ELECTRICALDate 1- ?)- 1 Job Address E, q ST, Tax Folio
Legal Description I Q U_ + E ' 12_ o Inc ( Historically Designated: Yes No
Owner/Lessee / Tenant - �O1S ra U \ \( (1 IZ 1 Master Permit #( / 4 <l27
��
Owner's Address ` N , `1� SI �� �.. 0 Phone
Contractin Co. Sls E1eob i C 1 'C
Qualifier 1 D. '
state # 0 V 1 21 0 Municipal # -501 r '? 1093
Architect/Engineer
Bonding Company
Mortgagor
FEES: PERMIT 7e, " RADON
APPROVED:
Zoning
Mechanical
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Address 3Q 15 w .
SS# Phone L.Z0 0 -4 1 W3
Competency # I -7 35 Ins. Co. (
Address
Address
Address
Permit Type (circle one): BUILDING
BU ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION �' -t,ILZ i�- ► SK(ST (tile C A E L f
U KJ Evd 1 � 1/�T � l Tz- t:oNA TO Q'J€)
u3 Ps►4 -- OvT
Square Ft. Estimated Cost (value) 2.3C0 . 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 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.
_ 7-- 9 9
Signature of owner and/or Condo President Date Signatu' • Contror or Owner- Builder Date
> r act
Date
Notary as to Owner an.d/or Condo President Date . ary as to
My Commission Expires:
► "t' • i":Ir SEAL
ireLt.ADYS j VILL R
LTC STATE OF FLORIDA
IZMIMISSION NO. CC7141013
ISSION EXP. MAR. 1
y Commiss
C.C.F. ' NOTARY BOND ..
Building Electrical
TOTAL DUE
Plumbing Engineering
1
ITEM
BATH TLB
BIDET
DISHWASHER
DISPOSAL
CRINKING •FOUNTAIN
FLCCR RAIN
GREASE TRAP
INTERCEFTCR
LAVATORY
LAUMORY TRAY
CLOTHES WASHER
SHOWER
SINK, POT /3 COMP.
SINK, RESIDENCE
SI SLCP
TEMPORARY WATER CLOSET
IA I NAL
MATER CLOSET
I NDIRECT WASTES
HATER SLPPLY T0:
HEATER -NEW INST.
HEATER- REPLACE
LAWN SPRIMQ.FR -WELL
SW 'WING POOL
WATER SERVICE
SEWER CONNECTIONS
1T ILITY -SEWER
all I TY-WATER
EPTIC TAM(
ELAr
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BE
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.
A/C UNIT
FIRE SPR I NQ.ER
IA 4' TILE/RES.
.IMP & ABANDON SEPTIC TAN(
IAKAGE PIT cu. FT.
1TCH BASIN
'$CHARGE WELL
GESTIC WELL
:EA DRA
OF INSET
LAR WATER HEATER
RE STANDPIPE
OL PIPING
AN TR I N(L.ER SYSTEM
S RANGE
TER SET (GAS)
3 PIPING
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
UNIT FEE ITE]I
SWITCH OUTLETS
LIGHT OUTLETS
ELECTRICAL
RECEPTACLES i 3 A/C (WIND)
SERVICE TEbPCRARY A/C (CE )
SERVICE SIZE IN MPS MCI WEAK
SERVICE REPAIR/1,ETER CHANGE REFRIGERATION
APPL IANCE OUTLETS PROCESS AND PRESS PIPING
RANGE TOP UNDERGROUPO- TANKS
OVEN ABOVE GROUND TAMS
WATER DATER U.F. PRESSLRE VESSELS
6DTDRS 0- 1 If STEM BOILERS
MOTORS OVER 1- 3 If HOT WATER BOILERS
CTORS OVER 3- 5 HP
IDTtRS OVER 5- 8 If
hOTORS - OVER 8- 10 HP
MDTt S OVER 25-100 HP
MDTCRS OVER 100 HP
A/C WINDOW
AIR CONDITIONERS
STRIP HEATER
GENERATGRS TRANSFG)RIE S
MBATGRS TRANSFORIERS
GENERATORS TRANSFORMERS
SPECIAL PURPOSE
OUTLETS COIC I AL
SIGN TUBES
SIGFI TRANSFORMERS
SIGN TIME CLOCK
FIXTURES
ANTENNA
TELEVISION GuuETS
VIOLATION
RE INSPECT ION
UNIT
FEE ITEM
SPACE HEATERS
CENTRAL HEATING
ELEVATtRS/ESCALATORS
COOLING TOWERS
VIOLATION
REINSPECTION
MECHANICAL
(ECNiAN ICAL VENT I LAT ION
TRANSPORTING ASSEMBLIES
UNIT FEE
zo
H O
( -1 0
0
w. z
•Pi
CP
g
N
74-1 lZ l' S E Z. Din ZA M 13 00E.
