ELECTRICALPERMIT APPLICATIO / N FOR MIAMI SHORES VILLAGE
Date (P- ) 00 Job Address /1.2 AL 9 '7— Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant J ® - 4 - ?)) 441 & PA-1 al' A) 4- Master Permit #
Owner's Address 1/ 1'J g. q 3 57 Phone
Contractingco T & M ELECTRIC, INC. Address 1464 N. W. 78 Ave. MIAMI FL
Qualifier ANTONIO MORENO SS# 267 _ 15 _4814 Phone 305 4 0 6 - 9 6 9 2
N Aar. e#hv Cii-P *y.
Municipal # 327059-2 Competency # 9 4 E 0 0 0 4 2 0 Ins. Co.
State# 30- 3407244
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING
WORK DESCRIPTION ? OO 7 1T /D,
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.
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 •ntractor4o do the work stated.
to Owner
My Commissio
.;up o4
Address
Address
Address
RESA CEJAS
MY COMMISSION # CC l35 ?7`
' ^ no m` EXPIRES: Aug 16, 2000
. : NOTARY Fla Notary Servloe & Bond r
FEES: PERMIT I 715/e l l' RADON
PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Signature of Contractor or Owner - Builder
Notary as o Con
My Conunission
C 7�y�1 y73 ; f
TERESA CEJAS
MY COMMISSION # CC 835275
IS EXPIRES: Aug 16, 2003
1.800.3.NOTARV Fla. Notary Banioa & Bonding Co.
C.C.F 4 ' v NOTARY BOND
APPROVED:
Zoning Building
Mechanical Plumbing Structural Engineer
TOTAL DUE
*/
Date
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address x // ,We E , � 3 f - i S/ •1 ax Folio
Legal 'r 4, 14 Historically Designated: Yes No ,„..-
Owner/Lessee / Tenant X -- 2 ?0 ' 7 27;9 tt /7 Master Permit # 3i �p
Owner's Address 02 7J /v ' 57 E . �0 7 % Phone 3 `C / ,c 7
Contracting Co. 7 I) h e V Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Address
Architect/Engineer
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN ,�/6 S (), ' s
c' L( � 7 i s
WORK DESCRIPTION X (r l /� /� e tc ,i
M ee /V
Square Ft Estimated Cost (value 3 O O
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
Notary as to Owner and/or Condo President Date No
My Commission Expires:
FEES: PERMIT
RADON
Date Signature of Contractor or Owner- Builder
/2) l / 0 7 - i C����� . �7;G �7
�
•
My
C.C.F. - 4 0 NOTARY 5 BOND
Electrical
71/ r
Date
Date
APPROVED:
Zoning Buildin
Mechanical Plumbing Engineering
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL J Date 19_
PLUMBING ❑ PERMIT N? 10022 Contractor's
ROOFING ❑ License No
❑ • Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR or BUILDER
1 Bl.
Signed • (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 conformity with the plans, drawings, statements 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 or employee.
._t
Subdi-
vision
Sq. Ft.
Value of 11 Amount of '
Project $ 11 Permit $
BY AUTHORITY
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.
eo/
Permit No
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
Galva' 112 11 Street NOEO � �� St,"
Registered Architect and /or Engineer
L & M ELECTRIC CO0INC0 99 NoWo 166th St('
Employing Electrician's Name No Street
Location and Legal Description Lot Block Subdivision
Sam° as abovo
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ 6 O 8 0 (Signed)... t C) ls��
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and ac pts 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, 1
COUNTY OF DADE. 11
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
A LIGATION FOR ELECTRICAL PERMIT
May 16
Date
SS.
(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'P'T•S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
9
�
�1(
A
1080
CHECK
ENT. DIST. SERVICE SERVICE
CAB. TEMP. PERM.
M OTORS
0.1 HP
MOTORS
I. HP
N EON
TRANS.
RADIO
TOTAL
CONTR. R
y SW.
Iliicra&so C
Svc02OO
asmp.
2
°OO
CHECK
eo/
Permit No
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
Galva' 112 11 Street NOEO � �� St,"
Registered Architect and /or Engineer
L & M ELECTRIC CO0INC0 99 NoWo 166th St('
Employing Electrician's Name No Street
Location and Legal Description Lot Block Subdivision
Sam° as abovo
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ 6 O 8 0 (Signed)... t C) ls��
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and ac pts 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, 1
COUNTY OF DADE. 11
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
A LIGATION FOR ELECTRICAL PERMIT
May 16
Date
SS.
