ELECTRICAL PERMITPermit No /
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR E LECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o. other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, kiu ida,
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 — WL )' No./2 N 9".:i Street
Registered Architect and /or Engineer
Employing Electrician's Name...e..A../Ate.C4L 4/11(..e No./ .4 Y L.N.S.41./ it) .Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed—No. /2 S0 M.o..E • Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Overhead
erground
Service U Size Feeders Conduit Main Sw Amps Main Fuses Amps
nd
Type of Installation—Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ 3, 0 o (Signed). T R J,,,,,. r ../.
Electrical nspe r.
The undersigned applicant for this building permit does hereby certify that he urderstands 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 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE. 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 ha carefully read the foregoing application. and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and/or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGL:
CONN
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
...m.m......-.-
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORt;
0-1 HP
MOTORS
1-9 HP
NON
TRANS.
RADIO
TOTAL
CONTR.
LIST
II
..
CHECK
Permit No /
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR E LECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o. other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, kiu ida,
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 — WL )' No./2 N 9".:i Street
Registered Architect and /or Engineer
Employing Electrician's Name...e..A../Ate.C4L 4/11(..e No./ .4 Y L.N.S.41./ it) .Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed—No. /2 S0 M.o..E • Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Overhead
erground
Service U Size Feeders Conduit Main Sw Amps Main Fuses Amps
nd
Type of Installation—Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ 3, 0 o (Signed). T R J,,,,,. r ../.
Electrical nspe r.
The undersigned applicant for this building permit does hereby certify that he urderstands 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 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE. 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 ha 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
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 nat. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address.... 11
Regissered Architect and /or Engineer Q
Employing Electrician's Name.. • I J '
Location and Legal Description Lot Bloc::
L S // ^��
Street and Number where work is to be performed —No... . 2.19J
State work to be performed and purpose of building (By Floors)
New Building � Remodeling Addition.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTICN DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date f
My Commission Expires
No Street
,<No. . 6 aSi Wri ,f`r Street
1
Street
Subdivision
Repairs No. of Stories
Service overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type. of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ / ‘` (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Comp:led 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 in: pection 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•contrr,ctors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed).... - � C......,... .
/ 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.
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
ials 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
ls
/ �/
._
/ iy
V l(
y !T
V ✓ ` 1 3 / 7
r�
/ t/
! / / S
� I
/
i / / h
/
�)
c
' CHECK
_.
7.���
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MCTORS
O.: HP
MOTORS
1.5 HP
f
1 3
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
_
_� _
10-3
/C k • .
CHECK
j
/ ®
/`P
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 nat. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address.... 11
Regissered Architect and /or Engineer Q
Employing Electrician's Name.. • I J '
Location and Legal Description Lot Bloc::
L S // ^��
Street and Number where work is to be performed —No... . 2.19J
State work to be performed and purpose of building (By Floors)
New Building � Remodeling Addition.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTICN DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date f
My Commission Expires
No Street
,<No. . 6 aSi Wri ,f`r Street
1
Street
Subdivision
Repairs No. of Stories
Service overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type. of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ / ‘` (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Comp:led 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 in: pection 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•contrr,ctors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed).... - � C......,... .
/ 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.
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
ials and /or workmanship.
Permit No
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 lihores 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 t `// �� f No Street
Registered Architect and /or Engineer /J
Employing Electrician's Name No 3 G`0 ��'✓ 4d.Street
Location and Legal Description Lot Block q Subdivision
Street and Number where work is to be performed —No ) a2 Q 7 . G......2J Street
State work to be performed and purpose of building (By Floors)
New Building t/ Remodeling Addition Repairs No. of Stories
Service a Size Feeders Conduit Main Sw Amps Main Fuses Amps
Un
Undergrorgro und
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that hz. 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 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
ST'G#TE' OF FLORIDA,
COUNTY OP DADE.
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 sags 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.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
SS.
