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405 NE 101 St (3)Date 4'ZS'qi Job Address 1 .A0 AJ6 /d / � T Legal Description � / Lessee / Tenant /vr £ e.) d ,'444 Master Permit # 3660 Owner's Address 4Or A/E /O/ Sr Phone 7.59-`f Contracting Co. /tiODZZ(�X EB GGTLic , /4JC• Address 61 A./id 9U %CI. Qualifier -mil p f • J f ( J ■ 067).4 - SS# ( - Phone 09/ State #E�/9 Municipal # Competency #( Ins.Co. /6.egir 0 fL'C Architect /Engineer ..i)/ Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING 4LECTRICAJ) PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ZDD /d S>ciQ!/,GE 4fr&i4e...4. Square Ft. Estimated Cost(value) // 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 •mpliance with all applicab e laws regulating construction and zoning. Furthermore, I autho e above -n ed •ntr= to / ° do the work stated. ignature of owner and /or Condo President Date: ission Expires: Notar My Co ** * APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE eKr / 3'bs a.. /reT P _ SEAL s to Owner and /o 2, -. �� detICIA BRIGGS : * COMMISSION NUMBER 11 /1 11- 4 Q CC335258 ' P OF F�� �\O MY COMMISSION EXP. JAN. 31 1998 Zoning Building Mechanical Plumbing_ Tax Folio Y Y - Signature of Contractor or Dat•: Notary My Co r- Builder i OFFI D IAL NOTARY SEAL �1 tNARY PATRICIA BRIGGS * COMMISSION NUMBER CC335258 �F i 1� MY CO*4MISSIONt EXP. .,.�, 31,1998 FEES: PERMIT ( a�+ f � RADON C . C . F . I C �� NOTARY TOTAL D E * * * Fire Other V t Electrical P/S) Engineering Permit No Owner's Name and Address Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. I ss. My Commission Expires MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT j(7 w Date J? ? /967 .... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building m 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. fff No 90 i 5 Registered Architect and /or Enginee Employing Electrician's Name Location and Legal Description Lot Block Subdivision No o 7 7 Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories �rru c 9 (Signed) The undersigned applicant for this building permit does hereby certify 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 sub-contractors, on wok licensed by Miami Shores Village. (Signed) ,lC.h:._.Street Street p i' % TP Service Overhead Amps Size Feeders Conduit Main Sw Amps Main Fuses Am Underground P p Type of Installation— Conduit Tubing B.X.L Metal Moulding Electrical Inspector. ccepts hi . bligations as an employer of of Flo , Permanent Supplement, and sub -co ractors employed by him in the of the work such. public notice or notices be performed under this permit, as are J� Notary Public, State of Florida Master Electrician. 1 ! f 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 ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O.1 HP MOTORS 1.S HP NEON TRANS. RADIO TOTAL CONTR. LIST y Ij j / � CHECK Permit No Owner's Name and Address Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. I ss. My Commission Expires MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT j(7 w Date J? ? /967 .... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building m 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. fff No 90 i 5 Registered Architect and /or Enginee Employing Electrician's Name Location and Legal Description Lot Block Subdivision No o 7 7 Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories �rru c 9 (Signed) The undersigned applicant for this building permit does hereby certify 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 sub-contractors, on wok licensed by Miami Shores Village. (Signed) ,lC.h:._.Street Street p i' % TP Service Overhead Amps Size Feeders Conduit Main Sw Amps Main Fuses Am Underground P p Type of Installation— Conduit Tubing B.X.L Metal Moulding Electrical Inspector. ccepts hi . bligations as an employer of of Flo , Permanent Supplement, and sub -co ractors employed by him in the of the work such. public notice or notices be performed under this permit, as are J� Notary Public, State of Florida Master Electrician. 1 ! f 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. Permit No Owner's Name and Address .1 , 144 " Registered Architect and /or Engin Employing Electrician's Name STATE OF FLORIDA, COUNTY OF DADE: I ss. MIAMI SHORES VILLAI ELECTRICAL INSPECTION DEPARTMEN APPLICATION FOR ELECTRICAL PERMIT (Signe No 4treet. No ‘91?) Street Subdivin Date. 3 // "J Application is hereby made for the approval of the detailed statement of the plans and specifications herewfh 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. Street )1 Location and Legal Description Lot Block Street and Number where work is to be performed —No State work to be performed and purpose . of building (By Floors) New Building Remodeling Addition Repairs /1 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 Amount of Permit $ (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 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 subcontractor. = on work to performed under )1 is permit, as are licensed by Miami Shores Village. 