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ELECTRICAL PERMITS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described.This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village,Florida,and all provisions of the Laws of the State of Florida,all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with.whether herein specified or not.A copy of approved plans ami specifications most be kept at building during progress of the work. Date �L Ow 19" 's Name and Address W► /�1yf !T f( No. �/73 Street NG. �03 S7 Registered Architect and/or Engineer f�,, t-' 7� CO (� Name and address of licensed contractor �}ce 410 O9e iQ�iXJQ GC�/400"I It AO&Z C • �o•8a�ss�la'SI R 3 tSl Location and legal description of lot to be built on: / Lot—J Block CR Subdivision ' �Q Street and Number where work is to be done `� N.E. `— 5 State work to be done and purpose of bujAi4g(by floors),orate exterior colors(submit samples) AP446e— A c 4472 WZ a� A 00 for no other purpose. New B»+ ing Remodeling Addition Repairs No.of Stories Tb be constructed of 10 Kind of foundation ..fi�rr Roof Covering Estimated Total cost of improvements$ 330 Amount of Permit$�,Zti4��, '1 Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building.All notices with reference to the building and its construction may be sent to /AC-T. The undersigned applicant far this building Permit does hereby certify that he understands and accepts his obligatons as an employer of Labor ung the Florida Workmen s Compensation Act,being Section 5966,Compiled General Laws of Florida,Permanent Supplement,and has complied with the provisions thereof,and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit;and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act.The undersigned to employ subcontractors on work to be performed It this permit,as are licensed by Miami Shares Village. Remarks (Signed) rr STATE OF FLORIDA COUNTY OF DADE. as' Bef,py me.the undersigned authoritry Public,duly auto administer o and take acknowledgments,Personally appeared y,a • 2ruNe? taOIPAJ 11'- fMC pW/IUI>dWJ to me-yell known. and who,being by me first duly sworn,upon 1h 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 al_rfeetshhereni by.him stated are true. .� Y TNRuPRUC, ST d q Permit No. / Date Read.Sworn to and Subscribed before me. T.'how l Disapproved Date Notary Ptilsks State oFaerida „.,,H :_ (Signed) IT WKW Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE:A charge of$25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. _ A re-inspection fee of$25.00 will be charged when such reinspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. i MIAMI S 1-1 O RIES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build. in¢ or other structures 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 ol; Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be con plia with,.whether herein specified or rat.A copy of approved plans and specifications must be kept at building during piggress of t�;work. Date 27 ..,1>17� Owners Name and Address.......:'!.4<!._�:. - '�................ .........._..» No.1LUA4 Street._.=S1Wa....»..... RegisteredArchitect and/or Engineer.•............................. •..... ..._ «. ...,......»..rnxr..nxxrxr:rxr,manm,.mxmsxrx.e ••.•.•.•..••••..••••••••• Name and address of licensed contrpctor.....S � rM ........ ..�. �N: ._. ..e .............-..._.......... ...._...._.. Location and legal description of lot to be built on: loot........-.__............................ Block._................_.. Subdivision . »...... .» ........_.........»..............._.... Street and Number where work is to be done....-.....1173 tf.Subdivision.__...._ .._.- _........-----• State work to be done and purpose of building (by floors) .--•••� - -•----- ----- _................ . .. _..._.....--...._.._ .... ....... _.... ..........._._............._ _. ........and for no other purpose. New Building...._........................ Remodeling..__................» Addition.......................... Repairs:.......... ......... No. of Stories.. . ....... To be constructed of............................ Find ofG�atigtt,,. . . ................................._. _.. woof Coveain CPAdLi'Y.t@ __ Estimated Total cost of improvements$... .........�J11UJ�IUMJII-!!»N-y» .Amount of Permit 5._7 .. g» ... �.................�.. .. Zone cubage requued._...... .......__......__---_... .. __....___ F.,lan Cubage........._._... ......... _ Distance to next nearest building.............................._..._.._._....._...._._..Size of Building Lot._... _....__._ ....._......._..._..........._._._._ Maximumlive load to be borne by each floor......................._.....-.........-........._............._..._.._...-.......»._-..............._............_............................. I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to............................