958 NE 91 Terr (11)Permit No
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DARE.
SS.
n �
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMEMT
APPL,8CATION FOR ELECTRIC,', E EG MO7
Date
. (Signed)
(Signed)
No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o aiher
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, I'LL, 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.
Service Overhead Size Feeders Conduit Main Sw Amps
Underground P
Type of Installation — Conduit Tubing B.X.L Metal Moulding
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 sub - contractors, onflwor to
licensed by Miami Shores Village.
Street
Street
Owner's Name and Add
Registered Architect and /or En ineer
Employing Electrician's Name l y No.. ..1 r 2.w .
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
Main Fuses Amps
Electrical Inspector.
ccepts hi ioligations as an employer of
of Florida Permanent Supplement, and
sub-contractors employed by him in the
of -So o: k such public notice or notices
rr ed under this permit, as are
seer 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 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'Y'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TJ
TOTAL
CONTR.
LIST
/
/ p
[4'..2,<-r.
CHECK
ENT.
Sw .
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.9 HP
NEON
TRAHO.
RADIO
TOTAL
CONTR.
LIST
/
CHECK
Permit No
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DARE.
SS.
n �
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMEMT
APPL,8CATION FOR ELECTRIC,', E EG MO7
Date
. (Signed)
(Signed)
No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o aiher
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, I'LL, 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.
Service Overhead Size Feeders Conduit Main Sw Amps
Underground P
Type of Installation — Conduit Tubing B.X.L Metal Moulding
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 sub - contractors, onflwor to
licensed by Miami Shores Village.
Street
Street
Owner's Name and Add
Registered Architect and /or En ineer
Employing Electrician's Name l y No.. ..1 r 2.w .
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
Main Fuses Amps
Electrical Inspector.
ccepts hi ioligations as an employer of
of Florida Permanent Supplement, and
sub-contractors employed by him in the
of -So o: k such public notice or notices
rr ed under this permit, as are
seer 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 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.
THIS CERTIFIES THAT the wiring and apparatus installed at_r
by Address
for - owner, and occupied as
has been inspected and current is authorized to be turned on, until otherwise notified, for:
Size of Service Number of Lighting Circuits �^
Range watts. Water Heater _1 watts
Power: Connected load H P. Space Heaters watts
Other Apparatus
•
MIAMI SHORES VILLAGE
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
PERMIT
ELECTRICAL INSPECTOR.
A-S3
OD r j
ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI
Desiring your certificate of Approval, application is hereby made for an 5.nspectiaa of the
electric installation in the premises stated below, for which undersigned agrees to correct
any infractions of the National Electrical Code and the City Ordinance pointee. out "oy In.•
spector.
LOCATION
DE; AY If GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED APPL.U.•:ATION
WILL BE RETURNED.
N UMBER.- —BLOCK NUMBER SUBDIVISION
STREET AND SIDE
OWNER CC:J K
OccuP:Eo
o OLD (UNDERLINE WHICH)
. OF 1.•:AC2-1 MOTOR VOLTS TOTAL AMPS PHASE
KIND OF INSTALLATION
CEILING
BASEMENT .
—
SECON::'
THIN:3
FouRTH
MASrr ELECrilICIAN
BRACKETS
il.zomrs
RECEPTACLES
FIXTURES ONLY
NUMBER OF
CEILING
SWITCHES
BRACKETS
APPLICATION
TIONAL. NEW ALTERATION OR REPAIR,
SPECIFICATIONS
STOVES
TOTAL
OUTLETS
WATER HEATERS
MAIN
SUSS
/
DAVY
SIGNS
BRANCHES
RE:mAnxs
1 N5PECON WANTED—.
OTHER APPAliATUS
OPEN OR CONCEALED KNOB RX., HX., MI..130., CONDUIT, METALLTc.: TusiNci
sIZE OF
XIXZ SERVIGE f.
CONDUIT CIRCUITS
BY DDRESS
RECEIVED By INSPECTOR
PROGRESS
INSPECT AGAIN
Rouoit WIRING
FINAI, No
CORRECTED
TEMPORARY DAYS.
ATE ISSUED
SPACE BELOW FOR INSPECTOR'S USE ONLY
INSPECTED
REMARKS
FEE REMITTED
INspEcToya
Permit No
. yr
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Oct. 11, 1982
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oc 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.
Irving & Vivian Rodreguiz 958 N E 91st Terrace
Owner's Name and Address No Street
Registered Architect and /or Engineer None
Employing ElectriciaA's N Rg bert N Lewis Elec. Contrs. Inc. 1671 W.S Place, Suite 1409
Hialeah, Fl. 33012
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No S rest
Increase service and criange fuse panel to
State work to be performed and purpose of building (By Floors) b.r.e,a.kex.
New Building Remodeling Addition Repairs X No. of Stories 1
Overhead #1 THW Exist. Breaker
Service Underground Sia Feeders Conduit.. Main Sw Amps s 150 Amps
Type of Installation — Conduit X Tubing B.X.L .Metal Moulding
Amount of Permit $ $10. 00
(Signed
(Signed) en
Electrical Inspector.
