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600 NE 97 StAmount of Permit $ 1 AI ELECTRICAL INSPECTION DEPARTMENT APs='LIC TI !' N FDR ELECTRICAL PERMIT / _ SS Permit N tf 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. a a Owner's Name and Address lf� D L ....• Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot 9 t 16 Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building =� Remodeling licensed by Miami Shores Village. P5 y� v { UAW SHORES VILLAGE a Block A (Signed) (Signed) Date No Street No. ?...G .. o Street.I.Yl^. n_� 6 Subdivision c�� 2I 8 Via ...... a Street.. Addition Repairs No. of Stories Service Over Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding 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 e{np19y only such sub - contractors, on work to be performed and r this permit, as are M ast l� Electrical Inspector. Electrician. STATE OF FLORIDA, • 65. COUNTY OP DADE: Before me, the undersigned authority, a notary public, duly authorized 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 fans therein by him stated are true. to administer oaths and take acknowledgments, personally 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 CHECK • ENT. SW. DIST. CAB. SERVICE SERVICE TEMP. PERM. M OTORS 0.1 HP MOTORS 1 -5 HP N EON TRANS. RADIO TOTAL CONTR. LIST l� �•. CHECK 1 Amount of Permit $ 1 AI ELECTRICAL INSPECTION DEPARTMENT APs='LIC TI !' N FDR ELECTRICAL PERMIT / _ SS Permit N tf 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. a a Owner's Name and Address lf� D L ....• Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot 9 t 16 Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building =� Remodeling licensed by Miami Shores Village. P5 y� v { UAW SHORES VILLAGE a Block A (Signed) (Signed) Date No Street No. ?...G .. o Street.I.Yl^. n_� 6 Subdivision c�� 2I 8 Via ...... a Street.. Addition Repairs No. of Stories Service Over Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding 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 e{np19y only such sub - contractors, on work to be performed and r this permit, as are M ast l� Electrical Inspector. Electrician. STATE OF FLORIDA, • 65. COUNTY OP DADE: Before me, the undersigned authority, a notary public, duly authorized 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 fans therein by him stated are true. to administer oaths and take acknowledgments, personally 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. yilit 7 it , a74 ,„ 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 L • APPLICATION FOR BUILDING PERMIT Registered Architect and /or Engineer 24 Name and address of licensed contractor Location and legal description of lot to be built on: Lot 9 / 47 Block /Q 0 Subdivision Street and Number where work is to be done ® New Building 8/ Re To be constructed of 6:7 • Estimated Total cost of improvements $ 2 o 0 Zone cubage required STATE OF FLORIDA, COUNTY OF DADE. ss. -111 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Kind of foundation Date State work to be done and purpose of. building (by floors ) , -4" . A•Vreiglade-Q—• Distance to next nearest building ".41 Size of Building Lot Notary Public, State of Florida l®® 5 o 19vZ No Street and for no other purpose. modeling Addition Repairs No. of Stories o %R Roof Covering.. - • Amount of Permit $ Plan Cubage 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 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, work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chainnan 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. l' 1 • I . a 4 JNc.,9 a CO � � I- '!6 /91� icense Lg. :.. •.:.'.: , , ,, kz„,i, ,, THIS LICENSE EXPIRES 19_ N ) 1716 , In consideration of the sum of Dollars ($ r ) Paid to Miami Shores Village, Dade County, State of Florida, i I t I is hereby licensed to engage in or operate the business of MIAMI SHORES VILLAGE, FLORIDA Date Issued _ ' ' 4 • By , THIS LICENSE NOT TRANSFERABLE WITHOUT THE `A.PPROVAL OF THE VILLAGE MANAGER. THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS ,PLAG' A ,VALTY IS IMPOSED FOR FAILURE TO KEEP THIS LICENSE EXHIBITED AT YOUR ESTABLISHMENT OR PLR' BUSINESS MBV 1 1936 APC 9q. BUILDING INSPECTION DEPARTMENT PLICATION 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. ,( X' „...t..-!