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415 NE 102 St (3)CZ. 46 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building,, Inspection Request Date Type Insp'n L -'4 Permit No. C/ 0 /O Name -is e Address Company !' Phone # I 7- Inspection Date (2 l Approved ❑ Correction / 70/t ' - Of Re- Insp'n Fee ❑ ` -ez fit lc_ 27 Z? MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n �l I Permit No. - (OS I O Name ") e---_t 4 Address 4 IS 1 L 1ciLs-i- Company 151.— CC H Phone # 7 Izci Inspection Date Approved Correction Re- Insp'n Fee Miami Shores Village ° `' ` tall 232 "' Building Department BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 • • j. (rte11i1 Phone # Permit No. E OG Master Permit No. Plumbing Mechanical Roofing Owner's Name (Fee Supple Titleholder) 5 S.)f` I er -- L Phone # Owner's Address (r6 / o2bp Ce,ye 'urS'e. City iA,n,. 542re S State P/ Zip 3303f' Tenant/Lessee Name ,,a1 Job Address (where the work is being done) 4" /s /e9 City Miami Shores Village Is Building Historically Designated YES NO Contractor's Company Name �— /4 L / /mil . Phone # 3o / 9 63 7 3 Contractor's Address /9 3, /✓l f 9 ,3' 5 City Ale' 14/4/h. • State F/. Zip 3 3/8, Qualifier Z 2/9 S /le State Certificate or Registration No. sC /, ,i/6 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 1 4FS a Total Fee Now Due $ (Continued on opposite side) County Miami -Dade Zip 33/3F 8 Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ENew Z / Repair/Replace ❑ Demolition ' Describe Work: �f�� t 'e ' ®� SP v/G e jai * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** _ 1 Submittal Fee $ Permit Fee $ /.S d' � yy ' ®G CCF $ t .2-0 CO /CC Notary $ Training/Education Fee $ + `'l o Technology Fee $ °) ")5 i Scanning $ 3 '© Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Naive (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 commencenzent 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 Own: or Agent The foregoing instrument was acknowledged before me thi4 day of mA2C -t, 2005, by who is personally known to me or who has produced As o ;�y tion and who did take an oath. NOTARY PUBLIC: Sign: APPLICATION APPROVED B Chc 05/13/03 tr arrunu , iu�`` ° *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** Signature NOTARY P Si Print: Print: :z N • � . m:5 � • � • My Commission Exls Lo My Commissn a �rtiurunil' Contractor The foregoing instrument was acknowledged before me tlii? 9 4 day of mAS2�1 ' , 2CQ who is personally known to me or who has produced as c non' , d who did take an oath. ire *****************W4*.************************************** Aft.******* ******* ' , ¥ ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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 AiPS DUCT WORK FLOOR DRAIN SERVICE REPAIRA1ETER CHANGE o lm . REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE (ROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS QVER 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 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 . SWIWING POOL OUTLETS COM,IERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS .SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTIRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 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 (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/4/2005 Contractor P & M ELECTRIC INC Local Phone: 305 - 949 -6373 Parcel # 1132060170780 Signed: (INSPECTOR) Electrical Permit Permit Number: EL2005 -106 Applicant: RITA MCCARTHY Owner: MCCARTHY RITA JOB ADDRESS: 415 NE 102 ST Contractor's Address: 1936 NE 148 ST Legal Description: AMD PL OF MIAMI SHORES SEC 4 Permit Status: APPROVED Permit Expiration: 9/24/2005 Construction Value: $1,850.00 Work: RELOCATION OF SERV TO 10 GR Page 1 of 1 Via pFR 0 5 PAID PB 15 -14 E1/2 OF LOT 14 & LOT 15 Fees: Description Amount FEE2005 -4191 Building Fee $150.00 FEE2005 -4192 Training and Education Fee $0.40 FEE2005 -4194 Scanning Fee $3.00 FEE2005 -4195 Technology Fee $3.75 FEE2005 -4196 CCF $1.20 Total Fees: $158.35 Total Fees: $158.35 Total Receipts: $0.00 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: ELECTRICAL CONTRACTORS 1936 N.E. 148th Street North Miami, Florida 33181 (305) 949 -6373 Dade CC #16353 Broward CC #86- CME- 1046 -X 2" C. w /(3) 2/0 cu. 200amp Meter/ Main 1 1/2" C. w /(3) 2/0 wire 0 No. 4 gr. cond. c.w.g. amp 20 cir. Panel "A" ( in garage ) Sc- /i q /' S T. S .6res, 6/ 10' gr. rods min. 6' apart ` ins �rac✓i / 7�G>'e e So b� • Sec77T 2% 7kes. 5 Ax,- r / /'�► �/e C '� L � 3ao1375- 6:e -n e,l Teo >L 3 spa o ( 4PPI. c )re / :) = 3oe (1) I4"47 L. sa 9bao (‘redt. 1 -, 51 - +0k / ST 30 C2 /oo ELECTRICAL CONTRACTORS 1936 N.E. 148th Street North Miami, Florida 33181 (305) 949 -6373 Dade CC #16353 Broward CC #86- CME- 1046 -X 54=07 AyeA 9/S NL l� P- sT Sh e i F/ 33/ t ? 