(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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Address of
Building
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N° 6000
Legal Lot
Description 1 31
If/ .
CONTRACTOR OR BUILDER
f)'
Work to 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
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 clianged without authorization. A further condition upon which this permit is
'granted is the underst" ding that the contractor or builder named above assumes the responsibility fo thorough knowledge of the ordinances and regulations
pertaining to the work C,overed hereby whether shown on the plans or drawings cr a statem n or specifications andiih1#:he assumes /ponsibility for work
done by his agents, servants or employees. A
i
Signed _ , �
/ 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 conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servt t or employee.
r
Subdi-
vision
Value of 1 Amount of
Project $ 1 Permit $
INSPECTOR
BY
DATE 195
Contractor's
License No.
AUTHORITY
13 "
Amount of Permit $
Permit No. e- O
/'
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
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 S Street. sue.
Registered Architect and /or Engineer
Employing Electrician's Name.. s1 ,s — sue ., ,5 2 Vl/ c - No 3 .3 Street e►•% e • d✓o'✓
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No
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
(Signed) L.E�
(Signed)
Date �1
Street...L..f 7 s 7"
Ele -cal nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio s' as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm :dent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors /.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 e 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, t
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•e
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
A
W ATER
STRIP
HEATER
TOTAL
CONTR.
LIST
,-
t���
v
CHECK
ENT.
SW.
DIET.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Amount of Permit $
Permit No. e- O
/'
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
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 S Street. sue.
Registered Architect and /or Engineer
Employing Electrician's Name.. s1 ,s — sue ., ,5 2 Vl/ c - No 3 .3 Street e►•% e • d✓o'✓
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No
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
(Signed) L.E�
(Signed)
Date �1
Street...L..f 7 s 7"
Ele -cal nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio s' as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm :dent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors /.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 e 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, t
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.
v
Permit No
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 _L w_
Registered Architect and /or Engi
Amount of Permit $_
STATE OF FjLO$ YDA, }
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT S�,
Dat I_�
ss.
My Commission Expires
MIAMI SHORES VI LLAG E
ELECTRICAL INSPECTION DEPARTMENT
Employing Electrician's Name,. 4 . ��� �'� _7 -.__ No Ofd ----- - - - -__ Street_ /ti.2
(Signed)
Location and Legal Description Lot G Block Subdivisio ___
Street and Number where work is to be performed —No 1 /___r___.11r:_____— Street____ •a - -_
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Service Overhead Size Feeders Conduit Main Sw. Amps.'
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Main Fuses_ Amps.
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 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
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 under signed agrees to employ only such sub ntracto , on work to be performed under this permit, as are
licensed y Miami Shores Village.
/ / r (Signed
Master Electricinnc .
Notary Public. State of Florida
No of Stories
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 of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
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.
St ree t. _ ,._ $4 -Jr:,
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
/�/
, /l /_,
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.
_
o ,�
/,[�y ,, J //f
ir�"'
MOTORS
0-1 HP
MOTORS
1 -3 HP
'_
NEON
TRANS.
-JIM-
RADIO
TOTAL
CONTR.
LIST
/ ! m
/�r���� ,
CHECK
v
Permit No
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 _L w_
Registered Architect and /or Engi
Amount of Permit $_
STATE OF FjLO$ YDA, }
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT S�,
Dat I_�
ss.
My Commission Expires
MIAMI SHORES VI LLAG E
ELECTRICAL INSPECTION DEPARTMENT
Employing Electrician's Name,. 4 . ��� �'� _7 -.__ No Ofd ----- - - - -__ Street_ /ti.2
(Signed)
Location and Legal Description Lot G Block Subdivisio ___
Street and Number where work is to be performed —No 1 /___r___.11r:_____— Street____ •a - -_
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Service Overhead Size Feeders Conduit Main Sw. Amps.'
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Main Fuses_ Amps.
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 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
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 under signed agrees to employ only such sub ntracto , on work to be performed under this permit, as are
licensed y Miami Shores Village.
/ / r (Signed
Master Electricinnc .
Notary Public. State of Florida
No of Stories
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 of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
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.
St ree t. _ ,._ $4 -Jr:,
BUILDING 0
ELECTRICAL 0 PE
PLUMBING LI
ROOFING
Owner of
Building
CONTRACTOR OR BUILDER
1ARE19 F - 1 S VLAGE, FLORIDA
'is))
MIT N? 15025
Ell Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot Bl.
