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899 NE 99 St (6)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE I* Job Address 99 /v S. / 7 Tax Folio Date Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Owner's Address yff.647 97 Contracting Co. A&G &.A C2 L4 Qualifier I(iP_ /7 :'`/t. .( avti �O -L State # e,1-t: £ & 4 sir • Municipal # Master Permit # 7 dO Phone Address -'C29 S . CO, 7s4, SS# Competency # Address Address Ins. Co. Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION T 7iLC ilea .•ic 1 ondo President Date 24 Signatur CG �9 ON # CC 822488 .� , Notary as to Ownertn My Commission Expires: ate PLUMBING MECHANICAL ROOFING PAVING FENCE Square Ft. Estimated Cost (value) 47,s- SIGN 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. Signature of Contractor or Notary as to My Commiss or Owndt$3flrld6r MY COMME3810N # CC 822468 EXPIPCS :Line 19, 2003 Public URde A'4 �` Bonded rwrlters FEES: PERMIT D - ' RADON C.C.F. 3 NOTARY BOND TOTAL DUE APPROVED: Zoning Building Electrical Mechanical Q-0 ‘..) ) • 4' of Plumbing Engineering NOTICE OF COMMENCEMENT PERMIT No. TAX FOLIO No. STATE OF FLORIDA: COUNTY OF DADE: 00 R193641 2000 APR 25 11:56 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: 2. Description of improvement: 3 Owner(s) name and address: interest in property: Name and address of fee simple titleholder: 4. Contractors name and address: 5. Surety: (Payment bond required by owner from Name and address: Amount of bond $ 6. Lenders name and address: Signature of owner Print owners name: Sworn and subscrib Notary Public Print Notary's Name My Commission Expires: .6� rese vex__ 6 03 ge-ti 4-10.. at-a...i dud'. ( eoo -Sirs /. ?it' k, X99 /t/e. 99,g Contractogirg-g t) FLORIDA, COUNTY OF DADE / HEREBY CER7 /FY that This i o !l nI lhn ong r, filn d qt this office on `_ /.� day of A iJ 20 n Y hand and Oliicial '21. i 6. Persons within the State of Florida designated by owner upon whom notices or other ocuments may served as provided by Section 713.13(1)(b)., Florida Statutes, Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this notice of commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) e me FR R 1': M COMMISSION # CC 822468 f_ EXPIRES: mN Notary Public U n d o riten Prepared by: a ,Q A, f Address: 4(Qc• J 2/ ; � Pf. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date C I 1 l (00 Job Address (3 / % iv .c. 99 Tax Folio Legal Description Owner/Lessee / Tenant Owner's Address 659 . U3, q C 1 714- S TY ET Contracting Co. LA-O - ELE- GT(LrIC- Qualifier o I E State # 0 000 09 Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 5t-A1'!CE CH-AA/6E Square Ft. Estimated Cost (value) / 9O 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 tha '1.1 be done in compli ce with all applicable laws regulating constructi on nd zoning. Furthermore, I authorize the above -named contractor to d the wor, : ted. Signature of owner and/or Condo President Notary as to My Commissi Con Press or n Expires: Alex Calderon SP RY Pi OFFICIAL NOTARY SEAL O ALEX CALDERON * COMMISSION NUMBER '. - . CC902122 FEES: PE RIvGi OF F1.0 d APPROVED: Zoning Mechanical Ieoe�a_ B(ot,Jnl LEE Joe- Municipal # E• Q� MY COMMISSION ECPIRES 6 3 2 G" Date C.C.F. Historically Designated: Yes Si othdoo No My NOTARY Building Master Permit # Phone Address 6 • W . 714- A-tl E ct5)75 777 ss# Competency # Address Address Phone Ins. Co. No or or • er- : ur der Date Expires: c queline Acosta 'aCommissIon # CC 882032 ? .Expires Oct. 24, 2003 Bonded Thru Atlantic Bonding Co.. Inn BOND TOTAL DUE 5T� zr Electrical i,~ � 1 ,9yLd0 Date Plumbing Structural Engineer ITEM BATH i18 UNIT 1 ! . i ITE1�I SR I TCi CUTLETS UNIT FEE IT SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING — � DISHWASHER RECEPTACLES A/C (WIND) 0 I SAL SERVICE TEW .ARY A/C (O`NTRAL ) DRINKING FOUNTAIN SERVICE SIZE WAIFS R O0 IXET '12RX FLCCR DRAIN SERVICE REPAIR/6ETER CAM RC: IL- RATION GREASE TRAP APPLIANCE OUTLETS PRCCS AND PRESS PIPING INTERCEPTOR RANGE TCP UNDERGROUND TANKS LAVATORY OVEN ABOVE MIND TANKS LAUNDRY TRAY WATER HEATER U.F. ?RESSLRE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BAILERS SH AER W3TORS OVER 1- 3 HP HOT PIER BOILERS SINK. POT/3 MAP. MOTORS OVER 3- 5 HP MdEC',AN I CAL VENTILATION SINK. RESIDENCE MOTORS OVER 5- 8 HP TRAMMING ASSE1$LIES SINK. SLOP MOTORS OVER 8- 10 HP ELEVAi SCA TORS TEWCRARY WATER CLOSET MOTORS OVER 10- 25 HP F IRE 73 1100_93 SYSTEMS LA I NAL MOTORS OVER 25-100 HP COOLING TOPIERS WATER CLOSET MOTORS OVER 100 HP VIOLATION • INDIRECT WASTES