ELECTRICAL PERMITSPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address / t1,_ ti q / �---` Tax Folio
Legal Description f Historically Designated: Yes
Owner/Lessee / Tenant 3 b r /oft ' ! C Master Permit #
Owner's Address / Phone
Contracting Co. 4- #1- .
' #+�,C'v fr..) (,�� G„q ( /L. : Address ,..3 7 % .J • l�'J 4 4
Qualifier CD I.-, JvJ/J. Q %-2--t
Signature of ) owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT e 69 RADON C.C.F. 0
APPROVED:
Zoning
Mechanical
SS# - , 441_-98 )8
State # Municipal # Competency # Tie � )4 S4HIns. 7 �6 -- 281/
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRIC PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION C.> F- 4- � �5 )/- , 44- . o G!
Square Ft. Estimated Cost (value) # SV- °
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.
E04- - _ �`.`- 8 Z /-
Date
Signature of Con
Notary as to
My Commis' On iiiRtr
it A +.
'F 't ' Q
e' FOF F`O
NOTARY
Building Electrical
( -7/ » /729 e
OFFICIAL NOTARY SEAL
MARY MORENO
COMMISSION NUMBER
CC606964
MY CO k":AA •'3SION EXPIRE.. G
IJEC. 10,2000
BOND
TOTAL DUE
No
a
® - (3
Date
Plumbing Structural Engineer
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of ,
Building r I
Architect
Contractor
or Builder
Legal
Description
MIAMI SHORES VILLAGE, FLORIDA
0 DATE " -4 ' 4 19
Le
PERMIT 5734 Contractor's
License No. 7 V-
D
L. . 0
■••■•
t
Lot 11 B
Address of
1 -
Building
CONTRACTOR OR BUILDER BY
Work to be performed under this Permit
Value of
Project $
Subdi-
vision
Amount 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 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 ,
. I., , --",,, , 1 ' , 0 : ,.. - 1,1 , " - si i
, ■ INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all 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 as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
r
AUTHORITY 42EF0'
14* 41 tz.a Vaik
1 w'6 r
ATt.'h3$$
,Vontractor
or Vutider
Legal
Descriplion • `. " � t
Mdross of
Buis
This permit is gratited to the
lasifor iu sides coraphatee wiwa . .
state s o spaeitUati
thee if the wodk . is not di�ee i
c.is die oodersteatft.
og to the wash , aotecisf
by hag agents, sesv s c .
414 ate. sobaitted : ±
54a ag t; lOrvari
Date
1\1 1 Job Address 10 a. NE_ 9 ) 5+
Legal Description
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Lo-k 3 Lk ; rJ
Owner / Lessee / Tenant crti AV-VIA 4 ku r2p. Pal fru- r
Owner's Address b 1VL ° [ S-}-
Contracting Co. W ksk :nq ko ∎ Se.a�rll. Address ,.''- N'^i b 0 S F } • 3 q
Qualifier .);NLer■ sbaunur SS # - - Phone C CI) C OO - D3DO
State # Municipal # Competency # ..FODDA Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING .LECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION NA./ o r
APPROVED:
At Otfret
Notary as to Owner and /or Condo President
My Commission Expires:
f l &sVer ; 1
Tax Folio ) j `3 i o i 0/9 00/0
A DO
Square Pt. Estimated Cost(value) �91
Master Permit # --?7c
Phone I S 9 (kyck
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 state,.
Signature of owner and /or Condo President Signature of Contractor or Owner- Builder
Date: Date:
Notary as to Contractor or Owner- Builder
My Commission Expires:
:w arn . ei ink ■
** * * * * * * * * * * * i k T' OF ORI L
m Exp3/4/95
FEES : PERMIT 1 ;$0 RADON C . C . F . N O T A R Y / ` 1 � c - -
* *
Fire Other
Zoning Building Electrical
Mechanical Plumbing Engineering
late
.e$al Description
)caner /. Lessee / Tenant
)w Phone
ner's Address
Contracting Co.
Qualifier
SS #t - _ Phone
State #
Municipal #t Competency 0 Ins.Co.
Address
Architect /Engineer
Address
Bonding Company
Address
Mortgagor
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION
Square Ft.
SO AR
MAY WNING
RESULT LTN ULT I N R:
YOUR PAYING YOU MUST RECORD C£ FOR NOTICE
MPROVEMENTS TO YOUR PROPERTY FAILURE TO DO INTEND
S MAY ESN
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT) .
Application is hereby made to obtain a perm �t c ert certify hat and
all installation
work will be to above, and the
on the attached addendum (if applicable).
standards of all laws regulating construction
SIGNS, this
POOLS, jurisdiction. R00FI and MECHANICAL i pWORK. separate
permits are required for ELECTRICAL,
OWNER'S AFFIDAYIT: I certify that all a lairs 8 e�iinformation construction accurate and and zoning. Furthe
be done in compliance with all applicable
authorize the above - - named contractor to do the work stated.
P J ( L I Signature of Contractor or Owner-Builder Da
Signature of owner and /or Condo President m.
