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912 NE 95 StMIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT • Permit No � ... Date 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. Owner's Name and Address No Street Registered Architect and /or Engineer Employing Electrician's Name.f / I •• Location and Legal Description Lot Block Street and Number where work is to be performed —No Street 7 State work to be performed and purpose of building (By Floors)....!/ ` New Building Remodeling Addition STATE OP FLORIDA, 1 COUNTY OF DADE. 1 SS. No.....ef... Street Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) s: • Subdivision Master trician. 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK I.Q O ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK ` n V MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT • Permit No � ... Date 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. Owner's Name and Address No Street Registered Architect and /or Engineer Employing Electrician's Name.f / I •• Location and Legal Description Lot Block Street and Number where work is to be performed —No Street 7 State work to be performed and purpose of building (By Floors)....!/ ` New Building Remodeling Addition STATE OP FLORIDA, 1 COUNTY OF DADE. 1 SS. No.....ef... Street Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) s: • Subdivision Master trician. 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. Permit No.. .4 c= 41 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. Owner's Name and Address. p / � �� lj No � ' Street 11 Registered Architect and /or Engineer Employing Electrician's Name No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be - performed —No Street State work to be performed and purpose of building (By Floors) New Building I- Remodeling - Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding STATE OF FLORIDA, } COUNTY OF DADE. v SS. APPLICATION FOR ELECTRICAL PERMIT Pi Date MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Amount of Pe it $ " (Signed) lectrical 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 mploy only such su -contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. / j =2 s /,,, : I ,, a ; y� (Signed) 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 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.. .4 c= 41 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. Owner's Name and Address. p / � �� lj No � ' Street 11 Registered Architect and /or Engineer Employing Electrician's Name No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be - performed —No Street State work to be performed and purpose of building (By Floors) New Building I- Remodeling - Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding STATE OF FLORIDA, } COUNTY OF DADE. v SS. APPLICATION FOR ELECTRICAL PERMIT Pi Date MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Amount of Pe it $ " (Signed) lectrical 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 mploy only such su -contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. / j =2 s /,,, : I ,, a ; y� (Signed) 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 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 Employing Electrician's Name. ..6!l- ,% %- State work to be performed and purpose of building (By Floors) STATE OF FLORIDA, 1 COUNTY OF DADE. I SS. MIAMI SHORES VILLAGE o : ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Application is hereb made for the approval of the detailed statement of the plans and specifications herewith sulimitted 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. Amount of Permit $ U ` , (Signed) Date /0 No Street No Street ': S 4 `` s Location and Legal Description Lot C> Bloc Subdivision Street and Number where work is to be performed —No 1l 0 Yv R a Street.... ?gr � � New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding 4 EleL rical 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) ent . 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- spection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or orkmanship. 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 MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name. ..6!l- ,% %- State work to be performed and purpose of building (By Floors) STATE OF FLORIDA, 1 COUNTY OF DADE. I SS. MIAMI SHORES VILLAGE o : ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Application is hereb made for the approval of the detailed statement of the plans and specifications herewith sulimitted 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. Amount of Permit $ U ` , (Signed) Date /0 No Street No Street ': S 4 `` s Location and Legal Description Lot C> Bloc Subdivision Street and Number where work is to be performed —No 1l 0 Yv R a Street.... ?gr � � New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding 4 EleL rical 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) ent . 