1205 NE 91 Terr (10)Permit No.... "'" I" - r
APPLICATION FOR ELECTRICAL PERMIT
Date ...
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
() Owner's Name and Address Skik
No .. rr ..c,.'
1
• .�
:3 l
Registered Architect and /or Engine r
r P
o II `�
Employing Electrician's Name..1C `.. l .. . S. .. sk� . ... . No '1 ?.i" r I F es- i ff)- -� ..
Location and Legal Description Lo .... Block Subdivision 2 ) O. 4-1� .^ 3
Street and Number where work is to be performed— No.. .i .c j 05......f ... ( 9 ( J C " Street
State work to be performed and purpose of building (By Floors) t: 1 4 ' ' / i i.- -- i L..
New Building Remodeling Addition. ....
Amount of Permit $
l
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Repairs
Overhead // ,/
Scrvta Underground Size Feeders Conduit Main Sw Amps...l. .r Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
(Signed)ta 5.-A)
No. of Stories
ail
Street
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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
i
STATE OF FLORIDA,
COUNTY OF DADE. J
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.
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
H
W. HEAT.
CONN.
SPACE
HEATER
STRIP
H
TOTAL
CONTR.
LIST
Q /.
T
CHECK
ENT.
SW.
D1ST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
I.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
t1 D
CHECK
Permit No.... "'" I" - r
APPLICATION FOR ELECTRICAL PERMIT
Date ...
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
() Owner's Name and Address Skik
No .. rr ..c,.'
1
• .�
:3 l
Registered Architect and /or Engine r
r P
o II `�
Employing Electrician's Name..1C `.. l .. . S. .. sk� . ... . No '1 ?.i" r I F es- i ff)- -� ..
Location and Legal Description Lo .... Block Subdivision 2 ) O. 4-1� .^ 3
Street and Number where work is to be performed— No.. .i .c j 05......f ... ( 9 ( J C " Street
State work to be performed and purpose of building (By Floors) t: 1 4 ' ' / i i.- -- i L..
New Building Remodeling Addition. ....
Amount of Permit $
l
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Repairs
Overhead // ,/
Scrvta Underground Size Feeders Conduit Main Sw Amps...l. .r Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
(Signed)ta 5.-A)
No. of Stories
ail
Street
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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
i
STATE OF FLORIDA,
COUNTY OF DADE. J
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.
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.
Service Overhead Size Feeders
Underground
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No.... `< L'�
Application ..1.968.... -
is hereby made for the approval of the detailed statement of the p ans and specifications her with submitted for the buiiding or tiller
„tructure herein described This application 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 a all ordinances ' Miami Shores Village and all ules and regulatio •s of h. Building Division
of Miami Shor . Village shall be complied with, whe.her he ein specs led or not. A copy of approved plans and specs 'cations must be kept at
building during ogress of wor
Owner's Name and Address. Be]lucci. No 1205 ... s treet. .E . 91st Terrace
Registered Archi ect d or Engineer . ...
Employing Electricians Name. Brothers Electric
Location and Legal Descriptioi of . . Block.. Subdivision..
Street and Number where work is to be performed —No 1205 .. ..
State work to be perfo med and purpose of building (By Floors)
New Building .... ..... . ... .... Remodeling......... . . ........Addition
........Co duct. .... ..Main Sw . . . .. .. .. . Amps. .. . .
Type of Installation — Conduit. . . . .Tubirg .. .B.X L . . . Metal Moulding
Bequest to work with Wednesday
200_4=0.00 ..
Anouns of Pe'm.t $ 1Q.50... �
Cs.
13339
(Signed).. L4 %. .
. Repairs
The and rs'pned applicant for t` i builds g pe-^it doe hereby ce tify that he understands and -
iabo und- r the Flo ;da W,,rkmen`s Compensation Act being Section 5966, Compiled General Laws
has ompl d ith the p ovisi- ns thereof and will require similar compliance from all contractors or
work to be p ,formed under this permit. and will post .i cause to be posted for inspection on the site
as are requir d b the Act The undersign« d agrees to iplo , only such sub contra: tors, on work to
ce, sed by Miami Shores Village
(S cl
Street. N.W. 7th Ave.
.Street. . 91st Terrace
• - -• .... • ... • ..•.
No of Stories
....Main uses
....Amps
August 21st, 9 :00 a.m.
