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ELECTRICAL PERMITi a '• MIAMI SHORES VILLAGE BUILDING DEPARTMENT al- 305- 795 -2204 Build g I pection Request Date / Type Insp' n -1 ' 17 1.ed . c eeeittt- Permit No. e L - 35S Name ( �X.4 Address -4 A) & /dam y4'717- Company ee Phone # 3ec. 75 ef -- geh l] Inspection Date / `- Approved Correction Re -Insp' n Fee ❑ S ✓�`ed" tf MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Ihspect4on Request Approved Correction ❑ Re -Insp' n Fee ❑ \ Rr Date Type Insp'n f' (6r(V1414 Permit No. ®T- ass Name Address Company Phone # Inspection Date v/z Tz�c / ���I Miami Shores Village Contractor's Address Code Enforcement $ Total Fee Now Due $ $ Value of Work For this Permit (Continued on opposite side) Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) C . c �8(Z' C 1/4 be Vim'. Q Phone # 3c - 7S9 P)B Owner's Address SL( Cit State Zip 3 Tenant/Lessee Name Phone # Job Address (where the work is being done) S -( . sA-c -e_r,* City Miami Shores Village County Miai2de Is Building Historically Designated YES NO Contractor's Company Name V\K-C ati 4 ec . wvc lck KuJ cZO Cit State Zip Qualifier 0/\0C &( Permit No. L 1 Q -35s Master Permit No. Plumbing Mechanical Roofing Zip 3� Phone # 3O S - - 7s • — cex �?>\�C_)- 7( L•�c State Certificate or Registration No. L (O Mq CC Certificate of Competency No. Architect/Engineer's Name (if applicable) ( Phone # Type of Work: ['Addition [Alteration [New ❑ lace Re air/Re I — p p ❑ Demolition Describe Work: V(∎ *tzk. �` c C'. C C cC - c V �t�-QhCCcX C r(cam c •o. c c • r *1 * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ r Permit Fee $ / / CCF $ CO /CC Notary $ Scanning $ Training/Education Fee $ Radon $ Structural Plan Review. $ Square Footage Of Work: Technology Fee $ Zoning Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 pennit 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 tiihose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site . fill- 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. NOTARY PUBLIC: Sign: a1 Print: APPLICATION APPROVED BY: Chc 05 /13/03 Owner or Agent The foregoing instrument was acknowledged before me this 1) " day of Dot , 20t')` , by C : 1/41 , who is pers known to me or who has produced As identification and who did take an oath. �p,(iV PGe N • 1 A BERGEFIT My Commission Expire • o �� ^ ; COMMISSION NUMBER 7f "^ 4:` MY COMMISSION EXPIRES OF F' JL;I Y ? 7(3.'5 ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Contractor The foregoing instrument was acknowledged before me this ( day of 20C,Ll, by 11\kcud_,( who is p Onally kno ) to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Col • CUSS? • [2Y P OFFICIAL NOrAiIY5 1.S1 x p:try N ICOL.EABERGEJETTL )�l n * * * * * * * * * * * * * * * ** Wife *i* *QQ�rAIk11aS1QfyNN',t* * 7 w \p Dt0a3 tltR F OF F`�N OMMISStONEXPIRES JULY � ?nog *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ** Engineer Zoning !'!i.0/ Plans Examiner :SI i H TLB UNIT FEE ITEM SN I TCE1 CUTLETS UNIT / FEE ITEM SPACE HEAT - OS UNIT FEE 'ET LIGHT CUTLETS / . CENTRAL FEATIN tHAScfZR RECEPTACLES / A/C (WIND) k GSAL SERVICE TEWFTRARY A/C (CENTRAL) INKING FOUNTAIN SERVICE SIZE IN AbPS DUCT hCRK OCR DRAIN SERVICE REPAIR/WIER OLLANGE REFRIGERATION EASE TRAP APPLIANCE OUTLETS PROCESS ANO PRESS PIPING TERCEPTOR RANGE TCP UNDERGROUND TANKS :VATORY OVEN ABOVE GROUW TANKS .UNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS OTHES WASHER WTCRS 0- 1 FP • STEAM BOILERS AWER WTCRS OVER 1- 3 FP HOT WATER BOILERS •• • NK. POT /3 COMP. M)TCRS OVER 3- -5 FP MECHANICAL VENTILATION .WK, RESIDENCE WTCRS OVER 5- 8 FP TRANSPORTING ASSE1BLIES INK, SLCP WTCRS OVER 8- 10 FP ELEVATORS/ESCALATORS :WORARY WATER CLOSET WTCRS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS 1INAL WTORS OVER 25-100 HP COOLING TOWERS ;TER CLOSET MOTORS OVER 100 FP VIOLATION DIRECT WASTES A/C WINCOW REINS?ECTION ;TER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRA)SFCRIaS HEATER -NEW INST. GENERATORS TRANSFCR)RS HEATER- REPLACE GENERATORS TRANSFCR1ZRS LAWN SPRINKLER -WELL SPECIAL P1'AIPOSE SHIMMING POOL CUTLETS CGAERCIAL WATER SERVICE • SIGN ROES :MER CONNECTIONS SIGN TR.4GFMMERS 'ILITY -SEWER SIGN TIME CLOG( 'ILITY -WATER FIXTURES :PT IC TANK ANTENNA :LAY TELEVISION CUTLETS - UINFIElO, 4' TILE/RES. VIOLATION ;1P & ABANDON SEPTIC TANX REIFS?ECTION 1AXAGE PIT CU. FT. ETCH BASIN SCHARGE WELL XESTIC WELL �! 