/E Registered Architect and /or Engineer d� �• Name and address of licensed contractor Location and legal description of lot to be built on: Lot 9 d /' Block /6-6 Street and Number where work is to be done Distance to next nearest buildin I hereby submit all the pans a be sent kr STATE OF FLORIDA, COUNTY OF DADE. ss MIAMI SHORES VILLAGE a 6 Disapproved ��� ,;� gate (Signed) ector Subdivision G cz4 V' Date O' 7 , 19� No Street State work to be done and purpose of building (by floors) and for no other purpose. New Building 1 Remodeling Addition s Repairs No. of Stojies To be constructed of tr , 1.5 Kind of foundation_._. C ... /! Roof Covering _l./1 Estimated Total cost of improvements $ ./.5 0 0 0, o Amount of Permit $ .J_V e) a Zone cubage required 169 0 c67) plan Cubage , Size of Building Lot / d ®' k 010 ' Maximum live load to be borne by each floor specifications for said building. All notice with re erence t the building and it construction may The undersigned applicant for this building pennit 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. Remarks (Signed) 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 � Date / Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman !I .. 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. Toi AL IA rf?,,,F7A c2 ° i t .4 " Ct,SQ Ti Ct% e 7: 7c oP,±1 .9 9 3215,1001.c=. (ILA GeArtb -3 ("1 40.A.P.MRP. r.rmem.ww.r...s.` ci 5 0� MIAMI SHORES VILLAGE D ELECTRICAL INSPECTION DEPARTMENT P ILICATI •' IN FOR ELECTRICAL PERMIT Date !! d t t / 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 progress o work. building during f k . Permit No.. . ®3 Employing Electrician's Name Owner's Name and Address ) + b 1 P. P dam Registered Architect and /or Engineer TA 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) ..............��'.+ Amount of Permit $ A.C ?� as are required by t licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE: Before me, the undersigned authority, a appeared SS. to employ o notary public, No // Block d (Signed) 7s° (Si Street jin well known, and who, being by me first duly sworn, upon oath deposes and says that he is the e above described construction, and he has carefully read the foregoing application, and that he by him stated are true. No Street Street // ' 4 Subdivision P7 7 . 7 $T w Buildin Remodeling Addition Repairs No. of Stories Amps Service Overhead Size Feeders F�' I Conduit ..Main Sw ). .die Amps / Q Main Fuses Underground Type of Installation — Conduit Tubin B.X.L Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does her eby certify that he understands and accepts his obligations as an employer of 0 labor under the Florida Workmen's Compensation Act, being Se has complied with the provisions thereof, and will require simi work to be performed under this permit; and will post or cause he Act. The undersigned agrees ction 5966, Compiled General Laws of Florida Permanent Supplement, and lar compliance from all contractors or subcontractors employed by him in the to be posted for inspection on the site of the work such public notice or notices my such subcontractors, on work to be performed under this permit, as are Notary Public, State of Florida Master Electrician. duly authorized to administer oaths and take acknowledgments, personally did sign the same, and that all facts My Commission Expires 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. OUT .! IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST d � CHECK ,/ ENT. SW. . ' . U ✓D ® 0 u 0 flo D IST ` CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL C L /A 6,4 )666 V , Fl / `-" 4 V ST CHECK . 5 0� MIAMI SHORES VILLAGE D ELECTRICAL INSPECTION DEPARTMENT P ILICATI •' IN FOR ELECTRICAL PERMIT Date !! d t t / 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 progress o work. building during f k . Permit No.. . ®3 Employing Electrician's Name Owner's Name and Address ) + b 1 P. P dam Registered Architect and /or Engineer TA 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) ..............��'.+ Amount of Permit $ A.C ?� as are required by t licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE: Before me, the undersigned authority, a appeared SS. to employ o notary public, No // Block d (Signed) 7s° (Si Street jin well known, and who, being by me first duly sworn, upon oath deposes and says that he is the e above described construction, and he has carefully read the foregoing application, and that he by him stated are true. No Street Street // ' 4 Subdivision P7 7 . 