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ELECTRICAL PERMITPERMIT APPLICATION FOR MIAMI SHORES VILLAGE :/ Job Address 9 �� Date Z3 ME Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant /� o� �S � q /- / -S � / • Master Permit # 6rW6) �o Owner's Address 3 L 3 Phone Contracting Co. s2 / /mac � c_ �? Address 4,3 Z- � �, �/ Z 2 - L{ `' �/c-c� e; 3 3/ 34 / Qualifier e • f - L SS# - // Phone 6 f L State # Municipal #(1 Competency I Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION .6' 6;0 /Z- i �= �- ,C L;1 ,/f i ke 2,c,•‘ a 5 -24_0 a /a Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. 100 c, Signature of owner and/or Condo President Date Signature of Co` tractor or Owner- Builder Date FEES: PERMIT ( © RADON C.C.F. �� NOTARY 297) Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder My Commission Expires: My CommissioB pii s; -, : _.;? L; ',:1 . TOTAL DUE Date APPROVED: Zoning Building Electrical id,1 / Mechanical Plumbing Engineering ►'5 S nZ:Z.k za /Lf 0, 00 00144S t� 1 S ado F 2 12.&c. 3* `} "'- 4 AlfS 23 E. A.L .S 0 L V LL 4Cre- 1/2_ 31h 'TINEM^ ivy fp f a°a Voct z4,��.� - • 7' t v. 2 Po! =s . /O , -�F t '�' a. 1-210 Oo �P T � °9 n. kPde VIA a l c o L. 91 4 /0'irft 6t7 76 /16474 r?. Date. 6 " - G Job Address Legal Description Historically Designated: Yes Owner/Lessee / Tenant Z3 � 9 / Cr / Master Permit # Owner's Address 3 2.3 /U E S / 57 , Phone Contracting Co. �, -���'�' � Address 6 Qualifier ► PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 3 2_, /5i Tax Folio State # Municipal # C° 9f Cc I Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDIN ELECTRICAL ECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION No My Co A.- N LEIVA s 11 so AI ‘7•14,,:v 1: wey FEES: PERMIT I/, '"' RADON /e, Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. n S of owner and/or Condo President Date g'61461Stis sNo. CC521646 I ] Pasesilly 1Caown t] other I. D. Date APPROVED: Zoning Mechanical Plumbing Building SS# - Phone No 1 A -;ice /Cot c � q2 -9oZ3 61, — 5 © Is1 Competency # C 3/4-5 Ins. Co. Address Address Address / c - 1 - 7A-4 1 G • 3kv.. Signature o tc or or Owner -Build Not My C C.C.F. NOTARY LEIVA nn ; , i • o V•" SPRAIN/2U° m y :. : ' , tided By Service Ins No. CC521646 [ Personally Known [ ]other I. D. TOTAL DUE 4,1 , ate Date Engineering ITEM BATH TUB UNIT • FEE ITEM SWITCH OUTLETS UNIT / FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING OISHWASI€R RECEPTACLES / A/C (WIP)) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT PICRK FLOCK CRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE CURETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATUIY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSLRE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER • _ MDTCRS OVER 1- 3 HP / HOT WATER BOILERS SINK. POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK. RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATCRS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTCRS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES _ A/C WINDOW REINSPECTION WATER SLPPLY T0: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFGUERS _ HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS . .' l' • j LAWN SPRINKLER -WELL _ SPECIAL . ..�, OUTLETS COMMERCIAL SWIMMING POOL WATER SERVICE SIGN TLBES ;EWER CONNECTIONS SIGN TRA1SFGRM€RS fTIIITY -SEWER _ SIGN TIME CLOCK / . R I L I TY -WATER F IXTLRES fop L, .EPT IC TANK - ANTENNA ,ELAY TELEVISION OUTLETS KAINFIELO, 4' TILE/RES. VIOLATION • VIP & ABANDON SEPTIC TANK REINSPECTION 'JAKAGE PIT CU. FT. ATCH BASIN , ISCHARGE WELL OMIEST IC WELL REA GRAIN OOF INLET • 1LAR MATER HEATER IRE STANDPIPE :L PIPING • AWN SPRINKLER SYSTEM "S RANGE - TER SET (GAS) S PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL Permit No jC Owner's Name and Address...M Address... ' Piper Amount of Permit $...3. (Signed).... 6)/ g The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT SS. (Signed) Date November 1, Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No 323 Street N.E. 91St Street Registered Architect and /or Engineer Employing Electrician's Name..BIQtk1e_rS Electric C N 13339 Street N.W. 7th Ave. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 323 Street N .E. 91St `street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead on Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P Type of Installation— Conduit Tubing B.X.L Metal Moulding Electrical Inspector. ccey' his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are 1968 . Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST 1 5 hp ; 3.00 CHECK Permit No jC Owner's Name and Address...M Address... ' Piper Amount of Permit $...3. (Signed).... 6)/ g The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT SS. (Signed) Date November 1, Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No 323 Street N.E. 91St Street Registered Architect and /or Engineer Employing Electrician's Name..BIQtk1e_rS Electric C N 13339 Street N.W. 7th Ave. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 323 Street N .E. 91St `street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead on Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P Type of Installation— Conduit Tubing B.X.L Metal Moulding Electrical Inspector. ccey' his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are 1968 . Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot ❑ MIAMI SHORES VAGE, FLORIDA Date_O - E9 P Q• PERMIT .iv. �98 0 Work to be perfor/nder this Permit iq. Ft. ■ t �'� , : i � � Amount Talue of $ of t t Project $ II Permit This permit is granted to the contractor or builder named above to cmct the buildin or to install the equipment or device described in the applica tion herefor in strict compliance with all ordinances pertaining thereto and vdhe understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that ma have been submitted to aspproved 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 plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named at assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed �./ t '�1 -.�- ` f NSPECTOR) ork covered BY hereunder in compliance with all ordinances and In consideration of the issuance to me of this permit I agr a to perfhe w regulati pertaining thereto and in strict conformity with the plans, dra�y3ngs, statement t or specifications submitted to the proper authorities of Miami Shores Vill ons age. In accepting this permit I assume responsibility for all work done by either, self, my agent, servant or employee. CONTRACTOR or BUILDER , Bl. vision BY ,tbdi- G(. Contractor's / License No. 1 AUTHORITY _ 191$ BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA t �, ELECTRICAL ❑ Date 19_ PLUMBING ❑ PERMIT N? 10613 Contractor's c (� ROOFING ❑ License No. 14* / Work to be performed under this Permit i„ s ; , -L .a / 1 Owner of Building Architect Contractor or Builder Legal Lot Description h i Bl Address of -' ? .7 1 i f" Building CONTRACTOR or BUILDER r. / ( _ fa' • ! l'' L.i ` C r Subdi- vision Sq Ft Value of ;1 Amount of Project $ G _ / ■ ''? 11 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon sibility for work done by his agents, servants or employees. • Signed L ' (R" '- '" ` `1 q (INSPECTOR) BY 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. BY AUTHORITY BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA Date ! ELECTRICAL Z �-� PLUMBING ❑ PERMIT N? 10685 Contractor's � ` 1 License No. ROOFING ❑ Owner of Building ' Architect Contractor or Builder f Legal Lot Description 1 1 B1 Address of Building '-' 1 i i �, i c .=-4 CONTRACTOR or BUILDER Work to be performed under this Permit Subdi- vision s� 19 Sq. Ft. Value of I Amount of "7 •--- Project $ 11 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed (INSPECTOR) BY In consideration of the issuance to me of this permit I agree 4, 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. BY AUTHORITY MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No itCFrcr Date.... DQceT►lber 6, 1968 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 32 S treet �f °)� ° 91 st Street Registered Architect and /or Engineer Employing Electrician's Name... them a... Elec. tTic No. .. 133. 9 Street N 0t ° 1 �y th Ave • Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 32 Street N °15; ° 91st 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 P Type of Installation — Conduit Tubing B.X.L Metal Moulding TOT OT 4T: F i = ' ° 00 � Req,gest to. work with I'Tonday December 9th, 9:30 a.m. Amount of Permit $.... o 00 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi 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 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. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ....................... SS. (Signed) (Signed) Master Electrician. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P•T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL `SST' 200 i =83 °00 CHECK MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No itCFrcr Date.... DQceT►lber 6, 1968 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 32 S treet �f °)� ° 91 st Street Registered Architect and /or Engineer Employing Electrician's Name... them a... Elec. tTic No. .. 133. 9 Street N 0t ° 1 �y th Ave • Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 32 Street N °15; ° 91st 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 P Type of Installation — Conduit Tubing B.X.L Metal Moulding TOT OT 4T: F i = ' ° 00 � Req,gest to. work with I'Tonday December 9th, 9:30 a.m. Amount of Permit $.... o 00 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi 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 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. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ....................... SS. (Signed) (Signed) Master Electrician. 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. BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA PERMIT Owner of Building Architect Contractor or Builder Legal Lot Description II Bl Address of . _. Value of I Amount of / Building ` 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. 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 ae cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER N9 6786 DATE. , 19 Contractor's License No. Work to be performed under this Permit— Subdi- vision BY AUTHORITY ABIOT JS Permit No t7--? 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 complianc 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 iules 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. Piper 323 N.E. 1 91 Owner's Name and Address No Street Registered Architect and /or Engineer - Employing Electrician's Name Sun State Electric, Inc, N 9709 N.W. tree Ve. Location and Legal Description Lot Block Subdivisi on 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......... Service Overhead Size Feeders Conduit.. Main Sw Amps Underground p Type „r Installation — Conduit ...Tobi g. Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. ss. NOTE: A re-inspection fee of $1.00 will be materials and /or workmanship. .B.X.L..... Metal Moulding. (Signed) (Signed) Repairs Main Fuses Amps My Commission Expires Notary Public, State of Florida No. of Stories Electr.!cal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi labor under the •lorida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo da ) ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- ntractor 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 spch 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. ob 'gations as an employer of Master Electrician. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the - of the above described construction, a Al he has carefully read the foregoing therein by him stated are true. t application, and that he did sign the same, and that all facts made when such re-inspection is made necessary by improper notices for inspection, or faulty SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OLITL "=.' IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HFAT. CONN. SPAC- HE R STRIP HEATEn /' 4" (i, y , 6 TOTAL e CONTR LIST 3 14 CHECK ENT. SW. DIET. CAB. 4ERVICE T. P. SERVIC° PERM. li O'iO:`.; 0.1 HP `.. OTORS 1.3 HP Id Er 14 TRANr`. RADIO TOTAL 2. 0 1 C� Inc. to 1C0 AMPS I CHECK I Permit No t7--? 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 complianc 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 iules 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. Piper 323 N.E. 1 91 Owner's Name and Address No Street Registered Architect and /or Engineer - Employing Electrician's Name Sun State Electric, Inc, N 9709 N.W. tree Ve. Location and Legal Description Lot Block Subdivisi on 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......... Service Overhead Size Feeders Conduit.. Main Sw Amps Underground p Type „r Installation — Conduit ...Tobi g. Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. ss. NOTE: A re-inspection fee of $1.00 will be materials and /or workmanship. .B.X.L..... Metal Moulding. (Signed) (Signed) Repairs Main Fuses Amps My Commission Expires Notary Public, State of Florida No. of Stories Electr.!cal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi labor under the •lorida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo da ) ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- ntractor 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 spch 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. ob 'gations as an employer of Master Electrician. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the - of the above described construction, a Al he has carefully read the foregoing therein by him stated are true. t application, and that he did sign the same, and that all facts made when such re-inspection is made necessary by improper notices for inspection, or faulty 2 e APPLICATION 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 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 plan and specifications must be kept at building during progress of work. Owner's Name and Address . No Registered Architect and /or Engineer MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT // Employing Electrician's Name...._ .z� ti - . o ' No `� J tree I Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street l m I State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs i No. of Stories Service Overhead 'Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding Underground Site Feeders Conduit Main Sw Amps • 7 / Amount of Permit $ (Signed). The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to Ji d b M Sh V 1 cense by Miami ores i lage. '1 STATE OF FLORIDA, j COUNTY OF DADE. I ss. materials and /or workmanship. (Signed) l 1 Date F� U Street / lectrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and sub•conf employed by him in the of the 'lock such public notice or notices be performed under this permit, as are C " 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 sigh the same, and that all facts therein by him stated are true. Master Electrician. 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 II ■ SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T's FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE H TER STRIP HEATER TOTAL CONTR. LIST I CHECK I I ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.3 HP N EON TRANS. RADIO TOTAL CONTR. LIST 1 I CHECK I 2 e APPLICATION 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 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 plan and specifications must be kept at building during progress of work. Owner's Name and Address . No Registered Architect and /or Engineer MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT // Employing Electrician's Name...._ .z� ti - . o ' No `� J tree I Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street l m I State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs i No. of Stories Service Overhead 'Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding Underground Site Feeders Conduit Main Sw Amps • 7 / Amount of Permit $ (Signed). The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to Ji d b M Sh V 1 cense by Miami ores i lage. '1 STATE OF FLORIDA, j COUNTY OF DADE. I ss. materials and /or workmanship. (Signed) l 1 Date F� U Street / lectrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and sub•conf employed by him in the of the 'lock such public notice or notices be performed under this permit, as are C " 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 sigh the same, and that all facts therein by him stated are true. Master Electrician. 