1025 NE 91 Terr (10)MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
ELECTRICAL ° PERMIT N9 8676
PLUMBING ❑
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
CONTRACTOR OR BUILDER
Bl.
Work to be performed under this Permit —_
Subdi-
vision
Sq. Ft
Value of
Project $
DATE 195_ —
Contractor's
License No._
Amt. of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device descried 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 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.
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.
BY AUTHORITY
7
.
Permit No
Registered Architect and /or Engineer.
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be
State work to be performed and purpose
STATE OF FLORIDA, 1
COUNTY OF DADE. J j
SD.
My Commission Expires
IAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICA 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.
Owner's Name and Address �w vs�% r '� ���._a ( /sY_allo
aa . 3 ....No
' 0 /�
• . -.: /d •. Block
performed —No
New Building Remodeling Addition
(Signed)
Date
e ' Suet
Service Overhead Size Feeders
eeders' 41 Conduit / Main Sw ``� 0 'I) Amps / /0,–)
Underground
Street
7/7=7
Gr7l
Street sk.yk4 '
l.�
n /
•
of building (By Floors)
Repairs No. of Stories
Main Fuses `1<`, Amps
Type of Installation — Conduit Tubing B.X.L Metal Moulding
..mount of Permit $ (Signed) !G< %‘ °'�
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
_-- the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
. ,has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on t e k_ be performed under this permit, as are
licensed by Miami Shores Village. " 0 ,
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 facto
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
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T's
FIXTURES
NO. LAMPS
REPRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
H A TER
STRIP
HEATER
ii.< =�-
,_t-4 fy'
TOTAL -.
C L ST
Q.
d,
d . t
I ,
CHECK
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.0 HP
NEON
TRANS.
RADIO
y
TOTAL
CONT.
LIST
Z--.0 CC L
012- d`a.
94 6 o s?
CHECK
.
Permit No
Registered Architect and /or Engineer.
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be
State work to be performed and purpose
STATE OF FLORIDA, 1
COUNTY OF DADE. J j
SD.
My Commission Expires
IAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICA 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.
Owner's Name and Address �w vs�% r '� ���._a ( /sY_allo
aa . 3 ....No
' 0 /�
• . -.: /d •. Block
performed —No
New Building Remodeling Addition
(Signed)
Date
e ' Suet
Service Overhead Size Feeders
eeders' 41 Conduit / Main Sw ``� 0 'I) Amps / /0,–)
Underground
Street
7/7=7
Gr7l
Street sk.yk4 '
l.�
n /
•
of building (By Floors)
Repairs No. of Stories
Main Fuses `1<`, Amps
Type of Installation — Conduit Tubing B.X.L Metal Moulding
..mount of Permit $ (Signed) !G< %‘ °'�
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
_-- the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
. ,has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on t e k_ be performed under this permit, as are
licensed by Miami Shores Village. " 0 ,
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 facto
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.
J
j
Dear Mrs. Dorton,
T aZ Y
J. R. Cole
New Business Representative
P. U. L X 011900, MIAMI, FLORIDA 33101 PHONE 374 -5333
U o
f LA
.n.
FLORIDA POWER & LIGHT COMPANY
March, 16, 1978
This will confirm that arrangements have been made with Florida Power &
Light Company, to provide clearances for the additions to your home.
HELPING BUILD FLORIDA
Permit No
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 oI 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.IQ/'/" No 7 25 Street A 9/
Registered Architect and /or Engine r
Ern loying, Electrician's Name (/...9.t.11/= es<,jO.,41 4t/ .. .. 6 d e G ,/ Rf L No /.2.2 7 S / / � Street..
"/ d' C�G�cr f L / 0 l
` I'. Block / Subdivision
iG..5
tion and Legal Dcscript on Lo�` / f q /
Street and Number where work is to be performed—No../0-e5 . ..4_ G / /C-+e,- Street
State work to be performed and purpose of building (By Floors) 1~r e� 7- 4 - L /
New Building Remodeling '- Addition Repairs No. of Stories
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
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 $
STATE OF FLORIDA, }
COUNTY OF DADE. "'
(Signed)
(Sign
Date•..
0.2 a7Yo
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 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.
fort me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
0
LIONT
OUTLETS
PLUG
RECUR
FIXTURES
NO LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
H
TOTAL
CONTR.