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- spection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or orkmanship. C Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su bmitted Cor 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. Owner's Name and Address n ., No d Na P i Street er . e Registered Architect and /or Engineer ,b o MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Street and Number where work is to be performed —No Employing Electrician's Name Location and Legal Description Lot Block State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding � f' ;,, n ^ire, r h kr f C ' a n n ";tc ` ' n .. cN�L'fuc, e _ ,;, U k )111 ^ , elf _-:. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. } SS. G � The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to licensed by Miami Shores Village. (Signed) Street No 4 �.. Street... l f' (.;r �E A � .'. Subdivision Main Fuses Amps (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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 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 «7 rpl q CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST r �� / ��, f; qi !C.a,- - f)J CHECK C Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su bmitted Cor 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. Owner's Name and Address n ., No d Na P i Street er . e Registered Architect and /or Engineer ,b o MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Street and Number where work is to be performed —No Employing Electrician's Name Location and Legal Description Lot Block State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding � f' ;,, n ^ire, r h kr f C ' a n n ";tc ` ' n .. cN�L'fuc, e _ ,;, U k )111 ^ , elf _-:. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. } SS. G � The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to licensed by Miami Shores Village. (Signed) Street No 4 �.. Street... l f' (.;r �E A � .'. Subdivision Main Fuses Amps (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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 be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date e 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. Owner's Name and Address i No , w ' . Street ..// Registered Architect and /or Engineer Employing Electrician's Name No Location and Legal Description Lot Block Subdivision • Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) Amount of Permit $ (Signed) Electrical Inspector The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. s s. _ (Signed) Master Electrician. New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST • CHECK , r _ , • ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•3 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date e 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. Owner's Name and Address i No , w ' . Street ..// Registered Architect and /or Engineer Employing Electrician's Name No Location and Legal Description Lot Block Subdivision • Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) Amount of Permit $ (Signed) Electrical Inspector The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. s s. _ (Signed) Master Electrician. New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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. S �.Q ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ° Date 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. Owner's Name and Address ? Registered Architect and /or Engineer Employing Electrician's Name Amount of Permit $ S�� STATE OF FLORIDA, 1 COUNTY OF DADE. J j MIAMI SHORES VILLAGE Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No 2 ' 'L� Street - No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories �® © ice Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing 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 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 work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)j No - i.1..70' Street Street G� c t_ :9, 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. Master Electrician. My Commission Expires Notary Public, State Florida NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper n ' e for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUO RECE'P'T'S FIXTURES N O. LAMPS REFRIO. O UTLET IRON O UTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. SPACE H EATER STRIP H EATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP MOTORS 1 -5 HP N EON TRANS. RADIO TOTAL CONTR. © LIST / 577 �' -� °721141 /s /'° °- CHECK �- =� S �.Q ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ° Date 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. Owner's Name and Address ? Registered Architect and /or Engineer Employing Electrician's Name Amount of Permit $ S�� STATE OF FLORIDA, 1 COUNTY OF DADE. J j MIAMI SHORES VILLAGE Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No 