ELECTRICAL PERMITSApplication is hereby made for the approval of the detailed statement of the plans and specifications herewith oubmitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv:rda,
and all provisions of the Lawo of the State of Florida, all ordinanceo 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 muot be kept at
building during progress of work. J / r '
Amount of Permit 5
Fermis No f Ct
PPLQI ATBCIN FOR ELECTRICAL PERMIT
MIAMI SMOKES VILLAGE
ELECT ICAL INSPECTION DEPARTMENT
<, Street // L,� ..0
Registered Architect and /or En i er 1 l'--F /
Employing Electrician's Na nu .L.C.� ... .. 4 .�.� �. � No.. . /..� Street. /7 G
Location and Legal Description Lot _ _,� Block Sub
Street and Number where work is to be performed —No -.. �! Street ?V/
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 Fuoes . Amps
Underground
Type of Installation — Conduit Tubing...... .......B.X.L Metal Moulding
Go.
(Signed).....‘A,„..3
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ygations ao an employer of
labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida ermanent 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 rk to be performed n er this permit, as are
licenced by Miami Shores Village.
Ce./ L,
(Signed)
Date
e)/
Electrical Inopector.
Notary Public, State of 17lorida
Master Electrician.
STATE OF FLORIDA,
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 otated are true.
My Commission Enpireo
NOTE: A re- inspection fee of 41.00 will be made when ouch re-inspection io made necessary by improper notice for inspection, or faulty
materialo and /or workmanship.
SIMITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE•P'73
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
C H C Et
�'-
ENT.
SW.
DIST.
CAR.
SERVICE
TEMP.
SERVICE
PERM.
- - --
- --
- --
MOTORS
0.1 HP
MOTORS
1.S HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIOT
/
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith oubmitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv:rda,
and all provisions of the Lawo of the State of Florida, all ordinanceo 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 muot be kept at
building during progress of work. J / r '
Amount of Permit 5
Fermis No f Ct
PPLQI ATBCIN FOR ELECTRICAL PERMIT
MIAMI SMOKES VILLAGE
ELECT ICAL INSPECTION DEPARTMENT
<, Street // L,� ..0
Registered Architect and /or En i er 1 l'--F /
Employing Electrician's Na nu .L.C.� ... .. 4 .�.� �. � No.. . /..� Street. /7 G
Location and Legal Description Lot _ _,� Block Sub
Street and Number where work is to be performed —No -.. �! Street ?V/
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 Fuoes . Amps
Underground
Type of Installation — Conduit Tubing...... .......B.X.L Metal Moulding
Go.
(Signed).....‘A,„..3
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ygations ao an employer of
labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida ermanent 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 rk to be performed n er this permit, as are
licenced by Miami Shores Village.
Ce./ L,
(Signed)
Date
e)/
Electrical Inopector.
Notary Public, State of 17lorida
Master Electrician.
STATE OF FLORIDA,
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 otated are true.
My Commission Enpireo
NOTE: A re- inspection fee of 41.00 will be made when ouch re-inspection io made necessary by improper notice for inspection, or faulty
materialo and /or workmanship.
Permit No -
Street and Number where work is to be performed —No
STATE OF FLORIDA, t
COUNTY OF DADE. I
SS.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEP RTMENT
APPLICATION FOR ELECTRBCAL 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 0" ./ / le 6/V S SNo 3
Registered Architect and /or Engineer
Employing Electrician's Name....� ..�. .. c h/' c= £ f ", No 9C (J Street
Location and Legal Description Lot Block Subdivision
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs.....e. 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 $ (Signed) S ....
E ectrical Ih ector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his igations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Floj.. Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub tractors 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.
(Signed)
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.
Date / /I/1 I 4. c
Street
Notary Public, State of Florida
Master Electrician.
/'
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.
ACC
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
IST
CHECK
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No -
Street and Number where work is to be performed —No
STATE OF FLORIDA, t
COUNTY OF DADE. I
SS.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEP RTMENT
APPLICATION FOR ELECTRBCAL 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 0" ./ / le 6/V S SNo 3
Registered Architect and /or Engineer
Employing Electrician's Name....� ..�. .. c h/' c= £ f ", No 9C (J Street
Location and Legal Description Lot Block Subdivision
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs.....e. 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 $ (Signed) S ....
