ELECTRICAL PERMITPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 3 Job Address °2 5 U N6 '7/ 57 Tax Folio
Legal Description Historically Designated: Yes No
O w n e r / L e s s e e / Tenant L N ° ` k Fn- 0 & Y /h /f / S M A //k L /' E ie Master Permit # y' p ( y
Owner's Address 2- 95 ° N E 5 I S T Phone 3° 5 - 7 96 - (1 3 g
Contracting Co. C- G e tie 6 L E C i ' (c - co x /?
Qualifier N I L L E 6 "E
Signature of owner and/or Con' ,� t Date
Notary as to
My Commissio
FEES: PERMIT X S RADON
Address 3 2 5 w
Electri
h Tie- -xn
SS# ; Phone 3 °S 5 y 'G6 "i 3
State # 612-0 z. a 3C
Municipal # Competency # 7 Y Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDINECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION fl' /h D f e L a. N IL
Square Ft. Estimated Cost (value) '' o_ 0 0
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 perfomied 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 Contractor or Owner - Builder Date
/ e_g_.2 Jh 3-,j/)
ondo President Date Notary as to Con r or Owner - Builder Date
My
1 I n COMMIS9ON NUMBER
• q� c CC797277
7 4, � MY COMMISSION EXPIRES
OF p . D2C. 17,2002
C.C.F 1/ NOTARY 5- BOND
TOTAL DUE f J - —
APPROVED:
Zoning Building
Mechanical Plumbing Structural Engineer
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 51$ /Z000
Job Address a. `6 v NE 57. Tax Folio
Legal Description Historically Designated: Yes No ;/
Ececi res/hii if y (,yS c ( /
Owner/Lessee / Tenant C i /} R L 6 5 F A D E I - Y Master Permit # C? 1 5
Owners Address a co 0 NE 5/ 51. Phone 3 O S - 7 5 -.56, 3 3
Contracting Co. J_ E- G 6 it/ p & L F C-T if < < Address 3P. 1 l E /( ,e,
Qualifier //E IL I- 6 P TE It' S o„/
SS#
Phone 3 - Cc 4 / 3
/�- oOl63s a5�5� - F «I - wK
State # E Municipal # Competency #/ 4( Ins. Co. z o !' r c N c Ili 6/LIT
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRIC PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
2 fut.37 0 Y ' Vis o 't lv is7 t-r p€' -
P ;7`
WORK DESCRIPTION IC- eASE SCKV I�( F-0(0,1 15'0 To a AMPS tv1R6 rot cI
/ADO.6 !ANS 4 - 5wate .5 RE,41g u /STAIRS 4 \ w)RiAv6-
Square Ft. 21S° G Estimated Cost (value) 2, 6 00. 0 0
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 and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT
RADON
to Co
YS Y • i
Lit STATE J VILLAR
COMMISSION NO. CC714103
VS COMMISSION EXP. MAR 1
•
r:
-1-
tary
Co
C.C.F. � NOTARY S ! BOND
TOTAL DUE
S k/a000
tune of Contractor or�wnel
:S-f- z00o
Date
I J �Q
APPROVED:
Zoning Building Electrical % 9A0/' dip
Mechanical Plumbing Structural Engineer
ITEM
BATH 11.8
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
- 7
FEE
Ai
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
[#
lj i
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
/
40,x
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 FP
HOT WATER BOILERS
SINK, POT /3 CORP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY T0:
AIR CONDITIONERS
/
70.
-
A/C UNIT
STRIP HEATER
f
p, p
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERC I AL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
ITILITY -SEWER
SIGN TIME CLOCK
JTILITY -WATER
FIXTLRES
;EPTIC TANK
ANTENNA
:ELAY
TELEVISION OUTLETS
, RAINFIELD, 4' TILE/RES.
_
VIOLATION
UMP & ABANDON SEPTIC TANK
REINSPECTION
'
OAKAGE PIT CU. FT.
