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144 NE 101 St (14)PERMIT APPLICATION FOR MIAMI SHORES VVIILLAGE Date Job Address i � Tax Folio J1 32(e--- 3 - , ' / � Legal Description Historically Designated: Yes No <- Owner/Lessee / Tenant 1 7 ' i i ?/+S /74' 'f -tA Master Permit # Owner's Address /10/ Ate- Phone or, Contractin Co. l Q d /'� ` C ac-7~1 ` iJ Address 7 � 12e) q 170-1 Qualifier / o. rs 7 C /6 ss# - 2 -/.5 ° 7 ' State # r /4 00 4' 7q2-- Municipal # WCN Competency # /0- f($1 Ins. Co. Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING LECTRICAL ' LUMBING MECHANICAL ROOFING PAVING FENCE SIGN A X/( WORK DESCRIPTION !� /T 21C� A Square Ft. and/or Condo P S sident Date Notary as to Uwner and/or Condo President Date My Commission Expires: FEES: PERMIT . ,J i d' RADON APPROVED: Zoning Mechanical Plumbing Estimated Cost (value) 6:50 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 regula ' g construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. y in ac • er or r. jj��wne - it e � uis ' Fem � ► � e � Notary Public, State of Florida o Commission No. CC 599619 F. °Q My Commission Exp. 11/07/2000 �2 ervicc o n ar J f' r t e ' 3 23 l Signature Notary as tb . a My Commission Expires: od 99 Date Date C.C.F. ' 6 v NOTARY " 0 `" BOND Building Electrica TOTAL DUE /99' Engineering L l t4 d cv cl 6 e,e_ v r, ci 4 TD iV . 1 0 1c • { t jT pope, o N /0°- 2 HOT Ii N eS * 10r 1 econ1/4\ i oc: b7'1IFI'N c 017, p �S ®�2 E0 8 230v Co o. - leo 1. et_s -roN;2 Q �,P3M te. 3/ F ; a 1.% cV C #� 4-1•CSlic• ice. CoNA-tr n 4 4 - rotvS. - ktOKO..)- oo p. _ . 144-. ).Z 0, 0 1 ST- f\tL So-S. U►Slcie• ZOO kTnP 2zo v ITM PLUMBING BATH 8 El 10E7 0ISriliASr -ER DISPOSAL OR INK IIG FOUNTAIN FLOCK CRAIN GREASE TRAP I NTERC2TOR LAVATORY LAUNDRY TRAY CLOTHES WASHER SFCWER SINK. POT/3 COW. SINK, RES IOENC SINK. SLOP TEWORARY WATER a.MT URINAL RATER CLOSET INDIRECT MASTS WATER APPLY TO: A/C UNIT FIRE SPRINCUR HEATER -Na NEATER- REPLAa URN R1NKL: a 571 1111ING POOL WATER salvia SEWER CONNECT IONS UTILITY -SEWER UT ILITY -WATER SEPTIC TAM( RELAY GRAINFIELD. 4" TILE/ ES. PUP a ABA1COH ,.ryTIC TAJ-0( SOAKAGE PIT W. P1. CATCH BAS 0 I SGLtARGEE WELL QGMESTIC WELL AREA GRAIN ROOF INLET SOLAR WATER E€ATE FIRE STANDPIPE POOL P IPING LAWN SPRI STST.i GAS ,Ra /€TER SET (GAS) GAS PIP 11G ., : ENOUM TO Esgi I L :I'`(G PERMIT A P L! L.A I ION (AN A?Pr IC .___N FOR 3UILDF*IG PL iT MUST ACCOMPANY THIS ADDENDUM. IT A MASTER 2 RMI RAS ?- 03T ::NED, CVti:?' S NOTLRSZ7 5:GNAT= ;rte :iCT BE 2?._5.x.1: CN SCBSZQU ,T A?PLTCar_ONS. i ELECTRICAL MECHANICAL UNIT RECUTACLES FEE IT3r I SWIM( CUTLETS say IcE TEWP(R,IRY SERVIC► SIZE IN A1PS ITEM SPAC: OMBR5 LIGiT CUTLETS SEV lC REPA!RACER. owe APR. !AXE CUTLETS RANGE TCP OVEN WATER HEATER 10TCRS 0- UP UNIT rcc IOTCRS OVER 1- 3 If IOTCAS OVER 3- 5 HP 1OTCRS OVER 5- 8 If LUTCRS OVER 8- 10 If SCTCRS OVER 10- 25 HP WTCRS OVER 25-100 If A/C NIKON 10TCRS OVER 100 HP AIR COMITIONERS STRIP HEATER GEOATORS TRA15OR1rET6 GENERATORS TRANSFORISS GENE ATCRS TRA115rR15ERS • i SIG( T1BES SIGN iRA16FORIOS CNTRAL 1€AT110 A/C (WC) A/C (CENTRAL) CLOT TAR►( UNIT RED Is :RAT ION PROCESS MO PRESS PIPING l TANKS ABOVE 5113.10 TANTS FE! U.F. PRESSRE VESSE STEAM BOILERS FUT WATER BOILERS 6EC0',AH ICAL van UT ION TRARSPC RT116 ASS•3c FLIES . EU MICAS/E5 ALATCRS FIRE SPRINKLER STSTEiS COOL IIC TONERS i VIOLATION • 1 1 REIHSPETION X71 I SPECIAL PURPOSE f aJflZrs OlUMUL VIOLATION REINSPECrION SIGN TILE CLOG( MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ©0G3 Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building ox 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. r o / 4 Owner's Name and Address...(!O.l�f!Lf!1!1l �/ f'rz - `tiYi"" Registered Architect and /or Engineer Employing ElectriciaA's Name.. .tE L. Location and Legal Description Lot Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Pay New Building Remodeling Addition Se rvice Overhead Size Feeders Conduit Underground Type of Installation— Conduit Tubing Amount of Permit S STATE OF FLORIDA, COUNTY OF DADE. } es. 7 Before me, the undersigned authority, a ppeared My Commission Expires No Cl.. Street ...W -�-- Subdivision (�--- Street At ..... Repairs !