E ectrical Ih ector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his igations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Floj.. Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub tractors 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.
(Signed)
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.
Date / /I/1 I 4. c
Street
Notary Public, State of Florida
Master Electrician.
/'
Service Overhead Size Feeders
Underground
Amount of Permit $
/
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No / -
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 and Address 6 G No
Street '
Registered Architect and /or Engineer
Employing Electrician's Name - No / `- Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No - s Street
State work to be performed and purpose of building (By Floors)
�
New Building Remodeling Addition Repairs � No. of Stories
Conduit Main Sw Amps .Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(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 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.
(Signed)
STATE OF FLORIDA,
COUNTY OF DADE. f ss'
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
R ECE'P'T'S
FIXTURES
N O. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
H EATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
Nl 0`raits
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
O
��
CHECK
Service Overhead Size Feeders
Underground
Amount of Permit $
/
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No / -
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 and Address 6 G No
Street '
Registered Architect and /or Engineer
Employing Electrician's Name - No / `- Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No - s Street
State work to be performed and purpose of building (By Floors)
�
New Building Remodeling Addition Repairs � No. of Stories
Conduit Main Sw Amps .Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(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 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.
(Signed)
STATE OF FLORIDA,
COUNTY OF DADE. f ss'
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.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 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 and Address.
Registered Architect and /or Engine
Location and Legal Description Lot Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
STATE OF FLORIDA, 1
COUNTY OF DADE. I
55.
z 7
2
1
Street
Str t ' o
/j mo
Subdiv 'on ...., ,
Streit.(
/
/!... .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 $ (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 him in the
work to be performed under this permit; and will post or cause to be posted for inspection do the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subeontracto of work to be Performed and this permit, as are
licensed by Miami Shores Village. �' /
c1 (Signet 7/ a / (/ \ /!
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'B
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
LIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTO
.P
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
(
/
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 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 and Address.
Registered Architect and /or Engine
Location and Legal Description Lot Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
STATE OF FLORIDA, 1
COUNTY OF DADE. I
55.
z 7
2
1
Street
Str t ' o
/j mo
Subdiv 'on ...., ,
Streit.(
/
/!... .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 $ (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 him in the
work to be performed under this permit; and will post or cause to be posted for inspection do the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subeontracto of work to be Performed and this permit, as are
licensed by Miami Shores Village. �' /
c1 (Signet 7/ a / (/ \ /!
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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI S HORES VILLAGE. FLORIDA
2" -- PERMIT N? 13211
CONTRACTOR OR BUILDER
DATE 95
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project $
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 described 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
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE 1,
] PERMIT N° 14267 Contractor's
License No
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
[] Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot II M.
Description
Address of
Building
CONTRACTOR OR BUILDER
Subdi-
vision
Value of
Project $
BY
Amt. of
Permit
AUTHORITY
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device de d 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
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 drawing' 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
-taining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
?pting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
Permit No
Owner's Name and Address
Registered Architect and /or Engineer
Street and Number where work is to be performed —No
MI r> MI SHORES V I L L AG E
ELECTRICAL INSPECTION DEPARTMENT
PPLICATIO FOR ELECTRICAL 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, Floridz,
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 :tept at
building during progress of work.
No ‘r����
Date
Street
No Street
Employing Electrician's Name
Location and Legal Description Lot Block Subdivision
Street
State work to be performed and purpose of building (By Floors)
• Remodelin Addition r/ Repairs No. of Stories
N w Buildng g - --
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 $
(Signed)
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 - ontractors 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 *ach public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub contractor / on work to be perform under this rermit, as are
licensed by Miami Shores Village.
85.
(Signed)
STATE OF FLORIDA, }
COUNTY OP DADE:
Before me, the undersigned authority, a notary public, duly authorized
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
therein by him stated are true.
Electrical Inspector.
Notary Public, State of Florida
Master Electrician.
to administer oaths and take acknowledgments, personally
sign the same, and that all facts
My Commission Expires
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
'TOTAI.
CONTR.
LIST
CHECK
ENT.
SW.
D IST.