ATCH BASIN
ISCHARGE WELL
CMESTIC WELL
REA DRAIN
OOF INLET
OLAR WATER HEATER
IRE STANDPIPE
JOL PIPING
AWN SPRINKLER SYSTEM
AS RANGE
_TER SET (GAS)
LS PIPING
PLUMBING
.ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
ELECTRICAL
MECHANICAL
1. 50 AMP 2P A/C #1 AIR HANDLER
2. 30 AMP 2P A/C #3 AIR HANDLER
3. 50 AMP 2P A/C #1 AIR HANDLER
4. 30 AMP 2P A/C #3 AIR HANDLER
5. 30 AMP 2P A/C #1
6. 20 AMP 2P A/C #3
7. 30 AMP 2P A/C #1
8. 20 AMP 2P A/C #3
9. 50 AMP 2P A/C #2 AIR HANDLER
10. 60 AMP 2P RANGE
11. 50 AMP 2P A/C #2 AIR HANDLER
12. 60 AMP 2P RANGE
13. 30 AMP 2P A/C #2
14. 30 AMP 2P WATER HEATER
15. 30 AMP 2P A/C #2
16. 30 AMP 2P WATER HEATER
17.20 AMP 2P SPRINKLER PUMP
18. 30 AMP 2P DRYER
19.20 AMP 2P SPRINKLER PUMP
20. 30 AMP 2P DRYER
21. 20 AMP 1P REFRIGERATOR
22.20 AMP 1P CLOTHES WASHER
23. 20 AMP 1P DISHWASHER
24. 20 AMP 1P DISPOSAL
25.20 AMP 1P SMALL APPLIANCE
26.20 AMP 1P SMALL APPLIANCE
27.15 AMP 1P LIGHTING
28.15 AMP 1P LIGHTING
29. 15 AMP 1P LIGHTING
30. 15 AMP 1P LIGHTING
31. 15 AMP 1P LIGHTING
32.15 AMP 1P LIGHTING
33. 15 AMP 1P LIGHTING
34.15 AMP 1P LIGHTING
35.15 AMP 1P LIGHTING
36.15 AMP 1P LIGHTING
37.15 AMP 1P LIGHTING
38. SPACE
39. SPACE
40. SPACE
•
CIARLES FADELY
280 NE 91st ST.
MIAMI SHORES, FL
NEW ELECTRIAL PANEL
200 AMP MAIN BREAKER
LOAD CALCULATION
GENERAL LIGHTING LOAD:
2800 SQUARE FEET AT 3 VOLT AMPS PER SQUARE FOOT = 8400 VOLT AMPS
10.5 KW RANGE = 10500 VOLT AMPS
21 KW HEAT STRIPS = 21000 VOLT AMPS
1 CLOTHES DRYER = 5000 VOLT AMPS
WATER HEATER = 4500 VOLT AMPS
SPRINKLER PUMP = 2760 VOLT AMPS
25% OF LARGEST MOTOR = 780 VOLT AMPS
4 SMALL APPLIANCE CIRCUITS AT 1500 VOLT AMPS EACH = 6000 VOLT AMPS
1 LAUNDRY CIRCUIT = 1500 VOLT AMPS
TOTAL VA 60440 VOLT AMPS
10 KVA AT 100%
50.44 KVA AT 40%
LOAD CALCULATION TOTAL VA =
CONNECTED LOAD = 30176 DIVIDED BY 230 VOLTS =
5/8/2000
10000 VOLT AMPS
20176 VOLT AMPS
30176 VOLT AMPS
131 AMPS
Legend Electric Corp.
