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MECHANICALA. PLI1CA 11DN FOR UIL INS PERMIT NHAMI SHORES VB(LLAGE BUILDING INSPECTION DEPARTMEN Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described, This application is made in compliance and contormity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws cf the Statu of 1lurida, all oadnances of Mi.inn Shores Village and all rules and regulations of the Building Divi:.ion of .iiami Short. Village . c'.1 ')e complied with, whether herein specified or not. A copy of approved plans and specifications must be kepi at building during progress of the work. P _ 9 - ¢ Date CC Owner's Name and Address.__. 3., -awe .� z. No.___ Street -.9i e 9' .7 Registered Architect and /or Engineer._. - ._.. -. . . . .... .... . . Name and address of licensed contractor ._.. _ . ._. Location and legal description of lot to be built on: Lot__ ___ ____ 4- ____ -3 a i _ 4 Block... __.. 4 .__ Subdivision .A..14.2 ' Street and Number where work is to be done_. / 1 . l 0 `yl. U c7'7 STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved ._ Date_ ( Signed ) 3 __Size of Building Lot Building Inspector My Commission Expires_ PLANNING BOARD DATE Chairman _ _ - Member Member ________ ___ _________ ____ Member Member ._ Member Council Approved .Date Disapproved State work to be one and purpose of bui ding by floors) No. of Stories - ___ -.and r no other purpose. -�- 1 - New Building_ Remodeling__ ___- - -_. • Addition._... _ Rep airs. _ To be constructed of . . . . . . . . . . . . . .K i n d of foundation._._____ _ __ .. __.. __ r Roof Covering_ Estimated �ta1 cost of improvements $__ ? S _ Amount c. Permit $._ - Zone cubage required.._. _Plan Cubage Distance to next nearest building._ . -_ Maximum live load to be borne by each floor .. , 1 hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to . _ _ The undersigned applicant for this building permit does hereby certify chat he understands and accepts his obligations as an employer of 1: ■bor under he Florida Workmen's Compensation Act. being S, ction 5966, Compiled Gen: •al Laws of Florida. P - r,.,ani-n; Slippy rent. and h .s coupled w;th the prov ;;ions thereof, and will require similar commiiane from all contractors or sub - contractors emplo-•ed by hint in the wok to be p rf.^-med under this permit: and 'Al post or cause to be posted for inspection on the site of the work such public- notice or notices as are requir d by the Act. The undersigned agrees to employ only such subcontr, etors, on work to be perform, d .: der this permit as are licensed by Miami Shores I. iliage. Remarks.. . - (Signed) _. -. Y Before me, the undersigned authority, a notary public, duly authorized to administer oaths :and take acknowledgments, personally N p- peared and who, being by me first dilly sworn, upon oath depoPes and says that he is the of th abov. de abed .instruction. ti ..t h. has carefully read the foregoing application, and that he did sign the same, and that ,dl facts therein by him stated are tree. Permit No -__ _... :i Date.. __2° �J._ '' - Read, Sworn to and Subscribed before me. Notary Public State of Florida to me well known, Date NOTE: A charge of $1.00 will be made for snaking corrections or changes to this application after approval h been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is mc_le necessary by improper notice for inspect oo or famlty materials and /or workmanship. Permit No APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work , / Owner's Name and Address �2A/ r== ( 4- / No../ - 7 0 Street ..ly L 7 ,X IS /'JAI 6- % S - Registered Architect and /or Engineer.... CO Employing Electrician's Name �• r 7 /� No / /r Street.../ Location and Legal Description Lot Block Subdivision StreetAl . 7 Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) 4. New Building Remodeling / Additiun Repairs No. of Stories b-5 i6 -' SEA /r-/0 O ver h ea d # / /� � o . o Service Un erground Site Feeders Couit / Main Sw Amps / Main Fuses ��a Amps Type of Installation — Conduit Tu ing B.X.L Metal Moulding / ',x/66 71/N6S / �Fds� / � '!'!C 3C e /R.l,:- l / C © •v em u. / e Amount of Permit $ �O"O (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 perforated under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT /270 (Signed) Date a p - - r / ,_.r /A'. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T's FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. A H ATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. D18T. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CL LIST LIST b - ° E b ',t'� '41 � p2, / CHECK � O- - a 33 Permit No APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work , / Owner's Name and Address �2A/ r== ( 4- / No../ - 7 0 Street ..ly L 7 ,X IS /'JAI 6- % S - Registered Architect and /or Engineer.... CO Employing Electrician's Name �• r 7 /� No / /r Street.../ Location and Legal Description Lot Block Subdivision StreetAl . 7 Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) 4. New Building Remodeling / Additiun Repairs No. of Stories b-5 i6 -' SEA /r-/0 O ver h ea d # / /� � o . o Service Un erground Site Feeders Couit / Main Sw Amps / Main Fuses ��a Amps Type of Installation — Conduit Tu ing B.X.L Metal Moulding / ',x/66 71/N6S / �Fds� / � '!'!C 3C e /R.l,:- l / C © •v em u. / e Amount of Permit $ �O"O (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 perforated under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT /270 (Signed) Date a p - - r / ,_.r /A'. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.