ELECTRICAL PERMITName
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buildi g Inspection Request
Date \� �
� nu Type ].nsp' n �� , �
Permit No.II�;< �I
Address
Company
# i ��� ��
(%)4 Inspection Date Ci
❑ ® .jeer -e a2,
Miami Shores village
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) C3 CQ� 4 CI( 7,,c
, CS-Cdwat i 3.1 t c . Phone # ='i!:;.S - Z Z 2 - r;(1 if 2
Owner's Address C} \ t: r ,c ( d -' V '- i
City f-1 f3 itA r cl,:r -0; State /:- Zip -3 3 / 6.5
Tenant/Lessee Name Phone #
Job Address (where the work is being done) / t) t '(,� N
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
Contractor's Company Name M , E3" 4 ' (� c-? iro .� .. C ; o ; L: 37; 0
Contractor's Address I r) y' a 5 i,L„,0 `LL S j 1-11 w –.-. / r= L
City 14 u ,tc, .- State L.
Qualifier C lk._ (b � /�/ {� S 4
State Certificate or Registration No. er, 2 CC 1 2 & k 3 Certificate of Competency No. GC? C' t 9 1 ` S `>
A rchitect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Submittal Fee $
Notary $ r�
Scanning $ lU l GO
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
- Poo
Type
of Work: ['Addition Alteration ['New ❑ Repair/Replace
❑Demolition
Describe Work:
e 3
* * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Fee $ /4 — ' c
Training/Education Fee $
Radon $
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Zoning
Structural Plan Review. $
Master Permit No.
7
Zip -P-1 1.3S'
Zip j 3 i e,
Square Footage Of Work:
Permit No. €1,06 it'51
Phone # 3 t-,, - 7 . 1 t
CCF $ I • ~_.-) CO /CC
Technology Fee $ .75 _
Bond $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature'►..
Owner or Agent
The foregoing instrument was acknowledged before me this tL
day of Nt Ay , 20 or, by r u/'r 1. 9oC.rritilt o
W is personal / ly known toe or who has produced
As identification and who did take an oath.
NOTARY P
Sign:
Print:
Rgi
My Commission l I Sandra J. Pedroso.Smith My Commissi it ndra J. Pedroso -Smith
g M • M Commission DD304376
* * * * * * * * * * * ** *. * ** 4PkSP�Q6��Gl 3Sc * * * * * * * * * * * * * * * * * * *,x * * * * * * * ** v* * * * *,s * * * * * * * * * * * * * *s,t * * **
• ^�' Expires April 17 2008 o, a s Expires April 17 2008
************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
Contractor
The foregoing instrument was acknowledged before me this dl.
, 200...r, by &P .Lo 3 le_ / es 4'
day of KAI ,
who is personally known to me or who has produced
as identification and who did take an oath.
lb id/ ] L
NOTARY PUBLI
Sign_
Print:
****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
R/W
EOP
4 8 HOURS BEFORE YOU DIG
CALL SUNSHINE
1 -800- 432 -4770
IT'S THE LAW I N FLORIDA
CONTACT: ROBIN
TICKET No.(sl: 06756725
DATE/TIME. 03/08/05 04 :45PM
NOTE:
PLACE BURIED FACIL.
AT 30" DEPTH
SOWK
GRASS AREA
NE 92ND ST
SITS 3FTIL
FPL
FPL ENGINEER:
