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941 NE 91 Terr (10)STATE OF FLORIDA, COUNTY OF DADE. ss. APPLICATION FOR BUILDING PERMIT Applicat.on is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing o, other stru ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores V11ag-, F orida, 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 Miam Shores Village sh 11 be con.plied with whether her in specified cr not. A copy of appro• d plans and specifications must be kept at budding during progress of the work. //.6 j-- /17- -' 7 Date_ I Owner s Name and Address ra.6 No._ Streeted<-.f: MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Registered Architect and /or Engineer __ Name and address of licensed contractor ___ Location and legal description of lot to be built on: Lot_ __ __ _____ _ _ _ Block _ -- -.- - _ ---- _ -- -- - Subdivision- ------- ---- -- -- -- Street and Number where work is to be done State work to be done and purpose of building (by floors )'S9 / — � ��'/ /( w� _ New Building _ ___ ___- ____ _ Remodeling - __ . Xddtk'on_ Repairs . No. of Stories __._._.. To be constructed of -_ _ _ _ _. Kind of foundation \� Ropf Co'� vering Estimated Total cost of improvements $ .__ 1� _ O _ _ ` _A _ mount of Permit $ Zone cubage required - - -- -- - ... - -Plan Cubage - - ------ - - --- - Distance to next nearest building_ __ _ __. _ __ __ Maximum live load to be borne by each floor Size of Building Lot__ PLANNING BOARD Chairman -- -- -- Member Member Member Member _ _ -- Member Council Approved _. Disapproved VC ` %,lame Notary Public, State of Florida DATE and for no other purpose. 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 subcontractor work to be performed under this permit, as are licensed by Miai: i Shores Village. Remarks - (Signe - - ..l __ 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 true. Permit No ___ __ _ _ __ _ ___ Date_ _ _ __ _ ___ . Read, Sworn to and Subscribed before me. Disapproved _ Date (Signed) - Building Inspector My Commission Expires to me well known, 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 -in ect_on 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. • r MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT f APPLICATION FOR ELECTRICAL PERMIT Permit No .... 7 3..`. 4-(1---6,60- Application is hereby made for the approval of the detailed statement of the p .ns and specifications herewith submitted for the building or other structure herein described. This application is made in complia e. and conformity with the Building Ordinance of Miami Shores Village, Florida, and all iirw'isions of the Laws of the State of Florida all ordinances Miami Shores Village and all ..ules and regulations of the Building Division of Miami Shores Village shall be complied with, whether he:ein specs ied or not. A copy of approved plans and specifications must be kept at building during • rogress of worn Owner's Name and Address L .. Z G - e' No .................... Street Registered Architect -d /or Engineer - Employing Electrician's Name.... Electric - -- -Corp. No 1 Street ...N....W..5.4th...Sz......... Location and Legal Description Lot Block Subdivision Street and Number where work is to be erformed —No . p 941 Street. treet N E 1st. Terrace. State work to be performed and purpose of building (By Floors) New Building Remodeling ............ . Addition ,-. P . .Co durt. 'Z. ..Main Sw /S' 3 0 . Amps.. .Main ?uses.. ....Amps Type Installation — Conduit. . x ...T b ,g.. . .B.X L . . . . . .Metal Moulding. Service Overhead 1 Size Feede-s Underg* :nd Amount of Permit $ -.... -. 4.00 (Signed)..... .. . STATE OF FLORII•A, 1 COUNTY OF DADE. ss. (Signed). ) . ..Repairs... .... .X ...................No. of Stories El- ctr.al Inspector The undersigned ^pplicanr .or this building pe' it doe. hereby ce. tify that he understands and •.ccepts his ..gatiuns as an employer of labor under the .lo ida W;,rkmen s Compensation Act, being Section 5966, Compiled General Laws of Flon' . , ,rmanent Supple. ent anJ has complied with the provisions thereof. and will require simiiac compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post o, cause to be posted for inspection on the site of the wok suc,_ public notice or notices as are required by the Act The undersigned agrees to L. iplo" only such subcontractors, on work to be uerforn!ed under this perm', as a e licensed by Miami Shores `pillage. 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 constru.tion, a .d he hay easefully r-ad 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, or faulty materials and /or workmanship. SWITCH OUTLETS LIGH' OUTLETS PLUG REC__ ^. P'T'S ' IXTII,rES NO. LAMPS REFRIO. Or'TL: IRON RANCE OUTLET OUTLET RANGC CONN. WAT ^.R HEAT :R ✓ +. H`'.0'. CONN. SPAT; HE ER STRIP HEATE:' TOTAL CONTR L'ST CH , CK ENT. S ' . DI). CAB. 'E: V CE 1.: P. SERV,C' P 1- 150AMP :,0,0 O.1 HP . ..TORS , 1.3 HP iV e:' N TRAN.'. RADIO TOTAL CO: .. "JT AC 1 2 CHE..K • r MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT f APPLICATION FOR ELECTRICAL PERMIT Permit No .... 7 3..`. 4-(1---6,60- Application is hereby made for the approval of the detailed statement of the p .ns and specifications herewith submitted for the building or other structure herein described. This application is made in complia e. and conformity with the Building Ordinance of Miami Shores Village, Florida, and all iirw'isions of the Laws of the State of Florida all ordinances Miami Shores Village and all ..ules and regulations of the Building Division of Miami Shores Village shall be complied with, whether he:ein specs ied or not. A copy of approved plans and specifications must be kept at building during • rogress of worn Owner's Name and Address L .. Z G - e' No .................... Street Registered Architect -d /or Engineer - Employing Electrician's Name.... Electric - -- -Corp. No 1 Street ...N....W..5.4th...Sz......... Location and Legal Description Lot Block Subdivision Street and Number where work is to be erformed —No . p 941 Street. treet N E 1st. Terrace. State work to be performed and purpose of building (By Floors) New Building Remodeling ............ . Addition ,-. P . .Co durt. 'Z. ..Main Sw /S' 3 0 . Amps.. .Main ?uses.. ....Amps Type Installation — Conduit. . x ...T b ,g.. . .B.X L . . . . . .Metal Moulding. Service Overhead 1 Size Feede-s Underg* :nd Amount of Permit $ -.... -. 4.00 (Signed)..... .. . STATE OF FLORII•A, 1 COUNTY OF DADE. ss. (Signed). ) . ..Repairs... .... .X ...................No. of Stories El- ctr.al Inspector The undersigned ^pplicanr .or this building pe' it doe. hereby ce. tify that he understands and •.ccepts his ..gatiuns as an employer of labor under the .lo ida W;,rkmen s Compensation Act, being Section 5966, Compiled General Laws of Flon' . , ,rmanent Supple. ent anJ has complied with the provisions thereof. and will require simiiac compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post o, cause to be posted for inspection on the site of the wok suc,_ public notice or notices as are required by the Act The undersigned agrees to L. iplo" only such subcontractors, on work to be uerforn!ed under this perm', as a e licensed by Miami Shores `pillage. 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 constru.tion, a .d he hay easefully r-ad 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, or faulty materials and /or workmanship.