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1240 NE 100 St (16)A F\ PLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 Shore 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. New Building Remodeling ......................__ Addition To be constructed of Kind of foundation.- -._ .. _. MIAMI SHORES VILLAGE STATE OF FLORIDA, COUNTY OF DADE. ss • Before me, the undersigned authority, a notary public, duly authorize peared Disapproved _._ ... 1 Dat (Signed) ... BUILDING INSPECTION DEPARTMENT -e.:4- ubdivision . --------- •-------- .M._�_ Building Inspect • My Commission Expires...... Date..._ 1_.,C _.__..... ._.�.. ,197° No.7g1_.:?/ Street..4a.. ..n..A!ELDa sr, Owner's Name and Address v /PL .z4.. _. Registered Architect and /or Engineer Name and address of licensed contractor...t f.3.. Location and legal description of lot to be built on: Lot Block. Su and Number where work is to be done...../.24. Stat work tole done and purpose of building (by fl )_ / X1 L ,A ,14, E Q r -21' ( and for no other purpose. Repairs No. of Stories g Estimated Total cost of improvements $ .��. U __.._ _Amount of Permit 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 the 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 obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent 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 subcontr . on w ork - tv � be performed under this permit, as are licensed by Miami Shores Village. Remarks__ ..... - -. __ _.. (Signed er oaths and take acknowledgments, personally ap- Notary Public, State of Florida P NING BOARD_..._._...___.._ __.. __._. _ DATE Chairman Member Member ___ Member Member Member _. Council Approved.___ _ _ _..._..._ _.. - - -__ . _ --_---.._Date Disapproved ._.._....... . NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice • materials and /or workmanship. 1 i . 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. ( _ __... -.... Date . ..._ .:_ ...::..._— Read, Sworn to and Subscribed before me. Date has been obtained from for inspection or faulty 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 build- ing 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. (Signed) Owner's Name and Address._ ZiG.___ Registered Architect and /or Engineer Name and address of licensed contractor.... t 0.5.. Location and legal description of lot to be built on: Permit No. _ Date Disapproved _- ....... _.. Date Date. _._._ No..70.':7/. /Street-1Z.0 -4- & iO 7 S7. r Lot _ Block. Subdivision. �_...--------- _----- _ - _ - -- Street and Number where work is to be done 4 AA/ ._Le? .0.__.517' .__. Stat work to >e done and purpose of building (by floors).4tL iam- ,A lehep 15' - and for no other purpose. New Building Remodeling • Addition v Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $_...,4_,30..x_.__.___. __--•_-Amount of Permit $ i..t3-e) 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 the 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 obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent 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. Remarks._ .... — _ _ (Signed)_ STATE OF FLORIDA, COUNTY OF DADE. j 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. Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD_... DATE Chairman Member _...._. Member ____. ... _..._ ._ Member Member ..._....... . Member _. Council Approved_----_ __..._ _ . . _ .._ — .Date Disapproved _.._ 210/ /v. (44 4 Sl Date NOTE: A charge of $1.00 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or worinnansbip. O MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No .C&LeCf 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 complianc':: 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 Gri7alle No 1 2' 4 'Q Registered Architect and /or Engineer. Employing Electrician's Name...STIN. S'ILTE..ELEC..T IC....INC.. No 9709.. .Street._.L... W.. . 27th..Ave... 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) existing residence New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit.. Main Sw Amps Main Fuses Amps Underground Type Installation— Conduit ...Tubi.,g._.. .. . _B.X.L Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I 85. READY (Signed) 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 sub•contrattors mployed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on thg..site of the -work public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on worlr be _.led der this permit, as are licensed by Miami Shores Village. (Signed ..:�� 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, a..d 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. Master Electrician. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLt?? IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEA.ER STRIP HEATER TOTAL CONTR LIST CHECK ENT. SW. DIOT. CAB. SERVICE TC:' SERVICE PERM. M OTOF20 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CON TR. LIST 14" HP 2.00 CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No .C&LeCf 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 complianc':: 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 Gri7alle No 1 2' 4 'Q Registered Architect and /or Engineer. Employing Electrician's Name...STIN. S'ILTE..ELEC..T IC....INC.. No 9709.. .Street._.L... W.. . 27th..Ave... 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) existing residence New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit.. Main Sw Amps Main Fuses Amps Underground Type Installation— Conduit ...Tubi.,g._.. .. . _B.X.L Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I 85. READY (Signed) 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 sub•contrattors mployed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on thg..site of the -work public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on worlr be _.led der this permit, as are licensed by Miami Shores Village. (Signed ..:�� 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, a..d 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. Master Electrician.