8320 S.W. 117 Terr.
Miami, Fl 33156
(305) 255.6643
CC # 18774
1. 50 AMP 2P A/C #1 AIR HANDLER
2. 30 AMP 2P A/C #3 AIR HANDLER
3. 50 AMP 2P A/C #1 AIR HANDLER
4. 30 AMP 2P A/C #3 AIR HANDLER
5. 30 AMP 2P A/C #1
6. 20 AMP 2P A/C #3
7. 30 AMP 2P A/C #1
8. 20 AMP 2P A/C #3
9. 50 AMP 2P A/C #2 AIR HANDLER
10.60 AMP 2P RANGE
11. 50 AMP 2P A/C #2 AIR HANDLER
12. 60 AMP 2P RANGE
13. 30 AMP 2P A/C #2
14. 30 AMP 2P WATER HEATER
15. 30 AMP 2P A/C #2
16. 30 AMP 2P WATER HEATER
17. 20 AMP 2P SPRINKLER PUMP
18. 30 AMP 2P DRYER
19.20 AMP 2P SPRINKLER PUMP
20. 30 AMP 2P DRYER
21.20 AMP 1P REFRIGERATOR
22.20 AMP 1P CLOTHES WASHER
23. 20 AMP 1P DISHWASHER
24. 20 AMP 1P DISPOSAL
25. 20 AMP 1P SMALL APPLIANCE
26.20 AMP 1P SMALL APPLIANCE
27.15 AMP 1P LIGHTING
28.15 AMP 1P LIGHTING
29. 15 AMP 1P LIGHTING
30. 15 AMP 1P LIGHTING
31. 15 AMP 1P LIGHTING
32. 15 AMP 1P LIGHTING
33.15 AMP 1P LIGHTING
34.15 AMP 1P LIGHTING
35.15 AMP 1P LIGHTING
36. 15 AMP 1P LIGHTING
37. 15 AMP 1P LIGHTING
38. SPACE
39. SPACE
40. SPACE
OHARLES FADELY
280 NE 91st ST.
MIAMI SHORES, FL
LOAD CALCULATION
GENERAL LIGHTING LOAD:
2800 SQUARE FEET AT 3 VOLT
10.5 KW RANGE =
21 KW HEAT STRIPS =
1 CLOTHES DRYER =
WATER HEATER =
SPRINKLER PUMP =
25% OF LARGEST MOTOR =
4 SMALL APPLIANCE CIRCUITS
1 LAUNDRY CIRCUIT =
TOTAL VA
NEW ELECTRIAL PANEL
200 AMP MAIN BREAKER
AMPS PER SQUARE FOOT = 8400 VOLT AMPS
10500 VOLT AMPS
21000 VOLT AMPS
5000 VOLT AMPS
4500 VOLT AMPS
2760 VOLT AMPS
780 VOLT AMPS
AT 1500 VOLT AMPS EACH = 6000 VOLT AMPS
1500 VOLT AMPS
60440 VOLT AMPS
10 KVA AT 100%
50.44 KVA AT 4Q%
LOAD CALCULATION TOTAL VA =
CONNECTED LOAD = 30176 DIVIDED BY 230 VOLTS =
5/8/2000
10000 VOLT AMPS
20176 VOLT AMPS
30176 VOLT AMPS
131 AMPS
Legend Electric Corp.
8320 S.W. 117 Terr.
Miami, Fl 33156
(305) 255 -6643
CC # 18774
CHARLES FADELY RESIDENCE
280 NE 91st ST.
MIAMI SHORES, FL
2' CONDUIT W/3.2/O WIRES-->
NEW
200 AMP WP
MAIN BREAKER
40 CKT PANEL
TO FPL
200 AMP
0
METER
CAN
#4 GRD WIRE TO GRD RODS & WATER SYSTEM IN 3/4' CONDUIT
MINIMUM 6' -O" SPACING
/0 HOSE BIB
LEGEND ELECTRIC CORP.
