383 NE 97 St'0
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SPr,ctA E2" O.C.
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S
s '-o"
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6' - -O'
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Dli.A
33
45
57
69"
SINGLE N( UL..T /PLE UNITS
UNITS R
AFTER BRACE SPACINGS
MAN •
WIDTH
Dist ' Ef
48"
42 - 42'
48"
48'
45'
7=0' WIDTH
42' - 42'
28" 28 "- 28"
28 "- 28 "- 28'
/0 WIDTH
42' - 36' 42"
42 "- 36 "- 42'
30 " 3 - 30 =:30"
30" - 30
0774e
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MAx.'b
54"
51'
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30'
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/ 0l0"
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11
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SIDE- 5NIE.L
ALLOY 3003 HIg
0.032' PAINTED ALUMINUM
DIMENSION " X"
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aN A I I I
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OE STRINGED AS 5000, ADE9E.
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- lie
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F0_Low1NG TO 052055 no DSc, Loss, on CAcH 005106,..
5000,00 5051045 CCRT151E0 TO THS 4uey HART 0090Tn0AT
OF ALL METAL. 1N TX15 PRODUCT 0000RMS To TH6 SP6c,FIC4T,053
COSrmNS0 15 700 PL4n5 505017200 500 PCPMR CevRi0q T H,0
s
s THIS AwOIHy ES
NUS0 se CLOSED AND 0URE5
To THE WALL DURINEI 4 HURRICANE /0000054 04 ALERT
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EA. SIDE 00 917ES0LL.1/ WA1
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3ECT \ Ot'. 4
I}- APPLICATION SIZE'_
FORMED ALUM. CNAREIC DLL• -/ID SLAT TO ST2INGF P. - !o -32 0 14..
FROM P-AITea D *A00• 5#22,0 a rQ 4O. 7M11_1_417 MS AWnt
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ll
1 �r 'NOT
LOADING TESTS STSUCTU2AL
CAC.ULATIONS INDICATE- - 11 -IAT
W17H TL1C SPANS SCHEDOLI =D,
THIS ST2 UCTU21= WILL SOPPOreT1
43 1. , )= 0OT LIVE LOAD
_WITH NO MORE THAN 207, PERMANENil
DEFORMATION IN ANY MEM9ER.
THIS LCAL 56 -10ULD BE DIVIDED
BY
APP 20P21ATE SAFEn 1-56702 1
TO OBTAIN SAFE LIVE LOAOS. •
-
WILL AR-0 H. STEVENSON
2E G 8440 STATE.
ROT TOM PAI I - I IrAI�LR
ALLOY - Co0(03 -1
ti
■
EA-TILED. SrR+NCRR-
ALLOy 6063 -T'6
.050' WALL
RAFTER BRAGS DETAIL
�72 � IOOe
TOP PAIL - I -IFAnr
ALLOY - 60623 - t (0
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L0O<-1NQ SLAT 054 5 ONUTS
ALLOY - 3003 -1-112
.old et N. 51.0 NA.
L.CT2 -UDLO 3TQINGEI2
ALLOY 60(23 -T6
7 WALL - .050'
SEA VIEW (MD (NC.. MIAMI,C'LA
VOGUE- AWNING
DQAWKI BY - JIM MAY NAME:
APP
DATE_ - 10 AP2CD
D'W'G N=
1-- - -{ "7.i -
f f
i.«L PLOT PLAN
Air
r
STATE OF FLORIDA) SS
COUNTY OF DADE )
of the Village of Miami Shores, County
of Dade and State of Florida, being duly sworn, doth depose and say, that under
the provisions of Ordinance No. 185, dated June 15, 1948, amending paragraph
(d) of Section B-368 of Ordinance No. 97 of the Building Code of Miami Shores
Village he desires to build a_.
on LotAt. M1,2 Block of ■ ," .. , . 5u division,
that he is the o er of said property, and will be the owner of said
, that he will do the work personally, and that he
will, at such times as are required by the Zoning and Building Director: -
1. File plans and specifications and obtain approval of the
Planning Board and the Building Inspector.
