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ELECTRICALMIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No a 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 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 4 ° /I D IA a /3 .j s 7-No / G Y' street. ..I ? Registered Architect and /or Engineer Employing Electrician's Name STATE OF FLORIDA, } COUNTY OF DADE. 65. My Commission Expires c ee f ' r- C . Q7L L N o ?71-11 Street. (Signed 7 Date 6 — // A Notary Public, State of Florida 7 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No i' Y ••••..G: �. —' � Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs ", 0.''`T 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 Amount of Permit $ (Signed) 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 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electri,ian. 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. 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'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST / / CHECK 1 ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1-5 HP NEON TRANS. RADIO TOTAL CONTR. LIST O [®" / CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No a 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 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 4 ° /I D IA a /3 .j s 7-No / G Y' street. ..I ? Registered Architect and /or Engineer Employing Electrician's Name STATE OF FLORIDA, } COUNTY OF DADE. 65. My Commission Expires c ee f ' r- C . Q7L L N o ?71-11 Street. (Signed 7 Date 6 — // A Notary Public, State of Florida 7 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No i' Y ••••..G: �. —' � Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs ", 0.''`T 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 Amount of Permit $ (Signed) 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 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electri,ian. 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. NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Owner of Building 4 BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder } -' °� MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 5501 Work to be performed under this Permit ✓ t. f t.1/1s .% DATE 1942_ Contractor's License No / 7 Leal Lot Bl. Subdi- Description vision . Address of r Value of Amt. o t t /1 Building ' 4' C� / ', - F � Pro Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plan or drawings oz iaahe statements or specifications,and that he assumes respon- sibility for work done by his agents, servants or employees. _ . 1 i '� i r � Signed . / L le;,.`.' ". --•- By t f ( ' INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all4r finances and regu1a$o9s pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities'Ill Miami Shore In accepting this permit I assume responsibility for a work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER A ` V BY AUTHORITY -ngine flame t c ,,Qf Description Lot--- -J!� -� Amber where work is to be performed —No ,cork to be performed and purpose of building (By Floors) Amount of Permit $_� STATE OF FLORIDA, COUNTY OF DADE. ss. 'JAMI SHORES VILLAGe .ECTRICAL INSPECTION DEPARTMENT "ION FOR ELECTRICAL PERMIT Date_ 1''/ .ailed statement of the plans and specifications herewith submitted for the building or other s compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, -tda, all ordinances of Miami Shores Village and all rules and regulations of the Building Division with, whether herein specified or not. A copy of approved plans and specifications must be kept at No. 1/2 Street___lha'r.C_e_—_1 J � J _(Signed) s?"( Street - --- - - --- — No __— Street PC-144.4" Subdivision__ ,yew Building Remodeling Addition.. Repairs L�� ____ No. of Stories.. ,49 Main Fuses__! _� a _ Amps. 00 e Service Overhe Size Feeders Conduit.-40 Main Sw. �____ Amps Type of Installation — Conduit Tubing___ B.X.L. Metal Moulding ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his •'it at •',s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notil:es as required by the Act. The under signed agrees to employ only such sub - contractors, o work to performed under this permit, as Jo, , licensed by Miami Shores Village. (Signed) -- - — - — — — °— My Commission Expires Notary Public. State of Florida Master Electrican. com- to be a re are 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 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. 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'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK -ngine flame t c ,,Qf Description Lot--- -J!