2 ' 'L� Street - No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories �® © ice Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing 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 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 work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)j No - i.1..70' Street Street G� c t_ :9, 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. Master Electrician. My Commission Expires Notary Public, State Florida NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper n ' e for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3046 DATE 194_ — Contractor's License No. Work to be performed under this Permit Bl. Subdi- vision 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 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, servant or employee. CONTRACTOR OR BUILDER BY - AUTHORITY - ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Contractor or Electrician NO. Outlets Motors Receptacles Generators Stoves Water Heaters aianii cShores91llage F L O R ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , LO CATI 0 N STREET PART OF LOT LOT BL'K DESCRIPTION OF WORK NUMBER OF Signs Billboards 19 Other Apparatus SUBDIVISION N° 324 Permit Fee This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. Dated , 19 ��, ' (Seal) Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Contractor or Electrician aiami cJltores9llage F L O A ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , 19 LO CATI O N STREET PART OF LOT LOT BL'K NO. DESCRIPTION OF WORK SUBDIVISION N° 338 This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. Dated , 19 (Seal) NO. STREET PART OF LOT LOT BL'K SUBDIVISION y y ' Y Other Apparatus ,_ Permit Fee • Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee ._.. [ ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Contractor or Electrician Dated x .� 19 aiarni =ihores F L O R ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , 19 LOCATION DESCRIPTION OF WORK This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with ie Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the ate of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami ores Village. (Seal) NO. STREET PART OF LOT LOT BL'K SUBDIVISION 1 ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Contractor or Electrician Outlets Motors Receptacles Generators Stoves Dated , 19 OFFICE CF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , DESCRIPTION OF WORK Water Heaters iami Jhores'9illage F L O R ID A NUMBER OF LO CATI 0 N Signs Billboards 19 Other Apparatus N° 358 Permit Fee This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. (Seal) BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description. Address of Building Lot L; PERMIT N° 15008 [� Work to be performed under this 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 nan ed 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. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Signed: Subdi- vision Value of Project $ BY DATE 195 e7 BY Contractor's License No Amt. of Permit :of . - 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. AUTHORITY MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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. Owner's Name and Address g E_. _ r__ __ No. 2°' Registered Architect and /or Engineer Employing Electrician's Name �'_rc '` �'� % —�._� No Location and Legal Description Lot _Block Street and Number where work is to be performed—No _ `2 / 2 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Amount of Permit $ ss. My Commission Expires (Signed) Date Street_-' /_ f:_ :J . Repairs ___ No. of Stories Service Overhead Size Feeders Conduit._______ Main Sw. Amps. Underground Type of Installation— Conduit Tubing _ _ B.X.L. Metal Moulding ________________ Main Fuses_ - -_ _Amps. 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. ( .i Master Electrican. STATE OF FLORIDA, I 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. Notary Public. State of Florida Electrical Inspector. 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 O UTLETS LIGHT OUTLETS PLUG R ECE'P'T'8 FIXTURES NO. LAMPS REFRIO. O UTLET IRON O UTLET RANGE O UTLET RANGE CONN. WATER H EATER W. H EAT. CONN. SPACE H EATER STRIP H EATER TOTAL CONTR. LIST 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 PERMIT 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. Owner's Name and Address g E_. _ r__ __ No. 2°' Registered Architect and /or Engineer Employing Electrician's Name �'_rc '` �'� % —�._� No Location and Legal Description Lot _Block Street and Number where work is to be performed—No _ `2 / 2 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Amount of Permit $ ss. My Commission Expires (Signed) Date Street_-' /_ f:_ :J . Repairs ___ No. of Stories Service Overhead Size Feeders Conduit._______ Main Sw. Amps. Underground Type of Installation— Conduit Tubing _ _ B.X.L. Metal Moulding ________________ Main Fuses_ - -_ _Amps. 