2. Apply for and secure a Permit.
3. Pay the required fees.
4. Execute the work in accordance with the provisions of this Code.
5. Apply for inspections.
6. File with the Building Inspector certificates that provision has
been made to carry the necessary Z•iorkmen's Compensation, Public
Liability and Property Damage Insurance.
7. File with the Building Inspector as the job progresses certificates
showing the payment required by the Federal Social Security Act
to the State of Florida or the United States of America.
8. Assume the responsibility of not employing other than properly
licensed contractors by Miami Shores Village for any part or
portion of the work.
9. Not set himself up as a "contractor ".
10. Sign an affidavit before commencing work to the effect that he has
read this Article and will do the work personally and observe all
of the requirements of the Building, Electrical, Plumbing and
Zoning Codes of Miami Shores Village. Such affidavit to be
properly notarized upon blanks to be supplied by the Building
Inspector.
11. In order to prevent abuses and subterfuge the right of such
owner - builder as herein provided, is limited to but one
owner-builder permit each 2 years, and where an owner - builder
has once exercized the privilege herein conferred no second
application for owner - builder permit shall be granted in less
than 2 years, unless the applicant is qualified as a licensed
General Contractor under the applicable Ordinances of said Village.
And Further this Deponent says not:
SUBSCRIBED AND SWORN TO BEFORE ME this
195
A F F I D A V I T
01
OWNER
day of A.D.,
NOTARY PUBLIC
THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS .PLACE
A PENALTY IS IMPOSED FOR FAILURE TO KEEP THIS LICENSE EXHIBITED AT YOUR ESTABLISHMENT OR PLACE OF BUSINESS
Village
THIS LICENSE EXPIRES n h eume 3i eange _
In consideration of the sum of
License
Went' :Five anti Noile0 — Dollars
Paid to Miami Shores Village, Dade County, State of Florida,
J Ftattta
is hereby licensed to engage in or operate the business of
to a rt ! .t 183 Q7tj S!.
MIAMI SHORES VILLAGE, FL9RIDA
Date Issued _. _.1957 By `=
THIS LICENSE NOT TRANSFERABLE WITHOUT THE APPITOVAf 6t' IffE IIILLAGE MANA
MIV /teas
APC i
•
• JP
C
•
--F
- ,
I f
±
, 1/
(.1 /0 4 3 - i0
7 6 6 I
f - 2
dl
\
N 0 I
) ?
/ 1 .13
' 1 , /
16 - 2
/ 910 $3
/il':;
•
Permit No. P ?/ % :
Registered Arc' `ect and /or Engineer_-__..
�.
Employing Plumber's Name
Amount of Permit $
OF FLORIDA, I mu
COUNTY OF DADF..
MIAMI SHORES VIL:.a,G,7
PLUMBING INSPECTION DEPARTME<
APPLICATION FOR PLUMBING .4l7
Application is hereby made for the approval of the detailed statement of tip puns and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and co2f - ;; ,1'y with the 'Lailding Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miaml Shores ViilaUs aad all rules and regulations of the Building Division
of Miami Shores Village stall be complied with, whether herein specified nr ?. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address ___ _`_ - - -.
No. __J
Location and Legal Description Lot________ .....
_______._._
Street :.nd Number where work is to be performed —No -> F, a • . q ~
Street
State work to be performed and purpose of building (By Floors )._
New Building Remodeling ________ Addition.
No.___ Street.__
Size Septic Tank Type of Tank__ Capacity Gals.
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply ty Well. ______Size of Soakage Pit
(Signed)
Plumbing 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 bas 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
re tired 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).-
Repairs No. of Stories. !
Date
Subdivision.
7,efore ma, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me v.•r. l 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 remmission Expires Notary Public, State of Florida
t
Master Plumber.
i GTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
aerials and /or workmanship.
