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1301 NE 101 St (6), Date Job Address /S /de CP/ Xr Tax Folio Y5 ,2 P.Z . S' /D 0 Z. a 4d / Legal Description LdT 4/ /a '/k 2 $/td»? S 4dIYe a4�, fyHistorically Designated: Yes No PAr e3ra err., Pb. sr f4. B3 aaz b 4. Owner/Lessee / Tenant ti44/ ' 44,2 Jib,/ !f0/f /d.fPZ t Y/ Master Permit # ) L 4, Owner's Address / 3 4/ ,t / v / , f / - . # 0 4 . , v ' 6 - 4 4 / 4 1 ' s Contracting Co. �111v 0 12 l.t; Cyr CONY. Nc•• Qualifier f. • GAaTt) S WORK DESCRIPTION 14 7 PeR. ecAn)s PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT // }' '✓ RADON SS# Notary as My Commission Phone Oa) 76 - F cP3 Address 1 1 1 . 0\ S' & Ivr .w -02- Mittnl Ft.. Phone I4)6J SEW C6.5 (abEP/ ROONJ Z 14( 1114 -T Lf SPoT 1.176g 35wacilE State # ECM° 15 t 1 A- Municipal # Competency # Ins. Co. O) 1 t L Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING JECTRICi PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Square Ft. Estimated Cost (value) 5 � 000 00 3Q_C 6 --q L 3 3 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 AFTFJI)AV1T: 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 Electrical actor or Si a : . of Con Owner- Builder 0//d / Date actor or Owner-Builder Date g /v! a/ LAZARO PEREDA NOTARY PUBLIC - STATE OF FLORIDA COMMISSION 0 CC939201 EXPIRES 8/4/2004 BONDED THRU AM 1i88.NOTARY1 C.C.F G }i NOTARY — BOND TOTAL DUE // , 312 APPROVED: Zoning Building Mechanical Plumbing Structural Engineer PROOF OF RESIDENCE OWNER SECOND OWNER THIRD OWNER .. Name & Address of each owner not living on property: - 1 ( Social Security Number required for all owners living on property: - - . • - . C3': V 3 4 - 33.z 7 ,. , ..6(1- ,f. - - /..) Li When did you move to the State of Florida? J� c (te) 0 When did you move into this house a fr .• /`.;f3£ ) Florida Drivers License Num ber Date of issue & of Birth O G / ` y<_ , a:' y _ ‘,/ 3 - ; t •r r f S� f s.� i ' / l �?(-:4 b (1' ! =fig-- . .. r Florida Vehicle Tag Number -• , , ae of Issue: : ` - 1-12 /4 / Z .. r i ,; /- f ci,i' .., ;2- ; a r / -? �;tf j^, Are y u a U.S. Citizen? If , give .. .Florida Voter's Number & Registration Date: If NO, Immigration Number(Green Card) & Issue Date: y v r r ` - ._ it/ (- 1' - OS- ',`L; . . tf, 'Other proofs of Florida Residency: . . Current Employer & : w P umber „ -- ,,,,. t AP:-, LSD bi c .e : :�,- rJ,, F "22:L5_.-7 _ � n L1 r - 2, i ) ��, „ : ' 60 ,3 Address liste eturn: ~ d" on" " r test at 's'IRS R Y� e Y ' SA O �ALY_r .�,.� / ..- 4 �)r.t o I* .1"3i' fr PROPERTY ?OENTIFICATION NUMBER PROPERTY DESCRIPTION STREET.' 1301 tN E 101 5 CITY: ZIP: )' ROPERTY ADDRESS: 1301 N• 101 ST °�pucKSRSxays- .L ^:_v.,T,rxsoe ai ...2 4.0E.DEED :. -. 4 /o �� DATE RECORDED: i� 4." J` rL �.:. ?''Y � RECORD: BOOK PAGE ORIGINAL APPLICATION FOR TAX EXEMPTION Filing Deadline is March 1. I-320'--023--0090 MIAMI -DADE COUNTY, FLORIDA YEAR ? : r l ' Office Use Only . HEX: ADONL: SHORES BAY P . STS IL C T 4 LOT SIZE 109, &O0 `( OR 192:32-3'910 09 - 20 AM S =L . n 33133 Social Security Disclosure Note: Disclosure of your social security number is mandatory. It is required by Section 196.011, Florida Statutes. The social security number will be . used to verify taxpayer identity information, homestead exemption information submitted to property appraisers, and intangible tax information. OFFICE USE ON (WILL SUBMIT): , X t' SIGNATURE OF APPLICANT (S) ' DATE & PHONE NUMBER - " r: t Did you own real property last year? Y F Yes [%] No [ ] Previous Address ,', - �' *� �' �+, a . • y A / / �� j �I I� #RESIDING OWNERS: • ' HEX • i3 f K / ... ' 1 r d ." • (. D. LI 1 Was this property sold? Yes (y_,rDa -- ! , No [ ] : 4J T & P: Other. Did you receive tax exemptfon ortthis prop Yes ( IT No [ ] :. ' -Dow: '_ . Marital Status: SINGLE [ ] MARRIED [ 6 [. ] r ` WIDOW' [ -.'