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5 NE 102 St (6)Date Type Insp'n i9 nu 1 61ec 3 i Permit No. 61 0 0-00 Name - Address Company E ?` E l c 0( C Phone # — - iGo — 4g(50 Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTM , N 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. Name Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE '4 15 BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request D 04.6 - 2 V X064.57" 5�� N. C. /V Address Company ��"" Phone # 3�_/`9cP q 037 /0 ,47 0 MIAMI SHORES VILLAGE / BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date /.0 Type Insp'n/ L " l` OU G Permit No. oq. o 6 11 Name A xi ✓\ XL6 le 3d, Address A ` Company Phone # r , 70& / / Inspection Date Approved ❑ Correction ,/ Re- Insp'n Fee ❑ Vi L /yam ci t p,Z z \/ - t:4 1 i7z �4 MIAMI SHORES VILLAGE BUILDING DEPARTMENT c. ‘ 305- 795 -2204 Building Inspection Request Date 3 v3-\a Type Insp'n _..RAM Correction Re- Insp'n Fee ❑ Permit No. Name Address 5" Company Phone # Inspection Date J h \ Approved l ❑ / /` / *i_ ass MIAMI SHORES VILLAGE BUILDING DEPARTME 305- 795 -2204 Building Inspection Request Date 7/ Type Insp'n T•<g �� ,'d...LaA r2 Permit No. 6 L -v -v Name Address S Ale /O ST Company Phone # 3' f 759_8 SS Inspection Date -7 /3 0/° )' Approved Ln Correction ❑ 3 Re -Insp' n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 „,\ Building Inspection Request Date 7/2-2- Type Insp'n V nolP Y fOcin cQ , Permit No. 6 104- 02 Name ,Ct V,5 . �7 c Address (5 �� (G V - `54 Company )f k( t C- . Phone # Inspection Date L'7.3 ppr" ov Correction Re-Insp'n Fee /"e`Pol_ YG/ /V 1 1( " 4- \ -e° f/ye Building Department JUL- RECEOVED 2 o aoCa BUILDING PERM "f' AT Y ATION FBC 2001 Owner's Address City Qualifier Owner's Name (Fee Simple Titleholder) VE J77 /4 04'7 e /try /J G ��O Total Fee Now Due $ J ' t (Continued on opposite side) ) Miami Shores Village 0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. L. 0 `I- a IDO Master Permit No. Permit Type (circle): Building Electrical" Plumbing Mechanical Roofing /oz St- City /V/ i O 7/vi ( i a ke ('State p — L_ Tenant/Lessee Name Contractor's Company Name E cJ 6 /eejp lcry/ Corp. Contractor's Address 6 .Z .10 ,S .t/ /i 01 < Phone # 3 b $ 7C9 Ii ;n /24 9,5 Zip Phone # Job Address (where the work is being done) A/C / o Z City Miami Shores Village County Miami-Dade Zip is Building Historically Designated YES go, 33 Phone # ,io,SJ 2 . / 4 — / 9 - ‘ 7 0 State Zip 3 3/ cSti5 State Certificate or Registration No. ER 13 0 6 2_7 Ff Fl Certificate of Competency No. p Q n 0 1 9 L S 1 Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 91 ASOO.O O Square Footage Of Work: Type of Work: ['Addition ['Alteration [ZNew 'D Repair/Replace ❑ Demolition Describe Work: R ef , r_c+ e Over e-/° // rival (Service f" .76! 14/ 1 /7e74 jilt' 70' .S'Pry %Cc°. 1 65 ' Submittal Fee $ O Permit Fee $ /mD CCF $ / y \ -- t) CO /CC Notary $ Training/Education Fee $ '( 0 Technology Fee $ Scanning $3 . a Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Bonding Company's Name (if applicable) �J/ /i Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approve end a reinspection fee will be charged. Signature Chc 05/13/03 ner o ent Contractor The foregoing instrument was acknowledged before me this 1 The foregoing instrument was acknowledged before me this lei , 20 by day of who is person y known to me or who has produced 4 L S x As i entification and who did take an oath NOTAR ` Sign: �� o / �/ Print: At it . ..I. A APPLICATION APPROVED BY: My Commission Expires_C /(Y7 ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Carldad M. Martinersign: ommission #DD217495 29, 2007 FF�oP�` Bonded Thru �itgrN W. %° My Commission Expires: Atlantic Bonding Co Inc. "' " Atlantic Bonding Co. Inc. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** Signature day of who is person ,20- 1,by ly known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** am ../ low).- Maribel ., A. Nunez -Felix .I II • • PIT• • 1 Plans Examiner Engineer Zoning • ITEM BATH TUB UNIT FEE ` ITEM `\ �- -r._ ___ �_� /"" ITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIG T OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WINO) DISPOSAL SERVICE TEMPORARY. A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/IIETER 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 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEM3LIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TE14'ORARY 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 1 HEATER -NEW INST. GENERATORS TRANSFORMERS I HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIWING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS -SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES 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 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 -N E PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2004 -200 Printed: 7/21/2004 Applicant: ROBERT Owner: SAKZ JOB ADDRESS: 5 NE 102 Contractor E. J. ELECTRICAL Local Phone: Parcel # 1132060131640 Electrical Permit SAKZ ROBERT ST Contractor's Address: 6220 SW 20 ST Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 13 & 14 LOT SIZE IRREGULAR OR Fees: Description Amount FEE2004 -7210 Building Fee $100.00 FEE2004 -7211 CCF $1.20 FEE2004 -7212 Training and Education Fee $0.40 FEE2004 -7213 Technology Fee $2.50 FEE2004 -7214 Scanning Fee $3.00 Total Fees: $107.10 Total Fees: 51 Total Receipt Permit Status: APPROVED Permit Expiration: 1/16/2005 Construction Value: $1,500.00 Work: RELOCATE OVERHEAD ELECTRICAL SERVICE TO NEW UNDERGROUND SERVICE Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Page 1 of 1 JUL 21 PAID Date Legal Description /..i 1 ac Owner / Lessee / Tenant Owner's Address .S /Y /C .S1 S' 1 Contractin Co. AP--/A-/ 6 6 e/ 6 Qualifier 'J z 77 / det7'/ � 4 s State W4046237 Municipal # Competency it/ /2S--11 ? Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRIC PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION C �= Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: ** * * * * * * * * * FEES: PERMITA0149t RADON APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address ,D tie /0- S T Tax Folio /( � � t « � 249 / 7 %z__ 6.r Zoning Buildin Address Master Permit # � � S� 2 7E SS# Phone % eC, .2 J i IVA 4 2.00 .o m Square Ft. Estimated Cost(value)747.•4? 4 6 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. ar ' as to Co Commission E * Phone Sift a of Contractor or Owner- Builder Date: ///9. .r t' °� ; JOSEPHINE CHURCH Electrical NOTARY SW TOTAL DUE 35^ 5 2 Fire Other ** Mechanical Plumbing Engineering MIAMI SHORES VILLAGE Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buildiu' 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.... ...^._ '� /Qq 1 ' No Street Registered Architect and /or Engineer Employing Electrician's Name MEG0- 4-1E&1-. �L Location and Legal Description Lot Block Type of Installation —C t Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I APPLICATION FOR ELECTRICAL PERMIT Ss. My Commission Expires ELECTRICAL INSPECTION DEPARTMENT bing B.X.L No ig Street and Number where work is to be performed —No Street 3 . 2 State work to be performed and purpose of building (By Floors) l a I�leav Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground 1 Moulding A) (Signed) Date Street Subdivision //: / 2 sj The undersigned applicant for this building permit does hereby certify that he understands and accepts his labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo has complied with the provisions thereof, and will require similar compliance from all contractors or sub•co 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 licensed by Miami Shores Village. (Signed) 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. Notary Public, State of Florida Electrical Inspector. gations as an employer of ermanent Supplement, and ctors employed by him in the Master Electri are 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. OIST. CAB. SERVICE TEMP. SERVICE PERM. 2 / /7 y/ . / M OTORS O•I HP MOTORS 1.3 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buildiu' 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.... ...^._ '� /Qq 1 ' No Street Registered Architect and /or Engineer Employing Electrician's Name MEG0- 4-1E&1-. �L Location and Legal Description Lot Block Type of Installation —C t Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I APPLICATION FOR ELECTRICAL PERMIT Ss. My Commission Expires ELECTRICAL INSPECTION DEPARTMENT bing B.X.L No ig Street and Number where work is to be performed —No Street 3 . 2 State work to be performed and purpose of building (By Floors) l a I�leav Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground 1 Moulding A) (Signed) Date Street Subdivision //: / 2 sj The undersigned applicant for this building permit does hereby certify that he understands and accepts his labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo has complied with the provisions thereof, and will require similar compliance from all contractors or sub•co 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 licensed by Miami Shores Village. (Signed) 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. Notary Public, State of Florida Electrical Inspector. gations as an employer of ermanent Supplement, and ctors employed by him in the Master Electri are 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 ❑ ECTRICAL EL PLUMBING ❑ PERMIT ROOFING ❑ 0 Owner of Building • A < Architect Contractor I or Builder ; .: g- 47 - vt t..- Legal Lot Description Address of Building `" 1 . 7 MIAMI SHORES VILLAGE, FLORIDA N9 7912 Work to be performed under this Permi DATE Contractor's ,'s (i License No. Subdi- vision Value of Project $ Art Amount of Permit $ tb 10, AOMPAVi.. This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. _ Signed. ,��+'r""' ''L _ . 3., INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compli• e with . t ordinances regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper,: ut orities of Miami Shores Village. In ae cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHOi1TY ABBOT Permit No._ Service Underground Size Feeders L / Overhead STATE OF FLORIDA, COUNTY OF DADE. } MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date - - - \ - 5 -- 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 Street __ _____________________________ Registered Architect and /or Engineer __ _________________________�___ No Street__ --- - - - - -- — - - -- — _ — Employing Electrician's Name__ Location and Legal Description Lot Street and Number where work is to be performed—No. _____ .__________________ ___________________Street_____N_ C__ )- 'As State work to be performed and purpose of building (By Floors) New Building__ ____________________Remodeling _ Addition Block Subdivision _Repairs No. of Stories_ / k Conduit __`___-___ -Main Sw.