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A/CPermit No O l s APPLICATION FOR ELECTRICAL PERMIT 7 —a9- eff Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of 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 / l i /G` j iLT" No 114-6 Street .E /C) l S 7 STATE OF FLORIDA, } COUNTY OF DADE. es. Amount of Permit $ 41` MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Registered Architect and /or Engineer Emg�loying n e � 4.1 C- No... C 0 Street / 73 Z i /eO / 3 Locata n and - i.egal :9 1 . Eiption Lot Block / 77 ��� Subdivision. Street and Number where work is to be performed —No //.5.--6;) Street State work to be performed and purpose of building (By Floors) ' 7" / s ' New Building Remodeling Addition ✓ Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing........ B.X.L Metal Moulding (Signed).. /i /- Date (J 4 i ©/ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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 thc provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in thc 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. 46 / 0 Master ctridan. 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 RLCE'P'T'S FIXTURES NO LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H STRIP H //�i f�" TOTAL CONTR. LIST ,(.J � ./� 3 r 0 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL - CowrR. LIST CHECK Permit No O l s APPLICATION FOR ELECTRICAL PERMIT 7 —a9- eff Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of 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 / l i /G` j iLT" No 114-6 Street .E /C) l S 7 STATE OF FLORIDA, } COUNTY OF DADE. es. Amount of Permit $ 41` MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Registered Architect and /or Engineer Emg�loying n e � 4.1 C- No... C 0 Street / 73 Z i /eO / 3 Locata n and - i.egal :9 1 . Eiption Lot Block / 77 ��� Subdivision. Street and Number where work is to be performed —No //.5.--6;) Street State work to be performed and purpose of building (By Floors) ' 7" / s ' New Building Remodeling Addition ✓ Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing........ B.X.L Metal Moulding (Signed).. /i /- Date (J 4 i ©/ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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 thc provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in thc 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. 46 / 0 Master ctridan. 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. Location and legal description of lot to be built on: J Lot c2 Block / 2 irk New Building Remodeling 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 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. Owner's Name and Address )`f ( )4 li Registered Architect and /or Engineer )4414e C s, 6�'1 "d� t A Name and address of licensed contractor O'i �. � �, CC �� �� �� /� c� S/ "V ✓/�/ f �� Street and Number where work is to be done State wo to be done and purpose of buildinc (by floors), state exterior colors Is bmit sa •plesl ) L 7 may. To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements 5 3/70' Amount of Permit 5 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 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 he understands and accepts his obligatons 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 thi ' permit:.and 11 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 tj mployjonly such subcontractor on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA 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. Permit No. oC Wgp e Date 7/ Read, Sworn to and Subscribed before me. Disapproved Date gM i Notary Public. State of Florida (Signed) Date o ?S_ 19 ek No. / / S Y Street it/L` /a(Cr Subdivision A Sitr,oe If `1/ / / ,f0 ] l ©-2-6 J� Addition Repairs No of Stories !/9 zSS.37 an for no other purpose. Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. rl Erw t-04 t! P LW I I V g at 1 JJ Ids ltd I97CIL A /• �� rEl"? G ARAB! ?S,oA k to C1 li t e - MS. 4