ELECTRICALBUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE 19 •
❑ PERMIT N? 4176 Contractor's
❑ License No
❑ Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot
Description
CONTRACTOR OR BUILDER
B1
Subdi-
vision
Address of - Value of of II
Building i Project $ 11 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 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 respon-
sibility for work done by his agents, servants or employees. j;.?` ! ,'F. •
,,.
�
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, t ; rawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac•
cepting this permit I a§sume responsibility for all work done by either, myself, my agent, 'servant or employee.
BY AUTHORITY
,.000T y
Permit No. ......(....f...Zfd�
MIAMI SHIRES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PER IT
Date bL.f� s 3_„ / `
Application is hereby made for the approval of the detailed statement of the plans and specifications her ith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building O ance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rul 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 �u G ° No / Street
Registered Architect and /or gineer ! l�
Employing Electrician's Name. !/ r C .[ lC [ /... L 1 /�. J' No. 9 7 7 Street /4V
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No / L? / ,� .r! V e ., Sttreet... � j e /�
State work to be performed and purpose of building (By Floors)...� e z- / / 5 /' . d/el�e 7
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 $ ........�.
(Signed)..
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on rk ,o
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE.
55.
My Commission Expires
(Signed)
Electrical Inspector.
ccepts his obligations as an • o er of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such p is notice or notices
be performed "nd this permit, as are
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
• r
Master Electrician.
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
R ANGE
CONN.
WATER
HEATER
W. H EAT.
CONN.
S ACE
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
CONTR.
LIOT
•
/
CHECK
Permit No. ......(....f...Zfd�
MIAMI SHIRES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PER IT
Date bL.f� s 3_„ / `
Application is hereby made for the approval of the detailed statement of the plans and specifications her ith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building O ance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rul 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 �u G ° No / Street
Registered Architect and /or gineer ! l�
Employing Electrician's Name. !/ r C .[ lC [ /... L 1 /�. J' No. 9 7 7 Street /4V
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No / L? / ,� .r! V e ., Sttreet... � j e /�
State work to be performed and purpose of building (By Floors)...� e z- / / 5 /' . d/el�e 7
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 $ ........�.
(Signed)..
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on rk ,o
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE.
55.
My Commission Expires
(Signed)
Electrical Inspector.
ccepts his obligations as an • o er of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such p is notice or notices
be performed "nd this permit, as are
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
• r
Master Electrician.
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 ( Date
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
Architect and /or Engineer
Employing Electrician's Name
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. I
APPLICATION FOR ELECTRICAL PERMIT,
ss.
MIAMI SHORES VILLAGE
[ELECTRICAL INSPECTION DEPARTMENT
/3°
- . -2
' " o Street
n
Location and Legal Description Lot Block
ZCj
' Addition Repairs
(Signed)
Before me, the undersigned authority, a notary public, duly authorized o
appeared
No' Street
� Subdivision
Street
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation —Co uii Tubing 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 sub •contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
7r
7
No. of Stories
Master Electrician.
ter oaths and take acknowledgments, personally
to me well known, and who, being by me :: duly sworn, upon oath deposes and sa ' t t e is the
of the above described construction, and he has carefully read the foregQjro ap�plic t' n, d that he did sign the same, and that all facts
•
therein by him stated are true.
'
C
;%-
My Commission Expires 1i Notary Public, State of Florida
NOT : A re•inspection fee of $1.00 will be made when such re• inspection hs 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
o
e,
,.
>
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 ( Date
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
Architect and /or Engineer
Employing Electrician's Name
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. I
APPLICATION FOR ELECTRICAL PERMIT,
ss.
MIAMI SHORES VILLAGE
[ELECTRICAL INSPECTION DEPARTMENT
/3°
- . -2
' " o Street
n
Location and Legal Description Lot Block
ZCj
' Addition Repairs
(Signed)
Before me, the undersigned authority, a notary public, duly authorized o
appeared
No' Street
� Subdivision
Street
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation —Co uii Tubing 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 sub •contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
7r
7
No. of Stories
Master Electrician.
ter oaths and take acknowledgments, personally
to me well known, and who, being by me :: duly sworn, upon oath deposes and sa ' t t e is the
of the above described construction, and he has carefully read the foregQjro ap�plic t' n, d that he did sign the same, and that all facts
•
therein by him stated are true.