Date: I°nn ,
Notary as to Owner and /or Condo President
My Commission Expires:
FEES: PERMIT
APPROVED:
PERMIT AYY 1t;A 1 It/1N r tin lviiriiY& • Aft � �:•�
VUQdi t om
Job Address
Samuel T Pink
ST,ATE OF FLORIt A
3/4/
Mechanical
Tax Polio
Address
Estimated Cost(value)
Master Permit 0
Notary as to Contractor or Owner- Builder
My Commission Expires:
* * * * * * * * * **
C.C.P. NOTARY TOTAL DUE
Fire Other
Building Electrical
Plumbing Engineering
Permit No...rl .1............_
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su•mitted for the building or other
structure herein described. This application is made in compliant and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida all ordinances o; 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 /Q 2 - Street...!/' G • 94
Registered Architect and /or Engineer _ .
Employing Electrician's Name .. d t .�4e.:e64., I No. 4 42 - °g Street / 74-4 `& bea-4x C. X
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.
Date
Service Overhead Size Feeders... ........ Co ildurt /Z._...Main Sw
200
Type Installation— Conduit.. ...T b ig.. . ..... .B.X L . .. .Metal Moulding.
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
SS.
1
(Signed).
(Signed) ale
° f969
Repairs No. of Stories
...Amps 2% Main °uses.... °O Amps
Elr.ctr cal Inspector.
The undersigned applicant ;or this building permit doer. hereby certify that he understands and Lccepts his obligations as an employer of
labor under the :lorida 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 ae
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, a .d he ha. 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.
OUTLrf
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. Hr AT.
CONN.
SPACE
HE . ER
STRIP
HEATED
TOTAL
CONTR
LIST
', 42
5K
CHECK
q S
ENT.
SW.
DISST.
CAS.
- ;EI VECE
T.:. P.
SERVIC°
PCRM.
iO ?O:'.;
0.1 HP
r..3TORS NES'N
1.5 HP TRANC.
RADIO
TOTAL
Co :V . R.
LILT
_ ./ . '____
.O p
L.L' •
CHECK
Permit No...rl .1............_
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su•mitted for the building or other
structure herein described. This application is made in compliant and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida all ordinances o; 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 /Q 2 - Street...!/' G • 94
Registered Architect and /or Engineer _ .
Employing Electrician's Name .. d t .�4e.:e64., I No. 4 42 - °g Street / 74-4 `& bea-4x C. X
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.
Date
Service Overhead Size Feeders... ........ Co ildurt /Z._...Main Sw
200
Type Installation— Conduit.. ...T b ig.. . ..... .B.X L . .. .Metal Moulding.
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
SS.
1
(Signed).
(Signed) ale
° f969
Repairs No. of Stories
...Amps 2% Main °uses.... °O Amps
Elr.ctr cal Inspector.
The undersigned applicant ;or this building permit doer. hereby certify that he understands and Lccepts his obligations as an employer of
labor under the :lorida 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 ae
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, a .d he ha. 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.. t /3 6
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub e• e building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance illage, 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 But g 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.
Location and Legal Description Lot
Amount of Permit $....
STATE OF FLORIDA, j
COUNTY OF DADE. 1
6 4 , s
MIAMI SHORES VILLAGE ittr)
ELECTRICAL INSPECTION DEPARTMENT /
APPLICATION FOR ELECTRICAL PERMIT S d ,_ 5 sz
6s.
h! eiet No / 0 Street __.... /...
Owner's Name and Address
Registered Architect and /or ti neer.
Employing Electrician's Name , j , �f No Street
Street and Number where work is to be performed —No Street
6 LState work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
nduitJ.7�i Main Sw. 0 Q Amps Main Fuses... /.. / Amps
Service Overhead Site Feeders
Underground
Type of Installation — Conduit �/ Tubing..i B.X L Metal M
Block Subdivision
(Signed)
Electrical Inspect
The undersigned applicant for this bui . per s it doe . ereby c that he understands and accepts his obligations as an ployer of
labor under the Florida Workmen's Compensation ' ct, being a .n 5966, Compiled General Laws of Florida Permanent S .plement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ 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 publi .tire 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.
Mas er 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
TS
PLUG
RECE'
FIXTURES
NO. LAM
LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HE ATER
W. HEAT.
CONN.
SPACE
H EATER
_
STRIP
H EATER
TOTAL
4/—
I g
y
/
�-
E NT.
SW.
OMR
CAB.
SERVICE
TEMP. TEMP.
SERVICE
PER
M OTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR. 2 ad
LIST d!
CHECK /�
". (/�'
�L
Z
/ OO
r
Permit No.. t /3 6
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub e• e building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance illage, 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 But g 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.
Location and Legal Description Lot
Amount of Permit $....
STATE OF FLORIDA, j
COUNTY OF DADE. 1
6 4 , s
MIAMI SHORES VILLAGE ittr)
ELECTRICAL INSPECTION DEPARTMENT /
APPLICATION FOR ELECTRICAL PERMIT S d ,_ 5 sz
6s.
h! eiet No / 0 Street __.... /...
Owner's Name and Address
Registered Architect and /or ti neer.
Employing Electrician's Name , j , �f No Street
Street and Number where work is to be performed —No Street
6 LState work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
nduitJ.7�i Main Sw. 0 Q Amps Main Fuses... /.. / Amps
Service Overhead Site Feeders
Underground
Type of Installation — Conduit �/ Tubing..i B.X L Metal M
Block Subdivision
(Signed)
Electrical Inspect
The undersigned applicant for this bui . per s it doe . ereby c that he understands and accepts his obligations as an ployer of
labor under the Florida Workmen's Compensation ' ct, being a .n 5966, Compiled General Laws of Florida Permanent S .plement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ 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 publi .tire 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.
Mas er 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.