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ELECTRICALDat 0/ %k ob Address (J /t/e. /Oc Legal Description Owner / Lessee / Tenant Owner's Address S4'v Z2 (Add d Contracting Co. ,g2Me ,) c (eehCC jr(. Qualifier Q 1 POS4-( SS# / Signature of owner and /or Condo President Date: ** * 0 , I ' c CC36 7i. o cp MY COMMISSION F FEES: PERMIT APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE usweaciitnggb "Cohd. Presiden Zoning Mechanical - Phone State # A . X - 000S42? Municipal # C) 300n7-5 Competency 4,t lUV 7f Ins .Co 6 . a• Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ,g- PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCR I PT ION��'G'�, ride - �e Ee�XiL� -AL. &�C,7& / n G� t- 34-6 ,1 U I'� Square Ft. Estimated Cost(value) 0 o 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. Notary as to Contra My Commission Expir Fire Other Building Electrical Plumbing Tax Folio Master Permit # .. ( 7 / r;), Phone WV -- b I 23 /635 w (( os7• Signature of Contractor or Owner- Builder Date: m'7v.7ioar SEAL % BARBARA ANN FUGAZZI jt * COMMISSION NUMBER 1:.. $ • Q CC360191 Q� MY COMMISSION EXP. *OF RP * MAR* 291c3 RADON C.C.F. f$6 NOTARY 1 TOTAL DUE !' Engineering 385 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date q I i 5 Time Type Insp'n e tech I cal l Permit No. El Name SuOrCZ Address (6 NE 10 c� :J+ Company M rcd y Phone # 30,5 -1 a For Inspector: q 1 i co Name & Date Approved ❑ Correction 73 /l'c'1�Pe' 3 Re- Insp'n Fee ❑ Type Insp'n Date cl ,8 Time Permit No. E ZC) J ^ 1 CS• Name 5u(•1 Address G9 102A- Company 1 coda Elec. Phone # For Inspector:el I I9 N. - Date Approved Correction Re- Insp'n Fee 31 4 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request E l MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Type Insp' Permit No. Name 4 1-Address Company Phone # For Inspector: Approve C• ection Re- Insp'n Fee (_e_ . ..q.0c)0 e c(- Name & Date o Time aaSE 2oak- 13S MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date *4 I 0 3 Time Type Insp'n }- I fCaI EL • Permit No. E( ZOOS - - (Q5 Name Address (0 9 /45 / 0 a ST Company M.—OO d y Electric Phone # ) OS -152 - 2 c c 0 For Inspector: CL • —/ Name & Date Approved 77 4 )6 / 1---- Correction ❑ ,...4 PP ®, Re- Insp'n Fee ❑ PROPERTY OWNER 6iview 2 Name Address n ,t / 2 Gj 7 a . .0440-/) , -4 / - Home Telephone Business Telephone ,e S 3 2,a Saga Fax CONTRACTOR New Construction Name Enclosure License No. /�a a'// 99 Alteration Exterior Address 6 G 9 44) w 96 7— Repair Telephone e,S78aCz, Fax 5 7(/5/9% J Qualifier Namek ��� ,n/J00 TYPE OF MANAGEMENT (✓ ) New Construction Enclosure As Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Job Address: State Folio Number Description of Work ..112/ta/ ee- Address Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPG X Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection License No. ARCHITECT Name N/h Address Telephone Fax Tax Assessed /Appraised Value Flood Zone 4aD. PERMIT APPLICATION Master Permit No. E 1 a -0O3 - 040S . Subsidiary Permit No. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done. a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. Units Floors k oo o-c4 Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet OVA° Proposed Use of Propert y � Value of Work al Bldg Value Base Floor Elev. ENGINEER Name License No. /0/4 Address Telephone Fax Zip Page 2 IMPORTANT NOTICES I. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street /sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and /or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. Signature of ature of N ner sy. DA AR'f PAT BRIGGS Notary Public - State of Florida .• • F. My Commission Expires May 11,2008 ° Commission 0 DD 104873 p� Bonded By National Notary Assn. n Print Name and subscribed before me this IL Sig SEAL: Personally known. AMI -DADE day of a Type of Identification Produced: Signature of / Contractor / Qualifier of Print Name f Sw''o] o d subscribed before me this ) day of fT'^' re . is - Star 4 . r �;- Notary � ry Pu State of Florida • My Corrcn�On E res Maf 11, 2008 Commission t3 DD 104873 Bonded By National Notary Assn. Signat SEAL: FLORIDA, C NTY OF MIA 1 -DADE PERMIT APPLICATION Personally known OR, Produced Identification Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas /Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold /Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range /Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Teinp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall /Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan- Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile /Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond $ ,d 41 Metropolitan Dade County (C.C.F.) $ . O 0 Inspector State Educational Fund $ State DCA (Radon) Code Enforcement Fine Zoning Review Notary REVIEWED AND PREPARED B " YE /.®' s ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) O IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE ( x . f t. x/1000 (0.005 / sq.ft.) $ (0.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) O CONTRACTOR REGISTRATION (On File) TOTAL $ $' / e o CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillagc.com MOODY# ELECTRIC, INC. www.moodyelectric.com 669 N.W. 90 Street • Miami, FL 33150 -2166 Tel: (305) 758 -2000 Fax (305) 754 -1333 /t a/t/® 9 .to /Dry S r 6hor2eo, ax n/ 6 t95 a50 �LG7 k evoht 414 pno-urd. Iva etmoud 3 c,/67 00 JOol2v 4O c�T rn Located 1 al" P ,;o;;'. "y. MARY PAY BRIQGS Notary Public - Stab of Florida �• A }) 1; k;Ci.vritiaArnEcb1IMaY 1 • Commission 0 DD 104873 � r` Bon By National Notary Alan. - cm60i/ 122/01 cs r dA/244-5e MOODY ELECTRIC, INC. www.moodyelectric.com 669 N.W. 90 Street • Miami, FL 33150 - 2166 Tel: (305) 758 -2000 Fax (305) 754 -1333 9 / 4 ° . 