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
licensed by Miami Shores Village.
e is O. Cicirelli
Muter Electritian.
STATE OP FLORIDA, 1
COUNTY OF DADE. f
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personalty
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 ail facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of 81.00 will be made when such re-inspection is made neceuary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T8
FIXTURES
NO. LAMPS
REPRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. NEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.8 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
. yr
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Oct. 11, 1982
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oc 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.
Irving & Vivian Rodreguiz 958 N E 91st Terrace
Owner's Name and Address No Street
Registered Architect and /or Engineer None
Employing ElectriciaA's N Rg bert N Lewis Elec. Contrs. Inc. 1671 W.S Place, Suite 1409
Hialeah, Fl. 33012
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No S rest
Increase service and criange fuse panel to
State work to be performed and purpose of building (By Floors) b.r.e,a.kex.
New Building Remodeling Addition Repairs X No. of Stories 1
Overhead #1 THW Exist. Breaker
Service Underground Sia Feeders Conduit.. Main Sw Amps s 150 Amps
Type of Installation — Conduit X Tubing B.X.L .Metal Moulding
Amount of Permit $ $10. 00
(Signed
(Signed) en
Electrical Inspector.
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
licensed by Miami Shores Village.
e is O. Cicirelli
Muter Electritian.
STATE OP FLORIDA, 1
COUNTY OF DADE. f
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personalty
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 ail facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of 81.00 will be made when such re-inspection is made neceuary by improper notice for inspection, or faulty
materials and /or workmanship.
ELECTRICAL PERMIT
N. B. — This Permit must be on clkplay nn the premises during
the eonstructiorh
Owner of Building
Contractor or Electrician
NO. STREET'
Outlets
Dared
i}thami ,-Sizores7illage
OFFICE OF ELECTRICAL_ DEPARTMENT
Miami Shores Village, Fla., 19
LO CATI 0 N
PART OF LOT LOT BL'K
DESCRIPTION OF WORK
NUMBER OF
Motors Receptacles (1enemtors Stoves I . . Water Heaters _ Signs
_ I •
Billboards
Other Apparatus
SUBDIVISION
N(2
610
l'crni t Fee
This Permit is granted upon the express coudition that all facts stated in the Application are true and that the construction complies strictly. with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of Miami Shores \Tillage and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time
upon the violation of an provisions of said laws, ordinances, or rules and regulations, or upc:n any change in the plans ind specifications unauthorized by
this Department.
, Electrical Inspector.
In consideration of the issuance to me of the .foregoing Electrical Pertnit, I hereby agree to do the proposed constructicm in strict conformity with
the Application and the 'plans and specifications theceof heretofore by Inc submittLd, and in compliance with all provisions of all Electri l
.ca. Laws of th
state of Florida, all the Electrical CDrlinances and Codes of Miami Shores Village, and alt rules and regulations of the Electrical Department of Miami
hores \Tillage,
, 19
ELECTRICAL PERMIT
N. B.- - -This Permit must be on display on the premises during
the construction.
Owner of Building_
Contractor or Electrician.
NO. STREET
Outlets
Motors Receptacles
Generators
Stoves
iami Aores G illage
P L O R ID A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, FIa , d / • 19
PART OF LOT
LOCATION
LOT
BL'K
DESCRIPTION CIF WORK
NUMBER OF
Water Heaters Signs
Billboards
SUBDIVISION
Other Apparatus
N f 1
610
•
Pcrnti t: Fee
i — _.
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
- J1ans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
iami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked ❑t any time
the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by
)epartment.
-, Electrical Inspc or.
In consideration of the issuance to me of the foregoing EIectrical Permit, I hereby agree to do the proposed construction in strict co n f or mity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
Sr' • Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
Rage.
, 19— - (Seal)
BUILDING I �'
PLUMBING PERMIT
ROOFING
Address of
Building
1
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
Architect
Contractor
or Builder
Legal Lot
Description II Bl.
CONTRACTOR OR BUILDER
N? 6364
Work to be performed under this Permit_ _
Subdi-
vision
Value of
Project $
Contractor's
License No.
DATE — i 9
1 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 descrihrd in the applica
eon 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 he 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 resnon-
sibility for work done by his agents, servants or employees.
Signed. II.SPEC:CR
In consideration of the issuance to me of this permit I agree to perform the work covored 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 Ivliemi Si crns Village, In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
S S.
MIAMI SHORES VILLAGE
ELECTRICAL. INSPECTION DEPARTMENT'
PPLICATION FOR ELECTRIC L. P M II
Permit No ( —7 Date
(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, 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 Mitchell No
terrace
958 N.E. �,7ar. 91
1 `t fa: / _
Registered Architect and /or Engineer
Employing Electrician's Name SUN STATE ELECTRIC, INC. N 9709 N.W. 27 Street Xl.ue
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Elecvrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed 'ender this permit, as are
licensed by Miami Shores Village.
