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374 NE 95 St (6)Legal Description APPROVED: �a i ®rte PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 5 9 ` Tax Folio //7- -7 774 Master Permit it J411/43 z)C +41/ 3 Zonin Mechanical Owner / Lessee / Tenant arG�(/314 C--co0L. t-•c a 'int./ ** * * * * * * * * FEES: PERMIT 3 1' 42 RADON C.C.F. 1 / " Owner's Address 7 /0 < f st /`l/ c_- 5, Phone , //A Contracting Co. A( fie %/ Address � s i. / 1 / /41 /�s ' 57- Qualifier S/ / l= Phone 1�,fc'e�� State #Cr.e.0 Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING (CH ROOFING PAVING FENCE SIGN WORK DESCRIPTION '' ��8/ � z lk® �� G l/i (1 �►s \env %'tn► -4-arc) 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 Sig', u / � er and /or Condo President Signature of Contrdctor or Owner- Builder Date' 7 of r . Date: // 0` ?� c i 9t JOSEPHINE CHURCH /�� /� /.�, 1i : C;otary Public, State olStnttOa �tary tas to Owner and / e My Commission Expire * otar as to C y Commission NOTARY 3 O 11. v sAct... -1?? ** TOTAL DUE j /` /,C Fire Other Building Electrical Plumbing Engineering 11 t ,. - , �lwdiw�tlViWrld /. 7b 6- 0/0 r7 .............................................. . ,i,%.,.,„;,..4:::: -. ;ot ;;IA °; <1 APPLICATION FOR ELECTRICAL PERMIT ``�� C f-'� Permit No....' .(...J J O Datt �✓ °.5.... Amount of Permit $ (Signed) SS. '1 MIAMI SHORES NfILLAGE ELECTRICAL INSPECTION ljEPARTMENT (Signed) No 374 btreet Street 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, kit, 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... M.Q. (t J tc L i Registered Architect and /or Engineer ` Employing Electrician's Name. �'r" L`V N Sub Location and Legal Description Lot Block Street and Number where work is to be performed —No Street. t ° I Subdivision State work to be performed and purpose of building (By Floors) / New Building Remodeling Addition Repairs No. of Stories Service Overhe on Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P Type of Installation— Conduit Tubing B.X.L Metal Moulding Electrical The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors empl G' \ pector. employer of plement, and 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. Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A 're•inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS 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 M OTORS 1.5 HP N EON TRAN;J. RADIO TOTAL CONTR. LIST CHECK APPLICATION FOR ELECTRICAL PERMIT ``�� C f-'� Permit No....' .(...J J O Datt �✓ °.5.... Amount of Permit $ (Signed) SS. '1 MIAMI SHORES NfILLAGE ELECTRICAL INSPECTION ljEPARTMENT (Signed) No 374 btreet Street 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, kit, 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... M.Q. (t J tc L i Registered Architect and /or Engineer ` Employing Electrician's Name. �'r" L`V N Sub Location and Legal Description Lot Block Street and Number where work is to be performed —No Street. t ° I Subdivision State work to be performed and purpose of building (By Floors) / New Building Remodeling Addition Repairs No. of Stories Service Overhe on Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P Type of Installation— Conduit Tubing B.X.L Metal Moulding Electrical The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors empl G' \ pector. employer of plement, and 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. Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A 're•inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. AIR - COOL, INC CENTRAL AIR CONDITIONING CONTRACTORS -L v- ‘ L, C= - L (71, -1 (7 1,-° , 10440 S. W. 187th STREET MIAMI, FLORIDA 33157 TELEPHONE 233-0711 &A. LJ tedr