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802 NE 100 St (10)Date Z ,° Job Address State # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): WORK DESCRIPTION ignature of owner an PERMIT LegaiDesaiptio ui9w VP1 14 1)Mr, Municipal # or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: .P PU6 OFFICIAL NOTARY SEAL O � SANDRA M MONTIEL * COMMISSION NUMBER -� +: ;•� Q CC401261 cp !AY COMMISSION , EXP. OF f\ AUG. 17 10 FEES: PERMIT „ RADON PLI ATION FOR MIAMI SHORES VILLAGE Qualifier X AAAR 7.-4, 2- ? C.C.F. Tax Folio l '�// ,a Historically Designated: Yes No Address APPROVED: Buildin V/ Zoning g x //? Mechanical Plumbing Master Permit # % Z Y /7 Owner/Lessee / Tenant ?� ' I Owner's Address Phone Ot -l4. Contracting Co. X w SS# Phone Competency # Ins. Co. Address Address Address G ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN 4' i" %:A NOTARY Electrical P141.4 L7' Square Ft. Estimated Cost (value) , 4 / 00 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 regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of Contractor or Owner- Builder Date Notary as to Contractor or Owner - Builder My Commission Expires: IsAY PUd OFFICIAL NOTARY SEAL O _ + e, SANDRA M MONTIEL ? * COMMISSION NUMBER ' '` 4 .1 CC401261 1 3 , MY COMMISSION .EXP. OF F. i. AUG 17 1008 Date Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 9 - 6 - 95 Job Address 802 N.E. 100 Street TaxFolioll 3206 034 0080 Miami Shores Sec 8 PB 14 -33 Legal Description Lo t 11 W1/ 2 o f 10 B lk 69 Historically Designated: Yes No XX Owner/Lessee /Tenant Owner: Robert H. Benson Master Permit# 323 Ownei'sAddress 8825 N. Bayshore Drive, Miami, FL 33138 Contracting Co. N/A Address N/A Phone Office 895 -9558 Qualifier N/A SS# N/A - Phone N/A State # N/A Municipal # N/A Competency # N/ A Ins. Co. N/A Architect/Engineer N/A Address N/A Bonding Company N/A Address N/A ,/ Mortgagor N/A Address N/A Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN CO A.rt l 6 " WORK DESCRIPTION Replace two a c Q. rr-es L. SquareFt- 10 square feet concrete sidewalk flags Estimated Cost (value) $650.00 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 regulating construction and zoning. Furthermore, I authorize the above -n T co ctor to do the work stated. Signature of owner and/or Condo President Date Signature of ontractor or Owner- Builder Date Robert H. Benson r %ll wdAa Notary as to Owner and/or Condo President Date Notary a to Contractor or Owner -B ilder My Commission Expires: My Commission Expires: 142 5 7 9 9 MARSHA L CURRY * t' -1. My Commission CC455024 �{ . , r ` 7f Expires Apr. 25, 1999 •� '" , e Bonded by ANB I 1'1 OF 00 800-852-5878 9 -6 -95 FEES: PERMIT RADON C.C.F. U NOTARY TOTAL DUE * 9/6/95 Date APPROVED: Zoning Building • Electrical Mechanical Plumbing Engineering 56 4 5 OIB n It'R I eve 1998 RPM a -,/ n 106 -- - - 5 ._ m .12 bo 5 2.3 5 OIB n It'R I eve 1998 RPM I N 11 -- - - ._ 1RK NO. 75 5 50 O 1 23 0 co 60 0 0 W H ti T-53 R S - 6 N. I/2( OF N.F.I/ 4 96 - 8 H (15 -14) GOLF COURSE COMMUNITY CENTER MIN O V o 167 -6 N.E. ct TENNIS COURTS N E . SUBJECT PARCEL CO PARK NO. 75 TRACT 2 GOLF COURSE 2 4 ) n 5 a 6o W W IOOTH 0• 167 ST. 0 24 o N P t- cr, m m g-, 4.6 So 99TH ST. 50 1 W W Z 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.. ._. v __. .._...__.. __........ ,197 �,5 Owner's Name and Address.............. .. — No......U..a..... _. Street �..�i, Registered Architect and /or Engineer p •• e . ... .:.............*..n .1,,.1, - - . ,�� Name and address of licensed contractor G ,sy..r.�...11 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done . .t& to work to be e a d purpose o b ddin ( oors )... 41:911.. STATE OF FLORIDA, k COUNTY OF DADE. ss. Disapproved (Signed) Date. Building Inspector PL Chairman Member Member Council Approved Date NOTE: A charge of $1.00 will be made for making the Planning Board. A re- inspection fee of 31.00 will be charged materials and /or workmanship. MIAMI SHORES VILLAGE Member Member Member Disapproved NING BOARD .._......DATE corrections or changes to this application after approval r -- Notary Public, State of Florida My Commission Expires and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundatio Roof Covering Estimated Total cost of improvements $ ..t iIr. ' " Amount of Permit S. Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot �faxununi 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 are 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 (Signed ).... ,/ 1 Isla 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 fojegoing application, and that he did sign the same, wtd that all facts therein by him st4ted are try. Permit No.._..._ Zs `� Date 3 � Read, Sworn to and Subscribed before me. to me well known, Date has been obtained from when such re- inspection is made necessary by Improper notice for inspection or faulty d o„, )06 c_04..cA4/to, (D 6/v Owner's Name and Address Disapproved (Signed) 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. a1 w / Z7 y Registered Architect and /or Engineer Name and address of licensed contractor ...._.' / .4 ' Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done_..p F ,ll '. ± , ¢ e J> State w to be done and purpose of wilding (by floor ) tai • ing Inspe.3 r Date No 66 `/ .197 7 , _... Str /. ` rte J. 7,rr - - - -- New Building Remodelin Addition Repairs S ries To be constructed of Kin f foundation Roof Covering Estimated Total cost of improvements $ ' -. L t2 D -� 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 sub t all a plans