/ (Signed) l/° (Signed) a notary public, duly authorized to administer 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 therein by him stated are true. Date - 2-- 2 / •Y 6 Street.... /..g / ..�..�..,!...! Main Sw Ampe...L:>5.,..,4, Main Fuses Amps B.X.L .Metal Moulding ri The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat a u an emp oyer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe /anent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contract • . 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, licensed by Miami Shores Village. oaths No. of Stories Notary Public, State of Florida as are ter Electrician. and take acknowledgments, personally did sign the same, and that all facts 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'8 FIXTURES NO. LAM •S REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE HEATER STRIP H / 44- IV W4 . , TOTAL CONTR. LIST i ^ ( (� / 9/ r 111 CHECK ✓L� V /� ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.0 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ©0G3 Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building ox 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. r o / 4 Owner's Name and Address...(!O.l�f!Lf!1!1l �/ f'rz - `tiYi"" Registered Architect and /or Engineer Employing ElectriciaA's Name.. .tE L. Location and Legal Description Lot Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Pay New Building Remodeling Addition Se rvice Overhead Size Feeders Conduit Underground Type of Installation— Conduit Tubing Amount of Permit S STATE OF FLORIDA, COUNTY OF DADE. } es. 7 Before me, the undersigned authority, a ppeared My Commission Expires No Cl.. Street ...W -�-- Subdivision (�--- Street At ..... Repairs !/ (Signed) l/° (Signed) a notary public, duly authorized to administer 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 therein by him stated are true. Date - 2-- 2 / •Y 6 Street.... /..g / ..�..�..,!...! Main Sw Ampe...L:>5.,..,4, Main Fuses Amps B.X.L .Metal Moulding ri The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat a u an emp oyer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe /anent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contract • . 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, licensed by Miami Shores Village. oaths No. of Stories Notary Public, State of Florida as are ter Electrician. and take acknowledgments, personally did sign the same, and that all facts 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 ! ('-((c.7 Date. .AUG S T 47 / 9 .. 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 Gli F N &E No Street Registered Architect and /or Engineer Employing Electrician's Name u V e N �y Street and Number where work is to be performed —No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT EZeCT72 /c Location and Legal Description Lot Block Subdivision State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Service Overheaound Size Feeders ' Conduit 1 �' Main Sw /db Amps /00 Type of Installation — Conduit L" Tubing B.X.L Metal Moulding S. Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. Il ss. /Ai No /' 11"/ Street . ._.f��'3 ST G7 5 7 (Signed) OyL Street A// /D/ j7; No. of Stories Main Fuses l° Amps Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flor' 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 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. (Signed) r 1 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. 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST /DD ,L /I d g CHECK Permit No ! ('-((c.7 Date. .AUG S T 47 / 9 .. 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 Gli F N &E No Street Registered Architect and /or Engineer Employing Electrician's Name u V e N �y Street and Number where work is to be performed —No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT EZeCT72 /c Location and Legal Description Lot Block Subdivision State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Service Overheaound Size Feeders ' Conduit 1 �' Main Sw /db Amps /00 Type of Installation — Conduit L" Tubing B.X.L Metal Moulding S. Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. Il ss. /Ai No /' 11"/ Street . ._.f��'3 ST G7 5 7 (Signed) OyL Street A// /D/ j7; No. of Stories Main Fuses l° Amps Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flor' 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 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. (Signed) r 1 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. 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. MIAMI SHDI BUILDING INSPECTi. APPLICATION FOR B Building In tor Subdivision AGE NT C5 - Application is hereby made for the approval of the detailed statement of t: ing or other structure herein described. This application is made in compliance Shores Village, Florida, and all provisions of the Laws of the State of Florida, all regulations of the Building Division of Miami Shores Village shall be complied with, plans and specifications must be kept at building during progress of the work. 30 Street Q , 194! u. //j CC Owner's Name and Address_.. No 7' Street� Registered Architect and /o / gineer _ Dat 36 Name and address of licensed contractor 0l�trr7 Location and legal description of lot to be built on: Lot g Block i Street and Number where work is to be done State work to be done and purpose of building (by floors )_ ACIS _ ____ __ ___ __ __ ___7/ v ANNING BOARD__. __._ DATE 'ERMIT .,yecifications herewith submitted for the build - a with the Building Ordinance of Miami ices of Miami Shores Village and all rules and her herein specified or not. A copy of approved l and for no other purpose. New Building Remodeling Addition Repairs No. of Stories.. To be constructed of Kind of foundation / Roof Covering Estimated Total cost of improvements $8 0 0%O Amount t t rmit $ �sM_c7 Zone cubage required _Plan Cub,- Distance to next nearest building Size of ' ding Lot Maximum live load to be borne by each floor {c.�3 I hereby submit all the plans and specifications for said building. All notic 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 subconjiactors, on work to be p rfo ned under this permit, as are licensed by Miami Shores Village. Remarks__._ ( Signed ) _ Chairman Member Member ._ Member ith reference to the building and its construction may STATE OF FLORIDA, COUNTY OF DADE. 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 / 3 J Date. Read, Sworn to and Subscribed before me. Disapproved e( . / Or "� - �% .._ s Notary Public, State of Florida My Commission Expires 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 obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Permit No 95-51 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 kS Employing Electrician's Name g Dr/.1■1/46L-5rWL) Street and Number where work is to be performed —No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date !_ 4 State work to be performed and purpose of building (By Floors)M•'F'C? Service Overhead Size Feeders Underground Amount of Permit S••• / STATE OF FLORIDA, 1 COUNTY OF DADE. I 66. No Street / 6 / 5 7 e / No / Location and Legal Description Lot Block Subdivision T T Street /VE /6/ 37' -le 0., , Ld 4 VI O le el de New Building Remodeling Addition Repairs Street ,/. . , � 5 k U6 141;./ �r j Lj q,fa ‘a�.1 ft � No: f 'Tff D Conduit Main Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) .,. The undersigned applicant for this building permit does hereby certify that he understands and labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspecti. on the site as are required by the Act. The undersigned agrees to employ only such sub•contracto on •rk to licensed by Miami Shores Village. (Signe Electrical Inspector. pts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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 a11 therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A rc'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. 4- SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S F XTURES Nd. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HtATER STRIP HEATER TOTAL Lf !) /, ,S C CONTR. LIST / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS NEON 1.61 HP TRANS. RADIO TOTAL CONTR. C LIST � //LT, �o CHECK ?'V' Permit No 95-51 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 kS Employing Electrician's Name g Dr/.1■1/46L-5rWL) Street and Number where work is to be performed —No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date !_ 4 State work to be performed and purpose of building (By Floors)M•'F'C? Service Overhead Size Feeders Underground Amount of Permit S••• / STATE OF FLORIDA, 1 COUNTY OF DADE. I 66. No Street / 6 / 5 7 e / No / Location and Legal Description Lot Block Subdivision T T Street /VE /6/ 37' -le 0., , Ld 4 VI O le el de New Building Remodeling Addition Repairs Street ,/. . , � 5 k U6 141;./ �r j Lj q,fa ‘a�.1 ft � No: f 'Tff D Conduit Main Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) .,. The undersigned applicant for this building permit does hereby certify that he understands and labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspecti. on the site as are required by the Act. The undersigned agrees to employ only such sub•contracto on •rk to licensed by Miami Shores Village. (Signe Electrical Inspector. pts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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 a11 therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A rc'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. 4- 2 7c a �% ■ LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLI- CATION WILL BE RETURNED Lot Number__ — Block Number H. P. of each motor Number of Motors Outlets Motors Greatest Number of Lights on one Branch_ FLOOR Basement_____ First Second_ Third Fourth________. Other Floors. Outlets CERTIFICATES Progress Will inspect again Rough Wiring FINAL No. Corrected Temporary ____________ _____ Days Approved Letter _____� - Date Issued Date —, 192 Electrical Department of the City 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 Rules pointed out by Inspector. Receptacles NUMBER OF Motor Street and Numb r— /4:7,/ .4 Sid. Owner Q�� Occupant � ? - �-- - , Occupied as ` 2, ^ r ' ti " i \ . ',.,4-',":4,-',, . i r Building —New or Old (underline which). H P. Volts__________ Amps Phase Generators Gen. DEFECTIVE Time Allowed -- — -- Days SPECIFICATIONS Stoves Main Water Heaters) Signs SIZES OF Sub Fee remitted Remarks: APPLICATION Branch / Electric Light Co Billboards REMARKS • / Work will be started - T Will be finished (Applicant sign here) K s:> ?-f f ii . y Addres 7 / Street 3P CE BELOW FOR INSPECTORS USE ONL Received by Inspector P /9'' 4 77 Y> Inspected "!y ,_').% Correct Location /�� / ' ' Correct Equip Work— Additional or New (underline which). Other Apparatus _(Nature of Work) Open — nn ( rPnlad Knoll- 1171dg.— Conduit INSULATION OPEN OR CONCEALED , •JJ eR_ NUMBER OF CIRCUITS _Inspector Floor Basement 1st Floor 2d Floor 3d Floor 4th Floor 5th Floor 6th Floor 7th Floor 8th Floor Attic REMARKS: FOR FIXTURE WORK ONLY ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI siring your Certificate of Approval, application is hereby made for an inspection of the electrical instal- lation in the premises stated below, for which the undersigned agrees to correct any infractions of the Nat- ional Electrical Code and the City Rules pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION ALL SPACES MUST BE FILLED, OR APPLICATION WILL BE RETURN Lot Number Block Number 75— Street and Number - ���:.�' ' / �, e t , l Via, . ` `"`Side Owner ` h- #? ? Ai Occupant ,Q Occupied as Building--New or Old (underline which). Number of Lights Work will be started will be finished r�4r (Applicant sign here) .........'..... t Address Street E BELOW FOR INSPECTOR'S USE •_ LY - R ` ,l / Received by Inspector F11 -6M -6-25 CERTIFICATES Progress Will Inspect Again Rough Wiring FINAL No. Corrected Temporary Days Approved Letter Date Issued Time Allowed: Ceiling Outlets DEFECTIVE Days AP - LIGATION Date - - _...._....., 192 Work — Additional or New (underline which). SPECIFICATIONS Ins Bracket Outlets No. 8 Number of Circuits Correct Location ..:C ' L` ct+ :li Correct Equipment Electric Light Co. Fee remitted Remarks: Inspector