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358 NE 100 St (16)i Building Inspector 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. Date__._ O6C e 3 . , 19 Owner's Name and Address._. sQ /L.T 4. E T - - -- --- -- � •---- ---- - - - - -- - -- No . 51 __ Street ).J A 1 a 0 S _ Registered Architect and /or Engineer... _ .. 8Ei -/ S. Mes .' Q V ,/� 4100 � N_.W ® _ _ 5 ° (_ - __ t /� A /AM1. M ... Al Name and address of licensed contractor. £ - / ATQ!_Lt f��J._ T p _..._. "e�9 °7R .. M./AM/___33/ Location and legal legal ddescription of lot to be built on: 1 Lot__ 5_- # -. 2 4 Block 40 .. Subdivision_ fl M -__.S)-46 Ate"S .S ecrio{.) 1 AJv\M 'I p D Street and Number where work is to be done 3 5 � N el & s10 ® S / r _ p- State work to be done and purpose of building (by floors)__ . __ - - - 4,A�'l:- .P G Cry V-Cr'� Pleo J 0 a - - -- _ - and for no other purpose. New Building . Remodeling Addition Repairs No. of Stories O To be constructed of__.6.k VAIN_______ Kind of foundation___. E_ /_. Roof Covering___ .S ' S ���..� Estimated Total cost of improvements $ 6 C) Amount of Permit $ Zone cubage required -Plan Cubage - -_ _. Distance to next nearest building._...__ . Size of Building Lot S _. __._1 Maximum live load to be borne by each floor___ I hereby submit all the plans and specifications foi said building. All notices with reference to the building and its construction may be sent to - - -•- - - _Ra- fl2Q C1_0. P /301C- 44a S? . MA AA. i 33/44 _.... The undersigned applicant for this building permit dot hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Sec :ion 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from a etntractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for i sp ction on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sus ' : actors, 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 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 for• :oing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No J 6 Disapproved ( Signed) Date.. .... Date PLANNING BOARD. 0 e Read, Sworn to and Subscribed before me. Notary Public, State of Florida My mission Expires DATE to me well known, 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 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 workmanship. Permit No l7 MIAMI SHOES 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, Fiurida, 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. , p Owners Name and Address....i in re, — 6Z - 1✓e No Street 100 ITT Registered Architect and /or Engineer Employing Electrician's Name �T" 1 4% IO No. .4 .3 449 e r Street / C 4.4 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No . 6 e !1 C • Street /.Q.O State work to be erformed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders U Conduit.g /Q. Main Sw 200 0 Underground • •7 00 Amount of Permit $ My Commission Expires ®o Type of Installation— Conduit ✓ Tubing B.X.L .Metal Moulding (Signed) (Signed) Amps 2aa.c_ ctrical 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. Date Main Fuses Amps Notary Public, State of Florida Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. I °'' 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 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. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. 0 aoG L e f2 RADIO TOTAL C L STR yy PPERM. /ceCc Q/�(fLG rt-r 200 CHECK �q� /, �g' /, a`� Permit No l7 MIAMI SHOES 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, Fiurida, 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. , p Owners Name and Address....i in re, — 6Z - 1✓e No Street 100 ITT Registered Architect and /or Engineer Employing Electrician's Name �T" 1 4% IO No. .4 .3 449 e r Street / C 4.4 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No . 6 e !1 C • Street /.Q.O State work to be erformed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders U Conduit.g /Q. Main Sw 200 0 Underground • •7 00 Amount of Permit $ My Commission Expires ®o Type of Installation— Conduit ✓ Tubing B.X.L .Metal Moulding (Signed) (Signed) Amps 2aa.c_ ctrical 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. Date Main Fuses Amps Notary Public, State of Florida Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. I °'' 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 faulty materials and /or workmanship.