7 $T w Buildin Remodeling Addition Repairs No. of Stories Amps Service Overhead Size Feeders F�' I Conduit ..Main Sw ). .die Amps / Q Main Fuses Underground Type of Installation — Conduit Tubin B.X.L Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does her eby certify that he understands and accepts his obligations as an employer of 0 labor under the Florida Workmen's Compensation Act, being Se has complied with the provisions thereof, and will require simi work to be performed under this permit; and will post or cause he Act. The undersigned agrees ction 5966, Compiled General Laws of Florida Permanent Supplement, and lar compliance from all contractors or subcontractors employed by him in the to be posted for inspection on the site of the work such public notice or notices my such subcontractors, on work to be performed under this permit, as are Notary Public, State of Florida Master Electrician. duly authorized to administer oaths and take acknowledgments, personally did sign the same, and that all facts My Commission Expires 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. BAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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. Date 55 , 19 Owner's Name and Address WM L Pierce No Street Registered Architect and /or Engineer Name and address of licensed contractor L.alL7!gRoofinnand__Tile COa. Ina. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 600__1 -0.._ '�i..__�'X I1__,r1 m_ �tt17 ___ShQX'e_s State work to be done and purpose of building (by floors) and for no other purpose. New Building X Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation R Covering Tile & Built Up Estimated Total cost of improvements $_._835_ 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. Lang Roof jiig and Tile Co., Inc, Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 t J Date 1 ° A‘-.615 Read, Sworn to and Subscribed before me. Disapproved Date (Signed) to me well known, Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date OTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from th lanning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty aterials and /or workmanship. 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 Registered Architect and /or Engineer Name and address of licensed contractor.... 111 4 / Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done \ m /1/ G Disapproved ( Signed) .... APPLICATION FOR BUILDING PERMIT 7v14 Building Inspect MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT „ / / Date / m f No._ State work to be done and purpose of building '(by floors) �A / /G ZE 7�/`6 6" -- ' �9 - _ -- - a 7 Street - - -.l 7e• 19 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 $ °� e2e2' O 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. Remarks (Signed) STATE OF FLORIDA, j COUNTY OF DADE. 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 efully read the foregoing application, and that he did sign the same, and that all facts therein by him sta are true. Permit No Da e ✓ - lead, Sworn to and Subscribed before me. Date Notary Public, State of Florida My Commission Expires P ANNING 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 q7 z Owner's Name and Addres Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No Amount of Permit $ STATE OF FLORIDA, } COUNTY OP DADE. ss' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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 her 'n specified or not. A copy of approved plans and specifications must be kept at building during progress of wor State work to be performed pyrpose of building (By Floors). New Building and Remodeling, Addition epatrs 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 D 4A� c � 1 + it Street, p Block Subdivision s W� 0 0 Street ....l{( /\ o v/ f \' (Signed) Date (Signed)/ ;I Street ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli tions 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 per forn ed tinder this permit, licensed by Miami Shores Village. as are Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T's FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST D G;, D e CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE ERM. M OTORS 0.1 HP M OTORS 1•5 HP N EON TRANS. RADIO TOTAL CONTR. • ( . 2 0 . E " = o > V CHECK Permit No q7 z Owner's Name and Addres Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No Amount of Permit $ STATE OF FLORIDA, } COUNTY OP DADE. ss' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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 her 'n specified or not. A copy of approved plans and specifications must be kept at building during progress of wor State work to be performed pyrpose of building (By Floors). New Building and Remodeling, Addition epatrs 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 D 4A� c � 1 + it Street, p Block Subdivision s W� 0 0 Street ....l{( /\ o v/ f \' (Signed) Date (Signed)/ ;I Street ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli tions 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 per forn ed tinder this permit, licensed by Miami Shores Village. as are 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.