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402 NE 93 St (9)Application is hereby made for the approval of the detailed statement of the puns and specifications herewith submited for the building or other structure herein described. This application is made in compliance and conform ty 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 complied2,vith, whether herein' specified or n:It. A copy of approved plans and specifications must be kept at Permit No. building during progress of work. ��� Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name .."+ Street and Number where work is to be performed —No STATE OF FLORIDA, l COUNTY OF DADE. 1T 55. MIAMI SHOREE VILLAGE ELECTRICAL INSPECTIOI'4 DEPARTMENT APPLICATION FOR ELE 7.TRICAL PE WiWit (Sign( d) Location and Legal Description Lot ,dock Subdivision Street- Street No Street Master Electrician. State work to be performed and purpose of building (By Floor_,.. 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 /\ \ °- +� r "/ IT • ,_ S ' ; Amount of Permit $ s., (`Sign( d) � , Elec Inspecto The undersigned applicant for this building permit does hereby certify thzt'he nderstands and accepts his obligations as an emplo r of labor under the Florida Workmen's Compensation Act, being Section 5966, C3mpiled General Laws of Florida Permanent Suppler • and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors emplo im in the work to be performed under this permit; and will post or cause to be posted fcr inspection on the site of the work such pudic 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. 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 rnd says that he is the of the above described construction, and he has carefully read the foregoing r pplication, 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. 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 VE p'. N EON TRANS. RADIO TOTAL. CONTR. LIST CHECK Application is hereby made for the approval of the detailed statement of the puns and specifications herewith submited for the building or other structure herein described. This application is made in compliance and conform ty 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 complied2,vith, whether herein' specified or n:It. A copy of approved plans and specifications must be kept at Permit No. building during progress of work. ��� Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name .."+ Street and Number where work is to be performed —No STATE OF FLORIDA, l COUNTY OF DADE. 1T 55. MIAMI SHOREE VILLAGE ELECTRICAL INSPECTIOI'4 DEPARTMENT APPLICATION FOR ELE 7.TRICAL PE WiWit (Sign( d) Location and Legal Description Lot ,dock Subdivision Street- Street No Street Master Electrician. State work to be performed and purpose of building (By Floor_,.. 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 /\ \ °- +� r "/ IT • ,_ S ' ; Amount of Permit $ s., (`Sign( d) � , Elec Inspecto The undersigned applicant for this building permit does hereby certify thzt'he nderstands and accepts his obligations as an emplo r of labor under the Florida Workmen's Compensation Act, being Section 5966, C3mpiled General Laws of Florida Permanent Suppler • and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors emplo im in the work to be performed under this permit; and will post or cause to be posted fcr inspection on the site of the work such pudic 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. 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 rnd says that he is the of the above described construction, and he has carefully read the foregoing r pplication, 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. APPLICATION FOR ELECTRICAL PERMIT f ,,- Permit No Date ` r t ill , } Application is hereby made for the approval of the detailed statement of the plans and specifications herewith bmitted for the building or 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 S:lores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or rat. 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 No ,,,_. Street A Location and Legal Description Lot i fr err Blc :k ..� Subdivision 2 , Y ' (1 �� , 77 i Street and Number where work is to be performed —No .�' Street../ /.... .,?r „ ' State work to be performed and purpose of building (By Floors) New Building V Remodeling Addition Repairs No. of Stories Servic ver e�d� Size Feeders Conduit t R �. . Moir, Sw ' ti Amps 41...c.„) Main Fuses Amps n erground Type of Installation — Conduit • o - Amount of Permit The undersigned applicant t his b mit does hereby certify tl.at he understands and accepts his obligations as an employer of labor under the Florida Wo n's i*m a ation Act, being Section 5966, :compiled General Laws of Florida Permanent Supplement, and has complied with the pr isi s • and will require similar compliant: from all contractors or sub-contractors employed by him in the work to be performed un er is 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 ct. he undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as arc licensed by Miami Shores illage. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authory appeared SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Tubing `o/ B.X.L .Metal Moulding public,' duly (Sigled)....7) Street Al (Sig. led) Electrical Inspector. Notary Public, State of Florida Master Electrician. author zed to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath depose. 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 NOTE: A re-inspection fee of $1.00 will be made when such re•inspel Lion is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'71O. FIXTURES LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. H EAT. CONN. SPACE HEATER STRIP HEATER TOTAL CHECK ^ .. ; • 5� � � � � .`: � G ENT. SW. DIST. / / / SERVICE CAB. TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1-5 HP N EON TRANS. RADIO TOTAL CONTR. LIST / CHECK APPLICATION FOR ELECTRICAL PERMIT f ,,- Permit No Date ` r t ill , } Application is hereby made for the approval of the detailed statement of the plans and specifications herewith bmitted for the building or 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 S:lores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or rat. 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 No ,,,_. Street A Location and Legal Description Lot i fr err Blc :k ..� Subdivision 2 , Y ' (1 �� , 77 i Street and Number where work is to be performed —No .