MECHANICALMIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
707
Application is hereby Londe for the approval of the detailed statement us tne plans and specifications herewith submitted for the build
ins or other structure h des This application is madc 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 cupy of approved
plans and specifications must be kept at building during progreu of the work.
Owner's Name and Address . 1 lel e - - No Street-a e. j6 2. a
Registered Architect and/or Engineer Stl, ,, ! , "1/7,1!•14,!
Name and address of licensed contractor ..c.a.gp 11.1 illiAt.v.i.
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done :7 fa J.'Ji L 19
State work to be done and purpose of building (by floors) 72.A./ '<I Ai 2- 7. 5 2 4 e •
HF-4-r /
and for no other purpose.
New Building Remoddling Addition Repairs No. of Stories
Roof ...........
To be constructed of Kind of foundation f Covering
Estimated Total cost of improvements Amount of Permit t.
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 %%Oh the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him
in the work to bc 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
pcnnit, as are licensed by Miami Shores Village.
Rein.uks (Signed)..
Clico /7 zi
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
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 sit are true..
Permit No.. 749 Li Date t di 11 Read, Sworn to and Subscribed before me.
Disapproved ._ Date..
Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
to me well known,
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
tlic I'lannir.g Board.
A re-inspection fce of 31.00 will be charged when such re-inspection is made necessary by improper notice for inspection at faulty
materials and/or workmanship.
1/
Permit No. /.? 1 910
G/ 7J 7 r7 y/
MIAMI SHORES VILLAGE vie?, �3� / /. 9 ,p
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
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 specifications must be kept at
building during progreu of work. /
Owner's Name and Addreu..C.A.6 / S "'i 1+-n) No 7 6 Street..../Il..2 /0 c
Registered Architect and /or Engineer
3 rpp y�g E ctric1�I
') lam Q 1 . , . / .n ...�.. {/j� No Street
Location np
oca — lion and Legal Dea A
ccripfion Lot W 97, " Block '// Subdivision.
Street and Number where work is to be performed —No
7 c,
State work to be performed and purpose of building (By Floors)... .TPSi4 L..... TQ
New Building Remodeling ) Addition Repairs No. of Stories 0.4'e--
Service Overhead
Underground Site Feeders Conduit Main Sw Amps Main Fuses Amps
Type of Installation -- Conduit Tubing... B.X.L .Metal Moulding
Amount of Permit $
(Signed).. 'k.S...V'.1` .
The undersigned applicant for this building permit dots 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 work to
licensed by Miami Shores Village.
(Signed)
Street tY.., ..�.L?...
�4 /G
(NI Kan)
STATE OP FLORIDA,
COUNTY OF DADE. I N '
Before me, the undersigned authority, a notary public, duly authorised to administer oaths
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
therein by him stated are true.
1 MC
Electrical Inspector.
ccepts his obligations u an employer of
of Florida Permanent Supplement, and
sub - contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
Master Electrician.
and take acknowledgments, personally
did sign the same, and that all facts
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
0
PLUG
RCCE'P'T'P
FIXTURES
NO. LAMPS
Runic,.
OUTLET
IRON
OUTLET
RANG[
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
f� KO
A Y
'' 4
OTAL
'
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAP.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.0 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
1/
Permit No. /.? 1 910
G/ 7J 7 r7 y/
MIAMI SHORES VILLAGE vie?, �3� / /. 9 ,p
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
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 specifications must be kept at
building during progreu of work. /
Owner's Name and Addreu..C.A.6 / S "'i 1+-n) No 7 6 Street..../Il..2 /0 c
Registered Architect and /or Engineer
3 rpp y�g E ctric1�I
') lam Q 1 . , . / .n ...�.. {/j� No Street
Location np
oca — lion and Legal Dea A
ccripfion Lot W 97, " Block '// Subdivision.
Street and Number where work is to be performed —No
7 c,
State work to be performed and purpose of building (By Floors)... .TPSi4 L..... TQ
New Building Remodeling ) Addition Repairs No. of Stories 0.4'e--
Service Overhead
Underground Site Feeders Conduit Main Sw Amps Main Fuses Amps
Type of Installation -- Conduit Tubing... B.X.L .Metal Moulding
Amount of Permit $
(Signed).. 'k.S...V'.1` .
The undersigned applicant for this building permit dots 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 work to
licensed by Miami Shores Village.
(Signed)
Street tY.., ..�.L?...
�4 /G
(NI Kan)
STATE OP FLORIDA,
COUNTY OF DADE. I N '
Before me, the undersigned authority, a notary public, duly authorised to administer oaths
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
therein by him stated are true.
1 MC
Electrical Inspector.
ccepts his obligations u an employer of
of Florida Permanent Supplement, and
sub - contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
Master Electrician.
and take acknowledgments, personally
did sign the same, and that all facts
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.