0 - J /ZED / RESIDENTIAL DEMAND LOAD CALCULATIONS W / SQ. FT REFRIGERATOR APPLIANCES DISHWASHER GARBAGE DISPOSAL MICROWAVE CLOTHES WASHER DRYER RANGE WATER HEATER OVEN FREEZER TRASH COMPACTOR GARAGE DOOR MOTOR JACUZZI JACUZZI BOOSTER HTR. IRONING BOARD POOL EQUIPMENT SPRINKLER PUMP LANDSCAPE LIGHTS STEAM SHOWER A/C WALL UNIT SPARE CAPACITY SPARE CAPACITY TOTAL CONNECTED LOAD 4 56K. W. FIRST 10 K.W. °@ 100% y /SG REST @ 40% / 7r eS), A/C @ 65% / HEAT @ 100% /(3erie TOTAL DEMAND LOAD 57. a K.W. / 240 VOLT = f � 5: 76 K.W. K.W. K.W. /.5 K.W. K.W. K.W. 1.5 K.W. 5:O K.W. K.W. - K.W. -=- K.W. -- K.W. �-- K.W. g K.W. !•5 K.W. ^ K. s b K. 4 K.W. K.W. /.5 K. K. -- K. /.5 K. K . 1E,..i. �- �Cvdo / /99 MARY PAY tiNI Notary Public - State of Florida .� tM Corn isslon Expires May 11.2008 Commission S DD 104873 ,gr Bonded By National Notary Assn. AMPS 5Gi�'7 58 �� 10.0 K.W. V SAK. W . 6Q/1,4•`)%eP, tez9aila Permit No � Z Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engine r Employing Electrician's Name (Cc � S E Location and Legal Description Lot Block Street and Number where work is to be performed —No. Service Overhead Size Feeders y„, Conduit Underground Type of Installation — Conduit Tubing pig Amount of Permit $ STATE OF FLORIDA, , l COUNTY OF DADE. I j ss. p?, MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT ELECTRICAL INSPECTION DEPARTMENT ,/4 (Signed) (Signed) No Street No c d f7 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 , o licensed by Miami Shores Village. Street 6 � r /- Subdivision / 24 -4 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Main Sw Amps /4 Main Fuses Amps B.X.L Metal Moulding lectrical Inspector. ccepts his ob Nations as an employer of of Florida ermanent Supplement, and sub -cont ors employed by him in the of the work such public notice or notices be, perforrjted 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 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. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP M OTORS I.3 HP N EON TRANS. RADIO TOTAL. CONTR. LIST / i4 CHECK Permit No � Z Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engine r Employing Electrician's Name (Cc � S E Location and Legal Description Lot Block Street and Number where work is to be performed —No. Service Overhead Size Feeders y„, Conduit Underground Type of Installation — Conduit Tubing pig Amount of Permit $ STATE OF FLORIDA, , l COUNTY OF DADE. I j ss. p?, MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT ELECTRICAL INSPECTION DEPARTMENT ,/4 (Signed) (Signed) No Street No c d f7 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 , o licensed by Miami Shores Village. Street 6 � r /- Subdivision / 24 -4 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Main Sw Amps /4 Main Fuses Amps B.X.L Metal Moulding lectrical Inspector. ccepts his ob Nations as an employer of of Florida ermanent Supplement, and sub -cont ors employed by him in the of the work such public notice or notices be, perforrjted 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 necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No S Owner's Name and Address STATE OF FLORIDA, 1 COUNTY OF DADE. I Registered Architect and /or Engineer... Employing Electrician's Name tic-LNI a. 05 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT SS. No -/ A1, gyre- iff , Date 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. No.i? ; :C Street Al Amount of Permit $ 2 1 0 (Signed) Ca? e e. (Signed) Street /3 . 1..O.. ... h' Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No b 2 LT State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories / Cam ; ) nStreet Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Electrical Inspec or. 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. 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. 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 / o) t , D �� CHECK Permit No S Owner's Name and Address STATE OF FLORIDA, 1 COUNTY OF DADE. I Registered Architect and /or Engineer... Employing Electrician's Name tic-LNI a. 05 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT SS. No -/ A1, gyre- iff , Date 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. No.i? ; :C Street Al Amount of Permit $ 2 1 0 (Signed) Ca? e e. (Signed) Street /3 . 1..O.. ... h' Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No b 2 LT State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories / Cam ; ) nStreet Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Electrical Inspec or. 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. 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. MIAMI SHORES VILLAGE, FLA. N? 6232i JOB )74cJQ-e-v ADDRESS ` )4 - - ` 6 a a ' INSPECTION '` - a/ TIME READY //f 6 ✓Y4 , q - / -- C- REMARKS • BUILDING ELECTRICAL PLUMBING ROOFING 0 Owner of Building c - 1 "; Contractor or Builder CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Architect N9 5820 Work to be performed under this Permit DATE 1 ` 19 !` Contractor's h) ri q License No. i r1 0 Legal Lot Subdi_ Description II Bl vision Address of - Value of I Amount of ? ` Building (-5 ` t',- -) / Project $ I Permit $ '.J This permit is granted tote 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. # r Signed. : - -" ; ' � ` - � INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complianc��e' "with all ordinances acid regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper auttforities of Miami Shores Village. In as cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. c. AUTHORITY ABBOT MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit — — Date. — —— 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.