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657 NE 92 St (4)Date Atli I Legal Description PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address Contracting Co .to ,gases /4 ( Qualifie State # MTh " - - i Th Lessee / Tenant �Q/ j ( / e / i 2 / Owner's Address -1 i� . `l f•L . k Municipal # Competency tO Address Address Architect /Engineer Bonding Company Mortgagor Qa C� Permit Type(circle one): BUILDING WORK DESCRIPTION P \(J ' Square Ft. - Estimated Cost(value) /' 7 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 s accurate and that all work will be done in compliance with all applicable laws regulating copstr ction and zoning. Furthermore, I authoriz the above/ -named ci' tractor to do the work stated. "Signat e of owner a d /or Co do President Date: Notary as to Owner and /or Condo President — My Commission Expires: - Phone * * * Tax Folio Voi/ / 4K ' Phone 5 1, a, 1 1 Master Permit # F Address d9' Address PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN / 7)4/tie / Signature of Contractor or 9er- Builder LWa4Jce d /P,.ak Date: Notary as to Contractor sr_ • T� Btti "d'e ?, t My Commission $xpires ! ` 8. 9(e; * * Fire / Other * ** FEES: PERMIT RADON C.C.F. e 6 NOTARY TOTAL DUE i' APPROVED: ►I' 1. j let )� Electrical��� Zoning Building Mechanical Plumbing Engineering License No Received -.from Amount $ FORM AB -232 Rev. 8/89 (i23 acay CUesh 11 Se CITY OF FORT LAUDERDALE LICENSE DEPOSIT Date CeCU r, 44, 7994 - 1995 )c, For e r/✓1 GLC J f� i j l" G� Gi c"Y► Mat ►' _ J G VI VISION O � RECEIPT ONLY. PRINTED LICENSE WILL BE MAILED PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date �-(v ``'i.3 Job Address io , E v S Tax Folio / f f. Db /43 4��8 Legal Description b E6y 9 ) UC� Owner / Lessee / Tenant Owner's Address a %, ✓1 r.. Signature of owner and /or Condo President Date: Date: ) - _ :3 Master Permit #,5 Phone i C c 33 ;S. Contracting Co. ) i) (,,,,t 1 (t.,,. ,i,or Address G - )rt- .;i,i `?; `;" ''; Qualifier '1 � 17 vv►( I ';-e , c7 I SS# Phone A (.' S -;[: 1 V Pk_ of -`-t (1 )'; `; ��d�� State # r Municipal # () c Y Competency # ' „k , t'�Ins.Co. 7 : -It- , ,4P,v' Architect /Engineer `) Address (1 ,(= Bonding Company "') (� Address 11 '> Mortgagor 1)- p Address r) (- Permit Type(circle one): BUILDING (ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION - -=,,, , , 0 j t , <' i� jr�C c , c�( t < Square Ft. Estimated Cost(value) ' "`' WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. 11 4,7-11---c3 / i Signature of Contracto or Owner- Builder ,(4 % ma Notary as to Owner and /or Condo President Notary as to Contract6r Owner- Builder My Commission Expires: My CO1ffinissiCRT pi•I C:, STATE OF FLORIDA. MY COMMISSION EXPIRES: JULY 16, 1994, BONDED TMRU NOTARY PUBLIC UNDERWRITER& ** * * * * * * * * * * * * * * * ** ���JJ D•mO FEES: PERMIT 8% d. RADON C.C. NOTARY TOTAL DUE ' orde /G o, v.0 APPROVED: Fire Other Zoning Building Electrical .14A7))11z Mechanical Plumbing Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE (MOUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS /ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS 1 A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT.MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL building during progreu of work. Owner's Name and Address Registered Architect and /or Employing Electriciati's Name Location and Legal Description Street and Number where work State work to be performed and New Building Engineer MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT r ` APPLICATION FOR ELECTRICAL PERMIT Permit No 7 l J ° ( .. Date l Q _ ) Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv :ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and 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 purpose of building (By Floors) C. No 6% —' Street No1 4 - 2J c .a? ( Street A l i)c 74.4 L Block Subdivision is to be performed—No.. 62 , Street ` L am ``� L ''c. z Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses c' Amps Underground Type of Installation -- Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 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•contracto employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection e e the work h public not or tices as are required by the Act. The undersigned agrees to employ only such subcontractors on be perform can• i - as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. I °° (Signed) to administer oaths and take Muter Electri • an. 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. 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 LIOMT OUTLETS PLUG RECE'P'7'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP H TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 MP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK building during progreu of work. Owner's Name and Address Registered Architect and /or Employing Electriciati's Name Location and Legal Description Street and Number where work State work to be performed and New Building Engineer MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT r ` APPLICATION FOR ELECTRICAL PERMIT Permit No 7 l J ° ( .. Date l Q _ ) Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv :ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and 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 purpose of building (By Floors) C. No 6% —' Street No1 4 - 2J c .a? ( Street A l i)c 74.4 L Block Subdivision is to be performed—No.. 62 , Street ` L am ``� L ''c. z Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses c' Amps Underground Type of Installation -- Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 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•contracto employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection e e the work h public not or tices as are required by the Act. The undersigned agrees to employ only such subcontractors on be perform can• i - as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. I °° (Signed) to administer oaths and take Muter Electri • an. 