ELECTRICAL PERMITMIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑,
ELECTRICAL DATE If ' Z 4 195
PLUMBING ❑ PERMIT N? 9556 Contractor's 3 .
License No
ROOFING ❑
❑ Work to be performed under this Permit .. ` t e C.
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Lot
t t 1 `►
Address of
Building 4
CONTRACTOR OR BUILDER
�•
r- `a
Bl.
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough. knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the atements or and that he assumes responsibility for work
done by his agents, servants or employees. �. y f
,j,•- ti,6,,,.40 / 4A - -'L.. -gip,
INSPECTOR /
In consideration of the issuance to me of this permit I agree to perform the work cover) t hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specificationsubmitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent,,rvant or employee.
Signed
. } t,+i..a,
71 + c#
Subdi-
vision
t
Sq. Ft
Value of
Project $
Amt. of
Permit $
BY AUTHORITY
BY
17
Company
9 P� #
4 v et% GA5Si,
MIAMI SHORES VILLAGE
BUILDING DEPARTME
305- 795 -2204
Building Inspection Request
Date Time
Type Insp'n /?OL
Permit No.
� G , c2O 02 .(9
Name � ® l�C irYLQA
• /
Address
Are
For Inspector: b Name
Approved VQ
Correction
Re- Insp'n Fee
y;vd Tt�
e • -
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Time
Type Insp'n-")
Permit No. EP MD � =
Name vat )1/1.12
Address
Company V t ' _C
r
Phone #
For Inspector: 1 h Name & Date
3 )1 L,i
Approved
Correction
Re- Insp'n Fee ❑
❑ /7z-4
? /.A. ca,CQ
JA,boi). '9-5 1 3 - 3_,Fc
9-5t1 q /-9-360
Registered Architect and /or Engineer_._.
Employing Electrician's Name
Location and Legal Description Lot
Service Overhead Size Feeders
Underground
Type of Installation — Conduit Tu '
Amount of Permit S.
STATE OF FLORIDA, 1
COUNTY OF DADE. I
f 1/41
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No/ `�, Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. �✓
Owner's Name and Address x... �.... tt/ No
No Street
Subdivision.
7 Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) Fe 4 " 7
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, on work to
licensed by Miami Shores Village. Z
Street... 9
New Building F Remodeling Addition Repairs No. of Stories
Conduit 1 1 �, Main Sw ,‘;' Amps .Main Fuses Amps
B.X.L Metal Moulding
(Signed)
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
sub-contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
(Signed)
Master Electrician.
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'
!�
FNXTURES
No. LAMPS
, /
M 9 0
REFRIG.
OUTLET
/
/ ..-cp
IRON
OUTLET
/
5 .- 0
-0
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
7
CONTR. IET
LIST
�/
0
g /
CHECK
E'NT.
SSw.
777 V '��PPP/// m JI
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1 -3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST IST
J �
CHECK
/ _.
•
Registered Architect and /or Engineer_._.
Employing Electrician's Name
Location and Legal Description Lot
Service Overhead Size Feeders
Underground
Type of Installation — Conduit Tu '
Amount of Permit S.
STATE OF FLORIDA, 1
COUNTY OF DADE. I
f 1/41
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No/ `�, Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. �✓
Owner's Name and Address x... �.... tt/ No
No Street
Subdivision.
7 Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) Fe 4 " 7
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, on work to
licensed by Miami Shores Village. Z
Street... 9
New Building F Remodeling Addition Repairs No. of Stories
Conduit 1 1 �, Main Sw ,‘;' Amps .Main Fuses Amps
B.X.L Metal Moulding
(Signed)
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
sub-contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
(Signed)
Master Electrician.
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.
UII.DING
F.ECTRICAL
'LUMB1NG
:OOFING
wner of
iilding .
rchitect
: ontractor
Builder
regal
)escripfion
ddress of
uilding
MIA
7
I SHORES VILLAGE, FLORIDA
DATE a '°" 195
KPERMIT 'N° 11016
❑ Work tp be performed under this 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
crefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
.rawings, statements or specifications that may-have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
me 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
,ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
;5ertaining to the work covered hereby whether shown on the plans or drawings o 'n the statements . r specifications and that he assumes responsibility for work
-lone by his agents, servants or employees.
IMP ' •R
In consideration of the issuance to me of this permit I ag o perform the work covered hereunder in compliance with all ordinarl es and regulations
rtaining thereto and in strict conformity with the plans, drawi , , statements or specifications submitted to the proper authorities of Miami Shores Village.
accepting this permit I assume responsibility for all work do e by either, myself., my agent„ lervant or employee.