A/C WIN W REIN CTION WATER SUPPLY TO: AIR CONDITIONERS _ A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFCPSERS 'HEATER-NEW INST. GENERATORS TR;JNSF(R1I€RS HEATER-REPLACE GENERATORS TRANSFi;11ERS - LAWN SPRINKLER -WELL SPECIAL PURPOSE SN 154I I NG POOL CUTLETS CCNrAE.RCIAL WATER SERVICE • SIGN TIRES SEWER CONNECTIONS SIGN TRANSF UTILITY- SENEER SIGN TIME CLOCX " UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION CUTLETS CRA,INFIELO, 4" TILE/RES. VIOLATION PUP & ABANDON SEPTIC IAA REINSPECTION SOAK PIT CU. FT. CATCH BASIN DIM-LARGE WELL OGUESTIC WELL AREA C1AIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE PCCL PIPING LA1i4 SPRINKLER SYSTEM GAS Ii.ka METER SET (GAS) GAS ?!PING • ADDENDUM TO BUILDING PERMIT APPLICATION (AN A. °LIC;T FOR BUILDING P =PIT NUS: ACCOMPANY THIS ADDENDUM. IT A MASTER PERMIT RAS 3_ OBTAINED, "7 OWNER'S NOTARIZED SIGNATURE N•.= NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT f APPLICATION FOR ELECTRICAL PERMIT Permit No ° � 3 Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oi 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 progress of work. Owner's Name and Address /!.JA /°tEAr DAV 4�•..Q@ iiDo Amount of Permit $ (Signed)' (Signed) ... 7 C -91 �� Street ?! J Registered Architect and /or .Engineer Employing Electrician's Name.... 7 . .• c No 5 4' &treet er ectr c 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 / Main Sw Amps ,:�� /1 _ ..zlr . / �l �/ � is 7.c.5(' l /1_ Amps �rZiiS3:S' Service Un • ergrol Type of Installation— Conduit Tubing B.X.L .Metal Moulding ectrical Inspe r. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob 'Rations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Floridarmanent 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. STATE OF FLORIDA, l 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 REIRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE H STRIP H F4 TOTAL CONTR. LIST �•° a 7 g 7 Z CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 MP NEON TRANS. RADIO TOTAL CONTR. Mn ��jj /T CHEER MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT f APPLICATION FOR ELECTRICAL PERMIT Permit No ° � 3 Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oi 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 progress of work. Owner's Name and Address /!.JA /°tEAr DAV 4�•..Q@ iiDo Amount of Permit $ (Signed)' (Signed) ... 7 C -91 �� Street ?! J Registered Architect and /or .Engineer Employing Electrician's Name.... 7 . .• c No 5 4' &treet er ectr c 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 / Main Sw Amps ,:�� /1 _ ..zlr . / �l �/ � is 7.c.5(' l /1_ Amps �rZiiS3:S' Service Un • ergrol Type of Installation— Conduit Tubing B.X.L .Metal Moulding ectrical Inspe r. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob 'Rations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Floridarmanent 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. STATE OF FLORIDA, l 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 ROOFING Owner of Building Architect Contracto or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA PERMIT AV <LA te,TE N° 2788 Work to be performed under this Permit CONTRACTOR OR BUILDER Slubdi- vl ion Value of 'Project $ Amount of I S Sup Permit $ This permit is granted to the contractor or builder named above to con9truc the building or to install the equipment or device described in the applfcatio herefor in strict compliance with all ordinances pertaining thereto and with the and anding that the work will be performed in compliance with any plans, • • -d INSPECTOR drawings, statements or specifications that may have been submitt to and appro the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans ar chan ed without authorization. A furthe 'ndition upon which this permit is granted is the understanding that the contractor or builder named bove assumes the sponsibility for • - ge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans r dr. ' e gs . jit the st ents or ' ications and i at he acme res nsibility for work done by his agents, servants or employees. _ - �, w- °Bfifie In consideration of the issuance to me t E o perform the work covered hereunder in compliance with all ordinanc and regulations pertaining thereto and in strict conformity with the plans, .rawings, statements or specifications submitted to the proper authorities of Miami Sho s Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. � e � 0 BY DATE / AZ .r. / 195.