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6828Permit No Y 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. Owners Name and Address...A4:4444...r ' . a.-:.. No /1 ® 41) Registered Architect and /or Engineer Employing Electrician's Name...0.1/ 41 Fc-- .7 ": 16 " 1 No Street., a. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No /1 0 ® Street....4 _ > .'9'4' State work to be performed and purpose of building (By Floors) rePl :.....C..i. .. L ' se. IV' New Building Remodeling .Addition Repairs...... No. of Stories. Service Overhead Size Feeders Conduit. / v Main Sw unimermuni Amount of Permit $ L :4 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 3 0 Date. Street..44 /9✓ .Amps 3 ® •Main Fuses .Amps Type of Installation— Conduit , Tubing B.X.L ,Metal Moulding. — (Signed) + 4 44." . " , F ..s 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 PLUM RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANEE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. s ACE H TER STRIP HEATER .'rl00/4/ TOTAL CONTR. LIST Ilf CHECK ENT. SW. DIET. - CAB. SERVICE - TEMP. SERVICE PERM. MOTORS 04 HP MOTORS 1.8 HP NEON TRANS. RADIO TOTAL CONTR. LIST � b • CHECK _, - -- Permit No Y 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. Owners Name and Address...A4:4444...r ' . a.-:.. No /1 ® 41) Registered Architect and /or Engineer Employing Electrician's Name...0.1/ 41 Fc-- .7 ": 16 " 1 No Street., a. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No /1 0 ® Street....4 _ > .'9'4' State work to be performed and purpose of building (By Floors) rePl :.....C..i. .. L ' se. IV' New Building Remodeling .Addition Repairs...... No. of Stories. Service Overhead Size Feeders Conduit. / v Main Sw unimermuni Amount of Permit $ L :4 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 3 0 Date. Street..44 /9✓ .Amps 3 ® •Main Fuses .Amps Type of Installation— Conduit , Tubing B.X.L ,Metal Moulding. — (Signed) + 4 44." . " , F ..s 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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. •-_.----- Estimated Total cost of improvements $. 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 build- ing 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 the work. Date. , 19 Owner's Name and Address .15Afee 7 I .:.s ''', 6 r C e-,._-e., No.. Streetitc_ _ ....... A via, Registered Architect and/or Engineer Name and address of licensed contractor.E_27_,S_(. IC-i- ....2. f:=1- CV (-1- - ...-- ?S,S elVo - " 7 5 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done ....... State work to be done purpose of building (by floors) , ---- '-- -L.---. , ==:--z?-----_. , -...-o---- . .-------,---,■------(--,-;:-- c) - - 'I -- - 7 - e r e i .2 Ai `.*61.1 -C -e..V---4-----__and for no other purpose. New Building_ Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Li) 0 Amount of Permit $ 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-4 the plans and specifics for said building. Ail notices with reference to the building and its construction may be sent to "../ (9 Building Inspector My Commission Expires SS N 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 sub-contractors employed by him , permit, as are licensed by Miami Shores Village. the Act. The undersigned agrees to employ only such su actors, n work to be performe under this performed 'tinder this permit; and will post or cause to be posted for inspection on the site of public notice or notices as are required by in the work to be pe Remarks (Signed)...° STATE OF FLORIDA, COUNTY OF DADE. j s Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared —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. Permit No. Date _________ Read, Sworn to and Subscribed before me. Disapproved * Date Notary Public, State of Floridn ( (Signed) PLANNING BOARD_ DATE Chairman Member Member Member Member Member Council Approved ._Date Disapproved Date NOTE: A charge of $1.00 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 $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.