�' Street../ /.... .,?r „ ' State work to be performed and purpose of building (By Floors) New Building V Remodeling Addition Repairs No. of Stories Servic ver e�d� Size Feeders Conduit t R �. . Moir, Sw ' ti Amps 41...c.„) Main Fuses Amps n erground Type of Installation — Conduit • o - Amount of Permit The undersigned applicant t his b mit does hereby certify tl.at he understands and accepts his obligations as an employer of labor under the Florida Wo n's i*m a ation Act, being Section 5966, :compiled General Laws of Florida Permanent Supplement, and has complied with the pr isi s • and will require similar compliant: from all contractors or sub-contractors employed by him in the work to be performed un er is 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 ct. he undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as arc licensed by Miami Shores illage. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authory appeared SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Tubing `o/ B.X.L .Metal Moulding public,' duly (Sigled)....7) Street Al (Sig. led) Electrical Inspector. Notary Public, State of Florida Master Electrician. author zed to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath depose. 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 NOTE: A re-inspection fee of $1.00 will be made when such re•inspel Lion is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Architect Contractor or Builder Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA DATE' 195L. n P ERM IT N? 1134,8 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ,s,w• n Work to be performed under this Permit Bl. t s• This permit is granted to the contractor or builder named above to construct herefor in strict compliance with all ordinances pertaining, thereto and with the un drawings, statements or specifications that may have been submitted to and approve( time if the work is not done in compliance with such ordinances or if the plans are ch granted is the understanding that the contractor or builder named above assumes the pertaining to the work covered hereby whether shown on the plans or drawings or it done by his agents, servants or employees. S ibdi- 1 ision CONTRACTOR OR BUILDER BY Contractor's License No Address of V clue of Amt. of Building Pr Dject $ Permit $ he building or to install the equipment or device described in the application lerstanding that the work will be performed in compliance with any plans, by the proper municipal authorities. This Permit may be revoked at any tnged without authorization. A further condition upon which this permit is responsibility for a thorough knowledge of the ordinances and regulations the statements or specifications and that he assumes responsibility for work 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 sr ecifications 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. AUTHORITY BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building Lat ■ • : • CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT x? 9225 Work to 3e performed under this Permit I I BI BY Date— Contractor's License No. Subdi- vision Sq. Ft. Value of 11 Amount of Project $ 11 Permit $ AUTHORITY i 19 T y This permit is granted to the contractor or builder named abcve to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining there o and with the understanding that the work will be performed in compliance with an% plans, drawings, statements or specifications that may have been subm tted 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 ordinant es 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 t amed above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on he 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' (INSPECTOR) In consideration of the issuance to m of this permit I, "'agree tt perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, dc'fiwings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by ?ither, myself, my agent, servant or employee. BY • MIAMI SHORES VILLAGE, FLORIDA Date tZ 0 1907 ?i5/ BUILDING ❑ PLUMBING ELECTRICAL 0 PERMIT Np 9224 ROOFING ❑ ❑ Owner of Building Architect Contractor or Builder Legal Lot Description Address of -c Building r' > r CONTRACTOR or BUILDER • Work to 1 e performed under this Permit Contractor's License No. —1- Subdi- vision Sq. Ft. Value of H Amount of Project $ II Permit $ This permit is granted to the contractor or builder named abcve to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining there o and with the understanding that the work will be performed in compliance with an plans, drawings, statements or specifications that may have been subm -tted 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 ramed above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on he 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 t, perform the work covered hereunder in compliance with all ordinances and regulation, 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 VILLAI3E. FLORIDA ;UILDING ❑ :LECTRICAL 1 DATE 'LUMBING ❑ PERMIT N? 9503 Contractor s License No GOOFING 111 ❑ Work to be performed t.nder this Permit__ __ _ )caner of ;uilding Irchitect : ontractor r Bui:der •egal Lot )escription address of .uilding CONTRACTOR OR BUILDER Bl. Signed: This permit is granted to the contractor or builder named above to construct the bui ding or to install the equipment or device described in the application erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, rawings, statements or specifications that may have been submitted to and approved by tl e proper municipal authorities. This Permit may be revoked at any me 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 ranted is the understanding that the contractor or builder named above assume; the respo Isibility for a thorough knowledge of the ordinances and regulations ertaimng to the work covered hereby whether shown on the plans or drawings or in the s atements or specifications and that he assumes responsibility for work one by his agents, servants or employees. INSPI CTOR In consideration of the issuance to me of this permit I agree to perform the work :overed hereunder in compliance with all ordinances and °tulations ertain.ing thereto and in strict conformity with the plans, drawings, statements or specifics ions submitted to the proper authorities of Miami Shores Village. i accepting this permit I assume responsibility for all work done by either, myself, myo a rent, servant or employee. Subdi- vision Sq. Ft Value o Project $ BY Amt. of Permit $ BY AUTHORITY 195 17 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building A Z2 0 ❑ PERMIT N° Architect Contractor or Builder /-, Legal Lot Description Address of Building 4 r, CONTRACTOR OR BUILDER MIAMI SHORES VILLAC3E. FLORIDA Work to be performed u icier this Permit IN , .if Bl. This permit is granted to the contractor or builder named above to construct the buildin herefor in strict compliance with all ordinances pertaining thereto and with the understands drawings, statements or specifications that may have been submitted to and approved by th time if the work is not done in compliance with such ordinances or if the plans are changed granted is the understanding that the contractor or builder named above assumes the respor pertaining to the work covered hereby whether shown on the plans or drawings or in the st done by his agents, servants or employees. Signed. / 1 DATE : Z -. 