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ELECTRICALDate Legal Sig a��e��� caner and Date: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 77 PV , £ q6751-, Description / 9/7J 5,</e as se . 1 ,9/10 /6 630'v?/E 07Q Ok S Lessee / Tenant / .5 ©/ 1 'E'_ Master Permit 4k,..73/Z9 Phone / -.06,0 Owner's Address 29 AA , e. -- Contracting Co. 6-111 I, `ec ( - - c e Address 193 b IV `1 ) 7 1 Qualifier 4I R.. Ir I Q d 5 . 6 if SS# // =� Phone 6 37 3 Municipal # Competency # Ins.Co. /04 "'� QYI f GfSL(�r/ lJ State A Architect /Engineer Address Bonding Company ! Address Mortgagor Address Permit Type(circle one): BUILDING CT$ICAL LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 2,-.0.517//0 n Y i - ' W L?'Yh 3e ) GP_ Q ylvt ,b vec,, er o Yre I ,, 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, 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 wit, all applicable laws regulating o .truction and zoning. Furthermore, I auth• z e the above— . I'd contractor to do the work st �. • t ∎ 1441 - •i • JOSEPHINE CHURCH •' No. CC197545 blic N• 'a& "s to Owner arr'df'bp" ° nc t tr�s[d�ra3>jI.D My Commission Expire ' n ,, , ,.° �•pr .:e,1 nberc� 1 D. produced: Tax Folio I C 3 c o6 /3807.24 e 'i / . air Signatv e of C Date: %/a9 9,. tar as to Corit•rsactptnom [bn►ets 7 d> �3e y Commission Ei ire : !11rn cr c I,Ia, prod,:ccc: lliD take an oath, or 0 DPD rake an oath, or ** * * * take as bath. * * * * * 1D N T take *1 oath. * DID NCA FEES: PERMIT c O/ ,1 RADON C.C.F. /` 0 a NOTARY 5 o r PV TOTAL DUE,p # P APPROVED: Fire Other Zoning Buildin: '(. p V2r07 Mechanical Plumbing Engineering ** MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL.rERMIT /. 7 Permit No.___ —____ 1 / ' Date_ ____. e with submi tf ed for Application is hereby made for the approval of the detailed statement of the plans and specifications her the bdllding 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. f Owner's Name and Address ___ _ _r_ T I_:;, ,,r' ` 7 ^ .. r >~____ No. 7 7 7( f � �` r- - - re t Registered Architect and /or Engineer __ "► ..ter " a /-.0 1 -L 2 " 7 -- -- Employing Electrician's Name � ___ _:.. - 1 — » �-" s_ No._____1__ _____ __ L. Location and Legal Description Lot_ __,..0_ / —a" 16-- Block v Subdivision____ _I_ J--- Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building_— Service Main / w.___ 1 _ Amps. Main Fuses / U nderground Size Feeders Conduit i S t AP ' iAmps. - - - 02. Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amount of Permit $ Remodeling Addition (Signed Street Repairs My Commission Expires Notary Public, State of Florida - r No. of Stories Electrical I nspr4Ctor. 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) F " Master Electrican. STATE OF FLORIDA, 1 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, 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. 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.LAMMMPS_ / M._ REFRIG. OUTLET f / IRON OUTLET RANGE OUTLET / / +- RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER I`�.2.... .2.... ` STRIP HEATER TOTAL CONTR. LIST I / 2 CHECK /( - .. ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL.rERMIT /. 7 Permit No.___ —____ 1 / ' Date_ ____. e with submi tf ed for Application is hereby made for the approval of the detailed statement of the plans and specifications her the bdllding 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. f Owner's Name and Address ___ _ _r_ T I_:;, ,,r' ` 7 ^ .. r >~____ No. 7 7 7( f � �` r- - - re t Registered Architect and /or Engineer __ "► ..ter " a /-.0 1 -L 2 " 7 -- -- Employing Electrician's Name � ___ _:.. - 1 — » �-" s_ No._____1__ _____ __ L. Location and Legal Description Lot_ __,..0_ / —a" 16-- Block v Subdivision____ _I_ J--- Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building_— Service Main / w.___ 1 _ Amps. Main Fuses / U nderground Size Feeders Conduit i S t AP ' iAmps. - - - 02. Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amount of Permit $ Remodeling Addition (Signed Street Repairs My Commission Expires Notary Public, State of Florida - r No. of Stories Electrical I nspr4Ctor. 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) F " Master Electrican. STATE OF FLORIDA, 1 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, 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. 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. JOB: BUILDING ELECTRICAL PLUMBING 1 6 / ; , * 1 , Inspector's Report : AD: WORK DONE BY: • :REQUESTED • :/;"/ The following is ready for Inspection: - , r • WILL BE READY JOB: , r- BUILDING ELECTRICAL PLUMBING Inspector's Report: 0• • • • • • • r75/ ▪ • The following is ready for Iiisp ction: WORK DONE BY: • : REQUESTED : WILL BE READY k / 2 . / i / 2._. t., / / 2... / 2: L / / , Permit No.