GERARDO (GERY) PENA
OFC 305 - 770 -7949
PROPOSED
RETROFIT PROPOSED
° MESA 2
CABI NET
GRASS AREA
W EXIST XBOX
1080 NE 92ND ST
EOP
NE 96TH S�
NE 95TH ST�O
NE 95TH ST
NE 94TH ST
m
x
v
KEY MAP
NE 92ND ST
NE S
NE 95TH
NE
NE
cT
93RD ST
NE
92ND
ST
NE 9 D ST
WORK AREA
Mesa Electric Systems Corp
11240 SW 48 St.
Miami, FL 33165
(305) 279 -5498
Exchange:
/ e + Sandra J. Pedroso -Smith
li t
• = • My Commission DD304376
p o" Expires April 17 2008
@BellSouth
Telecommunications
PROPOSED TELEPHONE FACILITIES
ON RIGHT OF WAY OF
MIAMI SHORES
1080 NE 92ND ST
R/W
Designer:
Manuel Docurro
Phone:
305 - 222 -0942
Authorization
5MCO5025N
')wg. 1 of
5/2/2005 12: 01: 58 PM
MIAMI
5/2/2005 12:01:59 PM
FUSED
LIGHTNING
PROTECTOR
TO
ELECTRIC
UTILITY
4 6 GROUND
WIRE TO GROUND
ROD FROM
DISCONNECT.
POWER
METER
POW
PULL BOX
COVER
FILL AROUND
CONDUIT
PULL BOX
FEMALE
UNION
FLEXIBLE
CONDUIT
RIGID
CONDUIT
AC LEG CAVITY
(SHOWN WITH ACCESS COVERS REMOVED)
SERVICE
DISCONNECT
100 AMP
-R DIgGRRv •1
TAX - -OLIO 11 -3205-027-0400
RT
ADDRESS 1 P 80 NE 92ND ST —SBT
POWER COMPA \Y CO \TACT° GERY PENA
( 305) 770 - 7949
PULL
BOX
*CONDUIT
-L
CTRICAL P=RVIT S�
MESA CABINET
C
CONDUITS
FOR TELEPHONE
GABLES
Mesa Electric Systems Corp.
11240 SW 48 St.
Miami, FL 33165
(305) 279 - 5498
Sandra J.PedrosoSmith
4 My Commission DD304376
0 ,,,o 6. Expires April 17 2008
@BellSouth
Telecommunications
PROPOSED TELEPHONE FACILITIES
ON RIGHT OF WAY OF
MIAMI SHORES
1080 NE 92ND ST
Exchange:
4.3 WIRE 120/240 )11
SINGLE PHASE
SERVICE TO POWER
SOURCE IN A RIGID
2" PC CONDUIT
SEE LOCATION
SKETCH.
GROUND ROD
2 -10' COPPER 5/8"
RANCH SCHEDULE
3 9, THWN 120/240
SINGLE PHASE IN 3/4 "CONDUIT PLACED BY
ELECTRICAL CONTRACTOR
CELL =EPS
Designer:
Manuel Docurro
Phone:
305- 222 -0942
Authorization:
5MCO5025N
Dwg. 2 of 5
MIAMI
FACTORY PRE -WIRED
BRANCH PANEL "A"
9 -TYPE POWER PANEL
COVERED UNDER
UL #8741
AC POWER
PANEL
5/2/2005 12:01:59 PM
FUSED
LIGHTNING
PROTECTOR
TO
ELECTRIC
UTILITY
4 6 GROUND
WIRE TO GROUND
ROD FROM
DISCONNECT.
POWER
METER
POW
PULL BOX
COVER
FILL AROUND
CONDUIT
PULL BOX
FEMALE
UNION
FLEXIBLE
CONDUIT
RIGID
CONDUIT
AC LEG CAVITY
(SHOWN WITH ACCESS COVERS REMOVED)
SERVICE
DISCONNECT
100 AMP
-R DIgGRRv •1
TAX - -OLIO 11 -3205-027-0400
RT
ADDRESS 1 P 80 NE 92ND ST —SBT
POWER COMPA \Y CO \TACT° GERY PENA
( 305) 770 - 7949
PULL
BOX
*CONDUIT
-L
CTRICAL P=RVIT S�
MESA CABINET
C
CONDUITS
FOR TELEPHONE
GABLES
Mesa Electric Systems Corp.
11240 SW 48 St.
Miami, FL 33165
(305) 279 - 5498
Sandra J.PedrosoSmith
4 My Commission DD304376
0 ,,,o 6. Expires April 17 2008
@BellSouth
Telecommunications
PROPOSED TELEPHONE FACILITIES
ON RIGHT OF WAY OF
MIAMI SHORES
1080 NE 92ND ST
Exchange:
4.3 WIRE 120/240 )11
SINGLE PHASE
SERVICE TO POWER
SOURCE IN A RIGID
2" PC CONDUIT
SEE LOCATION
SKETCH.
