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374 NE 95 St (3)PERMIT APPLICATION FORIAMI SHORES VILLAGE ,/V E. 95 Tax Folio Date Job Address Legal Description Owner/Lessee / Tenant Owner's Address 374L ys Contracting Co. u E\ C Qualifier e \ State # EC-49,a9/0,5 Municipal # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDIN WORK DESCRIPTION lJ 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 that all work will be done in compliance with all applicable 6 laws regulating : * ct *mg. Furthermore, I authorize the above Signature of owner and/or Condo President Date • • Presid- • _ / • t Date • RITA SHIFRIN COMMISSION # C i' EXPIRES AUG 18. Roua SONDE° THROUGH ADVANTAGE NOTARY . Notary as to Owner and/or Con My Commi ssion Expires: FEES: PERMIT X ? RADON 7'Z Historically Designated: Yes No Master Permit # 4//72,v. Phone 305 Address Address 's- A)2 . l 1 4'8 si SS# 5 -// -4 5'Phone Competency # Ins. Co. Address Address ELECTR UMBING MECHANICAL ROOFING PAVING FENCE SIGN l i f)elaP A/ L. 7 ignatur of Contractor or Owner - Builder ate Notary as to C My Commissi APPROVED: Zoning Building Mechanical ntractor to do the work stated. tractor o>G.4 C.C.F. ° Yo NOTARY Electrical ®0.,(190 BOND TOTAL DUEL () Date Plumbing Engineering 4 PERMIT NO. TAX FOLIO NO. ) 1 319& )) STATE OF FLORIDA: COUNTY OF DADE: 00 R387840 2000 AUG 10 14:02 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713. Florida Statutes, the following information is provided in this Notice of Commencement. • � 4 « OP Imo !a • 1 ! f le "� tI / / ailAMMAIE 9 iption of improvement: i! 11 • A. • • s) e and addres 1. Le al description of pro•ery and street address: 3. Owner Interest in property: Name and address of fee simple titleholder: 4. Contractor's name an address• R1 36 N iE, 1 f 5 6. Lender's name and address: NOTICE OF COMMENCEMENT 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ .F� 3 3 <S 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provides by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) 4 ilti/e.elo RITA SHIFRIN COMPASSION # •: • 16 ION= TNROUGH ADVANTAGE NOTARY before me this da of� Signature of Owner Print Owners Name Sworn to and siJoscr Notary Public Print Notary's Name My Commissio-; Expires STATE OF FLORIDA, COUNTY OF DADE I HERE: Y CERTIFY that this is a true coon 4r� on in this offic _ 4. WITNE 1i' By / /' ./i Il- 0 s DRIP LOOP i ❑ BE 10' AFC (MIN) "f` 6' - / - • CL,1HP 0 c00A ‘METER 2' ABOVE RDDF 1 2' PLAS1 MCI a) 4G FIIITSIiED GRAVE -. aocnnc euaa]iG MAIN CB PANEL 1 1 TEAR 1E17• CL,kr1P 3/tr X ir GRC J141) Run Qillu M rpl 110ND46 SUB CD . PANEL Rciting -�- Amps . Bond Bus Y _ _No .Loca e50 j� PER S.F.l3_C, 45Osi,2(E ) • ,CONTRA,; MAIN DIS'DNNECT R ating Munn Sr_,b Bre-al cer-s — _ SUB FEEDE New Size Bond 512e- INSEDE PANEL SIGNATURE OF CONTRACTOR KlaLk uK Mti3 1 -k1Oht Conductor size • Conduit 5tze Condut± ±•p' Ground wire s:Z e_ y — - -- en Anps An pc Amps simt Ex sa n9L' —. _ l_ Lci N S C C 6) _C - NOTARY \z' I- r•,r' 1TC'Tn1.I Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Owner's Name and Address Registered Architect and /or Engineer ____ _______ Employing Electrician's Name My Commission Expires 146 (Signed) (Signed Permit No.___._ 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 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. No Street_. Street Street_::_.___ _______ _:_______ Location and Legal Description Lot_______ _Block 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 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 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 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 perfo. ed Under thig permit, as are licensed by Miami Shores Village. Master Electricays: 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 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 is made necessary by improper notice for inspection, or faulty materials and /or workmanship. i f 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 Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Owner's Name and Address Registered Architect and /or Engineer ____ _______ Employing Electrician's Name My Commission Expires 146 (Signed) (Signed Permit No.___._ 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 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. No Street_. Street Street_::_.