311 NE 94 StMIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING 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 Sbores
Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Sbores Village and all rules and regula-
tions of the Building Division of Miami Sbores 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.
Date._-.,__. .........
__.__
Owner's Name and Address ------ No.___- -__ — Street ._.— ------
.— ....__.__— ..._W_
Registered Architect and /or Enginee r — -- _--- •------ - ^ -- M. - -. - -— — ____ ......
--
Name and address of licensed coatrattor_
Location and legal description of lot to be built on:
Street and Number where work is to be
State work to be done and purpose of building (by floors)
......... ....___..------ _--- _-_...------- — _..__._._._ _- -___ -- --and for no other purpose.
New Buil ding ____. ------- ._- -- .--------- ... Remodeling---- ------- - - - - -- Addition----- ---------- - - - - -- Repairs--- ------- ----------- - - - - -- No. of Stories.
To be constructed of ------ _ Kind of foundation- _—____ .________— ___— ------------- —_ -- _.Roof Covering. ... .—_._ —.. ------
Estimated Total cost of improvements $— _— __--- _— ______ Amount of Permit $ -----------------------------
— __— _-- _____ --
Zone cubage required —__ —_ b. --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 Com nsation Act, being Section 3966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereofand 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.
Remarks — (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 __. -- _—
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 be has carefully read the foregoing application, and that be 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
Da
Notary Public, State of Florida
(Signed) ___ ___._— ________........_-- ___ - -- --
Building Inspector My Commission Expires ----- _— ___ -----
PLANNING BOARD_— _DATE
Chairman _ _ Member . .....
___
Member —_ _ — Member
Member — _ — Member
Council Approved-- -------- ___ - -- - -- - - -- -Date Disapproved _... __ _-- ._- _ ----- ._-- ----- ----
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.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
r
Permit No.— ___,E` _ Date�_W
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 ....... No ------------ Street______
Registered Architect and /or Engineer
Employing Electrician's Name ...... :'ems r Y r X° - . No. Street._
Location and Legal Description Subdivision_ - - - - -- -
Street and Number where work is to be performe d --No.. --t. Street —___4 --
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._____ —N— Amps. _ Main Fuses----------Amps.
Underground
Type of Installation — Conduit -------- _------ Tubing -------------- �_ B.X.L ---------- _ ----- Metal Moulding
11
P
Amount of Permit S .... '/`_v O
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify tizar 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 performed under this permit, as are
licensed by Miami Shores Village.
(Signed) u_..._
_ _ � . Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. I ".
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 be 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
IRECE'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,
d
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
Service Overhead Size Feeders_____________ Conduit-------- Main Sw._____ —N— Amps. _ Main Fuses----------Amps.
Underground
Type of Installation — Conduit -------- _------ Tubing -------------- �_ B.X.L ---------- _ ----- Metal Moulding
11
P
Amount of Permit S .... '/`_v O
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify tizar 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 performed under this permit, as are
licensed by Miami Shores Village.
(Signed) u_..._
_ _ � . Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. I ".
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 be 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.
MIAMI SHORES VILL.AGE, FLORIDA
MING
:CTRICAL PERMIT N°
JMBING
Work to be performed under this
-r of
ing _
itect
ractor
older.
DATE 194
2161 Contractor's
License No..
Lot t I� 131. _ �� vision
vision
ess of , Value of Arnt. of
,ing Project 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
ttion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
ny plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
aked at any time if the work is not done in compliance with such ordinances or if the plans are changed without aurhorixation. A further condition
which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
3inances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or. in the statements or specifications and
e assumes responsibility for work done by his agents, servants or employees. """'��- -•
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 regula-
3ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
e. In accepting this permit I assume responsibility (for all work done by either myself, my agent, servant or employee.
_ --A�
CONTRACTOR OR BUILDER 1W AUTHORITY
LDING
:CTRICAL
IMBING
:r of
ing
sect- - —
!actor
ilder
SHORES VILLAGE, FLORIDA
PERMIT N? 2160
Work to be performed under this Permit.
DATE 19
ns of i Value of I Amt. of +�
tog + Project Permit
Chis permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the
rion herefor in strict compliance with all ordinances pertaining thereto and ca •ith the understanding that the work will be performed in compliance
ty plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
•ked at any time if the work is not done in compliance with such ordinances (it if the plans are changed without authorization. A further condition
,hich this permit is granted is the understanding that the contractor or builder, named above assumes the responsi'bi'lity For a thorough knowledge of
inances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and
assumes responsibility for work done by his agents, servants or employees.
Signed:— By
INSPECTOR
n consideration of the issuance to me of this permit I agree to perform the we,rk covered hereunder in compliance with all ordinances and regula-
ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
. In accepting this permit I assume responsibility ]for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY
AUTHORITY
LDING
:CTRICAL
IMBING
-r of
ing -
MIAMI SHORES VILLAGE, FLORIDA
PERMIT" _T° 3355
Work to be performed under this
."actor
.ilder
Lot Bl.
iption
DATE 194
Contractor's
License No._
. ;� G: This Cons ,.ract on ;nay h�, in
P 0,1J-6w. rlviti G: 1arl I i Ij
(: a are cauourr d to corisia ;tour Mai
rd offi e is a �larlir g 1}lr: �rork al�ttiotiz� k lfl
"dilelmit.
vision
ess of !1 Valtie of I Amt. of
ing
J Project f Permit
This permit is granted to the contractor or builder named above to construct R .,he building or to install the equipment or device described in the
.tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
.ty plans, drawings, statements or specifications that may have been submitted. to and approved by the proper municipal authorities. This Permit may
)ked 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
vhich this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
iinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and
assumes responsibility for work done by his agents, servants or employees.