CAM.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
L
-
_ .,
LIST
CHECK
Permit No
Owner's Name and Address
Registered Architect and /or Engineer
Street and Number where work is to be performed —No
MI r> MI SHORES V I L L AG E
ELECTRICAL INSPECTION DEPARTMENT
PPLICATIO FOR ELECTRICAL 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, Floridz,
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 :tept at
building during progress of work.
No ‘r����
Date
Street
No Street
Employing Electrician's Name
Location and Legal Description Lot Block Subdivision
Street
State work to be performed and purpose of building (By Floors)
• Remodelin Addition r/ Repairs No. of Stories
N w Buildng g - --
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 $
(Signed)
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 - ontractors 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 *ach public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub contractor / on work to be perform under this rermit, as are
licensed by Miami Shores Village.
85.
(Signed)
STATE OF FLORIDA, }
COUNTY OP DADE:
Before me, the undersigned authority, a notary public, duly authorized
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
therein by him stated are true.
Electrical Inspector.
Notary Public, State of Florida
Master Electrician.
to administer oaths and take acknowledgments, personally
sign the same, and that all facts
My Commission Expires
NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 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 and Address No Street
Registered Architect and /or Engineer
Employing Electrician's Name No 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
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amp,
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
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 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 notice,
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as arc
licensed by Miami Shores Village.
STATE OF FLORIDA, 1
COUNTY OF DADE. I
s s.
(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 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
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 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 and Address No Street
Registered Architect and /or Engineer
Employing Electrician's Name No 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
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amp,
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
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 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 notice,
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as arc
licensed by Miami Shores Village.
STATE OF FLORIDA, 1
COUNTY OF DADE. I
s s.
(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 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.
APPLICATION FOR ELECTRIC. L PERMIT Uir
Permit No Date
•''
c
mount of Permit $
STATE OF FLORIDA, l
COUNTY OF DADE. 1?
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
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, 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.
Owner's Name and Address (1'4 n ° t Pee. y No Street
Registered Architect and /or Engineer
Employing Electrician's Name ®M— •�° 1' : ( ' ` ' LA-,, 6._
c No 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) 1' C L. (' ° `)' 1 c-- , A ti e
New Building Remodeling Addition Repairs No. of Stories
Service Overhead on
Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground P
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
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid 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 wo k to be performed _under this 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.
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.
I
I
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANO.
RADIO
TOTAL
CONTR.
LIST
-G\ *
A%( P.
'CHECK
1 V1 -
1 l i V
J
APPLICATION FOR ELECTRIC. L PERMIT Uir
Permit No Date
•''
c
mount of Permit $
STATE OF FLORIDA, l
COUNTY OF DADE. 1?
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
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, 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.
Owner's Name and Address (1'4 n ° t Pee. y No Street
Registered Architect and /or Engineer
Employing Electrician's Name ®M— •�° 1' : ( ' ` ' LA-,, 6._
c No 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) 1' C L. (' ° `)' 1 c-- , A ti e
New Building Remodeling Addition Repairs No. of Stories
Service Overhead on
Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground P
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
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid 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 wo k to be performed _under this 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.
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
/CPS-7c3 Date 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 �Z �� ' C A /L• - E° B No c r
(L % , 2
Amount of Permit $ (Signed)
STATE OF FLORIDA, }
COUNTY OF DADE. SS.
P pp '
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
(Signed)
Street
Registered Architect and /or Engineer
Employing Electrician's Name r ' ` 1 No Street
Location and Legal Description Lot Block Subdivision •
Street and Number where work is to be performed —No c.c. ,. �' j i . treet
State work to be performed and purpose of building (By Floors) L t d c 1 6C t e: Fy L= ,
k.,.C' Is tg
New Building Remodeling Addition Repairs No. of Stories
I
s
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground P p
Type of Installation — Conduit Tubing B.X.L Metal Moulding
lectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi' ions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida manent 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.
aster Electrician.
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 fault
materials and /or workmanship.
/'
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.
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
CO NTR.
LIST
r
,
/
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
/CPS-7c3 Date 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 �Z �� ' C A /L• - E° B No c r
(L % , 2
Amount of Permit $ (Signed)
STATE OF FLORIDA, }
COUNTY OF DADE. SS.
