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361 NE 97 St (9)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date L i ' /t' l / Job Address r ; / �T r 7 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant :LA A: ,0 rTh Owner's Address // d Contracting Co. ic,0 l�'` `. „_ I ? Uo IA A✓' Qualifier pO b , V' T sic? I E 41 Y;, Architect/Engineer Address Bonding Company Address iI- Not 7 My it d/or Condo President Date as t6 Own • d/or Condo President Date ommissron Expires: DORSAINVILLE '_'., = MY COMMISSION / CC ys .- 4 EXPIRES: August 31. 1999 S OP .?f`,,` '` Bonded Thu Notry Public Undsnsvf. s Building Master Permit # Phone 7 a i)o/ ! Pow ',4 7,,c3 T Square Ft. Estimated Cost (value) Y cf 9 , Address / w f d i _ £ T `�' SS #' - P h o n e 1 4 . - - - ‘ State #e 0 ° 0 Scr' 2 7 Municipal # %fcB 00 S 2. Competency # Ins. Co. Mortgagor Address Permit Type (circle one): BUILDING EL MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION � ' Amalie- ?XIS' , j S' 1 h'-2? ell, 2 I At 4 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. A Signature Contractor, or Owner- r der JEAN C. DORSAINVIU.E Mr COMMISSION, CC 482468 EXPIRES: August 81, 1999 F ; ' Bonded T vu Noun Pubic Unas1Ws Not as to Contractor or Owner - Builder My ' mmission Expires: FEES: PERMIT ,G//,/ RADON C.C.F. NOTARY BOND P C,/ Date A i b19 Date TOTAL DUE 4/9 Electrical APPROVED: Zoning Mechanical Plumbing Engineering — NO. STREET PART OF LOT LOT BL'K -- # 4 ' TOWN, ADDITION, OR SUBDIVISION 36 i .).) . e • 9 7 5 r M 71144.4$14. 41411.00" Outlets Motors Receptacles Generators Stoves Water Heaters' Signs Billboards Other Apparatus Permit Fee ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during,�,j� constru n Owner of Building. Contactor or Electrician Dated 71NO CO., MIAMI. FLA. MIAMI SHORES VILLAGE Town of Miami Shores OFFICE OF ELECTRICAL DEPARTMENT Miami Shores, Florida, , 192 PROPOSED LOCATION BANK DEPOSIT NO. DESCRIPTION OF WORK NUMBER OF N° 147 This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of the Town of Miami Shores and the rules and regulations of the Electrical Department of the Town of Miami Shores. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules an regulatio s, or u n any chan e in the lans and specifications unau thorized by this Department. __ Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of the Town of Miami Shores, and all rules and regulations of the Electrical Department of the Town of Miami Shores. tAL( :41 s Aitumit •^ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT /° Permit No /2 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 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 spe must be kept at building during progress of work. �s�r �j p Owner's Name and Address ° ' • z/.0 � ,.- f^ -_ y No . =' '`' Street 4 - Registered Architect and /or Engin r r Employing Electrician's Name C �m. m f ,6 No / / #L (- Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 5 f State work to be performed and purpose of building (By Floors) ��`� a�19 STATE OF FLORIDA, t COUNTY OF DADE. I s '' New Building Remodeling Addition Repairs Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses 4 Amps Underground p Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ ' (Signed) / r / nspeAor. 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 suca 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. r " z-,1,.._-_- , d c - (Signed) Master Electrician. No. of Stories Electrical 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. H EAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LI ST - Q 1 CHECK �i✓ 1.i./ 1 Y /'' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT /° Permit No /2 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 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 spe must be kept at building during progress of work. �s�r �j p Owner's Name and Address ° ' • z/.0 � ,.- f^ -_ y No . =' '`' Street 4 - Registered Architect and /or Engin r r Employing Electrician's Name C �m. m f ,6 No / / #L (- Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 5 f State work to be performed and purpose of building (By Floors) ��`� a�19 STATE OF FLORIDA, t COUNTY OF DADE. I s '' New Building Remodeling Addition Repairs Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses 4 Amps Underground p Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ ' (Signed) / r / nspeAor. 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 suca 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. r " z-,1,.._-_- , d c - (Signed) Master Electrician. No. of Stories Electrical 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. '/' UILDING tECTRICAL tUMBING hvner of .uilding rchitect lontractor . Builder .egal lescription �i Lot BL MIAMI SHORES VILLAGE, FLORIDA DATE be N? 5581 Work to be performed under this Pe L. :l „ .54 / • 9 7 ' Milne of Amt. of Pennit I gob ddress of /c../ Plbiect • etion herefor in strict compliance with all ordinances pertaining thereto and with the tipt the work vtill be performed in compliance This permit is granted to the contractor or builder named above to construct e building or to install the equipment or device described in the appli- lans - drawin s statements or specifications that may have been submitted to and approved by the . -authorities. This Permit may be. isY kn°w be ananies prow A further t any time if the work is not done in complianoelvith such ordinances or if the plans are unlit is granted is the understanding that the cOntractor or builder named above tions pertaining to the work covered herebY 'whether shown on the plans Or ity for work done by his agents, servants or employees. Signed: In consideration of the issuance to me of this permit I agree to perform the ,Subdi- vision Contractor's License No. By in compliance with all ordinances end ertaining thereto and in strict conformity with the plans, drawls, statements or submitted to the proper authorities of, Mktg accepting this permit I assume responsibility for all work done efther myself,rny agrt, servant or employee. # f CONTRACTOR OR BUILDER 4 , BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Eg-- PERMIT N? 15897 ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot Description Address of Building _ ' 1 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project $ DATE ?m 195 Contractor's 1 License No Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appl herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with an drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be ra�oiu ; fit 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 dile granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and tr pertaining to the work covered hereby whether shown on the plane or drawings or in the statements or specifications and that he assumes responsibility work done by his agents, servants or employees. Signed: - 4-4.4 1.n . _X1�,.BY 4.. d',,,) INSPECTOR In consideration of the issuance to me of this permit I agree to - o. the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, sta • or specifications submitted to the proper authorities of Miami Shores Vibe. In accepting this permit I assume responsibility for all work done by either, myself my agent, servant or employee. BY AUTHORITY OORS r IAIUN6b UnL.T NUMBER OF TOTAL OUTLETS SIZE OF •IZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING I BRACKETS MAIN SUBS BRANCHES ENT __ D H A-63 OCCUPIED As H. P. OF EACH MOTOR VOLTS CEILING KIND OF INSTALLATION F BASEM FIRST SECON THIRD FOURT BRACKETS RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN RECEPTACLES ROUGH WIRING FINAL No CORRECTED TEMPORARY DAYS. DATE ISSUED SWITCHES OPEN OR CONCEALED APPLICATION DATE NO ELECTRICAL DEPARTMENT OF THE CITY OF M1 Desiring your certificate of Approval, application is hereby made for aln inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by In- spector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION WILL BE RETURNED. LOT NUMBER BLOCK NUMBER SUBDIVISION STREET AI,D NUMBERt ,r SIDE 1 I OWNER ‘• OCCUPANT I BUILDING - -NEW OR OLD (UNDERLINE WHICH) WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR SPECIFICATIONS STOVES TOTAL AMPS PHASE_ WATER HEATERS SIGNS KNOB. RX., BX.. MLDG., CONDUIT, METALLIC TUBING REMARKS OTHER APPARATUS MASTER ELECTRICIAN INSPECTION VyANT €P BY ADDRESS I SPACE BELOW FOR INSPECTOR'S USE ONLY INSPECTED REMARKS FEE REMITTED INSPECTOR CEILING BRACKETS RECEPTACLES '_ SWITCHES STOVES WATER HEATERS SIGNS OTHER APPARATUS CEILING j MAIN SUBS BRANCHES BASEMENT FLOORS FIXTURES ONLY NUMBER O F TOTAL OUTLETS SIZE OF - SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS MAIN SUBS BRANCHES BASEMENT FIRST SECOND THIRD FOURTH A -63 • APPLICATION NO / DATE —. 193 ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLE:D OR APPLICATION WILL BE RETURNED. LOT NUMBER " V BLOCK NUMBER L SUBDIVISION ' STREET AND NUMBER SIDE OWNER , • OCCUPANT OCCUPIED As BUILDING -NEW OR OLD (UNDERLINE WHICH) SPECIFICATIONS WORK - ADDITIONAL. NEW, ALTERATION OR REPAIR H. P. OF EACH MOTOR VOLTS TOTAL AMPS PHASF KIND OF INSTALLATION OPEN OR CONCEALED KNOB. RX., BX., MLDG., CONDIJIT, METALLIC TUBING REMARKS CONTRACTORSL"' ± "C F ' 4 ,,, 1 � . BY RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN ROUGH WIRING FINAL No CORRECTED TEMPORARY DAYS. DATE ISSUED SPACE BELOW FOR INSPECTOR'S USE ONLY REMARKS INSPECTION WANTED ADDRESS INSPECTED FEE REMITTED > ,e INSPECTOR BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA f/} ELECTRICAL �- Date_ JO 2 19 I �L PLUMBING ❑ PERMIT v. Q 9250 Contractor's c , S' ROOFING ❑ License No. Owner of Building Architect Contractor or Builder Legal Description Address of Building ❑ Work to be performed under this Permit ' Lox Bi CONTRACTOR or BUILDER 7 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 gmplayees. 1 Signed - " ''‘,„i 1, G (INSPECTOR) BY In consideration of the issuance to me of this permit I gree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, dr wings, 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, mysaf, my agent, servant or employee. y if r '� ( P, Subdi- vision Sq. Ft. Value of 11 Amount of Project $____ 11 Permit $ BY AUTHORITY � Permit No....'S 4' Amount of Permit $ 1 ' 50 STATE OF FLORIDA, .1 COUNTY OF DADE. I APPLICATION FOR ELECTRICAL PERMIT SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) Date Coto e;,- . 3. 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 Miam Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No Street Registered Architect and /or Engineer Employing Electrician's Name i .. L C �� � ° s No Street 16 6 th t.. 