V
El ctr :al Inspector
ccepts his1'gati ns as an employer of
of Flori P '-rmanent Supplement and
slob - contractors employed by him in the
of the wo k sue public notice or notices
be rfor . ed under this permit, as a e
Master Electrician
STATE OP FLORIDA, j
COUNTY OF DADE. I
Before me the undersigned authority a notary public, duly authorized to administcr 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 construi.tion, 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, or faulty
materials and /or workma .ship.
SWITCH
OUTLETS
L!GH"
OU"L b
PL O
REC 'P'T S
-:XT REO
NO LAMPS
REFRIO.
O ""' ET
IRON
OUT ET
kAN 'E
OUTLET
R NGE
CONN
WAT .R
HEAT 'R
W. HEA'.'.
CONN
SPACE'
HE - ..'ER
STRIP
HEATE '
dryer
___.-1—
TOTAL
CONTR.
LIST
1 rge.top
1 hood
1
CHECK
1 even
5.50
ENT.
5'.
Die,.
AB.
SE V 'E
T MP.
SERV.0
PERM
MOTORS
O.1 HP
MOTORS N H
1.5 HP TR "N
R DIO
TOTAL
CONT
LI T
3 hpc /a /c
2,00
CHE K
Service Overhead Size Feeders
Underground
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No.... `< L'�
Application ..1.968.... -
is hereby made for the approval of the detailed statement of the p ans and specifications her with submitted for the buiiding or tiller
„tructure herein described This application 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 a all ordinances ' Miami Shores Village and all ules and regulatio •s of h. Building Division
of Miami Shor . Village shall be complied with, whe.her he ein specs led or not. A copy of approved plans and specs 'cations must be kept at
building during ogress of wor
Owner's Name and Address. Be]lucci. No 1205 ... s treet. .E . 91st Terrace
Registered Archi ect d or Engineer . ...
Employing Electricians Name. Brothers Electric
Location and Legal Descriptioi of . . Block.. Subdivision..
Street and Number where work is to be performed —No 1205 .. ..
State work to be perfo med and purpose of building (By Floors)
New Building .... ..... . ... .... Remodeling......... . . ........Addition
........Co duct. .... ..Main Sw . . . .. .. .. . Amps. .. . .
Type of Installation — Conduit. . . . .Tubirg .. .B.X L . . . Metal Moulding
Bequest to work with Wednesday
200_4=0.00 ..
Anouns of Pe'm.t $ 1Q.50... �
Cs.
13339
(Signed).. L4 %. .
. Repairs
The and rs'pned applicant for t` i builds g pe-^it doe hereby ce tify that he understands and -
iabo und- r the Flo ;da W,,rkmen`s Compensation Act being Section 5966, Compiled General Laws
has ompl d ith the p ovisi- ns thereof and will require similar compliance from all contractors or
work to be p ,formed under this permit. and will post .i cause to be posted for inspection on the site
as are requir d b the Act The undersign« d agrees to iplo , only such sub contra: tors, on work to
ce, sed by Miami Shores Village
(S cl
Street. N.W. 7th Ave.
.Street. . 91st Terrace
• - -• .... • ... • ..•.
No of Stories
....Main uses
....Amps
August 21st, 9 :00 a.m.
V
El ctr :al Inspector
ccepts his1'gati ns as an employer of
of Flori P '-rmanent Supplement and
slob - contractors employed by him in the
of the wo k sue public notice or notices
be rfor . ed under this permit, as a e
Master Electrician
STATE OP FLORIDA, j
COUNTY OF DADE. I
Before me the undersigned authority a notary public, duly authorized to administcr 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 construi.tion, 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, or faulty
materials and /or workma .ship.
Permit No
Service Overhead Site Feeders Conduit Main Sw Amps
Underground
Type of Installation— Conduit .Tubing...... B.X.L Metal Mauldin
MIAMI SHORES VILLAGE
APPLICATION FOR ELECTRICAL PERMIT
ELECTRICAL INSPECTION DEPARTMENT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv.lda,
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 tC,12.. . 7./ d, No / Street. _ "6 7/
Registered Architect and /or Engineer... C` r �j.0 :.7" ./�Y`..�
Employing Electrician's Name... !..C.iZ No / •a Street. ��'�' ' /
Le &LsC;' S%
Location and Legal Description Loe..? 7 2:.. y. x ? .,/ u /.�_..........- Block Subdiv ision. ��=- ��.�6..- �..� - "� o �
_
Street and Number where work is to be performed —No f2- 6; j / -G 7! r` P- treet
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
d
d
Fuses Main .. us °s ........:.....Amps
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 hiin 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)
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, pe
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 Commisaion Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $I.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
REC3'P'T'S
FIXTURES
NO. LAMPS
REFRIES.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICa
TEMP.
