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935 NE 95 St (9)Company Phone # Inspection Date MIAMI, SHORES VILLAGE BUILDING DEPART 305 - 795 -2204 uildirg Inspection Reques Data Type Insp'n i0 ( \ • e Permit No.6 (-9.003 °)' J Name 1:04 pp �� Address Q�� 1" q S Approved Correction 171 Re- Insp'n Fee ❑ /9T /,‘-`—>-/ e"/ ede- MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n Permit No. E. LC r ji 5 Name Address q? luG Q5 5' • Company n; n Phone # f.l ‘ 3 For Inspector: et—. /0 ( i Name & Date Approved Correction ❑ / , ' " e 7 Re- Insp'n Fee ❑ r MIAMI SHORES VILLAGE BUILDING DEPARTM 305- 795 -2204 Building Inspection Reques ( �l Date / Type Insp'n Permit No. Ez DD 3 - / /,5" Name Address n '''' ! T, � s/ Company ��(,!/12G egg-d - Phone # J1211 /oD 3 Inspection Date 2 - Dl Approved L�J' Correction ❑ 7 Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTME 305- 795 -2204 Building Inspection Request Date' 1 Time ( Q Type Insp'n $f J ll �'� W ) • LU //'�� -CC Permit No. �t o�W� I 1 J Name L� Address q3S ct 5 54 Company 3C a(2) c3 Phone # For Inspector: Approved Correction Re- Insp'n Fee \00 Name & Date pp,e- w A vcop:/7 MIAMI SHORES VILLAGE BUILDING DEPART » T 305- 795 -2204 Building Inspection Requ:.t Date 0 0 ' Time Type Insp'n Permit No. Eva.00a- 115 . Name 0 0 11 9 Address 13 5 N C Company c nde rs Phone # For Inspector: Approved Correction Re- Insp'n Fee Name & Date MIAMI SHORES VILLAGE BUILDING DEPART ► T 305- 795 -2204 Building Inspection Req Date I Ik2A0 3 Time Type Insp'n R() Ucbck Permit No. zL 0 3' i r S Name Approved Correction Re- Insp'n Fee ,Address 935 e �('5 Company Phone # .30S — (42L( For Inspector: el_ t 1\13 1003 Name & Date Miami Shores Village OCT 2 8 2003 . PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) TTT klE ff Owner i g 's Address q 3S , l , C i S S City \.�1 S State r't-- Tenant/Lessee Name $ Value of Work For this Permit Submittal Fee $ Notary $ Scanning $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) ilding Department 5 ' N.E.2nd Avenue, Miami Shores, Florida 33138 el: (305) 795.2204 Fax: (305) 756.8972 Plumbing Mechanical Zip Permit No. E L 2.0a3 I.S Master Permit No. Phone # Roofing Phone # Job Address (where the work is being done) 41 IJr, q s S i City Miami Shores Villa= County Miami -Dade Zip Is Building Historically Designated YES NO 1--- Contractor's Company Name 511Et-S t L t / - `NC— Contractor's Address 3 I S u 1 4/ 1 ST City m ► A ►'`'1 1 State r -C-_ Qualifier Re zm AU 1) ' D42S Phone # 3 DS &74 - /6D3 Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New TA- Repair/Replace ❑ Demolition Describe Work: re RE l' • T- l)t_L- UUrLF.--1- I'`/D t1 p n CE_ * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ i'i CCF $ Training/Education Fee $ Technology Fee $ Radon $ Bond $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDmONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 _ , by who is personally known to me or who has produced Signature Contractor The foregoing instrument was acknowledged before me this , day of , 20 by who is personalty known to me or who has produced as identification and who did take an oath. As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: NOTARY PUBLIC: Sign: Print: . My Commission Expires: My Commi Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** ilk******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY:,, :hc 10/14/03 % Plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT 17-- FEE • ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS Z.4 CENTRAL HEATING DISHWASHER , RECEPTACLES 4 A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) • DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/1€TER 'CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN— — -- -- — _ - - - -- • - - - -- - - -. ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0— 1 HP STEAM BOILERS SHOWER MOTORS OVER 1— 3 FP HOT WATER BOILERS - SINK, POT /3 COMP. MOTCRS OVER 3— 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5— 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8— 10 FP' ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10— 25 FP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS 1 . A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS . HEATER —NEW INST. GENERATORS TRANSFORMERS HEATER — REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER —WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS . UTILITY —SEWER SIGN TIME CLOCK UTILITY —WATER FIXTURES . SEPTIC TANK ANTENNA • RELAY TELEVISION OUTLETS ORAINFIELO, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK RE INSPECTION o SOAKAGE PIT CU. FT. — CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET • SOLAR WATER HEATER =IRE STANDPIPE 'COL PIPING • .AWN SPRINKLER SYSTEM 3AS RANGE 1ETER SET (GAS) 1AS PIPING (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204 • Fax: 305 - 756 -8972 Date 4- 2 - 24, Job Address C 7 35 LIE q 5 *S r Tax Folio ( 'y ^ 7 , 1 1 Legal Description Historically Designated: Yes P R !I° 2003 Owner /Lessee/Tenet ti i JJE i t Master Permit # 'T/ t t1 S Owner's Address iti E- l 5 Si Phone `� • Contracting Co. Mn S 7 � � s - G Address 3� 7/5 Val ( 64 SI . Op11 Qualifier 17 .!2" i t1( 77), 7n[Z }Ff2 -5 State # CL) 12- I C, SS# Phone 4� &z '- Municipal #30 1'7'7 X71 3 Competency # 17 3S I Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING • WORK DESCRIPTION: C SCi t . WOE 1Z-t---L-Y`Its3 171 C iUIL.( Signature of owner and/or ondo President Date Notary as to Owner and/or Condo President My Commission Expires Pql D t. 52-3 . ,10 (00 PLUMBING MECHANICAL ROOFING UL Alas), \iJ Zi qJc f>t= I JE1Al Square Ft. Estimated Cost (value) S . LX � 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 ANY 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 all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will he done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. 4 - Date Date ' otary as to Contracts or •caner : Ider / Date My Commission Expires , RN Angela M Becker :Q • My Commission DD1 50048 c r �" Expires November 15, 2006 FEES: PERMIT - 7 ' oD RADON C. OTARY 5 - 0 o BOND APPROVED: TOTAL DUE Zoning Building Electrica1,7, -" / z v 4* 3 Mechanical Plumbing Structural Engineer EM TH TU3 UNIT FEE ITEM SNITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE CET LIGHT OUTLETS I% CENTRAL HEATING S.-MASKER RECEPTACLES t9. A/C (WINO) SPOSAL SERVICE TE 1AARY A/C (CENTRAL) INKING FOUNTAIN SERVICE SIZE IN AMPS 3Si7 CLOT WORK ccR DRAIN SERVICE REPAIR/VETER CHANT 1 REFRIGERATION EASE TRAP APPLIANCE OUTLETS PROCESS ANO PRESS PIPING iTERCEPTOR RANGE TCP UNDERGROUND TANKS NATCRY OVEN A8OVE GROUND TANKS .UNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS .OTHES WASHER MOTORS 0- 1 If STEAM BOILERS OWER MOTORS OVER 1- 3 HP NOT WATER BOILERS NX. POT/3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION NX, RESIOENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES NK, SLOP MOTORS OVER 8- 10 FP MOTORS OVER 10- 25 FP MOTORS OVER 25-100 FP ELEVATORS/ESCALATORS FIRE SPRINKLER SYSTEMS :I.40RARY WATER CLOSET ;INAL COOLING TOWERS :TER CLOSET MOTORS OVER 100 FP VIOLATION REINSPECTION DIRECT WASTES A/C WINDOW :TER SUPPLY T0: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRAISFCRAEAS HEATER -NEW INST. GENERATORS TRANSFOZERS HEATER- REPLACE GENERATORS TRANS - FLAMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SAIM!aING POOL CUTLETS CC ERCIAL MATER SERVICE SIGN TIRES . MEER CONNECTIONS SIGN TRAISFCAI€?S �— ILLTY- SEWER