ELECTRICALPermit No
7 .[ ss,5
Amount of Permit $ ... .Sf O0
STATE OF FLORIDA, 1
COUNTY OF DADE. Il
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
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, Fiu: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 progreu of work. /�A �/ �1i!X./' / / Q
Owner's Name and Address 8fe� No / (�,C l � Street.. e l 3 5 .
Registered Architect and /or Engineer G-n � / y -
Emp o i g 1 ctrl ial' a VI. : '..r ". !ila a ) - -r e C' No et 5 'W Street / 2"
/ ` 'io son a1 ?Legal ll escription Lot � �� Block Q5,3 Subdivision X57 / fr My
Street and Number where work is to be performed —No t... A E q1 3...51' Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling I! Addiaun 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
as.
My Commission Expires
(Signed)
(Sign
7.i - /T
Notary Public, State of Florida
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 contra • $ or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection •n the site o work such public noti or notices
as are required by the Act. The undersigned agrees to employ only such sub•conrractor . on w•r • to • •erformed undej this pr it, as are
licensed by Miami Shores Village.
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 facia
therein by him stated are true.
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
OU
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO LAMPS
REPRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. MEAT.
CONN.
SPACE
HEATER
STRIP
H
TOTAL
L CONTR.
IT
/�
$
/
3
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•S HP
NEON
TRANS.
RADIO
•
TOTAL
CONTR.
LIT
CHECK
Permit No
7 .[ ss,5
Amount of Permit $ ... .Sf O0
STATE OF FLORIDA, 1
COUNTY OF DADE. Il
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
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, Fiu: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 progreu of work. /�A �/ �1i!X./' / / Q
Owner's Name and Address 8fe� No / (�,C l � Street.. e l 3 5 .
Registered Architect and /or Engineer G-n � / y -
Emp o i g 1 ctrl ial' a VI. : '..r ". !ila a ) - -r e C' No et 5 'W Street / 2"
/ ` 'io son a1 ?Legal ll escription Lot � �� Block Q5,3 Subdivision X57 / fr My
Street and Number where work is to be performed —No t... A E q1 3...51' Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling I! Addiaun 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
as.
My Commission Expires
(Signed)
(Sign
7.i - /T
Notary Public, State of Florida
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 contra • $ or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection •n the site o work such public noti or notices
as are required by the Act. The undersigned agrees to employ only such sub•conrractor . on w•r • to • •erformed undej this pr it, as are
licensed by Miami Shores Village.
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 facia
therein by him stated are true.
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.
=RS
FIATUREU UNLY
OF
TOTAL
OUTLETS
OUTLETS
SIZE OF
•171 SERVICE
CONDUIT
No.
CIRCUITS
LIGHTS
CEILING
BRACKETS
MAIN
SUBS
BRANCHES
ENT
l L
`
1 ( L 3
4-
1 I �
I
' l '
__
ONNI111
D
H
• 37Thr .-
'.
LOT NUMDER__‘) _
BLOCK NUMBER
,E 7 3 ' 4
OWNER >�.f
STREET AND NUMBER_ r O
OCCUPIED As
BUILDING - -NEW OR OLD (UNDERLINE WHICH)
CEILING
z-
lei/4qt-
BRACKETS
KIND OF INSTALLATION
F
BASEM
FIRST
SECON
THIRD
FOURT
REMARKS
MASTER ELECTRICIAN
RECEIVED BY INSPECTOR
PROGRESS
WILL INSPECT AGAIN
ROUGH WIRING
FINAL
CORRECTED
TEMPORARY DAYS.
DATE ISSUED
No
RECEPTACLES SWITCHES
3 CI t
u�
SPACE BELOW FOR INSPECTOR'S USE ONLY
ri
APPLICATION NO /4
STOVES
SUBDIVISION
WATER HEATERS
INSPECTION WANTED
INSPECTED
DAT C 0 193
ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI
Desiring your certificate of Approval, application is hereby made for an inspection of the
electric installation in the premises stated below, for which undersigned agrees to correct
any infractions of the National Electrical Code and the City Ordinance pointed out by In-
spector.
LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION
WILL BE RETURNED.
