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432 NE 100 St- _03�y� MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No /3Z/0 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 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 a` -9 Registered Architect and/or Engineer Employing Electrician's Nam,,. G i ld 7o .7e No Location and Legal Description Lot.... 't 8 Block .V9 Street and Number where work is to be performed —No 4 .3 V State work to be performed and purpose of building (By Floors)..J4' New Building Remodeling Addition Amount of Permit $...... Pd STATE OF FLORIDA, COUNTY OF DADE. I s '' No 4 4? Street / 9/, "psgso/ mss® •.d Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P P Type of Installation — Conduit Tubing B.X.L Metal Moulding (Signed) �.�.. Street.., .tit" ccr Subdivisionv t9. c ep ° Street /per• G • !®m 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-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. 1 .t .. 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 OUTL TS PLUG RECE'P'T'S FIXTURES NO. LAMPS REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST + . / 1 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.8 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK - _03�y� MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No /3Z/0 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 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 a` -9 Registered Architect and/or Engineer Employing Electrician's Nam,,. G i ld 7o .7e No Location and Legal Description Lot.... 't 8 Block .V9 Street and Number where work is to be performed —No 4 .3 V State work to be performed and purpose of building (By Floors)..J4' New Building Remodeling Addition Amount of Permit $...... Pd STATE OF FLORIDA, COUNTY OF DADE. I s '' No 4 4? Street / 9/, "psgso/ mss® •.d Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P P Type of Installation — Conduit Tubing B.X.L Metal Moulding (Signed) �.�.. Street.., .tit" ccr Subdivisionv t9. c ep ° Street /per• G • !®m 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-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. 1 .t .. 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 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 prggress of the work. Date 0 1 197/ � No 4/3 Street.f.. ' SOU 6-; Registered Architect and /or Engineer./ y i E- / t r o� S E. 7 Name and address of licensed eentrtctor 4 T 2 A' # 1 2- 1.270). -4 1 • . Owner's Name and Address. Z' / V Location and egal description of lot to be built on: Lot '7 6 Block 9 Subdivision- .- /2 /A>?2/ £ .' ej 2" 5 Sc . Street and Number where work is to be done ../ ..X-e. /(-/.4 / ' 2 �7 State work to be done and purpose of building (by floors) / t>5 >. ,/_..ems D - t9. — ,y /9 l O%t,/ ,-e and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of '/3 Kind of foundation Roof Covering / / d Estimated Total cost of improvements $ ®apt ®d Amount of Permit $ Zone cubage required flan Cubage Distance to next nearest building Size of Building Lot. - -/ 7 / X J -r Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said buildin All notices with rcfercnce to the building and its construction may be sent to 4 P 9'Z IST. 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 - 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 Date 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 / 1—C' Date « / D isapproved C y (Signed) Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires PLA / ING 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 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. DADE COUNTY POLLUTION CONTROL 864 N. W. 23rd Street APPLICATION FOR APPROVAL OF INDIVIDUAL SEWAGE FACILITIES (To be completed and submitted with plans) All plans submitted must bear Zoning and .Plumbing Dept. approvals. Owners Name: �etlG L 7 4/ Address 1 / 3 4-' -c /0 Telephone: ' • S'•/ - g 4,76 Type of Proposed Building: 0 DrTig A.) If Residence, No. of Bedrooms: Legal Description of Property: 2 ZS-46,L. 7 Date of Platting: If Divided by Waiver of Plat, Furnish Processing No.: Present Zoning: Res• Project Address: 73 Lot Area: /1 g do v` Source of Wa ter Supply: Architect and /or Engineer 119.05 -143 0 //ii p4. ) 7c5 Permit No Size Septic Tank___ Feet of Drain Tile___ _Dist. Feet of Tank or Drain Field from Well Amount of Permit $_ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) _ __..____ _ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_G E.0 , A :,A p No._ 44,7_2 Street/!' 4 . "WI _ S rr�. Registered Architect and /or Engineer_n11_ ___ rl F- Ifil� m Employing Plumber's Nae__ i aA._ '! /1_✓_)✓ ✓' _ _• No.Z.et-ni Street. WZe ..__ 6 Location and Legal Description Lot_ J V_$ Block 9, Subdivisionml_ 8, Street and Number where work is to be performed —No J 2 Street_, .. - zO0 -s r _ State work to be performed and purpose of building (By Floors ) _.el�1__? 2 RFP/N J.DA /'! Q4l r0 /.4 . New Building Remodeling _ Addition 1-------- Repairs No. of Stories. Nature of Water Supply: City — Well.______ _________ ... _________________— __._Size of Soakage Pit Plumbing Inspector. My Commission Expires Notary Public, State of Florida Type of Tank_ Capacity Gals 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 coin - plied 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 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, 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for insp:: ".' In, or faulty materials and /or worlcmanship. CLOSETS BATH TUBS SH SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES coma. LIST ' I - --//`- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIrr CHECK Permit No Size Septic Tank___ Feet of Drain Tile___ _Dist. Feet of Tank or Drain Field from Well Amount of Permit $_ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) _ __..____ _ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_G E.0 , A :,A p No._ 44,7_2 Street/!' 4 . "WI _ S rr�. Registered Architect and /or Engineer_n11_ ___ rl F- Ifil� m Employing Plumber's Nae__ i aA._ '! /1_✓_)✓ ✓' _ _• No.Z.et-ni Street. WZe ..__ 6 Location and Legal Description Lot_ J V_$ Block 9, Subdivisionml_ 8, Street and Number where work is to be performed —No J 2 Street_, .. - zO0 -s r _ State work to be performed and purpose of building (By Floors ) _.el�1__? 2 RFP/N J.DA /'! Q4l r0 /.4 . New Building Remodeling _ Addition 1-------- Repairs No. of Stories. Nature of Water Supply: City — Well.______ _________ ... _________________— __._Size of Soakage Pit Plumbing Inspector. My Commission Expires Notary Public, State of Florida Type of Tank_ Capacity Gals 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 coin - plied 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 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, 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for insp:: ".' In, or faulty materials and /or worlcmanship.