___---- ___------- - --- -- - Amps . Main Fuses Amps Type of Installation— Conduit______________ _ ubin ___________ _B.X.L. -- _________Metal Moulding of Permit $___I�1._1_ ; _ ___________ __ —_ __ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that h understands and accepts (obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fonda 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ss. (Signed)_. al it. , t.A/Vie. - t4 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL LIST /(7 / S' 30 /3T / / / / CHECK ' ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST y CHECK Permit No._ Service Underground Size Feeders L / Overhead STATE OF FLORIDA, COUNTY OF DADE. } MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date - - - \ - 5 -- 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 Street __ _____________________________ Registered Architect and /or Engineer __ _________________________�___ No Street__ --- - - - - -- — - - -- — _ — Employing Electrician's Name__ Location and Legal Description Lot Street and Number where work is to be performed—No. _____ .__________________ ___________________Street_____N_ C__ )- 'As State work to be performed and purpose of building (By Floors) New Building__ ____________________Remodeling _ Addition Block Subdivision _Repairs No. of Stories_ / k Conduit __`___-___ -Main Sw.___---- ___------- - --- -- - Amps . Main Fuses Amps Type of Installation— Conduit______________ _ ubin ___________ _B.X.L. -- _________Metal Moulding of Permit $___I�1._1_ ; _ ___________ __ —_ __ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that h understands and accepts (obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fonda 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ss. (Signed)_. al it. , t.A/Vie. - t4 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 Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA DATE / 19 PERMIT N2 8833 Work to be performed under this Permit i a r Owner of Building Contractor's License No Legal Lot Bl. Subdi- Description vision Address of ' .' J� Value of Amt. of Building Project Permit - / This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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. / • 1 r ^' r' f Signed. By j 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 acceptin this permit I assume, responsibility for all work done by either myself, my agent, servant or employee. / CONTRACTOR OR BUILDER BY AUTHORITY ;UILDING LECTRICAL 'LUMBING )weer of iuilding PERMIT N? 8623 Work to be performed under this Permit ■ ,_rchitect MIAMI SHORES VILLAGE, FLORIDA DATE 194 Contractor's License No. y 1 : ontractor ., i �" r r Builder ,ega1 Lot Bl. Subdi- )escription vision .ddress of ) Value of Amt. of .uilding - l ! r Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any lans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked t 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 ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and >gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- bility for work done by his agents, servants or employees. / / / / / gI , " .r , / r - Signed. By INSPECTOR In consideration of the issuance to me of this permit I agree to perform ,the work covered hereunder in compliance with all ordin�a ces and regulations ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. 1 accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. J i CONTRACTOR OR BUILDER BY AUTHORITY 1 ) �a Permit No.__ STATE OF FLORIDA, l COUNTY OF DADE. I ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village Shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address__ / 6 C �°• � — -- -� -- -- - ---- - - -- -- 'tp" -"I- No Street ( _ 1 6 )0, Registered Architect and /or Engin er___________ —_ _ — Employing Electrician's Name___ _____' ci Q_1! _ No — _Street___iY__11- -, ' _ Location and Legal Description Lot ___ —__ -- Block Subdivision Street and Number where work is to be performed —No — _______ r State work to be performed and purpose of building (By Floors) New Building ______________Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit__ _Main Sw. ce Underground Type of Installation — Conduit_____— __ —___— Tubing___— ___-- B.X.L.__ __ Metal Moulding__ i Amount of Permit $____- ____ -- -- __ -- __(Signed)_ ! "? -- (Signed) Date.__ -) 3 Street---- ---_- / O 2_S _ f". Amps Main Fuses____________ —Amps Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliptions 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 sub - contractors, on w ork to be performed under this permit, as are licensed by Miami Shores Village. aot,"4 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 1 CHECK ) �a Permit No.__ STATE OF FLORIDA, l COUNTY OF DADE. I ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village Shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address__ / 6 C �°• � — -- -� -- -- - ---- - - -- -- 'tp" -"I- No Street ( _ 1 6 )0, Registered Architect and /or Engin er___________ —_ _ — Employing Electrician's Name___ _____' ci Q_1! _ No — _Street___iY__11- -, ' _ Location and Legal Description Lot ___ —__ -- Block Subdivision Street and Number where work is to be performed —No — _______ r State work to be performed and purpose of building (By Floors) New Building ______________Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit__ _Main Sw. ce Underground Type of Installation — Conduit_____— __ —___— Tubing___— ___-- B.X.L.__ __ Metal Moulding__ i Amount of Permit $____- ____ -- -- __ -- __(Signed)_ ! "? -- (Signed) Date.__ -) 3 Street---- ---_- / O 2_S _ f". Amps Main Fuses____________ —Amps Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliptions 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 sub - contractors, on w ork to be performed under this permit, as are licensed by Miami Shores Village. aot,"4 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.