___ _______ _:_______ Location and Legal Description Lot_______ _Block 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 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 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 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 perfo. ed Under thig permit, as are licensed by Miami Shores Village. Master Electricays: 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 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 is made necessary by improper notice for inspection, or faulty materials and /or workmanship. i f JOB: :.LD : BUILDING ELECTRICAL PLUMBING • • Inspector's Report: - WORK • DONE BY REQUESTED The following is ready for Inspection: • • • WILL BE READY. • JOB: BUILDING ELECTRICAL PLUMBING • • • • • • Inspector's Report: • • • • The following is ready for inspection: AD: 3 7 • WORK • • DONE BY: . REQUESTED • : WILL BE READY • • l 7- 3 APPLICATION FOR ELECTRICAL PERMIT / ! / / .f Permit A lication is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other str ture 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 c' 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 d ;° Owner's Name and Address __- - - - -- r , . -r ---- ,:.. Registered Architect and /or Engineafr __ 4 .. Employing Electrician's Name Location and Legal Description Lot___ _ftlad__ Street and Number where work is to be perform1 No. 7 47 >rt, State work to be performed and purpose of building (By Floors) New Building Remodeling Service Overhead Underground Size Feeders 1%/[_ Amount of Permit The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. S S. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Block No Street Addition Repairs !Aviv Street r w/ Ddte_ Street No. of Stories e A' O _ Condui __ . Main Swig) 1 Amps. __________________ Main Fuses ./1:).0 Amps. Type of Installation— Conduit Tubing____lC B.X.L. Metal Moulding (Signed) Elect ral Inspector. rtify that he ;understands and accepts his obligations as an employer of labor Compiled�$eneral Laws of Florida Permanent Supplement, and has com- from all or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be perfo ned tnde 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 application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida rmit, as are 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. (Signed) . op pig , 0 int /...- 01, .r,:: • Master Electric / SWITCH OUTLETS LIGHT OUTLEETTS 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 ° ''''° ,9L_- J CHECK �LJ--- ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK APPLICATION FOR ELECTRICAL PERMIT / ! / / .f Permit A lication is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other str ture 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 c' 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 d ;° Owner's Name and Address __- - - - -- r , . -r ---- ,:.. Registered Architect and /or Engineafr __ 4 .. Employing Electrician's Name Location and Legal Description Lot___ _ftlad__ Street and Number where work is to be perform1 No. 7 47 >rt, State work to be performed and purpose of building (By Floors) New Building Remodeling Service Overhead Underground Size Feeders 1%/[_ Amount of Permit The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. S S. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Block No Street Addition Repairs !Aviv Street r w/ Ddte_ Street No. of Stories e A' O _ Condui __ . Main Swig) 1 Amps. __________________ Main Fuses ./1:).0 Amps. Type of Installation— Conduit Tubing____lC B.X.L. Metal Moulding (Signed) Elect ral Inspector. rtify that he ;understands and accepts his obligations as an employer of labor Compiled�$eneral Laws of Florida Permanent Supplement, and has com- from all or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be perfo ned tnde 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 application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida rmit, as are 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. (Signed) . op pig , 0 int /...- 01, .r,:: • Master Electric / F )r r Lot ot Dn gl Subdi- vision )f Value of Project Amt. of Permit BUILDING ELECTRICAL PLUMBING Owner o Building Architect Contract or Build Legal Descripti Address Building MIAMI SHORES VILLAGE, FLORIDA DATE 194 `PERMIT •9 1742 Work to be performed under this Permit Contractor's License No. 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 application 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 responsibility for work done by his agents, servants or employees. Signed By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY CONTRACTOR OR BUILDER BY Permit No J7/0.23 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o1 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 regulation. 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. �/ ...j.4 /l (I./t"5 /if No q ))// ~5/ Owner's Name and Address. t j / `Y' lV ee Street Registered Architect and /or Engineer ` -- Employing Electricia s Name. C,./ t, G I.4./ .0 No. /if.0 V s Street .l .. --2.- ,9-O i/ 6e6o Q// /� �� Location and egal Descriptioi Lot. /4/.P26 -1 g 4'J Block '/5 Subdivision .N./' / N d 4'7 / l Street J , State work to be performed and purpose of building (By Floors) , „� .A. .QG' / 2 .d,�- NTT New Building Remodeling Addition Repairs No. of Stories • Street and Number where work is to be performed —No 3.7 A!......A/Ar ....... Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $. (Signed). Date 7 %77 A31- 97/7 Xfrt 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, u are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADS 11 se. (Signed) 7 /61. 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'5 FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H STRIP HEATER TOTAL CONTR. 