GROUND ROD
2 -10' COPPER 5/8"
RANCH SCHEDULE
3 9, THWN 120/240
SINGLE PHASE IN 3/4 "CONDUIT PLACED BY
ELECTRICAL CONTRACTOR
CELL =EPS
Designer:
Manuel Docurro
Phone:
305- 222 -0942
Authorization:
5MCO5025N
Dwg. 2 of 5
MIAMI
POWER 3IAGRAV . 2 \ /A
/1 ,
RISER DIAGRAM
,
TO S
SERVICE T
PRE -WIRED
BRANCH PANEL A
MAIN
crs 1,3 C
CONDUCTORS C
CONDUIT
60 AMPS 3
3 #6 THWN -CU 3
3/4" RIGID PVC CONDUIT M
NOTE TO ELECTRICIAN: N
NOTE: WIRING SIZED ON PRE -WIRED TOTAL LOAD OF 20 AMPS 1
MAIN C
CONDUCTORS G
GROUNDING G
GROUND C
CONDUIT
100 3
3 #3 (
*8
(2)5/8" 2
2" PC
MAIN BREAKER RATING 10,000 AMPS
A.I.C.
METER D
V\ tin'\
0 _
_ V
o 1
11
5/2/2005 ]2:01:59 PM
W IERV PO ER �3 =N,A —
1 \
BONDING AND GROUNDING DETAIL
(
Mesa Electric Systems Corp.
11240 SW 48 St.
Miami, fL 33165
NOTE BOND AND GROUND PER BSP 63I- 600 -243BT FIGURE 44
#c AWG BARE EXTERNAL GROUND CONNECTIONS
SOLID TINNED
COPPER BURIED MESA CABINET
(SEE NOTE 6)
NOTES ,
(305)
1
p�' 6
279 - 5498
(/v1'/
g �
'C
CONCRETE
FOUNDATION
CABINET PAD
MOUNTING
HOLE
I. IF THE POWER PEDESTAL IS LOCATED ON OR WITHIN 8' OF THE
CABINETS, ONLY 2 GROUND RODS ARE REQUIRED TO GROUND THE
CABINET AND MEET THE REQUIREMENTS OF THE NEC.
2. IF THE POWER PEDESTAL IS LOCATED MORE THAN 8' AWAY FROM
THE CABINET, 2 -8' RODS REQUIRED TO GROUND THE POWER PED-
ESTAL SPACED 8' APART PER NEC 250 -83. THESE RODS MUST
BE BONDED TOGETHER WITH A MINIMUM 4 6 AWG BARE COPPER
WIRE. IF THE POWER SERVICE GROUND RODS ARE LOCATED
WITHIN 10' OF THE CABINET GROUND RODS, THEY SHOULD BE
#
BONDED TOGETHER WITH 6 AWG BARE COPPER WIRE.
3. POWER SERVICE GROUNDING ELECTRODE CONDUCTOR SIZED PER
NEC-250-94.
9 4. BOND POWER NEUTRAL BUS TO EQUIPTMENT GROUND BUS IN THE
POWER PEDESTAL AND AT THE DISCONNECT SWITCH IN THE CABI-
NET, NEC 250 -24 (SEE NOTE 5 IF BONDED IN CABINET).
5. PLACE A POWER SERVICE GROUNDING ELECTRODE CONDUCTOR
SIZED IN ACCORDANCE WITH NEC 250-94 DIRECT FROM THE DIS-
�g
BARE
TO POWER PANEL
NEUTRALL BUS
NEUTRAL & EC
BONDED TOGETHER
(SEE NOTES 4 & 5)
SEE NOTE 5
l�/
1 QJ /� ��.
l `�' �
o
/
e ppyou N. Sandra J. Pedroso-Smith
Y • My Commission DD304376
d Expires April 17 2008
a w P
RE
I COP P ER W IRE
5/8 " X
GROUND
ROD
• ♦ •/
OA
C E F
BUS
=---
S N p 3 1E
5/8 "
GROUND ROD
(SEE NOTE 7)
8'
® BellSouth
Telecommunications
I
AC POWER
2' PEDESTAL
(SEE NOTES 1-5)
CONNECT SWITCH TO THE GROUND ROD,
6 . BURY 4 2 AWG SOLID TINNED COPPER WIRE 6" TO 12" DEEP
WITHIN 2' OF CONCRETE PAD BELOW NATURAL GROUND LEVEL.