My Commission Expires
MIAMI SHORES VILLAGE
(Signed)
Date Sz — S S
Notary Public, State of Florida
_ Master Electrician.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is trade necessary by improper notice for inspection, or faulty
maerials and /or workmanship.
SW17CH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
.2ANGE
BONN.
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
Cmacm
Permit No
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 lihores 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 t `// �� f No Street
Registered Architect and /or Engineer /J
Employing Electrician's Name No 3 G`0 ��'✓ 4d.Street
Location and Legal Description Lot Block q Subdivision
Street and Number where work is to be performed —No ) a2 Q 7 . G......2J Street
State work to be performed and purpose of building (By Floors)
New Building t/ Remodeling Addition Repairs No. of Stories
Service a Size Feeders Conduit Main Sw Amps Main Fuses Amps
Un
Undergrorgro und
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that hz. 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 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
ST'G#TE' OF FLORIDA,
COUNTY OP DADE.
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 sags 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.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
SS.
My Commission Expires
MIAMI SHORES VILLAGE
(Signed)
Date Sz — S S
Notary Public, State of Florida
_ Master Electrician.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is trade necessary by improper notice for inspection, or faulty
maerials and /or workmanship.
MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
ELECTRICAL D - DATF 195
'�
PLUMBING ❑ PERMIT l\ ° 2361 ' Contractor s
License No.
ROOFING ❑
0
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project $
Amount of
Permit $
J
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 :Toper 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 wi hout authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsil ility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings cr in the state nents or specifications and that he assumes responsibility for work
done by nis agents, servants or employees.
Signed. BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work cove ed hereunder in compliance with all ordinances and regulations
pertaining hereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting the s pennit I assume responsibility for all work done by either, myself, my agent, serve nt or employee.
CONTRACTOR OR BUILDER BY AUTHORITY e
Legal Description
wne / Lessee / Tenant
er's Address
Contracting Co.
State #
Architect /Engineer
Bonding Company
Mortgagor
be don
auth• i t
I/ tali/
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address
Signature f owner and /or Condo President
/ �
Notary as to Owner and /or Condo President
12 s O }/Jf 9 • Tax Folio 1/ 3,2a(5 c2 7 0,a0ZZ 6
l�K FO562
T o -' 1 ,-/ N AI c 0 IP I (! C SmViCe,Address
Municipal # Competency # ij Zr9 Ins.Co.
Address
Address
My Commission Expires: NOTARY PUBLIC STATE OF FLORIDA My Ccmmission Expire
MY COMMISSION EXPIRES 5/09/94 Ye. "Eon ;ca. / �-/ 1 %
** * * * bonded thr Stembir- Adamsi Sweet * Print ty��je, or stain name of otary Public
Personaii}' known OR Pro uced LDt/
Ty )e and number o I.D. produced-
FEES: PERMIT 0' RADON C.C.F, NOT <
❑ D D take an oatl , or
Fire ID NOT take at oatbj, f Other
Master Permit �1: SZW
gt9t
Phone
6(x , 7 ? '9�e 9
Qualifier D6 e d g r.cfPr rJ fe)e SS# ? - .�� - ?/,'' Phone30 -' .5149-1f17
r Address
Permit Type(circle one): BUILDING (iLECTRICAL.) PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION ;20,/49. cir qT sC F►OL
LC Th poOL h T" , AL Zip /iii /c2 7
Square Ft. Estimated Cost(value) 5 49 c)
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 Lnd 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.
AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
'n compli ce with all applicable laws regulating construction and zoning. Furthermore, I
the a -•ie -named contractor to do the work stated.
Signature of Contracto or Owner- Builder
D
„9,„.
i/te,
Notary as to Contractor or Owner- Builder
s:
NOTARY PUBLIC STATE OF FLORIDA
MY COMMISSION EXPIRES 5/09/94
Bonded thrw StemblekAdams &r&weet
TOTAL DUE 1 ,r10 f 00
Zoning Building Electrical 6 N) 0 4 t /fr
Mechanical Plumbing Engineering