Signed:_ By
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 regula-
ertaining thereto and in strict conformity wirh the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
In accepting this permit I assume responsibilitylfor all work done by either myself, my agent, servant or employee.
AUTHORITY
CONTRACTOR OR BUILDBUILDER � � AUTHORITY
MIAMI SHORES VILLAGE, FLORIDA
LDI NG DATE 194
CT R I CA L PERMIT NY 2168 Contractor's ,
7 M B I N G License Igo.
Work to be performed under this Permit
er of
ing _ _ _• _
itect,
ractor
older � - - - f�^ •�
Lot Bl. Subrdi-
'Iption vision
ess of Value of 1 �. , Amt. of
.iog Project 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
Ltion herefor in strict compliance with all ordinances pertaining thereto and with the understanding thar the work will be performed in compliance
ny plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
7ked 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
which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
iinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and
= assumes responsibility for work done by his agents, servants or employees.
Signed- By
1 NSPE&OR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula.
iertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
MIAMI SHORES VILLAGE, FLORIDA
ILDING DATE
CT° R I CA L PERMIT N Q 2794 Contractor's
J M B I N G License No.
Work to be performed under this Permit —
of
li �I_
ling
itect..
ractor
iilder.
Lot
Subdi-
vision
ess of I Value of �� Amt. of
I
'ing + Project Permit
194_
This permit is granted to the contractor or }wilder named above to construct the building or to install the equipment or device described in the
%tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
ny plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
)ked 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
vi-Lich this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough, knowledge of
finances and regulations getrainin to the work coveted, hereby whether shown on the plans or drawings or in the statements or specifications and
_ assumes responsibility far work done by his agents, servants or employees.
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 regula-
ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CC ,4 it.- CTOR OR BUILDER BY AUTHORITY
MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
ELECTRICAL 0 PERMIT Np 7879
PLUMBING ❑
ROOFING ❑
❑ Work to be performed under this
Owner of
Building
Architect
, ontractor
or Builder -
Legal
nay,.,., –f-
Lot
■
Subdi-
vision
DATA"
Contractor's
License No.----
195`
sq. Ft.
Address of Value of Amt. of
Building 11 / /' f Project $ Permit $i
This permit is ranted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict comp ance 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 statemen.ts or specifications and that be assumes responsibility for work
done by his agents, servants or employees.
a
Signed: BY
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
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY
AUTHORITY
MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
ELECTRICAL ❑ DATE
PLUMBING p,] E R M I T ��I �T 7836 ? Contractor's �
ROOFING ❑ License No.
❑ Work to be performed under this Permit_
Owner of �f
Building 1 .. V w
Architect
- ontractor _
or Builder !._ (-
Legal Lot Id Bl.
Description I
P-
SQ. Pt.
Address of '' Value of Amt. of
Building 4 1 7 1 Project $_''" Permit $f
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 application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be perforated 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 he revoked at any
time if the works is not done in comppliance 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 responsibility for work
done by his agents, servants or employees.
a
Subdi-
vision
95`
BY
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 regulatior
pertaining thereto.and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Vill-
fn accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER -
BY
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building _
MIAMI SHORES VILLAGE, FLORIDA
DATE.
PERMIT N° 2289 Contractor's
License No—
Work to be performed under this
Contractor
or Builder
Legal Lot Bl.
Description
Subdi-
vision
Value of
Amt. of
Permit
Address of Project device Building
This permit is granted to the contractor
all ordinances pertaining thereto tand twith the understanding l tthattthe work will be is Perini Ian
application herefar in strict compliance wit
with any plans, drawings, statements or spec "sfications that may have been submitted to and approved. by the proper municipal authorities. This... ennst m
be revoked at any time if the work cd is the understanding that thwte }anrractor ordinances
r build erns named plans
bove assumesgthe responsibilityrfor a thorough knowledge
upon which this permit is grant
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements. or specifications a
that he assumes responsibility for work done by his agents, servants or employees. By
Signed: INSPECTOR
In consideration of the issuance to me of this
wirl thetplans, drawings, statements the or specifications submitted o the proper aurhorits s�of ordinances atni Sho
tions pertaining thereto and in strict conform y
Village. In accepting this. permit I assume responsibility for all work done by either myse lf. my agent, servant or employee.
194—
BY AUTHORITY
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
BUMDING ❑ DATE _
ELECTRICAL ❑ PERMIT '° 13006 Contractor's
PLUMBING ❑ License No-
ROOF7NG ❑ Work to be performed under this Permit
Owner of
Architect
, ontractor
or Builder
Legal Lot 1� BI.
Subdi-
vision
95—
Value of Amt. of
Address of Project $ Permit $ —�
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 applicati
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any pla
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at a
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
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulati(
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 wt
done by his agents, servants or employees.
Signed: 1;AIS BY —
t?EtTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulaO
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Villa
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
/+r1w"DAO r%rl fl.R AITlr T)UR
BY
AUMORtTY