P pp '
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
(Signed)
Street
Registered Architect and /or Engineer
Employing Electrician's Name r ' ` 1 No Street
Location and Legal Description Lot Block Subdivision •
Street and Number where work is to be performed —No c.c. ,. �' j i . treet
State work to be performed and purpose of building (By Floors) L t d c 1 6C t e: Fy L= ,
k.,.C' Is tg
New Building Remodeling Addition Repairs No. of Stories
I
s
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground P p
Type of Installation — Conduit Tubing B.X.L Metal Moulding
lectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi' ions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida manent 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.
aster Electrician.
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 fault
materials and /or workmanship.
/'
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.
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
ELECTRICAL ❑ PERMIT N? 8381
PLUMBING ❑
ROOFING ❑
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 described 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.
CONTRACTOR OR BUILDER
BY AUTHORITY
44 eit i " - 17
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL 0
PLUMBING ❑ PERMIT N 10678
ROOFING ❑
Work to be performed under this Permit
Owner of
Building
Architect
Contractor �...
or Builder
Legal Lot
Description
Address of
Building
CONTRACTOR or BUILDER
1 BI
Date — -_ 19 4 ,,,
Contractor's
License No. _
Subdi-
vision
Sq. Ft.
Value of 11 Amount of
Project 11 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.
Signed• (INSPECTOR) BY
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation-
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 ❑ MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL � Date __ 19 (
PLUMBING ❑ PERMIT N? 10570 Contractor's �, t
ROOFING ❑ License No. -
Work to be performed under this Permit
Owner of
Building `' t
Architect
Contractor
or Builder
Legal Lot I
Description I BI.
Address of
Building
CONTRACTOR or BUILDER
1.
Subdi-
vision
Sq Ft.
Value of I I Amount of
Project $ I I Permit $__ -
BY AUTHORITY
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 complianec with au
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, seryants or employees.
Signed• (INSPECTOR) BY
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinance and regulation
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.
Permit No
Owner's Name and Address
Amount of Permit i ..
New Building Remodeling
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Cu:4 ilsauc i io
4 . 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 plane and specifications must be kept at
building during progress of
fei 4,1A/ /tea C Pria
Registered Architect and /or Engineer... 2
Employing Electriciafi's Name A. rid e Je Jr:
° c G
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) /
Addition Repairs No. of Stories N
Service
Overhead
ee a
Size Feeders Conduit.;,
_ ( ....14,41Zfain Amps Main Fuses Amps
Underground - . �
Type of Installation -- Conduit... � / / Tubing 'J B.X.L .Metal Moulding
No Street
No..e Z 2 - 94 0 Street..
(Sig .� �0 Electrical Inspector.
The undersigned applicant for this building permit does hereby certif
,t) Electrical
he understands and accepts his ob 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.
rPO ijf=z /Wt
62 w (
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE. ea.
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.
My Commiesion 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'e
FIXTURES
No LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
/
7
� 3
5
CHECK
1 i
_
tX c
p �
E v
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP,
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS NEON
1.8 HP TRANS.
RADIO
TOTAL
CONTR.
LIST
At, aToN
CHECK
/ I /
, 1
, L.) !
Permit No
Owner's Name and Address
Amount of Permit i ..
New Building Remodeling
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Cu:4 ilsauc i io
4 . 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 plane and specifications must be kept at
building during progress of
fei 4,1A/ /tea C Pria
Registered Architect and /or Engineer... 2
Employing Electriciafi's Name A. rid e Je Jr:
° c G
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) /
Addition Repairs No. of Stories N
Service
Overhead
ee a
Size Feeders Conduit.;,
_ ( ....14,41Zfain Amps Main Fuses Amps
Underground - . �
Type of Installation -- Conduit... � / / Tubing 'J B.X.L .Metal Moulding
No Street
No..e Z 2 - 94 0 Street..
(Sig .� �0 Electrical Inspector.
The undersigned applicant for this building permit does hereby certif
,t) Electrical
he understands and accepts his ob 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.
rPO ijf=z /Wt
62 w (
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE. ea.
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.
