441 NE 101 St (6)Permit No / ) ! 1--)-1 9
Location and Legal Description Lot / V
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT a
Date 1 k
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 plane and specifications must be kept at
building during progress of work.
Owner's Name and Address ( fi V L
'G, Aa rt
Registered Architect and /or Engineer ?? /��
Employing Electrician's Name Q 2: G7.. LECT(LLC- : No. .. 6 Street.( 7..s.T.......
var
Block q Subdivision ( - 47- C - .-
Street
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...,
No
zig
tRe Poo z.
[7q
Street A/C
/0 ) s
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
as.
(Signed
Amount of Permit $.. - ‘11 (Signed) be !VD Y
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 publ' oti or notices
as are required by the Act. The undersigned agrees to employ only such sub - contract .. on work to be performed u•ermit, as are
licensed by Miami Shores Village.
Muter Electrician.
STATE OF FLORIDA, l
COUNTY OP DADE I
Before me, the undersigned authority, a notary public, duly authorised 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'•'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
7,01=
CC O t R
TOTAL
CONTR.
LIST
a
/
'
4,4
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
CHECK
Permit No / ) ! 1--)-1 9
Location and Legal Description Lot / V
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT a
Date 1 k
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 plane and specifications must be kept at
building during progress of work.
Owner's Name and Address ( fi V L
'G, Aa rt
Registered Architect and /or Engineer ?? /��
Employing Electrician's Name Q 2: G7.. LECT(LLC- : No. .. 6 Street.( 7..s.T.......
var
Block q Subdivision ( - 47- C - .-
Street
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...,
No
zig
tRe Poo z.
[7q
Street A/C
/0 ) s
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
as.
(Signed
Amount of Permit $.. - ‘11 (Signed) be !VD Y
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 publ' oti or notices
as are required by the Act. The undersigned agrees to employ only such sub - contract .. on work to be performed u•ermit, as are
licensed by Miami Shores Village.
Muter Electrician.
STATE OF FLORIDA, l
COUNTY OP DADE I
Before me, the undersigned authority, a notary public, duly authorised 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.
APPLICATION FOR PLUMBING PERMIT GG���
Permit No �/ 1 �� / Date..._.._ _ .. d —
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subm tted 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 > V 1-____- I __ Q... No. -44) Street-1i' F' MI s r
Registered Architect and /or Engineer 'I.v I4-
Employing Plumber's Name t/it/� 4> / NO.. it>rt .. g 1
Location and Legal Description Lot. Bloek
1 Subdivision._ Ha/Lit Ski? t-
Street and Number where work is to be performed -No
41 Ps • M r. Street.. ._-- •- - - - -._
State work to be performed and purpose of building (By Floors)__. -.._ _.._ _ ... __._.._.._._
New Building.__.__•_._ - _ Remodeling Addition r/ Repairs. No. of Stories ........... .. ..
Size Septic Tank._
Feet of Drain Tile
Nature of Water Supply: City -WeIL
Amount of Permit =_"_O
therein by him stated are true.
Notary Public, State c+ Florida at L rr''
My Cnrnn-irinn 1=YnirPC S
' My Commiuion Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
_Type of Tank__
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit_-___ ..... ___.___- _.__•_-._-.
(signea)7A /W �3 ,
Plumbing 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 5988, Compiled General Laws of Florida Pennanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public • • ce or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, gn'yvark to be performed re this permit, as are
licensed by Miami Shores Village.
(Signed)
2G
STATE OF FLORIDA, ss.
COUNTY OF DADE. �� 7b
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 be is the l ._..__---- - -_ -•.
of the above described construction, that be has carefully read the foregoing app , : • , and that be /itd sign the sume, and that all facts
Capacity
Notary( Public, State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be grad, whet amok swlaspeolics it asonrary by improper mode. for inspection, or badly
material and/or workmanship.
CLOSETS
BATH
Tug s
SHOWERS
LAVA.
TORIES
81
SLOP
SINKS
LAUNDRY
TueS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK NO
FOUNT' NS
TOTAL
F1
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
NEATER
DEEP
WELL
BPR KLR.
SYSTEM
SWIM'G
Poo
CONTR.
LIST
_
CHECK
APPLICATION FOR PLUMBING PERMIT GG���
Permit No �/ 1 �� / Date..._.._ _ .. d —
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subm tted 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 > V 1-____- I __ Q... No. -44) Street-1i' F' MI s r
Registered Architect and /or Engineer 'I.v I4-
Employing Plumber's Name t/it/� 4> / NO.. it>rt .. g 1
Location and Legal Description Lot. Bloek
1 Subdivision._ Ha/Lit Ski? t-
Street and Number where work is to be performed -No
41 Ps • M r. Street.. ._-- •- - - - -._
State work to be performed and purpose of building (By Floors)__. -.._ _.._ _ ... __._.._.._._
New Building.__.__•_._ - _ Remodeling Addition r/ Repairs. No. of Stories ........... .. ..
Size Septic Tank._
Feet of Drain Tile
Nature of Water Supply: City -WeIL
Amount of Permit =_"_O
therein by him stated are true.
Notary Public, State c+ Florida at L rr''
My Cnrnn-irinn 1=YnirPC S
' My Commiuion Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
_Type of Tank__
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit_-___ ..... ___.___- _.__•_-._-.
(signea)7A /W �3 ,
Plumbing 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 5988, Compiled General Laws of Florida Pennanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public • • ce or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, gn'yvark to be performed re this permit, as are
licensed by Miami Shores Village.
(Signed)
2G
STATE OF FLORIDA, ss.
COUNTY OF DADE. �� 7b
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 be is the l ._..__---- - -_ -•.
of the above described construction, that be has carefully read the foregoing app , : • , and that be /itd sign the sume, and that all facts
Capacity
Notary( Public, State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be grad, whet amok swlaspeolics it asonrary by improper mode. for inspection, or badly
material and/or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT.
APPLICATION FOR BUILDING PERMIT
Application is hereby uinde 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..._ AW:s. J...._ _..__..__.._ .. ....__ .._.... ,19..7
Owners Name and Address
�A ll L �C — No 41-/ _ -. Street_-P' � _..1.Q. / 7
Registered Architect and /or Engineer � -�!' `� t, ......... .................. 4.., Name and address of licensed contactor ./n4 Tf=J� 'F'OOLS t 4.4-4.2 p •T=• • /7 a.,.. i t14 ,
Location and legal description of lot to be built on:
Jh
Lot 1 Block C H Subdivision.. / I/ !!.� J"..aS _ -S 4
Street and Number where work is to be done I N ' ' JP _ l ._ c ?T r .
State work to be done and purpose of building (by floors) 1 ? l. ,PdP4t,(KV • � ! COOL t i37 r L
ancf for no other purpose.
New Building Remodeling Addition v Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ �� f amount of Permit $�..'D.Q
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 //(.2S `���� pi2DUS
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under theFlorida 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 'n ection on the site of the wo such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such , subbco tractors, on work to . . rformed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
s Goo / �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
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. � )/9
Permit No.__. �� ( 25 Date 4 ` a
Disapproved Date. ._....__.._
Notary Pub State of Florida
(Signed) T
et c ary f?u!)!ic, �tr:`e o "r Fl�rid�z a� Large
Building Inspector y ommiss*on t Expir es�_ � _� � ?=f
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 31.00 will be charged when such re inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
, Swo t, anyl,S
before me.
to me well known,