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. 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 i<;? • Amount of Permit $ Owner's Name and Address : t, STATE OF FLORIDA, COUNTY OF DADE. I j MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date a .. 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. Registered Architect and /or Engineer Employing Electrician's Name G4 .?•,' (Signed) licensed by Miami Shores Village. ➢ lie A (Sig o` e > No ' Street / No /.; i;v Street .5 r' Location and Legal Description Lot Block Subdivision ll Street Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) ��LL f ( �.. :. :e. ...U.. b ' ' New Building CRemodelin Addition Repairs No. of Stories Overhead Service Size Feeders Conduit Main Sw / Amps...l� Ma in Fuses f Amps Underground Type of Installation — Conduit X Tubing X B.X.L .Metal Moulding tf e td Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his pbligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fioridi 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 under this permit, as are Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of =1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P•T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE 14 STRIP H TOTAL CONTR. LIST ,'4 y _- • 1 �� •'.; : CHICK F> c 4 ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.e HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK '�. < - Permit No i<;? • Amount of Permit $ Owner's Name and Address : t, STATE OF FLORIDA, COUNTY OF DADE. I j MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date a .. 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. Registered Architect and /or Engineer Employing Electrician's Name G4 .?•,' (Signed) licensed by Miami Shores Village. ➢ lie A (Sig o` e > No ' Street / No /.; i;v Street .5 r' Location and Legal Description Lot Block Subdivision ll Street Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) ��LL f ( �.. :. :e. ...U.. b ' ' New Building CRemodelin Addition Repairs No. of Stories Overhead Service Size Feeders Conduit Main Sw / Amps...l� Ma in Fuses f Amps Underground Type of Installation — Conduit X Tubing X B.X.L .Metal Moulding tf e td Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his pbligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fioridi 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 under this permit, as are 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. Application is hereby made for the approval of the detailed statement or me plans and specifications herewith submitted for the build inc 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 411 rules and regulations of the Building Divisinn 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 progreu of the work. O ..._ w-ncr's Name and Address . . � . L.�r Y � S � No. .. ry .L.e f , 4, I f: ��• •�. uy. ._. ..� 1...__... Street S 1 Registered Architect and /or Engineer.. Name and address of licensed contractor�� Location and legal description of lot to be built on: Lot Block / Subdivision.. . _..._ Street and Number where work is to be done YJ ��.L...Q_. ,. C 1 ...._. State work to be done and urpose of buildin (by floors) be sent to.. Q STATE OF FLORIDA, COUNTY OF DADE. j ss. Permit No.._ Disapproved .... (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date .....`Tl..�f Date :,. ,5,.. t,t.,tttttxtlA,...\tt ttttt art tt . and for no other purpose. New Building Remodeling 1 Addition Repairs No. of Stories To be constructed of -- --' Kind of foundation ✓ joof Co ering Estimated Total cost of improvements $ P c7 q,�� Amount of Permit $.... Zone cubage required plan Cubage Distance .to next nearest building Size of Building Lot Mfaxiunum live load to be borne by each floor I hereby submit all the plans and sp &cifications for said building. All notices with reference to the building and its construction may 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, Pernanent Supplement, and has complied ta.ith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be perforated under this permit; and will post or cause to be posted for inspection on the site of the work such oldie notice or noticcs as are required by the Act. The undersigned agrees to employ only suc bcontractors, on work to be performed under this permit, a are licensed b Miami Shores Village. r RemarksX�tw, V� p-- S.-•-•- 0 <). _.__.... lea. Poo 7 /q/ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 e true. Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Mfcrr,ber Member Member Member Council Approved Date Disapproved to me well known, Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the 1'Lrnnir,;; hoard. A rc inspection Ice of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. has been obtained from Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 `.ZG.