My Commiesion 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 J6
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, 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 0 C?7./>" r'i '), D - 1 ) 0 - A.,z.1...4 /.1-‘---. Street
Registered Architect and /or Engineer / / 1
Employing Electrician's Name/ 4- ? /.. -. " (''' <✓ G e C 7 :4 -e ' C N o Street../ /-:::- 7 ?
/ Location and Legal Description Lot... v .5.l ��w.� / /'�'- €....e Subdivision . ' r / ,
r j .
Street and Number where work is to be performed —No // /1 0 Street.. 4I. ' /r' , / i'
State work to be performed and purpose of building (By Floors) 77-- -e-p l 7�
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing.. ... B.X.L .Metal Moulding
(Signed) ° �r� (7,
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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 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
licansed by Miami Shores Village
Amount of Permit $ °� ✓. 1
STATE OF FLORIDA,
COUNTY OP DADE. j sa '
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
(Signed)..
Date
. g 2 B 7 2_ esiev Master Electrician.
Before me, a undersigned aut ray, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared /' 6( 74 . ..... ............ 1 ��'- �/....._. ..
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 foiegoing application, and that he did sign the same, and that all facts
therein by la ttitliiiit �a of construction„
My Commission Expires Jan. 20, 1993
,/
Electrical Inspector,
•
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such rvinspec. on is made necessary by improper notice for inspection, or faulty
materials and/or workmanship.
SWITCH
0
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO LAMPS
RErRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
NEATER
STRI►
M
TOTAL
CONTR.
LIST
CHICK
ENT.
SW.
DIST.
CAB.
SERVICE SERVICE
TEMP. PERM.
MOTORS
0.1 MP
MOTORS
1.15 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/' ?' //'
"(
CHICK
Permit No J6
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, 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 0 C?7./>" r'i '), D - 1 ) 0 - A.,z.1...4 /.1-‘---. Street
Registered Architect and /or Engineer / / 1
Employing Electrician's Name/ 4- ? /.. -. " (''' <✓ G e C 7 :4 -e ' C N o Street../ /-:::- 7 ?
/ Location and Legal Description Lot... v .5.l ��w.� / /'�'- €....e Subdivision . ' r / ,
r j .
Street and Number where work is to be performed —No // /1 0 Street.. 4I. ' /r' , / i'
State work to be performed and purpose of building (By Floors) 77-- -e-p l 7�
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing.. ... B.X.L .Metal Moulding
(Signed) ° �r� (7,
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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 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
licansed by Miami Shores Village
Amount of Permit $ °� ✓. 1
STATE OF FLORIDA,
COUNTY OP DADE. j sa '
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
(Signed)..
Date
. g 2 B 7 2_ esiev Master Electrician.
Before me, a undersigned aut ray, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared /' 6( 74 . ..... ............ 1 ��'- �/....._. ..
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 foiegoing application, and that he did sign the same, and that all facts
therein by la ttitliiiit �a of construction„
My Commission Expires Jan. 20, 1993
,/
Electrical Inspector,
•
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such rvinspec. on is made necessary by improper notice for inspection, or faulty
materials and/or workmanship.
Permit No.
STATE OF FLORIDA, t
COUNTY OF DADE. I j
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PPLICATION FOR ELECTRICAL PERMIT
Date [ .7 V
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, Fiv: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.4,J.k l.0r aP1,617 ® tk/A4Ai i , Are /r Street
Registered Architect and /or En ineer // �,(�
4
Employing Electrician's Name../ i( �l eke. J .ris e No Street
Subdivision
Location and Legal Description Lot ee pp Block
Street and Number where work is to be performed— No...i. /..':Y.. A. J ... e
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Scrvfce Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ (Signed) � d
.....................
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 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.
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.
SWITCD1
OUTLETS
LIGHT
OUTLETS
PLUG
RECE' ••T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. H EAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
L154
CHECK
ENT.
SW.
DIST
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
- MOTORS
1.8 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
. -
- -. -
Permit No.