SERVICE
PERM.
MOTORS MOTORS
0.1 HP , 1.5 HP
4•/,>'
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
Service Overhead Site Feeders Conduit Main Sw Amps
Underground
Type of Installation— Conduit .Tubing...... B.X.L Metal Mauldin
MIAMI SHORES VILLAGE
APPLICATION FOR ELECTRICAL PERMIT
ELECTRICAL INSPECTION DEPARTMENT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv.lda,
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 tC,12.. . 7./ d, No / Street. _ "6 7/
Registered Architect and /or Engineer... C` r �j.0 :.7" ./�Y`..�
Employing Electrician's Name... !..C.iZ No / •a Street. ��'�' ' /
Le &LsC;' S%
Location and Legal Description Loe..? 7 2:.. y. x ? .,/ u /.�_..........- Block Subdiv ision. ��=- ��.�6..- �..� - "� o �
_
Street and Number where work is to be performed —No f2- 6; j / -G 7! r` P- treet
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
d
d
Fuses Main .. us °s ........:.....Amps
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 hiin 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)
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, pe
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 Commisaion Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $I.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING ❑ . MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL °afs_A4
PLUMBING ❑ PERMIT N? 10391
ROOFING ❑
Owner of
Building
� E t.•
LI
Architect
Contractor
or Builder ,,e,:_
Legal
Description
Lot
Address of
Building 1 % 0 r , , ,J ' /1 , a .lvG
CONTRACTOR or BUILDER
Work to be performed under this Permit
Contractor's i t e .
License No. ! � .
6 1's geld4L-‘
131
Subdi-
vision
Sq Ft.
Value of /, ' �'" Amount of d o
Project $ I �� � 1 1 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 applica-
tion 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 specific ions nd that he assumes respon-
sibility for work done by his agents, sery or employees.
Signed�iL � (INSPECTOR) BY
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance w 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
BUILDING 111 MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL
PLUMBING ❑ PERMIT N 10387
ROOFING ❑
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Lot i
Description 11 I31
Address of
Building i 1
Date
Contractor's
License No.
Subdi-
vision
Sq Ft
Value of of I, I Project $ I 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 applica-
tion 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 respon-
sibility for work done by his agents, servants or employees. /1
Signed • (INSPECTOR) BY
CONTRACTOR or BUILDER
i "2 14
BY AUTHORITY
19.
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.
0
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
Date 19_S
ELECTRICAL I
PLUMBING o PERMIT N? 10361 Contractor's . -
ROOFING El License No.
❑ Work to be performed under this Permit
Owner of ,
Building `T L` /l if 7 i C3.4,1
Architect
Contractor
or Builder ' 4.
Legal
Description
Address of
Building
Lot
�- 32i 3 14 - -
Subdi -
BI Vision
Sq Ft
V alue of
1 1 Permit $ Amount of f
Project $ r
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 applica-
tion 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 hown on the plans or awings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants•enemployees( .Z I
(
Signed • - `�� �' r+=— �PECTOR) BY
In consideration of the issuance to me of this permit I agree to rform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, s ments or spcecifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done b either, myself, my agent, se ant or employee.
..R'1.
CONTRACTOR or BUILDER
it v nJQ... AMP k tAti
BY AUTHORITY
a
i I PERMIT APPLICA FOR MIAMI SHORES VILLAGE
Date 1 vl 9 Job Address I &0J `N / ( 4 Tax Folio
Historically Designated: Yes
Legal Description
Owner/Lessee / T e n a n t L i D v t S 0 V/1
Owner's A d d r e s s Aie , 4 / / / R ho
Contracting Co. GA — 3 CO Al c
Master Permit #
Address Y02 / KC. e�
Qu l ' ` (— ! %/ (1 (— R Phone (f/,
State 1~ S'-
Municipal #
Competency # Ins. Co.
No
Architect/Engineer Addre;.•s
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING � FENCE � ( SIGN
WORK DESCRIPTION r � � / � Y L: '/( f
Square Ft. Estimated Cost (value)
ese)
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 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.
NNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of owner and/or Condo President
Notary : s to Owner an
My Commission Expir %so0"'' °oe Migdalia Diaz
m o Notary public, State of Florida
I Commission No. CC 377938
os a ° My Cottunission Expires 06/02/98
i 1400.3440TAAY • PI► Notary Semite & Bonding Co.
S11 1111111111 111 11111111111111111111111111 )1 11.
