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ELECTRICALPage 4 ••• • OFFICE USE ONLY • ❑ CONCURRENCY (New Construction) • • ••• • • • • • • • • • • ... - • • • ••• • ❑ OWNER - BUILDER FORM • '• •• LI FIRE DEPAR'Pl IT,, • APPROVAL (Commercial / multi - family) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary • • • • • • • • ••• • • • .. • • •• • • • • CHECKLIST (Attach) • • • • • • • • • • • • • ❑ PROOF OF OWNERSHIP (Attach) • • • itl •HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ /m'% a' ( x .60) x/1000 (¢.005 / sq.ft.) $ (¢.01 /sq.ft.) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERIIIT FEES TOTAL $ CONDITION OF APPROVA Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ELECTRICAL 1 1 1'1. Minimum Fee ,4' QTY. TYPE? Dryer ()Ty. 'I'1'I'E Outlet, Appliance • (1':1'. • ' ' I ' 1 1 ' I • . 9erviee Repair Q 1 1. A/C Central 1 -3 Ton, 1 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) /C) / A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amp6 KO Water Heater New 1IECHANlCAL 11 II: Minimum Fee QTY. T1'p1.; Condensate Drain QTY. TYPE; Generator QTY. Typv Refrigeration, Tons QI'I1. 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 1'LUNIl3lNG . 1 . 1 . 1 , 1 , ; A/C Condensate QTY. T1'1'I; Drains, Roof ()Ty. TYPE Miscellaneous Fixture (y'11' 'I'1'I'I.; Soakage Pit (y1 1 Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinlder 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 RECEIVED AND REVIEWED BY: • • • ••• •• •• • • ••• • . . • • .. ! RMITAPPLICATION • • • • • • •• • INSTRUCTIONS: Please indicate the type of work being performed and 4tiddlry(ies) i i the space:pfo d below. Page 2 Signature of Owner SEAL: • ••• • • • • • ••• • • ww T Signature of Notary • `N • ▪ ••• • • • • • • •• • ••• • • • • • • • • • • ••• • • • • • • ▪ • • • 111 PORTAN l' NC1':CES • DO NOT BEM Af4i7WORIMVITFIOUT I-tA / N( 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 vyeekends or holidays. 2. All construction ePde mbliQon els I.ST•BS MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND N €IGHet=R1 t,PgOQEIi�I'IiS SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST :BE PROtEqT4)1"li.61VLB)rIN3PHAMAGED 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. AHF'IDAVI'I - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, 'the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE r IA 1 (Ilona /l Print Name _y Sworn t nd subscribed 0 r e y '� 3 day of (:M Florida Personally known OR, Produced Identificatio STATE OF FLO'r1, Signature of Co ctor / Qualifier r-r ( -4V / r1 Print Name Sworn to and_subscribed-befoie me tlg `11C 10 ` MNd5g1 8 CC 11122� 691612 nv . pup P• 0 3 MY g .,p Signa e th t R(a{}s�ttbllc�': ta 1.86 SEAL: PERMIT APPLICATION Personally known OR, Produced Identification y of Type of Identification Produced: W l t 5 .. 5 5 5 1 - S O ' - Type of Identification Produced: CONTRACTOR Name .�"I /� /913 �� /j / /0 4 �f��i�;+i- 49/ v License No. aari " i Address / /V m 6r Telephone 4 / /)79/y Fax �/ Qualifier Namee /..a v PROPERTY OWNER m. /, �� J Nae n j ti /� Y Vd/l1 t7at Address Alg AO 3' Enclosure Home Telephone /2)C* 2j / , d • Z ! a Business Telephone s Repair Fax Alteration Interior TYPE OF MANAGEMENT ( ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other Step 1. Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Address Apt. City / . 1 2 2-06 Folio Number Lot Block Subdivision '' nn AA - PB PG � d( PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name Address License No. Telephone Fax Description of Work 1+/ /j (r i • • ••• • •• •• . . • State • • ••• ••• • • • • • . • • • • • ... . IP'RMIT'APPLICATION •��p� Master Permit No:. • - • • • .. • . '. • • Subsidiary P 1 . . 