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350 NE 102 St (10)Compan MIAMI SHORES VILLAGE BUILDING DEPARTME 305- 795 -2204 Building Inspection Req Dat / /O Time Type Insp J� Permit No. Z 00 3-- Address -3S' /) r. Phone # S 2 O o c For Inspector( )/) 03 E' Approved Correction Re- Insp'n Fee �l ),tea 3 Date Tim --> Type Insp'n Permit No. ---' Name --- Address i Company Phone # Approved'S Correct Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Re ow IT a a r y v actz s , 0000 For Inspector: (21)61-1 Type Insp'n MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date / uid_,L ea-Time Permit No. Name ,?- Address 13 /e /49 2 . 5/ Company Phone # For Inspector: Approved Correction Re- Insp'n Fee Name & Date C4f Per �- 97 G' a0i4-t c 5 ea- /re t- -6 r...= ° ® ° A MIAMI SHORES VILLAGE (� BUILDING DEPARTMENT l 305- 795 -2204 A B uilding Inspection Request i i Date / / 3(/ d Time ‘ 4 Type Insp'n t ., Permit No " L-. ' Name g Address \ � b Compan M ft , C. Phone # W 3 'k-- 'k-- ! / a )' \ 4 . For Inspectors 3 v3 Name & Date x Approves( h Correction Li' f e-, • Re-Insp'n Fee ❑ 1 - It TIF (I '" t9/, - rks n 1- 1tr 3 l h r 43 - 00 r Name Address Compan MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 c Bui 1 ldin f g Inspection Request Date 1 l / Time Type Insp' —te Permit No. L; L 0 (9 ' 1 S Approved Correction Re- Insp'n Fee Phone # ) � . I ° (. For Inspector: � ) � Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/7/2003 Applicant: CAROLE LARKIN Owner: LARKIN CAROLE JOB ADDRESS: 350 NE 102 ST Contractor MOODY ELECTRIC INC Local Phone: (305)758 -2000 Parcel # 1132060135130 In c with t myse . '��n fYle� /�nlcocrrnR� TOTAL BANK MIAMI, FLORIDA Electrical Permit Permit Number: EL2003 -62 Contractor's Address: 669 NW 90 ST Permit Status: APPROVED Permit Expiration: 9/3/2003 Construction Value: $2,000.00 Work: SERVICE UPGRADE fee is $50.00, which must be paid in advance before calling for another inspection. Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 5 & 6 BLK 38 LOT SIZE 100.000 4a Total Fees: Total Receipts: $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection rj 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 wittt such - ances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contra • . 'Ider named above assu he -sponsibility 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 - ments or specif r an • that he assumes responsibility for work done by his agents, servants or employees. PAY AMOUNT OF DATE MOODY ELECTRIC, INC. 669 N.W. 90TH STREET MIAMI, FL 33150 (3051 891-1374 TO THE ORDER OF 3� 10 o Alitt auvuAU, 9,un ?- EXPLAN TION V f /Ai ACCTS. PAYABLE DISC. AMOUNT OTHER DOLLARS CHECK NUMBER /(OZSZ - - - -- — — — conformity 63- 915/660 ' either 16282 CHECK AMOUNT 6o/ • st OR . B THIS DOCUMENT CONTAIN! HEAT EENEITIV! INIE,TOUCN OR PREEE NERB • RED IMAGE DMA EARS W , EAT NP • • ... M • • DYi ELECTRIC, ilk � www.moodyelectric.com 669 N.W. 90 Street • Miami, FL 33150 -218 : Tel: (305) 758 -2000 Fax (305) 754 -18`33 • . .. . . 35o 4,/ W /SQ.FT REFRIGERATOR APPLIANCES DISHWASHER GARBAGE DISPOSAL MICROWAVE CLOTHES WASHER DRYER' RANGE WATER HEATER OVEN FREEZER TRASH COMPACTOR GARAGE DOOR MOTOR JACUZZI JACUZZI BOOSTER HTR. IRONING BOARD POOL EQUIPMENT SPRINKLER PUMP LANDSCAPE LIGHTS STEAM SHOWER A/C WALL UNIT SPARE CAPACIT SPARE CAPACITY • TOTAL CONNECTED LOAD /706 • • • .. •• .••. •..•. •••• • • • . • • • 1 • •• • RESIDENTIAL DEMAND LOAD CALCULATIONS FIRST 10 K.W. @ 100% Z/6 REST @ 40% 3040 A/C @ 65% /HEAT@ 100% /6 4/23 TOTAL DEMAND LOAD 3a•a / K.W. / 240 VOLT = /3 'SUAMPS a ka • • • • • . .• • • .. • . .•. •. • • . . . . • 61/24 . o� K.W. /.5 K.W. ,.0 K.W. /.• K.W. K.W. � / .5 . K.W. 5 0 K.W. / K.W. K.W. -- K. - K.W K.W - K.W K.W. K.W. i S K.W. K.W. a -9 K.W. A6 K.W. 'A I� K.W. - K.W. K.W. MARY PAT BRIGGS Notary Public - Stata of Florida Lily Carm^ission E may 11,2008 = Commission # DD 104873 •gr,,;ti e Bonded By National Notary Assn. D / qd /D K.W. 10.0 K.W. /at •oy K.W. /O.O K.W. 0V K.W. /g3. � -itu.fred EC.Ceo 11g MOODY`' ELECTRK� YN,�.' r ,.,,.