PROPOSED TELEPHONE FACILITIES
ON RIGHT OF WAY OF
MIAMI I SHORES
1080 NE 92ND ST
7, GROUND RODS TO BE COVERED WITH A DLC FLUSH MOUNT GROUND
ROD CLOSURE PER 629 - 010 -90IBT FOR INSPECTION PURPOSES.
Exchange:
MIAMI
Designer:
Manuel Docurro
Phone:
305 - 222 -0942
Authorization:
5MCO5025N
Dwg. 4 of 5
5/2/2005 12: 02: 00 PM
,_ • . PEWFR
I4ERV 4. ��'��
— N/A —
/� �\
PROJECT
I
CODE # _P_DINE
(PEDESTAL MOUNTED)
FILE #EIg2128
-100 AMP 120/240 VOLTS, SINGLE PHASE ALTERNATING CURRENT CIRCUIT ONLY.
-WATT HOUR METER NOT INCLUDED IN SHORT CIRCUIT RATING.
- 10,000 AMPS RMS SYMMETRICAL AMPERES AT 120/240 VOLTS.
- SUITABLE FOR SERVICE EQUIPMENT ONLY. (BONDED NEUTRAL)
- RAINPROOF TYPE 3R.
-USE CU -AL WIRE 60 -75C.
- EQUIPPED WITH SQUARE "D" 100 AMP 120/240 VOLT A.C. DOUBLE THROW SAFETY SWITCH. (CLASS CTL)
- EQUIPPED WITH SQUARED "D" 100 AMP 120/240 VOLT A.C. LOAD CENTER. (CLASS CTL)
-TO REPLACE LOAD BREAKERS, USE ONLY SQUARE "D" (00 TYPE) WITH SAME RATING.
-WHEN RESETTING BREAKERS, TURN TO OFF POSTITION, THEN TO ON POSTION.
- EQUIPPED WITH MENNEKES CAT. NO. ME410089W MALE INLET. 100 AMP 125/250 VOLT SINGLE PHASE.
-FOR GENERATOR HOOK-UP. USE FEMALE CORD CONNECTOR MENNEKES CAT. NO.ME410009W OR HUBBELL CAT. NO
4100C9W.
BLACK WIRING DIAGRAM FOR
Mesa Electric
11240SW48
Miami,
(305)279-5498
N
$ 1
O 0
l/
Systems Corp.
FL 33165
Z S
WHITE
PRODUCT CAT. 4 RJB - I00
BLACK
240 EM TWO 115V
SURGE PRIMARY
PROTECTOR
O
POWER
IN DICATOR
POWER
METER
BASE
(OPTIONAL)
0
WHITE
LIGHTS
0
PVC CONDUIT
TO ACCOMMODATE
POWER COMPANY
BURIED
BURIED SERVICE
M A I I N
BONDING
0 0
•
GREEN
o
ONE AMP
O FUSES
15 AMP GFCI
RECEPTACLE
(OPTIONAL)
BLACK
RI Af K
3 I/')'�(�� ��
°J J
NORMAL
AC POWER
SAFETY
SWITCH
o
/, 1 ' tir;/ J
LINE
RFD
�yrr Sandra J. Pedroso-Smith
s° My CommissionDD304376
Y
Expires April 17 2008
RI ACK
°
0
m
Z
WHITE
WHITE
(OFF POS.)
EMERGENCY
POWER
LOAD 0
0
0
n
LINE a
X
Y
RED
RI ACK
RED
@ B ellSouth Telecommunications
GREEN
AUX.