APPROVED:
Zoning
Mechanical
2 /
/bate
Signa
as to Contr
My Commission Ex
FEES: PERMIT 5 S • RADON C.C.F. NOTARY
BOND
TOTAL DUE
Date
PgS •2J7 R.v 11/79
0 6(2 l ( k .e
(P \\;
W ti
'e-7N
1=- lbs 2etteF L,rt,P
b
oti \s‘de)
SECTION
SCALE
DWG. BY UV I
F e op1QiSI GAS SYSTEM • Inc.
(JtJT /\/ 91
AmuA,A \'s4-#
,..,( it/6- ope A, 6 -14 R
O 4-ss -/j tiv
Metle
DATE \ 7 to
SHEET/ i
J.O.
A.F.E.
Permit No... lf
" .
Owner's Name and Address. Calais
Registered Archi ect d or Engin: er _ .. _...
Employing Electricians Name. Brothers .Electric
Location and Legal Descriptioi of . .
Street and Number where work is to be performed —No .1205 .
..
State work to be perfo.med and purpose of building (By Floors)
New Building .......... . .. .... Remodeling..... . . . Addition
MIAMI SHORES VILLAGE
ELECTR ICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
D 22, . 1968.....
Application is hereby made for the approval of the detailed statement of the p ans and specifications her with submitted for the building or other
.tructure herein described This application 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 a all ordinances Miami Shores Village and all ules and regulatio •s of h. Building Division
of Miami Shor Village shall be complied with, whe.her he ein specs ied or not. A copy of approved plans and specs ications must be kept at
building during ogress of wor
No 12
...No... .3339 Street. . N.W. 7th Ave.
. Block.. ... .. ... .... Subdivision..
.Street. ...N . • Terrace...
.. . Repairs.._ . _....
street. ..N_.E• 91st Terrace
........No. of Stories
SWITCH
OUTLETS
L!OH
OU''L. b
PL 0
REC 'P•T S
. ,XT RES
NO LAMPS
REFRIG.
O'' TI ET
IRON
OUT' ET
RAN 'E
OUTLET
R NOE WAT..R
CONN HEAT'R
W. HEA': SPACE
CONN HE.'..'ER
STRIP
HEATS
TOTAL
CONTR.
LIST
1
1 oven
- 1,00
1 . ari
1 range
e too=
4.131 (0
Cod= .00
i.,32
.0)
1.00
CHECK
h
ENT.
S+ .
CIS:.
AS
SE V .
T MP.
SERV.0
PERM
MOTORS
0.1 HP
MOTORS
1.3 HP
N N
TR ' N
R 010
TOTAL
CONT
LI T
Permit No... lf
" .
Owner's Name and Address. Calais
Registered Archi ect d or Engin: er _ .. _...
Employing Electricians Name. Brothers .Electric
Location and Legal Descriptioi of . .
Street and Number where work is to be performed —No .1205 .
..
State work to be perfo.med and purpose of building (By Floors)
New Building .......... . .. .... Remodeling..... . . . Addition
MIAMI SHORES VILLAGE
ELECTR ICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
D 22, . 1968.....
Application is hereby made for the approval of the detailed statement of the p ans and specifications her with submitted for the building or other
.tructure herein described This application 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 a all ordinances Miami Shores Village and all ules and regulatio •s of h. Building Division
of Miami Shor Village shall be complied with, whe.her he ein specs ied or not. A copy of approved plans and specs ications must be kept at
building during ogress of wor
No 12
...No... .3339 Street. . N.W. 7th Ave.
. Block.. ... .. ... .... Subdivision..
.Street. ...N . • Terrace...
.. . Repairs.._ . _....
street. ..N_.E• 91st Terrace
........No. of Stories
Overhead
Service Underground Site Feeders
Type of Installation—Conduit. . . .B.X L Metal Moulding
Amount of Permit
STATE OF FLORIDA, }
0
The und rs'gned applicant for building permit does hereby certify that he understands and
Cabo und r the Florida Workmen's Compensation Act being Section 5966, Compiled General Laws
has ompr_d 1,./ith the provisions thereof, and will require similar compliance from all contractors or
work to be p rformed under this permit; and will post o cause to be posted for inspection on the site
as are requir d b, the Act The undersign.- d agrees to iplo; only such sub contractors, on work to
licensed by Miami Shores Village
ss.
COUNTY OF DADE.
.Co Main Sw ...................... Amps.
Main uses Amps
(Signed) . C O(.4
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
sub-contractors employed by him in the
of the wo k suc_ public notice or notices
be p,rfora ed under this permit, as are
)
(Signed) .. 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 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, or faulty
materials and/or workma