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1260 NE 97 St (6)1IT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY /+7 ( OWNER TO � 7 RETAIN COPY ) r� Date 7 / I (v Job Address /A6 Alf' 97 �` 'ii '� g Tax Folio ,�� w '� �Qc � � � �I r �. ,j7 / Legal Description 7 ° e�.� f / j / eer Permit # ��" Owner)/ Owner's Address 10 / 97 57 02/4 /2/ -SW Phone 75z4 Contracting Co. Qualifier 14/E SS# - - Phone State# Competency# Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION c/ iv6 2_ %Q 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 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 Condo President Date: Notary as to My Commission * . * PERMIT FEE: Lessee / Tenant MRS Sept /i//" K V /T /VQ c O7 r /O gtvl &r' X 46 4 ( ,- QiE 3 a. Estimated Cost 32 co i Owner and /or Condo President N/ ar / as to Contractor or aer- Builder Expires: My Commission Expires: 1 // * * * * * * * * * * * * APPROVED: Fire n Building hanical Plumbing Address Signature of o { jbwner- Builder Date: Other — Engineering ( - Ele ctrical — A t, ' 7)1719 MIAMI SHORES'VILLAGE BUILDING AND ZONING DEPARTMENT INSTRUCTIONS TO OWNER- BUILDER Ypu have, this date, made application for a building permit as an owner - builder. You should be advised of the following provisions and requirements that apply to owner - builder. Proof of Ownership - Prior to a building permit being issued to you, you must submit proof of ownership of the land concerned in the application in the form of a recorded deed, showing you own the property, or a copy of mortgage or warranty deed of the land, or a Dade County tax receipt, statement to contain legal description of property and indicate property is in your name. Legal description and name on document of proof must correspond to the name and legal description on the application. Responsibility - You will be responsible for all work done by your day labor employees, and you must either employ licensed contractors or persons to be paid on an hourly or per diem basis. Any one contracting (including labor) with you, verbally or in writing, on a fixed fee basis for any work, who is not properly licensed, will be subject to a fine of $500.00 and /or imprisonment for six months. Insurance - You should be advised that if your day labor employees cause any damage to persons or property, or if any of your day labor employees are injured on the job, you are liable. Your regular home insurance policy ordinarily does not cover this type of liability. Withholding Taxes, etc. - You should be advised to investigate your responsibility for withholding Social Security, Federal and State Unemployment Insurance Taxes and Federal Income Taxes from the wages of employees working for you on the proposed construction, and for making returns thereof to the proper agencies. Work Permitted Owner - Builder - An owner - builder subject to the foregoing provisions and requirements, is limited to constructing one single family residence each year for his own use and occupancy; ;or maintaining, altering or repairing his own single family residence. If you do not intend to do the work involved yourself, or with day labor, please list below, the name of the individual or firm with whom you have entered (or will enter) into a contract for the work.. NOTICE: SEPARATE PERMITS REQUIRED FOR ELECTRICAL, PLUMING„ ROOFING AND MECHANICAL WORK Witness I, the owner of property described as N6 NE. 1 77 27 ,9f7/ , Name of Individual or Firm Address ,: 8 --- hereby certified that I have read the foregoing instructions, and am aware of my responsibilities and liabilities under my application for a building permit for construction work on the above described property. `//`7 9 , Date Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. ss. MI WI SHORE ELECTRICAL INSPECTION DEPARTMENT � PPLI(ATI®N FOR E(LE CTROL AL PERMIT Permit No 3 ( � C " 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 A ' Street.... / 2 7 Ste" Registered Architect and /or Engineer Employing Electrician's Name. 4 J71,1aN1 .4 ... 2047 % C No ,A9 Street_., Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No o/42‘ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Service Overhga� d Size Feeders W%.'Zi deriConduit...�ain Sw Amps Main Fuses Amps Type of Installation — Conduit ✓ Tubing B.X.L Metal Moulding (Signed) nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub -cunt " ors 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) VILLAGE Date Street No. of Stories 4-t," 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 the 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 O UTLETS PLUG 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 Ca eca ENT. SW. D1ST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. ss. MI WI SHORE ELECTRICAL INSPECTION DEPARTMENT � PPLI(ATI®N FOR E(LE CTROL AL PERMIT Permit No 3 ( � C " 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 A ' Street.... / 2 7 Ste" Registered Architect and /or Engineer Employing Electrician's Name. 4 J71,1aN1 .4 ... 