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. ( .i Master Electrican. STATE OF FLORIDA, I 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. Notary Public. State of Florida Electrical Inspector. 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 No Service Overhead Size Feeders Underground Type of Installation— Conduit Amount of Permit $ APPLICATION FOR ELECTRICAL PERMIT 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. Owner's Name and Address 4__?v_ _„_��IQ kegistered Architect and /or Engineer Employing Electrician's Name _ -- 42 r� � . _ � l �� � No _ ____ —__: Street___ w__��_� - �4�� Location and Legal Description Lot — _,_________________Block Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors) New Building Remodeling The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section. 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. t ss. Before me, the undersigned authority, a notary public, duly My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Date Addition.. Repairs No. of Stories_____________ Conduit_________ Main Sw _ — Amps. Main Fuses_ Tubing_________ —_ B.X.L. • .Metal Moulding (Signed) Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are Master Electrican. 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. 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 s N 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 Service Overhead Size Feeders Underground Type of Installation— Conduit Amount of Permit $ APPLICATION FOR ELECTRICAL PERMIT 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. Owner's Name and Address 4__?v_ _„_��IQ kegistered Architect and /or Engineer Employing Electrician's Name _ -- 42 r� � . _ � l �� � No _ ____ —__: Street___ w__��_� - �4�� Location and Legal Description Lot — _,_________________Block Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors) New Building Remodeling The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section. 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. t ss. Before me, the undersigned authority, a notary public, duly My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Date Addition.. Repairs No. of Stories_____________ Conduit_________ Main Sw _ — Amps. Main Fuses_ Tubing_________ —_ B.X.L. • .Metal Moulding (Signed) Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are Master Electrican. 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. 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 No. Registered Architect and /or EngiriF er Employing Electrician's Electrician's Name Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. S S . MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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- orajAn ed plans and specifications must be kept at building during progress of work. Owner's Name and Address 0 •1 ' ' 7 9 ) PI No .wreet A- (Signed) ' 5 Date •." --, 1 Ti4et Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition X Repairs No. of Stories Overhead Service Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation—Conduit Tubing 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 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. 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 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. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS I-8 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No. Registered Architect and /or EngiriF er Employing Electrician's Electrician's Name Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. S S . MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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- orajAn ed plans and specifications must be kept at building during progress of work. Owner's Name and Address 0 •1 ' ' 7 9 ) PI No .wreet A- (Signed) ' 5 Date •." --, 1 Ti4et Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition X Repairs No. of Stories Overhead Service Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation—Conduit Tubing 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 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. 