► Contractor's J License No. AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA 0-' PERMIT B1 N? 2427 DATR ` - ' 195 Contractor's License No Work to be performed under this Permit Subdi- vision Value of Amount of Project $ Permit $ i This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time 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 granted is the understanding' that the ccntractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining 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 done by his agents, servants or employees. Signed. 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 8 , APLICATION FOR ELECTRICAL PERMIT Permit No 7 ,g $ 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 Engineer n Employing Electrician's Name '..G�L.C:y�.p l' z r = `� G o.. �� Street...!/ ° Location and Legal Description Lot Block Subdivision Street A Street and Number where work is to be performed —No O Amount of Permit $ SS. C /....r` y - ...a. c C Y No Street MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT My Commission Expires State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Und Overhead Size Feeders ...r� l " Conduit... : Sw /61. ® 6 Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) 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 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. (Signed) ...'i..r • ! Date c Master Electrician. STATE OF FLORIDA, '( COUNTY OF DADE. J j 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. 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 H EATER /I 7 5 MOTORS 1.8 HP W. HEAT. CONN. N EON TRANS. ACE H ATER 5 STRIP HEATER RADIO TOTAL TOTAL CONTR. L ST // _f,t _ G i° a /To MOTORS 0.1 HP CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE T/ PERM. CONTR. LIFT //q / �. 4 CHECK 7 , kt ® � � : p � f+ � APLICATION FOR ELECTRICAL PERMIT Permit No 7 ,g $ 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 Engineer n Employing Electrician's Name '..G�L.C:y�.p l' z r = `� G o.. �� Street...!/ ° Location and Legal Description Lot Block Subdivision Street A Street and Number where work is to be performed —No O Amount of Permit $ SS. C /....r` y - ...a. c C Y No Street MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT My Commission Expires State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Und Overhead Size Feeders ...r� l " Conduit... : Sw /61. ® 6 Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) 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 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. (Signed) ...'i..r • ! Date c Master Electrician. STATE OF FLORIDA, '( COUNTY OF DADE. J j 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. 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. Permit No Amount of 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 work. Owner's Name and Address S eS r' s 7,1 No Street Registered Architect and /or Engineer J Employing Electrician's Name.... e /,'GP's Ali> N� �%�� No �� ti Street Location and Legal Description Lot _ _ Block Street and Number where work is to be performed —No STATE OF FLORIDA, } COUNTY OF DADE. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 74 � ' - Ss. My Commission Expires MIAMI SHORES VILLAGE J) (Signed) Street Subdivision sI — 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 (Signed) 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 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 sub•contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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. 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. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS - 1 -5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK ' Permit No Amount of 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 work. Owner's Name and Address S eS r' s 7,1 No Street Registered Architect and /or Engineer J Employing Electrician's Name.... e /,'GP's Ali> N� �%�� No �� ti Street Location and Legal Description Lot _ _ Block Street and Number where work is to be performed —No STATE OF FLORIDA, } COUNTY OF DADE. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 74 � ' - Ss. My Commission Expires MIAMI SHORES VILLAGE J) (Signed) Street Subdivision sI — 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 (Signed) 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 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 sub•contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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. 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.