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 II JILDING ❑ -FCTRICAL -UMBING 1OFING 'er of .ing Architect Contractor or Builder Legal Lot Description Address of Building n MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 11126 This permit is granted to the contractor or herefor in strict compliance with all ordinances p CONTRACTOR OR BUILDER Work to be pe ormed under this Permit f fi r named ab ve fining thereto an drawings, statements or specifications that may have been submitted to and ap time if the work is not done in compliance with such ordinances or if the plans granted is the understanding that the contractor or builder named above assu pertaining to the work covered hereby whether shown on the done by his agents, servants or employees. Subdi- vision Value of Project construct the buil ith the understa ved by re chan es the s or i Signed: In consideration of the issuance to me' .of this permit I agree to . form the work covered hereunder in compliance pertaining thereto and in strict conformity with the plans, drawings, sta ents or specifications submitted to the prop In accepting this permit I assume responsibilitq'4or all work done b ether, myself, my agent, servant or employee. /1) to install the equipment or device described in the t the work will be perfornted in compliance with an r municipal authorities. This Permit may be revoked at a t authorization. A further condition upon which this permit is ty for a thorough knowledge of the ordinances and regulations ments or specifications and that he assumes responsi. 'ty for work DATE Contractor's License No Amt. of Permit all ordinances and gulations orities of Miami Sh . es Village. (1)A, f AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA 0 � DATF 195 ❑ PERMIT N° 3796 Contractor's License No. -{ 0 Work to be performed under this Permit B1 i Subdi- vision Value of Project $ Amount of 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 6 44 STATE OF FLORIDA, 1 COUNTY OF DADE. IT SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 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. l l c. N '" �. x; Owner's Name and Address .[..!.,„.....; I $ I No z ,; Street_.�..1..�:.�' ! Registered Architect and /or Engineer F / / Employing Electrician's Name. .__ 4/ , ° - No...y Street. #. f ' 1 .0 Location and Legal Description "Lot Block Subdivision Street and Number where work is to be performed —No z., r.:+ Street ( Le' .7 1 L l 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 B.X.L .Metal Moulding Amount of 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 sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. • (Signed) ° f. LJ Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. H EAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST �J _ �s/ CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. " � , if/ •� - {-' l._. r � l / M OTORS y �r/'D•I f P _ y - ` � M OTORS 1 -5 HP 1 N EON TRANS.` , _ �^ , 'r - r RADIO TOTAL CONTR. LIST . � CHECK � y/(J `.''" STATE OF FLORIDA, 1 COUNTY OF DADE. IT SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 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. l l c. N '" �. x; Owner's Name and Address .[..!.,„.....; I $ I No z ,; Street_.�..1..�:.�' ! Registered Architect and /or Engineer F / / Employing Electrician's Name. .__ 4/ , ° - No...y Street. #. f ' 1 .0 Location and Legal Description "Lot Block Subdivision Street and Number where work is to be performed —No z., r.:+ Street ( Le' .7 1 L l 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 B.X.L .Metal Moulding Amount of 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 sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. • (Signed) ° f. LJ Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 1' MIAMI SHORES VILLAGE New Building Remodeling Addition STATE OF FLORIDA, COUNTY OF DADE. I as. Amount of Permit $ ,. ______ (Signed) Repairs 1 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERM! Date .E:.1 .' ` / / Permit No...,! L..�.... `L -...} 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...... Street Registered Architect and /or Engineer Employing Electrician's Name - No Street Location and Legal Description Lot Block 1.- ' J� Street and Number where work is to be performed —No ..—r.,,,— � �/f State work to be performed and purpose of building (By Floors) A/7(. -'7 . . '' " ,Subd;'yis {' 1 Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amp; Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Electrical Inspecto The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 3a an empl er of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplem t, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by h• 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T'S FIXTURES No. LAMPS REF R10. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST + j l CHECK _ /,`�' ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. / -v.