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710 NE 93 St (7)for • Size of Service Other Apparatus s MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at PERMIT 7 by Address t t! o>vner, and occupied as has been inspected and current is authorized to be timed on, until otherwise notified, for: Range , watts. Water Heater r{ watts Power: Connected load °' H. P. Space Heaters • watts Number of Lighting Circuits r / ELECTRICAL INSPECTOR. MIAMI SHORE :S VILLAGE ELECTRICAL INSPECT:ON DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) Permit No ______ _ — T -- - - - -- Date . Application is hereby made for the approval of the detailed statement of tee plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and confo •mity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miam. 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 mus: 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 " Subdivision_________ Street-_-_---- __ —_ -- New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders .i' Conduit____ ._a,x. Main Sw Amps. __ Main Fuses r Amps. Underground p P Type of Installation— Conduit Tubing B X L Metal Moulding Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. SS. i / lectrical 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 com- plied 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 inspect on on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Electticart.. Before me, the undersigned authority, a notary public, duly authorised 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, that he has carefully read the foregoir g 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 FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST (�, 'Pr ,:" ,.sz C/ l r e ... -.-+ CHECK r ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. . MOTORS 0-1 HP MOTORS I -S HP NEON TRANS. RA DIO TOTAL CONTR. LIST ' ^•' - , t` 1 CHECK MIAMI SHORE :S VILLAGE ELECTRICAL INSPECT:ON DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) Permit No ______ _ — T -- - - - -- Date . Application is hereby made for the approval of the detailed statement of tee plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and confo •mity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miam. 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 mus: 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 " Subdivision_________ Street-_-_---- __ —_ -- New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders .i' Conduit____ ._a,x. Main Sw Amps. __ Main Fuses r Amps. Underground p P Type of Installation— Conduit Tubing B X L Metal Moulding Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. SS. i / lectrical 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 com- plied 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 inspect on on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Electticart.. Before me, the undersigned authority, a notary public, duly authorised 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, that he has carefully read the foregoir g 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. n / /f . • o it /, / , ; ) 1 2 . . : . 41•; . �f n 6 -i Permit No.__ fi° t '�' - Date t L _ _ _ e 1st_ 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, Florica, 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. '' • x , No Registered Architect and /or Engineer Employing Electrician's Name .4....,.:_____ , - ' No 3. Location and Legal Description Lot State work to be performed and purpose of building (By Floors) STATE OF FLORIDA, COUNTY OF DADE. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT SS. MIAMI SHORES VILLAGE My Commission Expires Block (Signed) Street and Number where work is to be performed—No Subdivision Street New Building a' Remodeling Addition_ Repairs Street_______ Notary Public, State of Florida Street____. No. of Stories __ _ Overhead A , Service Underground Size Feeders Conduit____ Main Sw.__ Amps Main Fuses___; Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding - Y Amount of Permit _______ - �- •�--- y------------- (Sign' -d) ..+G.- ... -_:�- — 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 com- plied 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 inspect on on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this . permit, as tre licensed by Miami Shores Village. Master Electr Before me, the undersigned authority, a notary public, duly authori: :ed 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, 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. NOTE: A re- inspection fee of $1.00 will be made when such re-inspec:ion is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT OUTLETS OUTLETS PLUG RECE'P FIXTURES NO. LAMPS REFRI G. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL CONTR. LIST 4 i v i !P yY' , q "7✓ ; %" CHECK ' y ENT. SW. DIST. CAB. SERVICE TEMP. SERV YCE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No.__ fi° t '�' - Date t L _ _ _ e 1st_ 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, Florica, 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. '' • x , No Registered Architect and /or Engineer Employing Electrician's Name .4....,.:_____ , - ' No 3. Location and Legal Description Lot State work to be performed and purpose of building (By Floors) STATE OF FLORIDA, COUNTY OF DADE. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT SS. MIAMI SHORES VILLAGE My Commission Expires Block (Signed) Street and Number where work is to be performed—No Subdivision Street New Building a' Remodeling Addition_ Repairs Street_______ Notary Public, State of Florida Street____. No. of Stories __ _ Overhead A , Service Underground Size Feeders Conduit____ Main Sw.__ Amps Main Fuses___; Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding - Y Amount of Permit _______ - �- •�--- y------------- (Sign' -d) ..+G.- ... -_:�- — 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 com- plied 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 inspect on on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this . permit, as tre licensed by Miami Shores Village. Master Electr Before me, the undersigned authority, a notary public, duly authori: :ed 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, 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. NOTE: A re- inspection fee of $1.00 will be made when such re-inspec:ion is made necessary by improper notice for inspection, or faulty materials and /or workmanship. w Permit No. Registered Architect and /or Enginy.er m_____ l�r Y G Employing Electrician's Name Location and Legal Description Lot _Block__ Service Underground Size Feeders T Conduit t 1 . :Main Sw ----- 1__ Amount of Permit $ e ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT My Commission Expires MIAMI SHORES VI LLAG E 0 – (Signed) if (Signed) 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 Scores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or lot. A copy of approved plans and specifications must be kept at building during progress of work. 1 Owners Name and Address __;._'___._._____________ No. Y ' _ ./ -0 E_. Street Street_ Subdivision Street and Number where work is to be performed —No. 2 _/___/ LY Street State work to be performed. -and purpose of building (By Floors) Js. & J New Building Remodeling Addition . Repairs No. of Stories Amps. __ _______________ Main Fuses � 1 1 Amps Type of Installation— Conduit Tubing ' B.X.L Metal Moulding 'Electrical Inspector. The undersigned applicant for this building permit does hereby certify that h! understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled C eneral Laws of Florida Permanent Supplement, and has com- plied 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 under signed agrees to employ only such sub - contrac ors, on work to be licensed by Miami Shores Village. performed under this permit, as are Master EIectrica -- STATE OF FLORIDA, } COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared - -- – - - -- :o 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. Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re inspection s made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT O- UTLL)ET PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET 2ANGE :ONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL !f 41 T CONTR. LIST rV 1:(��( -S ( (_ _ J 7 / J l CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. ' MOTORS C -I HP MOTORS 1-5 HP NEON TRANS. RADIO TOTAL CONTR. LIST `( ff CHECK Permit No. Registered Architect and /or Enginy.er m_____ l�r Y G Employing Electrician's Name Location and Legal Description Lot _Block__ Service Underground Size Feeders T Conduit t 1 . :Main Sw ----- 1__ Amount of Permit $ e ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT My Commission Expires MIAMI SHORES VI LLAG E 0 – (Signed) if (Signed) 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 Scores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or lot. A copy of approved plans and specifications must be kept at building during progress of work. 1 Owners Name and Address __;._'___._._____________ No. Y ' _ ./ -0 E_. Street Street_ Subdivision Street and Number where work is to be performed —No. 2 _/___/ LY Street State work to be performed. -and purpose of building (By Floors) Js. & J New Building Remodeling Addition . Repairs No. of Stories Amps. __ _______________ Main Fuses � 1 1 Amps Type of Installation— Conduit Tubing ' B.X.L Metal Moulding 'Electrical Inspector. The undersigned applicant for this building permit does hereby certify that h! understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled C eneral Laws of Florida Permanent Supplement, and has com- plied 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 under signed agrees to employ only such sub - contrac ors, on work to be licensed by Miami Shores Village. performed under this permit, as are Master EIectrica -- STATE OF FLORIDA, } COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared - -- – - - -- :o 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. Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re inspection s made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No. Registered Architect and /or Engineer Employing Name Location and Legal Description Lot MIAMI SHORES VILLAGE ELECTRICAL INSPECTIC'N DEPARTMENT APPLICATION FOR ELE:CTRICAL PERMIT Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling ___. Addition Repairs Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. ss. (Signed; Owner's Name and Address _----------------------------__ _____---- ---- ---- -------- ---- -- No Street 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 conforn-ity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the Stage of Florida, all ordinances of Miami :.bores 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 Street . Block_ Subdivision__ . Street Service Overhead Size Feeders Conduit_____________ Msin Sw Amps. Main Fuses .__Amps. Underground Type of Installation— Conduit_. Tubing B.X.L. . Metal Moulding (Signed) My Commission Expires Notary Public, State of Florida No. of Stories Electrical Inspector. The undersigned applicant for this building permit does hereby certify that ae 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 com- plied with the provisions thereof, and will require similar compliance from all contract- 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 under signed agrees to employ only such sub - contra ctors, 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 Master Electrican. to me well known, and who, being by me first duly sworn, upon oath deposes anal says that he is the of the above described construction, that he has carefully read the foregoing Ipplication, and that he did sign the same, and that al: 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 . CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. r1OTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No. Registered Architect and /or Engineer Employing Name Location and Legal Description Lot MIAMI SHORES VILLAGE ELECTRICAL INSPECTIC'N DEPARTMENT APPLICATION FOR ELE:CTRICAL PERMIT Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling ___. Addition Repairs Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. ss. (Signed; Owner's Name and Address _----------------------------__ _____---- ---- ---- -------- ---- -- No Street 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 conforn-ity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the Stage of Florida, all ordinances of Miami :.bores 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 Street . Block_ Subdivision__ . Street Service Overhead Size Feeders Conduit_____________ Msin Sw Amps. Main Fuses .__Amps. Underground Type of Installation— Conduit_. Tubing B.X.L. . Metal Moulding (Signed) My Commission Expires Notary Public, State of Florida No. of Stories Electrical Inspector. The undersigned applicant for this building permit does hereby certify that ae 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 com- plied with the provisions thereof, and will require similar compliance from all contract- 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 under signed agrees to employ only such sub - contra ctors, 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 Master Electrican. to me well known, and who, being by me first duly sworn, upon oath deposes anal says that he is the of the above described construction, that he has carefully read the foregoing Ipplication, and that he did sign the same, and that al: 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. Permit No. Application is hereby made for the approval structure herein described. This application is and all provisions of the Laws of the State of of Miami Shores Village shall be complied building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot APPLICATION FOR ELECTRICAL PERMIT Street and Number where work is to be performed —No State work to be performed and purpose of building (By New Building Remodeling Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Before me, the undersigned authority, a notary public, duly authorized appeared Date___ ff of the detailed statemen of the plans and specifications herewith submitted for the building or other made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division with, whether herein spe :ified or not. A copy of approved plans and specifications must be kept at No Street No Street_ Block Subdivision_ Floors) Street Addi ion Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw. s. Amps. Main Fuses Am Underground P P Type of Installation— Conduit Tubing B.X.L. Metal Moulding (Sigied) — = -- — — (S geed j" = — — — — =' •'''` t Electrical Inspector. Y' / 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, Com.)iled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance frotr 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public. State of Florida Master Electrican. to administer oaths and take acknowledgments, personally 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. 