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747 NE 94 St (3)AP 63Z/ IAMI SHORES V LLA :TE ELECTRICAL INSPECTION DEPARTMENT LICATION FOR ELECTRICAL PERMIT Dat . Z— �" L� ✓ Application is hereby made for the approval of the detailed statement of the plans and specifications herewiEh submitted for the building or other structure herein described. This application is made in complianc: 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 / / c 'iI Permit No Amount of Permit $ STATE OF FLORIDA, j COUNTY OF DADE. I j ss. foal Registered Architect and /or Engineer . Employing Electrician's Name. tee' '4 ✓d Location and Legal Description Lot Street and Number where work is to be performed —No State work to be erformed and ff p purpose of building q'Floors)..d ..... ..... New Building Remodeling ......Addition . ..... Service Overhead Size Feeders ..................Conduit.... Underground Type if Installation— Conduit..._ T,Ibi ,g. No // • Street 4 ? - ci dJ p Block Subdivision Street �/ ..4< / �— J 3 ,t ; .....Main Sw .B.X L (Signed).. No 7 7 Street 4 .1"r- ..... Repairs ........... ...................No. of Stories ....... Amps ....................Main Fuses_.. Amps .Metal Moulding. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida has complied with the provisions thereof, and will require similar compliance from all contractors or sub-cont work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be perf licensed by Miami Shores Village. Electr. cal Inspector. ations as an employer of ermanent Supplement, and ors employed by him in the ch public notice or notices under this permit, as aie 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, a,.d 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. OUTLv IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. Hr ..T. CONN. SPACE HE... ER STRIP HEATER TOTAL CL LIST CHECK _a yak .-Ft. IST ENT. SW. DIST. CAB. SERVICE TCI "P. SERVICP PERM MOTOP> 0.1 HP ; ..OTORS 1.5 HP NE:'N TRANS. RADIO TOTAL y 4 CHECK / " /0-- H • P- it A _ . AP 63Z/ IAMI SHORES V LLA :TE ELECTRICAL INSPECTION DEPARTMENT LICATION FOR ELECTRICAL PERMIT Dat . Z— �" L� ✓ Application is hereby made for the approval of the detailed statement of the plans and specifications herewiEh submitted for the building or other structure herein described. This application is made in complianc: 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 / / c 'iI Permit No Amount of Permit $ STATE OF FLORIDA, j COUNTY OF DADE. I j ss. foal Registered Architect and /or Engineer . Employing Electrician's Name. tee' '4 ✓d Location and Legal Description Lot Street and Number where work is to be performed —No State work to be erformed and ff p purpose of building q'Floors)..d ..... ..... New Building Remodeling ......Addition . ..... Service Overhead Size Feeders ..................Conduit.... Underground Type if Installation— Conduit..._ T,Ibi ,g. No // • Street 4 ? - ci dJ p Block Subdivision Street �/ ..4< / �— J 3 ,t ; .....Main Sw .B.X L (Signed).. No 7 7 Street 4 .1"r- ..... Repairs ........... ...................No. of Stories ....... Amps ....................Main Fuses_.. Amps .Metal Moulding. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida has complied with the provisions thereof, and will require similar compliance from all contractors or sub-cont work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be perf licensed by Miami Shores Village. Electr. cal Inspector. ations as an employer of ermanent Supplement, and ors employed by him in the ch public notice or notices under this permit, as aie 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, a,.d 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 Architect Contractor or Builder ❑ MIAMI SHORES VILLAGE, FLORIDA PERMIT Owner of Building Legal Lot Description CONTRACTOR OR BUILDER Work to be performed under this Permit B1 • N° 6321 DATE. 19 Contractor's License No. / ,- _;' Subdi- vision Address of Value of I Amount of Building b - , (' Project $ I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed „ •.. % r 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 as ceptfng this ;permit I assume responsibility for sill work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT .. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE [� / Legal Description � �,, i ,e4 Lessee / Tenant /1/he/7 ,.r77,fv 7 Master Permit # � , (7 k Owner's Address t'ftpl e • Phone Contracting Co. � �� l/iftof "ddress )-- ) 2 2 i__( • e c -) Qualifier ) , /Lh✓ 6 47/7 SS# ' _ Phone C ��J) . - 6 - 7,0 State 4ttA1D5 /Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING ;ROOFING PAVING F ENCE SIGN -WORK DESCRIPTION ; care Ft. hRNING 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 (IF YOU INTEND 0 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 unde tand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MEC AL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate a ie done in compliance with all applicable laws regulating construction and zo - -- authorize the .pbove -named contractor to do the work stated. Notar as My ° ommiss L Signature of owner and Date: ** * * * FEES: PERMIT APPROVED: Job Address 7 y 7 ,t)e 79' S Tax Folio /04/ /14 adek /7 leXiaff A/e s iVika 7.91117;"11 51- A €i.g € (Ba 0/ A Estimated Cost(value) J LEZ MY CO' ISSION 4 CC 541313 • .91 ! 1.. Pr•sident ident hat all work will urthermore, I Signature of Contractor o er -a . Date: / ARNIM Notary My C Builder N * * ; * 0 RADON C.C.F. /40 0 NOTARY 0 TOTAL DUE g Fire Other Zoning Building Electrical Mechanical (2 Plumbing Engineering • n lv, iedzea � „ 2. 1 Z.`)v 350c -rte I0x\o K- . Ep L C L �aiL PVC JI24 ). J g 4 �� ►Qu •p) r �� - 7/ 7 AE 94¢ 5 71. T lo-410 L 35C�r«� • _ STRUCTURAL EC:UT PLUMBING MECBAI PSYNING • , 4 i 1,!ctIr:::,7 CrS:71.:;;:'''r V7. r ! t. .•.;-,'I'l tGilES ,I11,..':7 k-..71!:-:,,:17.!-:71:'.1:::..:..,:...1...:': i;:::: ,; -- ; ''... ::‘'. ' 7 •-' '•'.. • . . 7 • .7' •"'• I's' • .:!-'..1 V'.0\tii". I.) i;.:?.1.6r.1:7_). -i•■:-.. ;.1■::...:i.t2., • • , . • 1 ',-.,.i..7i.A:s..i.:;,■,..S 1",;,;i1 C.,?;.,`,:''.•.:f. ''-': -;;;; 1.','.1 :': '' ....:"•.."-._ .•• - ' -..-........:..",;.. • -., ';','.;-.''._1',:::.,',','.2:',;!..i.7.7.It.I.: tI,', !i.. S`;'..10,i;',.::.:-..Ij N",,:11:: -..:.'• 1.. ... . 6 .,..• • ..... -,....71.*•■•••••••13.71.0-r•VIM..-11.1!•■■•.,....1.1.3,Aa t .r.-.,,Or, Id.,,...r, - .. rr. - , 1 r..... 0 . . ■ ... .' .