-- MOTORS 0.1 HP MOTORS 1.3 HP NEON TRANS. RADIO TOTAL CONTR. LIST ■ CHECK - , 1' MIAMI SHORES VILLAGE New Building Remodeling Addition STATE OF FLORIDA, COUNTY OF DADE. I as. Amount of Permit $ ,. ______ (Signed) Repairs 1 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERM! Date .E:.1 .' ` / / Permit No...,! L..�.... `L -...} 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...... Street Registered Architect and /or Engineer Employing Electrician's Name - No Street Location and Legal Description Lot Block 1.- ' J� Street and Number where work is to be performed —No ..—r.,,,— � �/f State work to be performed and purpose of building (By Floors) A/7(. -'7 . . '' " ,Subd;'yis {' 1 Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amp; Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Electrical Inspecto The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 3a an empl er of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplem t, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by h• 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE 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 o C 17 Q ; No Street Registered Architect and /or Engineer , t` '/ � Name and address of licensed contractor / 1 . 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 an d,'purpose l�iiilding {by floors - - - - - -- t and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation__ ! Roof Covering Estimated Total cost of improvements $ 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 all the plans and specifications for said building. All notices with reference to the building and its construction may be sent 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 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 agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed) ____ ---- -----___________ - - - - STATE OF FLORIDA, COUNTY OF DADE. ss. 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 ;____f Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Notary Public, State of Florida Building Inspector My Commission Expires 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. BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 4237 Owner of Building Signed• CONTRACTOR OR BUILDL�'R BY DATE Contractor's License No. Work to be performed under this Permit f - .r Legal Lot Bl. Subdi Description vision Adss of Value of I Amt. of Building i .��t► .} ' , % / � 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- 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 Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he as mes respon- sibility for work done by his agents, servants or employees. INS WaTOR • By 194_ fit 00,102 In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all,.erdinances 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 respoibility for all work done by either myself, my agent, servant or employee. AUTHORITY 11 * M I A M I S H O R E S* MIAMI SHORES i i i i iii i ALARM i i i i * A L A R M* i i i i i i i i i i S — ) 4 J! ,v\A ,1 'y� ‘ .` Unz Owner's Name and Address MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ff / � Application is hereby made for the approval of the detailed statement of the plans 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, Fiv:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation's 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. efilg . erry RiAckok Rt No 3c:73 Street / 9l Registered Architect and /or Engineer Em 1 y' g Electrician's Name ,-, U l A.� fit'/ No ii a6 /I &s 0 6 � 1� Location an Legal Description Lot / e' B lock ] Street and Number where work is to be performed —No 3.....4E- Date 75 — /oxy r 1/41 s¢_ Street / Subdivision 14 S ./ Street i 9 L State work to be performed and purpose of building (By Floors).... -,TA. 1J/ AJACt S : ,DN.e 1 R _ yf New Building Remodeling Addition V Elepairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground 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 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Amount of Permit S STATE OF FLORIDA, COUNTY OF DADE. I `° (Signed). (Signed) a tSt7t4ta/ Before me, the undersigned authonty, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P•T'S FIXTURES NO LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP H TOTAL CO NTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0 -I HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Owner's Name and Address MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ff / � Application is hereby made for the approval of the detailed statement of the plans 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, Fiv:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation's 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. efilg . erry RiAckok Rt No 3c:73 Street / 9l Registered Architect and /or Engineer Em 1 y' g Electrician's Name ,-, U l A.� fit'/ No ii a6 /I &s 0 6 � 1� Location an Legal Description Lot / e' B lock ] Street and Number where work is to be performed —No 3.....4E- Date 75 — /oxy r 1/41 s¢_ Street / Subdivision 14 S ./ Street i 9 L State work to be performed and purpose of building (By Floors).... -,TA. 1J/ AJACt S : ,DN.e 1 R _ yf New Building Remodeling Addition V Elepairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground 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 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Amount of Permit S STATE OF FLORIDA, COUNTY OF DADE. I `° (Signed). (Signed) a tSt7t4ta/ Before me, the undersigned authonty, 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.