1157 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. L15T CHECK Permit No J7/0.23 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o1 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 regulation. 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. �/ ...j.4 /l (I./t"5 /if No q ))// ~5/ Owner's Name and Address. t j / `Y' lV ee Street Registered Architect and /or Engineer ` -- Employing Electricia s Name. C,./ t, G I.4./ .0 No. /if.0 V s Street .l .. --2.- ,9-O i/ 6e6o Q// /� �� Location and egal Descriptioi Lot. /4/.P26 -1 g 4'J Block '/5 Subdivision .N./' / N d 4'7 / l Street J , State work to be performed and purpose of building (By Floors) , „� .A. .QG' / 2 .d,�- NTT New Building Remodeling Addition Repairs No. of Stories • Street and Number where work is to be performed —No 3.7 A!......A/Ar ....... Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $. (Signed). Date 7 %77 A31- 97/7 Xfrt 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, u are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADS 11 se. (Signed) 7 /61. 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. Permit No STATE OF FLORIDA, t COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT New Building Remodeling Addition t� Servi Overhead Size Feeders I J Conduit � I /2M Main Sw 1 " Underground ,,, J ' fp Type of Installation — Conduit Tubing B.X.L I 4-. %'''- F A mount of Permit $ 10 CD (Signed) SS. (Signed No 374 Repairs Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o. other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flo 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 MA g 10 4 k) (1.11(..L r- I Registered Architect and /or Engineer Employing Electrician's Name.%) r5S E E. el L C Cr C Q_ No / Street S u . 1 g7 $ T. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 4 57 . 4 Street ...4f E_g sa Sr State work to be performed and purpose of building (By Floors) � . 5 , / - N/? The undersigned applicant for this building permit does hereby certify that he understands and 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 this 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 sub - contractors, on work to licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths appeared 7- 7 c7 Street N E No. of Stories Z .ro Amps Main Fuses Amps M P•.+ Metal Moulding a.ccepts obligations as an employer of of F,. ' da Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as are Electrical Inspector. Master Electrician. 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, 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 HEATER STRIP HEATER TOTAL CONTR. LIST Z CHECK 2 . y J ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANG. RADIO TOTAL CONTR. LIST �� L _ CHECK Permit No STATE OF FLORIDA, t COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT New Building Remodeling Addition t� Servi Overhead Size Feeders I J Conduit � I /2M Main Sw 1 " Underground ,,, J ' fp Type of Installation — Conduit Tubing B.X.L I 4-. %'''- F A mount of Permit $ 10 CD (Signed) SS. (Signed No 374 Repairs Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o. other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flo 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 MA g 10 4 k) (1.11(..L r- I Registered Architect and /or Engineer Employing Electrician's Name.%) r5S E E. el L C Cr C Q_ No / Street S u . 1 g7 $ T. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 4 57 . 4 Street ...4f E_g sa Sr State work to be performed and purpose of building (By Floors) � . 5 , / - N/? The undersigned applicant for this building permit does hereby certify that he understands and 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 this 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 sub - contractors, on work to licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths appeared 7- 7 c7 Street N E No. of Stories Z .ro Amps Main Fuses Amps M P•.+ Metal Moulding a.ccepts obligations as an employer of of F,. ' da Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as are Electrical Inspector. Master Electrician. 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, 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. / 00 9 o - 2.l 0 0 o / BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder y MIAMI SHORES VILLAGE, FLORIDA 6 PERMIT N9 296 ❑ Work to be performed under this Permi Legal Lot Description Address of -, Building � B1 Signed. In consideration of the issuance to me of this permit I agre pertaining to and in - 'ct c nformity with the plans, drawing( cepting th e onsibility for all work done q' CONTRACTOR OR BUILDER Contractor's License No. DATE lg6 3 Subdi- vision 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 drgyvings or e sta nts or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. o perform the work cover terr}g))ts or specificati self, m}/nt, se BY Value of Amount of Project $ II Permit $ BY • hereunder in compliance with all ordinances and regulations ytte to the proper authorities of Miami Shores Village. In ac- (ployee. AUTHORITY ABBOT PRINT I � I• MIAMI SHORES VILLAGE I - 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 work. , Owner's Name and Address STATE OF FLORIDA, ) COUNTY OF DADE. 1 APPLICATION FOR ELECTRICAL PERMIT - —1 - 4E �, --S Amount of Permit $_ ELECTRICAL INSPECTION DEPARTMENT appeared _ _ • - --- - •••.',-■■_w, No._ New Building Remodeling Addition. Repairs No. of Stories Registered Architect and /or Engineer -- Employing Electrician's Name 2,e-, `t ___La --s.' No.