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1225 NE 101 St (14)New Building Remodeling Amount of Permit S...1 °" MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No -*.09 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. e / Owner's Name and Address' 1 / t .�✓� No A 2-21f- Registered Architect and /or Engineer Employing Electrician's Name.BG0 f 7e°‘ feev• 40' No 09 ` ' Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No , iP .e .. 1/1 Street State work to be performed and purpose of building (By Floors) (Signed) Date 1.1*-07- d2— street ....Atr, le"7.7 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 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 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. • ez (Signed) Electrician. STATE OP FLORIDA, l COUNTY OF DADE. I 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 sap 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 RIVING. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE H STRIP H TOTAL CONTR. LIST ^p /' � CHICK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.8 HP NEON TRANS. RADIO TO 'AL .' CONTR. LIST CHECK / A/4 , _ New Building Remodeling Amount of Permit S...1 °" MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No -*.09 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. e / Owner's Name and Address' 1 / t .�✓� No A 2-21f- Registered Architect and /or Engineer Employing Electrician's Name.BG0 f 7e°‘ feev• 40' No 09 ` ' Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No , iP .e .. 1/1 Street State work to be performed and purpose of building (By Floors) (Signed) Date 1.1*-07- d2— street ....Atr, le"7.7 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 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 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. • ez (Signed) Electrician. STATE OP FLORIDA, l COUNTY OF DADE. I 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 sap 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 INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or me plans and specifications herewith submitted for the build • inc or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and nll 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 . Sk.)yaC.a.:.. Registered Architect and /or Engineer. ....41.14.L....3b..14.0..ER Name and address of licensed contractor — Location and legal description of lot to be built on: Lot . 7 . 021.dY Block.. /85 Subdivision... 22 14.. .. .. : � ....._..__ Street and Number where work is to be done.) e 12- N.- — l .5- . ... � s .. .... � L " " �.... State work to be done and purpose of building (by floors)... 12ra...fr.'ft..,� . a.t4 52 K � ..�.� /_ .It.SL....._.._.._._. and for no other purpose. Ncw Building Remodeling Addition Repairs No. of Stories / To be constructed of C. .5 Kind of foundation.... t?z . .a... . fi.ht R eef vering..Gu �-rt. fc... - Ji�g.XC.L�iLL Estimate Total cost of improvements $ .6 G2 d Amount of Permit $_ _�t Zone cubage required .220 Plan Cubage X�. _ l _ 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 12--.2 5 ...1 :.. /..v /. 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 \Vorkrnen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied M ich 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 noticcs as are required by the Act. The undersigned agrees to employ only such subcontractors, on rk performed under this permit, as are licensed by Miami Shores Village. �/ J Remarks - -- __ ( Signed) STATE OF FLORIDA, 1 COUNTY OF DADE. i SS' 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.. . .I .. ( Date - - Read, Sworn to and Subscribed before me. Disapproved Date (Sizoed) MIAMI SHORES VILLAGE Building Inspector Date..._.i'` �_. P ,1922. _ No..L2. S .... Streeter : IQJ , • ,r,. x•••? t •rn!xxlrx!•! Notary Public, State of Florida My Commluion 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 obtain from the Pl.rnnir,g Hoard. A re fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection oe faulty materials and /or workmanship.