4 ' 7 5g, Contractor's License No. 1 2 e Subdi- vision Value c f Project Amount of Permit $ 195.1 -. or to install the equipment or device described in the application ig that the work will be performed in compliance with any plans, 3 proper municipal authorities. This Permit may be revoked at any without authorization. A further condition upon which this permit is sibility for a thorough knowledge of the ordinances and regulations itements or specifications and that he assumes responsibility for work • BY \ .. INSPEtTC R In consideration of the issuance to me of this permit I agree to perform the work c )vered 'hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specificatio is 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, s arvant or employee. BY AUTHORITY 6 TMs. Contractor or Builder NZ 71 ❑ Legal Lot 1 Description 11 B 1 Address of 1° Building MIAMI SHORES VILLAGE, FLORIDA Date 4 -2 -Y BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ PERMIT N 10052 Contractor's , - . ROOFING ❑ License No. i Vet. - ':r tv mss ,, Work o be performed under this Permit Owner of Building JG �/ tj tL / C a, 1 f7 �. 1 . ,) . Q.. `' c_ t ' g Architect !k r is c.. 4' t C... t. Subdi- vision Sq Ft Value of I Amount of Project $ I I Permit $ 19 C.cAl This permit is granted to the contractor or builder named ajpve'io construct the building or to install the equipment or device described in tie 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 oe revoked at any time if the work is not done in compliance with such or finances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or bui der named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether show' on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servant or eiployees. 4 r Signed • V .._ ` t N§4erR) BY In consideration of the issuance to me of this permit I al ree to Id'e orm the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawi tgs, s t ents or specifications submitted to the proper authorities of Miami Shores Village. In this permit I assume responsibility for all work do:ie .ether, myself, my agent, servant or employee. CONTRACTOR or BUILDER BY AUTHORITY BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building Lat This permit is granted to the contractor or builder named abov tion herefor in strict compliance with all ordinances pertaining thereto plans, drawings, statements or specifications that may have been submit at any time if the work is not done in compliance with such ordinance permit is granted is the understanding that the contractor or builder nr regulations pertaining to the work covered hereby whether shown on tl- sibility for work done by his agents, servants or employees. Signed r "� In consideration of the issuance to me of this permit I agree to pertaining thereto and in strict conformity with the plans, drawings, str In accepting this permit I assume responsibility for all work done by e CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA ,rt Date /( PERMIT N° 9 219 Work to be performed under this Permit ; 11 BI r Contractor's R.J! BY AUTHORITY License No. el 19 Subdi- vision Sq. Ft. Value of 11 Amount of Project $ I I Permit $ to construct the building or to install the equipment or device described in the applica- and with the understanding that the work will be performed in compliance with an ed to and approved by the proper municipal authorities. This Permit may be revoked or if the plans are changed without authorization. A further condition upon which this med above assumes the responsibility for a thorough knowledge of the ordinances and e plans or drawings or in the statements or specifications and that he assumes 1 / 4 .- 1 (INSPECTOR) BY perform the work covered hereunder in compliance with all ordinances and regulations tements or specifications submitted to the proper authorities of Miami Shores Village. ither, myself,^[1ty agent, servant or employee. Permit No 9 2J ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT e� Date �7 �' 4P ° 07J 1 I f 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. C) O M '� V• Owner's Name and Address ((�� Registered Architect and /or Engineer... I 4.eI Employing Electrician's Name oS-CP1 e'f 8tr/ZX , • • Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1 Street / ' 93 ,& /, State work to be performed and purpose of building (By Floors) /�¢ -¢�I Q0.! de 0k u� o 0 t '� P► A c 1117 G-fr, New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P P Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ No AitoR Street f/'¢' / °5 (Signed). MIAMI SHORES VILLAGE 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. s s. ir-- No. .. ..... 4 Street Master Ele•. ician. IXI e w/ (/Ond WC(' STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. MOTORS 0.1 HP MOTORS 1.3 HP NEON TRANS. RADIO TOTAL CONTR. LIST r / CHECK /I/ //) Permit No 9 2J ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT e� Date �7 �' 4P ° 07J 1 I f 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. C) O M '� V• Owner's Name and Address ((�� Registered Architect and /or Engineer... I 4.eI Employing Electrician's Name oS-CP1 e'f 8tr/ZX , • • Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1 Street / ' 93 ,& /, State work to be performed and purpose of building (By Floors) /�¢ -¢�I Q0.! de 0k u� o 0 t '� P► A c 1117 G-fr, New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P P Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ No AitoR Street f/'¢' / °5 (Signed). MIAMI SHORES VILLAGE 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. s s. ir-- No. .. ..... 4 Street Master Ele•. ician. IXI e w/ (/Ond WC(' STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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.