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54 NE 94 St (4)Permit No APPLICATION F 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 wor Owner's Name and Address. Registered Architect and /or Engine Employing Electrician's Name .. U( a No - Street /, Location and Legal Description Lot .Block Subdivision « /``Y I Street and Number where work is to be performed —No �t Street.. VI .4- ✓ / 1 State work to be performed and purpose of building (By Floors) New Building Remodeling Additiun Repairs No. of Stories Service Overhead Size Feeders Conduit Underground M.0 ,M1 S( ari- ES VILA A (ELECTRICAL INSPECTION DEPARTMENT ELECT; DEAL PERMIT L No Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (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 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 sub-contractors, on work to be . performed under this permit, as are licensed by Miami Shores Village. C� (Signed) Amps Main Fuses > Amps Date v�� J ) C ✓ Street Master Electrician. STATE OF FLORIDA, } COUNTY OP 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 be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. c ' , r .; SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'B 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 O. HP MOTORS 1.8 HP NEON TRANS. RADIO TOTAL CONTR. LIST �y C� CHECK 7 Permit No APPLICATION F 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 wor Owner's Name and Address. Registered Architect and /or Engine Employing Electrician's Name .. U( a No - Street /, Location and Legal Description Lot .Block Subdivision « /``Y I Street and Number where work is to be performed —No �t Street.. VI .4- ✓ / 1 State work to be performed and purpose of building (By Floors) New Building Remodeling Additiun Repairs No. of Stories Service Overhead Size Feeders Conduit Underground M.0 ,M1 S( ari- ES VILA A (ELECTRICAL INSPECTION DEPARTMENT ELECT; DEAL PERMIT L No Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (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 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 sub-contractors, on work to be . performed under this permit, as are licensed by Miami Shores Village. C� (Signed) Amps Main Fuses > Amps Date v�� J ) C ✓ Street Master Electrician. STATE OF FLORIDA, } COUNTY OP 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 be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. c ' , r .; MIOAIVH S H RES VOLLAGE BUILDING INSPECTION DEPARTMENT ApG L0LCATOONl FOR E_;UJOLLDDIIIG FCRMOT 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.. L... , • O G i32 - c_.5_ . No.. :::: giste Architect and /or Engineer 9 __. address of licensed contracto s .�..E2���e -%! 92,9,. -.4" it Notary Public, State of Florida Location and legal description of lot to be but on: Lot Block .. ....... .. .. ...._- __. -- -- fY SSubdivisioonn/� - Street and Number where work is to be done .-� r'( '.7__ / :-Ql JJ u .� - ._fie Sta a work qbe done an urpose of budding (b floors) _r te � �'7Z.I�� 77;122,-:: e. 3 oo ..—e..--j-z<2.-451::.-<. /L Bz . ,19 and for no other purpose. Repairs No. of Stories .... Roof Covering New Building Remodeling ... Addition To be constructed of Kind of founda - , r Estimated Total cost of improvements $.. _c _. Amount of Permit $....p�. 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 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 s subcyn ors, y work C to be performed a der this permit, as are licensed by Miami Shores Village. 6 � • • Remarks (Signed ).___ .___ ___ ,� STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared - 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 lie 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. Disapproved Date (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member . .. Member 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. BUILDING ❑ ELECTRICAL ❑ DATE 195 PLUMBING ❑ PERMIT N? 8 710 Contractor's License No ROOFING ❑ e, ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Bl. Description. Address of Building '� CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Subdi- vision Sq. Ft Value of Project $ Amt. 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 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 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