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141 NE 102 St (12)Owners Name and Address . STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved .. (Signed) v 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. Registered Architect and /or Engineer i t,:: .. . ,, ,,• .:..::..:... . Name and address of licensed contractor V (� ,_.. � le _ ..._7'r��4f rl1Ln/r•L 7 Location and legal description of lot to be built on: Lot T B lock Subdivision ,` Street and Number where w r is to be done /.... ... t.�.i...,l_�2 -'�! State work tq be done gfid pulse of building (by floors) New Building Remodeling To be constructed of Kind of foundation _ oof Covering Estimated Total cost of improvements $.. � 0 O � Amount of Permit $. ! .Il.� Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup lenient, and has complied with the rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performe under this permit; and will post or cause to be posted for inspection on the site o the ch uhlic notice or notices as are required by the Act. The undersigned agrees to employ only such su• r actors, , 'n wor under this pennit, as are licensed by Miami Shores Village. Remarks (Signed). 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 e. Building Inspector Date Chairman Member Member ...... Council Approved Date MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT /// // ,,,,� Date..._..._... �� -- _..._... ,192.E - 1N (1' ��dl�aS.--.-... No. j .! / .E.Z,Street.�.0 Addition Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Member Member Member ._ NOTE: A charge of $1.00 will be made for making corrections or changes to this application nfter approval the Planning Board. A re fee of 31.00 will be charged when such re inspection is made necessary by improper notice materials and /or workmanship. and for no other purpose. Repairs No. of Stories to me well known, Notary Public, State of Florida My Commission Expires Disapproved Date has been obtained from for inspection or faulty ` 1' Permit No. ...XD . Owner's Name and Address < -' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date /`V e 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 specifica must be kept at building during progress of work. ,ed No / 1 7 / / >1 'e. Street ./U Registered Architect and /or Engineer G .f.h./...6 •••G. /• , J 6••0•• Employing Electrician's Name 1 . . . No . 9'. S. M• Street. ...0 .a • )-)1/4_ ,: Location and Legal Description Lot '/ Block Subdivision Street and Number where work is to be performed —No /°2`/ )7 - � - / ° a- ° Street State work to be performed and purpose of building (By Floors) C.... �� r/ 7 t. f.. .,.... 4114._ . 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 Amount of Permit $.. t. 0 (Signed). c3 gkWP 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 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 u r this permit, as are licensed by Miami Shores Village. a ` �Jvrv;r (Signed) / aster Electrician. STATE OF FLORIDA, j COUNTY OF DADE. I j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P•T•B FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANG! OUTLET RANG[ CONK. WATER H[A TCR W. N[AT. CONH. SPAC[ H S TRIP H TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST u , j /- g l ln . a ` CHECK ` 1' Permit No. ...XD . Owner's Name and Address < -' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date /`V e 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 specifica must be kept at building during progress of work. ,ed No / 1 7 / / >1 'e. Street ./U Registered Architect and /or Engineer G .f.h./...6 •••G. /• , J 6••0•• Employing Electrician's Name 1 . . . No . 9'. S. M• Street. ...0 .a • )-)1/4_ ,: Location and Legal Description Lot '/ Block Subdivision Street and Number where work is to be performed —No /°2`/ )7 - � - / ° a- ° Street State work to be performed and purpose of building (By Floors) C.... �� r/ 7 t. f.. .,.... 4114._ . 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 Amount of Permit $.. t. 0 (Signed). c3 gkWP 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 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 u r this permit, as are licensed by Miami Shores Village. a ` �Jvrv;r (Signed) / aster Electrician. STATE OF FLORIDA, j COUNTY OF DADE. I j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.