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ELECTRICALDate (v / D Job Address Legal Description Owner's Address '1 & D Ng Co (22 )000 Signa owner and/or Condo President Date Notary as Owner and/or My Commission E • fires: "3014,,, TERESA CEJAS ,p MY COMMISSION # CC 835275 ' "Q`gf t1,6� EXPIRES: Aug 16, 2003 1ID0.3 Fla Notary SaMoa 8 Bonding Co FEES: PERMIT 6� ,� RADON APPROVED: Zoning Mechanical C.C.F. g; Old 7 /'? PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ) 6, D NE- 9 Si'Tax,oho Historically Designated: Yes No Owner/Lessee / Tenant J o N &" c / 1/Q C& S -3f Master Permit # Phone ` 7.S7 — Contracting Co T & M ELECTRIC, INC. Address 1464 N. W. 78 Ave. MIAMI FL Queer ANTONIO MORENO SS# State# 30- 3407244 Municipal# 327059 -2 Competency #94E000420 Ins. Cca7g4440A21 Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ���� � / / / Square Ft Estimated Cost (value) 7,e& 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 perforated 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. OWNERS 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. No Building Electri :A i>rl Signa Qv. ntractor or Owner - Builder itt TERESA CEJAS MY COMMISSION N CC 835' *1 Bi iN,p EXPIRES: Aug 16, 200? 1400,3•NOTARY FIa. Notary S•Mw & Bontling C.. -,: AA. o Contractor or • r My Commission Expir NOTARY BOND Phone 305 406 -9692 0 e# TOTAL DUE Aeevo# Date Plumbing Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ' D3 .13 . 100o ST la J ab Address 9 b o ( �� 97 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Master Permit # im 3 , d Owner's Address q(00 Ne' 97 S T. Phone 38S 75 7 - 430 Contracting Co. (9 `-<4 -[E t? Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING LECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION CkQvl � e avid upy c e oc f s i d 6 e, 1 ec co 1 rn t✓4(-e v Awt Square Ft. Estimated Cost (value) 4 • 6)2 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 OF 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. Signature of owner and/or Condo President Date Si Notary as to Owner and/or Condo President Date My Commission Expires: • FEES: PERMrL.' far 0 0 RADON C.C.F.. 5° 0 APPROVED: Zoning Mechanical of Con 64- JtQJ2p Date Notary as to Contractor Owner- Builder My Commission Expires: OfFtc tM NOTARY SEAL 1; 1.14 P08, SMAROAFntAMONPEI �('1 cOMIaSno$ NUMBER if CC797277 s O y pgSION EXPIRES _ e . MY CSC. 1 7,2 002 BOND Building Electrical r or Owner- Builder TOTAL DUE Date —,3 .1c00 Plumbing Structural Engineer DRIP Lo ro DE 30' CAFG (MIN) ' 2 00A METER .\.....___ rri .- utva(Lo„ ) 4..b • 2, P vL cw (3,%m. •J u 1 2' ABOVE ROOF 1 z km , p Atir n•V1 I Nt W' ,1 G ri9 OtD FHUSIIED I RAIIE An IC Bit." 11116 1(9 ,2.00Arte MAIN CD PANEL 2 WO' ti IN ]10' 711 \-4 .got- -4 ( I- is) & 1. • ww, pH■.a ( To zoo &1.D iZo M*'b "i•"tj 6, LA , p L T ^�C SLEry TENT UI1P J 1r Min V111u J 12,5 SUB C 13 PANEL A I BY KJJLK Ui< ' 'I-Ic)pli•4 Conductor • Conduit - Con. -b roof Y —_ P10 Gii wlr-c en- ----- •- -_ —_ -- HArH. DIS ONIIECT Ra.11n0 24 ' 1"> AMPS 1.1�.. -�? nn Sub Urg otters l A1•+N • • PER S.F.II.C, 45(16.2(B) r--• r . - ,— , . , • r a _ ' SUB FEEDER New 1 X 511- Exls•un •rY(�n Ito VID d '� 1J1 u;�rlt 6 size 71 a k) Boni! �'LZa 14 Cl•NS [DE PANEL Ratlnfl 12• A4.1.3s land Bugs _1' _. _I.10 . Locc.-tkn_ _.. • SIGNATURE of CO1ITRACTOR • NOTARY "--- .— .-- •----- -- - - -- . - - - -- 1 \/' I- 17) 2 maw a A Date Legal Description Owner / Less»e / Owner's Address Contracting Qualifier Signature Date: Notary as My Commiss APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Master Permit # 6/605 0 Phone — 1S — i co. Address � 9 S - g /k214 S'9 X. .9? t ss# [.( Phone State # 006 / Municipal # Competency 46 Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type one): BUILD 'CTRICA LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION . /— Square Ft. Estimated Cost(value) `fa.) 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. owner and /or Condo President ident q %xE i esSARINA M HIRSCH • 2 \ 'r n COMMUNION NUMNeR CC714091 ** * * MV*COMMISSION EXPIRE* 1 .2002 - . FEES: PERMIT, e» '' RADON Job Address 1 (DO (\ � � ` Tax Folio3zo6 V��"� /lcn Tenant SlUk(0 * * * C.C.P. 6i) NO Signature of Contractor or Owner- Builder Da Notary as to Contractor or Owner- Builder My Conrmi O SP" 4/ L NOTARY SEAL .B SAMNA M HIRSCH n COMMIs/p0 NUVER l'; 0714091 MY colu171Cro�NyEXPi; ** Fire Other Zoning - - Building Electrical Mechanical Plumbing Engineering KUILDING ❑ :LECTRICAL PERMIT N° 8164 PLUMBING ❑ GOOFING ❑ Jwner of luilding n rchitect contractor ,r Builder .egal )escription 4ddress of = uilding Lot te 0 MIAMI SHORES VILLAGE. FLORIDA CONTRACTOR OR BUILDER Work to be performed under this Permit r Bl. k � 4. Q14 } Subdi- vision 4 • � ., Sq. Ft Value of Project $ DATF /G. 195 y" Contractor's License No ( 2 t . y Amt. of ♦ -- Permit $ iu 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 ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, irawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime 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 7ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ,ertaining 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 lone by his agents, servants or employees. ./' Signed• fc. BY INSPECTOR 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 Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Owner of "7" r•, f�" ` Building t;,l _ .