INLET
Z (SEE NOTES)
c
PROPOSED TELEPHONE FACILITIES
ON RIGHT OF WAY OF
MIAMI SHORES
1080 NE 92ND ST
Exchange:
MIAMI
1
S
LOAD
WHITE
^ 2
_ ,--,, 3
C
.s 8
9 -.. ,
10 '-'�'
.--r—, 4
z ^- 5
° —"-. 6
0
nisi
GROUND
ROD
—�
ran
II -,
12 .-"-∎
CENTER
I
I I
Designer:
Manuel Docurro
Phone:
305 - 222 -0942
Authorization:
5MCO5025N
Dwg. 5 of 5
5/2/2005 12: 02: 00 PM
.-S.R:ii,TURAL
i _.....---
k ELEJR:CAL
AP. ROVED
ZON,N0
PLUM6NG
MECHANICAL
KDO.
0=0121..OWNILLMICI.■
Vit.LACtE
BY
DATE
AbIECT TO COMPLIANCE Wir ALL FEDERAL.
ATE AND COUNTY RULES AND REGULAf'ONS
Electrical Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: EL2005 -151
Printed: 5/10/2005
Applicant: AXEL ORTIZ
Owner: ORTIZ AXEL
JOB ADDRESS: 1080 NE 92 ST
Contractor MESA ELECTRIC SYSTEMS CORP Contractor's Address: 11240 SW 48 ST
Local Phone: 305 - 279 -5498
Parcel # 1132050270400
Legal Description: BAY LURE PB 44-63 LOT 1
Fees: Description Amount
FEE2005 -5757 Building Fee $150.00
FEE2005 -5758 CCF $1.20
FEE2005 -5759 Training and Education Fee $0.40
FEE2005 -5763 Technology Fee $3.75
FEE2005 -5768 Scanning Fee $6.00
Total Fees: $161.35
Total Fees: $161.35
Total Receipts: $0.00
\ O\
Permit Status: APPROVED Permit Expiration: 11/5/2005 Construction Value: $1,800.00
Work: FREE STANDING SRV FOR BELLSOUTH EQUIPMENT
Signed: (INSPECTOR)
Page 1 of 1
BLK 3 LOT SIZE 70.420 X 125 OR
,nNY 1 8 PAM
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
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
BUILDING ❑ Date —__- '/ 19—_
ELECTRICAL fl
PLUMBING ❑ PERMIT N° 9845 Contractor's <<
License No. �"'
ROOFING ❑ 43 i'Gr
❑ Work to be performed under this Permit
Owner of
Building �• �``.. ' '
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lo.t
/.�
CONTRACTOR or BUILDER
MIAMI SHORES VILLAGE, FLORIDA
r
4
II BI
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+�s'` t Y ti (INSPECTOR) BY
In consideration of the issuance to me of this permit ) agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, awings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all wo done by either, myself, my agent, servant or employee.
Subdi-
vision
Sq. Ft. -, ,--
Value of 1 I Amount of –
c
Project $ II Permit $
BY
AUTHORITY
Permit No 4. r
MIAMI SHORES VILLA3E
ELECTRICAL INSPECTION DEPA TM ENT
T
A PLICAT1ON FOR ELECTRICAL FI G MHT
Date 9 - T'
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 � lZ • V'a -KSe t S N 1 ®2' 8 ' • 0'1 S �
Street ,
Registered Architect and /or Engineer
Employing Electrician's Name9ay. I e 2 k ke e ,r i e
• No b s I Street CF1 w-%$�^
Location and Legal Description Lot Block Subdivision till
Street and Number where work is to be performed —No
0 S'O
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
Amount of Permit $ (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 th work such public notice or notices
a:, are required by the Act. The undersigned agrees to employ only such sub-contrac on s': k to a performe under this permit, as are
li,:ensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE.
as.
4.E. e'q S4-,
(Signed)
M ..ter Electrician.
Before me, the undersigned authority, a notary public, duly authorized
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.
to administer oaths and take
acknowledgments, personally
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CON TR.
LIST
1
+
1
1 •
1.
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
10I5
ads I\ e I
MOTORS MOTORS
0.1 HP 1.5 HP
N EON
TRANS.
RADIO
TOTAL
CON TR.