� -� Amber where work is to be performed —No ,cork to be performed and purpose of building (By Floors) Amount of Permit $_� STATE OF FLORIDA, COUNTY OF DADE. ss. 'JAMI SHORES VILLAGe .ECTRICAL INSPECTION DEPARTMENT "ION FOR ELECTRICAL PERMIT Date_ 1''/ .ailed statement of the plans and specifications herewith submitted for the building or other s compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, -tda, all ordinances of Miami Shores Village and all rules and regulations of the Building Division with, whether herein specified or not. A copy of approved plans and specifications must be kept at No. 1/2 Street___lha'r.C_e_—_1 J � J _(Signed) s?"( Street - --- - - --- — No __— Street PC-144.4" Subdivision__ ,yew Building Remodeling Addition.. Repairs L�� ____ No. of Stories.. ,49 Main Fuses__! _� a _ Amps. 00 e Service Overhe Size Feeders Conduit.-40 Main Sw. �____ Amps Type of Installation — Conduit Tubing___ B.X.L. Metal Moulding ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his •'it at •',s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notil:es as required by the Act. The under signed agrees to employ only such sub - contractors, o work to performed under this permit, as Jo, , licensed by Miami Shores Village. (Signed) -- - — - — — — °— My Commission Expires Notary Public. State of Florida Master Electrican. com- to be a re are 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 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. 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. Permit No (f ( Xciervice l ` Type of Overhead Underground Installation — Conduit Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PER T Application is hereby made for the approval of the detailed statement of the plans and specifications herewit submitted for the build' g or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Viffage, 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 l:ept at building during progress of work. Owner's Name and Address e 55. Registered Architect and /or Engineer Employing Electrician's Nam (Signed) (Signed No a Street Size Feeders Conduit Main Sw Amps Main Fuses Date The undersigned applicant for this building permit does 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. Street.. STATE OF FLORIDA, 1 COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized 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. Master an. / e• Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Amps Tubing B.X.L Metal Moulding Ele�l ccepts hi obligations as an employer of of Fl 'da Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as a , e 4 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 OUTLETS PLUG RECE'P'T'S FIXTURES NO. LA PS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACC HtATER STRIP HEATER TOTAL CONTR. LIST / q of CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.8 HP NEON TRANS. RADIO TOTAL CONTR. LIST 7 CHECK Permit No (f ( Xciervice l ` Type of Overhead Underground Installation — Conduit Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PER T Application is hereby made for the approval of the detailed statement of the plans and specifications herewit submitted for the build' g or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Viffage, 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 l:ept at building during progress of work. Owner's Name and Address e 55. Registered Architect and /or Engineer Employing Electrician's Nam (Signed) (Signed No a Street Size Feeders Conduit Main Sw Amps Main Fuses Date The undersigned applicant for this building permit does 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. Street.. STATE OF FLORIDA, 1 COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized 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. Master an. / e• Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Amps Tubing B.X.L Metal Moulding Ele�l ccepts hi obligations as an employer of of Fl 'da Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as a , e 4 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. is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other /herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, irovisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division ni Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at ig during progress of work. ,er's Name and Address _____ gistered Architect and /or Engineer— __________� ';mploying Electrician's Location and Legal Description Lot__ / Street and Number where work is to be performed -No. ,11 4 State work to be performed and purpose of building (By Floors) _Addition _______Repairs No. of Stories New Building Remodeling Service Overhead Underground _____ Size Feeders__________ Conduit__________Main Sw. ______ Type of Installation— Conduit - __—_________Tubing ______— B.X.L._ _ ._ Metal Moulding_ STATE OF FLORIDA, COUNTY OF DADE. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Amount of Permit $ 1 O Q - -- -- -- } ss. MIAMI SHORES VILLAGE Date_ _ ___ _ 2 _L_ No. _.!/__.e ___ -_ Street___- --,!(� _ Block Street_- (Signed)_ —� 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 Supplernent, 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 under this permit, as are licensed by Miami Shores Village. ( Signed) - - - - - -f l ' 4 --L-- —� administer oaths and take Subdivision Master Electrician. acknowledgments, personally Before me, the undersigned authority, a notary public, duly authorized to 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'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER 1 TDTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS MOTORS 0-1 HP 1.5 HP NEON TRANS. RADIO - TOTAL CONTR. LIST 3/ , C • ' /} j. /.' / CHECK is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other /herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, irovisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division ni Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at ig during progress of work. ,er's Name and Address _____ gistered Architect and /or Engineer— __________� ';mploying Electrician's Location and Legal Description Lot__ / Street and Number where work is to be performed -No. ,11 4 State work to be performed and purpose of building (By Floors) _Addition _______Repairs No. of Stories New Building Remodeling Service Overhead Underground _____ Size Feeders__________ Conduit__________Main Sw. ______ Type of Installation— Conduit - __—_________Tubing ______— B.X.L._ _ ._ Metal Moulding_ STATE OF FLORIDA, COUNTY OF DADE. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Amount of Permit $ 1 O Q - -- -- -- } ss. MIAMI SHORES VILLAGE Date_ _ ___ _ 2 _L_ No. _.!/__.e ___ -_ Street___- --,!(� _ Block Street_- (Signed)_ —� 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 Supplernent, 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 under this permit, as are licensed by Miami Shores Village. ( Signed) - - - - - -f l ' 4 --L-- —� administer oaths and take Subdivision Master Electrician. acknowledgments, personally Before me, the undersigned authority, a notary public, duly authorized to 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. li Permit No.... ELECTRICAL INSPECTION DEPARTMENT / APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval y pproval of the detailed statement of the p ans and specif:aitions her: with submitted for the building c•r other structure herein described This ar. plication is made in complia . and conformity with the Building Ordinance of Miami Shores Village, :Flo' ida, and all ro isions of the Laws of the State of Flor.t a all ordinances Miami Shores Village and all ;'ules and regulations of eh Building Division of Miami Shor .. Village shall be complied with, whe.her he ein specs ied or not. A copy of approved plans and specicications must be kept at building during •ogress of wor Name and Address. ... Registered Architect -, d /or Engin:•er� /� i�G Employing Electrician s Name. Location and Legal Descriptioi of ... ... . _ Street and Number where work is to be performed —No State work to be perfo.med and purpose of building (By Floors) New Building.... ..... ... Remodeling Addition Service Overhead Size Feeders Underground Type of Installation— Condui ... .Tubing.. .B.X L . . . ....Metal Moulding. Amount of Permit $ .... C.-- Q... MIAMI SHORES VILLAGE GAS Block. Co •duit.. .......Main Sw ... Amps..... . . . ....Main uses (Signed). EI ^ctri:al nspea:or. The and rs'gned applicant for t' i' building permit doe. hereby certify that he understands and e.ccepts his •.f atinns as an employer of iabo und• r the Flo :da Workmen's Compensation Act being Section 5966, Compiled General Laws of Florid .•/ ermanent Supplement. and has ompl "_d .'.ith the p!'ovisions thereof, and will require similar compliance from all contractors or stub contractors employed by him in the work to be p :formed under this permit; and will post o cause to be posted for inspection on the site of the wo k suc public notice or notices as are requir d b, the Act The undersigned agrees to iplo; only such sub contractors, on work to be rfor, ed under this permit, as are 'icersed by Miami Shores Village STATE OF FLORIDA, t COUNTY OF DADE. I S S. (Signed) .No .1.?. .Street.... W Repairs .Street. Subdivision. No. of Stories Master Electria an. ..