1EA GRAIN _ )OF INLET )LAR WATER HEATER - IRE STANDPIPE bL PIPING • \HN SPRINKLER SYSTEM S RANGE :TER SET (GAS) S PIPING *1 APPLICATION FOR BUILDING PERMIT RUST ACCOMPANY THIS ADDENDUM. IF A MASTER PER`iIT HAS B. .BTAINED, TEE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL MOODY ,EiECTR1C,INC. Proposal Submitted to: Notes: 669 N.W. 90 Street, Miami, FL 33150 -2166 Tel: 305 -758 -2000 / Fax: 305 -754 -1333 www.moodyelectric.com Claudia Devine 54 N.E. 102 Street Miami Shores, Florida 33138 Home: 305- 759 -4883 % Mobi1ef305- 773 -6008 Email: Claudia.Devine @us.sanofi.com Job Name: Miscellaneous Electric Location: Same as Above Job Description: 1.) Furnish and install new GFCI circuit f;om electrical box to hathroom. 2.) Remove old cloth wiring for switch and light. 3.) All conduit, wiring and fittings included for a complete installation. QUOTE: $450.00 Patching and painting by others. PROPOSAL December 2, 2004 Permit fee is cost plus $75.00 in addition to above quotation. Any additional services or equipment required by the Authorities Having Jurisdiction will be considered a change to the scope and will be quoted as a change. WE PROPOSE hereby to furnish material and labor - complete in accordance with these specifications for the sum of See Above Payable as follows: Due Upon Completion In the event customer fails to pay this proposal when due, Moody Electric, Inc. shall be entitled to recover all costs incurred including attorney's fees for services rendered in connection with collection of payment of the debt as evidence by this proposal or enforcement of Moody Electric Inc.'s rights provided under law. NOTE: This proposal may be withdrawn by as if not accepted within 30 days. QUOTE BY: Barney Moody Moody Electric, Inc. Authorized Signature Acceptan4 of Proposal - The prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do thejw )specified. Payment will be made as outlined above. Signature Punt �(c <AcL c).. a Cal 7 t l Q Date I-6-0 Signature Date Page 1 of 1 Printed: 12 /22/2004 Applicant: JAVIER Owner: GUARDERAS JOB ADDRESS: 54 NE 102 Contractor Local Phone: (305)758 -2000 Parcel # 1132060131470 Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2004 -355 GUARDERAS JAVIER ST Contractor's Address: 669 NW 90 ST Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 5 & LOT 6 BLK 11 LOT SIZE Fees: Description Amount FEE2004 -13051 Building Fee $150.00 FEE2004 -13054 CCF $0.60 FEE2004 -13057 Training and Education Fee $0.20 FEE2004 -13059 Technology Fee $3.75 Total Fees: $154.55 Total Fees: $154.55 Total Receipts: $154.55 Permit Status: APPROVED Permit Expiration: 6/12/2005 Construction Value: $450.00 Work: INSTALL GFI CIRCUIT IN BATHROOM AND REMOVE CLOTH WIRNG TO SWICH AND LIGHT Signed: (INSPECTOR) Page 1 of 1 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: Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address .62-1- /V �, 1 ©� 5 � Tax Folio Legal Description � Owner/Lessee / Tenant `J t5� )1 -/ ;7 +J Master Permit # Owner's Address Jex m-e,, c Contracting Co. Qualifier ix i,t 1 R. ma e 1 � State # 006 ) 0±7 g Municipal # Competency # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDIN Historically Designated: Yes No Y L. Address ici5(0. (l) I C. I` I s4, SS# « - ) / - Phone 3 1Y9-&'373 zunGk Address Address Address Phone Ins. Co. ELECTRICA LUMBINGM ROOFING PAVING FENCE SIGN WORK DESCRIPTION 1 �5 I I � �) �1 �T VQ '/ © �'P / t"`G- l )1 D t/CeiV ae Square Ft. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT 69( RADON APPROVED: Zoning Mechanical Plumbing Estimated Cost (value) Building Electrical 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 ork ted. My Commission Expires: ture of Contractor Owner- otary as Cont ' r or � ♦P P e ANGELA M - i 7r�� OOA=S1OS NUMBER . ¢ CC786697 OF F�C NY NOV COMMISSION 200 C.C.F. NOTARY 5 , 0 0 BOND TOTAL DUE 6s � Structural Engineer UILDING ❑ :LECTRICAL ❑ DATE ��' r z- 195 LUMBING ❑ PERMIT N? 9412 4 12 Contractor's License No , OOFING ❑ wner of ?i1ding rchitect :ntractor - Builder =gal scription ldress of Aiding Lot MIAMI SHORES VILLAGE. FLORIDA ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER I Bl. Subdi- vision L 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 refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, :wings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any .e 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 A:ted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations taining 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 ne by his agents, servants or employees. 