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ELECTRICAL
BUILDING ELECTRICAL PLUMBING ROOFING Owner of «.• -. -. Building T C 'L+ MIAMI SHORES VILLAGE, FLORIDA DATE i 1 1 42 Contractor's !, r Lice No. co, PERMIT Architect Contractot""- or Builder L' c +`* (-A C T # Legal Lot Description 11 Bl V. Address of tI 0 Building /- 4 l l '� , c. r i4 �7 Work to be performed under this Permit N° 7146 6:1 .. �•�. pit P 4 4- "10 h 7 r Subdi- vision a� Value of Project $ Amount of 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 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 drawings or in the statemernts or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. 1 7 J' • llI Signed. 1 INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance t� all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autho _s of Miami Shores Village. In ac• ceptinq this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. / 1"2 - �.•�_ .r✓ CONTRACTOR OR BUILDER BY AUTHORITY 4 I 0 ! Permit No.9 5 ' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 11,42-7/1W Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio:lda, 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 progrcu of work. Owner's Name and Address / .4/t//5. ,OBT d--/II No 74 Registered Architect and /or Engineer Employing Electricia am ...�f 7 0 'B �T��G i i � a • No �� 9 Street 4J' 1c). 9D x- 06 /i veis°4 ; /s " / / / � canon and Legal Descrip ion Lot g- ,...�a Block ? Aee.A.5 Street and Number where work is to be performed —No 76 Street 1elE 1:4 - State work to be performed and purpose of building (By Floors) C OdTG7 s- -r'' . New Building nn Remodeling Addition ...Y Repairs scr.. Street 41 ' ' 95 No. of Stories O ver h ea• A _Am Main Fuses Amps Service kn• erground Site Feeders //� Condurc.� /� Main Sw ... ....... Type of Installation — Conduit l/ Tubing... ... B.X.L .Metal Moulding Amount of Permit $ J STATE OF FLORIDA, COUNTY OP DADE. 1 "' (Signed) At b 4 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 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 • ork n be •erfo rued under this permit, as are licensed by Miami Shores Village. 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 face 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'►'T's FIXTURES NO LAMPS • REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER NEATER W. MEAT. CONN. SPACE NEATER STRIP M TOTAL CONTR. LIST / // 7 t'\—.C45* /4 i5 41/ CHECK ENT. SW. DIST. CAS. SERVICE Tamp. SERVICE PERM. E.e:47■ . Q �4 .. ., MOTORS 0.1 N• MOTORS 1.11 MP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No.9 5 ' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 11,42-7/1W Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio:lda, 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 progrcu of work. Owner's Name and Address / .4/t//5. ,OBT d--/II No 74 Registered Architect and /or Engineer Employing Electricia am ...�f 7 0 'B �T��G i i � a • No �� 9 Street 4J' 1c). 9D x- 06 /i veis°4 ; /s " / / / � canon and Legal Descrip ion Lot g- ,...�a Block ? Aee.A.5 Street and Number where work is to be performed —No 76 Street 1elE 1:4 - State work to be performed and purpose of building (By Floors) C OdTG7 s- -r'' . New Building nn Remodeling Addition ...Y Repairs scr.. Street 41 ' ' 95 No. of Stories O ver h ea• A _Am Main Fuses Amps Service kn• erground Site Feeders //� Condurc.� /� Main Sw ... ....... Type of Installation — Conduit l/ Tubing... ... B.X.L .Metal Moulding Amount of Permit $ J STATE OF FLORIDA, COUNTY OP DADE. 1 "' (Signed) At b 4 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 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 • ork n be •erfo rued under this permit, as are licensed by Miami Shores Village. 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 face 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 APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address 1 �Q �� E Tax p Folio // i3�A /yt a / V 6 Legal Description' \5 v � \\o a* *skier Permit # , 3 /q7) Owner / Lessee / Tenant Owner's Address ?O/ 7 q i phone Contracting Co. ` � ©0A `r� C, Address Qualifier �C1 / - Q.... 81/-7 7zf State# LAG /799 Competency # Ins . Co. �r�•c /� Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost SPI9 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. 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. Signature of Owner and /or Condo President Date: ,4,Awy Not y (s to Owner and /or Condo President My ommission Expires: ' / /�/ * * * * / PERMIT FEE: APPROVED: Zoning chanical LEGT2lG4-C- ��- V B-ep c_ * Fire Plumbing //,it t/( / Date: ure of Contractor o.A ner- Builder 4e4/4 if y as to Contractor or Owner - Builder My Commission Expires: g//O /a * * * * * * * Other Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date O ' (1-99- '" ` / • Job Address 76' C 5 S 1 Tax Folio / � a6 ��/ T C Legal Description / //o i/i »c/ e S�C / , Historically Designated: Yes No Owner/Lessee / Tenant Owner's Address Contracting Co QugifieL ) / / /A20) State # 6 ab /4 laws re_ 1. in co ction and y ary Co arc/es Ovvel c Architect/Engineer Bonding Company Address Mortgagor Address G E CTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Permit Type (circle one): BUILD WORK DESCRIPTION r_ i I ' dr Municipal # Competency # 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 cert ' at all the foregoing information is accurate and that all work will be done in comp ce with all applicable ng. Furthermore, I authorize the above -named contractor to do the w : ted. y . F r : 21 - FEES: PERMIT 3i ' 'c RADON - Date Date Address C.C.F. T O NOTARY Master Permit # H /776 Phone 7569 -&/57 Address C � /V(X/ / 4 /70 — 9600 Ins. Co. BOND TOTAL DUE 3f 66 APPROVED: Zoning Building Electrical �5"9 - Mechanical Plumbing Engineering