SIGN TIME CLOCX ILITY- WATER FIXTURES =TIC TANK( ANTENNA LAY TELEVISION OUTLETS AIRFIELD, 4' TILE/RES. VIOLATION W & ABANDON SEPTIC TANK REINSPECTION AXAGE PIT CU. FT. itLEpu Ole Gov `-' TCN BASIN SAGE WELL }ESTIC WELL EA DRAIN CF INLET LAR WATER HEATER ;E STANDPIPE CL PIPING nN SPRINKLER SYSTEM 3 RANGE TER SET (GAS) _ 3 PIPING �— _N APPLICATION FOR BUILDING PER".IT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. D3TAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Da te 7 Job Address 935 5 A) E / 5" Tax Folio Legal Description L (57 2 d -2/ 8 K , 76, State # tC 006 (3 67 Municipal # Architect/Engineer WA e77` 74. ► .>=� i �E.W\C1; I `1-'L Historically Designated: Yes No Owner/Lessee / Tenant K 07/4 6. PQ L I. E v Master Permit # 3 / 3 Owner's Address % 3 /V E 9 3-67 /4M / 6 LIOR S (f gCA6 Phone 7 S - 3 ( 1 . 7(.0 S C CQ S �• i4 12 34 / Contracting Co. (X A L I CT (At— S �� C� 1J ( Address 3 l O N � �f F L4 uP 3 � LL Qualifier J a C- 1< L, w A 6 e R SS# Phone 7g2-500G Competency # 0 5 /367 Ins. Co. Address O 31 0 /01.3 £ L t c47, L4o D F R •U 1 L L 14. Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION S E SZV 1((- C13 Q %-36E ± 4_ bC. J \ ) a'?.) Square Ft Estimated Cost (value) 0 0 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 done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condg,Preicnt Date Notary as to Owner and/or Condo President My Commission Expires: I±±,S: PERMIT "?..S : - RADON Date Signature of Contrac or . , O - Builder Notary as o Contractor or Owner - Builder Date My Co ssion Expires: r; C.C.F. / NOTARY TOTAL DUE - 76 - Date APPROVED: Zoning Building Mechanical Plumbing Engineering 04 -1B -1995 08:33PM 79133344 P.01 4 x ail ArrL,ICATION FOR MIAMI SHORES VILLAGE ite 7 -- Lq b Addresis„AV7 gS',s'f - „(L. ‘ . Tax Folio gal Doscriptio ( -. d mar / Lessee / Master Permit # ner's Address S` - Sherr. S v'„% hone2$ ntracting Co. yUV FC.C-L talc -(. B Sc 2C /•JO _ Address Fs,3/(1 /04,0, _ , vt -thcL �L •1ifie 111Lti K 1 S 38D ` Z . G - .3Z'3 Phone -6a S — ? `f L / kc)0 ( ate # (bc o 136 Municipal P Competency *e' Ins.Co. chitect /Engineer v /-�4 - _ 5 /d12 . Address old AJ...I. yy `{0 ti ,4y .�` �2L - ading Company Address rtgagor Address emit Type(circle one): BUILDING ELECTRICAL, PLUMBING MECHANICAL ROOFING PAVING PENC$ IS GN RE DESCRIPTION / _ cC� e , � . CO @,4 7?d w(Y1 tare Pt._ ./ dv Estimated Cost(value / c — WING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IP YOU INTEND OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINC YOUR 'ICE OF COMMENCEMENT) . licatioit is hereby made to obtain a permit to do work and installation as indicated above, and the attached addendum (if applicable). I certify that all work will be performed to meet the nderds of all laws re 1atiaf ctrtction in this jurisdiction. I understand that separate sits are required ECIRIC.A�, LUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. BR'S AFFIDAVIT: I certify that all the foregoing information is accura d that all work will tone in compliance with all applicable laws regulating constru aion zorize the d z ni furthermore; I the a gamed contractor to do the work stated. Signal _- . -- _ .." - ! #near- Builder Date: ? tae`d� sl, s;,a Motor a° onto :jai rector ";or, Qwner- $under My • asaion - $spir :m: tat n er or President c, - -�-- -: - .ry _Owner afi4 toE. `:C-. Expires:- * evident Fire Other Zoning Build4nx_ * * * a * * t * * * * e* : PERMIT RADON C.C.P. _ NOTARY DYED: TOTAL DUE TOTAL P.01 Electxi Mechanical lamb Engineering________ we WES, INC. STATEWIDE UNLIMITED ELECTRICAL CONTRACTORS Notts : fl/Au ,Ft_ Mu LT c1n ev T 7 7-f / d Mn2 /?.47T/3 /6X 4' AIL ncv✓Ouc4ns noA°sfL 4/-t S - / ,�C t PPL'/ 0 ITT (305) 742 -8006 (305)742.8541 FAX BROWARD BEEPER: (305) 728-4581 1111 S.E. 3rd Avenue COPS UNLIMITED LICENSE EC0001367 BILLING: 8310 N.W. 44th Court Lauderhill, FL 33351 rr 33316 1 0 luu NAMF. . jas - .._._. 