ELECTRICALPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 5 - -4 1 Job Address La s nI E 9 S S`4 • Tax Folio 1I - 3 ao ra —0 3 — a —( O
Legal Description L-1- a t , 1 K S/ S 4 A . - 1 Historically Designated: Yes No
Owner/Lessee / Tenant Master Permit # 1 :-//3
Owner's Address Co S /.I E 9 .S . Phone s S' - S (n o d
Contracting Co. La c _ S + i r%
Qualifier
WORK DESCRIPTION
Address % -1 °I o
ss# _5 i —70 0 a co
State # F a 0 0 0 ' 1 Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILD UMBING MECHANICAL ROOFING PAVING FENCE SIGN
l's a A
C � �
Square Ft Estimated Cost (value) LS
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 a
laws regulating construction and zoning. Furthermore, I authorize the above -named contr
Signature of owner and/or Condo President Date
FEES: PERMIT. /cD RADON
C.C.F. C(7 NOTARY
Signature of Contractor or Owner- Builder
liance with all applicable
Date
Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder
My Commission Expires: My Commission Expires:
asP RY PU DEBRA K. TUCKER
z C COMMISSION # CC 584522
tu1l EXPIRES MAY 5, 1997
tP �/i�`� BONDED THRU
� 4. OF t ATLANTIC BONDING CO., INC.
Date
TOTAL DUE
APPROVED:
Zoning Building Electric
Mechanical Plumbing Engineering
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 0�/d / /97 Job Address 6 s NC 9S -rr Tax Folio 11- 3 D. o — b 13
Legal Description Lo f a t/ 8 I K Historically Designated: Yes No
Owner/Lessee / Tenant YV
io5 /.4E 9S S4,
t n �1
Owner's Address
Contracting Co. Address 3 — 1410 Pot e P c Q
Qualifier o n2 S . k01- SS# Phone 9-7 ° o 3 60
State # E F oO o u 1 y/ Municipal #1
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBWG MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION do/eg)a4
Square Ft. Estimated Cost (value) 4 e?- cf
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESU LT 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
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and tha
laws regulating construction and zoning. Furthermore, I authorize the above -named con
Signal
re of owner and/or /Condo President
APPROVED:
Zoning
Mechanical
Date
Notary as to Owner and/or Condo President Date
My Cc ipission N K. TUCKER
le e, COMMISSION # CC 564832 .z EXPIRES MAY 5, 1997
iti
F fr\ ATLANTIC BONDING CO., INC.
BONDED THRU
FEES: PERMIT RADON
Plumbing
Master Permit #
C.C.F.
Phone S Fr - S1,2 o0
Competency # Ins. Co.
- e..— t --tea —
11 wo, k w 1 be done n co pliance with all applicable
or t
Signature of Contractor or Owner- udder Date
Notary as to Contractor or Owner- Builder
My Commission Expire :.:
,,@3 P( DEBRA K. TUCKER
,,•�, COMMISSION # CC 564832
�%i1r EXPIRES MAY 5, 1997
BONDED THRU
OF rfV ‘ ATLANTIC BONDING CO., INC.
-o
Date
NOTARY BOND
TOTAL DUE
Building Electrical
Engineering
Permit No.__ ` - 4 q _________
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted f6f the building or othe
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
Registered Architect and /or Engineer
J
Employing Electrician's Name __ A- fit ` F Street_______ _______________________________
Location and Legal Description Lot____ ______________________________Block
Street and Number where work is to be performed —No + - ef Street +- -- -- -- State work to be performed and purpose of building (By Floors) ' _ _1 ___ r % ` "' ('
/
New Building Remodeling Addition_ Repairs_ � No. of Stories
Service Overhead Size Feeders Conduit
Underground
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
I
APPLICATION FOR ELECTRICAL PERMIT
(Signed)
No __ Street
(Signed)
1 . •
Date lt � - , / c/
Subdivision ____— ________— _______ —__.
Main Sw _ _ _,_ Amps. Main Fuses____ Amps.
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 performed under this permit, as are
licensed by Miami Shores Village.
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. Bs.
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.
My Commission Expires Notary Public. State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No.__ ` - 4 q _________
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted f6f the building or othe
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
Registered Architect and /or Engineer
J
Employing Electrician's Name __ A- fit ` F Street_______ _______________________________
Location and Legal Description Lot____ ______________________________Block
Street and Number where work is to be performed —No + - ef Street +- -- -- -- State work to be performed and purpose of building (By Floors) ' _ _1 ___ r % ` "' ('
/
New Building Remodeling Addition_ Repairs_ � No. of Stories
Service Overhead Size Feeders Conduit
Underground
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
I
APPLICATION FOR ELECTRICAL PERMIT
(Signed)
No __ Street
(Signed)
1 . •
Date lt � - , / c/
Subdivision ____— ________— _______ —__.
Main Sw _ _ _,_ Amps. Main Fuses____ Amps.
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 performed under this permit, as are
licensed by Miami Shores Village.
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. Bs.
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.
