375 NE 102 St (3)BUILDING gl
ELECTRICAL ❑
PLUMBING ❑
ROOFING ❑
Owner of t
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
0%04 f
Lot
CONTRACTOR or BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
? 9922
Work to be performed under this Permit
Bl cl 7
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 whetherjshown on the plane or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents se yants'Or employees.
Subdi-
vision
Sq Ft
Value of
Project
47S s'
C
Date
Contractor's
License No.
19 °
11 Amount of «-
Permit $
Signed ..� — t- "( INSPECTOR) BY
In consideration of the issuance to me of this permit I agree o perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings; s tements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done either, myself, my agent, servant or employee.
BY
AUTHORITY
BUILDING I=1 MIAMI SHORES VILLAGE, FLORIDA igj
PLUMBING
ELECTRICAL L D PERMIT N° 9921
ROOFING ❑
Owner of e ,. ,
Building
Architect
Contractor
or Builder t4 C 04
Legal Lot
Description II Bi
Address of .. E
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 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 aIdve assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plan or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants of employe
Signed
CONTRACTOR or BUILDER
Work to be performed under this Permit
C;tc:
INSPECTOR) BY
BY
Date
Contractor's
License No.
Subdi-
vision
S Ft
q
Value of II . Amount of r• �..�
Project $ II Permit $
AUTHORITY
ft ALT A 7f11
In consideration of the issuance to me of this permit I agree o perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawing statements or specifications submitted to the proper authorities of Miami Shores Village.
In acF,epting this permit I assume retp`onsibility for all work doe by either, myself, my agent, servant or employee.
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.
Ow"xej's Name and Address
RegEtered Architect and /or Engineer
Name and address of licensed contractor_._. .__ . Yt)Y)e_X'..
Location and legal description of lot to be built on:
Lot__ B l o c k
Street and Number where work is to be done. -- � __ 7� iV
State work to be done and purpose of building (by floors)
P O T / L I TY _ Z caoM 4DO t_ Mill 4-1._.
Disapproved
( Signed) L
Chatnnan
Member
Member
Council Approved
APPLICATION FOR BUILDING PERMIT
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date
_ ,19C,v
N 7 6 — . _ - Str • / O
Date
/ o
.. and for no other purpose.
New Building __ Remodeling Addition Repairs o. of Stones
Yee
To be constructe o ? �', _ Kind of fou ation Roo f
n Q
f1.LY '�+�e- PL_Q4,
Estimated Total cost of improvements $ . • b U - Amount of Permit $ � 0
Zone cubage required .Plan Cubage.2fr 5•4-uS -h olge --
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 foi said building. All notices with reference to the building and its construction may
be sent to .
PLANNI • BOARD__ __ . DATE
Member
Member
Member . _._..._ .
Date Disapproved
Building Inspector My Commission Expires_.
The undersigned applicant for this building permit dot hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Sec :ion 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 e work such public notice
or notices as are required by the Act. The undersigned agrees to employ only sue s tbeerltractors, on work t' be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) ` ,_.
Gtr\s,SIN-In
Notary Public, State of Florida
STATE OF FLORIDA,
COUNTY OF DADE. 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 theforegoing application, and that he did sign the same, and that all facts
therein by him stated are true.
9 9 1 �
Permit No " .. ___ Read, Sworn to and Subscribed before me.
Date_.__ .
.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.
Owner's Name and Address.... ...
Registered Architect and /or Engineer
Employing Electrician's Name.
.. Amount of Permit $ ....... -..- -
STATE OF FLORIDA,
COUNTY OF DADE. I
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Permit No.. (
APPLICATION FOR ELECTRICAL PERMIT
. '
Date �Q r
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 Shor_ Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during . ! ;rogress of wor.' .
`° 1• -.� Y'S b, h ... No $7`�?-
(Signed).
No
(Signed) q� W W Nlit.
.Street..
V
Street
Location and Legal Descriptioi Lot .............. ............... Blo k ....... Subdivfs'on
Street and Number where work is to be performed —No 37.. . / 04.S tree t..V.
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
Underground Amps ............. ..........Main uses . Amps
Type of Installation — Conduit.. ....... ...Tubing... .. ... B.X L...... Metal Moulding
Electrical Inspector.
The and rs'gned applicant for this building permit does hereby certify that he understands and accepts his olili ations as an employer of
labo und- r the Florida Workmen's Compensation Act being Section 5966, Compiled General Laws of Florid / rmanent Supplement, and
has ..omplit.d with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be p_rformed under this permit; and will post oa cause to be posted for inspection on the site of the wo k sucn public notice or notices
as are requir:d by the Act. The undersigned agrees to _ only such sub contrac work to be perfo and .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 construLtion, 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.
O T SWITCH
LE S
LICH':
OUTLC••S
PUG
RECL'P T's
FIXTURES
No. LAMPS
REER I G.
OUTLET
OUT
OUTLET
CONN.
HEATER
C NNT
HEATER
HEATER
TOTAL
COIST
LIST
CHECK
.I 00
I•10
ENT.
S%'.
DIST.
CAB.
SERVICE
Ti.MP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.3 HP
NEON
TRANS.
RADIO
TOTAL
CONT ..
Li T
CHE K
■
Owner's Name and Address.... ...
Registered Architect and /or Engineer
Employing Electrician's Name.
.. Amount of Permit $ ....... -..- -
STATE OF FLORIDA,
COUNTY OF DADE. I
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Permit No.. (
APPLICATION FOR ELECTRICAL PERMIT
. '
Date �Q r
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 Shor_ Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during . ! ;rogress of wor.' .
`° 1• -.� Y'S b, h ... No $7`�?-
(Signed).
No
(Signed) q� W W Nlit.
.Street..
V
Street
Location and Legal Descriptioi Lot .............. ............... Blo k ....... Subdivfs'on
Street and Number where work is to be performed —No 37.. . / 04.S tree t..V.
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
Underground Amps ............. ..........Main uses . Amps
Type of Installation — Conduit.. ....... ...Tubing... .. ... B.X L...... Metal Moulding
Electrical Inspector.
The and rs'gned applicant for this building permit does hereby certify that he understands and accepts his olili ations as an employer of
labo und- r the Florida Workmen's Compensation Act being Section 5966, Compiled General Laws of Florid / rmanent Supplement, and
has ..omplit.d with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be p_rformed under this permit; and will post oa cause to be posted for inspection on the site of the wo k sucn public notice or notices
as are requir:d by the Act. The undersigned agrees to _ only such sub contrac work to be perfo and .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 construLtion, 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.
Iu
J
serer/4P i/