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357 NE 92 St (12)Street and Number where work is to be done Permit No. Disapproved (Signed) STATE OF FLORIDA COUNTY OF DADE. } SS. MIAMI SHORES VILLAGE s7/, - �S 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 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 the work. `` i ' Owner's Name and Address L 0� /V o /r \� /t ,�1 �p s Registered Architect and /or Engineer 7396 V / V ' , `� Name and address of licensed contractorr /v I f C.-61 cos., ably Location and ` legal description of lot to be built on: �j / Lot /9 cg , Block 7 Subdivision ICJ 1 T/ ) &D /1 5 ?O / kif r State work to be done and purpose of building (by floors), state exterior colors (submit samples) (' )" r'�1 ' lit .- 1 ° ( / 2 ' fio Ne ` ( s7 N cT l/i�`(. 7. r b4 -7` spi and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Cgyering r, 6-0 9 c7 Estimated Total cost of improvements S Amount of Permit S Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live Toad to be borne by each floor I hereby submit all 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 obligatons 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 ntractys, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Before me, the undersigned authority, a notary public, duly a thorized to administer oaths a d take acknowledgments, personally appeared 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. Xpr04 Date Building Inspector Read, Swor Date ��-) / ( 19^ No. .3 5 / Street ff• L - Z S ,t( (, (4 ( , / —C - 3 3 (6.(e :EY „el and Subscribed before i Gl to me well known. iIatar c ate of Florida BJ i`rs' '011 • 1V83N39` Hi 030109 -t 01361'S '93i 'dX3 NIOISSI:INlOJ - AN My Commission Expires ;f. VOIldOld JO 3IVLS OI16fld AJVI0(i= PLANNING BOARD • D'A`fE Chairman Member Member Member Member Member Council Approved 1 ate Disapproved Date NOTE: A charge of 525.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date i I' 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, Fite :ida, 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. nj Owner's Name and Address. Co .lv N 0 Registered Architect and /or Engi eer 1 L 4i. Nita Vt/ / long E�ectrici e o / � Location an egal scription Lot STATE OF FLORIDA, l COUNTY OF DADE. I es. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) *OA! New Building Remodeling Addition (Signed) No 3 v 7 No. i) `� /y�J - •• �15 C1.�) Block 4( 7 Repairs No. of Stories Street Street �0 Subdivision Amount of Permit $ "�f (Signed) r 1 f '�*�' 1 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 subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed undcr 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 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 REC d / \ FIXTURES NO. LAMPS REPRIG. OUTLET I IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST a CHECK Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date i I' 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, Fite :ida, 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. nj Owner's Name and Address. Co .lv N 0 Registered Architect and /or Engi eer 1 L 4i. Nita Vt/ / long E�ectrici e o / � Location an egal scription Lot STATE OF FLORIDA, l COUNTY OF DADE. I es. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) *OA! New Building Remodeling Addition (Signed) No 3 v 7 No. i) `� /y�J - •• �15 C1.�) Block 4( 7 Repairs No. of Stories Street Street �0 Subdivision Amount of Permit $ "�f (Signed) r 1 f '�*�' 1 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 subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed undcr 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 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. Date / ;% ,' 9 7 .l(.. 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, 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 plane and specifications must be kept at Permit No / building during progress of work L Owner's Name and Address 0 APPLICATION FOR ELECTRICAL PERMIT Registered Architect and /or Enginr cc - e . ame /...� . 12./..'I. . .... ..... G� � P G�.t ��C. ... � � G .... No ... /�.�? C '71e Street Employing Electricuh s N / Location and Legal Description Lot r Block Subdivision .,�C_ Street and Number where work is to be performed —No 3 J 7 ° S set / °? ' 1.4 .1U"P 4 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs L.� 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 STATE OP FLORIDA, j OF DADE. COUNTY . Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 2Z (Signed) (Signed).... No 3...5" 7 . e. Street..../.. ector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hhiobligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo a Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in thc work to be performed under this permit; and will post or cause to be posted for inspection on the site of thc work s •ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be perfor • u •er this permit, as are licensed by Miami Shores Village. to administer oaths and take Muter Electrician. acknowledgments, personally Before me, the undersigned authority, a notary public, duly authorized 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 materials and /or workmanship. ( c; My Commission Expires Notary Public, State of Florida of $1.00 will be made when such re-inspection is made necessaryt improper notice for inspection, or faulty ti 2: 2.5/ I S SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P•T'S FIXTURES No. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE HEATER STRIP H TOTAL CONTR. LIST O ^ O �C 3 O / / CHECK ENT. SW. DIST. CAS. SERVICE TEMP.. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.0 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK r�, Date / ;% ,' 9 7 .l(.. 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, 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 plane and specifications must be kept at Permit No / building during progress of work L Owner's Name and Address 0 APPLICATION FOR ELECTRICAL PERMIT Registered Architect and /or Enginr cc - e . ame /...� . 12./..'I. . .... ..... G� � P G�.t ��C. ... � � G .... No ... /�.�? C '71e Street Employing Electricuh s N / Location and Legal Description Lot r Block Subdivision .,�C_ Street and Number where work is to be performed —No 3 J 7 ° S set / °? ' 1.4 .1U"P 4 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs L.� 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 STATE OP FLORIDA, j OF DADE. COUNTY . Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 2Z (Signed) (Signed).... No 3...5" 7 . e. Street..../.. ector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hhiobligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo a Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in thc work to be performed under this permit; and will post or cause to be posted for inspection on the site of thc work s •ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be perfor • u •er this permit, as are licensed by Miami Shores Village. to administer oaths and take Muter Electrician. acknowledgments, personally Before me, the undersigned authority, a notary public, duly authorized 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 materials and /or workmanship. ( c; My Commission Expires Notary Public, State of Florida of $1.00 will be made when such re-inspection is made necessaryt improper notice for inspection, or faulty ti 2: 2.5/ I S BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building er Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA DATE. 19 PERMIT 5279 Contractor's License No. ❑ Work to be performed under this Permit Architect Contractor t i or Builder F �* Legal Description B1 Subdi- vision Value of Protect $ II Amount of II Permit $ I This permit is granted to the contractor or 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. - CONTRACTOR OR BUILDER BY 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 authorises of tv' iami Shores Village. In ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY ABBOT `E.$-' BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building - � --� ,# •mo t' �' � � #/ Architect Contractor or Builder' MIAMI SHORES VILLAGE, FLORIDA ❑ DATE. PERMIT 5274 Contractor's ❑ License No. ❑ _ ❑ Work to be performed under this Permit Legal Lot Description II Bl • ,. « 7 Subdi- vision Address of r { 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 ordi aid regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ■ ■o. 4 0 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 t.= (( ,..� TOTAL iLIS T R / / 1 7 I, ``CK ' d ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. W� �p ,`` A/llY� M OTORS O.1 HP MOTORS 1•S HP NEON TRANS. RADIO TOTAL LIST LIST i°4°4. CHECK r., / try Application is hereby made or the approval of the detailed statement of the plans and specifications herewith sub ted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of iami 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. i Ai , c Owner's Name and Address �/ A No 3 67 7 Street to 9 Sr Registered Architect and /or Engineer .-�} !) Employing Electrician's Name •T ' ice' 1 44 n 7Y6 I m No 9 744 Stree 1 4 — Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of buiti>tily Floors) New Building Remodeling Addition Repairs No. of Stories Permit No a -2-1 Service Overhead Size FeedersJf. Conduit 1 Main Sw Amps Main Fuses Amps Underground p P Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADS ss. APPLICATION FOR ELECTRICAL PERMIT MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) (Signed). Date ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli+iions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida anent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub -contra .r 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 woo 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. 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. Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Registered Architect and /or Engineer // Employing Electrician's Name b No.l✓ 5P 0 Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 3 S7 Street... �k' Amount of Permit $ STATE OF FLORIDA, '1 COUNTY OF DADE. I ss. (Signed) �- (Signed) 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 5/ ,4 i T 7. /7/ No r7 Street....ir n . `�1 ... s .l• 7 : 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 P Type of Installation — Conduit Tubing B.X.L Metal Moulding Ele i j cal 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. 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 4- .. - i /' CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP M OTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Registered Architect and /or Engineer // Employing Electrician's Name b No.l✓ 5P 0 Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 3 S7 Street... �k' Amount of Permit $ STATE OF FLORIDA, '1 COUNTY OF DADE. I ss. (Signed) �- (Signed) 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 5/ ,4 i T 7. /7/ No r7 Street....ir n . `�1 ... s .l• 7 : 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 P Type of Installation — Conduit Tubing B.X.L Metal Moulding Ele i j cal 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. 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. Permit No ' t 1 Amount of Permit $..qs. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 01 9 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, Fiu:ida, 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... /v Z fi � e . � . Ceda" No T 4 S Location and Legal Description Lot �J Street and Number where work is to be performed —No 7 �! E / � et State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories No a " l /.Street Block I.Subdivision (Signed).. (Signed) 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 u 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. ter Electrician. STATE OP FLORIDA, j COUNTY OF DADE. I es. 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•inepection 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 14 STRIP HEATER TOTAL CONTR. LIST / CHECK ENT. SW. DIET. CAS. SERVICE TEMP. SERVICE PERM. /V I bog MOTORS 0.1 HP / MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK %Evv � Permit No ' t 1 Amount of Permit $..qs. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 01 9 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, Fiu:ida, 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... /v Z fi � e . � . Ceda" No T 4 S Location and Legal Description Lot �J Street and Number where work is to be performed —No 7 �! E / � et State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories No a " l /.Street Block I.Subdivision (Signed).. (Signed) 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 u 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. ter Electrician. STATE OP FLORIDA, j COUNTY OF DADE. I es. 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•inepection 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.