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 CHECK • ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTO :S MOTORS 1•5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK e- el ' - Permit No Owner's Name and Address .1 , 144 " Registered Architect and /or Engin Employing Electrician's Name STATE OF FLORIDA, COUNTY OF DADE: I ss. MIAMI SHORES VILLAI ELECTRICAL INSPECTION DEPARTMEN APPLICATION FOR ELECTRICAL PERMIT (Signe No 4treet. No ‘91?) Street Subdivin Date. 3 // "J Application is hereby made for the approval of the detailed statement of the plans and specifications herewfh 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. Street )1 Location and Legal Description Lot Block Street and Number where work is to be performed —No State work to be performed and purpose . of building (By Floors) New Building Remodeling Addition Repairs /1 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 Amount of Permit $ (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 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 subcontractor. = on work to performed under )1 is permit, as are licensed by Miami Shores Village. 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. Permit No Owner's Name and Address Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE: 1 6g. My Commission Expires MIAMI SHORES 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, 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)e kept at building during progress of work. Date No 445- 2 Street / O/ Notary Public, State of Florida Registered Architect and /or Engineer Employing Electrician'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) New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing 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 —al contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be poste •'r inspecti n 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-contractor , on work to be performed und y is permit, as are licensed by Miami Shores Village. i i aster 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 ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No Owner's Name and Address Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE: 1 6g. My Commission Expires MIAMI SHORES 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, 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)e kept at building during progress of work. Date No 445- 2 Street / O/ Notary Public, State of Florida Registered Architect and /or Engineer Employing Electrician'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) New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing 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 —al contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be poste •'r inspecti n 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-contractor , on work to be performed und y is permit, as are licensed by Miami Shores Village. i i aster 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. Permit . A p p l i c a t i o n 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 Enginee Employing Electrician's Name_ r 1!L_— i-- a...------- •--------- - - - - _No 3_ _ad ___-- _- __Street___N__ --_' Location and Legal Description Lot / 3 It / 1 — Block I.1 Subdivision U S ` Street and Number where work is to be performed —No. 7 0 Street A__ i.L /_Q_1 4 • State work to be performed and purpose of building (By Floors) New Building — _Remodeling Addition____ Repairs No. of Stories STATE OF FLORIDA, COUNTY OF DADE. } MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ss. No 4Q _� Date .).41 Service Overhead Size Feeders Conduit _____________Main Sw Amps.____ Main Fuses Amps Underground Type of Installation— Conduit______________Tubing — ______B.X.L.______ Metal Moulding - - ( S i g n e d ) - — = -- -- -- — — — -- (Signed) r L t . \ _ -- Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an efnployer.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 p osted 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) 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 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1-5 HP N EON TRANS. RADIO TOTAL CONTR. LIST i CHECK Permit . A p p l i c a t i o n 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 Enginee Employing Electrician's Name_ r 1!L_— i-- a...------- •--------- - - - - _No 3_ _ad ___-- _- __Street___N__ --_' Location and Legal Description Lot / 3 It / 1 — Block I.1 Subdivision U S ` Street and Number where work is to be performed —No. 7 0 Street A__ i.L /_Q_1 4 • State work to be performed and purpose of building (By Floors) New Building — _Remodeling Addition____ Repairs No. of Stories STATE OF FLORIDA, COUNTY OF DADE. } MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ss. No 4Q _� Date .).41 Service Overhead Size Feeders Conduit _____________Main Sw Amps.