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 construaion, and he h, carefully read the foregoin , 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, cr faulty materials and /or workma :ship. SWITCH OUTLETS LIGH' OUYLi. b PL.jG REC 'P'T'5 4IXT4.RES NO LAMPS REFRIO. OI'Tt.ET IRON OUTLET RANCE OUTLET RANGE CONN WATER HEAT ^R W. HEAT. CONN. SPACE HEA':ER STRIP HEATE': TOTAL CONTR. LIST l •1 � CHECK ENT. S' . DIS T. . .AB. SE. V CE T ' MP. SERVIC' PERM MOTORS O.1 HP MOTORS 1•5 HP N ' N TRAM"'. R .010 TOTAL CONT LI T CHE K li Permit No.... ELECTRICAL INSPECTION DEPARTMENT / APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval y pproval of the detailed statement of the p ans and specif:aitions her: with submitted for the building c•r other structure herein described This ar. plication is made in complia . and conformity with the Building Ordinance of Miami Shores Village, :Flo' ida, and all ro isions of the Laws of the State of Flor.t a all ordinances Miami Shores Village and all ;'ules and regulations of eh Building Division of Miami Shor .. Village shall be complied with, whe.her he ein specs ied or not. A copy of approved plans and specicications must be kept at building during •ogress of wor Name and Address. ... Registered Architect -, d /or Engin:•er� /� i�G Employing Electrician s Name. Location and Legal Descriptioi of ... ... . _ Street and Number where work is to be performed —No State work to be perfo.med and purpose of building (By Floors) New Building.... ..... ... Remodeling Addition Service Overhead Size Feeders Underground Type of Installation— Condui ... .Tubing.. .B.X L . . . ....Metal Moulding. Amount of Permit $ .... C.-- Q... MIAMI SHORES VILLAGE GAS Block. Co •duit.. .......Main Sw ... Amps..... . . . ....Main uses (Signed). EI ^ctri:al nspea:or. The and rs'gned applicant for t' i' building permit doe. hereby certify that he understands and e.ccepts his •.f atinns as an employer of iabo und• r the Flo :da Workmen's Compensation Act being Section 5966, Compiled General Laws of Florid .•/ ermanent Supplement. and has ompl "_d .'.ith the p!'ovisions thereof, and will require similar compliance from all contractors or stub contractors employed by him in the work to be p :formed under this permit; and will post o cause to be posted for inspection on the site of the wo k suc public notice or notices as are requir d b, the Act The undersigned agrees to iplo; only such sub contractors, on work to be rfor, ed under this permit, as are 'icersed by Miami Shores Village STATE OF FLORIDA, t COUNTY OF DADE. I S S. (Signed) .No .1.?. .Street.... W Repairs .Street. Subdivision. No. of Stories Master Electria an. ..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 construaion, and he h, carefully read the foregoin , 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, cr faulty materials and /or workma :ship. Permit No._ Owner's Name and Address Registered Architect and /or Engineer Amount of Permit 4' — ! K (Signed) MIAMI SHORES .VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 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. '1 '. � No Street__ Employing Electrician's Name f_ _�� r - --- __._._____ - - _ -= -- -- - - _�s No .- - � �`= 1 - - ------ -•-- --_ Street--- _- -- --� Location and Legal Description Lot_ Block /'Zl Subdivision__ �:�'__�'— aS.- L)_.+1 Street and Number where work is to be performed— No../ - . _,___.*r__. ._t.� Street _________— _____ _____,_ ___—___— __ State work to be performed and purpose of building (By Floors) 4 New Building "-o''' __ Remodeling Addition Repairs Service Overhead Size Feeders_____ Conduit Main Sw.____ Amps. _ Main Fuses____ — ___________Amps. Underground Type of Installation Conduit Tubing__— B.X.L. Metal Moulding 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 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 notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performe under this pl:rmit, as are licensed by Miami Shores Village. f (Signed) _ ` ' STATE OF FLORIDA, COUNTY OF DADE. 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, 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 No. of Stories_ Master Electrican. 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'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. H EAT. CONN. SPACE H EATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. - MOTORS 0-1 HP MOTORS I -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST I CHECK /004, - Permit No._ Owner's Name and Address Registered Architect and /or Engineer Amount of Permit 4' — ! K (Signed) MIAMI SHORES .VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 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. '1 '. � No Street__ Employing Electrician's Name f_ _�� r - --- __._._____ - - _ -= -- -- - - _�s No .