.] WIDOWER l [ , :] DIVORCED [ "].. LPAOIerk, *EXEMPTIONS APPLIED FOR: [ NEW ] ' [CHANGE ] [ ADD] Y • Permanent Florida Residency Required as of January 1,' $25,000 HOMESTEAD EXEMPTION $500 WIDOWS OR WIDOWERS EXEMPTION (MUST SUBMIT SPOUSES DEATH CERTIFICATE) $500 VETJCIV. OR BLIND PERSON'S•DISABILITY EXEMPTION SERVICE CONNECTED TOTAL & PERMANENT DISABILITY EXEMPTION (Documentation Required) DISABLED VETERANS confined to WHEELCHAIRS EXEMPTION (Documentation Required) CIy,ILIAN T-OTALA- PERMANENT.P Si�BIL)TY : _ :„ EXEMPTION (Documentation Required) *EXEMPTION AMOUNTS APPLIED TOWARD ASSESSMENT VALUE J understand that Section 196.131 (2) Florida Statutes provides that any person that shall knowingly give false information for the purpose of claiming homestead exemption is guilty of a misdemeanor of the first degree, punishable by a term of imprisonment not exceeding 1 year or a fine not exceeding $5,000 or both. Further, under penalties of perjury, I declare that I have read the foregoing application and the facts in it are true. J hereby authorize this agency to obtain Information. from utility companies or any other source, necessary to determine my eligibility for the exemption(s) applied for. If all information is not received by MARCH 1st, your application will be processed for whatever exemptions you qualify for on that date. t) hereby make application for the exemptions Indicated and affirm that I do qualify for same under Florida t u ? Tit ;air ✓,& y * z , tr if yl ? Ni..: a Statutes. 1 am a permanent resident of the State of Florida and I own and occupy the property described above. You min ring aD Jnfor natl n and this completed form, UNSIGNED, IN PERSON, to the Property Appraiser's Office by March 1. J r ' r ' IL 'w' G t t'�`�c t. -1 / ; l DEPUTY'S SIGNATURE, INITIALS, & DATE • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 0 /3 i Job Address ).36/ fE /0/ 47 Tax Folio Legal Descripti on e /A4( / £I2 �ci /Historically Designated: Yes No /Y D � n �4� Owner/Lessee / Tenant �Q 1 Master Permit # ` � J r 1 /3 / /" /D 57- Owner's Address Contracting Co. Qmlifier 1/(249 7 OPeAk--- state# go/' f 16 Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ECTRICALLL)PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /4 7 T e7 17;. .9 4 kr le — l & • - 1 c }' / k � _ (gaffi AsAkjel Square Ft. Municipal # A c. P h o n e Cdr) 7 5 ' % . C Address A5 --- s --- / SS# Phone ( ' a0 7$7 1 1 2 3 8�0$�S� ? 3 / (a'a competency # ,Setice Ins. Co. ArA F,f 3 /( cw Estimated Cost (value) /ea 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. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT �t S ®" RADON Signa..� - of Contractor o !awn I ilder Date c���;�:- �(O( )quo p„. �-ooy `� otary a , ; �; , ., • Date My Co i . ' ' `. ° l�N NO. CC7191Q3 Y • 1SSION EXP. MAR.1 _ C.C.F. ' 0 NOTARY BOND TOTAL DUE _51/4_< 6o APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering ITEM BATH TU3 UNIT FEE ITEM SWITCH OUTLETS UNIT c FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR CHAIN SERVICE REPAIR/1E7ER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS :3 5. PROCESS AND PRESS PIPING INTERCEPTCR RANGE TCP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTCRS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 CCMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIOENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK. SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTCRS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SLPPLY TO: AIR CONDITIONERS ' A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS ' LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL • OUTLETS COMMERCIAL WATER SERVICE • SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY-SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANNA • RELAY TELEVISION CUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS I. OBTAINED, THE OwaER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL L3 /O/ e 021 Arr \ ' 4 -111r 4 T \C, I - "A, __) L3 /O/ e 021 Arr P ,4Aie / ' _ CA'rC- Q,467At ctel4 5 itAe NOVE5: - mea-Airements to be checked cn -existing soffit to be modified according to kitchen design - paitru size needs to be as large as possible -electiclatiat to be redone acca-dingto kitchen design -plumbing will remain as-is -kitchen sink to be centered With window posIble chha cabirwt 0 71- scale: 1/ 4" 1 10"-7" PA5SI. 1:5113NC 90-4?g,s- q/.51 30 SI 70' - 064 APPROVED ZONING STRUCTURAL ELECTRICAL PLUMBING MECHANICAL ROOFING BLDG. OFFICIAL m 1.11.11.1111111 ■ SUBJECT TO COMPLIANCE' WITH ALL FEDERAL, STATE AND COUNTY RULES AND REGULATIONS. MIAMI SHORES VILLAGE ASSUMES NO RESPONSIBILITIES FOR ACCURACY OF OR RESULTS FROM THESE PLANS. COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADO MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & SUB CONTRACTORS ARE CHARGED WITH THE KNOWLEDGE OF PIED BY PFGULATIDNS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN EI9IA JI SHORES VILLAGE i6D ELECTRICAL INSPECTION DEPARTMENT c� APPLICATION FOR ELECTRICAL PERMIT Date // , -6 / Permit No � ` — . I — / � f 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. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name .. %�'�— , No. ..I _.1 � Street...Q" —� 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) New Building Remodeling Addition Repairs No. of Stories MIAMI SHORES VILLAGE No 3 d I' .. `. t Street.... O g,, S twice Size Feeders,3 ^ b Conduit.a ... Main Sw Underground 3 -c Type of Installation— Conduit Tubing B.X.L Metal Moulding 3. Amount of Permit $ V (Signed) STATE OF FLORIDA, COUNTY OF DADE. !t ss' My Commission Expires (Signed) Amps.2.,_4 0 Main Fuses Amps Notary Public, State of Florida Ele ri al 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 Perman nt 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. 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. NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or fau materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 1 4/ / . 7 , CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST 1 CHECK 7 g� *0 �f (t{}'fryr i6D ELECTRICAL INSPECTION DEPARTMENT c� APPLICATION FOR ELECTRICAL PERMIT Date // , -6 / Permit No � ` — . I — / � f 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. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name .. %�'�— , No. ..I _.1 � Street...Q" —� 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) New Building Remodeling Addition Repairs No. of Stories MIAMI SHORES VILLAGE No 3 d I' .. `. t Street.... O g,, S twice Size Feeders,3 ^ b Conduit.a ... Main Sw Underground 3 -c Type of Installation— Conduit Tubing B.X.L Metal Moulding 3. Amount of Permit $ V (Signed) STATE OF FLORIDA, COUNTY OF DADE. !t ss' My Commission Expires (Signed) Amps.2.,_4 0 Main Fuses Amps Notary Public, State of Florida Ele ri al 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 Perman nt 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. 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. NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or fau materials and /or workmanship. BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL E PLUMBING ❑ PERMIT N° 8091 ROOFING ❑ Owner of Building Vs. Architect Contractor or Builder it .,, ,,;, r t.: - +�_ " y ; '°°' 4. t G..' =» Legal Lot Description BI Address of • ; 7 Building 4; Co t O. «.: . d c i •. t CONTRACTOR or BUILDER Work to be performed under this Permit a<� � t / �/,tt �..w c" t. s , CJ rN Subdi- vision Sq. Ft. . •‘ Value of II Amount of ps Project $ I I Permit $ , This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or empJlo • ti r ° Signe °' - - "t.. it r ' ?A — . 4 (II $ CTOR) BY In consideration of the issuance to me of this permit I agre to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibilit all work' done by either, myself, my agent, servant or employee. 4.; L_ C., 7 f ;, t Date 1 ' ° " 19h.. a Contractor's cf, License No BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building / Architect Contractor or Builder _. Legal Description Address of Building Lot PERMIT N° 14311 ❑ Work to be performed under this Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • BY ' 1 INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In acceptin this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA ;r,,r. •10 n Bl Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ BY AUTHORITY BUILDING ❑ ELECTRICAL 4a PERMIT N° PLUMBING ❑ ROOFING ❑ Owner of Building Work to be performed under this Permit Architect Contractor or Builder Legal Lot II BL Description. Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA 14353 Subdi- vision Value of Project $ DATE J ' 2 Contractor's License No Amt. of Permit $ Jl " -- This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • BY :"" INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of • Miami Shores Village. In aceept • this permit I assure spo4`sibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Permit No / �S MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL 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 d f w Ing urtng progress o wo „,, Owner's Name and Address.. { _1 No Registered Architect and /or Eng Employing Electrician's Name Location and Legal Description Lot `� 1 / Block Subdivision Street and Number where work is to be performed —No 3 0 I Street r /v 6 / Q 1 4 State work to a performed and purpose of building (By Floors) New Building A Remodeling Addition Repairs No. of Stories M Service Size Feeders R / Conduit / Main Sw. Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ �1 (Signed) 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. STATE OF FLORIDA, t COUNTY OF DADE. 11 My Commission Expires 63. We:kA;( No (Signed) Date Street Street 5 Master Electrician. 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. 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST J Z / I I �q / ed+� I 7 / /60 / l lc G� J CHECK / . [� 0 S y� _US ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL. CONTR. LIST _. / / CHECK / ®e2 / d c Permit No / �S MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL 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 d f w Ing urtng progress o wo „,, Owner's Name and Address.. { _1 No Registered Architect and /or Eng Employing Electrician's Name Location and Legal Description Lot `� 1 / Block Subdivision Street and Number where work is to be performed —No 3 0 I Street r /v 6 / Q 1 4 State work to a performed and purpose of building (By Floors) New Building A Remodeling Addition Repairs No. of Stories M Service Size Feeders R / Conduit / Main Sw. Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ �1 (Signed) 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. STATE OF FLORIDA, t COUNTY OF DADE. 11 My Commission Expires 63. We:kA;( No (Signed) Date Street Street 5 Master Electrician. 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. 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. Permit No / , L (f 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. Owner's Name and Address Registered Architect and /or E ine r Employing Electrician's Name.. Location and Legal Description Lot Street and Number where work is to be performed —No .. / N C / 0 State work to be performed and purpose, of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Type of Installation — Conduit Amount of Permit $ STATE OP FLORIDA, 1 COUNTY OF DADE. I ELECTRICAL INSPECTION DEPARTMENT • APPLICATION FOR ELECTRICAL PERMIT es. MIAMI SHORES VILLAGE No Street (Signed) (Signed) Date 2--Z s S 3 No Street F;ttle2... Block 2.__ Subdivision Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Underground Tubing B.X.L Metal Moulding Street Master Electrician. Amps 0 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 sub. contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. ST LIST L j CHECK . ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / I / i CHECK / d O / b V / 0 O Permit No / , L (f 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. Owner's Name and Address Registered Architect and /or E ine r Employing Electrician's Name.. Location and Legal Description Lot Street and Number where work is to be performed —No .. / N C / 0 State work to be performed and purpose, of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Type of Installation — Conduit Amount of Permit $ STATE OP FLORIDA, 1 COUNTY OF DADE. I ELECTRICAL INSPECTION DEPARTMENT • APPLICATION FOR ELECTRICAL PERMIT es. MIAMI SHORES VILLAGE No Street (Signed) (Signed) Date 2--Z s S 3 No Street F;ttle2... Block 2.__ Subdivision Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Underground Tubing B.X.L Metal Moulding Street Master Electrician. Amps 0 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 sub. contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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.