_-............................................................................................................................................._......... .............. ..........- 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 5968,Compiled Cenral Laws of Florida,Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-consatemployed by him in the work to be performedunder this permit; and will post or cause to be posted for inspection on the rk such public notice or notices as are required by the Act.Time undersigned agrees to employ only such trwoe performed underthie permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, t COUNTY OF_DADE. j ss Before me, the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments, personally ap- peared ---------- __..._..__-..__. _._,. _........-._._...._------------------------ ..__....__ _. _ _.._...... _.. ...._....__._...-._._..__ ._ to ane 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 aaam and that all facts therein by him lt7 S 77 Permit No. _._ -.-__._..._.. bate......._.,�l '_�- R ,S o d Subscsri before me. Disapproved . .._.._. Date._.. Notary Public,State of Florida (Signed) . -.-----.- ......... g. ........ ..__ . ..... _.. pector y Conmmission Expires E Building ns �o� IRCouo JUN& 14 XWP* ottsr BLAN C BOARD__._........................' . .....,,....DA'IN Chairman .......... .-......_.... _... _ ._ _._. Memb .. ...... _._.. ._...» »..._.....»___ Mernber ..._._...._............___ _. .. .... ..... _ __.__ MemD�r d .......::. .........._.._.... _ .__... ..... ... .. Member .. ................_ __.._..._.._. .._ _____ Member .._ .... _ .. CouncilApproved......»-._......_.......-...........__.._—.. Date bi $roved .._-._-._.._... ........................ ...........................Date NOTE: A charge of $1.00 will be made for making corrections or€hatmgt:s to this applicatiOn after approval has been obtained from the Plannin;q Board. A re-inspection fee of $1.00 will be charged when such winspection1i made aecesWy by improper notice for inspectim or fau* materials and/or workmanship. c MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT .fa Permit No........1...-L.�..f...:......... 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. may/ ` Owner's Name and Address..... o A1.Y._._-le%.!U% C .Q........................No...._......:�f-Z.! .. .'Street......Za.,c .. .L.^.... RegisteredArchitect and/or Engineer...................................................................................................................................................................................... Employing Electrician's Name..............-�;7 Y.�_.��..�.�......._......_---..__............No..-//-Z/.-�G �........Street............../r..�'_..�.!..........-•-- Locationand Legal Description Lot...._..........-..................................................Block..........................................Subdivision................................................ Street and Number where work is to be performed—No.... 73.... . C�' -� r�. ....Street.................................................................... .................... ........ State work to be performed and purpose of building B Floors _a........ ��A�� New Building................................Remodeling................................Addition_ .....................-.....Repairs---------..........-----------------_No. of Stories...---.---_------.. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T's NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER LIST CHECK ENT. DIST. SERVICE SERVICE � MOTORS MOTORS NEON I � ,�: RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1.9 HP TRANS. Tl1 _ CONTR. LIST s i� CHECK j lOveread 1 �. Service Undelrground Size Feeders........ ...Conduit.... ........Main Sw ........Amps...........................Main Fuses............................. Type of Installation—Conduit..............`r.-...Tubing.........vBXL.....................--.Metal Moulding.-........................__.......................................... ..................:- .,. - :...:.. ..._... .... :.........:::......... -'........._.... _.._......:......................... Amount of Permit S. y ......�...�r'-------------------.---.---------------................ (signed) Electrical Inspector. The undersigned pplicant 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. .............................................................. Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. 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. ............................................................................................I................. ..............................._._...--•---.._._..................................._.......................... My Commission Expires Notary Public, State of Florida NOTE: A reinspection 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. r I MIAMI SHORES VILLAGE C-100' r ELECTRICAL INSPECTION DEPARTMENT a APPLICATION FOR ELECTRICAL PERMIT Permit No... �` o?.,l.»