STATE OF FLORIDA, t
COUNTY OF DADE. I j
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PPLICATION FOR ELECTRICAL PERMIT
Date [ .7 V
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, Fiv: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.4,J.k l.0r aP1,617 ® tk/A4Ai i , Are /r Street
Registered Architect and /or En ineer // �,(�
4
Employing Electrician's Name../ i( �l eke. J .ris e No Street
Subdivision
Location and Legal Description Lot ee pp Block
Street and Number where work is to be performed— No...i. /..':Y.. A. J ... e
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Scrvfce Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ (Signed) � d
.....................
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 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.
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.
P
� - ,2, W PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date
Job Address 1= n O = rJ ax Folio
Legal Description Historically Designated: Yes VAIL
. Owner/Lessee / Tenant Master Permit # '"
Owner's Address 5 \-) Phone 3 , ` - 'I t,
Contracting Co. \ L ` _ C ,� \� \ _ c k1/ Address 15 D `_7 C) 5 .. 1„ C IV ‘it
Qualifier 0 A 0 L l 5 ss#
Phone 5 -
State # E. C. - co L J s ?)b Municipal # Competency # Ins. Co. i\1/4 A.; 5 CO
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDIN ELECTRIC PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Square Ft.
WORK DESCRIPTION 3— dV S IA \ \ C
L --
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 perfonned 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.
OWNERS 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 s e i.
Siitature'of owner and/or Con; . President Date"
Notary as to Owner and/or Condo President
My Comipigi ftrmpatdleorges
*My .m 'issiot +;Lr500
l`Expi es Ma
$fro
Mechanical Plumbing
Date
Address
Address
Estimated Cost (value) C
Sign ture of Contractor o
Notary as to Contractor or Owner - Builder
My Commission Expires:
er -Buil
o v/1 . - 1 ' 41 ` =jZ (j
" Leonel Georges
*,.-4/ *My Commission ^ g _
� or►++�` 24, 2 02
•1 '
RADON C.C.F. NOTARY ® BOND
TOTAL DUE ir
APPROVED:
Zoning Building Electrical ,d / Y 691
Date
Date
Structural Engineer
EM
,TH M8 •
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
DET
LIGHT OUTLETS
CENTRAL HEATING
SHWASHER
RECEPTACLES
A/C (WIND)
SPOSAL
t
SERVICE TEMPORARY
A/C (CENTRAL)
(INKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
.00R DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
(EASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
(TERCEPTOR
RANGE TOP
UNDERGROUND TANKS
,VATORY
‘.--
OVEN
ABOVE GROUND TANKS
:UNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
.OTHES WASHER
MOTORS 0- 1 If
STEAM BOILERS
IOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
INK, POT /3 COMP.
MJTCRS OVER 3- 5 HP
MECHANICAL VENTILATION
INK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
.
INK, SLOP
MJTCRS OVER 8- 10 HP
ELEVATORS/ESCALATORS
EMPORARY WATER CLOSET
MOTORS OVER 10- 25 If
FIRE SPRINKLER SYSTEMS
11NAL
MOTORS OVER 25-100 HP
COOLING TOWERS
kTER CLOSET
MOTORS OVER 100 HP
VIOLATION
I
✓DIRECT WASTES .
A/C WINDOW
REINSPECTION
;TER 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 COM44ERCIAL
WATER SERVICE
SIGN TUBES
EWER CONNECTIONS
SIGN TRANSFORMERS
iILITY -SEWER
SIGN TIME CLOCK
TILITY -WATER
FIX 1. ES
:PTIC TANK
ANTENNA
:LAY
TELEVISION OUTLETS
IAINFIELD, 4" TILE/RES.
VIOLATION
IMP & ABANDON SEPTIC TANK
REINSPECTION
)AKAGE PIT CU. FT.
ITCH BASIN
ISO-LARGE WELL
)MESTIC WELL
lEA DRAIN
OF INLET
)LAR WATER HEATER
IRE STANDPIPE
)OL PIPING
kWN SPRINKLER SYSTEM
LS RANGE
:TER SET (GAS)
LS PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
)BTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
Date - ) .- 1/ -4 /3 Job Address 3 /0C 6'7 jet Tax Folio /// "•32C �'�'��� !, ` G D
Legal Description Z � i 2e; L5 k 2 . 3
Owner / Lessee / Tenant
Owner's Address rc 65 / ✓ '7 5 Phone , `a' _ } ,5
Contracting Co. �s '" � - 1 J?-'7d All Address / 0i,2 t -k--fl ,- PL
Qualifier " /e -",a L. //-Y/
State # f � � �I unicipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION ��:� �C ;O ///� �d f) s A. — 1,7(_!!a
Square Ft. Estimated Cost(value) y
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.