LIST
/6 /112
CHECK
Ci
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
ni MOTORS
LY G- 0.1 HP
!!! if %")
14
MOTORS
1•5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CNECR
Permit No
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 oI 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.IQ/'/" No 7 25 Street A 9/
Registered Architect and /or Engine r
Ern loying, Electrician's Name (/...9.t.11/= es<,jO.,41 4t/ .. .. 6 d e G ,/ Rf L No /.2.2 7 S / / � Street..
"/ d' C�G�cr f L / 0 l
` I'. Block / Subdivision
iG..5
tion and Legal Dcscript on Lo�` / f q /
Street and Number where work is to be performed—No../0-e5 . ..4_ G / /C-+e,- Street
State work to be performed and purpose of building (By Floors) 1~r e� 7- 4 - L /
New Building Remodeling '- Addition Repairs No. of Stories
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
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 $
STATE OF FLORIDA, }
COUNTY OF DADE. "'
(Signed)
(Sign
Date•..
0.2 a7Yo
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 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.
fort me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
p?Abco
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PLICATION FOR ELECTRICAL PERMIT
Date 9/
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 io made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio.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 progress of work.
Tai I r� Harold o l� No 1025 NE 91 Te ° M. Shores
Owner's Name and Address... -/ Harold Dorton
Registered Architect and /or Engineer
Emplo Electrician's Name Murray Electric 9 Inc 0 1031 SW 120 St...
fl •...JetISI4 �r'al.p... 33317
�
Location and Legal Description Lot 2.9 le S S Zed 3 ( 0 5' 9 Block . Subdivision °I;,I at, er5E dU „ Ca
all of Lot 3, W. z Lot 4 n
Street and Number where work is to be performed— o ... Stre
1025 NF 91 .- . Terrace 9 l�niam Shores
State work to be performed and purpose of building (By Floors ). addlt.:on.—of swimming pool
New Building Remodeling Addition.XX Repairs No. of Stories
evise Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit
STATE OF FLORIDA, }
AIDE
Before
appeared
(Signed)
Eleetriealif nepector.
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•contractoro employed by hire in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Master Eleelrician.
COUNTY OFD C3.
me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgmeata, percanally
a
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ...� ° :.�.e
of :». above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all fattc
trerein by him stated are Bros.
XOTA;t7 G! ?Lis. AT 5T,Ark OF FLO. ",IDA AT i.A!?C % y 0—
MY COMMISSIO;•. L;'r I ,ES DEC . 1 19 79 • — � •: ` t e i
cor;rac - 1 l6mtdiikiasEitativ.111E11,
NOTE: A re•inepection fee of $)1.00 will be teade when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Notary Public, State of Florida
SWITCH
OUTLETS
LIGHT
OUTLETS)
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REPRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANG[
CONN.
WATER
H EATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
H EATER
80714L
CL Tet.
Lim
1 pool
light
C1G RCN
ENT.
Sw.
DIET.
CAB.
SERVICE
TEMP.
$1025
SERVIC
PERM.
MOTORS MOTORS
0.1 HP 1.5 HP
N EON
TRANS.
RADIO
?OVA%
CONTR.
LK,
1 1 =hp pool
pump motor
-
�Z o 00
Cri¢CX
$10 i 0
1 - ,, .
Permit No
p?Abco
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PLICATION FOR ELECTRICAL PERMIT
Date 9/
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 io made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio.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 progress of work.
Tai I r� Harold o l� No 1025 NE 91 Te ° M. Shores
Owner's Name and Address... -/ Harold Dorton
Registered Architect and /or Engineer
Emplo Electrician's Name Murray Electric 9 Inc 0 1031 SW 120 St...
fl •...JetISI4 �r'al.p... 33317
�
Location and Legal Description Lot 2.9 le S S Zed 3 ( 0 5' 9 Block . Subdivision °I;,I at, er5E dU „ Ca
all of Lot 3, W. z Lot 4 n
Street and Number where work is to be performed— o ... Stre
1025 NF 91 .- . Terrace 9 l�niam Shores
State work to be performed and purpose of building (By Floors ). addlt.:on.—of swimming pool
New Building Remodeling Addition.XX Repairs No. of Stories
evise Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit
STATE OF FLORIDA, }
AIDE
Before
appeared
(Signed)
Eleetriealif nepector.