__ ` - •no _! / Owner's Name and Address __ Street and Number where work is to be performed —No. New Building_______ Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit ' ed for the biding 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. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT State work to be performed and purpose of building (By Floors) Date No. ____- 77 to-/ S rett Registered Architect and /or Engineer Employing Electrician's Name_ : No _ re ___- -1 Location and Legal Description Lot Block Subdivision_ Remodeling Addition Repairs No. of Stories Overhead // Service Underground Size Feeders Conduit__1 Main Sw.1( J _ Amps. Main Fuses / Type of Installation— Conduit______________ Tubing B.X.L. Metal Moulding (Signed .�TLfe 4 -� �.^_;�.•' i Electrical Insp or. 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) Street__ Notary Public. State of Florida Master Electrican. Amps. STATE OF FLORIDA, k 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, 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. 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- - J 7 L('1+ 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 r / Y ` 1 / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No.__ ` - •no _! / Owner's Name and Address __ Street and Number where work is to be performed —No. New Building_______ Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit ' ed for the biding 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. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT State work to be performed and purpose of building (By Floors) Date No. ____- 77 to-/ S rett Registered Architect and /or Engineer Employing Electrician's Name_ : No _ re ___- -1 Location and Legal Description Lot Block Subdivision_ Remodeling Addition Repairs No. of Stories Overhead // Service Underground Size Feeders Conduit__1 Main Sw.1( J _ Amps. Main Fuses / Type of Installation— Conduit______________ Tubing B.X.L. Metal Moulding (Signed .�TLfe 4 -� �.^_;�.•' i Electrical Insp or. 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) Street__ Notary Public. State of Florida Master Electrican. Amps. STATE OF FLORIDA, k 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, 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. 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 -egal )escription Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 2422 DATE f Work to be performed under this Permit r Owner of Building Architect Tontractor * Builder BI. Subdi- vision Contractor's License No. r Value Building j ' ' r Project of Permit of ' Address of ' This permit israted 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 p latet or drawings or in the statements 4` specifications and that he assumes responsibility for work done by his agents, servants or employees. a 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, pervant or employee. c CO 559. BUILDER BY A f ., AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description . . CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 2430 Work to performed under this Permit L 81. Subdi- vision DATE 194 Contractor's License No. Address of r Value of Amt. of : , ..€ ` +r � . Project Permit 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 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 mar , 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. - ` { f d` Signed. ' '40' .. V+'. •, t.lietio. 44.4- B 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 work done by either myself, my agent, servant or employee. BY AUTHORITY • MIAMI SHORES VILLAGE - ELECTRICAL INSPECTION DEPARTMENT ?S APPLICATION FOR ELECTRICAL PERMIT Permit No Q 'V? r' / 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 fs made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiurida, 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 wor Owner's Name and Address... Registered Architect and /or F'ngineer 1 Employing Electrician's Name No Street Location and Legal Description Lot � i P 0 ..2-i 41 9 'Z " Block 5 Subdivision 1 -5-- .... Street and Number where work is to be performed "7. /16.g.. %F Street /5` . „,,d State work to be performed and purpose of building (By Floors) New Building Remodeling I Addition....4/ Repairs No. of Stories Overhead Service Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation -- Conduit Tubing B.X.L .Metal Moulding Df I �- Amount of Permit $ l- (Signed) E ctrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe anent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contracto employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection 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. STATE OF FLORIDA, COUNTY OF DADE. } ss. 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 b made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. No..7 ALE, E, 9.