8320 S.W. 117 TERR.
MIAMI, FL 33156
CC# 18774
QUALIFIER: NEIL LEE PETERSON
CHARLES FADELY RESIDENCE
280 NE 91st ST.
MIAMI SHORES, FL
2' CONDUIT W/3.2/O WIRES-
NEW
200 AMP WP
MAIN BREAKER
40 CKT PANEL
TO FPL
200 AMP
O
METER
CAN
#4 GRD WIRE TO GRD RODS & WATER SYSTEM IN 3/4" CONDUIT
MINIMUM 6' -O" SPACING
/0 HOSE BIB
LEGEND ELECTRIC CORP.
8320 S.W. 117 TERR.
MIAMI, FL 33156
CC# 18774
QUALIFIER: NEIL LEE PETERSON
`) Architect
Contractor
or Builder
Legal
Description
Address of
Building
• �-
BUILDING / MIAMI SHORES VILLAGE, FLORIDA
Dote
ELECTRICAL ( �,�
PLUMBING ❑ PERMIT
ROOFING ❑
❑ Work to be performed under this Permit C' /4 c t / attialja i vij
Owner of
Building �'� G �r f.)-(' 4 "—
f �� , F/1 r i Y^ 11r
Lot c.
0 l
e •
T:• " `• T.'!." . `'
ONTRACTOR or BUILDER BY
.�,.,•, ke' -1
l
Contractor's
License No.
Permit: --5.1). CPO
E / %r7Q 1
su vision l / 2(41/7.0 yi0
vision
Sq. Ft.: Radon:
Value of r(' -�
Project $ Amount of
� (J + Permit: , >
CCF:,
Notary:
Bond:
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 • f /� f ; j �/ •'rJ !y , • L • ' 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 regulations
pertaining thereto and in strict confo ity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting „(j permit l-aa responsibility for all work done by either, myself, my agent, servant or employee. •
7 a '4200 03 /PO
A U THORITY TL 55.00
0
Permit No
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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
v
Registered Architect and /or Enginee
Employing Electrician's Name
Location and Legal Description Lot
New Building Remodeling X
STATE OF FLORIDA,
COUNTY OF DADE. I sa.
--- &)//1/ l / p • N0.6.1
Street and Number where work is to be performed —No J f) ` ..,Street
State work to be performed and purpose of building (By F�oors).
' /.
Ad ition Re No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground p P
Type of Installation— Conduit Tubing B.X.L Metal Moulding
, r !
Amount of Permit $
My Commission Expires
NOTE: A re- inspection fee of $1.00 will be made when such
materials and /or workmanship.
MIAMI SHORES VILLAGE
Block 3
(Signed)
(Signed) ►y
Street / S
Street Sid /
Subd ionZ...
etrical Inspp r.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contract
work to be performed under this permit; and will post or cause to be posted for inspection on the te of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on the
be performed undt this pelt, as are
licensed by Miami Shores Village.
ons u an employer of
manent Supplement, and
's employed by him in the
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.
Notary Public, State of Florida
re•inspectibn is made necessary by improper notice for inspection, or faulty
•
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE•P'T'8
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR. IST
!,
C >
v
/
X
1.'a S �
•
CHECK
CHIC
ENT.
SW.
DIST.
ERVICE
TEMP.
SERVICE
PERM.
p/ 4 rj
e„,/
it/4.6 n
lei 7r1,
MOTORS
O.1 HP
MOTORS
1 -S HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
•
-4=
p `
CHECK
ff
.3C.
I• r
C
1 ' 2 J - 2 (
_.D,
0
Permit No
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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
v
Registered Architect and /or Enginee
Employing Electrician's Name
Location and Legal Description Lot
New Building Remodeling X
STATE OF FLORIDA,
COUNTY OF DADE. I sa.
--- &)//1/ l / p • N0.6.1
Street and Number where work is to be performed —No J f) ` ..,Street
State work to be performed and purpose of building (By F�oors).
' /.
Ad ition Re No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground p P
Type of Installation— Conduit Tubing B.X.L Metal Moulding
, r !
Amount of Permit $
My Commission Expires
NOTE: A re- inspection fee of $1.00 will be made when such
materials and /or workmanship.