935.. /U .C 6' 14-111 bF� sa .r p "PERMI APPROVED DENIED ., • "50 - Poo L 7SS- _3y7(0 150 30('t Ste. (1n ccx.,010-J ADA. f- 64 - TA floc, oc, sU N Lv 3 404,4 . = 330c) Jo UOV °�• Ai -m /0"4 -r ll.w.0. Appr i/uoc Jf 4fJ'O t y 2yK. — CHAS Pee:. L €u # ZH Tbr4G Otc 12 I°u %='/ S'yo u.► % - uj ' 3-' 7 , 9/ C“ 10e,, 24,00 /92 2-yo = 82.4o Ai e 100 /Utui Gan- OUTLETS UNIT FEE ITEM SPACE (EATERS UNIT FEE OUTLETS CENTRAL HEATING ACMES A/C (WIN)) • E TEMPORARY A/C (CENTRAL) E SIZE IN MPS DUCT WORK E REPAIR/RETER CHANGE r REFRIGERATION NCE OUTLETS ,3,.. PROCESS AND PRESS PIPING TCP UNDERGROUND TANKS ABOVE GROUND TANKS HEATER U.F. PRESSURE VESSELS 0- 1 IP STEAM BOILERS OVER 1- 3 IP HOT WATER BOILERS OVER 3- 5 HP MECHANICAL VENTILATION OVER 5- 8 HP TRANSPORTING ASSEMBLIES OVER 8- 10 LIP ELEVATORS/ESCALATCRS OVER 10- 25 IP FIRE SPRINKLER SYSTEMS OVER 255 -100 FP COOLING TOWERS OVER 100 IP VIOLATION COW REINSPECTION OITIONERS • (EATER DRS TRANSFORMERS . DRS TRANSFORMERS MS TRANSFORMERS PURPOSE COM,ERC IAL 3ES WORMERS E CLOCK ON OUTLETS N TION j�? tier ADDENDUM TO BUILDING PERMIT. APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) MECHANICAL UNIT FEE ITEM PLUMBING BATH TUB BIDET DISHWASHER DISPOSAL DRINKING FOUNTAIN FLOOR GRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER SINK, POT /3 CORP. SINK, RESIDENCE SINK, SICP TEMPORARY WATER CLOSET URINAL WATER CLOSET INDIRECT WASTES WATER SUPPLY TO: A/C UNIT FIRE SPRINKLER HEATER -NEW INST. HEATER- REPLACE LAWN SPRINKLER -WELL SWIMMING POOL WATER SERVICE SEWER CONNECTIONS UTILITY -SEWER UTILITY -WATER SEPTIC TANK .ELAY )RAINFIELO, 4' TILE/RES. ABANDON SEPTIC TANK JAKAGE PIT CU. FT. -ATOM BASIN 'ISCHARGE WELL OESTIC WELL :AEA DRAIN :00F IIIET %JLAR WATER HEATER IRE STANDPIPE COL PIPING AWN SPRINKLER SYSTEM AS RANGE =TER SET (GAS) AS PIPING ITEM SNIT LIGHT RECEPT SERVIC SERVI SERVI APPLI RANGE OVEN WATER MOTORS MOTORS MOTORS ROTORS ROTORS ROTORS ROTORS MOTORS A/C WI AIR CO STRIP 1 GENERAT GENERAT GENERAT SPECIAL OUTLETS SIGN TU SIGN TRI SIGN TI FIXTURE ANTENNA TELEVISI VIOLATI REINSPE ELECTRICAL Permit No 14 Owner's Name and Address SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date q Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o1 other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fii:ida, 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 $ 1 5() (Signed).. to No.92.5.. ..lr.. Street Registered Architect and /or Engineer / L Employing Electricians Name 3 .i { ii. �CCC�/ .��...LJG7: to y .. 7�� No....2 7` r1: eet u 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 Repairs No. of Stories Service Overhead Amps Feeders Conduit Main Sw Am s Main Fuses .Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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. Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. J r 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. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.3 MP NEON TRANS. RADIO TOTAL CONTR. LIST ittiv I DU (I ! V I I� • `I CHECK Permit No 14 Owner's Name and Address SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date q Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o1 other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fii:ida, 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 $ 1 5() (Signed).. to No.92.5.. ..lr.. Street Registered Architect and /or Engineer / L Employing Electricians Name 3 .i { ii. �CCC�/ .��...LJG7: to y .. 7�� No....2 7` r1: eet u 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 Repairs No. of Stories Service Overhead Amps Feeders Conduit Main Sw Am s Main Fuses .Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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. Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. J r 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ' Architect Contractor ; or Builder 4. Legal Description Lot Ki DATE /'! 195 ❑ PERMIT N° 6 016 Contractor's License No. / 7 0 ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA %._C Bl. Address of ,� Building / ►' / ".• Subdi Subdi- vision - vision BY i ` I r r t Value of 11 Amount of / ---- Project $ I Permit $ 1 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 knowledg.gf the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the st ents or specificaations and that hessumes responsibility for work done by his agents, servants or employees. 1 /1 i. Signed. .' l 1 ' INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereund in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted t the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my, agent, servant o oyee. AUTHORITY 6 :v. Permit No._��!___ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement o f 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.___1_ L Street_ Registered Architect and /or Enginee Employing Electrician's Name__ Location and Legal Description Lot______ — ____ —___ — Blgck \\ Street and Number where work is to be performed—No. _______ _s__._ 117 .1 1 State work to be performed and purpose of building (By Floors) New Building__ — _ __Remodeling______________ Addition____ Repairs No. of Stories ound Size Feeders___ _ Conduit -4i_ Vlain Sw.___,LQ__e Amps. Type of Installation— Conduit_____ ___ __Tubing__ ____________ _..B.X.L._____._ Metal Moulding - - - - -/ - -- - -- ---- - - - - -- Amount of Permit ( Signed - -- 1 '7¢ " Electrical Inspector. The undersigned applicant for this building permit does hereby certify that 1 nderstands and accepts his : 0, gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Com ed 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. STATE OF FLORIDA, COUNTY OF DADE. } ss. (Signed) No=___ L `_Z " __Street" bdivision Main Fuses__14 _____Amps aster 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 LIST CLIST /7 /1/ i ^ oG / / if y / S V ller � � j CHECK ENT. SW. DIST. CAB. SERVICE SERVICE TEMP. PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. T /0 6 / i- X304 /Pa_ CHECK Permit No._��!___ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement o f 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.___1_ L Street_ Registered Architect and /or Enginee Employing Electrician's Name__ Location and Legal Description Lot______ — ____ —___ — Blgck \\ Street and Number where work is to be performed—No. _______ _s__._ 117 .1 1 State work to be performed and purpose of building (By Floors) New Building__ — _ __Remodeling______________ Addition____ Repairs No. of Stories ound Size Feeders___ _ Conduit -4i_ Vlain Sw.___,LQ__e Amps. Type of Installation— Conduit_____ ___ __Tubing__ ____________ _..B.X.L._____._ Metal Moulding - - - - -/ - -- - -- ---- - - - - -- Amount of Permit ( Signed - -- 1 '7¢ " Electrical Inspector. The undersigned applicant for this building permit does hereby certify that 1 nderstands and accepts his : 0, gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Com ed 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. STATE OF FLORIDA, COUNTY OF DADE. } ss. (Signed) No=___ L `_Z " __Street" bdivision Main Fuses__14 _____Amps aster 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. BUILDING ELECTRICAL PLUMBING • MIAMI SHORES VILLAGE, FLORIEiA ' • , — Owner of , Building Architect Contractor or Builder - DATE. Contractor's License No. Work to be performed under this Permit PERMIT N? 7834 Legal Lot Bl. Description Address of Value of Amt. of Building .,. - - , ..