1
CONTRACTOR OR BUILDER
BY
Contractor's
License No
•
BY
AUTHORITY
' ,-
I
Permit No
z.(37
Sd.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
//6
0 12 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
5 et, strycture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
nd 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.
No
�E
Street 9 /
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name... .. . No Street
Location and Legal Description Lot Block ,per Subdivision
Street and Number where work is to be performed —No .7 Are 9 f/� ' Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
-� s
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ v (Signed)
(Signed)
Electrical ns.ector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his of li ations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid( ermanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contia ors 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.
Master Electrician.
STATE OF FLORIDA, j
COUNTY OF DADE. I
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.
$CACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.0 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
3 03/
CHECK
Ae..
I
Permit No
z.(37
Sd.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
//6
0 12 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
5 et, strycture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
nd 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.
No
�E
Street 9 /
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name... .. . No Street
Location and Legal Description Lot Block ,per Subdivision
Street and Number where work is to be performed —No .7 Are 9 f/� ' Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
-� s
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ v (Signed)
(Signed)
Electrical ns.ector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his of li ations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid( ermanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contia ors 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.
Master Electrician.
STATE OF FLORIDA, j
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Application 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. J' r
Owner's Name and Address..
STATE OF FLORIDA, }
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
Date /.
55.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Registered Architect and /or Engin er
Employing Electrician's Name 1 �.
Street and Number where work is to be performed---No
My Commission Expires
-
No
Amount of Permit $ Z (Signed)
2
No � Street
Location and Legal Description Lot Block Subdivision
Street r 9
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Gv
SerAice Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
T ype of Installation— Conduit Tubing B.X.L Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and a pts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws 9f Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors o isub-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 si 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.
Street
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 same, and that all facts
therein by him stated are true.
did sign the
Notary Public, State of Florida
Muter Electrician.
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
RECg'P'7'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
H ATER
STRIP
HEATER
j
✓1•'
TOTAL
CONTR.
LIST
/
/ /+ U
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS MOTORS
0.1 HP 1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
�'
,:. ,'i
/
CHECK
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. J' r
Owner's Name and Address..
STATE OF FLORIDA, }
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
Date /.
55.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Registered Architect and /or Engin er
Employing Electrician's Name 1 �.
Street and Number where work is to be performed---No
My Commission Expires
-
No
Amount of Permit $ Z (Signed)
2
No � Street
Location and Legal Description Lot Block Subdivision
Street r 9
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Gv
SerAice Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
T ype of Installation— Conduit Tubing B.X.L Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and a pts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws 9f Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors o isub-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 si 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.
Street
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 same, and that all facts
therein by him stated are true.
did sign the
Notary Public, State of Florida
Muter Electrician.
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 APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204
Date 7//170 Job Job Address c1 1 S 1 Tax Folio
Legal Description Historically Designated: Yes No
Owner /Lessee/Tenet I''1 Mil, �ol�
Owner's Address LA N C I 1 Phone (31) 151- - 3558
Contracting Co. Videe A/ Address s LJ 10 Nc— FCP 6 (�
Qualifier (P 2 1 V I W ' SS# Phone 4S — I 2-
�
State # Municipal # Competency #'g1 O D Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING
ECTRICAL
Master Permit # �G L � 0 0 491 .61•0•-•
PLUMBING MECHANICAL ROOFING
WORK DESCRIPTION: Segv tce e'inprr 166 C- ski 56 Vu o .4c) G icuiL- JcerJr --t,
Square Ft. Estimated Cost (value)
lpo ,
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 ANY 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 4pplicable). 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 all disciplines.
OWNERS AFFIDAVIT: 1 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.
N., as to 0 - ner and/or on.o resident
My Commission Expires
FEES: PERMIT it RADON
rgnature of Contractor or Owner Builder
AR/0° &t(Lif Yj°
D.te Notary to Cont
p
mmission TEkESq J. S'�LOMON
MY C OMMISSION # CC 8
EXPIRES: Jul 16, 2003
l•8063 NOTAry c,
/ - +..:,,y sinks d B ar dk�D Co.
C.C.F • NOTARY :ffl.
-; o
•
uilder
Date
Date
APPROVED: TOTAL DU
Zoning Building Electrical
Mechanical Plumbing Structural Engineer
NL -tU K
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