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•contractoro employed by hire in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Master Eleelrician.
COUNTY OFD C3.
me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgmeata, percanally
a
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ...� ° :.�.e
of :». above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all fattc
trerein by him stated are Bros.
XOTA;t7 G! ?Lis. AT 5T,Ark OF FLO. ",IDA AT i.A!?C % y 0—
MY COMMISSIO;•. L;'r I ,ES DEC . 1 19 79 • — � •: ` t e i
cor;rac - 1 l6mtdiikiasEitativ.111E11,
NOTE: A re•inepection fee of $)1.00 will be teade when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Notary Public, State of Florida
'
1
Permit No
1_ .... ihp tOP/aUlliDg
Amount of Permit $ 3 000 (Signed)
MIAMI SHORES VILLAGE
ELECTRI INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMS`
Date )
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 Address Jo Lenard No 1025
Street 1\10 '2,0 91 Terrace
Registered Architect and /or Engineer Dewey Hawkins & Co 902 S. ''J. 69 Ave.
Employing Electrician's Name No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 1025 E.° 91 Terrar-a et
State work to be performed and purpose of building (By Floors)
STATE OF FLORIDA, }
COUNTY OF DADE.
SS.
My Commission Expires
(Signed)
1 lhp top /awning
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Am s Main Fuses _ Amps
Underground P p
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Notary Public, State of Florida
691
Li
Elect f ricdl Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation as an employer of
labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida PermOent 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'contr ors work to be performed under his permit, as are
licensed by Miami Shores Village.
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 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
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.8 HP
NEON
TRANS.
RADIO
TOTA6.
CONTR.
LIST
CHECK
Permit No
1_ .... ihp tOP/aUlliDg
Amount of Permit $ 3 000 (Signed)
MIAMI SHORES VILLAGE
ELECTRI INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMS`
Date )
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 Address Jo Lenard No 1025
Street 1\10 '2,0 91 Terrace
Registered Architect and /or Engineer Dewey Hawkins & Co 902 S. ''J. 69 Ave.
Employing Electrician's Name No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 1025 E.° 91 Terrar-a et
State work to be performed and purpose of building (By Floors)
STATE OF FLORIDA, }
COUNTY OF DADE.
SS.
My Commission Expires
(Signed)
1 lhp top /awning
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Am s Main Fuses _ Amps
Underground P p
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Notary Public, State of Florida
691
Li
Elect f ricdl Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation as an employer of
labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida PermOent 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'contr ors work to be performed under his permit, as are
licensed by Miami Shores Village.
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 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.
Street and Number where work is to be performed— No...
seam= Overhead
Amount of Permit
STATE OF FLORIDA,
COUNTY OF DADE.
cs.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTh1EN4
QPPUUCATION FOR ELECTRICAL PERMIT
Permit No 3 .. Date
Registered Architect and /or Engineer
Employing Electrician's Name.a. ,,....,C�/�.11,e/
Location and Legal Description Lot Block
(Signed)
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
Imo 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
C3 an required by the Act. The undersigned agrees to employ only such subcontractors, on work to
linezd by Miami Shores Village.
(Signed) ... �J
Subdivision
7'litreet ��.�
PeeCZ
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
c3eucture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio: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 progress of work. d� f
Owner's Name and Address... =4) PaV- 2.Q./f' No. .. /.0sa
street../-4
State State work to be performed and purpose of building (By Floors)
New Building Remodeling a ' Addition Repairs No. of Stories
Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps
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 igations as an employer of
of Flori Permanent Supplement, and
oub'contractoro employed by him in the
of the work such public notice or noces
be performed under this permit, as are
aster ` ectrlaan.
Defore awe, 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 :'P above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
e2areia by him stated are teua.
Notary Public, State of Florida
NOTE: A re-inspection fee of 81.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
a eriala as 1 /oe cvoren.a ®ship.
OWIYC10
OUYLEYO
L10MT
OUTLETS
PLUG
RECO'P'Y' 0
FIXTURES
NO. LA.1P0
REPRIO.
OUTLET
IRON
OUTLET
RANCH
OUTLET
RANGE
CONN.