SIDE "►1 v W` L
OCCUPANT
WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR
SPECIFICATIONS
H. P. OF EACH MOTOR VOLTS- TOTAL AMPS / PHASF
E is
1 'r60 0 w l‘k-U
r u If
PEN 4I CONCEALED KNOB. RX.. BX.. MLDG., CONDUIT. METALLIC TUBING
OTHER APPARATUS
BY ADDRESS
FEE REMITTED
INSPECTOR
Permit No 7
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date !c — �f�
- 3
0
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 1 �! No.../ �E Street R-3 le:
Registered Architect and /or Engineer
Employing Electrician's Name Si d Jf/9 � � � �/�� No �v� Street 2 •
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 $ ,l • `
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
My Commission Expires
(Signed).
(Signed)
ectrical 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.
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
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
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
/!f
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TC MP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•S HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
.
Permit No 7
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date !c — �f�
- 3
0
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 1 �! No.../ �E Street R-3 le:
Registered Architect and /or Engineer
Employing Electrician's Name Si d Jf/9 � � � �/�� No �v� Street 2 •
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 $ ,l • `
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
My Commission Expires
(Signed).
(Signed)
ectrical 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.
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
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 (-2-
STATE OF FLORIDA, }
COUNTY OF DADE.
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 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 Kahn
No 166 N.E.
Street 93 St.
Registered Architect and /or Engineer
Employing Electrician's Name Eugene Kling Electric, Inc No Box 7457 Lud 1um Br. Miami, Fl a .
treet
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
existing
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 P p
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ 8.75
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and acce ,this obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws o Tlorida 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 performe nder this permit, as are
licensed by Miami Shores Village.
SS.
My Commission Expires
(Signed)
Date 3r z.
/I/ ';'??
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
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.
SPACE
HEATER
STRIP
HEATER
A
A /('! v
TOTAL
CONTR.
LIST
1 -6Kw
3 -Ton
2
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O.1 HP
MOTORS
1.3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
1
1
CHECK
Permit No (-2-
STATE OF FLORIDA, }
COUNTY OF DADE.
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 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 Kahn
No 166 N.E.
Street 93 St.
Registered Architect and /or Engineer
Employing Electrician's Name Eugene Kling Electric, Inc No Box 7457 Lud 1um Br. Miami, Fl a .
treet
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
existing
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 P p
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ 8.75
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and acce ,this obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws o Tlorida 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 performe nder this permit, as are
licensed by Miami Shores Village.
SS.
My Commission Expires
(Signed)
Date 3r z.
/I/ ';'??
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
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
Permit No .� 0 (-7 ' Date ` 0 '!
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 Kohn N o 166 N • E • Street 93
Registered Architect and /or Engineer
Employing Electrician's Name SUN STATE ELECTRIC, INC . N 10147 N.W. Street 27 Avenue
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 $ (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 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.
6S.
(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 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
HEA :ER
STRIP
HEATER
TOTAL
CONTR.
LIST
� "
/
CHECK
0 ✓'
/ d�
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0.1 HP
M OTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
us-,
-1-no-w-
to 200
amp
2
-5L_
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No .� 0 (-7 ' Date ` 0 '!
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 Kohn N o 166 N • E • Street 93
Registered Architect and /or Engineer
Employing Electrician's Name SUN STATE ELECTRIC, INC . N 10147 N.W. Street 27 Avenue
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 $ (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 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.
6S.
(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 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.
1
l
e
Contractor ' C
or Builder J 4.' � ~ °-.) { s (t:• C L.. C � 1' r ._ t t. I C.> i .! / � . L a.) Z ..' 7
Legal Lot 1 � Subdi-
Description II
BI vision
�( Sq. Ft. ee &D
Address of ` "` '? r' Value of Amount of '--
Building �` J
.1 ' 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 munieipal 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 hereb whether s)town on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants a ploy
Signed•L) .} / l �'�' 10.- -.. PECTOR) BY
In consideration of the issuance to me of this permit I agree to form the work covered hereunder in compliance with all ordinances and regulation:,
pertaining thereto and in strict conformity with the plans, drawings, st ments or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by ither, rm4self .,iny agent, servant or employee.
r
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA 1.... — ��,
Date— 19
ELECTRICAL ❑
PLUMBING ❑ PERMIT N? 10172 Contractor's
ROOFING ❑ o �
License No 7
❑ Work to be performed under this Permit L { Z t U "' - % 4--
Owner of
Building V._. r, 1 a 4" c 0 G... Cl 4 -- 7 L I c . ri 7 I vo •
Architect
CONTRACTOR or BUILDER
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE 19
PERMIT s i 4 Contractor's r? A J
❑ License No. �' • O
❑ Work to be performed under this Permi
. . _ .f. L : ;1
Architect
Contractor
or Builder . _ - rhti - Cr CP"
Legal Lot
Description Bl.