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 Size Feeders Conduit Main Sw Amps Main Fuses Underground P Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) / c .l .0 Master Electrician. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts t 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. 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 1 - -� CHECK ENT. SW. DIST. CAS. SERVICE TcJ. P. SERVICE PERM. . MOTORS 0.1 HP MOTORS 1.! HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK � Permit No....'S 4' Amount of Permit $ 1 ' 50 STATE OF FLORIDA, .1 COUNTY OF DADE. I APPLICATION FOR ELECTRICAL PERMIT SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) Date Coto e;,- . 3. 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 Miam Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No Street Registered Architect and /or Engineer Employing Electrician's Name i .. L C �� � ° s No Street 16 6 th t.. 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 Size Feeders Conduit Main Sw Amps Main Fuses Underground P Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) / c .l .0 Master Electrician. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts t 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. 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 T Building Address of Building [2'' PERMIT ?• 13444 ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 7 S ... 195.— Architect Contractor or Builder Legal Lot Description A .. Subdi- vision Value of Project $ Contractor's License No. Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this pepdt is granted is the understanding that the contractor or budder named above assumes the responsibility for a thorough knowledge of the or and pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibilitgy emit done by his agents, servants or employees. s y6.0,,,,,,,, Signed- . j D!itR 4*S"... BY j t ' 1 ' 4 ~ 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 Shorty Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ❑ ELECTRICAL GO PERMIT N? PLUMBING ❑ N. 8 9 7 6 ROOFING Owner of Building_ Architect Contracto or Builde Legal Descripti Address Building MIAMI SHORES VILLAGE. FLORIDA Work to be performed under this Permit DATE • 1 195_4_ Contractor's License No. £ { t This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work , ne by his agents, servants or employees. Signed• `ONTRACTOR OR BUILDER BY INSPECTOR • consideration of the issuance to me of this permit I agree to perform the work covpred hereunder in compliance with „ordinances and regulations thereto and in strict conformity with the plans, drawings, statements or specificatons submitted to the proper authorities of Miami Shores Village. this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY 17 r t.s ,. 1. a.....�� n Lot Bl. Subdi- vision f + r Sq. Ft Amt. of Permit $ Value of Project $ BUILDING ❑ ELECTRICAL GO PERMIT N? PLUMBING ❑ N. 8 9 7 6 ROOFING Owner of Building_ Architect Contracto or Builde Legal Descripti Address Building MIAMI SHORES VILLAGE. FLORIDA Work to be performed under this Permit DATE • 1 195_4_ Contractor's License No. £ { t This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work , ne by his agents, servants or employees. Signed• `ONTRACTOR OR BUILDER BY INSPECTOR • consideration of the issuance to me of this permit I agree to perform the work covpred hereunder in compliance with „ordinances and regulations thereto and in strict conformity with the plans, drawings, statements or specificatons submitted to the proper authorities of Miami Shores Village. this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY 17 NO. STREET PART OF LOT LOT BL'K SUBDIVISION Billboards ' , Permit Fee Motors Receptacles Generators Stoves Water Heaters Signs Billboards 'Other Apparatus Permit Fee -!` ... ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Contractor or Electrician Outlets Dated , 19 aiami tfhores9' llage F L O R I D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla NUMBER OF LO CATI 0 N DESCRIPTION OF WORK This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with le plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code f Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time pon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by _pis Department. , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with he Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the 'tate of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules dulations of the Electrical Department of Miami hores Village. 19 1 (Sea 7 - •••• - NO. Motors . Generators . . STREET k.: PART OF LOT LOT BL'K SUBDIVISION ! , i 7 / e I t... 4.. 't. . L 'O ' iti'ti 11 1L1/1/ t / "6" • .7 Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee L 'O ' iti'ti 11 1L1/1/ t / "6" • .7 ELECTRICAL PERMIT B.—This Permit must be on display on the pre„inises during the construction. /1 ; 1' - • .) ' iwner of Building P irCi intractor or Electrician 19 adiami =iliores9Illage F 5. 0 OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , , DESCRIPTION OF WORK NUMBER OF LO CATI QN State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all r Shores Village .r- . - Dated 6 19 ( This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with he plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time ipon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon change in the p4ris and specifications unauthorized by his Department. , Electrical Ins or. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the ulations of the Electrical Department of Miami N'? 636 • (Seal) NO. Motors Receptacles Generators STREET Water Heaters PART OF LOT LOT BL'K TOWN, ADDITION, OR SUBDIVISION - ?4.:J i ' ► . 5 7 5 7 .- - , / �yn� ,'° 10 717.4a4s4.4 54140 Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee 1 4 , i ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during I.he construction Owner of Building.... ;ontractor or Electrician :ANGE PRINTING CO., MIAMI, FLA. .) T Town of Miami Shores OFFICE OF ELECTRICAL DEPARTMENT Miami Shores, Florida, , 192 A' PROPOSED LOCATION BANK DEPOSIT 1X10 DESCRIPTION OF WORK NUMBER OF This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of the Town of Miami Shores and the rules and regulations of the Electrical Department of the Town of Miami Shores. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unau- thorized by this Department. 41 Town of Miami Shores. r = Dated 1 '`�`° , rrIT 4 4466.4 4. if . N ° . 147 , Electrical Inspector. (Seal) In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of the Town of Miami Shores, and all rules and regulations of the Electrical Department of the MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submieed 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.. 7 A3 CeF</.C4,.C, Registered Architect and /or Engineer Employing Electrician's Name JAR' S' . ,, a. / . Location and Legal Description Lot G' No 41 Street . .I '4?• C'') l y 'Jt! _. 2-Q 7 r Block Subdivision Y• Street and Number where work is to be performed —No .�7._6v..l Street ...,a.... 9 7TN• J7 • State work to be performed and purpose of building (By Floors)... &iCC 11 'PO( T/ (1^,/ New Building Remodeling Addition (- No.. 26/ Street.. )7 c ! 2 • J 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 $ 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. STATE OF FLORIDA, COUNTY OF DADE. ss. (Signed) (Signed) Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE � v 7- FIXTURES NO. LAMPS / REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CL LIST LIST 2. /POT CHECK J ha 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 Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submieed 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.. 7 A3 CeF</.C4,.C, Registered Architect and /or Engineer Employing Electrician's Name JAR' S' . ,, a. / . Location and Legal Description Lot G' No 41 Street . .I '4?• C'') l y 'Jt! _. 2-Q 7 r Block Subdivision Y• Street and Number where work is to be performed —No .�7._6v..l Street ...,a.... 9 7TN• J7 • State work to be performed and purpose of building (By Floors)... &iCC 11 'PO( T/ (1^,/ New Building Remodeling Addition (- No.. 26/ Street.. )7 c ! 2 • J 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 $ 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. STATE OF FLORIDA, COUNTY OF DADE. ss. (Signed) (Signed) Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT // Date v // « / 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 _ /41—e l l t No.__ – 6 / Registered Architect and /or E Employing Electrician's Name —`Q —_ No 334 -- – Street/2 :1_.�l_• J 4 6 Location and Legal Description Street and Number where work is to be performed— No. ___ 3 _�?LW_ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Service Overhead Size Feeders _______________ Conduit____ Main Sw. Underground Amps. Type of Installation— Conduit Tubing B.X.L Metal Moulding r r Amount of Permit S (Signed) Street_?1 • • ? 7 /vim i e Subdivision_______ St et?_l - -_ s_l__ QI�L c Repairs No. of Stories Main Fuses_ Amps. 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 com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be . ormed under this permit, as are licensed by Miami Shores Village. aster Electrican. . r STATE OF FLORIDA, COUNTY OF DADE. ss' t, Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared – - - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST II CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT // Date v // « / 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 _ /41—e l l t No.__ – 6 / Registered Architect and /or E Employing Electrician's Name —`Q —_ No 334 -- – Street/2 :1_.�l_• J 4 6 Location and Legal Description Street and Number where work is to be performed— No. ___ 3 _�?LW_ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Service Overhead Size Feeders _______________ Conduit____ Main Sw. Underground Amps. Type of Installation— Conduit Tubing B.X.L Metal Moulding r r Amount of Permit S (Signed) Street_?1 • • ? 7 /vim i e Subdivision_______ St et?_l - -_ s_l__ QI�L c Repairs No. of Stories Main Fuses_ Amps. 