CL0�CLAMS"
BATH
TUBS
ERS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
T U86
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
"t . ) t,,,_
TOTAL
FIXTURES
LIST
CI-MCK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
■Ot*W
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
Ai'
/I
t
-
-
- - -__
CHECK
/il':;
•
Permit No. P ?/ % :
Registered Arc' `ect and /or Engineer_-__..
�.
Employing Plumber's Name
Amount of Permit $
OF FLORIDA, I mu
COUNTY OF DADF..
MIAMI SHORES VIL:.a,G,7
PLUMBING INSPECTION DEPARTME<
APPLICATION FOR PLUMBING .4l7
Application is hereby made for the approval of the detailed statement of tip puns and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and co2f - ;; ,1'y with the 'Lailding Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miaml Shores ViilaUs aad all rules and regulations of the Building Division
of Miami Shores Village stall be complied with, whether herein specified nr ?. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address ___ _`_ - - -.
No. __J
Location and Legal Description Lot________ .....
_______._._
Street :.nd Number where work is to be performed —No -> F, a • . q ~
Street
State work to be performed and purpose of building (By Floors )._
New Building Remodeling ________ Addition.
No.___ Street.__
Size Septic Tank Type of Tank__ Capacity Gals.
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply ty Well. ______Size of Soakage Pit
(Signed)
Plumbing 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 bas 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
re tired 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).-
Repairs No. of Stories. !
Date
Subdivision.
7,efore ma, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me v.•r. l 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 remmission Expires Notary Public, State of Florida
t
Master Plumber.
i GTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
aerials and /or workmanship.
ear
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, whe er herein specified or not. A copy of approved plans and specifications must be kepi Jlt
building during progress of work.
Owner's Name and Address
Registered Architect and /or E
Employing Plumber's Nam
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 Floors)___
New Building __ ______ Remodeling
Size Septic Tank
Feet of Drain Tile
STATE OF FLORIDA, } as.
COUNTY OF DADE.
'! _ Type of Tank_
..... Feet of T
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING 1. ' OaMIT
Block
.,(Si
Date
Street.
� O j
My Commission Expires Notary Public, State of Florida
Addition -_ °_- Repairs__ .. . .. .......... No. of Stories. _ ..._..........._.....
_Capacity Gals ` e, ( '
Drain Field from Well
Nature of Water Sup : City = Well. -- _ -- _ _ -- __Size of Soakage it
Amount of Permit $ - - -- _ - - - -_— _— - - - -- ( Signed)---- --- - - - - -rte —
Plumbing 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 Pennanent 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 stile of tile rk sue puW notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- icontract s, on wo to `, perf tme4 under this pe ' •
` t, ar
licensed by Miami Shores Village. "' ..
, „- :,,,
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persofiatfy 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.
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.
CLOSETS
BATH
TUBE
SHOWERS
LAVA-
TORIES
SIN
SLOP
SINKS
LAUNORY
TUBS
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NB
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'O
POOL
CONTR.
LIST
CHECK
(
_
ear
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, whe er herein specified or not. A copy of approved plans and specifications must be kepi Jlt
building during progress of work.
Owner's Name and Address
Registered Architect and /or E
Employing Plumber's Nam
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 Floors)___
New Building __ ______ Remodeling
Size Septic Tank
Feet of Drain Tile
STATE OF FLORIDA, } as.
COUNTY OF DADE.
'! _ Type of Tank_
..... Feet of T
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING 1. ' OaMIT
Block
.,(Si
Date
Street.
� O j
My Commission Expires Notary Public, State of Florida
Addition -_ °_- Repairs__ .. . .. .......... No. of Stories. _ ..._..........._.....
_Capacity Gals ` e, ( '
Drain Field from Well
Nature of Water Sup : City = Well. -- _ -- _ _ -- __Size of Soakage it
Amount of Permit $ - - -- _ - - - -_— _— - - - -- ( Signed)---- --- - - - - -rte —
Plumbing 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 Pennanent 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 stile of tile rk sue puW notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- icontract s, on wo to `, perf tme4 under this pe ' •
` t, ar
licensed by Miami Shores Village. "' ..
, „- :,,,
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persofiatfy 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.
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.
