468 NE 100 St (4)Permit No... 01..1
Registered Architect and /or Engineer
Employing ElectriciaA's Nam Ara et c
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
2. 9/ F'D
Application is hereby made for the approval of the detailed statement of the plans and specifications herewitfi submitted for the building oi other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fig, :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. r' r Q. a No
4/ 4 j 1?� Ir.G No (d D 1
Location and Legal Description Lot /- Bloc
Street and Number where work is to be performed —No l
State work to be performed and purpose of building (By Floors) ...j4..i
New Building Remodeling Addition
Amount of Permit $ ( 0 • a,
(Signed).
Lib
Date
Street... E i ( 20 51
2 / "retie,
Street
k
Subdivision
Street /r • /00 3"1—, '
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing B.X.L .Metal Moulding
4t(zzl)0A S3y
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of
labor under the Florida Workmen's Compensation Act, being Section 3966, 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
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.
notices
as are
STATE OF FLORIDA,
COUNTY OF DADE. J 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.
SWITCH
OUTLETS
LIGHT
OUTLETS
'PLUG
RECE'P•T•e
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. HEAT.
CONN.
SPACE
H EATER
STRIP
H EATER
TOTAL
,
CONTR.
LIST
C HECK
r-
.�
,---
�-
,_
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
s
LIST
CHECK
� �. �
Permit No... 01..1
Registered Architect and /or Engineer
Employing ElectriciaA's Nam Ara et c
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
2. 9/ F'D
Application is hereby made for the approval of the detailed statement of the plans and specifications herewitfi submitted for the building oi other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fig, :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. r' r Q. a No
4/ 4 j 1?� Ir.G No (d D 1
Location and Legal Description Lot /- Bloc
Street and Number where work is to be performed —No l
State work to be performed and purpose of building (By Floors) ...j4..i
New Building Remodeling Addition
Amount of Permit $ ( 0 • a,
(Signed).
Lib
Date
Street... E i ( 20 51
2 / "retie,
Street
k
Subdivision
Street /r • /00 3"1—, '
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing B.X.L .Metal Moulding
4t(zzl)0A S3y
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of
labor under the Florida Workmen's Compensation Act, being Section 3966, 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
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.
notices
as are
STATE OF FLORIDA,
COUNTY OF DADE. J 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.
Owner's Name and Address
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Disapproved
(Signed)
4k-
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement art the plans and specifications herewith submitted for the build •
inc 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 progreu of the work.
Date..._..._......._. ,Z. .___..._._......._....19.
Engineer /e: -"'- .�..X6.., A/E fa te/_ No......... _.._. Street._..
Registered Architect and /or Engineer 4447 ac k ,,,,, ,,, •,,,.,,,,nx,rar. .....
Name and address of licensed contractor f""ti t e- ifilvb. P" 7 " /7Yf 0 _?1 IV .z..l c- / A`'* a-" "
Location and legal description of lot to be built on: ��``
Lot " L- +.7L..4 Block e9 Subdivisionl"1r'`. iaseJ .a4 �� _....._._......
Street and Number where work is to be done.. gee N E lair El". .lr a'•-r! . tlioWJ
State work to be done and purpose of building (by floors) �! i.l''��vis<C/ — Beast rla- .. -../. . •
Building Inspector
BUILDING INSPECTION DEPARTMENT
.and for no other purpose.
New Building � Remodeling Addition Repairs No. of Stories
•
To be constructed of Kind of foundation Roof Covering
Estimate Total cost of improvements S �a Amount of Permit S.
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 tot "ae -T"'/ b FXJ % /) -4 ,%PO 4"V f II Ale /(bra
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 subcontractors, on work to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signe
MN/art
! feu /0Ps
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 1 `/).1 L" Date 3� I S,/tl Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires _...._.. __.._..._.._ ..�
PLANNING BOARD DATE
Citainnan Mcmbcr —
\ferr,ber Member
Member .. ... _.....__....._..._._ ...._ Member _
Council Approved Date Disapproved Date
NOTE: A charge of 31.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning hoard.
A re fee of 31.00 will be charged when such re inspection is made necessary by Improper notice for inspection or faulty
materials anti /or workmanship.
DATE /fdre
Building Department,
City of Hialeah, Florida.
Attention: Building Official
SWIMMING POOL OWNER'S CERTIFICATION
I certify that I am the legal owner of the property described
as ,L, is 7 / %G.- a 1 3/ d3 Ay Ase dc/ ? /1fio7.,r fZi.cer
./c c 1%-t 4 / 4? / }- /Jc // located at 46P A/ E /ov fly ., �/ ?3 /j p
In accordance with Section 33 -12 (f), Code of Metropolitan
Dade County, I certify that I understand and agree that the swim-
ming pool to be constructed at the above address cannot be used or
filled with water until a seperate permit has been obtained for an
approved safety barrier, and such barrier erected, inspected and
approved.
I further understand that this certification, however, does
not eliminate the need for obtaining a permit and erecting an ap-
proved barrier prior to final inspection and use of the pool.
Legal Owner
e-/e4