Description
Address of
Building
Subdi-
vision
Value of
Project $
DATE 195
Contractor's
License No
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 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 responsibility for work
done by his agents, servants or employees.
Signed: BY
INSPECTOR
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 snecifications 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 or employee.
BY AUTHORITY
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No. __ !�
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 �� o G � ! "' No.
Registered Architect and /or Engine,, __
Employing Electrician s Name .___ ° a =
Location and Legal Description Lot -- ___________ �___Block
Street and Number where work is to be performed —No
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE. SS.
State work to be perform and purpose of building (By Floors)
New Building Remodeling Addition
0
Overhead o�
Service Size Feeders __
_ __ Conduit___ F Main Sw.___ _ — Amps. Main Fuses_ __ Amps.
Type of Installation— Conduit Tubing
B.X.L
Metal Moulding
/� ^ - -- -- � � � -- ------- - - -- --- � - - -- - _ - - - - -- - fir
A/1fz/ C „,v,„
OZ
(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 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
performed under this permit; and will post or cause to be posted for inspection • t of the ?rk such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub- contr. - • }I� 4 REttpcpl, under this permit, as are
licensed by Miami Shores Village.
(Signed)
Date
Street__
7954 N. E. 2nd Ave.
f tAhlto ORIDA
00e 70803
Street__' "(0 •
Sub i vision __________ —_ _____________.
Street__ 6( — — —
/
Repairs No. of Stories
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, 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.
My Commission Expires Notary Public. State of Florida
,
Master Electrican.
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'8
FIXTURES
NO.LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
HEATER
TOTAL
CONTR.
LIST
//nn om'�
i V
2
! i h �
/
D
//n
. !/
NSA
c"
_ �]
6 l/
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
n r
fc
// D
Do 80
��+
U V
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No. __ !�
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 �� o G � ! "' No.
Registered Architect and /or Engine,, __
Employing Electrician s Name .___ ° a =
Location and Legal Description Lot -- ___________ �___Block
Street and Number where work is to be performed —No
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE. SS.
State work to be perform and purpose of building (By Floors)
New Building Remodeling Addition
0
Overhead o�
Service Size Feeders __
_ __ Conduit___ F Main Sw.___ _ — Amps. Main Fuses_ __ Amps.
Type of Installation— Conduit Tubing
B.X.L
Metal Moulding
/� ^ - -- -- � � � -- ------- - - -- --- � - - -- - _ - - - - -- - fir
A/1fz/ C „,v,„
OZ
(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 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
performed under this permit; and will post or cause to be posted for inspection • t of the ?rk such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub- contr. - • }I� 4 REttpcpl, under this permit, as are
licensed by Miami Shores Village.
(Signed)
Date
Street__
7954 N. E. 2nd Ave.
f tAhlto ORIDA
00e 70803
Street__' "(0 •
Sub i vision __________ —_ _____________.
Street__ 6( — — —
/
Repairs No. of Stories
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, 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.
My Commission Expires Notary Public. State of Florida
,
Master Electrican.
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.
.5
4
;
Amount of Permit $
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMJT
p.,-.)
1 � L 1 ' 1/
Permit No._ Date �w___ D
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. O
Owner's Name and Address - �/( - O 5 t No._____ 11 __ G __— ______. Street_____ — __
Registered Architect and /or Engdrsr 7 .
r��'4;2 ' iK< - e
2 No.
Employing Electrician's Name �"''��� ~ ° - -� __�? ms? r i — _
Location and Legal Description Lot p
Street and Number where work is to be performed —No fl 0
_Block
Street---k - - — =_ -- –
State work to be performe and purpose of building (By Floors) ^
New Building Remodeling — Addition —__ —_ Repairs No. of Stories 1
Street
Subdivision_—
Notary Public. State of Florida
-p
Service Overhead Size Feeders_ Conduit.___— Main Sw.___— — Amps. Main Fuses _____ _ _Amps.
Underground
Type 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 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 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
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 under signed agrees to employ only such sub - contractors, on ` t . perfumed under this permit, as are
(Signed) 7954 N E ..
--------- - - - - -- - --
I,vIIAMI, FLORIDA
Electrican.
Phone 70803
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 be is the
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
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.
1
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T's
FIXTURES
NO.LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
[o
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Amount of Permit $
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMJT
p.,-.)