APPLICATION FOR BUILDING PERMIT
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 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 the work.
Owner's Name and Address.... i .�
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
w ,,
Date
- Street., - .
Name and address cf licensed contractor
Location and legal descrption of lot to be built on:
.P .e. - r� . ! :3 Block Er_ ; Subdivision t _.��ll „9
Street and Number where work is to be done - - -._ ? . ... '
1
Remarks ( Signed) ,
19......
State work to be done and purpose of building (by floors)
/: , l d P %� l�Q- �' (, y 4
��
% �- ..4/; -- _ - NZ.- -- . --..d� �' -••�1 '-..- and for no other purpose.
New Building Remodeling. Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ �y'�% Amount of Permit $ -
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I 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 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.
STATE OF FLORIDA,
COUNTY OF DADE. I ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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.
Permit No 0 7 ' Date ,'-'9 -11 .2S - - -- 1 / Read, Sworn to and Subscribed before me.
Disapproved 4 Da
ty � Notary Public, State of Florida
(Signed) � ,.� �'� -
Building Ins�ctor My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Permit No r et 73
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith spbmitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Vi lags, 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 Puf1.di. g 11 :vision
of Miami Shores Village shy -be complied with whether herein specified or not. A copy of approved plans and specifications must 'e kept at
building during progress of ork
Owner's Name and Address
Registered Architect and/ qF ,.Engineer
Employing Electrician's Name '" t.4 Street
Location and Legal Descrip i /Lot 2
APPLICATION FOR ELECT€IIICAL PERMIT
Street and Number where work is to he performed —No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
;'
'-"1..f'e"i Na..
Block 1/
if —
Street
Subdivision Ai g / JJ./c. ?,-
Street./
e.
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders. " w Conduit ' Main Sw c Amps
Underground
Main Fuses.... /.. 4 Amps
Type of Installation -- Conduit Tubing ` B.X.L .Metal Moulding
Amount of Permit $ ?�
STATE OF FLORIDA, 1
COUNTY OF DADE. I
SS.
(Signed)
the undersigned authority, a notary public, duly authorized
to administer
oaths and
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts is obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of orida 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 perfprmed under this permit, as are
licensed by Miami Shores Village.
(Signed)
" °
�,- t'i'c =�
aster Electrician.
take acknowledgments, personally
Before me,
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''Y'S
FIXTURES
NO. LAMPS
REPRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SOCK
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
, Y
1
. L
1 0
/ 1
1
CHECK
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
1
`9 i + Y1,
1)I i /4 IV 4:h
; 4A )
, -paiy
MOTORS
O. HP
MOTORS N EON
1.5 HP TRANS.
RADIO
TOTAL
CONTR.
L IST
1
1
e
r
9....A1‘...
�` i f
CHECK
Permit No r et 73
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith spbmitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Vi lags, 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 Puf1.di. g 11 :vision
of Miami Shores Village shy -be complied with whether herein specified or not. A copy of approved plans and specifications must 'e kept at
building during progress of ork
Owner's Name and Address
Registered Architect and/ qF ,.Engineer
Employing Electrician's Name '" t.4 Street
Location and Legal Descrip i /Lot 2
APPLICATION FOR ELECT€IIICAL PERMIT
Street and Number where work is to he performed —No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
;'
'-"1..f'e"i Na..
Block 1/
if —
Street
Subdivision Ai g / JJ./c. ?,-
Street./
e.
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders. " w Conduit ' Main Sw c Amps
Underground
Main Fuses.... /.. 4 Amps
Type of Installation -- Conduit Tubing ` B.X.L .Metal Moulding
Amount of Permit $ ?�
STATE OF FLORIDA, 1
COUNTY OF DADE. I
SS.
(Signed)
the undersigned authority, a notary public, duly authorized
to administer
oaths and
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts is obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of orida 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 perfprmed under this permit, as are
licensed by Miami Shores Village.
(Signed)
" °
�,- t'i'c =�
aster Electrician.
take acknowledgments, personally
Before me,
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.