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 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No. Application is hereby made for the approval structure herein described. This application is and all provisions of the Laws of the State of of Miami Shores Village shall be complied building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot APPLICATION FOR ELECTRICAL PERMIT Street and Number where work is to be performed —No State work to be performed and purpose of building (By New Building Remodeling Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Before me, the undersigned authority, a notary public, duly authorized appeared Date___ ff of the detailed statemen of the plans and specifications herewith submitted for the building or other made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division with, whether herein spe :ified or not. A copy of approved plans and specifications must be kept at No Street No Street_ Block Subdivision_ Floors) Street Addi ion Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw. s. Amps. Main Fuses Am Underground P P Type of Installation— Conduit Tubing B.X.L. Metal Moulding (Sigied) — = -- — — (S geed j" = — — — — =' •'''` t Electrical Inspector. Y' / 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, Com.)iled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance frotr 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public. State of Florida Master Electrican. to administer oaths and take acknowledgments, personally 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. 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 VI LLAG E ELECTRICAL INSPEC :TION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit - 1 4..r ) No.---- �-- i -- - - - - -� -- - -- Date- -� - -E ,� -�-- . .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 con`ormity 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 specifies 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 L_ No 1 • ' ! Location and Legal Description Lot _ Bit ck Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling _ Addition_. Repairs Amount of Permit $_—\— STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires (Signet Street Service Overhead Size Feeders Conduit Main Sw Amps. ________________ Main Fuses_. Amps. Underground P P Type of Installation— Conduit Tubing B.X.L ___ Metal Moulding El. trical 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 com- plied with the provisions thereof, and will require similar compliance from all :ontractors 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 under signed agrees to employ only such sub- contr, ctors, on work to be performed under this permit, as are licensed by Miami Shores Village. 9 : Street • Notary Public, State of Florida No. of Stories __ (Signed) f s • x Mast& E'lectrican. 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, that he has carefully read the foregoing a oplication, 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 s 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 1 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1-5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VI LLAG E ELECTRICAL INSPEC :TION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit - 1 4..r ) No.---- �-- i -- - - - - -� -- - -- Date- -� - -E ,� -�-- . .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 con`ormity 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 specifies 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 L_ No 1 • ' ! Location and Legal Description Lot _ Bit ck Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling _ Addition_. Repairs Amount of Permit $_—\— STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires (Signet Street Service Overhead Size Feeders Conduit Main Sw Amps. ________________ Main Fuses_. Amps. Underground P P Type of Installation— Conduit Tubing B.X.L ___ Metal Moulding El. trical 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 com- plied with the provisions thereof, and will require similar compliance from all :ontractors 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 under signed agrees to employ only such sub- contr, ctors, on work to be performed under this permit, as are licensed by Miami Shores Village. 9 : Street • Notary Public, State of Florida No. of Stories __ (Signed) f s • x Mast& E'lectrican. 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, that he has carefully read the foregoing a oplication, 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 s made necessary by improper notice for inspection, or faulty materials and /or workmanship. Priiittrift ELECTRICAL } PERMIT A N9 193 P_LtzmsWie •ner of Building_ L/ ` ' I / NAME .Architect and /or Engineer,__, . NAM Contractor a ei+4er 4 NAME Proposed Location . - � I <:. LOT BLOCK This permit is issued to $ AMOUNT 1 SUB- DIVISION / f L ADDRESS ADDRESS ADDRESS NO. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 19:Z/ To the building above described, as per application. Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the v).olation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications uaauthorizec by the buil g inspector, RECD. PAYMENT ACCT. D =PT. LICENSE NO. STREET In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and ns and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami ShJes Village and all rules end regulations of the building department of Miami " $hones Village. 