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 be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. PHONE 7 -4729 uT13 .1L0 (D a�7>� I•wiE 575 N. E. 66TH STREET MIAMI, FLORIDA • C l / r r • ft 1: f . ki- r '4 n ' FLOORS FIXTURES ONLY NUMBERS OF TOTAL OUTLETS SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS MAIN SUB[ BRANCHES BASEMENT FIRST SECOND THIRD FOURTH APPLICATION No 3s- DATF 193_ ELECTRICAL DIVISION OF THE CITY OF MIAMI Desiring your certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electric Code and the City Ordinance pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION WILL BE RETURNED /, y � ��� ' LOT NUMBER !, V ✓� � BLOCK NUMBER SUBDIVISION �" �r / � STREET AND NUMBER G � �� I ( , l / . �� SIDF C �� r� � ��_ �" / i;/ 0 1 OWNER i OCCUPANT t OCCUPIED As BUILDING - - NEW OR OLD (UNDERLINE WHICH) WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR SPECIFICATIONS H. P. OF EACH MOTOn VOLTS TOTAL. AMPS PHASF RECPTACLES SWITCHES STOVES WATER HEATERS SIGNS KIND OF INSTALLATION REMARKS CONTRACT 1 1 BY CEILING BRACKETS PROGRESS WILL INSPECT AGAIN ROUGH WIRING FINAL No. CORRECTED TEMPORARY DAYS DATE ISSUED OPEN OR CONCEALED KNOB, RX.. BX.. MLDG.. CONDUIT, METALLIC TUBING FEE REMITTED INSPECTIONSWANTED (J SPACE BELOW FOR INSPECTOR'S USE ONLY 7 OTHER 7 ADDRESS RECEIVED BY INSPECTOR INSPECTED REMARKS INSPECTOR OUTLETS MOTORS RECEPTACLES GENERATORS STOVES WATER H'TERS SIGNS BILLBOARDS 41THER APPARATUS MAIN I BRANCH Basement ,fir' / First I G C FLOOR NUMBER OF SIZES OF INSULATION OPEN OR CONCEAL'D NUMBER OF CIRCUITS OUTLETS MOTOR GEN. MAIN SUB BRANCH Basement First I G C Second Third Fourth Other Floors 41iami cShores91llage FL O A I D A APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for issuance of permit for electrical installation as described below, and for inspection of same after installation: / Date 193, i Owne ddress /'>) Building Contractor, � ���'� �'��' �/' ;'- 44 Electrical Contractor. 6 (: ' � �'Block Subdivision ,/ ' Location of proposed work:, Lot L , 7 /' Building: Old or new Number of stories Used as Description of proposed work Details of proposed work: Number of Motors H P Volts Additional Information Signature of Applicant Address (if other than owner or contractor) 1; , (SPACE BELOW FOR INSPECTOR'S UBE ONLY Work begun Inspected Work finished Final inspection Amps Phasp (yr , Inspector CEILING BRACKETS RECPTACLE• SWITCHES STO1R• WATER HEATERS SIGNS AN, OTHER APPARATUS / V 6 2Z Ot / / . /� / '-' FLOORS FIXTURES ONLY NUMBERS OF TOTAL OUTLETS SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS MAIN SUBS BRANCH[• BASEMENT _ 5' '^/' /� 7�° FIRST SECOND THIRD FAIIRTM CONTRACTOR BY LOT NUMBE STREET A OWNER OCCUPIED As ELECTRICAL DIVISION OF THE C O Desiring your certificate of Approval, application is hereby made for an inspection installation in the premises stated below, for which undersigned agrees to correct any the National Electric Code and the City Ordinance pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR WILL BE RETURNED ` A UMBER 9/2 r BUILDING- -NEW OR OLD (UNDERLINE WHICH) APPLICATION BLOCK NUMBER SUBDIVISION • Ii RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN ROUGH WIRING FINAL No CORRECTED TEMPORARY DAYS. DATE ISSUED DATE SIDE No. I Y F OCCUPANT WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR SPECIFICATIONS H. P. OF EACH MOTOn VOLTS TOTAL AMPS INSPECTION WANTED FEE REMITTED SPACE BELOW FOR INSPECTOR'S USE ONLY PHASF 193r MIAMI of the electric infractions of APPLICATION KIND OF INSTALLATION OPEN OR CONCEALED KNOB, RX.. BX.. MLDG., CONDUIT, METALLIC TUBING REMARKS INSPECTED REMARKS '1i2F�Cr, . ." ,2 ,7 'i : ;i • INSPECTOR CEILING BRACKETS RECPTACLES SWITCHES STOVES WATER HEATERS SIGNS Am, OTHER • BRACKETS MAIN •USS BRANCHES BASEMENT FLOORS FIXTURES ONLY NUMBERS OF TOTAL OUTLETS SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS _ LIGHTS CEILING BRACKETS MAIN •USS BRANCHES BASEMENT FIRST SECOND THIRD FOURTH / 4 ,G^ AVOID LOT NUMBER REMARKS BY DATF (-2 ELECTRICAL DIVISION OF THE CITY OF Desiring your certificate of Approval, application is hereby made for an inspection installation in the premises stated below, for which undersigned agrees to correct any the National Electric Code and the City Ordinance pointed out by Inspector. LOCATION DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR WILL BE RETURNED fl STREET AND NUMBER Q/ BUILDING - NEW OR OLD (UNDERLINE WHICH) PROGRESS WILL INSPECT AGAIN ROUGH WIRING FINAL No CORRECTED TEMPORARY DAYS. DATE ISSUED BLOCK NUMBER SUBDIVISION APPLICATION v H. P. OF EACH MOTOR VOLTS TOTAL AMPS OCCUPANT ADDRESS SIDE �J SPACE BELOW FOR INSPECTOR'S USE ONLY FEE REMITTED f� v ii /il )N WANTED /it f ti k No WORK - ADDITIONAL, NEW. ALTERATION OR REPAIR SPECIFICATIONS PHASF \ - 19s— MIAMI of the electric infractions of APPLICATION OCCUPIED As KIND OF INSTALLATION OPEN OR CONCEALED KNOB, RX.. BX.. MLDG., CONDUIT, METALLIC TUBING RECEIVED BY INSPECTOR INSPECTED REMARKS INSPECTOR NO. STREET PART OF LOT LOT BL'K SUBDIVISION 9 i ,o' '-. i -, Other Apparatus Permit Fee Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee y i 's it w b �c,ry / , ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Buildin g 4 j •ractor or Electrician cfhores F L O 6 ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , i I 7' N LO CATI 0 N DESCRIPTION OF WORK This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time A. upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any chi nge in the plans and specif unauthorized by thi�epartment. Y ?y ,.. , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and,all mules nd regulations