__ � _ _e—.g _a _ t h_ '_'..7C' .;4_ • No._________________ _____________________ _Street - __ Registered Architect and /or Engineer_' Employing Electrician's Name-__ e_F'!__!1 L i — / 7 __F_!__!!r_4 ,Er __ __No. Location and Legal Description Lot___________— ________ ____._ —___ ___ ____ Block Subdivision Street and Number where work is to be performed —No 4_- - -__4/. „, • alt__ ..Street__ 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._ —.__ Amps. Main Fuses__ Underground Type of Installation — Conduit_ _- Tubing____— _ B.X.L.____ Metal Moulding- Amount of Permit $_- — (Signed) - --' L__.. ��: - -,� -- _� - - -_ �_ ----- - - - - -. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he' understands and accepts his obligation mt 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 p osted 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. STATE OF FLORIDA, COUNTY OF DADE. } ss. ./ it ri r 1- it aster lectrician. _Amps Before me, the undersigned authority, a notary publio, 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit — — Date. — —— 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.__ � _ _e—.g _a _ t h_ '_'..7C' .;4_ • No._________________ _____________________ _Street - __ Registered Architect and /or Engineer_' Employing Electrician's Name-__ e_F'!__!1 L i — / 7 __F_!__!!r_4 ,Er __ __No. Location and Legal Description Lot___________— ________ ____._ —___ ___ ____ Block Subdivision Street and Number where work is to be performed —No 4_- - -__4/. „, • alt__ ..Street__ 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._ —.__ Amps. Main Fuses__ Underground Type of Installation — Conduit_ _- Tubing____— _ B.X.L.____ Metal Moulding- Amount of Permit $_- — (Signed) - --' L__.. ��: - -,� -- _� - - -_ �_ ----- - - - - -. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he' understands and accepts his obligation mt 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 p osted 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. STATE OF FLORIDA, COUNTY OF DADE. } ss. ./ it ri r 1- it aster lectrician. _Amps Before me, the undersigned authority, a notary publio, 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. Permit No.__79. 1 Registered Architect and /or Engineer Employing Electrician's Name_ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date._— — Application is hereby made for the approval of the detailed statement o f 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 M iami 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 No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street J State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service U nderground Size Feeders Conduit_. - _Main Sw , ' 4 ti Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ ( Signed) ( Signed ) . Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he derstands and accepts obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Comp(!#d 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 work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. I 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. s s. 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 / / / l / yil 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 Permit No.__79. 1 Registered Architect and /or Engineer Employing Electrician's Name_ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date._— — Application is hereby made for the approval of the detailed statement o f 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 M iami 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 No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street J State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service U nderground Size Feeders Conduit_. - _Main Sw , ' 4 ti Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ ( Signed) ( Signed ) . Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he derstands and accepts obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Comp(!#d 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 work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. I 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. s s. 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 tot 1. v MIAMI SHORES VILLAGE, FLORIDA DATE 194L.2... PERMIT N° 8823 Work to be performed under this Permit r t, 4 Bl. Subdi- vision Contractor's License No Address of Building This permit is granted to ie 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 ordinance) 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 s ibbmitted 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 stateme is or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed R INSPECT O R B y In consideration of the issuance to me of this permit I agree to perform the wwrk 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, servant or employee. Value of Project Amt. of Permit CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Contractor or Builder ` — v Architect Legal 'Lot / Bl. Description Address of /. / CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA r/ DATE }. • PERMIT N9 8957 Work to be performed under this Permit ,» ... c k. , • Signed• Subdi- vision Value of Project INSPECTOR Contractor's License No ! i Amt. of Permit t '`` By • 194! 7 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 perfonned 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 daawin or in the sta�Cinents or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. r ,� In consideration of the issuance to me of this permit I agree to perform the .vork 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, servant or employee. BY AUTHORITY sr