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 ordinances and regulations taining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Permit No VOL MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date //,/� f 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. i�--C�Ir/e ��/.l //' , eE' No 4. Stre 4 . �' r Registered Architect and /or Engineer Employing Electrician's N ame..t �l T � 4f✓ " t ' � � E T ��`�r� f ..No �� �.�� Street.. "1! / Location and Legal Description Lot �/ Block Subdivision Street and Number where work is to be performed —No �/ /.e �°�� Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories '/ " /oo — Servic r erground Size Feeders Conduit r Main Sw 6 p a ° 3® Amps Main Fuses Amps Type of Installation -- Conduit X Tubing B.X.L Metal Moulding / �' 2 Zo 4, ,OC ©iii ie o° Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I 55. (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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ZifG� Muter 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. H EAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP M OTORS 1.0 HP N EON TRANS. RADIO TOTAL CONTR. LIST , � L /!� / _ CHECK Permit No VOL MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date //,/� f 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. i�--C�Ir/e ��/.l //' , eE' No 4. Stre 4 . �' r Registered Architect and /or Engineer Employing Electrician's N ame..t �l T � 4f✓ " t ' � � E T ��`�r� f ..No �� �.�� Street.. "1! / Location and Legal Description Lot �/ Block Subdivision Street and Number where work is to be performed —No �/ /.e �°�� Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories '/ " /oo — Servic r erground Size Feeders Conduit r Main Sw 6 p a ° 3® Amps Main Fuses Amps Type of Installation -- Conduit X Tubing B.X.L Metal Moulding / �' 2 Zo 4, ,OC ©iii ie o° Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I 55. (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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ZifG� Muter 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 Lot 4.11111 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE / 1941 PERMIT N? 7166 )Work to be performed under this Per Architect Contractor or Build Legal Description Address of Building O This permit is g(nted to1he contractor or builder named above to construct the building or to install the equipment of /device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed witho authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the-res�p�o i ty for a thorough knowledge dinances and regulations pertaining to the work covered hereby whether shown on the plans of draw' _s;'or in ° s tements or sp fications and umes respon- sibility for work done by his agents, servants or employees. Signed By INSP CT In consideration of the issuance to me of this permit I agree to per + e work covered hereunder in compliance with all ordinances and regulations pertaining lheeto and in strict conformity with the plans, drawings, sta - _ •nts or specifications submitted to the proper authorities of Miami Shores Village. In accepting is permit I assume responsibility for a work done by either myself, my agent, servant or employee., Bl. i (.- Subdi- vision Value of Project BY Contractor's License No. de AUTHORITY MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 co of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer t, /� d Employing Electrician's Name ___CL _l�4__i/24„taet ,__ s = !iese No. .4 Street w V 4 1 l• _t__ _____ Location and Legal Description Lot 1.1 _ f_12 ____________________ _Bloc 1 Subdivision' Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors) New Building –�� Remodeling Addition .. Repairs Amount of Permit $ Size Feeders *' STATE OF FLORIDA, COUNTY OF DADE. �. My Commission Expires No Conduit___, Main Sw.__!__ 49 ___ Amps. (Signed) (Signed) Y -14 AK Street_ t _1__Q ()►_ S - - - -- - -- ---- - - - - -- -- -- — ------------------- �___ -___ Street �_-- _--- _ --_ -- 1 b 0 Main Fuses_ Type of Installation— Conduit Tubi W B.X.L. Metal Moulding _____ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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. .... 