- / • . . Project Permit '''N P / ---.-3.- , ,, ,, f " „ This peCrnit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. , Signed: ,, ii, ..',. /..- A' ./. '. , ....--/,../L . ...' " , INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with A cis a pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorftfes of Mimi -Shoterigill'age. In accepting this permit I assFi% responsibility for all work done by either myself, my agent, servant or employee. .,.. , ..- , , i''''' / .." ,' C NTRACTOR OR BUILDER BY ' Subdi- vision r , AUTHORITY MIAMI SHORES VILLAGE Permit No 1 3q Registered Architect and /or En eer eer /l Employing Electrician's Name r r/ / J C 7 f No /6 Location and Legal Description Lot ....b2 ct—c2J Block 7 Street and Number where work is to be performed —No 7,y 88. MY COMMISSION EXPIRES JUNE 9, ors flONDCD THRtf MAYNa'ft6••Rtl My Commisuon STATE OF FLORIDA, .l COUNTY OF DADE/ Before me, the undersigned authority, a notary ELECTRICAL INSPECTION DEPARTMENT New Building Remodeling Addition Amount of Permit $ • l?: (Signed) (Signed)... Date it 4 APPLICATION FOR ELECTRICAL PERMIT c216 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiurida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. e0, Owner's Name and Address/ �✓ I I , No 9 &5 9 4 ' Street (i5 f o 4 J Street !rl. .7....L, Subdivision 2 ki 41E — 7 6-45 Street ........ � State work to be performed and purpose of building (By Floors) Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps.. Main Fuses Amps Underground Type of Installation— CondiitL..../ Tubing B.X.L .Metal Moulding Electrical Inspector. The undersigned ppli for this building permit does hereby certify that he understands and accepts his ob lions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida manent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contra • s 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 perfornyd..0 der this permit, as are licensed by Miami Shores Village. Master Electrician. y� public, duly authorized to administer oaths and take acknowledgments, personally appeared Y ✓ ' Tom. S.. y /� n to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ' Y/ ' SL4 l.S......hd ,ll�.ieii i 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 h0, suited are true. ►'f1BLIC, STATE of FLORIbA at LARGE 0?-at Notary Public, State of orida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper noti (e for insp . • on, or fau materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S 11 FIXTURES NO. LAMPS REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. H EAT. CONN. SPACE HEATER STRIP HEATER TOTAL GUST LIST /0 - / - � ,- �q�� !� H // CHECK //{{� j JO SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL ENT. SW. D18T. CAB. CLusr LIST / CHECK •E e MIAMI SHORES VILLAGE Permit No 1 3q Registered Architect and /or En eer eer /l Employing Electrician's Name r r/ / J C 7 f No /6 Location and Legal Description Lot ....b2 ct—c2J Block 7 Street and Number where work is to be performed —No 7,y 88. MY COMMISSION EXPIRES JUNE 9, ors flONDCD THRtf MAYNa'ft6••Rtl My Commisuon STATE OF FLORIDA, .l COUNTY OF DADE/ Before me, the undersigned authority, a notary ELECTRICAL INSPECTION DEPARTMENT New Building Remodeling Addition Amount of Permit $ • l?: (Signed) (Signed)... Date it 4 APPLICATION FOR ELECTRICAL PERMIT c216 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiurida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. e0, Owner's Name and Address/ �✓ I I , No 9 &5 9 4 ' Street (i5 f o 4 J Street !rl. .7....L, Subdivision 2 ki 41E — 7 6-45 Street ........ � State work to be performed and purpose of building (By Floors) Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps.. Main Fuses Amps Underground Type of Installation— CondiitL..../ Tubing B.X.L .Metal Moulding Electrical Inspector. The undersigned ppli for this building permit does hereby certify that he understands and accepts his ob lions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida manent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contra • s 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 perfornyd..0 der this permit, as are licensed by Miami Shores Village. Master Electrician. y� public, duly authorized to administer oaths and take acknowledgments, personally appeared Y ✓ ' Tom. S.. y /� n to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ' Y/ ' SL4 l.S......hd ,ll�.ieii i 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 h0, suited are true. ►'f1BLIC, STATE of FLORIbA at LARGE 0?-at Notary Public, State of orida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper noti (e for insp . • on, or fau materials and /or workmanship. &/dER IIRr7 ; f 4 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT r° Date 97 r/ 4Q 9 0 Permit No 51 tP 4 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. �1 ,}, Owner's Name and Address No 7 j �S- Street /' 4 ` n6 s/ Registered Architect and /or Engineer - Employing Electrician's Name/4E 4 C 1.h /C., Q] � h. i NC . No./%V Street.A/ ' J/9 S f . Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 935 Street E 96" $ 7 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 Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. f ss ' therein bgy 1-UB Care true MY COMMISSION STATE o f FLORIDA at LARSE BONGED TNglI..N E XPIRES JUNE 9, 19z5 ,yy RD gp � My mtsigii'Ttro:evy' (Signed) (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 y rider this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary pub • , my authorized to administer oaths and take acknowledgments, personally appeared LA/ d W to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the //l.�l.... of the above described construction, and he has carefully read the foregoing application, and that he did sign the Notary Public, State of Fl NOTE: A re•inspecdon fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspect' materials and /or workmanship. aster Electrician. same, and that all facts 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 � ,�/ - / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK ,q oO 3• D V &/dER IIRr7 ; f 4 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT r° Date 97 r/ 4Q 9 0 Permit No 51 tP 4 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. �1 ,}, Owner's Name and Address No 7 j �S- Street /' 4 ` n6 s/ Registered Architect and /or Engineer - Employing Electrician's Name/4E 4 C 1.h /C., Q] � h. i NC . No./%V Street.A/ ' J/9 S f . Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 935 Street E 96" $ 7 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 Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. f ss ' therein bgy 1-UB Care true MY COMMISSION STATE o f FLORIDA at LARSE BONGED TNglI..N E XPIRES JUNE 9, 19z5 ,yy RD gp � My mtsigii'Ttro:evy' (Signed) (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 y rider this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary pub • , my authorized to administer oaths and take acknowledgments, personally appeared LA/ d W to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the //l.�l.... of the above described construction, and he has carefully read the foregoing application, and that he did sign the Notary Public, State of Fl NOTE: A re•inspecdon fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspect' materials and /or workmanship. aster Electrician. same, and that all facts