WATER
N IRA TaR
W. N EAT.
CONN.
SPACE
NEATER
STRIP
NEATER
TOTAL
CONYQ.
LtOY
ENT.
OW.
I) 1OT.
CAC.
ssovica
TEMP.
SERVICE
PERM.
MOTORS
0.1 NP
M OYo 2 $
1.0 NP
N EOM
TRANO.
RADIO
-
TOTAL
L104
Caaca
.
Street and Number where work is to be performed— No...
seam= Overhead
Amount of Permit
STATE OF FLORIDA,
COUNTY OF DADE.
cs.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTh1EN4
QPPUUCATION FOR ELECTRICAL PERMIT
Permit No 3 .. Date
Registered Architect and /or Engineer
Employing Electrician's Name.a. ,,....,C�/�.11,e/
Location and Legal Description Lot Block
(Signed)
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
Imo 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
C3 an required by the Act. The undersigned agrees to employ only such subcontractors, on work to
linezd by Miami Shores Village.
(Signed) ... �J
Subdivision
7'litreet ��.�
PeeCZ
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
c3eucture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio: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 progress of work. d� f
Owner's Name and Address... =4) PaV- 2.Q./f' No. .. /.0sa
street../-4
State State work to be performed and purpose of building (By Floors)
New Building Remodeling a ' Addition Repairs No. of Stories
Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps
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 igations as an employer of
of Flori Permanent Supplement, and
oub'contractoro employed by him in the
of the work such public notice or noces
be performed under this permit, as are
aster ` ectrlaan.
Defore awe, 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 :'P above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
e2areia by him stated are teua.
Notary Public, State of Florida
NOTE: A re-inspection fee of 81.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
a eriala as 1 /oe cvoren.a ®ship.
,Z4
Date O.Z /o�S`5 /9b job Address /O2.5 .2/ 9 /7- ,?c.6 Tax Folio
Legal Description
Owner / Lessee / Tenant /L>?A9AN C• .64r..4I0F.=
Owner's Address /04.5 /J. ". 9 /.57 e e
Contracting Co. � ��c'>4P /C ✓ /cE(o. Address 6900 V,F
Qualifier �O// /) , f/'GG /A SS# , / Phone 7. 97 / d,2;"
State #fr 0000 6ZS Municipal # X 2 9/ 9 --5 Competency # 000e / 3.E. Ins.Co.
Architect /Engineer Al//9 Address
Bonding Company /tVA Address
Mortgagor AO) Address
Permit Type(circle one): BUILDING (ELECTRIC.j ) PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION A /9EP/3 /4//Q -,0Z/9 14E/07" EZeerie/c/91._ ,e✓ /fg .f.4v,/" E'!,7"
s9-/A4S , S , c� v iT5
Square Ft. / 6 O O 7. Estimated Cost(value)4 -a OC» .CD G
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO NW RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application 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 will 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.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
in compliance with all applicable laws regulating construction and zo ng. Furthermore, I
authorize •. above -naffed ontrac r to do the work stated. /'
be done
gnature of owner and /or Condo "President
Date:
Notary as to Owner an
My Cor issicr, Expires:
FEES: PERMIT®O
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
y.a
*f £r * * * * *
Zoning
Mechanical
r , Sf.-AL
o P
.. N AUCHY
NafArrlf a J `i S7 ? S7A?Z. CF FLORIDA
i < ap 2 ON NC CC�x575
carafartym �s � P.tIC. 1,1S98
* * *
Master Permit # ,-
Phone 7- -5 - 5 7
ature of Contrac or
ate:
Notary as to Contractor or
My Commission Expire 414?
* * * !s * * slot
RADON C.C.F. 1. Se.° NOTARY TOTAL DUE ` 6
Fire Other
Building Electric �9
Plumbing Engineering
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH CUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS ,Z o U
DUCT WORK
FLOOR DRAIN
SERVICE REPAIRAETER CHANGE
/
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
_ -
CLOTHES WASHER
MOTORS 0- 1 FP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP -
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 IP?
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 FP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 If
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO: ,
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
•
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
'
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
GRAINFIELD, 4' TILE/RES. .-
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
/n„ai4v/a A
.,r
CATCH BASIN
.b•C. i4P,9C7 .
/,./
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
ELECTRICAL
MECHANICAL