1 0. • • • • • • • .. _ • INSTRUCTIONS - The following steps must be taken to obtain a permit from the I\liami Shores Village: . . . . • . •. Complete the attached permit application which must he signed by the property owner and.quaitler: Bpth �gnatt es must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing wore? wtll Qe %tit, a roofi g • a p pl cation 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. Job Address: eq y Zip Linear Feet Zoning Square Feet Units Floors Value of Work 1 fl 0 0 Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax For Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12 /3/2002 Applicant: JAMES Owner: WILLIAMS JOB ADDRESS: 89 NE 102 If there is no permit package - . .. Electrical Permit Permit Number: EL2002 -403 WILLIAMS JAMES ST Contractor AFFORDABLE ELECTRICAL CONTRACTORENttractor' s Address: 515 NE 190 ST (-1k* Local Phone: Parcel # 1132060131690 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 22 & 23 e-e(J\L* 4 1 (31, D Ds, 5 Total Fees: MOO $0.00 Total Receipts: s�lgr._ +I._ri•I ..r...r..I..V' .1),. ,11,111,7,11 - ,4•,1••,11Eal il. ..I.aI• " _V. AFFORDABLE 1 AI T R & H INC. 515 NE. MIAMI, FL 33179 (305) 940 -0777 TRANSCAPITAL BANK 2100 E. HALLANDALE BEACH BOULEVARD HALLANDALE, FL 33009 Dollars 8 Date / 2 �� $ :Ov i 11.003758 7 1: 0 6 70 L Le 7381 L0 2 L480 L II' r14 .. v,.: M rM- rli�M rV °iM1 �U.Lh- �Iy�M'�I. �lii N- �N.rN_�In:rh�iM1_rM "�Ii�MirYs�l�y�Mi�p <rFi Fi�M_�Y �M"rM_�Fi 1• irFrM'( FiQi�hirYili�M1�FirF= rMirYirl•_ �FirVi�l. y�l�_ �M_ �P- �Y��N _�Ii�M= �Ni�hi�li�l�rl��N�� Permit Status: Approved Permit Expiration: 6/1/2003 Work: WIRE 3 TON AC W 10 KW & INCREASE SVC TO 150 AMPS struction Value: $1,000.00 Page 1 of 1 Re- inspection BLK 12 LOT SIZE Ilication herefor in strict compliance with all :ifications that may have been submitted to as or if the plans are changed without ;ponsibility for a thorough knowledge of the that he assumes responsibility for work done Is pertaining thereto and in strict conformity esponisibility for all work done by either Cold Water Ground Rods to be Min — 6 ft apart Total Load Subject to Demand First 10KW at 100% Remainer at 40% 100% of Electric Heat or A/C Total demand in WATTS Divided by 240 = #6 Copper Gnd Owner and Job Address JAMES B. WILLIAMS 89 NE 102 ND STREET MIAMI SHORES, Florida 33138 (305) 751 - -5952 Riser and Load Calculation (NEC 215 -5) 3-01 Copper In 2In Pipe New 200 AMP Single Gang Meter Load Calculation: (NEC 220 -301 1500 Sq Ft General Lighting (3 Watts per Sq Ft) 4,500 Small Appliance Load 3,000 Laundry Circuit 1,500 Dryer Circuit 5,000 Range Circuit 12,000 Electric Water Heater 4,500 Pool Pump 0 Other Continuous Load 0 150A MCB Nema 3R Load Center 30,500 10,000 8,200 9,600 27,800 Watts 116 Amps Copyright(c) 2000 Data Line Service Inc. Po Inside Panel to Be J -Box Pull Existing Circuits to New Outside Load Center art l ayIn, (Qualtflerj = = • ^^-- vl rTOR M. S[L,' RA MY COMMISSION t` ( E01672 EXPIRES: 01 /12)t( a • • • • • • •• • • • • • • • • .... •••• • • • • •••• •••• ••. • • • • •• •• •••• • • • • • •••• • Rush Calculation: (Calculated using information received from FPL) • • • • • #1 Aluminum having a 'C' value of 4166 and having an available fault current of not more than 22,000 Am p s • • • • at the FPL transformer, and having a distance of at least 75 Feet from the transformer to the Service Equipment, anaaving the following formulae apply: F= (2xLxI) /(CxE) and M= 1/(1 +F) and AIC =MxI, so that the available fault current at the service equipment will not be more than 5,116 AIC and the service equipment will have an AIC rating of at least 10,000 AMPS Electrical Contractor Affordable Electrical Contractors 515 NE,190th Street North Miami Beach, Florida 33179 Ph. 305 - 940 -0777 State Lic #EC0001140 •� • • • • • • •� • • • • • • • • • • • • • • • .. • • • • • • • .. • . • •••• •••• • • •••• •••• •••• • • • .... .. .. • • • • • • •••• • • • • • • •••• • • • • • • • • .. • .. • • • yyo, O9 1 W Ottr r'Signat=e . J ki • zcuni IIaYCT t C • • • • • • • •'• •'• • 0 n 0 • • • • • • • • • • • • • • 0 000 r • • • •• •• • • : • •• •:• .• • • • • • •••• • • :: • • • • •' •.