`f. .(/ -"?--' Registered Architect and /or Engineer m to ing It trieial5' Name. ,ef-a`�' % '124 oca on and Legal Description Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) STATE OF FLORIDA, COUNTY OF DADE. j New Building Remodeling Addition Block Amount of Permit $ (Signed) i No.... ,,- Street.... i Rep f F No. of Stories /1 ;7 9 ./47 '/ Street. = < ' L d, Subdivision �. �� arL.�;t.' ` Street , Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing ......................B.X.L .Metal Moulding 3‘N(i 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ' ter Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG ReCE'P'T'S FIXTURES NO LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE 14 STRIP H TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST ',e CHECK r jf a ` per// /Ss�IJ.����� �/� Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 `.ZG.`f. .(/ -"?--' Registered Architect and /or Engineer m to ing It trieial5' Name. ,ef-a`�' % '124 oca on and Legal Description Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) STATE OF FLORIDA, COUNTY OF DADE. j New Building Remodeling Addition Block Amount of Permit $ (Signed) i No.... ,,- Street.... i Rep f F No. of Stories /1 ;7 9 ./47 '/ Street. = < ' L d, Subdivision �. �� arL.�;t.' ` Street , Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing ......................B.X.L .Metal Moulding 3‘N(i 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ' ter 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. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted (or the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Viitage Fiu.ada, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village an rules and regulations of the Building Divis of Miami Shores Village shall be complied with whether herein specified or not. A cop approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ` a -'�. ✓J' ' No. Street Permit No Registered Architect and /or Engineer J Employing Electrician's Name. � ? -d Location and Legal Description Lot Amount of Permit $ 85. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT . (Signed) The undersigned applicant for this building permit does hereby celtify that he understands and a labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under tais permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths 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 therein by him stated are true. • -A Block Subdivision Street and Number where work is to be performed —No ,�...l Street Ly. 0 State work to be performed and purpose of building (By Floors)./. ..... t.r. ��''t % � t - <r..'��¢_ ....., ..;a �` 5.6^ %.;.�•.a.C�, New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Underground Main Sw Amps Main Fuses . Amps Type of Installation— Conduit Tubing... B.X.L Metal Moulding (Signed) '- ' Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and nub contractors employed by him in the of the work such public notice or notices be performed antler this permit, as are / Master Electrician. 1 4( f and take acknowledgments, personally did sign the same, and that all facts My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made w,ien such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'•'T•S FIXTURES NO LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK •� ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 MP NEON TRANS. RADIO - TOTAL CONTR. LIST CHECK Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted (or the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Viitage Fiu.ada, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village an rules and regulations of the Building Divis of Miami Shores Village shall be complied with whether herein specified or not. A cop approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ` a -'�. ✓J' ' No. Street Permit No Registered Architect and /or Engineer J Employing Electrician's Name. � ? -d Location and Legal Description Lot Amount of Permit $ 85. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT . (Signed) The undersigned applicant for this building permit does hereby celtify that he understands and a labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under tais permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths 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 therein by him stated are true. • -A Block Subdivision Street and Number where work is to be performed —No ,�...l Street Ly. 0 State work to be performed and purpose of building (By Floors)./. ..... t.r. ��''t % � t - <r..'��¢_ ....., ..;a �` 5.6^ %.;.�•.a.C�, New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Underground Main Sw Amps Main Fuses . Amps Type of Installation— Conduit Tubing... B.X.L Metal Moulding (Signed) '- ' Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and nub contractors employed by him in the of the work such public notice or notices be performed antler this permit, as are / Master Electrician. 1 4( f and take acknowledgments, personally did sign the same, and that all facts My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made w,ien such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.