...-» Date.....».... r`� ��® ........... Application is hereby made for the approval of,the detailed statement of the pians and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flvdds, and all provisions of the Laws of the State of Florida,all ordinances of Miami Shoves Village and all rules and regulatfoni 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. OwnersName and Address."..4 / ..»/.....�r.....moo....... ......./YE ..a ...S tet ..........»...».............»................. Registered Architect and/or En sneer......». �4,t.... ., ,r fell ......., ...... r.�,e 4r.L:.».........»....»......................... Kerns., .... ......»... � ion "Legal tion Lot...... ...................».....................»..............Blocs ........».....»... Subdivisio &J OA Street and Number where work is to be performed—No.».Z ...N .l»d ..».. '.�_....�.. ............... ....».... .. ... . ............ Sate work to be performed and purpose of building (By Floors)..................................... ------- New !New Building..............................Remodeling.....................».........Addition............................. epairs»..».»»............»....».»....No- of Stories».»..»..»...».. swrm" LIGHT PLUG FIXTURES Rt/RIO. IRON RANGE RANOa WATER W. MGT. SPACE STRIPOTAL OUTLtTs OUTLaTs RECz*r,r8 No.LANPs OUTLET OUTLET OUTLET CONN. MSATVA CONN. NEATER HEATER LIST ET vis 4 CHECK 11"T. DIST. SERVICE saRVICt MOTORSMOTORS NEON RAO1O TOTAL sW. CAS. TEMP. PERM. O.f NP /-S NP TRANS. COHTR. LIST CHECK Service rhead U derground Size Feeders..............»....CondUit.................Main Sw.....:.......................Amps......................... ain Fuses........»..»»... Type of Installation—Conduit..»..................Tubing.................»..B.X.L.........................Metal Moulding............................................................. »..».. ...».».»..»......»...»................»............................».. ......................................................................... , ...»......»»............. ............. Amourof......».................... ..................... ....... ... ... . ..................... `�,---». » . » » Amount Permit S...06b.kPv........................ ...........»....».....»..»....... (Signed).»A...�..».»�.... »-. »....»»... �..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 5466, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or fub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspe n o e site the work su public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on rk to perform der this permit, as are lfesnsed by Miami Shores Village. (Signed).......»...................»..... O�"1• �l_. .......... Maste7ectriciaa. STATE OF FLORIDA. 46T 4/ COUNTY OF DADE. ss' 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 sated are truce My Commission Expires Notary Public. State of Florida NOTE: A re-inspection fee of $1.00 will be made when such reinspection is made necessary by improper notice for inspection. or faulty materials and/or workmanship. MIAMI SHORES VILLAGE, FLORIDA UILDING DATE e19 LECTRICAL PERMIT N° 8673 Contractor's LUMBING License No. Work to be performed under this Permit wner of uilding r chitect ontractor Builder 1' egal Lot Bl. Subdi- escription I . vision ddress of Value of II Amt.of ilding Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any ans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked 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 unit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- ility for work done by his agents,servants or employees. Signed: By---Ie ,� 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 rtaining 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. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA UILDING DATE 194_ .ECTRICAL PERMIT N° 8655 Contractor's UMBING License No. Work to be performed under this Permit er of ilding chitect ntractor Builder gal Lot Bl. Subdi- scription vision dress of Value of II Amt.of ilding Project I Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- ion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any ns, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked 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 mit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and ulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- ility for work done 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. CONTRACTOR OR BUILDER BY AUTHORITY / MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 194_ ELECTRICAL PERMIT N° 8645 Contrsactoro's LUMBING Work to be performed under this Permit wner of uilding chitect ontractor y r Builder egal Lot Bl. Subdi- escription vision ddress of Value of II: Amt.of uilding 11Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any lans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked t any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- bility for work done by his agents,servants or employees. 