____ Main Fuses Amps Underground Type of Installation— Conduit______________Tubing — ______B.X.L.______ Metal Moulding - - ( S i g n e d ) - — = -- -- -- — — — -- (Signed) r L t . \ _ -- Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an efnployer.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 p osted 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) 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. Permit No. _____P_ / G 0 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 7 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_fen Registered Architect and /or Engineer_d __ R F Employing Electrician's Name____ t 1 � No Street__ Location and Legal Description Lot Block Subdivision m Street and Number where work is to be performed—No.__ ' '_ Street._ —\ 'i f _J State work to be performed and purpose of building (By Floors) No New Building Remodeling_ Addition Repairs • Street_ No. of , Service Underground Size Feeders__ l Conduit__—' Sw. Type of Installation— Conduit_______ ______ __Tubin _____— __— B.X.L.__ __ Me • • Moul Amount of Permit $__ _L_e__ STATE OF FLORIDA, COUNTY OF DADE. Electri al Inspector. The undersigned applicant for this building permit does hereby certify that e understands and accepts his obligations s 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 p osted 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. } ss. (Signed)._ (Signed) Amps Main Fuses_________________.Amps tr Master Electrician. Before me, the undersigned authority, a notary public, duly a uthorized. 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 .. ° ' _ - 'f 1� p i� ,' _ CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST p CHECK Permit No. _____P_ / G 0 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 7 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_fen Registered Architect and /or Engineer_d __ R F Employing Electrician's Name____ t 1 � No Street__ Location and Legal Description Lot Block Subdivision m Street and Number where work is to be performed—No.__ ' '_ Street._ —\ 'i f _J State work to be performed and purpose of building (By Floors) No New Building Remodeling_ Addition Repairs • Street_ No. of , Service Underground Size Feeders__ l Conduit__—' Sw. Type of Installation— Conduit_______ ______ __Tubin _____— __— B.X.L.__ __ Me • • Moul Amount of Permit $__ _L_e__ STATE OF FLORIDA, COUNTY OF DADE. Electri al Inspector. The undersigned applicant for this building permit does hereby certify that e understands and accepts his obligations s 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 p osted 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. } ss. (Signed)._ (Signed) Amps Main Fuses_________________.Amps tr Master Electrician. Before me, the undersigned authority, a notary public, duly a uthorized. 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. BUILDING ELECTRICAL. PLUMBING CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N? 8160 Owner of Building Architect Contractor (�� or Builder Legal Lot Bl. Description Subdi- vision BY 41 -2SP CToR p 194 Contracto License Ni Work to be performed under this Permit ,• s Address of Value of 1 Amt. of Building V 4&1.1r Project 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 appli- cation 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. In consideration of the issuance to me of this permit I agree to perform a �lvork covered hereunder in compliance with all or d' es an4 regul j'p.ps ; pertaining thereto and in strict conformity h the plans, drawings, stateme s or specifications submitted to the proper authorif Ro ami S red33 V In accepting this permit I assume responsibility for all work done by either m self, my agent, servant or employee. AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building ' • Architect Contractor or Builder Legal Lot Description Address of Building 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 appli- cation 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. In consideration of the issuance to me of this permit I agree to perform / work covered hereunder in compliance with al1bff din ces and r eil 1Q�s pertain g thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoritiof Miami Shores Village. In accep this permit I assu4e)e¢pon ibility for all e�' work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER • MIAMI SHORES VILLAGE, FLORIDA • DATE ' ��- 194 2 Coin actor's License No PERMIT N? 8003 Work to be performed under this Permit (;),? s�- f I Subdi- vision Value of Project 0 Amt. of Permit By ECTOR BY v J AUTHORITY