O F: • -TFr EX ts-r a sEgV •
ALcQ isTiue U gory is To 4
TrE N OVA i ED n Mt 1 /J7O F� .
T3A714TLLY7'7, V/L4K/I 14.. 1.12e" Q/ /tE ,
.S of T p r IRS orz' cF/Ausrs
'I 1 SEZ. V i cE ,
*E m oVE: E x i 5n 150 A p,
�i rZC.U•i T= 13 r EAJ Q -'au
Local - rte ki THE yriU n( -a ')
rusT . °LIFO) k(EMJ Is() 4&4p
I'aUEL-. Z EX I S1'r JG G nrnGE., ,
• 1 ZOt3T EX 1 sT ('U - F E :col A ' ID
CONT)U IT w
Li r a); r- • rz .r r2 T M EL_
TCE Pu .__ FEEDE2 a uu, 13 rrai c+-i
C 1 rla).1T' 0.S ►JECESS
It
3-* 1 1 TOM csy
) pu T` •
15 A gr' 4E C J ~
1.S 0 alai M-A.! U
— 5 /a x I O Gacu. T oDs
DRivew L 4 PAILTr /1 j 1.1 .
E x i s - i iNtG
S EiTV . 150 haP: I : pit, ' I to/ Z4D Volt.
RISER DIAGRAM
1. fit' W.T,v: I'/i' Count' 1
1 so iyAR Lirtaui r -warzEz
pAN . LOCATED ZWSlD, UT? L ,TCOOrr)
APPROVED
BY
DATE
ZONONG
STRUCTURAL
ELECTRICAL
i /
,Y-Z49'6
��s�I
�':- �t;�rNG
-r•.•
d
SUBJECT TO COMPLIANCE WITH ALL FEDERAL, .,. ;: ;.:-.., ;;i;;;;:
RULES A'ID REGULATIONS.
MIAMI SHORES VILLAGE ASSUMES NO RESPONSIBILITIES FOR ACCURACY
OF OR RESULTS FROM THESE PLANS.
COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY
MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & SUB
CONTRACTORS ARE CHARGED WM-11 THE MOM-EDGE OF ALL BUILDING
REGULATIONS IPA -ETHER OR NOT SPECIFICALLY INDICATED HEREIN.
WHAM SHOT CES V L.LAGZ
APPLICATION FOR ELECTRICAL PERMIT
Permit No 'j'� Date � w
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
Registered Architect and /or Engineer
Employing Electrician's Name .r..
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
° < °10°' No Street
No
Location and Legal Description Lot /0 *'"' 4i. 1 C ®/ / Block Z Subdivision.
Street and Number where work is to he performed —No / / .') Street '
State work to be performed and purpose of building (By Floors)
New Building .L Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground.
Type of Installation— Conduit Tubing I B.X.L Metal Moulding
Street 5J• �'!/•
1
/ Amount Amount of Permit $ )
�" The undersigned applicant for this building permit does hereby certify that h nderstands and accepts his oblig ions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compi ed 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.
r4..r. -'
lectrical Inspector.
(Signed) . -1 .A/6 7/71= 4:4•
Master Electrician.
STATE OF FLORIDA, b �� •
_
COUNTY OF DADE. SS' '1` %z ' �. M � �
v
Before me, the undersigned authority, a notary public, duly authorized ti 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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CHECK
ENT.
SW.
CIIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
i
___L_
1
CHECK
APPLICATION FOR ELECTRICAL PERMIT
Permit No 'j'� Date � w
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
Registered Architect and /or Engineer
Employing Electrician's Name .r..
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
° < °10°' No Street
No
Location and Legal Description Lot /0 *'"' 4i. 1 C ®/ / Block Z Subdivision.
Street and Number where work is to he performed —No / / .') Street '
State work to be performed and purpose of building (By Floors)
New Building .L Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground.
Type of Installation— Conduit Tubing I B.X.L Metal Moulding
Street 5J• �'!/•
1
/ Amount Amount of Permit $ )
�" The undersigned applicant for this building permit does hereby certify that h nderstands and accepts his oblig ions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compi ed 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.
r4..r. -'
lectrical Inspector.