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 ertaining 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. CONTRACTOR OR BUILDER BY - AUTHORITY 1 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FORELECTRICAL PERMIT Data — Application is hereby made for the aX mvd of the detailed statement of the plans and specifications herewith submitted for the building or other strneture 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 ordinanoes of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be compaed 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 Ad o �� Sues► ,L[. 16 ,3 Registered Architect and/or Engineer Employing Electricisu's'Nama 20 Location and Legal Description Lot_ Block Subdivision Street and Number where work isto performed—No. street State work to be performed and p of building (By Floors) New Building nemodeling Addition Repsirs moo.of Stories SWITCH LIGHT PLUG FIXTURES REFRI3. IRON RANGE RANGE WATER W. HEAT. 'SPACE STRIP TOTAL OUTLETs OUTLETS RECE'P.T'S NO.LAMPS OUTLET OUTLET OUTLET CONN. - -HEATER CONN. HEATER HEATER CL LIST / ..CHECK - ENT. DIST. - - SERVICE-. SERVICE - MOTORS -MOTORS. NEONRAoio TOTAL SW. CAS.._ TZNP. PERM. 0.1 HP .d.S HP .TRANS. CONTR. - LIST COCK_- ---- -. - _ - __-- - ---- Service' Ove hea Size Feeders Conduit Main Sw.�.... Amps. Men Fuses --Amps :. dergroun Type of on Tuer R-T-T.2 , Metal Moulding JAIQ 10)k Amount of Permit (Sed) The undersigned applicant'for this building permit does hereby certify that hded; erstands and accepts his,ogi=wan employer of labor under the Florida Workmen's Compensation Act, being Section 5988, CamGeneral 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 came 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-conhactors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Mases Electrician. STATE OF FLORIDA, C � COUNTY OF DADE., s$. a - S�&, Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ackoUle4gments, 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 I 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. REQU -.FOR INSPtECTIOIN D20 .: .. ....: Compac►y � _.. _ PFIli1V6 j A.M. P.M. " r 6' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION 'DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT /- Permit No.� DatA .— Application its hereby made for the approval of the detailed statement of the plates 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. l- Owner's Name and Ad V Ivo. �� '.3 Sued )7. Registered Architect and/or Engineer' 04) Employing Electridan s Name_ No treat Location and Legal Description Lot Rlock Subdivision Street and Number where work is to be performed—No street State work to be performed and-pnrpc'se of building (By Floors) New Building Remodeling Addition Repairs. No.of Stories l SWITCH LIGHT PLUS FIXTURES REPRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL TS .OUTLE .OUTLETS RECEIP'T'S NO:•LAMPS OUTLET OUTLET OUTLET CONN. - HEATER CONN. HEATER HEATER CONTR. LIST CHECK' ENT. DIST. SERVICE SERVICE - - MOTORS MOTORS NEON RADIO - TOTAL SW. CAB. TEMP. PERM. 04 HP t•B HP TRANS. CONTR. -..._ LIST '- CHECIt Service Overhead Size Feeder Conduit M�+*� Sw A-- MainFuses Amps --r Type of jnstallaiion—Conduit Tubing B.X.L.,.—.�.Metal Moulding Amount of Permit $ Z (Signed) Inspector. The undersigned applicant for this building permit does hereby certify that derstands and accepts his 191liations as an employer of _ labor under the Florida Workmen's Compensation Act, beim Section 5988, ed 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 ars licensed by Miami Shores Village. (Sed) Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. Before me, ,the undersigned authority, a notary public, duly authorized to administer oaths and- take acknowledgments, personally a ' to me well known,and who,being by me first duly sworn,upon oath deposes and says that he is the M of the above described construction, and he has carefully read the foregoing application,''and that he did sign the same, and that all falls therein by him stated are true . ' I 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 worlonauship. _ I , EQL[E FOR INsptc 1QN --- 43 Time- #i F 8 1 e I{ AMI SHORES VILLAGE ECTRIC INSPECTION DEPARTMENT APPLid TION FOR ELECTRICAL PERMIT Permit No a �'� Datm 49 a?k — Application is hereby made for thea of the d statement of the plans and specifications herewith submitted for the building.or other structure herein described.This app On made in pliance and conformity with the Building Ordinance of Miami Shores Village,Florida, and all provisions of the Laws of the S ofFlorida,all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village 