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277 NE 101 St (7)BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade 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. ,ll Date..._..._.... ._.. , ... 1 . - .�...... ,19..Z - Owner's Name and Address ...... �4� !:,�.9.k o�d�- �5 No.... 7 _.. Street._.4� • E..... _�..�. �T Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Z° 2-1 Block 3r Street and Number where work is to be done Permit No.. Disapproved Date (Signed) MIAMI SHORES VILLAGE Building Inspector State work to be done and purpose building (by floors)....! Date 41- Subdivision 15 .. , C 1 = —Z I 7 ) E - /v 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 $ 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 pennit 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 - contractdrs employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on ite of the work such notice or notices as are required by the Act. The undersigned agrees to employ only such sub�co on work " perf.. a under permit, as are licensed by Miami Shores Village. //' Remarks (Signe STATE OF FLORIDA, COUNTY OF DADE. ss. Bcfore 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 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 My Commission Expires to me well known, PLANNING 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 hecn obtained from the Planning Board. A re 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT d Date ,� r2' / 7 - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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 ..��� � as P0 \P No 7 Street Registered Architect and /or Engineer Employing Electricia6's Name No Street 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) ?LACE OLD Cot • i"i L � ?" S New Building Remodeling Addition Repairs No. of Stories SS. Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses . Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) The undersigned applicant for this building permit does hereby eel tify that he understands and a 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 inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. (Signed) .t 1 7` Electrical Inspector. ccepts 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 STATE OF FLORIDA, COUNTY OF DADE. I j 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. Master Electrician. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'8 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. RA01O TOTAL CONTR. LIST CHECK Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT d Date ,� r2' / 7 - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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 ..��� � as P0 \P No 7 Street Registered Architect and /or Engineer Employing Electricia6's Name No Street 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) ?LACE OLD Cot • i"i L � ?" S New Building Remodeling Addition Repairs No. of Stories SS. Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses . Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) The undersigned applicant for this building permit does hereby eel tify that he understands and a 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 inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. (Signed) .t 1 7` Electrical Inspector. ccepts 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 STATE OF FLORIDA, COUNTY OF DADE. I j 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. Master Electrician. (44214 &Air ro VLir exo7/:, ci 4/M ,0 re_ - APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of plans and specifications must be kept at building during progress of the work. Owner's Name and Address .. Q Registered Architect and /or Engineer Name and address of licensed contactor t� i- Location and legal description of lot to be bbuil on: Lot C'(i_ —ZZ — Block Street and Number where work is to be done State work to be done and purpose of building (by floors) t ert . L — _.._. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Cove Estimated Total cost of improvements $ mil' © ' , 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, 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 arc required by the Act. The undersigned agrees to employ only such subcontract, on work . be performed un¢er this pennit, as are licensed by Miami Shores Village. Remarks (Sign 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 — 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. L Permit No.._.... f � ( � Date 'a — Z ? � ._ Read, Sworn to and Subscribed before me. Disapproved ( , 7 Date (Signed) Building Inspector / My Commission Expires Chairman Member Member...... _..._._..._._..._._....._ Council Approved Date MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT cRo ate ._. No.. Street._. 4..._ Subdivision �� S ( - Notary Public, State of Florida PLAN ' C BOARD DATE 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. the build - of Miami rules and approved - to me well known, Member Member Member ...._ �_._..._ Disapproved Date has been obtained from for inspection oe faulty