and s ecifica ions for said uilding. All notices with ref erence to the building and its construction may be sent to __ .e- rx_EA' -� °� ! The undersigned applicant for this bu'(Iding erinit 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 insp .n on site • w.rk such public notice or notices as are required by the Act. The undersigned agrees to employ only su su. . a orb % °9' wo to . `erformed under this permit, as are licensed by Miami Shores Village. Remarks__._ (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persortally 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 hime. / // ' cp 1 Permit No._. Date I Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires P L' NNING 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. . BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA ° PERMIT N9 6629 Contractor's License No. V Owner of Building Architect Contractor or Builder Legal Description • Lot II Bl Address of Value of 1 Amount of • Building 1 Project $ ' 1 Permit $ '`' This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER Work to be performed under this Permit r> Subdi- vision DATE. K .19 • Signed �.. _ -. r INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with. all ordinances asd regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employes. BY AUTHORITY ABBOT Street and Number where work is to be done 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. Owner's Name and Address C A, SCR/9 No.___ 0 2- Street_ ___ Y r /c" S. Registered Architect and /or Engineer Name and address of licensed contractor Wig R 0 ?/9 V /IV Location and legal description of lot to be built on Lot Block Subdivision O 2 N' /vo sr be sent to - - -- - Date jo 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 $ 2 7 3-"'"' _Amount of Permit $ A __/ 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 State work to be dong and purpose of building (by floors) 7o 14/l De/V DRI ve Fir° '-1 g fic_- r' I5 7 j 9 'D SvRFT a 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed) - " • 19 v s 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 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 _ ___ 2_9 Date ( Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida ( Signed) Building Inspector My Commission Expires 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 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 toct.6jv Ser Overhead Size Feeders #L Underground STATE OF FLORIDA, COUNTY OP DADE. I "° #17095 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 312.71.$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 ROBERT BENSON N 802 Registered Architect and /or Engineet / rgplo n�gj/Elec N�me Edd Helms Electrical Cont., Inc. 17850. �y Looca Z.egal 'Descr'iption Lot 1'14 // Block � '` Subdivision. a f f/e il 4 Street and Number where work is to be performed —No 80.2 State work to be performed and purpose of building (By Floors) Residence Increase Serice (Signed) Street N E. 100. S.tre.et Street State Road 9 Street N-: E. 1.00: • -Street New Building Remodeling Addition 1 Repairs No. of Stories r 1 Conduit 1 1 l 4 Main Sw 15OA Amps • Main Fuses Amps Type of Installation -- Conduit X Tubing B.X.L Metal Moulding Amount of Permit $ 25._ALl (Signed) )\ (.. ). V1Go r 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. ter Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared W. Ess ..lielms.. s _.J.r... - to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the President. of the above described construction, and he has carefully read the foregoing app on, and that he did sign the same;,•and that all facts therein by him stated are true. Klecry S'oo? ^ >4 srYa L ^7y ICo;St �iss;r Err ;s i2, 1 ;7') a„""' ,,,,: +' Notary�ttblic. tate of Florida M y Commission Expires - . NOTE: A re-inspection fee of $1.00 will be made when such re•inspection is ade necessary by improper notice for inepe on, 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 H W. HEAT. CONN. SPACE N STRIP N TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No toct.6jv Ser Overhead Size Feeders #L Underground STATE OF FLORIDA, COUNTY OP DADE. I "° #17095 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 312.71.$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 ROBERT BENSON N 802 Registered Architect and /or Engineet / rgplo n�gj/Elec N�me Edd Helms Electrical Cont., Inc. 17850. �y Looca Z.egal 'Descr'iption Lot 1'14 // Block � '` Subdivision. a f f/e il 4 Street and Number where work is to be performed —No 80.2 State work to be performed and purpose of building (By Floors) Residence Increase Serice (Signed) Street N E. 100. S.tre.et Street State Road 9 Street N-: E. 1.00: • -Street New Building Remodeling Addition 1 Repairs No. of Stories r 1 Conduit 1 1 l 4 Main Sw 15OA Amps • Main Fuses Amps Type of Installation -- Conduit X Tubing B.X.L Metal Moulding Amount of Permit $ 25._ALl (Signed) )\ (.. ). V1Go r 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. ter Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared W. Ess ..lielms.. s _.J.r... - to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the President. of the above described construction, and he has carefully read the foregoing app on, and that he did sign the same;,•and that all facts therein by him stated are true. Klecry S'oo? ^ >4 srYa L ^7y ICo;St �iss;r Err ;s i2, 1 ;7') a„""' ,,,,: +' Notary�ttblic. tate of Florida M y Commission Expires - . NOTE: A re-inspection fee of $1.00 will be made when such re•inspection is ade necessary by improper notice for inepe on, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE ELECTRICAL De PERMIT IN? 11654 PLUMBING ❑ ROOFING Owner of - 1 Building w ,:. � 4P' ' & - eigi 41 1 1 Architect Contractor ' or Builder`..' ',stir. •` ' . 