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664 NE 96 St (3)BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder \.,. c c' D escription Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA ❑ DA1 ce. PERMIT N? 14376 cis ❑ Limnos No. ❑ Work to be performed uader this Permit 4 This permit L granted to the contractor or builder named above to construct the building or to install the uipment or device d herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be formed in cs drawings, statements or specifics that may have been submitted to and approved by the proper municipal a ritfa. The Penal time if the work is not done in w ce with such ordinances or if the plans are changed without authorization. A farther pond ion granted is the understanding that contractor or builder named above assum , responsibility for a thorough knowledge of the ors pertaining to the work covered hereby whether shown on the plans or dra the statements or specifications and - , he asses done by his agents, servants or employees. signed • ( , ' 1"s, va. - "" 0 a In consideration of the issuance to me of this permit I agree to pe rm the work covered hereunder in compliance with all o pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of In accepting this permit I assume responsibility for all work done by either, myself, my gent, servant or employee. CONTRACTOR OR BUILDER BY Value of Project $ Amt of Permit $ :. Permit No 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. Owner's Name and Address No Street Registered Architect and /or Engineer Employing Electrician's Name No Street 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 Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground P P Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit S • The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. STATE OP FLORIDA, COUNTY OF DADE. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT (Signed) ss. 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 MIAMI SHORES VILLAGE (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are Notary Public, State of Florida 1/6e,-)4,2Y-- Master Electrician. 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 TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No 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. Owner's Name and Address No Street Registered Architect and /or Engineer Employing Electrician's Name No Street 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 Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground P P Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit S • The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. STATE OP FLORIDA, COUNTY OF DADE. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT (Signed) ss. 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 MIAMI SHORES VILLAGE (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are Notary Public, State of Florida 1/6e,-)4,2Y-- Master Electrician. 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.