�., m.w�o nnricmm www. moodyelectric.com 669 N.W. 90 Street • Miami, FL 33150.2168 Tel: (305) 758 -2000 Fax (305) 75411 FPS r? w P goo M�6 91( 95o u ity r1/// ra d 4J • • • • •• •• •• • • • • • • • .. • • • • • .. • • .. • • ••• •• • • • .. ••• .. • 35D 414' /D. 5 r- o/2€ a 41. 5 . 3 - 4,o T,N I4A) a i' o 06VV %gxto' Via rc9 s 40-7 .. • • • • • • • AJeO iiJ 9oa 10 soL) IV e44 2 CuAttA C EeaZir99 APPROVED BY DATE ZONING STRUCTURAL ELECTRICAL �� � PLUMBING MECHANICAL ROOFING BLDG. OFFICIAL SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS. MIAMI SHORES VILLA€ ASSUMES NO RESPONSIBILITIES FOR ACCURACY M. , OF OR RESULTS FROM THESE PLANS. COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & SUB CONTRACTORS ARE CHARGED WITH THE KNOWLEDGE OF ALL BUILDING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. • • • • • • . • . • • • • • • • • • • • .. ... .. • • • .. • • • • • • • • • • .. . . . .. ... • • • • • • • MUM SHORES S V1OL0.1 L E CONTRACTOR New Construction Name •• / / is �/ q ou �� Hglp rh t5,4 0/.9_4 License No. - japo / w Ei (� (/ / � Fax 9 n /��77 Address 0.10 l 33 Repair Telephone � F ax 7 / /) —/ 3 3 Qualifier N / f 1 iu // / ! O(J /�/ Demolish PROPERTY OWNER New Construction Address 1p q ou �� Hglp rh t5,4 0/.9_4 Bq nes�re _ .,9s59 JJ77Teleel Fax 9 n /��77 TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other Step 1. Step 2. Job Address: 35 NE JO Sr Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name Address License No. Telephone Fax • • • • • • • • • •• • • • • • • • • • • • •. • • • • .• • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Apt. City r Master Permit No. • • • • • • • • • •• • • • • • • • State ERMIT APPLICATION ••• • • • ••• •• ;Spb$icliwyPrrnlrt No. INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which must besigned by the property .wner oold qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing`of yoiwappticaiioa. tf roofing work will be done, a roofing application must be submit- ted along with this permit application. • • • • • • • • • • • • • ••• • • Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION 331 g Zip Folio Number Description of Work SEd I /CE ci 9'— Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work c C) Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) ENGINEER Name License No. Address Telephone Fax Page 2 • • • • • • • • - •7 •Y • • • • • • • • • • • • • ••• • • • • • • • • • • ••• • • • • • • • • ••• IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HA\;INCi I;E(;EIVED' )i1R Z'ALILtATTD PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION ate limitell to: Morffiay through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. -2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SFtA•LL 1�E kEP't TREE FROIVLDIR DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEINGOAMAUDV EU1P1INT Ok VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. ' • • • • : : : ' • ' : : ' • • 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MI Signature of Owner Pnn 'ame S o t nd subscribed before me this Signature of otary SEAL: Personally known I -DA day of . i' f �',"e.,1 MARY PAT BRIGGS t ` : Notary Public - State of Florida T • it . ▪ tuff Commissi n Ewirm May 11.2008 � Commission 0 DD 104873 N;;�t� Bonded By National Notary Assn. catl"olr Type of Identification Produced: • • . • • • • Signature of Contractor / Qualifier Print Name / S23 Q d subscribed before me this day of 1/_1_&A� 41 44 Signature of SEAL: PERMIT APPLICATION FLORID C UNTY OF MI: I -DADE Personally known .. 1 "'' " "',.,, r ARY PAT BRIGGS '•: Notary Public - State of Florida • c kh' CommIssion FxpliES Ilkay 11, 2008 Commission 0 DD 104873 Bonded By National Notary Assn. Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer . (."1' . . '1's Pi: Mtl$t:Appliance : QTY. TYPE Service Repair 2cA Q'I'1. A/C Central 1 -3 Ton Fan - - - Outlet, Waif ' • • Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater. (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds,.No..of'Amps. A/C Window FPL - Load Central Posts Swim Pool; Commercial' Air Conditioners Garbage Disposal Range/Range Top - Swim Pool, Residential. Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPF. Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit Q'I Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool - Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area ' ' - Meter Set (Gas) Sewer Connection ' ', 'Water Re - pipe Drains, Floor, , . .. . - Minimum Fee Shower .. Water Service Drains, French ,Miscellaneous Equipment Sink Well, Supply Page 3 • • •. • • • • • . . . • • • ...... • • ... • ... • • • ... PERMIT APPLICATION • .. lb • INSTRUCTIONS: Please indicate the type of work,bejng gerfomi ;d and a uk nt ity( i es) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary • •• •• • • • •• •• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • 11011 • • • • 000 • • • • • • • • • • • • D PROOF OF OWNERSHIP (Attach) •• ••• •• • • • •• ❑• HRS t vrIfiOyAj.• • •lSeattc :S4wlsrl : : • .. ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) I ••• ( x . f t. 1000 $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) SECTION g Zonin Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE a3 PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ISSUING OFFICIAL CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N om . f E.. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2 Datgc _ 50 3 �ob Address 3 d /‘ - Folio / 3 °� �° /3 S7 3 Legal Description ,,Q �L Historically Designated: Yes No / Owner /Lessee/Tenet ! ' �/ 4• l <(N A Master Permit # / 4 0O .2 . /55 Owner's Address 11,3 �f tfloa ----- 4 / o a S r Phone c=,� 2,i -S Contracting Co. _S ',PA r/U G¢1 d4 CocA-i:J /0(.20- Address /,&..5 L.,t-) l , Jr / & Qualifier - i-Fa '1 -04-) ei' e4 C SS# ) Phone 1 - / a f / State # 4 0 (c S�(Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ( ELECTRICAL/ PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: Cl - 1i6\6 r Square Ft. 6<c-) lib - ',f 7 Signature of owner and/or Condo President Notary as to Owner and/or Condo President My Commission Expires Estimated Cost (value) c 0 04-4 c- <4--ld /pf,A} 3 IS7 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 ANY 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 all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. Date Si 1. • a • • i rl— • ULT e of Contractor orOwner Buii A Date Notary as to Co My Commissio OFFY NOiAR SEAL HONYJCARFORA NOTARY : LIC STATE OF 4 <, .O MISSION NO. actor or Owner ui er Expires Date to FEES: PERMIT ‘ePfa 1, RADON C.C. r ILA A /VA NOTARY BOND APPROVED: TOTAL DUE Zoning Building Electrica Mechanical Plumbing Structural Engineer Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/16/2002 Applicant: CAROLE LARKIN Owner: LARKIN CAROLE JOB ADDRESS: 350 NE 102 ST Contractor SPRING AIR CONDITIONING Contractor's Address: 13501 SW 128 ST #113 Local Phone: 305 - 232 - 1211 p Parcel # 1132060135130 Fees: Description Amount FEE2002 -2719 Building Permit Application Fee $60.00 $60.00 Total Fees: Permit Status: Approved Permit Expiration: 11/5/2002 Construction Value: Work: CHANGE OUT 3 TON CONDITIONING & AIR HANDLER W/8 KW HEAT 13501 S.W. 128 STREET STE 113 Atit MIAMI, FL 33186 (305) 232-1211 PAY 3 i " l)7" TO THE ORDER OF: • s09 Electrical Permit Permit Number: EL2002 -155 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 5 & 6 BLK 38 LOT SIZE 100.000 FIRST UNION NATIONAL BANK OF FLORIDA MIAMI, FL 63- 643/670 772 SECURITY 6 E PO 2 4 2 9911' 1:06 700 21: 209000059 LO 1 DATE $3,557.00 24299 AMOUNT . -D 49 D Total Fees: $60.00 Total Receipts: $0.00 Page 1 of 1. e- inspection ration herefor in strict compliance with all ications that may have been submitted to or if the plans are changed without 4onsibility for a knowledge of the :hat he assumes responsibility for work done ins pertaining thereto and in strict conformity responisibility for all work done by either BUILDING ELECTRICt L PLUMBING Owner of Building Architect Contractor •° ` or Builder Legal De9bription Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA DATE S ERMIT N? 6368 Work to be perfoi ed under this Permit \fn.. 1. Subdi- vision Value of Project Contractor's License No. 412 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or d.vic. 