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160 NE 99 St (11)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 regula- tions 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. h Owner's Name and Address ' ' Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: —_ Block__ __ —__ Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) IC _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 $_�_— -= = ' — ____�— 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 be 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 STATE OF FLORIDA, COUNTY OF DADE. Disapproved _____________ Date (Signed) Council Approved MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date_ No (Signed) Building Inspector My Commission Expires.. Date Disapproved PLANNING BOARD DATE Chairman Member Member Member Member Member Notary Public, State of Florida 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 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. _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. 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 regula- tions 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_ 19— Owner's Name and Address No • Street — s� C Registered Architect and /or Engineer_ Name and address of licensed contractor Location and legal description of lot to be built on: [� Lot — Block — _ 5 :__ Subdivision ? " ham` Street and Number where work is to be done State work to be done and purpose of building (by floors) ____ and —___— _ ___ _— , _ and for no other purpose. New Building -- Remodeling Addition__ Repairs No. of Stories___ To be constructed 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 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 be 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. y 1 Remarks (Signed) Disapproved — _____— ____— ______—___ (Signed) Date STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared and who, being by me first duly sworn, upon oath deposes and says that be 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. Building Inspector My Commission Expires_ PLANNING BOARD DATE Chairman Member _____ Member Member Member Member Council Approved Date Disapproved Notary Public, State of Florida to me well known, _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.__ . ."'""t" s l ____ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date �. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub tted 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 ;t building during f work. Service Overhead Size Feeders Underground Amount of Permit S_ L 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. ss. My Commission Expires No _(Signed) (Signed) mg urtng progress o wor Owner's Name and Address ___- _ ki_ _ __ No. Registered Architect and /or Engineer _ 4,- Employing Electrician's Name 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) Z i3� -_ airs r- Street New Building Remodeling Addition - R p No. of Stories Conduit Main Sw Amps. Main Fuses Amps. Type of Installation— Conduit Tubing B.X.L Metal Moulding Notary Public, State of Florida t Electrical Inspector. `Master Electrican. rtify that he u dellstands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent 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 to be rformed under this permit, 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, 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. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP H EATER TOTAL CONTR. LIST L �I F / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No.__ . ."'""t" s l ____ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date �. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub tted 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 ;t building during f work. Service Overhead Size Feeders Underground Amount of Permit S_ L 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. ss. My Commission Expires No _(Signed) (Signed) mg urtng progress o wor Owner's Name and Address ___- _ ki_ _ __ No. Registered Architect and /or Engineer _ 4,- Employing Electrician's Name 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) Z i3� -_ airs r- Street New Building Remodeling Addition - R p No. of Stories Conduit Main Sw Amps. Main Fuses Amps. Type of Installation— Conduit Tubing B.X.L Metal Moulding Notary Public, State of Florida t Electrical Inspector. `Master Electrican. rtify that he u dellstands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent 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 to be rformed under this permit, 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, 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.