contractors, on work to be7performed under this permit, as are 1 Master Electrican. authorized to administer oaths and take acknowledgments, personally Before me, the undersigned authority, a notary public, duly appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true. Notary Public. State of Florida re- inspection is made necessary by improper notice for inspection, or faulty