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MECHANICALMIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date Zl ed , 3o / s- 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 K � T9 D PG2. £ No Street Registered Architect and /or Engineer C Employing Electrician's Name Le W /S C W al 74 et- NoV 930 NW .Street.. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No gS N E•. -. Street ... .340"' u5 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs 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 Amount of Permit $ 1 (Signed) GJ' 1• Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts s obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fl rids 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 sub-con ..ctor work to be performed under this permit, as are licensed by Miami Shores Village. (Si e 14/ Muter Electrician. STATE OF FLORIDA, COUNTY OF DADE. I °°' 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. $[ HEA TER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIET. CAR. SERVICE SERVICE TEMP. PERM. MOTORS 0.1 HP MOTORS 1.6 HP NEON TRANS. RADIO TOTAL CONTR. LIST {r' 1 F3 /Q. / �/ /� � A I r .'' � 'I d— CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date Zl ed , 3o / s- 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 K � T9 D PG2. £ No Street Registered Architect and /or Engineer C Employing Electrician's Name Le W /S C W al 74 et- NoV 930 NW .Street.. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No gS N E•. -. Street ... .340"' u5 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs 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 Amount of Permit $ 1 (Signed) GJ' 1• Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts s obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fl rids 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 sub-con ..ctor work to be performed under this permit, as are licensed by Miami Shores Village. (Si e 14/ Muter Electrician. STATE OF FLORIDA, COUNTY OF DADE. I °°' 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. BUILDING ELECTRICAL PLUMBING ROOOIEG Owner of Building P+ E PERMIT. - N? . 6533 MIAMI SHORES VILLAGE, FLORIDA DATA: a- /l Contractor's 2 License No. to be performed undeer ibis Permit $7o44 • rs'►t` dt 4 4,4 (41,,40 +'Pb•.► Architect Contractor --'' A or Builder 1.c.4t Cl 4474 1: Legal Lot it Description I 81. Address of 2 H c c A Building 7 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device desesfla8d OIL herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed In compliance • .. Icmo drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be sevakkd of any time if the work is not done in compliance with such ordinances or If the plans are changed without authorization. A further co a vyfaa whink lidEpennit le granted is the understanding that the contractor or builder named rtbov$ assumes the responsibility for a t . gid knowledge o .e s w?- sanaea efilli so4ulatione pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or spec s "and that he rarity ter wort done by his agents, servants or employees. Signed INSPECT In consideration of the Issuance to me of this permit 1 agree to perform the work covered in compliance with all o MO pertaining thereto and in strict conformity with the plans, drawings, statements or specifications sub= tt' d to the proper authorities of Miami Shores V111 cee g this permitI assume responsibility for 11 work done by either, myself, m agent, servva o employee. CONTRACTOR OR BUILDER BY AUTH I 1- I4.1w%._ telF Ott* f a. ; £ c c— Bubdi- / vision / Is e 3 Value of Project $ � a► 16 dt ,unt o t$ 6� Owner's Name and Address. r cY/ STATE OF FLORIDA, COUNTY OF DADE. s ' 4 Registered Architect and /or neer Name and address of licensed contractor._ Location and legal description of lot to be built on: Lot 1 S" Block Disapproved Date ( Signed) 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 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 Subdivision ..._ e. Street and Number where work is to be done •S _ ��'�' �_ l�_l _ j� State work to be done and purpose of building (by floors) 0- �"' Notary Public, State of Florida 1' and for no other purpose. i ✓� New Building Remodeling Addition Repairs No. of Stones To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ o 3 6e Amount of Permit $ _ r �l 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 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 ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on wor�t , be r rnnder this permit, as are licensed by Miami Shores Village. Remarks (Signed) _. x OP. • 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. Building Inspector My Commission Expires PLANNING 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.