1 � L 1 ' 1/
Permit No._ Date �w___ D
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. O
Owner's Name and Address - �/( - O 5 t No._____ 11 __ G __— ______. Street_____ — __
Registered Architect and /or Engdrsr 7 .
r��'4;2 ' iK< - e
2 No.
Employing Electrician's Name �"''��� ~ ° - -� __�? ms? r i — _
Location and Legal Description Lot p
Street and Number where work is to be performed —No fl 0
_Block
Street---k - - — =_ -- –
State work to be performe and purpose of building (By Floors) ^
New Building Remodeling — Addition —__ —_ Repairs No. of Stories 1
Street
Subdivision_—
Notary Public. State of Florida
-p
Service Overhead Size Feeders_ Conduit.___— Main Sw.___— — Amps. Main Fuses _____ _ _Amps.
Underground
Type 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 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 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
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 under signed agrees to employ only such sub - contractors, on ` t . perfumed under this permit, as are
(Signed) 7954 N E ..
--------- - - - - -- - --
I,vIIAMI, FLORIDA
Electrican.
Phone 70803
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 be is the
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
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.
1
BUILDING
ELECTRICAL
PLUMBING
Owner of
-Building
R PERMIT N? 5232
Work to be performed under this Permit
A rchitect
Contractor
or Builder
Legal Lot
Description
Address of , , I , e -
Building i �
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE g_ 3
L -A •
Bl.
Subdi-
vision
Value of
Project
Contractor's
License No / s t 3
Amt-of -
Permit
9 0
1947_
/1/'
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 w th 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 change il without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above as unies the r spondibili f for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans. or drawings of -in thee``stat iiireuts or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. 9. J � ! � - °>
Signed- ' - e.-�. / 1,�/r -% By 7
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work cover 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 responsibility for all work done by ether myself, my agent, servant or employee.
4 11- (4
AUTHORITY
4
- 4
BUILDING
ELECTRICAL
PLUMBING-..
L �_ Work to be p ,,rfori ie under this Permi
' B d /
Architect
Contractor C "
or Builder .\
Leah
Description
Address of
Building
sibility for work done by his agents, servants or employees.
Lot
2 16
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 5112
Bl.
DATE 194_
Li No or s /5-4 B
Subdi-
vision
Wi
Value of 11 Amt. t (c Permi , i p
a Project ��
This permit is granted to the contractor �� builder amed above to construct the building or to install the equipment o device escribed 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 sponsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or dr'*Vinigs j the ateen s or specifications and that he assumes respon-
_
BY
Signed • ® c j s s P E CTO By ✓ � l / ?
In consideration of the issuance to me of this permit I agree to perform the w cov ed hereunder in compliance vyitli-lall ordinances 4�nnd'ilations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper an13Yoi ities of Miami'S iores Vill
In is permit I assume responsibility for a work done by either myself, my agent, servant or employee.
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of ;� Value of Amt. of
Building -� �� Project 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 appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th 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• By ,7
INSPECTOR
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 responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 5232
Work to be performed under this Permit
Bl.
Subdi-
vision
BY
DATE
194
Contractor's
License No
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor
or Builder
Legal
Description
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE 194
PERMIT N2 5112
Work to be performed under this Permit
Owner of
Building
Address of / Value of Amt. of
Building 1 d,' Project Permit ,
This permit is granted to the contractor of 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.
Signed • By
k ,.,_,,INSPECTOR
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 responsibility for all work done by either myself, my agent, servant or employee.
Bl.
Subdi-
vision
Contractor's
License No.
BY AUTHORITY
UILDING
LECTRICAL
LUMBING
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N? 5384
Work to be performed under this Permit ('
iwner of
uilding
rchitect
Contractor's
License No.
- ontractor
Builder
egal Lot Bl. Subdi-
Iescription vision
ddress of n a a--, Value of Amt. of w. �::
uilding S, Project 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 appli-
ition herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be'performed in compliance with any
ans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
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
-rmit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
-gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he/ assu es respon-
bility for work done by his agents, servants or employees. z
Signed • By
INSPECTOR
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
rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
1 accepting this permit I assume responsibility f or all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY AUTHORITY
194
BUILDING
ELECTRICAL
PLUMBING
PERMIT N° 5384
Work to be performed under this Permi
Owner of
Building ti 11#) 0 771 0/7 G
Architect
OrrLe. vt
Bl.