of the Electrical Department of Miami Shores Village. " Dated t- 14 , , 19 4 . p s 19Qr' N? 335 • (Seal) NO. STREET PART OF LOT LOT BL'K Water Heaters SUBDIVISION /� '/� . Permit Fee / 4 ' Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building t /(% COractor or Electrician, aiami cflzores9llage F L O R ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla ,' l 19 LO CATI 0 N N° 338 • 1 his Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with he plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code f Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time pon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by ijilepartment. DESCRIPTION OF WORK , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the of Florida, all the Electrical Ordinances and Codes of Miami Shores val..,., and all ___,__ and regulafions of the Electrical Department of Miami es Village. Dated , 19 (Seal) ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Co > ctor or Electrician STREET PART OF LOT LOT BL'K NO. Outlets this Department. • Motors Receptacles Generators Stoves ddliami cfhores9' llage F L O R ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , 19 LO CATI O N DESCRIPTION OF WORK Water Heaters NUMBER OF Signs Billboards Other Apparatus SUBDIVISION N9 358 • Permit Fee This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by • , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. Dated , 19 (Seal) Outlets Motors NO. Generators STREET PART OF LOT LOT BL'K SUBDIVISION ii i, aayy Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee "a , �t ,' ' a , ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. aiami cShores F L O A ID A OFFICE OF ELECTRICAL DEPARTMENT .. .; O er Of Building � ' Miami Shores Village, Fla , •,-, 19 /j : d� yr / g , Co ractor or Electrician "' - DESCRIPTION OF WORK LOCATION Th is Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time up the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by th (.• , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rule and' regulations of the Electrical Department of Miami Shores Village. \� Dated 6 _ ; 19 / II N? 324 • as (Seal) CI Li PERMIT N? 15282 El ❑ Work to be performed under this Permit BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot II Bl. Description. Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project $ DATE 195 Contractor's License No 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 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA n PERMIT N? 13447 ❑ Work to be performed under this Permit Bl. Subdi- vision Value of Project $ DATE 195 Contractor's License No 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 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot n n II CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 13338 Work to be performed under this Permit Bl. Subdi- vision Value of Project $ DATE Contractor's License No Amt. of Permit $ J 195 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 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 11481 n Work to be performed under this Permit Architect Contractor or Builder Legal Lot 11 Bi. Subdi- Description vision Address of Value of Amt. of ^w Building j Project $ Permit $ r` i This permif' 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. CONTkAtTOR OR 1501LDER • Signed. d'" a1 fxspEt BY DATE Contractor's License No BY 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. L '' ' 14. G 1 � /�`_.- / ✓ AUTHORITY J"7 195 JOB o 'Va ArD: 57/ 2, BUILDING ELECTRICAL' PLUMBING The Following is ready for inspection: Inspector's Report: �- WORK Ze fie 6 6 DONE BY • REQUESTED : WILL BE READY PERMIT APPLIICATION FOR MIAMI SHORES VILLAGE Date l 1 - 10) . Job Address ( IQ, k€7, `/fS z ee$ Tax Folio d ki. ( 1 ()Q 1 () Legal Description f'"`� // 6' 7% -• Owner / Lessee / Tenant Pa.LAAC tiCfrl i2Ci Master Permit #53,?// Owner's Address C l i Lib `1 S Phone C I4,9 - 4 Ya Contracting Co. � � ti k)(2 ` rae g ���Ot. ISE'. $ecun-k1 \�5. Addr Qualifier Vino ein+ �_ �GIAm �,1/Al�SS4taol - / �� Phone 1" G k.q 93 State # Municipal # Competency #E.FCZCZa Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION iN4001 cvlevifl pl Square Ft. 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 don in compliance with all applicable laws regulating construction and zoning. Furthermore, I authoc�e the a'•ve -named contractor to do the work stated. Signature "o owner and /or Condo President Date: 3/! /9 '- Not y as to Owner and /or Condo Presid My Commission Expires: ALL,. 4 ,1 1 tg94 Lear/y-13- Cc uAr ey c? c #a o to e41-9 FEES: PERMIT APPROVED: * * Estimated Cost(value) c Dry X57 . O ' at, 4 � ✓ . �0 (. G � d Signature of Contractor or Owner- Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: f 110711.1:177 PLY -11.7 13II1 * * * * * * * * * ** RADON C.C.F. '5 NOTARY TOTAL DUE ,M4 1> Fire Other Zoning Building Electrical Mechanical Plumbing Engineerin 11