ELECTRICAL PERMITPermit 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. 1# Name and Address . - 40
Registered Architect and /or Enginee
P
Employing Electrician's Name Pi�e P 6-Y' No `[� / 94e ,a Street
Subdivision. ..8v
Street and Number where work is to be performed—No
Location and Legal Description Lot
Amount of Permit $ I C
. MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date P
NOTE: A re•inspection fee of $1.00 will
materials and /or workmanship.
Block
No Street
(Signed)
(Signed)
/I
6
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
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 sub•contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
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.
be made when such 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.
ACE
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
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. 1# Name and Address . - 40
Registered Architect and /or Enginee
P
Employing Electrician's Name Pi�e P 6-Y' No `[� / 94e ,a Street
Subdivision. ..8v
Street and Number where work is to be performed—No
Location and Legal Description Lot
Amount of Permit $ I C
. MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date P
NOTE: A re•inspection fee of $1.00 will
materials and /or workmanship.
Block
No Street
(Signed)
(Signed)
/I
6
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
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 sub•contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
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.
be made when such re•inspection is made necessary by improper notice for inspection, or faulty
Vllclye of Miami Shores N° 4902
JOB i�s /'e)77"
ADDRESS / VO - L • 9� f'? _,
INSPECTION e_7
TIME READY
REMARKS
INSPECTOR t
DATE g 4 °n %�
'Village of Miami Shores
JOB A - . t�J,) ,p07-7
ADDRESS / a .1/4
INSPECTION i? , 2 A C *' �'�
TIME READY
REMARKS e ( 07
INSPECTOR
N° 4955
2
DATE / ° 0 , -
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
r . t ..
Lot
1
MIAMI SHORES VILLAGE, FLORIDA V
El DATF / ` 195
❑ PERMIT N° 4289 Contractor's
License No. / « ''
0
❑ Work to be performed under this Permit
Bl
Subdi-
vision
Value of
Project $
Amount 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' ail that he assumes responsibility for work
done by his agents, servants or employees. '
Signed:
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 ac-
opting this permit I assume responsibility_ for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY AUTHORITY 6
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building h
Architect
Contractor
or Builder
Legal Lot
Description —
Address of
Building
DATE
❑ PERMIT N° _ 4331
MIAMI SHORES VILLAGE. FLORIDA
CONTRACTOR OR BUILDER
Bl
Work to be performed under this Permit
s
f
/•
Value of
Project $
•
195
Contractor's
,
License No.
Subdi-
vision
Amount of
Permit $
I
This permit is granted to the contractor or builder named above to construc 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 thorn g knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings cr in the sta�ments or spec' caltOns and that he assumes responsibility for work
done by his agents, servants or employees. f°"
Signed. r� .. _ 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 specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by eitl}er, myself, my agent, servant or employee.
AUTHORITY
‘ 5"7 6 o ✓e h
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
I
I
Date /o —2D Job Address /4O /YL 23 sT Tax Foliol/ , 2 7 0 / 9 a P
7 'Vu/1-'2
Legal Description / �E
/ Lessee / Tenant 2 :Q a K Q ca? /? m CZ s a /4 Master Permit # % / / //
Owner's Address /2 Y ti 0 P I / 15-
]! L / 3 3 % 'Phone
Contracting Co.0 j 7/14(114 r (QC��eG / k ( Address 761?-5 11;-;401 4 ** 11 L 33 c.
QualifierG ?6 A4 02k ss# / 86 Y Y"' 9 2
1 10
State # Municipal 4PW0 /0 22/ Competency # Ins .Co.
Architect /Engineer Address
I
Bonding Company I Address 1
Permit Type(circle one): BUILDING
WORK DESCRIPTION ' ( ,4 '(-4--
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
** * * *
FEES: PERMIT 9" C
APPROVED:
Zoning
RADON
* *
C.C.P.
Address
LUMBING MECHANICAL ROOFING PAVING PENCE SIGN
r '
Square Ft. Estimated Cost(value)/ v
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). I
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 construc ion - •• zoning. Furthermore, I
authorize the above -named contralctor to do the work stated.
IO &
0
n
or or Owner- Builder
•
EPHINECHURCH
otary Public, State of Rene,
lank'
Signature
Date: /
1
r
y Commission E
tar as to Co
*
f 7t) (5 NOTARY 54/
ti'%
nil'd
Fire Other
*
Building Electrical
*
*
TOTAL DUE *
**
Mechanical Plumbing Engineering