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1266 NE 94 StU DING ECTRICAL UMBING 0 >OFING ,ner of !ding_— ;hitect itractor MIAMI SHORES VILLAGE, FLORIDA DATE 95 '7 PERMIT 1X? 11727 Contractor s J License Na 4s . Work to be performed under this lal Lot II Bl. Subdi- ;cription I vision `y dress of Value of lding Project $ A v 0 r Amt, of Permit i - This permit is granted to the contractor or builder named above to construct the building or c equipment or device described in the application ifor in strict compliance with all ordinances pertaining thereto and with the understanding th rk will be performed in compliance with any plans, vings, statements or specifications that may have been submitted to and approved by the p pal authorities. This Permit may he revoked at any if the work is not done in compliance with such ordinances or if the plans are changed wi4& zation. A further condition upon which this permit is ited is the understanding that the contractor or builder named above assumes the responsibi licl r a thorough knowledge of the ordinances and regulations aining to the work covered hereby whether shown on the plans or drawings or in the statemett specifications and that he assumes responsibility For work e by his agents, servants or employees. Signed : BV 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 aining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. Lccepting 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 PLUMBING INSPECTION DEPARTMENT APPLICATION FOR' PLUMBING PERMIT Permit No.-.___ '..f LL 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..._ .�_� `r c" Y� Y_____ No --------------- Registered Architect and /or Engineer ------- -___ ---- - --- - __ --- _ --------- - --- _ ---------- w _ _____ _ W _. Employing "Plumber's Name--- - - - - -- - -- —,___ ------ - - -- No----------------------------------- - - - - -- Street----------------------- --------------------- - - - - -- Location and Legal Description Lot -.__ Subdivision._......_.._ Street and Number where work is to be performed-No.- __ --- Street_.. State work to be performed and purpose of building (By Floors) `• New Building---------------------- - - - - -- - - - - -- Remodeling - -- -------- - - - - -- Addition-------------------- - - - - -- Repairs------------------ - - - - -- No. of Stories------------------- - - - - -- Size Septic. Tani .... �.� _ y t' - L!' ___..._ - -- -Type of Tank -- -J- - -- _4 -.. ° -, -I r Feet of Drain Tile_______t______ �_`__ �__r_; 1 -,c_ ----- Dist. Feet of Tank or Drain Field from W Nature of Water Supply: City-Well ------------------------------------------------------------- Size of Soakage Amount of Permit $ ----------- _____....... _. a l r ----------------- -------- - -- - -- Capacity Gals. - �- - ( Signed ) ------------------- - - - - -- Plumbing 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 perfonned 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) ` "Yl .... a'�y— s ".� ester Plumber. STATE OF FLORIDA, 1 ss. I 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, 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. - " -"My "Commission Expires Notary Public, State of Florida NOTE,; 'A re- inspection fee of $1.40 will be made whea such re- inspection is made necessary by improper notice for inspection, or faulty n}aterials d /or workmanship. BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING .TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT NS FIXTURES GONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD . PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic. Tani .... �.� _ y t' - L!' ___..._ - -- -Type of Tank -- -J- - -- _4 -.. ° -, -I r Feet of Drain Tile_______t______ �_`__ �__r_; 1 -,c_ ----- Dist. Feet of Tank or Drain Field from W Nature of Water Supply: City-Well ------------------------------------------------------------- Size of Soakage Amount of Permit $ ----------- _____....... _. a l r ----------------- -------- - -- - -- Capacity Gals. - �- - ( Signed ) ------------------- - - - - -- Plumbing 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 perfonned 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) ` "Yl .... a'�y— s ".� ester Plumber. STATE OF FLORIDA, 1 ss. I 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, 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. - " -"My "Commission Expires Notary Public, State of Florida NOTE,; 'A re- inspection fee of $1.40 will be made whea such re- inspection is made necessary by improper notice for inspection, or faulty n}aterials d /or workmanship. U MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT A0PLICATION FOR ELECTRICAL PERMIT ¢S-0 / Date ....:...........: :) . ! a 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 ........ ............... !...... .- ............. ............No..................... ............ I ......... Street- ,* .!„ Registered Architect and /or Engineer -- -• .. ............. .... . .... ................................._.. ............ ........_ ............ ..... -. ......... Employing Electrician's Name...... ''� .a? ........................ -- ° .......No,._.a 7 _. »Street ��6 1, i% ••- -- -- ........... Location and Legal Description Lot ............................................................. ...... Block--....--... .............-- ................ Subdivision....----.....--•---- -- ----- ..................... Street and Number where work is to be performed— No ...... ...................... ...•--------•--- ---............:- ............. 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 ............................ Amps Underground Type of Installation—Conduit ........................ Tubing ........................ BA.L.... ................. ....Metal Moul ding ........» .. ... ». »... ».., » .. »............................ Amountof Permit $ ...................... ._ ................. ............ ... ............... ............. ( Signed).......................................................................................................... Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub, contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 1 (Signed) -.... »,..:.:. , Master Electrician. STATE OF FLORIDA, 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 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 RECEIP'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN, SPACE HEATER STRIP HEATER .,,: J�•" IY 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 CHECK I� Service Overhead Size Feeders ... ............. ....Conduit--- ........... ..Main Sw ......-- ......--- ....-- ...... Amps.- .--- -._ - -- .............. Main Fuses ............................ Amps Underground Type of Installation—Conduit ........................ Tubing ........................ BA.L.... ................. ....Metal Moul ding ........» .. ... ». »... ».., » .. »............................ Amountof Permit $ ...................... ._ ................. ............ ... ............... ............. ( Signed).......................................................................................................... Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub, contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 1 (Signed) -.... »,..:.:. , Master Electrician. STATE OF FLORIDA, 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 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.