(Signed) . -1 .A/6 7/71= 4:4•
Master Electrician.
STATE OF FLORIDA, b �� •
_
COUNTY OF DADE. SS' '1` %z ' �. M � �
v
Before me, the undersigned authority, a notary public, duly authorized ti 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.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date t " ' r J
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
Owners Name and Address �.. : '� `. 1/! . . rNo Street
Registered Architect and /or Engineer. ;#4?
Employing - ,/
Employing Electrician's Name .� ------ / . .d C��!G r� No i/ .9 Street
Location and Legal Description Lot /4) • 4 " o .1/ Block 2- `Y' 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 Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of 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.
rfr STATE OF FLORIDA
COUNTY OF DADE.
t
Ss.
Street
aster 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
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.
R SER ICE
P M.
MOTORS
0.1 HP
MOTORS
1•5 HP
NEON
TRANS.
RADIO
TOTAL
CL
LIST
- CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date t " ' r J
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
Owners Name and Address �.. : '� `. 1/! . . rNo Street
Registered Architect and /or Engineer. ;#4?
Employing - ,/
Employing Electrician's Name .� ------ / . .d C��!G r� No i/ .9 Street
Location and Legal Description Lot /4) • 4 " o .1/ Block 2- `Y' 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 Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of 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.
rfr STATE OF FLORIDA
COUNTY OF DADE.
t
Ss.
Street
aster 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
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description.
Address of
Building
Work to be performed under this Permit
• 1. r
1 CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 9820
/
Bl.
Subdi-
vision
Value of
Project $
DATE d rt :..:..,..
Amt. of
Permit $
F '
1 g5
•
Contractor's'
License No
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. /
1w BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all or nances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities Doff Miami Shores Village.
In accepting this permit I assume responsibility for a work done by either, myself, my agent, servant or employee.
BY '
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder v e
Legal Lot
Description.
Address of
Building 4
71
MIAMI SHORES VILLAGE, FLORIDA
DATE 191
Contractors
License No
PERMIT N° 9821
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project $
t..'
Amt. of
Permit
$
$� 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 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 r u'ations
pertaining to the work covered hereby whether shown on the plans or dr . gs or in the statemen or specifications and that he assumes responsibility for work
done by his agents, servants or employees. * 4l
Signed: ` /b'" l -.lam C..- �._ a. G . ... By
4
■ INSPECTOR
In consideration of the issuance to me of this permit I agree to pgltform the work covered hereunder in compliance with all drdinances 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
Permit No
X4738
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. "
f�,,:.
Owner's Name and Address.._. ' ! , e t -7? No /3 Street... . 7 9547.
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 4' 3-
/I/v ,y
Employing Electrician's Name "... 4:A ii tae r?.
Location and Legal Description Lot Block
Street and Number where work is to be performed —No
f cr Fg
State work to be performed and purpose of building (By Floors)
New Building Remodeling - Addition
No / � fs' Street .._.P`.?
Subdivision
/ J r Street , E 70 oil •
Repairs No. of Stories
Ga m -./
Service Underground Size Feeders yt, Conduit Main Sw Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Soo
Amount of Permit $ (Signed) e ..
STATE OF FLORIDA, }
COUNTY OF DADE.
55. .
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accep . is 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.
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
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
O.I.HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
X4738
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. "
f�,,:.
Owner's Name and Address.._. ' ! , e t -7? No /3 Street... . 7 9547.
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 4' 3-
/I/v ,y
Employing Electrician's Name "... 4:A ii tae r?.
Location and Legal Description Lot Block
Street and Number where work is to be performed —No
f cr Fg
State work to be performed and purpose of building (By Floors)
New Building Remodeling - Addition
No / � fs' Street .._.P`.?
Subdivision
/ J r Street , E 70 oil •
Repairs No. of Stories
Ga m -./
Service Underground Size Feeders yt, Conduit Main Sw Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Soo
Amount of Permit $ (Signed) e ..
STATE OF FLORIDA, }
COUNTY OF DADE.
55. .
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accep . is 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.
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.