60 be tour whether herein specified or not. A copy of approved plans.and specifications mast be kept at building during progress of work. Owner's Name and --No— Registered o Registered Architect and/or Engineer Employing Elec rIcian's N o l Street 'u� . Locution and Legal Descriptionubdivision_ Street and Number_where work is to p!er ormed-No Street._ State work to be performed and purpose of building (By Floors) New Building ' g Addition Repairs, No.of StorIPs SNITCH LIGHT PLUG Fi1XTYliEB REFRIG: IRON RANGE RANGE WATER W.HEAT. SPACE STRIP - TOTAL OUTLETS OUTLETS RECE'P•T'8 NO,9J4bIP8 OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. , LIST a CHECK ENT. DIST. SERVICE SERVICE- - MOTORS MOTORS NEON RADIO TOTAL SW. - CAB. TEMP. PERM.- 0.1 HP 1.8 HP 'TRANS. COMM LIST I it -- CHECK 'IL Overhead Service Underground Size F Conduit ?�►?�Sw A,npa Main Fusea Amps Type of Installation-owdui T bin T. Alner 07Amount of Permit # �• a--O I (Signed) --- Electrical Imip The undersigned applicant for this building permit does hereby certify that h erstands and accepts tman ationsas an employer of labor under the Florida Workmens �pensation Act,being Section 6988, Cam Cenral Laws of Florida ent Supplement, and has complied with the provisions thereof, and will require similar compliance#zoo all contractors or sub-moors 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. C /1,1071- w cs ) o6 G2L � Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DARE. j (- Before me, the_undersigned authority, a notary public, duly authorized to administer oaths and take aclmowl gments, personaUy 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 tree. My Commission Notary Public,State of Florida NOTE: A re-Inspection fee of $1.06 will be made when such re-inspection is made necessary by improper notice for inspection,or faulty materials and/or worlanansbip. R-SIOUSS'r FOR '"Sp PMONS (`,ompsn9 t A.M. p.M• r Tbd z� .. Daft �- t i 1 .. ...-_.,- .., .. �.:... -...�... ern MIAMI SHORES VILLAGE, FLORIDA I BUILDING DATE 194_ ELECTRICAL - PERMIT N° 8786 Contractor's PLUMBING License No. —. Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot II Bl. Subdi- Description vision Address of Value of II Amt.of Building 11 Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Pen-nit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents,servants or employees. Signed: 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 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. CONTRACTOR OR BUILDER BY AUTHORITY Y� AMI SHORES VILLAGE ECTRICAL INSPECTION DEPARTMENT � APPL ATION FOR ELECTRICAL PERMIT Permit No � Data- Application,is hereby made for.the of the detailed statement of the pleas and specifications herewith submitted for the building or other structure herein described.This ap made in compliance and conformity with the Building Ordinance of Miami Shores Village,Florida, and all provisions of the Laws of the ol Florida,all ordinauces of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village :shall be vith,whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wo& Owner's Name and Amid o- l 3 Street_ Registered Architect andlor 7/J/ Employing F!IPrtrinlan'S N O. � S , Location and Legal Description Sion �f Street and Number where work is to No.., _ _ Street. #� -�- State work to be performed and purpose of building (By Floors) New Building Remodel Addition Repairs No.of Stor3Ps SWITCH LIGHT PLUG F1XTyREB REFRIG. 'IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS `OUTLETS RECE'P'T'S NO.•LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER UGT CHECK ENT. DIST. $ERvICE SE ICE - MOTORS MOTORS NEAR RADIO TOTAL SW. CAB. TEMP. P bA. .O.1 HP 1-5 HP TRA 8. CONTR. - - -- - LiST - CHECK - Se-,. � a Size Feeders -,-,- Conduit MWU SW_ Ampg_ Allain F Amps ergroun Type of Insta>>ation-Conduit . Tjubhw B.X-Ir. _. M 1 ling Amount of Permit Lispector. The undersigned applicant for this'building permit does hereby certify that h ds and accepts hisZj;ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 3988, CoGeneral Laws of Florida Permanent Supplement, and has complied with the provisions there 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 tobeperformed under this permit, as are it licensed by Miami Shores Village '/ ' i . Electrician. STATE OF FLORIDA,. ' ate, t�G•y COUNTY OF DADE. UU /� Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take f=Lpwonally qppeared me well known,and who,being by me first dulysworn,upon oath deposes and says that he is the of the above described c onstructton, 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 ComlmissionExpires Notary Publie,State of Florida - NOTE: A re-inspection fee oI will be made when such rye-inspection is made necessary by improper notice for inspection,or faulty materials and/or workmanship. I 1 � l MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT I APPLIIPATION FOR ELECTRICAL PERMIT 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 applications is made in compliances 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 th Building Division of MiamiShores 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 Ad r ° o Street Registered Architect and/or Engineer Employing'Electcidan's Nam o. a S t> Lowt on and Legal Description Lot - --- Block SSubdivid 09 Street and Number where work is to be performed—No...