848 NE 91 Terr (3)Permit No.....i
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 tN _Zieta ii t
Registered Architect and /or Engineer..
Employing Electrician's Name- "
Amount of Permit $ ofd
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VILLAOCE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PER MET
Date 9 — —
ss.
(Signed)
(Signed)
No..l.. -V &feet 7 - - —
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
EItctrical 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 .ublic notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performe • . permit, as are
licensed by Miami Shores Village.
Master Elect clan.
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
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
)
o C 'L7 /C
) • L'--z)
CHECK
Permit No.....i
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 tN _Zieta ii t
Registered Architect and /or Engineer..
Employing Electrician's Name- "
Amount of Permit $ ofd
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VILLAOCE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PER MET
Date 9 — —
ss.
(Signed)
(Signed)
No..l.. -V &feet 7 - - —
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
EItctrical 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 .ublic notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performe • . permit, as are
licensed by Miami Shores Village.
Master Elect clan.
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.
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date June D. 1962
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 Williams
Registered Architect and /or Engineer
Employing Electrician's Name Sun State Electric Inc. No
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
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 $ 2 ,00 (Signed)
The undersigned applicant for this building permit does hereby certify that he understands and
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Law
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE.
SS.
(Signed)
No Street 848 N. E. 91st. Terr.
Street 9709 N.4. 27 Ave.
Electrical Inspector.
pts his obligations as an employer of
Florida Permanent Supplement, and
sub - contractors employed by him in the
of the work such public notice or notices
be performed undervhis permit, as are
r
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.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
S ACE
H ATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS MOTORS
0.. HP 1•5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
LIST
2 H.?. Air
Cond.
1
CHECK
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date June D. 1962
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 Williams
Registered Architect and /or Engineer
Employing Electrician's Name Sun State Electric Inc. No
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
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 $ 2 ,00 (Signed)
The undersigned applicant for this building permit does hereby certify that he understands and
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Law
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE.
SS.
(Signed)
No Street 848 N. E. 91st. Terr.
Street 9709 N.4. 27 Ave.
Electrical Inspector.
pts his obligations as an employer of
Florida Permanent Supplement, and
sub - contractors employed by him in the
of the work such public notice or notices
be performed undervhis permit, as are
r
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.
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.
;UILDING
LECTRICAL
'LUMBING
)weer of
iuilding
architect
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 4702
Work to be performed under this Permit
DATE 194_
Contractor's
License No
lontractor
)r Builder
.ega1 Lot Bl.
)escription
address of
luilding
This permit is granted to the contractor or builder named above to construct the building or to ihstall the equipment or device described in the appli-
ation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any
,lans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
t 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
,ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
ibility for work done by his agents, servants or employees.
Subdi-
vision
Value of
Project
Arnt. of
Permit
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
, ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
n 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
Architect
Contractor
or Builder
Legal Lot
Description
Work to be performed under this Permit
Address of 5 Value of Amt. of
Building_ sj .° Vi. 0 Project Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device describen the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings pr in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. ;,`. a "�
Signed: '..-...4,,---
'" By -
;f
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.
MIAMI SHORES VILLAGE, FLORIDA
DATE ( 1944_
Contractor's
License No.
Bl.
PERMIT N. 4476
Subdi-
vision
CONTRACTOR OR 'BUILDER BY AUTHORITY
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Permit No I .72d
Amount of Permit $
APPLICATION FOR ELECTRICAL PERMIT
(Signed).
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, 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 B p
Owner's Name and Address ) KSs l_-'_) f L L L- S No f3. ' Street. / � r
Registered Architect and /or Engineer /
Employing Electriciad's Name.. 4'0 . 14-6. L L C•" -' p
No - 9 ®R) Street
Location and Legal Description Lot Block Subdivision. ... .
Street and Number where work is to be performed —No .. . Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
/- A
Service Overhead
Site Feeders Conduit Main Sw Amps Main Fuses . Amps
Underground
Type of installation-- Conduit Tubing... ... B.X.L.. Metal Moulding.. ....
(Signed) -
lectrical Inspector.
The undersigned applicant for this building permit does hereby cer tify 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, n work to be performed under this permit, as are
licensed by Miami Shores Village
Master Electrician.
STATE OF FLORIDA,
88.
COUNTY OF DADE. ,
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, 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
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 NEON
1.3 HP
RADIO
TOTAL
CONTR.
if p
w T S RANS.
: /
Y"'r
CHECK
Prt-ir
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Permit No I .72d
Amount of Permit $
APPLICATION FOR ELECTRICAL PERMIT
(Signed).
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, 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 B p
Owner's Name and Address ) KSs l_-'_) f L L L- S No f3. ' Street. / � r
Registered Architect and /or Engineer /
Employing Electriciad's Name.. 4'0 . 14-6. L L C•" -' p
No - 9 ®R) Street
Location and Legal Description Lot Block Subdivision. ... .