2047 % C No ,A9 Street_., Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No o/42‘ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Service Overhga� d Size Feeders W%.'Zi deriConduit...�ain Sw Amps Main Fuses Amps Type of Installation — Conduit ✓ Tubing B.X.L Metal Moulding (Signed) nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub -cunt " ors 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) VILLAGE Date Street No. of Stories 4-t," 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 the 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. 0 Date ��� /...� ‘4 /.77/ 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.. .2? ('-rl ..a�li. .y No ./2 p Street .....a. 7 7 s5,r: Registered Architect and /or Engineer / I Employing Electrician's Name .. .�L.9/.1/:7.a. 1 ' `o 1 %Qj2...JN C No r. ... 77" Street.... /..VW 5-' T Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No l:I�6I" Street 77,52.7 State work to be performed and purpose of building (By Floors) Zh-5/..n., e- afJlies fit' .. ,a, 6 New Building Remodeling Addition Repairs No. of Stories Permit No .j 3 13 3 Overhead Amps Feeders Conduit Main Sw Am s Main Fuses Amps Underground f Installation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. ss. ELECT -t ICAL INSPECTION 1 EPAIRTNENT APPLICATION FOR ELEDTROCAL PERMIT MB, , MC SHORES iLLAGE (Signed) 0 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio -s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm. Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors . eyed 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 suc ' •ublic 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) 7(6 Muter 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 CO CHQCP; ENT. SW. D1ST. CAB. SERVICE TEMP. SERVICE PERM. y ` �� �� MOTORS 0.I HP MOTORS .8 1 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK 9 - - - - - 0 Date ��� /...� ‘4 /.77/ 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.. .2? ('-rl ..a�li. .y No ./2 p Street .....a. 7 7 s5,r: Registered Architect and /or Engineer / I Employing Electrician's Name .. .�L.9/.1/:7.a. 1 ' `o 1 %Qj2...JN C No r. ... 77" Street.... /..VW 5-' T Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No l:I�6I" Street 77,52.7 State work to be performed and purpose of building (By Floors) Zh-5/..n., e- afJlies fit' .. ,a, 6 New Building Remodeling Addition Repairs No. of Stories Permit No .j 3 13 3 Overhead Amps Feeders Conduit Main Sw Am s Main Fuses Amps Underground f Installation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. ss. ELECT -t ICAL INSPECTION 1 EPAIRTNENT APPLICATION FOR ELEDTROCAL PERMIT MB, , MC SHORES iLLAGE (Signed) 0 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio -s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm. Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors . eyed 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 suc ' •ublic 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) 7(6 Muter 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 LI ELECTRICAL PLUMBING ROOFING LI LI PERMIT N? 8812 Owner of Building 4 Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. Bl. Work to be performed under this Permit Subdi- vision CONTRACTOR OR BUILDER BY FLORIDA DATE Contractor's License No Sci. Ft Value of Project Amt. of Permit • - A 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 perormed 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. AUTHORITY `44::171 MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL El 195 PLUMBING El PERMIT N? 7737 Contractor's License No ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot Bl. Subdi- vision Sq. Ft Value of Project $ Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment o:r 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 dial 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. CONTRACTOR OR BUILDER BY AUTHORITY 17 Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE Y 195 PLUMBING ❑ PERMIT N? 8909 Contractor s License No ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Bl. Subdi- vision Sq. Ft Value of Project $ Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or speciications 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. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No / 7' 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 provisiops 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. P4-4.111- ®� Owner's Name and Address. ...... Amount of Permit $ 58. (Signed) (Signed) Architect and /or Engineer Employing Electrician's Name J7/ .0'e rB2ll C No I'' ' Street `i!E I3 Q Location and Legal Description Lot Block Subdivision /° Street and Number where work is to be performed —No Street AA a ? LC"/ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition a/ 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 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 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, y 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, 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. ACE H ATER STRIP HEATER TOTAL CONTR. LIST 2, , r • CHECK ENT. SW. DIST. CAS. 