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 com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be . ormed under this permit, as are licensed by Miami Shores Village. aster Electrican. . r STATE OF FLORIDA, COUNTY OF DADE. ss' t, Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared – - - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that 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. FLOORS FIXTURE ONLY NUMBER OF Total Outlets SIZE OF Size Service Conduit No. Circuits Lights Ceiling Brackets Mains Subs Branches asement— irst ..cond hird ourth x orm 246 LO CATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICA- TION WILL BE RETURNED • Lot Number. - BC-_,/ l3I ock Number •"-- • Subdivision I f e. 6 were Occupied as Street and Number Owner Building —New or Old (underline which). H. P. of each motor B F S T Lights Ceiling Kind of Installation Open or Concealed REMARKS Contractor Received by Inspector Progress Will Inspect again Rough WIT' 61 FINAL No / f Brackets Corrected Temporary .Days Date Issued DATE / l 1936 Electrical Department of the City of Miami Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated be- low, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by Inspector. Receptacles 1 ♦' IR -rte' By 1../ APPLICATION Volts Switches Occupant Stoves Water Heaters / -7 <et/ Inspection Wanted Address SPACE BELOW FOR INSPECTOR'S USE ONLY Inspected Side Work— Additional, New, Alteration or Repair. SPECIFICATIONS Total Amps Phase No/L 0 Signs Knob, RX., BX., Mldg. Conduit 1/8 n/ cc/ / % 7z C Remarks Fee remitted Other Apparatus Inspector ermit No d Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. n No Stree Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By New Building Remodeling STATE OF FLORIDA, l COUNTY OF DADE. J j ELECTRICAL INSPECTION DEPARTMENT • APPLICATION FOR ELECTRICAL PERMIT 85. My Commission Expires MIAMI SHORES VILLAGE Block Floors) Addition Repairs No. of Stories Servi Overhead Site Feeders Conduit Main Sw Amps Main Fuses Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) (Sign 1 Street ' Subdivis' n Street , i Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acce s his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors orfsub•contractors employed by him in the work to be performed under this permit; and will post or cause to be posted r inspect •n on the site of the work h public notice or notices as are required by the Act. The undersigned agrees to employ only such b•contractor: on work to be perfor under this per t, as are licensed by Miami Shores Village. Notary Public, State of Florida Muter Electrician. Amps 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 RETRIES. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP H TOTAL CONTR. LIST CHECK ..� ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL C NTR. -1 , tr f 11 IP I „- CHE cI ,, `r r , ^ }'E ( t .. A'; ` ' ermit No d Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. n No Stree Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By New Building Remodeling STATE OF FLORIDA, l COUNTY OF DADE. J j ELECTRICAL INSPECTION DEPARTMENT • APPLICATION FOR ELECTRICAL PERMIT 85. My Commission Expires MIAMI SHORES VILLAGE Block Floors) Addition Repairs No. of Stories Servi Overhead Site Feeders Conduit Main Sw Amps Main Fuses Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) (Sign 1 Street ' Subdivis' n Street , i Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acce s his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors orfsub•contractors employed by him in the work to be performed under this permit; and will post or cause to be posted r inspect •n on the site of the work h public notice or notices as are required by the Act. The undersigned agrees to employ only such b•contractor: on work to be perfor under this per t, as are licensed by Miami Shores Village. Notary Public, State of Florida Muter Electrician. Amps 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. Permit No.... Y Application is hereby ma a for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein describe This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer , � Employing Electrician's Name e No Location and Legal Description Lot Block Subdivision r Street and Number where work is to be performed —No STATE OF FLORIDA, COUNTY OF DADE. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT } SS. MIAMI SHORES VILLAGE 4 No B.X.L (Signed) Date Street Street b i; Street L. '"'� aster Electrician. 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 Fuse, Amps Underground Type of Installation — Conduit Tubing. Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such -public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 sarne, 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. H EAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1Ri N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No.... Y Application is hereby ma a for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein describe This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer , � Employing Electrician's Name e No Location and Legal Description Lot Block Subdivision r Street and Number where work is to be performed —No STATE OF FLORIDA, COUNTY OF DADE. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT } SS. MIAMI SHORES VILLAGE 4 No B.X.L (Signed) Date Street Street b i; Street L. '"'� aster Electrician. 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 Fuse, Amps Underground Type of Installation — Conduit Tubing. Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such -public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 sarne, 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.