- Street.... Date z7- r SWITCH OUTLETS LIGHT OUTLETS I, PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. SPACE NEATER STRIP H EATER TOTAL CONTR. LIST CHICK E NT. SW. DIST. CAB. SERVICE TEMP. SERVICE' PERM. u%OTORS • -I ; L 0.1 HP MOTORS 1.3 HP N EON TRANS. RADIO TOTAL, CONTR. LIST CHECK MIAMI SHORES VILLAGE - ELECTRICAL INSPECTION DEPARTMENT ?S APPLICATION FOR ELECTRICAL PERMIT Permit No Q 'V? r' / 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 fs made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiurida, 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 wor Owner's Name and Address... Registered Architect and /or F'ngineer 1 Employing Electrician's Name No Street Location and Legal Description Lot � i P 0 ..2-i 41 9 'Z " Block 5 Subdivision 1 -5-- .... Street and Number where work is to be performed "7. /16.g.. %F Street /5` . „,,d State work to be performed and purpose of building (By Floors) New Building Remodeling I Addition....4/ Repairs No. of Stories Overhead Service Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation -- Conduit Tubing B.X.L .Metal Moulding Df I �- Amount of Permit $ l- (Signed) E ctrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe anent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contracto employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection 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. STATE OF FLORIDA, COUNTY OF DADE. } ss. 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 b made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. No..7 ALE, E, 9.- Street.... Date z7- r 44c0A16 11 5 MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL L' PLUMBING PERMIT N9 299 ❑ ROOFING �] ❑ Owner of Building Architect Contractor or Builder Legal Lot Description Bl Address of Building 1 s ,' CONTRACTOR OR BUILDER DATE 19 Contractor's License No. =' ' Work to be performed under this Permit Subdi- vision Value of 11 Amount of Project $ 11 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 nit 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. 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Al$OT PRINT Permit No Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Descriptio t Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT D Block (Signed) Da Application is hereby made for the approval of the detailed statement of the plans and specificatio erewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Buildi . • rdinance 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. �+ u / Owner's Name and Address..A.:. r ,- 5:./�' (92.A • Street and Number where work is to be performed —No 1 IV 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 Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding Main Sw Amps Main Fuses Amps Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob lotions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida/ ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-cont .Ctors 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 as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. J ss. No Street (Signed ._ st2e5 5"/ 4, g. Subdivision ork such public notice or notices erformed under this permit, as are 0 // 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. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will bg made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIOHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.3 HP 1 NEON TRANS. P0/7/%9 RADIO TOTAL —1 / / -- CONTR. LIST 1 "° .0 CHECK Permit No Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Descriptio t Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT D Block (Signed) Da Application is hereby made for the approval of the detailed statement of the plans and specificatio erewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Buildi . • rdinance 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. �+ u / Owner's Name and Address..A.:. r ,- 5:./�' (92.A • Street and Number where work is to be performed —No 1 IV 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 Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding Main Sw Amps Main Fuses Amps Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob lotions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida/ ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-cont .Ctors 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 as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. J ss. No Street (Signed ._ st2e5 5"/ 4, g. Subdivision ork such public notice or notices erformed under this permit, as are 0 // 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. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will bg made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.