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.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 5369
Work to performed
. , Y
or
or 'Builder u
or ild er
Legal Lot ti Bl.
bgscription
Address of 6 s,,., &P.s--s'i
Building
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 appli-
cation 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 chan_ wi t a orization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above a a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans . • }wip tti 'cations and that he assumes respon-
sibility for work done by his agents, servants or employees. ...--
g e a.. ' ,�1 B
R
In consideration of the issuance to me of this permit I agree to perform the wor coy • . hereun er in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specific ons submitted to thegnidEper authoritieslpfaierii Shores Village.
In accepting this permit I assume responsibility for all work done byither myself, my ag t, servant or employee.
under this Permit
Subdi-
vision
Value of
Project
BY
DATE `z ti 194 L
Contractor's
License No. 7
Amt. of df ,
Permit 4
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
'Owner of
Building
Architect
Contractor
or Builder
regal
Dbscription
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 5495
Work to be performed under this Permit
Bl.
Subdi-
vision
DATE 194
Contractor's
License No
Address of Value of Amt. of �'
Building J // �) �' Project Permit `Z'
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 appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. / 2
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 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.
BY AUTHORITY
Permit No.... /.1..
STATE OF FLORIDA, l
COUNTY OF DADE. I
SS.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
6 .'S No ..
Block
Date! /
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. 7 ,,
Owner's Name and Address r t No L Street
Registered Architect and /or Engine
Employing Electrician's Name
Location and Legal Description Lot
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
Street )/
Subdivision
Street ...J
_ ^ /7
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation -- Conduit Tull �°B.X.L Metal Moulding
.
Amount of Permit $ s...£2 Z.? (Signed)
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 sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) ` "r,
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No.... /.1..
STATE OF FLORIDA, l
COUNTY OF DADE. I
SS.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
6 .'S No ..
Block
Date! /
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. 7 ,,
Owner's Name and Address r t No L Street
Registered Architect and /or Engine
Employing Electrician's Name
Location and Legal Description Lot
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
Street )/
Subdivision
Street ...J
_ ^ /7
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation -- Conduit Tull �°B.X.L Metal Moulding
.
Amount of Permit $ s...£2 Z.? (Signed)
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 sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) ` "r,
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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.
Owner's Name and Address
'Registered Architect and /or Engineer '
4
Employing Electrician's Name
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Pefmit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sttbmhted (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.
Location and Legal Description v
Lot________________ ___�____ — _ ___Block
Street and Number where work is to be performed —No �
No.___ ✓'
Date
Street__��� t�
No --
Subdivision____
Street
_
State work to be performed and purpose of building (By Floors)
New Building 1 Remodeling Addition Repairs —___ No. of Stories____________
Overhead
Servicepdeu�d Size Feeders Conduit 7 Main Sw.__ — Amps. Main Fuses . Amps.
Type of Installation— Conduit Tubing__A. B.X.L.. Metal Moulding
(Signed)
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.
(Signed)
Master Electrican.
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_ _____�_W____ —_
of the above described construction, that be 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
FIXTURES
NO.LAM PS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
� ti' 7
��
/ r
r �;..;
. i/
` f
/'�
/
/
/
CHECK
It r
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
4 ,4,)
/
CHECK
Owner's Name and Address
'Registered Architect and /or Engineer '
4
Employing Electrician's Name
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Pefmit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sttbmhted (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.
Location and Legal Description v
Lot________________ ___�____ — _ ___Block
Street and Number where work is to be performed —No �
No.___ ✓'
Date
Street__��� t�
No --
Subdivision____
Street
_
State work to be performed and purpose of building (By Floors)
New Building 1 Remodeling Addition Repairs —___ No. of Stories____________
Overhead
Servicepdeu�d Size Feeders Conduit 7 Main Sw.__ — Amps. Main Fuses . Amps.
Type of Installation— Conduit Tubing__A. B.X.L.. Metal Moulding
(Signed)
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.
(Signed)
Master Electrican.
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_ _____�_W____ —_
of the above described construction, that be 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.
r `.,
t
:
)8 !
f /
UILDING
ECTRICAL
UMBING
wner of
lidding
L :
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 5369
Work to be performed under this Permit
-chitect
DATE f 1 1944
Contractor's
License No.
ontractor f
Builder
- _-,gal Lot Bl. Subdi
escription vision
ldress of s i Value of Amt. of
Aiding t :, Project Permit 1 -
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 appli-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
ans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
any time if the work is not done in compliance with such ordinances or if the plans arexhanged without authorization. A further condition upon which this
: rmit is granted is the understanding that the contractor or builder named above asmies thei sponsibility "for a thorough knowledge of the ordinances and
qulations pertaining to the work covered hereby whether shown on the plans or'd>! Wings' or in the stattoaients.or specifications and that he assumes respon-
3ility for work done by his agents, servants or employees."; ?;
Signed si /� 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
staining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
UILDING
LECTRICAL
LUMBING
PERMIT N° 5495
Work to be performed under this Permit
)weer of
;uil.ding
.rchitect
MIAMI SHORES VILLAGE, FLORIDA
DATE 194
Contractor's
License No. / tS ,
: ontractor
r Builder
.ega1 Lot Bl•
)escription
-ddress of
wilding
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 appli-
ation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any
glans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
t 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
iermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
ibility for work done by his agents, servants or employees.
Signed. By ~
INSPECTOR ';;;;;00
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
)ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
n accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. ,
Subdi-
vision
Value of
Project
Amt. of
Permit
CONTRACTOR OR BUILDER BY AUTHORITY