LIST
I
1 4+C`C/d
tee.
CHECK
Permit No 4. r
MIAMI SHORES VILLA3E
ELECTRICAL INSPECTION DEPA TM ENT
T
A PLICAT1ON FOR ELECTRICAL FI G MHT
Date 9 - T'
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. �(
Owner's Name and Address � lZ • V'a -KSe t S N 1 ®2' 8 ' • 0'1 S �
Street ,
Registered Architect and /or Engineer
Employing Electrician's Name9ay. I e 2 k ke e ,r i e
• No b s I Street CF1 w-%$�^
Location and Legal Description Lot Block Subdivision till
Street and Number where work is to be performed —No
0 S'O
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
Amount of Permit $ (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 th work such public notice or notices
a:, are required by the Act. The undersigned agrees to employ only such sub-contrac on s': k to a performe under this permit, as are
li,:ensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE.
as.
4.E. e'q S4-,
(Signed)
M ..ter Electrician.
Before me, the undersigned authority, a notary public, duly authorized
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.
to administer oaths and take
acknowledgments, personally
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
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 d 'r-
No
Registered Architect and /or En ineer
{. �+ n
Employing Electrician's Name '°°' EtTR1C CO ISTK LyMMMON I
..
O d
Amount of Permit $
My Commission Expires
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) - p.a:.l'''
New Building Remodeling Addition Repairs
C... 0 F NU M Street
Location and Legal Description Lot Block Subdivision
/ o S o AJ� Q.,g ''J'
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
lectrical 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 th.-. Act. The undersigned agrees to employ only such subcontractors, on work to be performed er this permit, as are
licensed by Miami Shores Village.
1 aSo
(Signed
"1 e
S treet a
Street -
No. of Stories
116.3
Master Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE. Jt ss.
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
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.
SCACE
HrATER
STRIP
HEATER
TOTAL
C.ONTR.
LIST
C:H ECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
/ g
b
//�
0 0
C:H ECK
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 d 'r-
No
Registered Architect and /or En ineer
{. �+ n
Employing Electrician's Name '°°' EtTR1C CO ISTK LyMMMON I
..
O d
Amount of Permit $
My Commission Expires
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) - p.a:.l'''
New Building Remodeling Addition Repairs
C... 0 F NU M Street
Location and Legal Description Lot Block Subdivision
/ o S o AJ� Q.,g ''J'
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
lectrical 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 th.-. Act. The undersigned agrees to employ only such subcontractors, on work to be performed er this permit, as are
licensed by Miami Shores Village.
1 aSo
(Signed
"1 e
S treet a
Street -
No. of Stories
116.3
Master Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE. Jt ss.
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
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
Owner of
B uikiing
MIAMI SHORES VILLAGE, FLORIDA
Architect
Contractor
or Builder
Legal Lot Bl.
Description
Address of
Building
CONTRACTOR OR BUILDER
PERMIT N? 8241
Work to be.performed under this Permit
Subdi-
vision
Value of
Project
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 appli-
cation 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. t`
Signed ? ° � , + e` ek •, - -A , a; B .
INSPECTOR r
DATE . -„
v
Contractor's
Lipense No.
fi +�
Amt. of
Permit
r
AUTHORITY
194
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance wi 1 ordfiiauces an lions;
ons;
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper aut�ies of Miami Slre�ag
In acceptin s permit I assume responsibility for a work done by either myself, my agent, servant or employee.
f
J %f . //
Permit No.
'
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith 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
a.' 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 wor
Date.
. Nolo ko
Cwner's Name and Address__
Registered Architect and/or En •
1 07
Employing Electrician's Name__ Lij,i-----4—,ha __No.e,Tif .
Location and Legal Description Lot__
Street and Number where work is to be performed—No Street
S tate work to be performed and purpose of building (By Floors)
New Building_ _ Remodeling _Addition Repairs No. of Stories
Block
A/' td 3 to
Street
Subdivision
Overhead
Service Underground Size Feeders Conduit__ Main Sw._ Amps._ Main Fuses Amps
Type of Installation—Conduit Tubing _B.X.L.. Metal Moulding
7
i
Amount of Permit $ , '' ( Si e. f 14 4.1..._41.11,--
-
sili, * f Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his gallons as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Mori '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 p osted 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, }
ss.