CONTRACTOR OR BU
MIAMI SHORES VILLAGE, FLORIDA
k I e,
DATE
Contractor's
License No.
Contractor
or Builder
Legal Lot
Description
r
Address of
Building
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device . escrited 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 or. ' . ances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that . f es respon-
sibility for work done by his agents, servants or employees.
Subdi-
vision
Value of
Project
Amt. of
Permit
Signed • By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance witl
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper auth
In fcceptjng this permit I ssume responsibility for all work done by either myself, my agent servant or employee.
BY
194/
6'63
o rdinances andire ii iorik
s of Miami Sh age.
AUTHORITY
Permit No. IL
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
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 Floors)
New Building Remodeling Addition
-Block
Date
Street
Repairs
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 _— J —
-- - -_-� �� No.__ Street_
Registered Architect and /or Engineer ¢____
Employing Electrician's Name ______._ __ —_:� _ =�:_ ,_____ No Street
Subdivision_____________
No. of Stories
Service Overhead Size Feeders____— Conduit.___ ___ Main Sw
Underground
Type of Installation— Conduit Tubing B.X.L .......... Moulding
• i
Amount of Permit $
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 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
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 under signed 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, k
COUNTY OF DADE. ss'
My Commission Expires
(Signed)
(Signed)
Amps. Main Fuses____— __Amps.
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, 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- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
.
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No. IL
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
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 Floors)
New Building Remodeling Addition
-Block
Date
Street
Repairs
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 _— J —
-- - -_-� �� No.__ Street_
Registered Architect and /or Engineer ¢____
Employing Electrician's Name ______._ __ —_:� _ =�:_ ,_____ No Street
Subdivision_____________
No. of Stories
Service Overhead Size Feeders____— Conduit.___ ___ Main Sw
Underground
Type of Installation— Conduit Tubing B.X.L .......... Moulding
• i
Amount of Permit $
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 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
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 under signed 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, k
COUNTY OF DADE. ss'
My Commission Expires
(Signed)
(Signed)
Amps. Main Fuses____— __Amps.
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, 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- 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
ai)J
0
Registered Architect and /or Engineer
MIAMI SHORES. VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Employing Electrician's Name
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No
v
(I
Street it 9 t
Date 2 .�- ‘=7. v ��
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 Ofi.o ( 'f / r No / l G � - � Street 4/ �` - k�'
street. 1/C"
G 7�.
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders
Underground
Conduit Main Sw Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
The undersigned applicant for this buildin
labor under the Florida Workmen's Compens
has complied with the provisions th . e
work to be performed under this per
as are required by the Act. The unde
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE I
ss.
My Commission Expires
NOTE: A re-inspection fee of $1.00 will be made when such
materials and /or workmanship.
(Signed)
Electrical Inspector.
does hereby certify that he understands and accepts his obligations as an employer of
being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
quire similar compliance from all contractors or subcontractors employed by him in the
or cause to be posted for inspection on the site of the work such public notice or notices
employ only such subcontractors, on work to be performed under this permit, as are
(Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, 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.
Master Electrician.
Notary Public, State of Florida
re-inspection is made necessary by improper notice for inspection, or faulty
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
r L �L2
//��
/ f
--ffii
�
_
-
�
�4. /
/
,/
ii
�i/� ��
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
ai)J
0
Registered Architect and /or Engineer
MIAMI SHORES. VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Employing Electrician's Name
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No
v
(I
Street it 9 t
Date 2 .�- ‘=7. v ��
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 Ofi.o ( 'f / r No / l G � - � Street 4/ �` - k�'
street. 1/C"
G 7�.
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders
Underground
Conduit Main Sw Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
The undersigned applicant for this buildin
labor under the Florida Workmen's Compens
has complied with the provisions th . e
work to be performed under this per
as are required by the Act. The unde
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE I
ss.
My Commission Expires
NOTE: A re-inspection fee of $1.00 will be made when such
materials and /or workmanship.
(Signed)
Electrical Inspector.
does hereby certify that he understands and accepts his obligations as an employer of
being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
quire similar compliance from all contractors or subcontractors employed by him in the
or cause to be posted for inspection on the site of the work such public notice or notices
employ only such subcontractors, on work to be performed under this permit, as are
(Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, 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.
Master Electrician.
Notary Public, State of Florida
re-inspection is made necessary by improper notice for inspection, or faulty