-•• 3_ - -- Street / -� • State work to be performed and purpose o building (By Floors) <ZINew Buildin� -Remoda,6g Addition Repairs No.of Stories i SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE - RANGE WATER W. HEAT. SPACE STRIP - TOTAL OUTLETS OUTLETS RECE'P'T'8 NO.LANPS OUTLET OUTLET OUTLET .'CONN. HEATER CONN. HEATER- HEATER - CONTs. / I- - - usr CHECK EN'IZ': DIST. - SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SMWY CAB. TEMP. - PM. 0.1 HP 1.8 HP TRANS. LIST CHECK - - 1 Servi4jver Feeders Condui Main Sw.� ' A+nps. Main FusesA* Type of Installation-Conduit -, ubing :Ii~.L._,.. Metal Mrnldiag Amount of Permit !d• 02 e (Signed) i � Electrioallaspector. The undersigned applicant for this,bt lding permit does hereby certify that understands and acxepts ations as an employer of . labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Fl 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 ed under this permit, as are licensed by Miami Shores Village. (S�«l) Master Electrician. Z_24C,4�� STATE OF FLORIDA, 39. _l COUNTY OF DADE. j Before me, the undersigned autlso>tity, 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,'aiid jhe has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him Stated are true. i My Commission,Exp"_ Notary Public,State of Florida NOTE: A re-inspection fee of $1104-will be made when such re-inspection is made necessary by improper notice for inspection,or faulty materials and/or worlmnanship. ,, jk_ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT `APPLICATION FOR ELECTRICAL PERMIT Permit N0.........X..".U.„\..... Date- »nJ........................... ..... . 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.. n/ Owner's Name and Address...... .».....................................No......./j.7a3.....&.E...street....../-.CL.3................................ RegisteredArchitect and/or Engineer................................................................................ .............................................. .... .... Employing Electricians Name. s.?�c4,a.A.T.. ..........:�-t �`..�r0-A.�a..No.......��ZO...................Street..» :...... .... _ Locationand Legal Description Lot......»..........................................................Block................................_........Subdivision............................................... Street and Number where work is to be performed—No.....'.1 '3... v ......Street...................................................». State work to be performed and purpose of building (By Floors)........._...............». NewBuilding...............................Remod ....Addition... ...................Repairs......................................No. of Stories.................... SWITCH LIGHT PLUS PIX RES RBPRIO. IRON RANDS RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE•P•TS NO. MPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST CHIN* ENT. DIST. SERVICE SERVICE MOTORSMOTORS NEON RADIO CON III. TOTAL, SW. CAB TEMP. PENN. 0.1 HP 1.8 HP TRANS. LtBT �6,�r�D CHECK Service Underground Size ceders........_..._.-.Conduit................Main Sw.___........_................Am de SiF round ps.»........................Main Fuses......»..............»..... mps Type of Installation--Conduit.........._...........Tubing........................ .R.L.........................Metal Moulding.............................. •...».......... . . 1..:.`rJ. ................................................... (Sigaed).......... .. ... ...... ............ ...................»....._.........._........... Amount of Permit $. .......... Electrical Inspector. The undersigned applicant for this bding permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Comp tion 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. 4- - -4 (Signed) ... ..._. ........ .. STATE OF FLORIDA, Master Electrician. l SL � COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorised to administer oaths and take acknowledgments, personally appeared.........................................._.........-.....-.............................I......................... ....... ....»......................................... ............................................... 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. ...........................»... .lull Commission Eapirte.........»...................... ....»....................Nt>t>uy.Publio.State of»Florida..»