1 Legal Lot Description. Address of ' Building ''* ' / • Work to be performed under this Permit • BL Subdi- vision Value of Project $ Contractor's License No Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances-pertaining thereto and with the .understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawl's or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. ! ' t C- ,.I _ Signed: \` INSPECTOR 195 In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all efdinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. O VA/ CONTRACTOR OR BUILDER BY AUTjbRrrT BUILDING ❑ ELECTRICAL PLUMBING ROOFING Owner of 72 Building _- Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA DATE 1951 Contractor's n License No ❑ Work to be performed under this Permit -' PERMIT N? 11559 -II BL r C Subdi- vision Value of Project $ Amt. of iv Permit $ / ''''''''ls0001111r This permit, is g rated to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in str: ,, ompliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, stat:.ients or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the . wgrk is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining =to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his .agents, servants or employees. Signed-'. ' — — - BY In consideration of the issuance to me of this permit I agree to perform the w.ot overed hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or speci ations submitted to the proper authorities of Miami Shores V illage. In accepting this permit I assume responsibility for all work done by either, myselfmy agent, servant or employee. CONTRACTOR OR BUILDER BY al e" - WrolS AtrORrTY P FOR ELECTRICAL PERMIT tar Date ,-- 0 / j / Permit No. 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 Engin / Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I SS. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT a er-Aa r t7 . 7&"'° No Street A�•�∎ 1/ .i.• / 9 Street Block Subdivision 3 /If / B--e) Streei liZet.titrIzes4A.3 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition 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 (Signed) Electrical Inspector. The undersigne 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed Notary Public, State of Florida 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. 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 J ENT. SW. DIST. CAB. SERVICE SERVICE TEMP. PERM. /40, ORS ••1 HP MOTORS 1.5 HP NEON TRANS. RADIO _TOTAL CONTR. LIST 2 / 1_1 V ,0 CHECK t l P FOR ELECTRICAL PERMIT tar Date ,-- 0 / j / Permit No. 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 Engin / Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I SS. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT a er-Aa r t7 . 7&"'° No Street A�•�∎ 1/ .i.• / 9 Street Block Subdivision 3 /If / B--e) Streei liZet.titrIzes4A.3 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition 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 (Signed) Electrical Inspector. The undersigne 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed Notary Public, State of Florida 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. 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. Service Overhead Underground Size Feeders / Con Type of Installation — Conduit Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I 55. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No.... / �ll cv 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. /f Owners Name and Address C. No Street Registered Architect and /or Engineer �t Employing Electrician's Name ''' �if�.1�,r><h�/ ._ o v.,3 4. S treet e'!ws Location and Legal Description Lot p 4 / Block /4, y Subdivision Street and Number where work is to be performed—No rip v 19 ..,. /.et Street State work to be performed and purpose of building (By Floors) New Building. Remodeling Addition Repairs No. of Stories 2)Amps L./ a lain Fuses Amps B.X.L .Metal Moulding (Signed) 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 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. F (Signed) ri a.:4� 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 / o 1 3 1'v / / 3 110 / / / ,�/�/� `. - / /�t • I c / / . V C • Q1:4 1 / 1 ( w i CHECK �,;.. Y, + � ENT. SW. DIST. SERVICE CAB. TEMP. SERVICE PERM. M OTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST / dq too ... , (j u� ` CHECK Service Overhead Underground Size Feeders / Con Type of Installation — Conduit Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I 55. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No.... / �ll cv 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. /f Owners Name and Address C. No Street Registered Architect and /or Engineer �t Employing Electrician's Name ''' �if�.1�,r><h�/ ._ o v.,3 4. S treet e'!ws Location and Legal Description Lot p 4 / Block /4, y Subdivision Street and Number where work is to be performed—No rip v 19 ..,. /.et Street State work to be performed and purpose of building (By Floors) New Building. Remodeling Addition Repairs No. of Stories 2)Amps L./ a lain Fuses Amps B.X.L .Metal Moulding (Signed) 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 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. F (Signed) ri a.:4� 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.