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94 NE 99 St (2)4 , f / 4 / £ � 97 -Tax Folio //Jag/ / l Duo / � / Tenant C /9�C'L�S� ee136 CST - 4Z Address 9t ;7,/%2' 9/ - V EL7 l� 1: Address ( D /►/ b a Qualifier /v � /� / / /1SS# Phone 770 . Q ,e�p State # Municipal # Competency 4t adod l Ins .Co. ST // 72 / .; /q 4 Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING 'LECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Date / ' 3O , / " ?Job Address Legal Description I'P4 Owner / Owner's Contracting Co. ** * APPROVED: Lessee WORK DESCRIPTION .s, c 1 S ©� 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. Square Pt. Estimated Cost(value) Signat�� (# owner and /or Date : m 4 �( -e/ N tary /a s to Owner an M Commission Expires: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE :`..... 1GCEPHINE CHURCH ,t ' ' 1fry Fu1 "c Stata a' F!o•tda omPresid.es4. April 30, 1 No. CG197545 FEES: PERMIT </A (Pa Zoning C 4iC/26J 5 EC7/ei 7-C) cZ o v /1/4 Ic' Condo President Mechanical RADON C.C.F. � DO Date: as to C My Commission NOTARY Fire Building Plumbing Phone Permit � Signature f Contractor or Owner- Builder 0 Other �lectri #3 W, ** TOTAL DUE 61 9D Engineering Amount of Permit MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ( APPLICATION FOR ELECTRICAL PERMIT Permit No 12 { Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buildi OE 0 structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Vge, Ronda and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Division of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specificati`a be kept at building during progress of work. Owner's Name and Address - -_ Registered Architect and /or Engin 4175 _.�� ._.. .... .....__ y._ , Employing Electrician's Name .qq 1 _ No. ..:.............____. Street-- Location and Legal Description Lot ...w Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) i New Building Remodeling w Addition._.! r .Bloc (Signed) No..__. (Signed) _____W_ ._. Street Repairs_..._ ..... No. of Stories-- Service Overhead Size Feeders Conduit..__ ___ Main Sw.___ ._ _._ Amps. Main Fuses. - - - - - -.. mp . Underground Type of Installation— Conduit______ Tubing_ _ B.X.L. Metal Moulding Subdivision_........... . .. .. 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 com- plied w h 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. My Commission Expires Notary Public State 1:0 Florida * {� STATE OF FLORIDA, 1 COUNTY OF DADE. ss' 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. Master Electrican. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T'$ FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. 'NATE'_ C HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER - TOTAL LIST J j. CHECK o ENT. SW. DIST. SERVICE C. TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIFT CHECK ..... `� 6 /!i'. Amount of Permit MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ( APPLICATION FOR ELECTRICAL PERMIT Permit No 12 { Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buildi OE 0 structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Vge, Ronda and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Division of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specificati`a be kept at building during progress of work. Owner's Name and Address - -_ Registered Architect and /or Engin 4175 _.�� ._.. .... .....__ y._ , Employing Electrician's Name .qq 1 _ No. ..:.............____. Street-- Location and Legal Description Lot ...w Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) i New Building Remodeling w Addition._.! r .Bloc (Signed) No..__. (Signed) _____W_ ._. Street Repairs_..._ ..... No. of Stories-- Service Overhead Size Feeders Conduit..__ ___ Main Sw.___ ._ _._ Amps. Main Fuses. - - - - - -.. mp . Underground Type of Installation— Conduit______ Tubing_ _ B.X.L. Metal Moulding Subdivision_........... . .. .. 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 com- plied w h 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. My Commission Expires Notary Public State 1:0 Florida * {� STATE OF FLORIDA, 1 COUNTY OF DADE. ss' 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. Master Electrican. 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. NO. Motors STREET d PART OF LOT LOT BL'K SUBDIVISION Billboards • Permit Fee Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the cons t loon. Owner of Building ractov Electricia aiami chores9llage F L 0 It 1 D A OFFICE OF ELECTRICAL DEPARTMENT mi Shores Village, Fla NUMBER OF LOCATION N° 721 19 DESCRIPTION OF WORK This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies stiictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and `with the ,Electrical Ordinances :arid Code of Miami Shores Village and the rules and regulations:; of the Electrical Department of Miami Shores Village. This Permit may be revoked ::at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans a specifications unauthorized by this Department. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree do the proposed cstruction in strict con fs :;. ity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical <;w of the State of 'Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and rem latio .; s:f . the Electrical Department of Miami Shores Vil Dated , Electrical Inspector.. Seal) .___M1A P. TR E S VILLAGE ,4/77 99 Office of Electrical Inspector CERTIFICATE OF INSPECTION ECTRICAL INSPECTOR. THIS CE "_FIES TH . T the wiring and apparatus installed at 7/04267/ by for has been inspecte ®' and curren . is authorized o be turned on, until otherwise notified, for Size of Service .+. Number of Lighting Circuits Range . r ��. �� watts. Water Heater Power: ' Connected load H P. Space Heaters A Other Apparatus owner, and occupied hs PERMIT No. 70ti Address A -63 LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION 1 �7 WILL BE RETURNED. /5(2 � LOT NUMBER B oc c NUMBER /�7 d /� SUBDIVISION w /Ib / v / 9 / t v STREET AND NUMBER / ` / �/ SIDF . 8-1St 4 OWNER � OCCUPIED As l ^V BUILDING- - NEW OR OLD (UNDERLINE WHICH) H. P. OF EACH MOTOR VOLTS TOTAL AMPS PHASR CEILING BRACKETS 9� 6 FLOORS BASEMENT FIRST SECOND THIRD FOURTH REMARKS MASTER ELECTRICIAN LIGHTS RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN ELECTRICAL DEPARTMENT OF THE C ¥ OF MIAMI Desiring your certificate of Approval, application is hereby made for an inspection of ,the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by In- spector. RECEPTACLES FIXTURES ONLY NUMBER OF CEILING _t_ ROUGH WIRING FINAL No CORRECTED TEMPORARY DAYS. DATE ISSUED SWITCHES f BRACKETS APPLICATION WORK -- ADDITIONAL, NEW. ALTERATION OR REPAIR SPECIFICATIONS I / STOVES I WATER HEATERS TOTAL OUTLETS BY _ADDRESS MAIN 4 1' SPECTION WANTED SIGNS SIZE or SUBS SPACE BELOW FOR INSPECTOR'S USE ONLY !RANCHES NO. DAT .- - 193 OCCUPANT OTHER ARPARATUS KIND OF INSTALLATION OPEN .4I2`CONCEALED KNOB. RX., BX.. MLDG., CONDUIT, METALLIC TUBING SIZE SERVICE CONDUIT No. CIRCUITS INSPECTOR O R PART OF LOT LOT S S BDIVISION a .,,_ .- d o ,- r O % s ' S " Ve 1381 a .,,_ .- d o ,- r ELECTRICAL PERMIT N.B. —This Permit must be on display on die premises during the co ffin. Owner a Building. Contractor or Near the of M upon this Dep aiani Jhores9llay e OFFICE OF ELECTRICAL OEPARTMiENT Miami Shores Village, Fla , k CAT* 0 N 0 o to the taws � 4 o 194 72.E .E :Ass ter « a. • ® -3= eir.y.. JOk with a- e