•• • :•• •• • • •• • • • • • • • • • • • • • • • • • : • • •• • • • • • ••• •• Sec. 5.1.1. Air conditioning regulations. (a) All individual air conditioni;ig units installed in walls or windows shall be securely anchor' :d to the walls by approved methods. Units installed over public property, paths of egress or more than ten (10) feet above grade shall be secured to the struc- ture by bolts or screws to resist horizontal wind loads. Such units cantilevering more than eight (Si inches on the exterior of a building shall be supported by steel angle brackets secured by bolting. Bolts to masonry shall be set in lead shields or similarly rot- rosistant fastenings.. (b) The following special requirements shall apply to the con- trol and regularion of noise nuisance from air conditioning machinery: (1) All equipment. existing or hereafter installed. regardless of location, shall be maintained in good working. order. Equtpni ent so located tha; normal operating noises create a nuisance to adjacent owners or occupants shall be pro- vided a ;th soundproofing, or sound - absorbing barrels, or enclose: ss, as approved to insure maintenance of n rea- sonable noise level. • (2) All equipment on outer walls, on roofs. or in other exposed locations, which are unduly noisy, and which causes valid complaints from , adjoining property owners or occupants, may be required to be relocated. redesigned an'dlor en- closed in noise-retarding materials when, in the opinion of the building official, such enclosure is necessary or would be citec:ivo. ,,(3) Special consideration shall be given to the planning of all Rtture Installations to minimize the noise nuisance to ad- joining property occupants, and the building official shall have authority to reject or require the redo - .sign.of any system which, in his opinion, would cause such a noise nuisance. (c) V iolatiou of this section shall b punished as is now or mny ,hereafter be provided by'law. (O; Nu. 299, 44 1 -3, 2.21•G1) .1 have read the above ordinawica: and will comply with thy: regulations thereof. • Contrinctor S i ejm'i Permit No Amount of Permit $ 7 O 0 STATE OF FLORIDA, l COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL 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. ' O R Owner's Name and Address {� - 43 1 L 4 4 .4 C L 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 55. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition 4, Service Overhead Site Feeders Conduit Main Sw Underground Type of Installation — Conduit Tubing B.X.L (Signed) No 4 7 c Street / ) 2 J' No.d� / O® 4A° Street e C/ 7: Repairs No. of Stories Amps Main Fuses Amps .Metal Moulding 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) 0 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 therein by him stated are true. sign the same, and that all facts 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. M OTORS 0.1 HP M OTORS 1•5 HP N EON TRANS. RADIO TOTAL. CONTR. LIST / C CHECK Permit No Amount of Permit $ 7 O 0 STATE OF FLORIDA, l COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL 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. ' O R Owner's Name and Address {� - 43 1 L 4 4 .4 C L 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 55. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition 4, Service Overhead Site Feeders Conduit Main Sw Underground Type of Installation — Conduit Tubing B.X.L (Signed) No 4 7 c Street / ) 2 J' No.d� / O® 4A° Street e C/ 7: Repairs No. of Stories Amps Main Fuses Amps .Metal Moulding 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) 0 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 therein by him stated are true. sign the same, and that all facts 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 r Legal Lot tDescription Address of Building_ This permit is anted 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 stri 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 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 drawinO or in the s or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. - Signed: t '�''` r . F ' By IN PECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance witlLa ordinances ,and, re ulations pert. ' ing thereto and in strict conformity with the plans, draw' gs, statements or specifications submitted to the proper author ies of MiamiShbreVillage. s ting this permit I Assume responsibility for all work do by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 6705 Work to be performed