ELECTRICAL PERMITELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No C/
Service Overhead
Underground S Feeders °? /. .Conduit Main Sw... ■
MIAMI SHORES VILLAGE
(Signed)
A mps eoa.
Date. 3— fl 77
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, Fio:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and specifications must be kept at
building during progress of work. ,,�
Owner's Name and Address D Y [/ N o �p /p Street�Z ° r/
Registered Architect and /or Engineer 1(
Employing Electriciah's Name 60. N.. .If/,./9 46 EG 1 1 No 'Vat/ Street se-ei as5 4Z '
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
Type of Installation -- Conduit Tubing B.X.L .Metal Moulding
c7c%
Amount of Permit $ O / (Signed)
RI ectrical I. ' ctor.
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 3966, Compiled General Laws of Florida Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contra tors 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.
STATE OF FLORIDA, l
COUNTY OF DADE. lj se.
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.
Muter Electrician.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'F'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
MEATIER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
H
r -)� -/'
�/
TOTAL
CONTR.
LIST
(/�
/%
` /%
r C
0
/
/
/
—1—.
/ ...eke
I !y
/
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
r �
�+
D /se; a
MOTORS
0.1 HP
MOTORS
1 -5 HP
O''.6-e",
"
NEON
TRANS.
`
/ „S p�
RADIO
•
TOTAL
CONTR.
LIST
ri��
/' g
/
` Q
1 /
• ,
c ;
CHECK
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No C/
Service Overhead
Underground S Feeders °? /. .Conduit Main Sw... ■
MIAMI SHORES VILLAGE
(Signed)
A mps eoa.
Date. 3— fl 77
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, Fio:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and specifications must be kept at
building during progress of work. ,,�
Owner's Name and Address D Y [/ N o �p /p Street�Z ° r/
Registered Architect and /or Engineer 1(
Employing Electriciah's Name 60. N.. .If/,./9 46 EG 1 1 No 'Vat/ Street se-ei as5 4Z '
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
Type of Installation -- Conduit Tubing B.X.L .Metal Moulding
c7c%
Amount of Permit $ O / (Signed)
RI ectrical I. ' ctor.
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 3966, Compiled General Laws of Florida Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contra tors 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.
STATE OF FLORIDA, l
COUNTY OF DADE. lj se.
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.
Muter Electrician.
3 6 5 0
3 5 0
2 0 0
2 5 0
2 5.0
5 5 0
2 0 0
2 0 0
5 0 0
1 2 5 0
3 0 0
6 0 0
4 0 0
8 7 0 0 :x:
Permit No
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
/9/(10 Date OA'
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for thl building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address...
Registered Architect and /or Engiinn r
Employing Electrician's Name........ .. ....... ilk•••
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By
New Building Remodeling
Floors)
No
(Signed)
♦o /0 We
No.. 11/
tri
Stree
(Signed) t). ,e
Street 7.. /d
Street
Subdivision
• )2garie" WI*
7..7
s.d a14..6:
Addition Repair 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
Elcctri 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Electrician.
STATE OF FLORIDA, l
COUNTY OF DADE. I ta.
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
REIRIO.
OUTLET
IRON
OUTLET
RANO!
OUTLET
RANG!
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
H
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAE.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
i.e HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
UST
lo w
I
CHECK
•
Permit No
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
/9/(10 Date OA'
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for thl building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address...
Registered Architect and /or Engiinn r
Employing Electrician's Name........ .. ....... ilk•••
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By
New Building Remodeling
Floors)
No
(Signed)
♦o /0 We
No.. 11/
tri
Stree
(Signed) t). ,e
Street 7.. /d
Street
Subdivision
• )2garie" WI*
7..7
s.d a14..6:
Addition Repair 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
Elcctri 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Electrician.
STATE OF FLORIDA, l
COUNTY OF DADE. I ta.
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.
Date/ F ` Jo6 Address
Legal Description
Owner / Lessee / Tenant
Ow:::a:t::T: r' Addr /a /U ffa2-
Addr ss � / •� �� / �
Qualifier
State ;'t 404 # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING L'' ICAL '; UMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION r �' 4'.
,•
S gnature • ►
r
. and /IBEF
Date:
•
Notary as o't • and or Condo President
•
•
My Commission Expires:
** *
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
.0,414 -_
'; JULIO ROLES
Co mission Expires
' . e 4, 1996
* * * *
C.C.F.
FEES: PERMIT RADON
APPROVED:
Zoning
Mechanical
�
/d /° /r Tax Folio// 3�o i3 66//1
fe,f4_e/
Master Permit #5
Phone 7ff .3
Phone 1
,
Square Ft. Estimated Cost(value)
/
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWN " 'S AFFII. T: I certify that all the foregoing information is ac rate and that all wor will
be do e in oi•;.1 nce with all applicable laws regulating constructi
aut • 410 ze `bo - -named contractor to do the work stated.
At\
Signatur
Date:
l
•
Notary as t°Contractor or Owner- Builder
My Commission Expires:
Fire Other
Building Electrical
Plumbing
zoning. Fu re, I
uilder
10 ROBLE
mission Expires
1996
CC 205953
NOTARY TOTAL DUE5
)))
Engineering