(Signed) e
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 SERVICE
TEMP. PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTA6.
CONTR.
LIST
Inc. to 100
AMPS
A/C
4.00
CHECK
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
S S.
MIAMI SHORES VILLAGE
ELECTRICAL. INSPECTION DEPARTMENT'
PPLICATION FOR ELECTRIC L. P M II
Permit No ( —7 Date
(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, 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 Mitchell No
terrace
958 N.E. �,7ar. 91
1 `t fa: / _
Registered Architect and /or Engineer
Employing Electrician's Name SUN STATE ELECTRIC, INC. N 9709 N.W. 27 Street Xl.ue
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Elecvrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed 'ender this permit, as are
licensed by Miami Shores Village.
(Signed) e
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
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
❑
DATE
C PERMIT
❑ Work to be performed under this Permit— _
Owner of
Building
B1
N9 6097
Contractor's
License No.
Subdi-
vision
Value of i; Amount of
Project $ H Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device descr hcd 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 an
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit inay 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 respnn-
sibility for work clone by his agents, servants or employees.
Signed- _ i.SPLC.C1I
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordirarad 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
.k °.OT
(t: QGrf�L�QC�ATfLIN F ELEC��'�'G°30C�Qf� G°�C G°�L�i10`l�
Permit No 3
Application is hereby made for the approval of the detailed statement of the pi: ns and specifications ,sera,with submitted for the budding or other
structure herein described. This application is made in complia:,c and conformity with the Building Ordinance of Miami Shores Village, Flo :.ida,
and all provisions of the Laws of the State of Florida all ordinances a Miami Shores Village and all .:ules 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 wort.
Owner's Name and Address Mitchell No 958 N.E street 91 Terracd
Registered Architect aid/or Engineer . ............
Employing Electrician's Name._. SUN . _STATE ...ELECTRI.C.. No 9709 N o Wa
Stree2 7 Avenue
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..
Service Overhead Size Feeders... ......... _. Conduit.... .......Main Sw..... _ -.... Amps
Undergrc:Jnd
Type Installation— Conduit.
Amount of Permit $
STATE OF FLORILA,
COUNTY OF DADE.
ss.
.T big.. ... .B.X.L
MBAMI SHORES QALLAO
E L L C T C A L NSP ECT 00H E PAR TM I"n15P
Repairs No. of Stories
(Signed).......
\i El ctr' LA
.
The undersigned applicant or this building permit doe:. hereby CCI tify that he understands and :.ccepts his obligations as an employer of
labor under the .1orida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P_rmanent Supplei ent and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be t permit :, as a e
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, a..d he ha carefully read the foregoin1 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.
.Metal Moulding.
Main ?uses...... _.... _.......Amps
Master Electrican.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECL'P'Y'S
' 'IXTURES
NO. LAMPS
REFRIG.
OL'TL:
IRON
OUTLET
RANCE
OUTLET
RANG?
CONN.
WAT R
HEAT:_R
, Hr
CONN.
SPAC::
HE ER
STRIP
HEAT¢J
TOTAL
CONTR
LIST
CHECK
ENT.
SW.
DI_ 7.
CAB.
-- Er.V CE
T.: P.
SERV,C°
PE RM
'.i0, O. . ..:TORS
0-1 HP 1 -S HP
A ,, R1
TRAM'.
RADIO
TOTAi
COX "
L1_T
2A /C;s
2.00
CHECK
(t: QGrf�L�QC�ATfLIN F ELEC��'�'G°30C�Qf� G°�C G°�L�i10`l�
Permit No 3
Application is hereby made for the approval of the detailed statement of the pi: ns and specifications ,sera,with submitted for the budding or other
structure herein described. This application is made in complia:,c and conformity with the Building Ordinance of Miami Shores Village, Flo :.ida,
and all provisions of the Laws of the State of Florida all ordinances a Miami Shores Village and all .:ules 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 wort.
Owner's Name and Address Mitchell No 958 N.E street 91 Terracd
Registered Architect aid/or Engineer . ............
Employing Electrician's Name._. SUN . _STATE ...ELECTRI.C.. No 9709 N o Wa
Stree2 7 Avenue
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..
Service Overhead Size Feeders... ......... _. Conduit.... .......Main Sw..... _ -.... Amps
Undergrc:Jnd
Type Installation— Conduit.
Amount of Permit $
STATE OF FLORILA,
COUNTY OF DADE.
ss.
.T big.. ... .B.X.L
MBAMI SHORES QALLAO
E L L C T C A L NSP ECT 00H E PAR TM I"n15P
Repairs No. of Stories
(Signed).......
\i El ctr' LA
.
The undersigned applicant or this building permit doe:. hereby CCI tify that he understands and :.ccepts his obligations as an employer of
labor under the .1orida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P_rmanent Supplei ent and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be t permit :, as a e
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, a..d he ha carefully read the foregoin1 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.
.Metal Moulding.
Main ?uses...... _.... _.......Amps
Master Electrican.