� - i _ ' i (. y <' f , t Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIA 11 SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL V PERMIT iN? 11627 PLUMBING ❑ ROOFING ❑ Work to be performed under this Permit ,% —h.- Value of i i ' , ' ,, i i "i. ede Project $ This permit is granted to the contractor or builder n amed above to construct the building or to install the equipment or device sloongied in the application herefor in strict compliance with all ordinances pertaining \thereto and with the understanding that the work will be performed iti ann.anee with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Petit Oy be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorisation. A further condition which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the and regulations pertaining to the work covered hereby whether shown, on the plans or drawing,' or in the statements or specifications and that he `bility for work done by his agents, servants or employees. Signed; '' BY : ', DATE t' Subdi- vision'? I i Nor/rc A � �r r .!`i► " 11 Amt. of Permit INSPECTOR In consideration of the issuance to me of this permit agree to perform the work covered hereunder in compliance with pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autho In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY O - 195 Contractor's License No. and regulations Shores Village. APPLICATION FOR ELECTRICAL PERMIT Permit No It(° 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. Registered Architect and /or ngineer Employing Electrician's Nam Owner's Name and Address Location and Legal Description Lot Block Subdivision 9 � 72 . 92 State work to be performed and purpose of building Floors).. f: ( Y ) lR,�° Jeep „G- (:........q.,.,F,a.- ..carat' �•'.4y�.u..,;.�'z. . – �x.,at..: ° - • New Building Remodeling Addition Repaifs No. of Stories Street and Number where work is to be performed —No Amount of Permit $ eCo (f STATE OF FLORIDA, } COUNTY OF DADE. SS. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No 6) T (Signed) Date.. – .Street (Signed) fl. !?4?*ir.. Street Street -x' Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Notary Public, State of Florida 1 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 L s 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. aster 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. 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. SCACE H ATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP M OTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST ' ` J /-.7,4 CHECK APPLICATION FOR ELECTRICAL PERMIT Permit No It(° 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. Registered Architect and /or ngineer Employing Electrician's Nam Owner's Name and Address Location and Legal Description Lot Block Subdivision 9 � 72 . 92 State work to be performed and purpose of building Floors).. f: ( Y ) lR,�° Jeep „G- (:........q.,.,F,a.- ..carat' �•'.4y�.u..,;.�'z. . – �x.,at..: ° - • New Building Remodeling Addition Repaifs No. of Stories Street and Number where work is to be performed —No Amount of Permit $ eCo (f STATE OF FLORIDA, } COUNTY OF DADE. SS. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No 6) T (Signed) Date.. – .Street (Signed) fl. !?4?*ir.. Street Street -x' Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Notary Public, State of Florida 1 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 L s 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. aster 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. 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. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No .. _l___GP 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 riles and regulations of the Building Division of Miami Shores Village shall be plied v ith, w,ether 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 En er Employing Electrician's Nam 1 , 4 * Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performe and purpose of building (By Floors) New Building_ Remodeling .Addition Repairs ------ Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. 