ELECTRICAL2.0
Permit No /1177 /
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 7-26-61
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.Ken.er No Street.. ..1236..11..- Z.-- rrd..St
Registered Architect and /or Engineer
Employing Electrician's Name v AZT L L E(. � . \ No NE448524 Street 3115... •.W..JJQt ...St.
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
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 $ 2•00 (S igned) �f� .. L ,�
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and acetpts 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 r subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Master Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. } 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.
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.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIET.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
Lr� IST
r! CHECK
1
2.0
Permit No /1177 /
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 7-26-61
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.Ken.er No Street.. ..1236..11..- Z.-- rrd..St
Registered Architect and /or Engineer
Employing Electrician's Name v AZT L L E(. � . \ No NE448524 Street 3115... •.W..JJQt ...St.
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
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 $ 2•00 (S igned) �f� .. L ,�
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and acetpts 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 r subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Master Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. } 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.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
2 2
Amount of Permit $ C-42-
appeared
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 shal g complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of
Owner's Name and Address..
Registered Architect and /or Engin
Employing Electrician's Name � . No 9 Stree
Location and Legal Description Lot Block �j /�divisio
Street and Number where work is to be performed —No a?_(c Street
No 6 /Q
State work to be performed and purpose of building (By Floors)
New Building !rte 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)
Date 9
Street e / 2JI t
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection.-on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on wor to be per ned under this permit, as are
licensed by Miami Shores Village.
(Signed) .! a
Master E1eC
STATE OF FLORIDA,
COUNTY OF DADE. f ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
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
TE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
m erials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CL
LIST
CHECK
Permit No
2 2
Amount of Permit $ C-42-
appeared
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 shal g complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of
Owner's Name and Address..
Registered Architect and /or Engin
Employing Electrician's Name � . No 9 Stree
Location and Legal Description Lot Block �j /�divisio
Street and Number where work is to be performed —No a?_(c Street
No 6 /Q
State work to be performed and purpose of building (By Floors)
New Building !rte 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)
Date 9
Street e / 2JI t
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection.-on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on wor to be per ned under this permit, as are
licensed by Miami Shores Village.
(Signed) .! a
Master E1eC
STATE OF FLORIDA,
COUNTY OF DADE. f ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
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
TE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
m erials and /or workmanship.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date i '
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. r
�
Owner's Name and Address �� �� i
No //
Registered Architect and /or Engiipe r� ..,o
�, � _ � c "
Employing Electrician's Name , _ � �� �::. �- ...No l��
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 y Remodeli Additiun....
�'' d
'i I � 1/ 1.�e
Amount of Permit $
as
0 .
Street
Repai v t , 7 No. of Stories
E
v e Amps Main Fuses Amps
Ov
Service Size Feeders Conduit w Main Sw
-tieciergreerid Type of Installation— Conduit Tubing eY B.X.L Metal Moulding
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) PPPPPP r
Street
Stree
9 iM.A
Master Eldc[ifcfan.
STATE OF FLORIDA,
COUNTY OF DADE. f ea.
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: re•inspection fee of $1.00 will be made when such re' inspection is made necessary by improper notice for inspection, or faulty
materials /or workmanship.
%ji
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE ;17''S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET .
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
8T
P r .""
o ;� v / /
+ /
&� ..
(f
i ./'
/
) '
l' '
�
.I
/
O. 7/d
/
��� e
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0.1 HP
M OTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
S
■
�� J�r� / / � j4„�_ /�.!,?1.�
{'I
i e-�
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date i '
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. r
�
Owner's Name and Address �� �� i
No //
Registered Architect and /or Engiipe r� ..,o
�, � _ � c "
Employing Electrician's Name , _ � �� �::. �- ...No l��
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 y Remodeli Additiun....
�'' d
'i I � 1/ 1.�e
Amount of Permit $
as
0 .
Street
Repai v t , 7 No. of Stories
E
v e Amps Main Fuses Amps
Ov
Service Size Feeders Conduit w Main Sw
-tieciergreerid Type of Installation— Conduit Tubing eY B.X.L Metal Moulding
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) PPPPPP r
Street
Stree
9 iM.A
Master Eldc[ifcfan.
STATE OF FLORIDA,
COUNTY OF DADE. f ea.
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: re•inspection fee of $1.00 will be made when such re' inspection is made necessary by improper notice for inspection, or faulty
materials /or workmanship.
%ji
Date Job Address t ? ) L ne, Q ? ) + . Tax Folio t 1 - 2 - 7 - 0 / ( 3 0
Le Description/ - (o r e (9. O? cL 4LLILQ
V p
Lessee / Tenant r_/ �Q, Master Permit 1f 3gg f / qr
Owner's Address �� p V1 �_ Q3 f --. Phone
Address f o, d. f>, 1 Q(,(- /1c.Q Pce
ee / - f, c H
Qualifier Ot971_1, er?,Q/X SS1 - ( D 1 '1-- ? 7 O
State kErC # Comretency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING LE TRICAL PLUMBING MECH ROOFING PAVING FENCE SIGN
WORK DESCRIPTION a<OU it t i i /A SLl �M
Contracting Co. Ply`
APPROVED:',.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
— 1— bo
Square Pt. Estimated Cost(value) 1 Lt''
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 t"e ab e -named contractor to do the work stF
)ei (
Signature of owner and /or Condo President Si atu a ;•' Contract• r Owner- Builder
Date: D•i e: / r` .,, ��JANE" M. GRAHAM
M E PRES 13, 18 6
Notary as to • ran• /or Condo Pr • nt.. U tary as o Contractor or Owner- Builder
My Commission Y sires: ' OFFICIAL OTAR SEAL My Commission Expires:
NANCY C YN
NOTARY PUBLIC STATE . F FLORIDA
** * * * COMMISSION NO. CC270461
* * * * * * * **
MY COtiMISSIQN EXP. APR. 23 3
FEES: PERMIT- X30 RADON C.C.F. I . NOTARY TOTAL EUE
Fire
Other
Zoning Building_ Electrica 174W''*
Mechanical Plumbing Engineering