0.06 64 0' 3s�� a-3 � � ��( � 3 /o ( 1g 1 5� 33/716= /yo. y6 �,.� s / /�1 /eu /a- ken Drykre4 ,- ,i,We h/ -° ITT 7T, -� 4 — 4 �.- ,�t t-1 g /- )L ev.._ 1 ) Permit No 1-07 D MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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 , y' T. hi 7 5 ij No. 11 / 1V !✓ Registered Architect and /or Engineer Employing Electrician's Name. ' Pe N H 6 4 P A( .5 I- C~ No } / f Al el/ Street , 1 7 7 " 1 (1 "1, 5 Block / Subdivisio auon a d Legal esc Lot LL Street and Number where work is to be performed —No ��T/5 1V4 4 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Date v7/ cb Street l'�! 64'4 n��... 4 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 $ N oo (Signed) 1 PO ko The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. I °°' 13`I (Signed). ,✓ Electrical Inspector. ccepts his obligations u an employer of of Florida Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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 neceaary by improper notice for Inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUO RECE•P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER 3 ToN TOTAL CONTR. LIST If G CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO _ • TOTAL CONTR. LIST CHECK 1 ) Permit No 1-07 D MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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 , y' T. hi 7 5 ij No. 11 / 1V !✓ Registered Architect and /or Engineer Employing Electrician's Name. ' Pe N H 6 4 P A( .5 I- C~ No } / f Al el/ Street , 1 7 7 " 1 (1 "1, 5 Block / Subdivisio auon a d Legal esc Lot LL Street and Number where work is to be performed —No ��T/5 1V4 4 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Date v7/ cb Street l'�! 64'4 n��... 4 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 $ N oo (Signed) 1 PO ko The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. I °°' 13`I (Signed). ,✓ Electrical Inspector. ccepts his obligations u an employer of of Florida Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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 neceaary by improper notice for Inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE. FLORIDA DATE e ,l 1 952_ ELECTRICAL 53 PERMIT R M I T PLUMBING ❑ N? 8394 3 9 4 contractors License No. ROOFING ❑ BUILDING ❑ ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER B1. d 'Subdi- vision Sq. Ft Value of Project $ Amt. of 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 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 statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. d r Signed- fE' BY " INSPECTOR r' 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,rvant or employee. 4 BY AUTHORITY Permit No Q 7 Date a 4 4. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted or 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 / 1 . 0 / /J/2/4 / Registered Architect and /or Engineer Employing Electrician's Name % y.s / / E • /. c .V.V.. /e � 4/C . No 1 ? Street.4._ GO �,� E (, • 6 , Location and Legal Description / Lot Block Subdivision Street and Number where work is to be performed —No l Street State work to be performed and purpose of building (By Floors) e Re f1.S c LSE .R ✓/c L a. ^11Ec i a i o A Amount of Permit $ STATE OP FLORIDA, } COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT D e ) 55. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No C.l� Street.. /...:� E S / v,E,cE New Building Remodeling X Addition Repairs No. of Stories Overhead 1 / Main Sw Amps / �Z!n /...Main Fuses Amps Service Size Feeders Q Conduit �� Type of Installation — Conduit Tubing B.X.L Metal Moulding �f p /7/ /a 4m s — e / EAv /to 24 Pfe / (Signed) /a /.5 /+ M 1"S (Signed)o '( Q 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 be performed under this permit, as are licensed by Miami Shores Village. Electrical Inspector. 