MIAMI SHORES VILLAGE
Block 3
(Signed)
(Signed) ►y
Street / S
Street Sid /
Subd ionZ...
etrical Inspp r.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contract
work to be performed under this permit; and will post or cause to be posted for inspection on the te of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on the
be performed undt this pelt, as are
licensed by Miami Shores Village.
ons u an employer of
manent Supplement, and
's employed by him in the
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.
Notary Public, State of Florida
re•inspectibn is made necessary by improper notice for inspection, or faulty
•
Owner's Name and Address 00/!60 H •
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
to lq°
Permit No
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 work.
No gee 74 Street q/ 5 7 •
Registered Architect and /or Engineer { _ /
Employing Electrician's Name ,T1.F 4 -= c 6 A/G L
1 11 L No /3 ° 1 Street ia"7e'
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 2. ?O ! / di
/ e Street J 7 S 7
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
•� (Signed)
Date 11' ,— 77
!L.
Ele cal r pe • r.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio• as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm d ent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors e 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 such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on w• to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) 4*
STATE OF FLORIDA, l
COUNTY OP DADE. f
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
H
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
Z
Z
/
Z. 5J
CHICK
y` 0
.7
ENT.
$W.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
.
TOTAL
CONTR.
LIST
CHECK
Owner's Name and Address 00/!60 H •
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
to lq°
Permit No
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 work.
No gee 74 Street q/ 5 7 •
Registered Architect and /or Engineer { _ /
Employing Electrician's Name ,T1.F 4 -= c 6 A/G L
1 11 L No /3 ° 1 Street ia"7e'
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 2. ?O ! / di
/ e Street J 7 S 7
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
•� (Signed)
Date 11' ,— 77
!L.
Ele cal r pe • r.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio• as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm d ent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors e 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 such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on w• to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) 4*
STATE OF FLORIDA, l
COUNTY OP DADE. f
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 2 11 ! /
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 Engineer
Employing Electrician's Name G
Servic Overhead Site Feeders
erground
Type of Installatio ndu1
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
Date - --(0
$ s.
/O e
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Pa/n No..gEJ•-0 Street /.5!t
Location and Legal Description Lot Block
Street and Number where work is to be performed —No
07'F cz- No /D Street / J..J -f
State work to be performed and purpose of building (By Floors)
9722P c s - W2
a 0
(Signed)
(Signed)....
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.
Subdivision
0
Street
0 „J 'j' /C ,,
New Building Remodeling Addition Repairs X ..Fgvice No. of Stories
Main Sw
Tubing B.X.L Metal Moulding
Main Fuses Amps
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
aster Blcctrician.
Before me, the undersigned authority, a notary public, duly authorized to administer 'oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
•
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No 2 11 ! /
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 Engineer
Employing Electrician's Name G
Servic Overhead Site Feeders
erground
Type of Installatio ndu1
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
Date - --(0
$ s.
/O e
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Pa/n No..gEJ•-0 Street /.5!t
Location and Legal Description Lot Block
Street and Number where work is to be performed —No
07'F cz- No /D Street / J..J -f
State work to be performed and purpose of building (By Floors)
9722P c s - W2
a 0
(Signed)
(Signed)....
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.
Subdivision
0
Street
0 „J 'j' /C ,,
New Building Remodeling Addition Repairs X ..Fgvice No. of Stories
Main Sw
Tubing B.X.L Metal Moulding
Main Fuses Amps
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
aster Blcctrician.