under this Permit Bl. Subdi- vision Value of Project BY DATE Contractor's License No Amt. of Permit AUTHORITY 194 BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contracto or Builder Legal Lot Description Address of Building This permit is granted to the contractor or b cation herefor in strict compliance with all ordinances plans, drawings, statements or specifications that may at any time if the work is not done in compliance wi permit is granted is the understanding that the contra regulations pertaining to the work covered hereby wh sibility for work done by his agents, servants or employee CONTRACTOR OR BUIL MIAMI SHORES VILLAGE, FLORIDA DATE ERM1T N° 6832 Work to be performed under this Permi d. er named above to pertaining thereto an ave been submitted such ordinances or if tor or builder named a er shown on the plans Signed.' Value of Project struct the din th the nd app e pla BY install the equipment or evic cribed in the appli- that the work will be performed in compliance with any proper municipal authorities. This Permit may be revoked without authorization. A further condition upon which this sponsibility for a thorough knowledge of ie ordinances and kh `statements or specifications and t aanimes respon- In consideration of the issuance to me of this permit I agree to `er the work covered hereunder in compliance with all ordinances and regulations pertaining therete and in strict conformity with the plans, drawings, ements or ecificatig is submitted to the proper authorities of Miami Shores Village. In accepting 'this, permit I assume •revoncj1 ility for all work done by either mysel ny agent, servant o tnployee. 194 e Contractor's License No. Amt. of . Permit 1' By AUTHORITY :3 Permit No. 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 :�.._W�_____ Registered Architect and /or En • eel. Employing Electrician's Name !. Location and Legal Description Lot___,_' Street and Number where work is to be performed —No Amount of Permit S / STATE OF FLORIDA, k COUNTY OF DADE. ss' My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT PLICATION FOR ELECTRICAL PERMIT No.__ B lock Service Overhead Size Feeders_____________ Conduit.__ —__ Main Sw. Underground (Signed) ,. '. 1 _ — Subdivision_ ..1.4.• State work to be performed and purpose of building (By Floors) New Building Remodeling Addition . Repairs Amps. Main Fuses___— Type of Installation— Conduit Tubing B:X.L Metal Moulding 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 ork to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Electrican. Date 6 Street / ____ Street__ / 6 Notary Public. State of Florida . •;17 - 7 No. of Stories 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. 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 PLUG OU .ETS - ECE'P'T'S FIXTURES NO.LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL ,, f /- CONT fT ; �� a- 3 / - I - -- ._ ---- 1 _1_ CHECK �� igf ;1 T�, ��• '75 --'-fie ENT. SW. DIS . C -. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTA CONTR. LIST _J — — 1 c � ----4 4.7.: CHECK (�lrT� / `- - / Permit No. 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 :�.._W�_____ Registered Architect and /or En • eel. Employing Electrician's Name !. Location and Legal Description Lot___,_' Street and Number where work is to be performed —No Amount of Permit S / STATE OF FLORIDA, k COUNTY OF DADE. ss' My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT PLICATION FOR ELECTRICAL PERMIT No.__ B lock Service Overhead Size Feeders_____________ Conduit.__ —__ Main Sw. Underground (Signed) ,. '. 1 _ — Subdivision_ ..1.4.• State work to be performed and purpose of building (By Floors) New Building Remodeling Addition . Repairs Amps. Main Fuses___— Type of Installation— Conduit Tubing B:X.L Metal Moulding 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 ork to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Electrican. Date 6 Street / ____ Street__ / 6 Notary Public. State of Florida . •;17 - 7 No. of Stories 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. 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.