Signature of owner
Date: 2 15
Notary as to Owns, ,m /o
My Commission E iC�;
Jeo�
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
and /or Condo
President
r Condo President
"OFFICIAL SEAL"
Robert C. Beggs
My Commission Expires 5/5/96
Comrnission *CC 198908
PEES: PERMIT L ®' OW RADON
SS# Phone 7 - ,;
* *
Signature of Contractor 6r Owner - Builder
Date:
otary as
My Commiss
*
*
Master Permit #‘..361'
t ont actor or Owner- Builder
ion .E H FFII'iIAL tDeAt."
° , , c% My COrnmi &dioi1 E 31i S 5/ :/96
'''';;;;Er * Cornrgsion i3(;It1r8908 **
C.C.F. "' NOTARY TOTAL DUE `S
Fire Other
Zoning Buildin_ _ is
Mechanical Plumbing
Engineerin
1 3
Permit No
Amount of Permit $
STATE OF FLORIDA, }
My Commission Expires
MIAMI SHORES VILLAGE
ELECTR ICAL INSPECTION DEPARTMENT
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 or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address No Street
Registered Architect and /or Engineer. .._, 1
Employing Electrician's Name � = '� ` 1 " a ". No t ( 6 ' Street / 1
Location and Legal Description Lot Block Subdivision
(Signed)
Date
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
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 subcontractors, on work to
licensed by Miami Shores Village.
r
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 Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
sub-contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
(Signed)
Master Electrician.
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to ttdminiiter 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.
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.
ACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LILT
%
�
e -��
�' �
F
e
CHECK
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
M OTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
Amount of Permit $
STATE OF FLORIDA, }
My Commission Expires
MIAMI SHORES VILLAGE
ELECTR ICAL INSPECTION DEPARTMENT
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 or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address No Street
Registered Architect and /or Engineer. .._, 1
Employing Electrician's Name � = '� ` 1 " a ". No t ( 6 ' Street / 1
Location and Legal Description Lot Block Subdivision
(Signed)
Date
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
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 subcontractors, on work to
licensed by Miami Shores Village.
r
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 Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
sub-contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
(Signed)
Master Electrician.
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to ttdminiiter 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.
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.
1F
Permit No �c9 c
Employing Electrician's Name 1-'12.3. E L E c T c?, a to.
Location and Legal Description Lot Block
Street and Number where work is to be performed —No
Amount of Permit $ ! "mod
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date AA G
tf •rT•
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.. L D e's'
(Signed).
No S Street 6ir42 7
Registered Architect and /or Engineer
No /1` ? ' ?2 Street • 0 4 1 ( 1 17 -
State work to be performed and purpose of building (By Floors) /9&
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
(Signed)
Street
The undersigned applicant for this building permit does hereby certify that he understands and accepts
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of
has complied with the provisions thereof, and will require similar compliance from all contractors or s
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 subcontractors, on work to
licensed by Miami Shores Village.
Subdivision
Electrical spector.
obligations as an employer of
da Permanent Supplement, and
ntractors employed by him in the
the work such public notice or notices
e performed under this permit, as are
Master Electrician.
STATE OF FLORIDA, `l
COUNTY OF DADE. I 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
HEATER
W. HEAT.
CONN.
ACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O.1 HP
MOTORS
1.3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
' ..%r
CHECK
1F
Permit No �c9 c
Employing Electrician's Name 1-'12.3. E L E c T c?, a to.
Location and Legal Description Lot Block
Street and Number where work is to be performed —No
Amount of Permit $ ! "mod
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date AA G
tf •rT•
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.. L D e's'
(Signed).
No S Street 6ir42 7
Registered Architect and /or Engineer
No /1` ? ' ?2 Street • 0 4 1 ( 1 17 -
State work to be performed and purpose of building (By Floors) /9&
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
(Signed)
Street
The undersigned applicant for this building permit does hereby certify that he understands and accepts
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of
has complied with the provisions thereof, and will require similar compliance from all contractors or s
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 subcontractors, on work to
licensed by Miami Shores Village.