4...1.4).29tAl ttetiml 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 he did sign the same, and that all facts therein by him stated are true. Amps. 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 cLIST f y / 3 /8 /3 / 1 1 1 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 co of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer t, /� d Employing Electrician's Name ___CL _l�4__i/24„taet ,__ s = !iese No. .4 Street w V 4 1 l• _t__ _____ Location and Legal Description Lot 1.1 _ f_12 ____________________ _Bloc 1 Subdivision' Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors) New Building –�� Remodeling Addition .. Repairs Amount of Permit $ Size Feeders *' STATE OF FLORIDA, COUNTY OF DADE. �. My Commission Expires No Conduit___, Main Sw.__!__ 49 ___ Amps. (Signed) (Signed) Y -14 AK Street_ t _1__Q ()►_ S - - - -- - -- ---- - - - - -- -- -- — ------------------- �___ -___ Street �_-- _--- _ --_ -- 1 b 0 Main Fuses_ Type of Installation— Conduit Tubi W B.X.L. Metal Moulding _____ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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. .... 4...1.4).29tAl ttetiml 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 he did sign the same, and that all facts therein by him stated are true. Amps. 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. Permit No.___ Owner's Name and Address _ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. f ss' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ,APPLICATION FOR ELECTRICAL PERMIT Application is /b reby made for the approval of the detailed statement of the plans and specifications herewith submitt d 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 wo k. t 2hr, My Commission Expires (Signed) Service Overhead Size Feeders Conduit.__ Main Sw. Underground Type of Installation— Conduit Tubing —_ B.X.L Metal Moulding Date 6 /v •"'Screet_ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs._ Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot__ _Block ._____ Subdivision_____________ Street and Number where work is to be performed —No Street No.________— ______________ _____ __ Street_________ __ _ _ No. of Stories Amps. Main Fuses __Amps. 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 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 perforred under this permit, as are licensed by Miami Shores Village. (Signed) P -� _ Master A Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer 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 be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. oaths and take Notary Public. State of Florida acknowledgments, personally 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 EATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK t ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No.___ Owner's Name and Address _ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. f ss' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ,APPLICATION FOR ELECTRICAL PERMIT Application is /b reby made for the approval of the detailed statement of the plans and specifications herewith submitt d 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 wo k. t 2hr, My Commission Expires (Signed) Service Overhead Size Feeders Conduit.__ Main Sw. Underground Type of Installation— Conduit Tubing —_ B.X.L Metal Moulding Date 6 /v •"'Screet_ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs._ Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot__ _Block ._____ Subdivision_____________ Street and Number where work is to be performed —No Street No.________— ______________ _____ __ Street_________ __ _ _ No. of Stories Amps. Main Fuses __Amps. 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 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 perforred under this permit, as are licensed by Miami Shores Village. (Signed) P -� _ Master A Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer 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 be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. oaths and take Notary Public. State of Florida acknowledgments, personally 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.