COUNTY OF DADE.
(Sign
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 swprn, 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
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER W. HEAT.
HEATER CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
/
ECK
,
0'
—
MAI CH
'
4.......1
/
/
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.
'
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith 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
a.' 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 wor
Date.
. Nolo ko
Cwner's Name and Address__
Registered Architect and/or En •
1 07
Employing Electrician's Name__ Lij,i-----4—,ha __No.e,Tif .
Location and Legal Description Lot__
Street and Number where work is to be performed—No Street
S tate work to be performed and purpose of building (By Floors)
New Building_ _ Remodeling _Addition Repairs No. of Stories
Block
A/' td 3 to
Street
Subdivision
Overhead
Service Underground Size Feeders Conduit__ Main Sw._ Amps._ Main Fuses Amps
Type of Installation—Conduit Tubing _B.X.L.. Metal Moulding
7
i
Amount of Permit $ , '' ( Si e. f 14 4.1..._41.11,--
-
sili, * f Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his gallons as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Mori '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 p osted 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, }
ss.
COUNTY OF DADE.
(Sign
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 swprn, 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._ -- - -- - - - - -! -- ____ --
New
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
•*".
� � _______!__ 7'
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 Ordinan :e of Miami Shores Village, Florida,
and all previsions 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 SIhorc., 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. !y
Owner's Name aad Address iVe'!'//" s No./ if ° • L " Street__.
Registered Architect and /or Engineer i 4 Z•�
Employing Electrician's Name 1 12 b I ./ t . 5, s f,.1.7.4.-.5 No. __ 9 /V-•
Location and Legal Description Lot______________________ ____— _ _ Subdivision_
S:reet and Number where work is to be performed—No __rL'
State stork to be per. "ormcd and purpose of building (By Floors)
tree
Remodeling Addition Repairs —___ No. of Stories.
Overhead
Service Size Feeders I/ Conduit._
Underground _ _.�`
Type of Installation - Conduit_'. {Tubing_. B.X.L Metal Moulding ___— ________________
Main Sw/ a __ Amps. / ' e n Fuses___________ Amps.
A. mourt of Permit $ (Signed) .t
electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligating as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
pr-formed 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
rtquiced by the Act. The under signed agrees to employ only such sub - contractors, pn work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths anti take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is t h e _
of the above described construction, that 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
Master Electrican.
NOTE: A re- inspectoo fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials , r_d /or workmanship.
SW' rCH
CUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPE
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
C�NTR.
LIST
� - -
f
1
t
/
j
I
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
C D NTR.
..!ST
CHE: K
Permit No._ -- - -- - - - - -! -- ____ --
New
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
•*".
� � _______!__ 7'
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 Ordinan :e of Miami Shores Village, Florida,
and all previsions 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 SIhorc., 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. !y
Owner's Name aad Address iVe'!'//" s No./ if ° • L " Street__.
Registered Architect and /or Engineer i 4 Z•�
Employing Electrician's Name 1 12 b I ./ t . 5, s f,.1.7.4.-.5 No. __ 9 /V-•
Location and Legal Description Lot______________________ ____— _ _ Subdivision_
S:reet and Number where work is to be performed—No __rL'
State stork to be per. "ormcd and purpose of building (By Floors)
tree
Remodeling Addition Repairs —___ No. of Stories.
Overhead
Service Size Feeders I/ Conduit._
Underground _ _.�`
Type of Installation - Conduit_'. {Tubing_. B.X.L Metal Moulding ___— ________________
Main Sw/ a __ Amps. / ' e n Fuses___________ Amps.
A. mourt of Permit $ (Signed) .t
electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligating as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
pr-formed 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
rtquiced by the Act. The under signed agrees to employ only such sub - contractors, pn work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths anti take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is t h e _
of the above described construction, that 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
Master Electrican.
NOTE: A re- inspectoo fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials , r_d /or workmanship.