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 ti 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 i granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of • dinances and regulat pertaining to the work covered hereby whether shown on the plans .r drawings •. In the statements or specifications and Ssu es respon- sibility, for work-done by his agents, servants or employees. Amt. of Permit By NSPECTOR, In con aeration of the issuance to me of this permit I agree p : r orm the work covered hereunder in compliance witll„a ordinances andi l li re ons pertaining t zeto and in s ict conformity with the plans, drawing §statements or specifications submitted to the proper authorities of Miami Shores Village.' In accep his pe it I ume responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY 194 �� 3 Owner's Name and Address -Y Registered Architect and /or Engine Employing Electrician's Name Location and Legal Description New Building Remodeling_ Service Overhead Size Feeders. Underground Amount of Permit $ (1I STATE OF FLORIDA, COUNTY OF DADE. ss' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. (:__ Date A Application is hereby made for the approval l pp 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 herein specifie4Jjor not. A copy of approved plans and specification must kept at building during progress of work. No °`s`_' 1.4i=litiA No Street_ / 14/2.4 Street / � �'�7 Block--- ---- - --- -- Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Addition.. Conduit.__ Main Sw -fIe Amps. Main Fuses Amps. Type of Installation— Conduit Tubing __ B.X.L Metal Moulding My Commission Expires (Signed) (Signed Street Repairs 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 ork to be performed under this permit. as are licensed by Miami Shores Village. Notary Public. State of Florida No. of Stories ______ ________ Electrical Inspector, Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that be 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 REFRIO. OUTLET IRON OUTLET RANOE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST J r / ' ) 1 / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / CHECK 3 Owner's Name and Address -Y Registered Architect and /or Engine Employing Electrician's Name Location and Legal Description New Building Remodeling_ Service Overhead Size Feeders. Underground Amount of Permit $ (1I STATE OF FLORIDA, COUNTY OF DADE. ss' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. (:__ Date A Application is hereby made for the approval l pp 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 herein specifie4Jjor not. A copy of approved plans and specification must kept at building during progress of work. No °`s`_' 1.4i=litiA No Street_ / 14/2.4 Street / � �'�7 Block--- ---- - --- -- Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Addition.. Conduit.__ Main Sw -fIe Amps. Main Fuses Amps. Type of Installation— Conduit Tubing __ B.X.L Metal Moulding My Commission Expires (Signed) (Signed Street Repairs 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 ork to be performed under this permit. as are licensed by Miami Shores Village. Notary Public. State of Florida No. of Stories ______ ________ Electrical Inspector, Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that be 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.