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MECHANICALSTATE OF FLORIDA COUNTY OF DADE. }SS. Owner's Name and Address Registered Architect and/or Engineer MIAMI 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 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 the work. /t' ` le<C4tc / /6lM 2 9vr' Name and address of licensed contractor 571 X f(6C, / G /2 / ✓ / 2 /7(,-- I U Location and Im al description of lot to be built on: /�� j� Lot / / Block / i/ il Subdivision`-" ' i / > V g E I // l J O /f O " ff t. Street and Number where work is to be done //6' / g C ' 1 / I 5 State work to be one and purpose of uilding (by floors), state exterior colors (submit samples) Wit 4 X w j� � ybe frpS New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 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 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 obligatons 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 / a a es to e ploy only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. � Remarks (Signed) Date S 3 19 No. Street Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known. and who. being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the fore_• of : application, and that he did sign the same. and that all facts therein by him stated are true. X 89 `7/ ' . Permit No. Date I 1 Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Notary Public, State of Florida and for no other purpose. 7 3 Cc. / i Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. // Permit No.l o i Owner's Name and Address.. Amount of Permit i..- u MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Gam/ Date / - d' Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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 progreu of work. No.. // e/ Registered Architect and /or Engineer l oeyi rf riciayft_s ,PI e. ocatio a Legal Description Lot /9 Street and Number where work is to be performed— No..... f,1...(?.l....... //. State work to be performed and purpose of building (By Floors).... No Street Block.. /7 Street. Street Subdivisio (Signed).....!.. 1 >-- \ k/ 1.............. F 9JJ/ !� 5 New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing... ... B.X.L .Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Get %c•°/ Muter Electrician. STATE OF FLORIDA, } COUNTY OF DADE. 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 81.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OU LIGHT OUTLETS PLUO RECE'P'T'S FI %TURES NO'LAM ►S REIR10. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE H STRIP H TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP, SERVICE PERM. MOTORS 0.1 HP MOTORS I.S HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK // Permit No.l o i Owner's Name and Address.. Amount of Permit i..- u MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Gam/ Date / - d' Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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 progreu of work. No.. // e/ Registered Architect and /or Engineer l oeyi rf riciayft_s ,PI e. ocatio a Legal Description Lot /9 Street and Number where work is to be performed— No..... f,1...(?.l....... //. State work to be performed and purpose of building (By Floors).... No Street Block.. /7 Street. Street Subdivisio (Signed).....!.. 1 >-- \ k/ 1.............. F 9JJ/ !� 5 New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing... ... B.X.L .Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Get %c•°/ Muter Electrician. STATE OF FLORIDA, } COUNTY OF DADE. 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 81.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 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 the work. R Owner's Name and Address Cs /l J.t�i / / 1 / /L / e Registered Architect and /or Engineer Name and address of licensed contractor Location an uily legal description of lot to be b Lot /7 Block I 7 7 Street and Number where work is to be done State work to be done and purpose of building (by floors), state exterior colors (submit samples) e, /o Pm'L' Xi,4 (.._ / Qitici//fo/0 /fig' 3 - To i._.) e.-e,uT/Gf - � C. 5;76TG LO t TIC (0 lM) 6riZ(2 b 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 S G 3 L qr � 42°— Amount of Permit $ br 1 0 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 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 obligaton Compensation Act. being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has com compliance from all contractors or sub - contractors employed by him in the work to be performed under this on the site of the work such public notice or notices as are required by the Act. The undersigned agrees under this permit, as are licensed by Miami Shores Village. 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 appeared kk i zra/ /ice and who, being by me first duly sworn, upon oath deposes and says that he is the 11A116 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. a2 70 APPLICATION FOR BUILDING PERMIT Disapproved Date Notar �ib lid of o ida (Signed) y Notary fate of Florida My Commission Expires My C hl,pims Mart 7, 19.P. PLANNING BOARD DATE 6o1. -.ad Thru Trey :ain inrurance inc. Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date Subdivision 7/ o a,l J �/ (J /l J: S / Q O Read, Sworn tq,and Su cr d before me. employer of Labor under the Florida Workmen's ith the provisions thereof. and wil equire similar t; and ill post or c ; to be pos••dSor inspection oy,only` ch subc.y :ctors. w k to - b- .i 'ormed Street 19P to me well known. Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.