- - � �`= 1 - - ------ -•-- --_ Street--- _- -- --� Location and Legal Description Lot_ Block /'Zl Subdivision__ �:�'__�'— aS.- L)_.+1 Street and Number where work is to be performed— No../ - . _,___.*r__. ._t.� Street _________— _____ _____,_ ___—___— __ State work to be performed and purpose of building (By Floors) 4 New Building "-o''' __ Remodeling Addition Repairs Service Overhead Size Feeders_____ Conduit Main Sw.____ Amps. _ Main Fuses____ — ___________Amps. Underground Type of Installation Conduit Tubing__— B.X.L. Metal Moulding 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 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 notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performe under this pl:rmit, as are licensed by Miami Shores Village. f (Signed) _ ` ' STATE OF FLORIDA, COUNTY OF DADE. 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, 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 No. of Stories_ Master Electrican. 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. Permit No /6 3 3 Date ,l /96Th 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 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. (4 54 Owner's Name and Address , I.n 1 1 � 54 d e 6 No / 7 2 Street /✓ p L / ' 5? Registered Architect and /or Engineer , Employing Electrician's Name .._ .�C.4 -�.'fJ Q No...2i1ZOj Street //1/44'. — c • ` 1 "" —_ Location and Legal Description Lot Block Subdivision. Street and Number where work is to be performed —No / 7 2- Street /R(' /= • Ct $ Z r State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs � o„` ) Service Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps � Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit S STATE OF FLORIDA, COUNTY OF DADE I as. APPLICATION FOR ELECTRICAL PER T MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT My Commission Expires No. of Stories (Signed) Zi-J Electrical` Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accept his obligations as an employer of labor under the Florida Workmen's Compensation Act, being; Section 5966, Compiled General Laws o /horida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors of/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, qn work to be performed under this permit, as are licensed by Miami Shores Village. , ,; (Signed) 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. Notary Public, State of Florida Master Electrician. 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 0 LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. AMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. ACE H ATER STRIP HEATER TOTAL CONTR. LIST CHECK • ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O. HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No /6 3 3 Date ,l /96Th 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 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. (4 54 Owner's Name and Address , I.n 1 1 � 54 d e 6 No / 7 2 Street /✓ p L / ' 5? Registered Architect and /or Engineer , Employing Electrician's Name .._ .�C.4 -�.'fJ Q No...2i1ZOj Street //1/44'. — c • ` 1 "" —_ Location and Legal Description Lot Block Subdivision. Street and Number where work is to be performed —No / 7 2- Street /R(' /= • Ct $ Z r State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs � o„` ) Service Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps � Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit S STATE OF FLORIDA, COUNTY OF DADE I as. APPLICATION FOR ELECTRICAL PER T MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT My Commission Expires No. of Stories (Signed) Zi-J Electrical` Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accept his obligations as an employer of labor under the Florida Workmen's Compensation Act, being; Section 5966, Compiled General Laws o /horida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors of/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, qn work to be performed under this permit, as are licensed by Miami Shores Village. , ,; (Signed) 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. Notary Public, State of Florida Master Electrician. 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. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description Address of 1 Y r / i Building ,' 7 This permit is granted to the contractor or builder named Ibove to construct the building or to install the equipment or device described in the application 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 wit tit authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above ass the responsibility for a thorough knowledge of the ordinances and regulations pertaining to die work covered hereby whether shown on the plans or dr rn the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: // +l f INSPECTOR In consideration of the issuance to me c f this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conform: ty with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume re for all work done by either myself, my agent, servant or employee. MIAMI SHORES VILLAGE FLORIDA DATE Work tq be p CONTRACTOR OR BUILDER PER IT N? 2813 ro Bl. ed under this Permit 211 Subdi- vision Value of Project BY 194 Contractor's Licen No. Amt. of Permit ,............w By AUTHORITY t=CAP .. ELECTRICAL PERMIT A N° 223 // /Jf.2' . 19z7 Omer of Building - _ . f � "'�= �' ' " Jj /�- - -r f ir" a ✓� ' ) /l _ _ ADD _ s ✓. • d , /! LICENSE NO. ��_ — Architect and /or Engineer___ __el _��____ �__�• a �j �..r � Contractor ter . � % 11�;# _ "i___4'�' - ; 4'/ ! Q t - Proposed Location / 2 LOT BLOCK B- DIVISION 2h h _ _IV . �•__ This permit is issued to lf# � $ A 0U Dated_______{ /CZ Z """ '". NAME OR 4 ENT ACCT. DEPT. , 19 ADDRESS - J� • — y- / 5rr MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT the building above described, as per application. Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that th• onstruction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State - lorida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami S - e illage. This permit may be revoked at any time upon the , violation of any prov ns of said laws, ordinan es p rules and regulations ;' "o?' ., ,i . , change in the plans and specifications ufhori y the bit' ing inspector. a 11 dot lip In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and n s and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the buildi frrtmen of M ores Village. 1 - --- /1 . t 9f (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after ap royal bas been obtained from the Planning Board. ENSE NO. • STREET. r To _ _!'`"l INSPECTOR A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice fot• inspection or faulty materials and /or workmanship. ittOttlikotka ELECTRICAL PERMIT A N° PAImmENING •ner of Building___ AMOUNT Dated -- — — Contractor or Bui1dL24! NAME Architect and /or Engineer___f NAME RECD. PAYMENT ACCT. DEPT. 19 '- 330 t / - Proposed Location __ w -d _ - to MIAMI SHORES VILLAGE BUILDING INSPECT ON DEPARTMENT L NOr&l y/ LOT BLOCK SUB- DIVISION NO. ` STREET `,� / �W This permit is issued to ��- L.�= `�c+sic�' �~+" '�''_�'i�,,e(d — t"� To �,� -0 the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building, ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Vill ge. This permit may be revoked at y time upon the violas of any provisiops of said laws, ordinances or rules and regulations, or upon t hay e in the plans and specifications rymu zedilding pector. INSPECTOR ill In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and n s and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building departe of Mia i Sho as NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval as b ob A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspec on or faulty materials and /or workmanship. SEAL) i the Planning Board. 13111111111M€ 1 MIAMI SHORES VILLAGE ELECTRICAL PERMIT A N? _15 BUILDING INSPECTION DEPARTMENT ner of Building _ -- ( _ �.►''�� '` Contractor or Builder NAME Architect and /or Engineer NAM NAME Proposed Location J r 2- x --- JT AMOUNT LOT BLOCK laws, ordinances or rules and regulations, or upon any c This permit is issued to Dated - - -- -- - - -- — -- - -- — — — , 19 ADDRESS ADDRESS he glans and specifications unaut RECD. PAYMENT ACCT. DEPT. To LICENSE NO. ADDRESS LICENSE NO. Wes - � 9 t - 7 ) 1 • - - - - - -- SUB - DIVISION NO. STREET the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores ' ill . This permit may be revoked at any time upon the violation of any provisions of said buil. i : 'nspector. 40 In consideration of the issuance to me of this permit I hereby agree t1 he proposed construction in strict conformity with .:he application and n s and specifications thereof heretofore by me submitted, and in compliant with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building departs nt of ni Shores Village. Malan INSPECTOR (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after afproval has been obtained from the Planning Board. 