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 0
ELECTRICAL )gf
PLUMBING 0
ROOFING 0
Owner of
Building
Architect
Contractor x ` �° �- Subdi
or Builder vision
Lot II Bl. Sq.Ft•
Legal Value of II permit $
Description Project $ leca
Proj went or device described the and
Address of �I Amount of 0 or to install the equip performed in compliance be revoked
that the wore will be p on which this
This
Building with the understandtien ptoper the work ill b ptirfo m d in u
ordinances pertaining thereto and roved by
• is granted to the contractor or builder named abo submitted to and approved building ed without authorization. stomas respon-
This permit g liance with all or have been subme plans are changed for a thorough knowledge of the ordinances and
at any t m e in the work rk is
plans, drawings, 5 gran a stat ements
is th a understanding a specifications that mar
liance with such ordinances or if the p
n time if the work is now rk cov re her shown on the plans or drawings or in the s tatements or sp ecifications and that ha a
a r that the contractor or builder named above assumes the responsibility
at Y granted is the undo
permit is g ertaining to the work covered hereby woe BY
regulations pertaining agents, servants or employe
sibility for work done by / 1 (INSPECTO compliance with all ordinances and re
ecifications submitted to the proper authorities of Miami Soo "�
work covered hereunder in comp
Signed • permit 1 ee to perform the ee.
Tans, dr ,i gs, statements or sp agent, servant or employ
with the p � one by either, myseli� my g
In consideration of the issuance to `11e of this a 1 wor
pertaining thereto and in strict conformity
In accepting this permit I assume responsibility AUTHC''
CONTRACTOR or BUILDER
ES VILLAGE FLORID
MIAMI SHOR Date
PERMIT N9 884
Work to be performed under this Permit
BY
Contractor's
License No.
„a
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT -y
Date I� ,1 4
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte 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.
Permit No....1. V 9
Owner's Name and Address... DQ.Q UD No 280 N . E . Street 91 ,, t/C,Q,Pi
Registered Architect and /or Engineer
Employing Electrician's Name Sun State E l e c t r i c, T nc . No 1014 7 N. W. 2 7StrAy e.
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 X
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Am s Main Fuses.
Underground P
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ (Signed) c IA ?� �.. (Q
Electnc.l Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, (
COUNTY OF DADE. I "'
(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.
Amps
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECEIP'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
4
?.1r
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
I.S HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
a /C.
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT -y
Date I� ,1 4
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte 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.
Permit No....1. V 9
Owner's Name and Address... DQ.Q UD No 280 N . E . Street 91 ,, t/C,Q,Pi
Registered Architect and /or Engineer
Employing Electrician's Name Sun State E l e c t r i c, T nc . No 1014 7 N. W. 2 7StrAy e.
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 X
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Am s Main Fuses.
Underground P
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ (Signed) c IA ?� �.. (Q
Electnc.l Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, (
COUNTY OF DADE. I "'
(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.
Amps
BUILDING
ELECTRICAL
PLUMBING
ROOF'IN
Owner of
Building
Architect
Oontractor
or Builder
Legal
Description
Address of
Building
ler PERMIT 'N° 13694
11
❑ Work to be performed under this Permit
Lot
MIAMI SHORES VILLAGE, FLORIDA
. D o ct
CONTRACTOR OR BUILDER
Signed •
♦,l
Subdi-
vision
Value of
Project $
DATE k . Alg. 195
Contractor's
License No
BY
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 i 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 ra 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 .andwitegulations
pertaining to thel work covered hereby whether shown on the plans or drawings or in the statements or specifications and that h assumes responsibility for work
done by his agents, servants or employees.
INSPECTOR
In consideration of the issuance to me of this permit I agree to p • f. the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statem nts 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 t; ' employee.
BY
STATE OF FLORIDA, l
COUNTY OF DADE. I
•
Amount of Permit $
ELECTRICAL INSPECTION DEPARTMENT
// APPLICATION FOR ELECTRICAL PERMIT
building during progress of work.
Owner's Name and Address... 7 h i 4/4
Registered Architect and /or Engineer
Street and Number where work is to be performed —No
3 ',V
SS.
MIAMI SHORES VILLAGE
(Signed)
•3
Permit No e , i, / G� Date
Application is hereby made for he approval of d tailed statement of e 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
No
Street. ./Y. LC
Street.. 'fit s7
5./ s7
Employing Electrician's Name. /Is i r T 4/ L - No...,! % °r Street../ .4 NO '1
Location and Legal Description Lot Block Subdivision
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
(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.