1 ss. MIAMI SHORES VILLAGE No ■ftry Str s /C; Conduit ,____Main Sw Service Overhead Underground Size Feeders Type of Installation— Conduit v Tubing Block ,7 Street (Signed) /Ge Metal Moulding (Signed) < ' _Stree Subdivision_ No of Stories__________________ Amps 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 5066, 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 p osted for inspection on the site of the wo such public notice or notices as are required by the Act. The undersigned agrees' to employ only such sub - contractors, on wo to be per timed under this permit, as are licensed by Miami Shores Village. fe_,,ALLe_ 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 I when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS / / /�. 77 PLUG RECEE''P'T'5 ." �� FIXTURES NO. LAMPS / REFRIG. OUTLET / IRON OUTLET RANGE OUTLET / RANGE CONN. WATER HEATER *id W. HEAT. CONN. • SO SPACE HEATER ' STRIP HEATER / v /� . TOTAL CONTR. LIST / 7 / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / ' CHECK / ;,,�.� ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No .. _l___GP 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 riles and regulations of the Building Division of Miami Shores Village shall be plied v ith, w,ether 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 En er Employing Electrician's Nam 1 , 4 * Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performe and purpose of building (By Floors) New Building_ Remodeling .Addition Repairs ------ Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. 1 ss. MIAMI SHORES VILLAGE No ■ftry Str s /C; Conduit ,____Main Sw Service Overhead Underground Size Feeders Type of Installation— Conduit v Tubing Block ,7 Street (Signed) /Ge Metal Moulding (Signed) < ' _Stree Subdivision_ No of Stories__________________ Amps 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 5066, 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 p osted for inspection on the site of the wo such public notice or notices as are required by the Act. The undersigned agrees' to employ only such sub - contractors, on wo to be per timed under this permit, as are licensed by Miami Shores Village. fe_,,ALLe_ 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 I when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. qq �• 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 Registered Architect and /or Engipe¢r J g,N - it_c•K Employing Electrician's Name APPLICATION FOR ELECTRICAL PERMIT 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 R • emode�j g,. Addition Service Overhead Size Feeders_ Conduit._________ Main Sw.________^__ Amps. ___ Main Fuses____________________Amps. Underground Type of Inst tion— Conduit Tubing B.X.L. Metal Moulding Amount of Permit The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly ss. My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No 6 Street .. �!� __ c�5? No 47_S Street._A Q v b Block ADp _IONA L pairs d (Signed) Street N Electrical Inspector. • rtify that he P nderstands and accepts his obi ' ions as an employer of labor Compiled General Laws of Florida Perman nt Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are i� // • (Signed) — `_ = -- — /77" Master Electrican. 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 be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida No. of Stories.___________ re- inspection is made necessary by improper notice for inspection, or faulty SNITCH C}YTL•i1 LIGHT FIXTURES O.LIrMRS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST IST IST j J 3 4 3 / / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK qq �• 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 Registered Architect and /or Engipe¢r J g,N - it_c•K Employing Electrician's Name APPLICATION FOR ELECTRICAL PERMIT 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 R • emode�j g,. Addition Service Overhead Size Feeders_ Conduit._________ Main Sw.________^__ Amps. ___ Main Fuses____________________Amps. Underground Type of Inst tion— Conduit Tubing B.X.L. Metal Moulding Amount of Permit The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly ss. My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No 6 Street .. �!� __ c�5? No 47_S Street._A Q v b Block ADp _IONA L pairs d (Signed) Street N Electrical Inspector. • rtify that he P nderstands and accepts his obi ' ions as an employer of labor Compiled General Laws of Florida Perman nt Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are i� // • (Signed) — `_ = -- — /77" Master Electrican. 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 be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida No. of Stories.___________ re- inspection is made necessary by improper notice for inspection, or faulty