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. fy titg. In consideration of ithe issuance to me 3 and 'p� and of -0 s To — ns ar filed in this office. This permit is .granted upon the k oa complies strictly with the plans and specifications subenitt .a ant with the building ordinances and zoning laws of Miami Shores V Thin permit may be revoked as► time >xon vitiation of asp the plans; tad specifications se fte ADDRESS Owner pf Building Architect and /or En Contractor Amsessiller Proposed Locatio -- This permit is issued to that banding above a per all facts stated in the - , are teas and compliance with dte b is " of oigtiladons of the Indian ws. ag, Mee and mg 1 MIAMI SHORES V BUILDING r Pw gt AIM Owner of , Architect and/or Contractor or Bs" Proposed Locati This linUit is issued the Wittily above desetibekl as vet that all facts ht Ate dos tied o-wylisate •ths Isgulistlasrfot, law. oidiassaSes BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building >• Y i. - ...` ; Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA ❑ DATE i • 1 'COI 195 42' PERMIT N? 11922 Contractor's ❑ I License No ❑ Work to be performed under this Permit 11 Bi. p �, Value of Amt. of 3 ,� '1 0 . .`" f, 4 Project () Permit $1 t 1 This permit is granted to the contractor or bi�lfdet named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with an plans, drawings, statements or specifications that have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if orhe work is not done in compfiaitioe 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 egaittaet or builder named above assumes the responsibility for a thorough knowledge of the ordinances and ations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Subdi- vision ► /44 INSPECTOR Signed• BY • �.{� �+/3. ` :F• `• In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and reguhtions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Vi In accepting this permit I assume responsibility for a work done by either, myself, my agent, servant or employee. w`` t�- ..,.tea �.:. •.; sr e . • 1/4t`v QNtitACTOR OR BUILDER I BY AUTAORrrT UILDING ECTRICAL .: UMBING wner of • g :chitect ontradtor Builder :gal escription PER Work to 'be p MI MI SHORES VILLAGE, FLORIDA DATE 194_ 3dress of ► r ( Value of Amt. of ( f.� gildin /7-1-- s' : t W — Project II Permit c� ,� This permit is granted to the contractor or udder named above to construct the building or to install the equipment or device described in the appli- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any ans, drawings, statements or specifications that n have been submitted to and approved by the proper municipal authorities. This Permit may be revoked any time if the work is not done in compliance ,vith such ordinances or if the plans are changed without authorization. A further condition upon which this =it is granted is the understanding,that the contractor or builder named above assumes the responsibility for a thorough bowie of the orclisances and Tulations pertaining to the work covered hereby whether shown on the plans %drawings or in the statements or specifications d,that he respon ility for work done by his agents, savants 'or employees. ► i B ° • . ) • t:.� t' G'!'r,� INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations staining thereto and in strict conformity ivir� the lans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. i accepting permit I assume bdflty1 all wo rk done by either myself, my agent, servant or employee. CONTRACTOR,R BUILDER IT N. 5368 Contractor's License No rf orrned under this Permit- a*" Bl. Subdi- vision Signed: + / ; t, 6 BY AVTHoarrf PERMIT APPLICATION FOR MIAMI SHORES VILLAGE )ate % — D O Job Address 1 `t- k' Z-_- G 51 Tax Folio .egal Description Historically Designated: Yes No hvner/Lessee / Tenant X (/ Z) Master Permit # Jwner's Address Phone / 1\1)7 SGvc i 7j SfUi C Address 77 Lt-7 AJ t/ �R S7 /6 Nalifier 'MOn/ J'4 r Lc.T� SS# ? $C 33 / b 2ontracting Co. State # > 4D0YX7 / 4 Municipal # Competency # Ins. Co. a rcltitect/Engineer Address 3onding Company Address \lortgagor Address ' ermit Type (circle one): BUILDING LE ECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION of owner and/ 'Votary as to Owner and/ My Commission Expires: FEES: PERMIT _5 r 4 0 RADON t b- ( c 7 o L 'DE L C Square Ft. Estimated Cost (value) 2-9/ o WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) kpplication is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work i l be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all wor done in compliance with all applicable laws regulating : onstruction and zoning. Furthermore, I authorize the above -named contractor to do the wor F-1 r C O ) 14-4x- T-64 -' Toiwz o U C.C.F. NOTARY APPROVED: Zoning Building Mechanical Plumbing Notary as to Contractor or My Commission Expires: BOND TOTAL DUE $ Electrical ` — Structural Engineer