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 HATER STRIP HEATER TOTAL CONTR. LIST CHECK E NT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.I HP MOTORS 1.8 HP N EON TRANS. RADIO TOTAL CONTR. LIST [ 'pp..11 a - FR c. /. '- / 3 /� CHECK __ . __. - _..______ -- -__ - Permit No Q 7 Date a 4 4. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted or 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 / 1 . 0 / /J/2/4 / Registered Architect and /or Engineer Employing Electrician's Name % y.s / / E • /. c .V.V.. /e � 4/C . No 1 ? Street.4._ GO �,� E (, • 6 , Location and Legal Description / Lot Block Subdivision Street and Number where work is to be performed —No l Street State work to be performed and purpose of building (By Floors) e Re f1.S c LSE .R ✓/c L a. ^11Ec i a i o A Amount of Permit $ STATE OP FLORIDA, } COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT D e ) 55. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No C.l� Street.. /...:� E S / v,E,cE New Building Remodeling X Addition Repairs No. of Stories Overhead 1 / Main Sw Amps / �Z!n /...Main Fuses Amps Service Size Feeders Q Conduit �� Type of Installation — Conduit Tubing B.X.L Metal Moulding �f p /7/ /a 4m s — e / EAv /to 24 Pfe / (Signed) /a /.5 /+ M 1"S (Signed)o '( Q 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 be performed under this permit, as are licensed by Miami Shores Village. Electrical Inspector. 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. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building This permit is granted to the contractor or builder named ab herefor in strict compliance with all ordinances pertaining thereto drawings, statements or specifications that may have been submitte t time if the work is not done in compliance with such ordinances or if t granted is the understanding that the contractor or builder named abo pertaining to the work covered hereby whether shown on xh done by his agents, servants or employees. CON T ACTOR OR BUILDER/ i k MIAMI SHORES VILLAGE, FLORID DATE_,,,; ...PERMIT N° 10003 VWo,c to be performed under this Permit r' Ars f d Signed Value of Project $ INSPECTOR In con4tration of the issuance to me of`<, •ermit I . • e to perform the work covered hereunder in compliance wit pertaining thol(eto and in strict conformity with the p ans, : r. ings, statements or specifications submitted to the proper au In accepting'"this-permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY Contractor's License No Amt. of Permit $ AUTH bf 1950 e to construct the building or to install the equipment or device described in the ap • n with the t.erstanding that the work will be performed in compliance with any plan , and appr. ? d by the proper municipal authorities. This Permit may be revoked at any e plans at changed without authorization. A further condition upon which this permit is e assumes he responsibility for a thorough knowledge of the ordinan es and regulations in the state ents o ecifications and that he assumes r sibility for work all ordin . ces and regulations iities of ami Shores Village. i. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P TT''S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL 7 TR. -J���j j s,' /a _� i 9s 7® r7=-'-'7 / ` 5 ,// s CK / � II ENT. SW. DIS CAB. SERVICE SERVICE MP. PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / CHECK , j O /Yli:�� !/t 3 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 ‘0 - Street F ' Registered Architect and /o1fEngineer Permit No. r,so� No 7' - i C,P1 Street i • 2/ 4 4.' (C C 4 . Subdivision .. - , _�tti . „., s � # 1. .Street p'—‘,... ��L�3Qw Building Remodeling Addition Repairs No. of Stories Employing Electrician's Name.. Location and Legal Description Lot L` .�- -` -.. Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) ikc t Overhead qq r Service Underground Size Feeders.... .4/ Conduit. ..l : Main Sw.....� � Amps Main Fuses Amps Type of Installation — Conduit F Tubing B.X.L Metal Moulding STATE OF FLORIDA, 1 COUNTY OF DADE. T APPLICATION FOR ELECTRICAL PERMIT Date ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signe Amount of Permit $ � (Sign : Electrical Ins ector The undersigned applicant or this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Wor en'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 •e site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, o' wo to be performed under this permit, as are licensed by Miami Shores Village. aster 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.