1 A Dated - - -- r ;11 NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planni g Board. A re- inspection fee of $1.00 will be made when such re- inspection is made neces 'ary by improper notice for inspection or faulty materials and /or workrnanship. CE NO. LICENSE O. L INSPECTOR ELECTRICAL PERMIT A N? 414 Owner of Building Architect and /or Engineer Contractor or Builder___ Proposed Location $ AMOUNT LOT NAME NAME NAME BLOCK SUB- DIVISIOII - RECb..s441MEN/T DEPT. 19 ' 1._ ADDRESS - ' ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT NO. / 1,, . LICEi,IE 4O. \ k 1 s_o STREET LICENSE NO. This permit is issued to 3.6.0 t r To the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans a !id specifications unauthorized by the building inspector. - _„ ..✓ INSPECTOR In consideration of the issuance to me of this permit I .ereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ox4i aces and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. f NtE: A ch ge of $1.00 will be made Ictr making corrections or change to this application after approval has been obtained from the Plan A re- inspectio ee of $1.00 will be made when inch re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 131131MITY V ELECTRICAL PERMIT A N? 193 Owner of Building Architect and /or Engineer Contractor or,-Beilreler NAME. • • NAM NAME ADDRESS ADDRESS Mir ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT LICENSE NO. LICENSE NO. Proposed Location — __ "k,.. LOT BLOCK SUB- DIVISION NO. STREET This permit is issued to .__ To ' the building above described. as per application. Plans and Specifications heretofore filed in this office. This permit is granted that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with he building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations. or upon any change in the plans and specifications ynauthorized by the build' ,rr $ 14 AMOUNT RECD. PAYMENT ACCT. DEPT. In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the `•uilding ordinances and zoning laws of Miami Sh s Village and all rules .Ind regulations of the building department of Miami Shores Village. g inspector, ."16 upon the express condition I NSPECTOR +� (EAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plann g Board. A re- inspection fee of $1.00 will be made when such re- inspection is made necesary by improper notice for inspection or faulty materials and /or workmanship. ELECTRICAL PERMIT A N? 396 Owner of Building __1 _Z: _ 4 . i _ Architect and /or Engineer � Contractor or Builder_ L NAME N NAM! Proposed Location +" ADDRESS j w } LOT BLOCK SUB- DIVISION NO. STREET This permit is issued to Laid_ A-salr g To the building above described, as per application. Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction comj lies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any . change in the plans a nd specifications unactipti buil n tor. AUNT RECD. PAYMENT ACCT. DEPT. ADDRESS MIAMI SHORES VILLAGE BUILDING IIwSPECTION DEPARTMENT t i . 19 L' ADDRESS LICENSE NO. LICENSE NO. INSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances an zoning laws of Miami Shores Village and all rules ,Ind regulations of the building department of Miami Shores Village. 4 45400. (SEAL) 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 made when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. ELECTRICAL PERMIT A N9 414 -P •ner of Building < - NAME Architect and /or Engineer Contractor or Builder_ $ AMOUNT Dated____ LOT NAME .r+r Proposed Location .• NAME BLOCK SUB - DIVISION RECD MEN"R'/ T /DEPT. In consideration of the issuance to me of this permit I ns and specifications thereof heretofore by me submitted, an building • •ances and zoning laws of Miami Shores Village 19 MIAMI ADDRESS ADDRESS BUILDING ADDRESS SHORES VILLAGE INSPECTION DEPARTMENT ( r 3 *: , 19 L -- - \ -- 4 LICEN yO. «±_ NO. STREET This permit is issued to - To the building above described. as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans nd specifications unauthorized by the building inspector. } r_ ,y_...,,..�,p INSPECTOR ereby agree to the proposed construction in strict conformity with the in compliance with all provisions of all building laws of the State of and all rules rnd regulations of the building department of Miami Shores / LICENSE NO. Yir application and Florida, all the Village. AL) Ncgr A ch4rge of $1.00 will be made igr making corrections or changes to this application after approval has been obtained from the Planni/ig A rte - inspection ee of $1.00 will be made when •such re- inspection is made neces: ary by improper notice for inspection or faulty materials and /or workmanship. ELECTRICAL PERMIT A N9 396 P O ner of Building 4 3:i" 1__-z_ �"+► Architect and /or Engineer Contractor or Builder_. NAME NAME A OUNT RECD. PAYMENT ACCT. DEPT. ADDRESS ADDRE MIAMI SHORES VILLAGE BUILDING I PECTION DEPARTMENT , 1911 LICENSE NO. e r" fir r fi .( ` - - zie - - -- +a - - ,: -.s. 4 . - - — — .. -u= NAMt ADDRESS LICE[JSE Proposed Location tr" _,,� _� � _ x � (f L_, ,,.. LOT BLOCK SUB - DIVISION NO. STREET erz This permit is issued to l ky. -d - et._•..e. — — — — — -- To ite Zee_ the building above described, as per application, Plans and Specifications heretofore 'lied in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies s'rictly with the plans and specifications submitted, and in acco *dance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any char a in the plans and specifications unalerhot 'by builli tor. INSPECTOR ammo In consideration of the issuance to me of this permit I hereby agree to the ;proposed construction in strict conformity with the application and ns and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all in ilding ordinances an zoning laws of Miami Shores Village and all rules and re; ulations of the building department of Miami Shores Village. ated Jf— ,/ ---— (SEAL) 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 Boara. 