'
C
;%-
My Commission Expires 1i Notary Public, State of Florida
NOT : A re•inspection fee of $1.00 will be made when such re• inspection hs made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
•
Permit No.------ ------ - --- _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.
Ownee's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot �_.____ _ _ ______________.— _._____Block — _____________ Subdivision_._:_____:
r.
Street and Number where work is to be performed—No .______ Street • . �! i
State work to be performed and purpose of building (By Floors) ,
New Building
Service Overhead Size Feeders Conduit Main Sw
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
NOTE: t re..i
materials and /7 wo
STATE OF FLORIDA,
COUNTY OF DADE. ss'
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PPLICATION FOR ELECTRICAL PERMIT
--- ------ ---- --- - ----- �--
Amount of Permit $,Z
K ?^�!__ -- No —_. Street
7V/ a
My Commission Expires
No �. - -___ .----- _ --_ -__ Street_ -� =_� t� --� �� __ _
Remodeling Addition.. Repairs _________________________ No. of Stories___—_ --- __
(Signed)
(Signed) ------
Date__ .._..
Amps. _ __ ___.___ Main Fuses
Notary Public, State of Florida
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 bim 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.
Master Electrican.
Before me, the undersigned authority, a notary public, duly
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.
authorized to administer oaths and take acknowledgments, personally
ection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
nship.
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
i
/
•
'
CHECK
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
L IT
O
/
CNCCK
•
Permit No.------ ------ - --- _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.
Ownee's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot �_.____ _ _ ______________.— _._____Block — _____________ Subdivision_._:_____:
r.
Street and Number where work is to be performed—No .______ Street • . �! i
State work to be performed and purpose of building (By Floors) ,
New Building
Service Overhead Size Feeders Conduit Main Sw
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
NOTE: t re..i
materials and /7 wo
STATE OF FLORIDA,
COUNTY OF DADE. ss'
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PPLICATION FOR ELECTRICAL PERMIT
--- ------ ---- --- - ----- �--
Amount of Permit $,Z
K ?^�!__ -- No —_. Street
7V/ a
My Commission Expires
No �. - -___ .----- _ --_ -__ Street_ -� =_� t� --� �� __ _
Remodeling Addition.. Repairs _________________________ No. of Stories___—_ --- __
(Signed)
(Signed) ------
Date__ .._..
Amps. _ __ ___.___ Main Fuses
Notary Public, State of Florida
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 bim 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.
Master Electrican.
Before me, the undersigned authority, a notary public, duly
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.
authorized to administer oaths and take acknowledgments, personally
ection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
nship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contracto
or Buildp
Legal Lot
Description
Address of
Building
D
MIAMI SHORES VILLAGE, FLORIDA
ERMIT N? 6274
_Work to be performed under this Permi
, V,
Subdi-
vision
DATE �'..
Contract is
Licenseii o.
Value of
Project
BY
Amt. of
Permit /7
y /
f
This p-' it anted o ' e contractor � :�bi.i der named above to construct the building or to install the equipment or : 6vi 7 e described in the appli-
cation herefor in strict compliance with all ordi ances pertaining thereto and with the understanding that the work wil be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Pennit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibilit for a thorough knowled 4f a ordinances and
regulations pertaining to the work covered hereby whether shown on the plans Or dra ngs or • e 4tat cents or specifications a ' assumes respon-
sibility for work done by his agents, servants or employees. (( , y ��� ��/� , �
Signed ,° v "� cv� ( IAI$ .4 , 0$ � _ BB! L/- s
In consideration of the issuance to me of this permit I agree to perfo rm the work covered hereunder in compliance with all - ordinances aid vgt,1 ons
pertaining thereto and in strict conformity with the plans, drawings, sta ments or specifications submitted to the proper authorities of Miami Shores' V
In accepting this permit I assume responsibility for all work done by eier myself, my agent, servant or employee.
-. > , „f
�' ' COKiTRACT$R` OR BUILDER
AUTHORITY
0
144'
s