Street and Number where work is to be performed —No .. . Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
/- A
Service Overhead
Site Feeders Conduit Main Sw Amps Main Fuses . Amps
Underground
Type of installation-- Conduit Tubing... ... B.X.L.. Metal Moulding.. ....
(Signed) -
lectrical Inspector.
The undersigned applicant for this building permit does hereby cer tify 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, n work to be performed under this permit, as are
licensed by Miami Shores Village
Master Electrician.
STATE OF FLORIDA,
88.
COUNTY OF DADE. ,
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, 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 APPLICATION FOR MIAMI SHORES VILLAGE
Date 1/2 -2M Job Address F`45 ,i 1 F / Te ETax Folio
Legal Description Historically Designated: Yes No
Master Permit # 3 67 S C)
S it2essee / Tenant /VI ! I ag-/ft( 7 4,,,At i eD
Owner's Address ( /i/g ,t) 7
Contracting Co. DD2. 7E L. E 772 tG
g � (/ i i.c� Address 6 6y) ,(.),) — cST
Qualifier -.... r..) ..77 / loo mac.-, o SS# ' Phone F7/—/ 37
State # 6 1 / / 9 9 Municipal # Competency # Ins. Col ::2 r
AY A " Address
Address
Address
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDIN ` F�'TRI LUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIP'T'ION
47/1.AL
ignature of o
Notary as I. owner and/or Condo
My Commission Expires:
I•EES: PERMIT 7�,U® RADON
200 Ax
/ce (y‘„e4.4)
Square Ft. Estimated Cost (value)
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.
OWNER'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.
/'and/or Condo President
Dat
` p,RY PU OFFICIAL NOTARY SEAL
O e• MARY PATRICIA BRIGGS
COMMISSION NUMBER
Q +.:i r CC335258
�f ate Q • MY COMMISSION (EXP.
JAN. 31 1999
F OF f 0 1
C.C.F.
APPROVED:
Zoning
Mechanical Plumbing
Building
Phone 76 357 3
ignature of Contractor or Owner -Bui
Contractor or Owner -B
Notary as t
My Commi sion Expires:
Electric
.0•Sl PU OFFICIAL NOTARY SEAL
O • � <i MARY PATRQCbA BRIO CAS
b COIYIGIISSION NUMBER
+{tII. o CC335258
ct? C7Y CO tt MISS6ON EIIP.
.3/27/96.
Date
OF f\. JAN. 31.199&
NOTARY TOTAL DUE 34" X60
Engineering
ZObh
0
-
nJ
p'
r
t
(\11. CG{E��C, -wl•Nk cc -
34S � r -r
BUILDING
ELECTRICAL
PLUI 1NG
Owner of
Building
Architect
Contractor
or Builder
Work to be performed under this Permit
Q
Legal 7 Lot
Description ``BB
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE
Contractor's /��
License No.
PERMIT N° 4702
Bl.
Signed.
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with IL1�Q�rdinances and zLe ations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorr'tffe9 of Miami ShoY 9 ill�ge.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
Subdi-
vision
Value of
Project
BY
INSPECTOR
I Amt. of ; r
Permit
By
AUTHORITY
194 J%
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit
Service Overhead Size Feeders
Underground
Amount of Permit $
MIAMI SHORES VILLAGE
My Commission Expires
Conduit- ______—__ Main Sw._
(Signed)
(Signed)
Date_
Amps. ._._ Main Fusgs.
Type of Installation— Conduit Tubing_ — B.X.L Metal Moulding
ci
YP g— g
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitt d 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 wor
/_ No.___,[__/ —°-- ��— __.___. -Stmt- __ff__—
Owner's Name and Address _
Registered Architect and /or 3 gin
Employing Electrician's Name ____ /' _ No Street-_ —___
--- ----- - - - - --
Location and Legal Descriptio ____
Street and Number where work is to be performed— No.___ ____ __ Street____ __— _— ______� _—
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.. Repairs No. of Stories
Electri Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public. State of Florida
STATE OF FLORIDA, 1
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared -
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such ruins ction made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
P'
�• �'f
� /
/_
� •
f .,,
�..
/
( o
M1 ' fir'°
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
I
CHECK
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit
Service Overhead Size Feeders
Underground
Amount of Permit $
MIAMI SHORES VILLAGE
My Commission Expires
Conduit- ______—__ Main Sw._
(Signed)
(Signed)
Date_
Amps. ._._ Main Fusgs.
Type of Installation— Conduit Tubing_ — B.X.L Metal Moulding
ci
YP g— g
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitt d 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 wor
/_ No.___,[__/ —°-- ��— __.___. -Stmt- __ff__—
Owner's Name and Address _
Registered Architect and /or 3 gin
Employing Electrician's Name ____ /' _ No Street-_ —___
--- ----- - - - - --
Location and Legal Descriptio ____
Street and Number where work is to be performed— No.___ ____ __ Street____ __— _— ______� _—
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.. Repairs No. of Stories
Electri Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public. State of Florida
STATE OF FLORIDA, 1
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared -
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such ruins ction made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
2
3
1
•