___ c ____- _________ - -____ Street -L.4 L-- ka- -4< V. Location and Legal Description Lot i ,. __Block __ Subdivision Street and Number where work is to be performed —No s__ 1 _ Street ' _e_Iss- /- . 1 1F tJ State work to be performed and purpose of building (By Floors) . C_ _ ._W� _:__-"-__l."-: ...14_:h. A._ e. t Service Overhead Size Feeders Conduit. Main Sw. Underground Type of Installation — Conduit Tubing B.X.L. Metal Moulding (Signed) k (Signed) 4- Date Amps. _ ____ Main Fuses.... 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 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. Before me, the undersigned authority, a notary public, duly authorized 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. My Commission Expires Notary Public. State of Florida `; J Master Electrican. Amps. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by imprcp,'.. 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 t _ _ .. s ' �, .. / f , ' '17L � . _ - / / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O -I HP MOTORS t -S HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK I � I• MIAMI SHORES VILLAGE I - 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 work. , Owner's Name and Address STATE OF FLORIDA, ) COUNTY OF DADE. 1 APPLICATION FOR ELECTRICAL PERMIT - —1 - 4E �, --S Amount of Permit $_ ELECTRICAL INSPECTION DEPARTMENT appeared _ _ • - --- - •••.',-■■_w, No._ New Building Remodeling Addition. Repairs No. of Stories Registered Architect and /or Engineer -- Employing Electrician's Name 2,e-, `t ___La --s.' No.___ c ____- _________ - -____ Street -L.4 L-- ka- -4< V. Location and Legal Description Lot i ,. __Block __ Subdivision Street and Number where work is to be performed —No s__ 1 _ Street ' _e_Iss- /- . 1 1F tJ State work to be performed and purpose of building (By Floors) . C_ _ ._W� _:__-"-__l."-: ...14_:h. A._ e. t Service Overhead Size Feeders Conduit. Main Sw. Underground Type of Installation — Conduit Tubing B.X.L. Metal Moulding (Signed) k (Signed) 4- Date Amps. _ ____ Main Fuses.... 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 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. Before me, the undersigned authority, a notary public, duly authorized 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. My Commission Expires Notary Public. State of Florida `; J Master Electrican. Amps. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by imprcp,'.. notice for inspection, or faulty materials and /or workmanship. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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. Owner's Name and Address.. Registered Architect and /or Engineer _. \ i t Name and address of licensed contractor Location and legal description of lot to be built o Lot Block Subdivision Street and Number where work is to be done ` i� ' State work to be done and purpose of building (by floors) and for no other purpose. No of Stories Roof Covering Amount of Permit $ — — Zone cubage required ° plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the 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 obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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. Remarks (Signed) New Building Rernodeling. Addition Repairs To be constructed of Kind of foundation.... " Estimated Total cost of improvements $ f 6 e) STATE OF FLORIDA, I COUNTY OF DADE. Disapproved (Signed) ss. MIAMI SHORES VILLAGE Building Itsp ctor BUILDING INSPECTION DEPARTMENT No Street / Chainnan Member Member 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 are true. Permit No � Date � � ) Read, Sworn to and Subscribed before me. LANNING BOARD DATE Notary Public, State of Florida My Commission Expires Member Member Member Date c d u 19 to me well known, Council Approved Date Disapproved Date 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 charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building cm other structure herein described. This application io 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.... 7 7./9R / 01h,v No 37P Registered Architect and /or Engineer Employing Electriciafi's Name C' L/• 'J -1 rt /'`✓L' No f Street .1 P ^ .5... ...... Location and Legal Description Lot Block Subdivision.... ./..... ..4/ Street and Number where work is to be performed —No ... 