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 Permit No / 7' 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 provisiops 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. P4-4.111- ®� Owner's Name and Address. ...... Amount of Permit $ 58. (Signed) (Signed) Architect and /or Engineer Employing Electrician's Name J7/ .0'e rB2ll C No I'' ' Street `i!E I3 Q Location and Legal Description Lot Block Subdivision /° Street and Number where work is to be performed —No Street AA a ? LC"/ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition a/ 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 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 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, y 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, 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. ELECTRICAL INSPECTION DEPARTMENT APPLICATUON FOR ELECTRICAL PERMIT Permit No r.F7 Date ) – Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sdbfnitte.d 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. J Owner's Name and Address /1/44,-e P4- L.1 L. °( 1/1//:-7(L-1.__ – No a- 4.42 Street A( 2dC% Registered Architect and /or Engineer /� Employing Electrician's Name / es E6- 45:c Tom / C No / a – Street.ek/ G=- Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No / I 0 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. I 0 Es. MIAMI SHORES VILLAGE (Signed) Street N i- 9 7 r. . Master Electrician. Eleitri teal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) 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 RECEIP'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. COMM. DACE HEATER STRIP HEATER TOTAL CONTR. LIST / I 6 CHECK ENT. SW. D1ST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATUON FOR ELECTRICAL PERMIT Permit No r.F7 Date ) – Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sdbfnitte.d 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. J Owner's Name and Address /1/44,-e P4- L.1 L. °( 1/1//:-7(L-1.__ – No a- 4.42 Street A( 2dC% Registered Architect and /or Engineer /� Employing Electrician's Name / es E6- 45:c Tom / C No / a – Street.ek/ G=- Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No / I 0 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. I 0 Es. MIAMI SHORES VILLAGE (Signed) Street N i- 9 7 r. . Master Electrician. Eleitri teal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) 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 775 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sbbmitted 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. Street 72/ 7 7 " Owner's Name and Address Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Amount of Permit $ It1 ° 6 $8. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date No /2..G,0 Registered Architect and /or En ineer J CO'. Employing Electrician's Name . 5 %r No �0. .Y Location and Legal Description Lot Block Street New Building Remodeling Addition Repairs Subdivision Street 7 ' g • 9 Service Overhead Size Feeders Conduit Main Sw. Amps .Main Fuses Amps Underground Type of Installation— C',onduit Tubing B.X.L Metal Moulding (Signed) 2 41) The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Sectipn 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) 71:d err 7i No. of Stories $le ctrical 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 Notary Public, State of Florida az 19 — =2 ter Electrician. STATE OF FLORIDA, } 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, 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. 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. SSACE H EATER a STRIP HEATER �l /J �TOTAL �a iv CONTR. L187 2 ..0 . CHECK ENT. SW. D1ST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST 7 / A. n O'�.o CHECK Permit No 775 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sbbmitted 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. Street 72/ 7 7 " Owner's Name and Address Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Amount of Permit $ It1 ° 6 $8. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date No /2..G,0 Registered Architect and /or En ineer J CO'. Employing Electrician's Name . 5 %r No �0. .Y Location and Legal Description Lot Block Street New Building Remodeling Addition Repairs Subdivision Street 7 ' g • 9 Service Overhead Size Feeders Conduit Main Sw. Amps .Main Fuses Amps Underground Type of Installation— C',onduit Tubing B.X.L Metal Moulding (Signed) 2 41) The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Sectipn 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) 71:d err 7i No. of Stories $le ctrical 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 Notary Public, State of Florida az 19 — =2 ter Electrician. STATE OF FLORIDA, } 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, 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. 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.