......... .... ..»._... NOTE: A reinspection fee of $1.00 will be made when such re•inspedion is made necessary by improper notice for inspection, or faulty materials and/or workmanship. IIAMI SH,DRES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLII ATIDN FOR ELECTRICAL PERMIT Fermit No. 12 i Application is`hereby made for the approval tithe detailed statement of the plans and specifications herewith su ed for building or other structure herein described.This applic�att"is made in compliance and conformity with the Building Ordinance: Miami Shores Village;Flo>ida,' and,all provisionsof 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 Owners Name and Ad ' No Street Registered Architect and/or Engin Employing Elech3daes Name --No.--� (f Location and-Legal Description �lo/feic Subdivision. 29 if. Street and Number where work is to be',p"Irmed—No.�� ` � CCSr" Street /,1 A.W, ` State work to be performed and purpose of building (By Floors)- New AddN3on. Rep o-of Stories SWITCH. LIGHT PLUG FIXTURES REFRIG. IRON RANGE .RANGE WATER W. HEAT. SPACE STRIP � TOTAL.. OUTLETS OUTLETS RECE'P,ra NO..L'Asaps OUTLET OUTum OUTLET CONN. HEATER CONN. -` -HEATER HEATER LIST CHECK ENT. -. DIsr. SERVICE IIS.so ICE MOTORS MOTORS NEON RADIO TOTAL SW: - CAB.; �-- �1'EMP.' 1P M., Wt HP 1.8 HP TRANS. CONTR. - - LIST -�- CHECK' I ,r AMain L Sesv3 Overhead d Size Feeders Conduit Main Sw t� mps F Lses Ami Type of Installation-Conduit Tubing 'R L.—:metal in. -.- Amount of Permit Eleculcal The undersigned applicant for this bl�ilding Permit does hereby certify that be understands and accepts his obligations as Ph of labor under the Florida Workrneu's Compensation Act,being Section 5988, Compiled General Laws.of Florida Permanent Sand has complied with.the,provisions.thereof,j and will require similar compliance from all contractors or sub-contractors employ n 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 ce or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be ed under this t, as are licensed by Miami Shores Village. j (Signed) Master Electrician., STATE OF FLORIIMA, COUNTY OF DADE. I 1 Before me, the undersigned authority, a notary public, duly,authorized to administer oaths and take acknowledgments, personally ` f aim _4_1 Y -- to me well known,and who, being by me'first duly sworn,upon oath deposes and says that he is the of the above describedconstruction, Ind e has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. my CommissionExp4es . » Notary Public, State of Florida NOTE: A re-inspection fee of $X.00 will be made when sued,r re-inspection is made necessary by improper notice for inspection,or faulty materials and/or workmanship. I , MIAMI SHORES VILLAGE PLUMBING INSPECTIQN DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.-:f- - -- { DateApit YL , 9 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 4 made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State'o 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 doing progress of work. Owner's Name and Address----- No. 7 3 Street =F'. 40 3 Registered Architect and/or pe Elber's Naine� and Plumbing, I>tLC mpoying Plum . No Ar6 D Street01, 'OAS ST Location and Legal Description I.et - Block Z subdivision_ Street and Number where work is to bePeroma�—No 1/7 3 Sheet. ff. State work to be performed and purpose of!building (By Floors) New Bnild—g Remodeling Addition Repairs _ No. of Stories OMS BATH LAV SLOP LAUNDRY CATCH - FLOOR- DRINKING - - TOTAL GLOCLOSETS - TU13S SHOWERS TORI. SINKS. SINKS TUas URINALS BASIN DRAIN FOUNT•NS FIXTURES COT. a } :CHECK - SEPTIC SEWER DRAIN- SOAGE GREASE SOLAR DEEP SPRKLIt. SWJM'Q TANK CONN. - FIELD TRAP HEAT" WELL - SYSTEM POOL �Kj,J><• CLIST CHECK. t Size Septic Tads Type Of Tank Capacity'Gals. Feet of Drain Tile Dist.Feet of Tank or Drain Field fromwan Nature of WaterSupply:uc` Size of Soakag Amount of Permit � / boo" -T-! i ) � - P The undersigned applicant for thisibuil permit does hereby certify that he understands and accepts his obligations as an oyer of labor under the Florida Workmen's Compensation Act,being Section 599,Compiled General Laws of Florida Permanent Suppl d has com- plied with the provisions thereof,and will r e simfl compliance from all contractors or sub-contractors employed by 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; ce or notices as are required by the Act. The undersigned agrees to employ only each sub-contractors, on work to be performed under this permit, as .are licensed by Miami shores Wage. Midlandl., Plumbing, Inc. ' (Signed �• Master Plumber. rST)kTE OF FLORIDA, COUNTY OP BADE. J j Before me,the undersigned authority; 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 $e has carefully read the ffooregoing application, and that he did spgn the same, and that all facts therein by him stated are true. My Commission Expires Notary Public,State of Florida NOTE: A re-inspection fee of$I.CQ w111'be made when such re=inspection is,made necessary by improper notice for inspection; or faulty materials and/or workmanshtp: 1 MIAMI iSHORES VILLAGE, FLORIDA h BUILDING DATE - �� i94 ` KjZiCAL PERMI . '-N° 7726 cr.