7 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Underground Type of Installation— Conduit Tubing..... B.X.L Amount of Permit $ os. My Commission Expires NOTE: A re-inspection fee of $1.00 will be made materials and /or workmanship. (Signed) The undersigned applicant for this building permit does hereby certify 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 this 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. Amps Main Fuses . Amps Metal Moulding STATE OP FLORIDA, } COUNTY OP DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and appeared Date ° s c . /P3 • 5 2- CSoo Street../1- e' �s Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as are (Signed).... /i%5_� 1 Master Electrician. 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 therein by him stated are true. take acknowledgments, personally same, and that all facts Notary Public, State of Florida when ouch re-inspection is made necessary by improper notice for inspection, or faulty SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T'B FIXTURES NO. LAMPS REFRIG. OUTLET l #49054f OUTLET )4 R OUTLET / . a s RANGE CONN. WATER HEATER / /. '7 .5 W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL C LIaT R ✓ G 3 ., a / • a s „� • .,� CHECK 50 ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building cm other structure herein described. This application io 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.... 7 7./9R / 01h,v No 37P Registered Architect and /or Engineer Employing Electriciafi's Name C' L/• 'J -1 rt /'`✓L' No f Street .1 P ^ .5... ...... Location and Legal Description Lot Block Subdivision.... ./..... ..4/ Street and Number where work is to be performed —No ... 7 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Underground Type of Installation— Conduit Tubing..... B.X.L Amount of Permit $ os. My Commission Expires NOTE: A re-inspection fee of $1.00 will be made materials and /or workmanship. (Signed) The undersigned applicant for this building permit does hereby certify 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 this 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. Amps Main Fuses . Amps Metal Moulding STATE OP FLORIDA, } COUNTY OP DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and appeared Date ° s c . /P3 • 5 2- CSoo Street../1- e' �s Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as are (Signed).... /i%5_� 1 Master Electrician. 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 therein by him stated are true. take acknowledgments, personally same, and that all facts Notary Public, State of Florida when ouch re-inspection is made necessary by improper notice for inspection, or faulty BUILDING ELECTRICAL PLUMBING V PERMIT N? 10967 Owner of Building Architect G MIAMI SHORES VILLAGE. FLORIDA DATE c _ Work to be performed under this Permit Contractor or Builder Legal Lot Bl. Description. Subdi- vision l s� Contractor's License No Address of .g / Value of Amt. of (i��'� Building . % - - / • ,r . r'y'`, Project $ 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 application 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 responsibility for work done by his agents, servants or employees. t. rr Signed �. +' 44 i ` ‘. BY ` ` INSPECTOR In consideration of the issuance to me of this permit I agree,.to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings; statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. nt AUTHORITY CONTRACTOR OR BUILDER BY Y4 0 Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Amount of Permit $ 55. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date C.. 1% 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. l...l.✓� � � No. 751 Street ;.s 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 building (By Floors) New Building Remodeling Addition Repairs No. ..41 is Street ... ✓ / A ° �? No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type bf /Installation— Conduit Tubing B.X.L .Metal Moulding (Signed) e�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 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 licensed by Miami Shores Village. (Signed) Master Elect n. STATE OF FLORIDA, 1 COUNTY OF DADE. I j 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 PLUO RECE'P'7'S FIXTURES NO. LAMPS REPRIO. OUTLET s OUTLET 7 - RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. A CE 14 TER STRIP HEATER TOTAL CONTR. LIST / � - 2.. CHECK ENT. SW. DIRT. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS I.8 HP NEON TRANS. RADIO TOTAL CONTR. LIST / / , ' CHECK Y4 0 Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Amount of Permit $ 55. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date C.. 1% 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. l...l.✓� � � No. 751 Street ;.s 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 building (By Floors) New Building Remodeling Addition Repairs No. ..41 is Street ... ✓ / A ° �? No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type bf /Installation— Conduit Tubing B.X.L .Metal Moulding (Signed) e�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 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 licensed by Miami Shores Village. (Signed) Master Elect n. STATE OF FLORIDA, 1 COUNTY OF DADE. I j 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.