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 APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Cmt �° -y1 1 S1 _4C12•ES\ l lte Addres7kO e C T 2 ) .) \ Tax Polio J 3O(19 61q 1 - 20 1 =gal Description LPTC— Y 41 .; ' SEC 3 / Tenant P1h»LLu P ,ner's Address V Vv� l a`jy i f . _ _ - 1JCS)0 d ?ess near s# Phone mer / Lessee )retracting Co. talifier =ate it X1 1 71 j # chitect /Engineer 'riding Company ,rtgagor -rmit Type(circle one): BUILDING 'LECTRIC PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN ARK DESCRIPTION 2ELAe V wuipad d g Cant act s c9q5-00 ware Ft: MRNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND J OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NICE OF COMMENCEMENT). 'plication is hereby made to obtain a permit to do work and installation as indicated above, and i the attached addendum (if applicable). I certify that all work will be performed to meet the _andards of all laws regulating construction in this jurisdiction. I understand that separate !rmits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. :NER'S AFFIDAVIT: I certify that all the foregoing information 's :cc rate and :t all work will done ih compliance with all applicable laws regulating const,u ton and zoni Furthermore, I lthor _ e : med contractor to do the work stated. e of owner and /or Condo President ®ad'''�` ,, tt1ICIAL SEAL" U � P �A�► Robed C. Beggs Vey �orn�n�t� i0h L 'des 51519 star a9 to Owner .� Commission Expire': ' * :ES: PERMIT • $ RADON C.C.F. Fire 'PROVED: * * * Estimated Cost(value) * * * Signature Date: Zoning Building Mechanical Plumbing Ma ster Permit Ik f Jo J Phone &C �1 '2: Competency 4k Ins.Co. Address Address Address (Y\O-Han of Cont ttor or Owner-Builder ceFHOA 4EAL" • 1� 9mFlio* t'A 5/5/96 Notary as to Conttic'Cbr or Owner - Builder My Commission Expires: * * NOTARY TOTAL DUEgt /3 0 Other lectric 1 Engineering 3 1 °c9 PERMIT APPLICATION POE MIAMI SHORES VILLAGE Date t 1 o OD Job Address ? i 0 'PE e 1a sj- Tax Folio Legal Description g-G- S. His":orically Designated: Yes No �� Owner/Lessee / Tenant 4 EAR 11° F/'- � a,�+( p►to h t•- i >Pt�' Master Permit # � Y c1 � � cr Owner's Address 11 0 N E• 6 1 a 'Q' Phone 5 L I - 741 S 1 Contracting Co. .e G .5'0 Ct'1e L Address p- oat* l 1 t 9 q /11 Aet.c Fe. 33/j$ Qualifier ' 1)CEv) clp 0— I. [1 ! ..S' SS.# &. Phone l ®is - 3 &I:74) a 2_ State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUM 'ci ING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION (1. CC ie ° Ppc- . Square Ft. Estimated Cost (value) Gv. 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 tha,_ 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. 44P Signature of owner and/or Condo President Date Si Notary as to Owner and/or Condo President Date Notary as to N Contra or or Owner - Builder Date My Commission Expires: My ComnistliIT B IC - STATE OF FLORIDA ��` ANA M. TAVEL COMMISSION # CC652682 EXPIRES 6/3/2001 BONDED THRU ASA 1 - 888- NOTARY1 FEES: PERMIT J(. 5 RADON C.C.F. C.C.F7 i NOTARY 0 APPROVED: TOTAL DUE ,50 Zoning Building Mechanical Plumbing BOND / Electrical Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date q Job Address 101\16 q Tax Folio L:.ga1 Description ��,, Historical' y Designated: Yes No Owner/Lessee / Tenant femu t/ tii'V Master Permit # 4 cY. 3, c Owner's Address 110 N e `"13 5 r Contracting Co. an 0004 i4 e(et112 C„ ' I k(.i Address Qualifier -TO kW MOOD, SS# State # coo i qq Municipal # 16 Compe.ency # Ins. Co. rwi / G /a-/- krchitect/Engineer Bonding Company Mcrtgagor Permit Type (circle one): BUILDING WORK DESCRIPTION Ail Addles. Address Addrers Phone 5306 76 C ° 743'/ 6%qm) gasr gq / -/37y/ h/ /,4 PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN aea. gtzd;K c CC ot„,,vi) Square Ft. Estimated Cost (value) / /00 o (' C WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO 1)0 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 COMMENCE1bIENT.) 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 wmll be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBNG, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS 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 -n ctor to do the work stated. Signature of o d/or Condo Presiden 9 gly Date Notary as to I' . er and/or C a ft" President My Commission Expires: Zoning Building Date Signature of Contractor or Owner- Builder Notary as to Co My Commis Plumbing ctor or X P • RY p OFFICIAL NOTARY SEAL . ' - 4 ( MARY P BRIGGS z jr n cow, sSON NUMBER co ' -I ; e CC741860 Ti- < MY COMMISSION EXPIRES F OF F \.P MAY 11,2002 Wider C.C.F. I. `X NOTARY � BOND FEES: PERMS f 3 '' Na RADON APPROVED: TOTAL DUE Electricalr�! 9 /2 /q7 Date 9 /WV Date Structural Engineer