Address of /�� 41.P ? - 1
Building '
CONTRACTOR OR BUILDER
Subdi-
vision
Value of
Project $
Amount of
Permit $
BY AUTHORITY
1
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 assumes respon-
sibility for work done by his agents, servants or employees. r
Signed // 4 S 1� . 4., 4.4, INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in pliance with all drdinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the . oper authorities of Miami Shores Village. In as
cepting this permit I assume responsibility for all work done by either, myself, mi. agent, servant or employee.
•. .of
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address
Qualifier V C7"c('� / i earCP
State lk r ! OOQ Ounicipal #
H9(0 NE q3 ST
Legal Description 11,
Owner / Lessee / Tenant LYr" Ka KZ
Owner's Address 166 NE q 3 sr
Contracting Co. P.(I (Ce � arfeN Se viCef
Address
Tax Folio 11 .2--0(19 Q
Master Permit 4l•a ( S 7
Phone 757` iiP11
(0 5, ►Mih he // dlQ/lar C('!;
SS# Phone tU tt 5 /3 Of
Competency # Ins.Co.
Address
Address
Architect /Engineer
Bonding Company
Mortgagor Address
Permit Type(circle one): BUILDING JECTRICAL5 PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION t7
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.
Sign
Dat
Notary as to Own: ro /o4 Co ; T Rfs4an
2 le`'? n
My Commission Ex � r� v COMMISSION NUMBER
CC255237
F ..4 COMMISSION EXP.
OF `:'' ' 1: 6 1997
** *
FEES: PERMIT ?®
APPROVED:
u 554 ( , L e.(M 1 rod-A9 I s— 10 )Je cl f ce c
or Condo President
RADON C.C.F. 1 ,46 NOTARY
Zoning
Mechanical
Sign
Date:
Notary as to
My Commissio
Fire
Building
Plumbing_
.r/ /‘fr
of Contractor or Owner- Builder
Other
o Ptrae C F Fl $t
A l4f�lld
Electrical
Engineering
) 7 CO DAVIS
6 * COMMISSION NUMBER
... < CC255237
7 1, m 4 MY COMMISSION EXP.
OF p.O JAN. 26 19 .7 **
TOTAL DUE 3fr ‘,O
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIN))
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN MPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 If
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 If
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
-
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER- REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIIM NG POOL
OUTLETS COMIERCIAL
WATER SERVICE
SIGN TUBES .
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4" TILE/RES.
VIOLATION
PUM' 8 ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
Bu r l�lM C' f
1
CATCH BASIN
(e U i C'ej
10
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
r'
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
ELECTRICAL
MECHANICAL
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
{
r
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building
Contractor or Electrician
NO.
STREET
Dated. .19
iarrti Aores9llage
F L 0 R 1 D A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla , 19
PART OF LOT
NUMBER OF
LO CATI 0 N
LOT
DESCRIPTION OF WORK
BL'K
SUBDIVISION
N° 846
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
he plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
f Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Vi'lage. This Permit may be revoked at any time
pon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by
its Department.
, Electrical Inspector.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
!te of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
Ares Village.
(Seal)
N ).
, ,t ' 4etor
ktd t;att.
'
STREET r
PART OF LOT
LOT
BL'K
Billboards
Other Apparatus
Permit Fee
SUBDIVISION
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{_ ...,
Out
t
, ,t ' 4etor
ktd t;att.
Receptacles
Generators*
Stoves
Water Heaters
4th.
G t s "
Billboards
Other Apparatus
Permit Fee
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the c¢nstruction.
Owner of Building
ractor or Electrician
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
; the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time
ion the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by
Department.
-i consideration of the issuance to me of the foregoing Electrical
ltion and the plans and specifications thereof heretofore by me
ida, all he El ctrical Ordinances and Codes of Miami Shores
7 Y ' r*bq 4
is
, 19
Jhores9llage
F L 0 A 1 D A
OFFICE OF ELECTIVCAL DEPARTMENT
Miami Shores Village, Fla , f,+ - *' 19 ..
LOCATION
DESCRIPTION OF WORK
NUMBER X)
N9 846
, Electrical Inspector.
Permit, I hereby agree to do the proposed construction in strict conformity with
submitted, and in compliance with all provisions of all Electrical Laws of the
Village, and all rules and regulations of the Electrical Department of Miami
J g t 'tA.k./ L4JI c: (Seal)