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
C6407'04,
. 04 TM/
/
1
i O U
TOTAL
` -7
1!
CONTR.
LIST
•
/
/
CHECK
L 1
� Q 1m
7 C
��"�`ii
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
IST
LIST
•
CHECK
, 0 0
STATE OF FLORIDA, l
COUNTY OF DADE. I
•
Amount of Permit $
ELECTRICAL INSPECTION DEPARTMENT
// APPLICATION FOR ELECTRICAL PERMIT
building during progress of work.
Owner's Name and Address... 7 h i 4/4
Registered Architect and /or Engineer
Street and Number where work is to be performed —No
3 ',V
SS.
MIAMI SHORES VILLAGE
(Signed)
•3
Permit No e , i, / G� Date
Application is hereby made for he approval of d tailed statement of e 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
No
Street. ./Y. LC
Street.. 'fit s7
5./ s7
Employing Electrician's Name. /Is i r T 4/ L - No...,! % °r Street../ .4 NO '1
Location and Legal Description Lot Block Subdivision
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
(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.
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
/xz90
Permit No.!' :.T - Date /5 //Pd
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI 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 Oc 72 l "id 6T... ✓A. 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 PO Street 97
State work to be performed and purpose of building (By Floors) 2 2• /dgn77# b
New Building Remodeling Addition
Repairs
Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
IS
Service Overhead
Amount of Permit $
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General
has complied with the provisions thereof, and will require similar compliance from all contra
work to be performed under this permit; and will post or cause to be posted for inspec
as are required by the Act. The undersigned agrees to employ only such subcontractor
licensed by Miami Shores Village.
(Signed)
STATE OF FLORIDA,
COUNTY OF DADE. I °°
Before me, the undersigned authority, a notary public, duly authorized
No. of Stories
to administer
oaths and
Electrical Inspector.
cepts his obligations as an employer of
of Florida Permanent Supplement, and
su contractors employed by him in the
of t ► work such p bait notice or notices
be performed un this permit, as are
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
therein by him stated are true.
NOTARY PUBLIC, STATE OF FLORIDA AT LARGE
MY COMMISSION EXPIRES NOV. 14, 1983
ftrNDE1711/74 tikitie fll1046•
NOTE: A re•inapection fee of 81.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
sign the same, and that all facts
Master Electrician.
I
o Public, State of orida
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'8
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANO!
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
H
TOTAL
CONTR.
LIST
a
3
CH ECK
ENT.
SW.
DIST.
CAS.
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
/xz90
Permit No.!' :.T - Date /5 //Pd
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI 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 Oc 72 l "id 6T... ✓A. 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 PO Street 97
State work to be performed and purpose of building (By Floors) 2 2• /dgn77# b
New Building Remodeling Addition
Repairs
Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
IS
Service Overhead
Amount of Permit $
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General
has complied with the provisions thereof, and will require similar compliance from all contra
work to be performed under this permit; and will post or cause to be posted for inspec
as are required by the Act. The undersigned agrees to employ only such subcontractor
licensed by Miami Shores Village.
(Signed)
STATE OF FLORIDA,
COUNTY OF DADE. I °°
Before me, the undersigned authority, a notary public, duly authorized
No. of Stories
to administer
oaths and
Electrical Inspector.
cepts his obligations as an employer of
of Florida Permanent Supplement, and
su contractors employed by him in the
of t ► work such p bait notice or notices
be performed un this permit, as are
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
therein by him stated are true.
NOTARY PUBLIC, STATE OF FLORIDA AT LARGE
MY COMMISSION EXPIRES NOV. 14, 1983
ftrNDE1711/74 tikitie fll1046•
NOTE: A re•inapection fee of 81.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
sign the same, and that all facts
Master Electrician.
I
o Public, State of orida