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ELECTRICAL PERMITPermit No STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERM9T (LC Date.. ..t9-4 / / 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 Registered Architect and /or Engineer Employing Electrician's Name C "°' 2 X 1 N 27 07 Street ` 7JTh r Location and Legal Description Lot Block Subdivision / Street and Number where work is to be performed —No °l' 9O Street A_,.... / !� State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Ovead Service erh Size Feeders 3/o Conduit 2 ' Main Sw 2. 0 0 Amps Main Fuses . Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding. SS. My Commission Expires Amount of Permit $ ..G I (Signed) Repairs No. of Stories (Sign Street.. Notary Public, State of Florida 7 lectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli( tons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P r ianent 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 requirtd 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. 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. 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 / / Q 0 j Ned 6 ?.f CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE 14E f/�� v � � MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANG. RADIO TOTAL CONTR. LIST E ci.l`C CHECK Permit No STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERM9T (LC Date.. ..t9-4 / / 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 Registered Architect and /or Engineer Employing Electrician's Name C "°' 2 X 1 N 27 07 Street ` 7JTh r Location and Legal Description Lot Block Subdivision / Street and Number where work is to be performed —No °l' 9O Street A_,.... / !� State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Ovead Service erh Size Feeders 3/o Conduit 2 ' Main Sw 2. 0 0 Amps Main Fuses . Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding. SS. My Commission Expires Amount of Permit $ ..G I (Signed) Repairs No. of Stories (Sign Street.. Notary Public, State of Florida 7 lectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli( tons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P r ianent 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 requirtd 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. 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. 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. Date Job Address 6- rJ L) /J 4 1/ SF 1( ;2t - 5itcre-- Tax Folio � I 17, /IC 0 33'3 (s� Legal Description ` c3 Owner / Lessee / Tenant Owner's Address L M ) 9/ Sz" Contracting Co. State d 2OOO`r Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION/ 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 (Ie YOU INTEND `:C 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 author lze the ,above - n / ontrf'ctor to do the work stated. �Lh Signature of owner and Date: • otary as to My Commis ** * APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE or Condo President s i o trebi9E,FAOIAL NOTARY SEAL SARINA M HIRSCH t1 CO MISSION NUMBER CC348646 * ' �4+ *AMMIS010$1 MO* MAn. 1 1 98 FEES: PERMIT 56 F'- - LA <s ,?,_,, RADON sident * Zoning Mechanical Fire Bui din Plumbin ry Phone 15 6 7V 7- 4/ Addr ess /F O w. 16eAt M -1-e Address Date: Master Permit # Qb L d ignature o C retractor or Owner- Builder otary 3z rr ;__ My Comm s oi� I g�4. , A Y SEAL -0--- . CIARI A iit HIRCCH ' 'a .yli' Z OC34664 * * * } -9 1 ( * " ' ct CI OrZie IVISSIOI* i t? OF F\ MO. 11 98 C.C.F. TARY TOTAL DUE -5 ** Other Electrical Engineering OWNER'S NAME . N. L_, ,, '� PRESENT ADDRESS 4- a , F oo s • ' .. LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) LOT BLOCK SUBDIVISION GENERAL CONTRACTOR r ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. Q c a. DAT 8 4'''"' F8 �I Oo PERMIT FEE ° ' BUILDER'S BOND NO. DATE C u'4F::v ZONE REQUIREMENTS CU. FT. PLAN CUBE �� �" �% a CU. FT. c,, EST. COSTS d 6 r"" DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: - ' ° ` ti DATE NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION f INTERIOR CONSTRUCTION REPAIRS DESCRIPTION , >`■ ;`>P:, ) (2, `'c / •o ff . ,�, \ A, p 1 ‘ ,?ThD - ;:3 i f r ` ' � , ,i,c ALTERATION J DESCRIPTION „7--..— ADDITION S - �A � . Z � 6• J ' - -r �)'?, , . . ^_,c, ;,G'a :.., 7,0 ,C SUBMITTED TO PLANNING BOARD APPROVED REJEC . ED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SURMITTFr) TO VILLAGE COUNCI REMARKS CERTIFICATE OF OCCUPANCY NO. I ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION I 5 ROOF ROUGHING 5 BEAMS & LINTELS I 5 POOL MOTORS 5 FRAMING S SEWER AIR COND. 1 $ FINAL Is CLEAN UP SLAB FIXTURES & FINAL SOLAR HEATER SLAB FIXTURES TEMPORARY SERVICE I $ SEPTIC TANK I S SEWER I 5 SOLAR HEATER ROUGHING 5 GAS I 5 1 $ MOTORS 5 INSPECTIONS I DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING 1 $ H. W. HEATER CONN. I ROUGHING I $ 'RANGE CONN. TUB & TOP OUT 1 $ MOTORS 1 S SEWER 1 $ Is SEPTIC TANK FIXTURES & FINAL SOLAR HEATER FIXTURES GAS SPECIAL PERMITS PERMIT NO. DATE I FEE TEMPORARY SERVICE TFMP SERVICE 1 $ H. W. HEATER CONN. I ROUGHING I $ 'RANGE CONN. 1 $ MOTORS 1 S FIXTURES 1 $ Is INSPECTIONS DATE BY RE- INSPECTI BY RE- INSPECT BY TFMP SERVICE I I ROUGHING H. %M. HFATER CONN RANGE CONN. FIXTURES & FINAL PERMIT NO. a 0 6 Cti CONTRACTOR 1 PHONE PERMIT NO. 1 DATE I FEE NEW BLDG. I ALTERATION I ADDITION I REPAIRS SPECIALS PERMITS I PERMIT NO. CONTRACTOR 6re3-• FPe NN - NEW BLDG. BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS p I DATE ? - ' L - ? 1 ALTFRATION I ADDITION APPROVAL TO POWER CO. FOR SERVICE DATE DATE I PHONE FEE 5 REPAIRS BY FEE LOCATION cr ARIEIAGE TAX RECORD z PAID BY t YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAI RECEIPT D I NUMBER 1940 1941 1942 1943 1944 —, CLAII ENce C. /V/ de 1.. 5 Elr 1945 .. . /,9, " t/ z /. 2 0 • 0/ , ./4 - /.;-,,, '-. ,,', , .. 1946 .. ' (; %.'" ,,-,.. • ./ ' ''.* \'% ' - '#''' .1 1947 ,. :".,,; (..,_-)) ! 2-- . . • 7 1948 'A .9 9 /1,i -Pi , c i' , ... - ,7 ,-- , 1949 nz / /4 j - ...... 4 .5/ 5 fp / ,. J— /f to Of 1950 ft' / LOCATION cr ARIEIAGE TAX RECORD 490 i. . 91at St. Ily Year Annual Tax Period uocd Clarencc C. Neilson 0 /0? Amount Paid Date Paid Receipt # /2. a a / tr/ / VF/ < - 4