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574 NE 102 St (3)BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building L 'ij+ MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT ❑ Work to be performed under this Permit 2. Architect Contractor 5-- or Builder 0 •-1.4" j it E : < ( Legal Lot Description Bl Address of Building N° 5252 (Ott, Signed. CONTRACTOR OR BUILDER BY Contractor's License No. C 9a ? • . Subdi- vision Value of 11 Amount of t tD -) �. Project $— o 1 Pi _ II Permit $ P 1 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. f1. , = INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in co pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the pr. _r authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. lance with all ordinances and regulations AUTHORITY ♦UBOT 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 Registered Architect and /or Engineer (� Name and address of licensed contractor Xl. l P 0 © a_s_ Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done__ ri 4_ N E - to Y°7- State work to be done and purpose of building (by floors) 2. i t T ° 4 ie .. 4 To and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering o•o Estimated Total cost of improvements $ 1 b 1 ei ____Amount of Permit $ 1 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 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. A Remarks ( Signed) 0__O 1'0- 2 ( T ( o ‘.1 • STATE OF FLORIDA, COUNTY OF DADE. Permit No Disapproved (Signed) _ SS. PPLICATION FOR BUILDING PERMIT rci 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. Date MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date__ ^ 4 - (c 4- , 19 p , No 7 4— ` Street � . 1 Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building pector 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. .0O T r 3 - e m . , z 1 - C . 6 0 1.00 1.50 150 2.00 3.00 , id . f,c, 2.00 - 2 20 T MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 5.3c .� = i 4 '`/ ' Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith bmitted 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 Dan :zeta -oidt No x000 �3•fl•D .fy 'S rQO OOtiT7 Registered Architect and /or Engineer U , e r I: e;iaaic c. ,. * c. 13335 i . e .. �t o va . Employing Electrician's Name No ret Location and Legal Description Lot LO 3 Block 94 Subdivision i;v 6`09r0.5 - 40C4 Street and Number where work is to be performed —No 57 r ' • 1 ' • 02 Du i Wit Street State work to be performed and purpose of building (By Floors) New Building la Remodeling Addition Repairs No. of Stories Servi Overhead Size Feeders Conduit Main Sw Amps Main Fuses Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ $23.20 STATE OF FLORIDA, } COUNTY OF DADE. ss. (Signed) ctrical Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat •ns 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) • s — Master Electrician. Amps 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'7'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. AC[ HATER STRIP HEATER Il F V ashe r A r - � 2 ,18•.20 TOTAL CO NT R . LIST 1 16 1 . . -- 1' , 1 CHECK ENT. SW. DIST. CAE. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP MOTORS 1 -5 HP N EON TRANS. RAOIO TOTAL CONTR. LIST 150 amp I -3 -K P 3. 0 1 CHECK .9C & f MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 5.3c .� = i 4 '`/ ' Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith bmitted 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 Dan :zeta -oidt No x000 �3•fl•D .fy 'S rQO OOtiT7 Registered Architect and /or Engineer U , e r I: e;iaaic c. ,. * c. 13335 i . e .. �t o va . Employing Electrician's Name No ret Location and Legal Description Lot LO 3 Block 94 Subdivision i;v 6`09r0.5 - 40C4 Street and Number where work is to be performed —No 57 r ' • 1 ' • 02 Du i Wit Street State work to be performed and purpose of building (By Floors) New Building la Remodeling Addition Repairs No. of Stories Servi Overhead Size Feeders Conduit Main Sw Amps Main Fuses Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ $23.20 STATE OF FLORIDA, } COUNTY OF DADE. ss. (Signed) ctrical Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat •ns 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) • s — Master Electrician. Amps 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.