Subdivision
Electrical spector.
obligations as an employer of
da Permanent Supplement, and
ntractors employed by him in the
the work such public notice or notices
e performed under this permit, as are
Master Electrician.
STATE OF FLORIDA, `l
COUNTY OF DADE. I 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.
(.0
5
Permit No
Registered Architect and /or Engineer
Employing Electrician's Name... .X
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION! DEPARTMENT
PLICATION FOR ELECTRICAL PERMIT
(Signed)
No Set
Date
No..... Street
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. o
Owner's Name and Address
d..
(Signed) P rf.... ....�•1G..l1: ��`�^- -- t...
yr-
Street. l...�..._..,
Location and Legal Description Lot. ... gi.. v.r/2 / Block 2 Subdivision
Street and Number where work is to be performed —No 0.. .... C!imr Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories IL.
service Undehground Size Feeders..Z Conduit �S Main Sw Amps Main Fuses Amps
5.. C �Type of Installation — Conduit Tubing B.X.L Metal Moulding
Electnc Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation ,,s�'as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors ployed 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 ;,1ch 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.
Master Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. j 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, 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.
E ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
X
4
CHECK
B
16,
g
ENT.
Sw.
DIST.
CAB.
• SERVICE
TEMP.
SERVICE
PERM.
MOTORS MOTORS
0.1 HP 1•5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
2 lex.
Si" aj
Fv` 1,
/' eN` To
L)
r _.c HECK
,
(.0
5
Permit No
Registered Architect and /or Engineer
Employing Electrician's Name... .X
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION! DEPARTMENT
PLICATION FOR ELECTRICAL PERMIT
(Signed)
No Set
Date
No..... Street
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. o
Owner's Name and Address
d..
(Signed) P rf.... ....�•1G..l1: ��`�^- -- t...
yr-
Street. l...�..._..,
Location and Legal Description Lot. ... gi.. v.r/2 / Block 2 Subdivision
Street and Number where work is to be performed —No 0.. .... C!imr Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories IL.
service Undehground Size Feeders..Z Conduit �S Main Sw Amps Main Fuses Amps
5.. C �Type of Installation — Conduit Tubing B.X.L Metal Moulding
Electnc Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation ,,s�'as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors ployed 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 ;,1ch 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.
Master Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. j 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, 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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
MIAMI SHORES VILLAGE. FLORIDA
El
E° DATE_ 195
❑ PERMIT N9 3085 Contractor s
License No.
❑ Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot
Descripticn
Address of
Building
Bl.
Subdi-
vision
Value of Amount of
Project $ Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY o• =,$_
Date Job Address ..� // c pd
I,ega1 Description__
J RMIT APPLICATION FOR MIAMI SHORES VILLAGE
- '
r,
Owner / Lessee / Tenant AF. i "��
Owner's Address ,e) F
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
** * * * *
FEES: PERMIT al
APPROVED:
Tax Folio
Master Permit 11
Phone
Contracting Co. A A,c.4 ' �� � 4 7
'� . Addres .A 1E) :',1 � ;
� t
Qualifier / )d /d • .J _ '
State 1� -�,- " `Municipal # Competency # Ins.Co.
SS# - Phone
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING CTRIC 1/ PLUMBING MECHANICAL ROOFING PAVING PENCE SIG
WORK DESCRIPTION ' ?) -' 7'/
Square Ft. Estimated Cost(value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO D
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEN
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, at:
on the attached addendum (if applicable). I certify that all work will be performed to meet th
standards of all laws regulating construction in this jurisdiction. I understand that separat
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 wil
be done in compliance with all applicable laws regulating construction and zoning. Furthermore,
authorize the above -named contractor to do the work stated.
4/
Signature of Contractor or Owner- Builder
Date:
Notary as i- Cont4ctor Qr. Qwner -Builder
My Commis 90 Expires. it
RADON C.C.F. r NOTARY TOTAL DUE
Fire Other
**
Zoning Building Electrica /�
Mechanical Plumbing Engineering