� roe UM PLBING Work to be performed tender Ws Permit Owner of Building P Cwtractor e fi or Builder = - Legal Lot L 3nbdi DescrPi tion IIS Address ofs Prooj� II P�mlt � This permit is granted to the contractor or named above to construct the building or to install the equipment or device described in the apph- cation ha-dor in strict compliance with all ordinances thereto and with the understanding that the work will be performed in compliance with any plans,draw# statements or specifications that may ve been submitted to and approved by the M r municipal authorities. This Permit may be revoked at any time if a work is not done in eompliance with ch ordinances or if the plans are changed without authorization.A further condition upon which this permit is granted is the understanding that the cin or builder named above assumes the responsibility for a thoroughknowledge of the ordinances and regulations pertaining to the work ccvered hereby,w her shown on the plans or drawings or in the ants or ons and that he assumes respon- sibility for work done by his agents,servants or amp = y sPFroa In consideration of the issuance to me of this I agree to perform4,0&covered hereander in compliance ?�h all o ns Pawning thereto and in strict conformity,with the p drawings, statem cations submitted to the proper ties ofidliffitge. this permit I r ility for all k done b either self agent,servant employee. { hloop ti Y coNTRAcroa OR MUDER ` svrsoaUT i � I MIAMI SHORES YIL.LA;GE, FLOKg6A BUILDING DAT 194 ELECTRICAL ERMJT N? . 7796 contractor's . <{ Lienee No PLUMBIN Work to be Pevf or,ned under this Permit Q Owner o£ Building c.✓ a Architect Cont metor or Builder Legal Lot" s Description'vtsi<m `, Address `value Qf Amt. BuildingProject I Permit l Thispermit granted to the contractor 4 famed above to coitsirucx the building or to instaIl the aqui or device desertbed'in the Apple. _ E cation herefor in strict compliance with all,ordinanees' thereto and with the understandiDo that the work wIR be tperfoimed in compliance Vd& y plans,drawinggss,,statements or specifications that ma* ve been submittedtoand approved by the municipal authorities. This Permit may be ed at as time if the work is not done in compliance with such ordinances or if the plans are changed without authorization.A further condition upon wh s this; .is greeted is the understanding that the contractor or builder'named above assumes the r bi>ity for a'thorough knaMl l e.Pf the:ordinaneps&ud' regulations pertaining to the;work covered hereby whether shown on the plans or drawlnGga or in the enteror3catitons and that he'aames reson slbility for work done by his,agents,servants or emlaloye Signed- — v y ngPWTQR ]h Consideration.of thelssuance W me of this, t.I agree to pmf m work CGV4a hereunder in compliance with all or � �noes and reguhcii thereto and In strict conformity with the,pp drawings, statem or specifi submitted to the"proper antes UlamiS�r I assume for all dose either myself;my servant or employee.' Oft - . . AL { CONTRACTOR On SUIWEB AU ORI ]t ' 1 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7•.?.S'.�Wab Address / ME /D3sT Tax Folio Leel Des x*1on Historically Designated: Yes Not 6��Mee/Tenant ..//a rf Al-scle- Master Permit# `/- 7W—9 Owner's Address M73 MLC 4PS S'7' Phone -26 8940-f2 Contracting Co. 91SC4 h e / C AddressS�- Qualifier OYtQ�� � T46d, S SS#State# 'Cle ("/OGGr Mal# Competency#0600 3F Lis.Co.Z v r►c Address Bonding Cmpany Mortgagor Address P �(drdene): BUII.DINGt. ECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION �.2.'S.S/YIP vel_ Sgmm Ft. Estimated Cost(value) WARNING TO OWNER: YOU MIDST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR 1WROVEMENTS O YOUR PROPERTY Y INTEND TO OBTAIN FINANCING' CONSULT WITH YOUR LENDER (H' 4II , OR AN ATTORNEY BEFORE RECORD G YOUR NOTICE OF,CO1VMNCEMENT.) 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 alllaws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING SIGNS POOLS ROOFING and MECHANICAL WORK. OWNERS 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 (oleo / --7—5— ® D Signature of owner ar Como President o �uuilder — Date zlcez /7q'61-9rr-0 • '7 a' �Iwz Notary as Notary ad to Contractor or My aa► �` My Commission C)`%�.of,:lb L'.��rv_w'l..•d.- �3Nibii55l�:11 I�°�.Cdy884'�SG 1 Atltl �d a8'�® gam'comm coo E}:P.ITEC•13 FEES: PERMIT J-0-AP RADON C.C.F.t��NOTARY BOND 5LO ' (00 APPROVED: '"TOTAL DUE Zoning Buildipg Electrical MAO Mechanical Plumbing structural E � ' a 9� �E 7 3 lo ,3 PANe The. Ki,rch-ep N1ov�,7hP`J 01 p i� i w,%-tA U C oa b,ijQ f So ' ,fo sc4rr Ovt R- W ,� �2 e cf©t a�S ,"rhe b.e I goo