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE
COOUU
NTY
(OWNER TO RETAIN COPY) 1
Date 7 '/2'9/ Job Address 13E 6 q �- Tax Folio // J7 ,71 /3 ,g717' 4
Legal Description t D ‘ i1 „2 g r /9/ P Master Permit #
/ Lessee / Tenant /Lk. — DA,/
Owner's Address
13 i JE c) ST—` Phone 7,s8 94
Contracting Co. NQd ELo --ri IC. ` i k Address 1 9 )3 Li.) q 0. S .1
Qualifier ..1;1+�13 ■.J - 0✓1 pv SS# Phone nei 1 — i a-j
State# iG ( iq' Competency# / t2 1P8 2--- °'i/C/ Ins. Co. 445)/2-� 4246p
Architect /Engineer 0111 Address
Bonding Company Al P' Address
Mortgagor A" P- Address
Permit Type (circle one): BUILDING ELE PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION S* (C
Square Ft. Estimated Cost tt icir3
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 AFFIDAVT: I certify that all the foregoing information is
will his done ,'L ',compliance with all applicable laws regulatin
Furthermore, -I authorizg.the above -named contractor to do the work
Signature of Owher and /or Condo Presiden
Date: - / � -
ary as to Owner a nd /o T! f 7FrcffricnhoR ne Notary s to ContQ2ctor or Owner - Builder '
Other WARY PUBLICSTATEOFFLIPHIA
t*COMMISSIO EXP. 46.31,199,
WED THRU GENERAL INS. UND0.?‘
My Commission Expires: my C .1141SSION EXP. SEPT 4,1993 My Commission Expire 4
PERMIT FEE: APPROVED: Fire
Si 00
Zoning
Mechanical
Building
Plumbing
Date:‘
G $'
accurate and that all work
onstruction and zoning.
A
1 .
a tu ' of Contractor or Ow r guilder•
Electrical
Engineering
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation. 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.
/ c– P/
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
Service Underground Site Feeder
Type of Installation — Conduit
STATE OF FLORIDA, }
COUNTY OF DADS.
ss.
Amount of Permit $
O
Conduit l / Main Sw
No /31
No 4 1
Date
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 38 Street.. ( 2 5T'
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
El2.S ICC
Aso
4
Amps
Street
Street .4)'4L
No. of Stories
Main Fuses Amps
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 u 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 performed under this permit, as are
licensed by Miami Shores Village.
(Si
aster 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
OUTLET[
LIGHT
OUTLET[
PLUG
RECE'P'T's
FIXTURES
NO LAMPS
RE /RIO.
OUTLET
Igor.
OUTLET
RANO(
OUTLET
RANO[
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H
STRIP
H
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.13 HP
NEON
TRANS.
RADIO
TOTAL
LIST
C HECK
CHECK
7
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation. 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.
/ c– P/
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
Service Underground Site Feeder
Type of Installation — Conduit
STATE OF FLORIDA, }
COUNTY OF DADS.
ss.
Amount of Permit $
O
Conduit l / Main Sw
No /31
No 4 1
Date
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 38 Street.. ( 2 5T'
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
El2.S ICC
Aso
4
Amps
Street
Street .4)'4L
No. of Stories
Main Fuses Amps
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 u 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 performed under this permit, as are
licensed by Miami Shores Village.
(Si
aster 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.
Date
Legal Description
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address ( O NE T 2 Tax Folio 1 I — b - 6 /3--.32
T t 0 L (Y ( j et - `f Sy 6: i�'� I ��7►7 j ��i�R �
Owner / Lessee / Tenant s h ��•: i �J� d
Owner's Address C j /W ` l 2, S-1-re.
Contracting Co.
Qualifier `J \) . Ui it t4 )� . SS# / Phone
- 3025195(9 State # Municipal # Competency # `/-`! ',CXJ Ins.Co. t r ^1 _
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDINELECTRICA) PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION P ct a fi -i /91 i A,V J / T r•J C / K /0-(J/ '-fi e
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 contractor to do the work stated.
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
** * * * 2 * * * * * * * *
PEES: PERMIT�q %1 30 RADON C.C.F.
APPROVED: Fire
Zoning Buildin
Mechanical Plumbing
f‘S 4 P/ ECi ?Le a Master Permit #
Address
1 - ► I
Signatur o Con
Date: s.5
J(,t/Le+�X7�10
Phone
41 49 74)443
Notary as to Contracto 7•r Owner- Builder
My Commission Expirestotuy Pant, State of Florida
My Commission Expires Aug. 22, 1993
Bondod Thru Troy Fain - Insurance Inc.
* * * * **
NOTARY TOTAL DUE3
rlactor or Owner- Builder
Engineering