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ELECTRICALAmount of Permit t__Z es. My Commission Expires ELECTRICAL INSPECTION DEPARTMENT Employing Electrician's Name __ Location and Legal Description Lot_ _._4 Street and Number where work is to be performed —No ,e 4 mot/. E (Signed) MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT Owner's Name and Address _:u272. No. Street__ Registered Architect and /or Engineer State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs Permit No.___1 _______.___ 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. Street_ O tI _Block .2 Snbdivision.__e!�f' y Street e® No. of Stories_ Service Overhead Size Feeders Conduit.___ _____ Main Sw. Amps. Main Fuses_ .MAmpe. 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 ' nderstands and accepts his obl : done u an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 under signed agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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, that he has carefully read the foregoing application, and that he did sign the ame, 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 RLCE'r'T'S FIXTURES NO.LAMPS REMR1G. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER NEATER W. HEAT. CONN. SPACE NEATER STRIP NEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE M. MOTORS 0-1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Amount of Permit t__Z es. My Commission Expires ELECTRICAL INSPECTION DEPARTMENT Employing Electrician's Name __ Location and Legal Description Lot_ _._4 Street and Number where work is to be performed —No ,e 4 mot/. E (Signed) MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT Owner's Name and Address _:u272. No. Street__ Registered Architect and /or Engineer State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs Permit No.___1 _______.___ 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. Street_ O tI _Block .2 Snbdivision.__e!�f' y Street e® No. of Stories_ Service Overhead Size Feeders Conduit.___ _____ Main Sw. Amps. Main Fuses_ .MAmpe. 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 ' nderstands and accepts his obl : done u an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 under signed agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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, that he has carefully read the foregoing application, and that he did sign the ame, 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. 2 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 0 APPLICATION FOR ELECTRICAL PERMIT Applicat n is exeby made for the approval of the detailed statement of the plans and specifications herewith submitted for the structu herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Smp and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all roles and regularities of of Miami Shores Village *hall be complied with, whether herein specified or not. A copy of approved piefte end spetifictelt4' building during progreu of work. Owner's Name and Address ........._A.ZA- S7&B...e....4 No Strut 4.-.0 Registered Architect and/or Engineer '--=-- Employing Electrician's Name No ,„7 ._ Strut , — Location and Legal Description Lot _4(12.—±:........7 Block-_7_.Z__ '''''17.:L Street and Number where work is to be pufonned--No 14c ‘ ALA..- Suser_72 34 0- . State work to be performed and purpose of building (By Floors) New Building_ 4. Remodeling Addition_ Overhead Service Underground Size Feed en_ Conduit_ Main Sw._/4 Amps Main Fuses Type of Installation—Conduit Tubing. .B.X.L Metal Moulding AVM (sign or - STATE OF FLORIDA, ss. COUNTY OF DADE. elm 00 ••■•• • The undersigned applicant for this building permit does hereby certify that he understands and accepts his under the Florida Niforkmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permautut plied with the provisions thereof, and will requite similar compliance from all contractors or sub -contractors employed performed under this permit; and will post or cause to be posted for inspection on the site of the work sub pub& required by the Act The under signed agrees to employ only such sub-contractors, on work to be performed Ur licensed by Miami Shores Village. Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take sekmyerbidellifik appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is tba of the above described construction, that be has carefully read the foregoing appllcadon. and that be did alga ebe aim therein by him stated are true. My Commission Expires Notary Public. State of Model NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inept:do& or hay materials and/or workmanship. Date PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address 9 a� ,4/& , ' f f/gee Legal Description Ak Owner / Lessee / Tenant ko ,b,Q!`1 l` u,'v Z,e,G.- Owner's Address A/6 . c 7`i e f Contracting Co. ( /f � &v, �L1,/SJer7S Address ). 'C ,P(d 1 / W L Qualifier L 2A) eL,(, /(4 SS# / Phone 067-69 Stated e )4 N/ Competency aG►e1 ///5 :3' Ins. Co. Sec, 7S ot/a Architect /Engineer Bonding Company Mortgagor 7" Permit Type (circle one): BUILDING C PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION JU f -7 (, } fl ( p 2 r,, y SIf ,. Square Ft . Estimated Cost 0 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, ROOF) G, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing informati will be done in compliance with all applicable laws reg Furthermore, I authorize the above -named contractor to do t Signature of OwT•' an or Co Date: Not MY v PERMIT FEE: APPROVED: y as (/to Owner and /or Condo mmission Expires: i� / /b rnL * * President President * * Fire Address Address Address Tax Folio // ?„2 G /y ,, ;.3D Master Permit # d Phone Signature of Contra Date: ary as My Commi * * is accurate and that all work ting construction and zoning. ork -tate Ofher or or Zoning Building ti/ Mechanical Plumbing Engineering Electrical' er,- Bu}ilder • '143%. ��ff+5�►�lu *