ELECTRICALBUILDING MIAMI SHORES VILLAGE, FLORIDA
Date_ _ / "
Contractor's
License No. _
ELECTRICAL T1
PLUMBING [1 PERMIT N9 9574
ROOFING Cl
n
u
Dr.'ner of t r
Building --
Work to be performed under this Permit - -
.Architect
Contractor
or Builder _
Legal Lot I S ti
Description 11 B1. _ '.`isicn
Sgrt
Address of od 1 r I Value of .Amo,u } ol
Building r i Project Perm;
This permit is granted to the contractor or builder named alcove to construct the building or to install t e ,z,, or dew',• i'_si riln;l in tht alt} II':
tiu herefor in strict compliance with all ordinances pertaining thereto and with the understanding th,it the vork will be pet-for Ir C ur,1 ,\iih all
plans, drawings, statements or specifications that may have beer submitted to and approved by • he proper rnun ciral authorities. This 1'.rniit may Lr nc('sr,'
at any time if the work is not done in compliance with such ordinances or if the plans are cha tged without rw •horization, A further condition upon t■ hint ihi,
permit is granted is the understanding that the contractor or brildc - named above assumes the - esponsibility fo- a thorcugh knowledge of tht „rdin:ni i; �:n
regulations pertaining to the work covered hereby whether shown on the plans or drawings or 'n the statement• or specifications an 1 r:tar he as■un,r, rest,
sibility for work done by his agents, servants or employees.
Signed:___ __ — --- -- (INSPECTOR) BY
In consideration of the issuance to me of this permit 1 agree to perform the work cuvercd hereunder in coinpLance with ail erd r::r:cc, aril rct{ d.ttiur
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to t:h_ proper authorities o' 'Uia sh o,r„ '` illW_
In accepting this permit I assume responsibility for all work done by either, myself, my ager servant nr eropl :yee.
CONTRACTOR or BUILDER
BY AUTHOR
19
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Bui ding
A chitect
Contractor
cr Builder
Legal Lot
Description
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT NY 4245
B1
Work to he performed under this Perin:t
-
it
Subdi-
vision _ —
Address of V aIL.e of
Building
r OJeci: )
:DATE 19_
Contractor's
License No
Am;. tint
Formit
This permit is granted to the contractor or builder named above to construct the building or to install tl e equipment nr dev,et d •;rribed in the appli. a
tier herefor in strict compliance with all ordinances pertaining hereto and with the undcrit:and'ng that the wr rk will be performed in n mpliance ,cith
plans, drawings, statements or specifications that may have begin s.bmitted to and approved b3 the prr per rru icipal acthnritici. This Permit may be revoked
at any time if the work it not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which thi,
permit is granted is the understanding that the contractor or builder named above assumes the responsibility fi r a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown en the plans or drawing; cr in the statement• or specification and tlat se assumes r'nrn
sibglity for work done by his agents, servants or employees.
Signed: J
In consideration of the issuanco to me of this permit I a to perform thd.i were caverd hereunder ccnzpdcra:e with all , ,. - sitian:?s mad regulation. -.
pertaining thereto and in strict conformity with tho plans, drawings, ahxtemonts or specifications submitted - o the c'oper cruilioritilis of Di icic GF.cras Village. In ac-
cepting this permit I assmne responsibility for all work done by either, myself, my agent, servant or employee
BY 4UTH b
>:OOFING
Owner of
; uilding
rchitect
: ontractor
Builder
.eaal Lot
)escription
ddress of
uiiding
CONT3A.CTO t OR BUILDER
MIAMI SHORE:S VILLAGE, FLORIDA
1II.DING
.1cmIcxL PERMIT ' N° 11019
LUMBING 1
1 _] Work to be performed under ilhis Permit_
7
1
Subdi-
vision
Value of
Project $
1
DATE
Contractor's
License No.
Amt. of
Permit $
1952
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
refor in strict compliance with all ordinar ces pertaining thereto and wi th the understanding that the work will be performed in compliance with any plans,
rawings, statements or sped �ications that may hive been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
„e 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
anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
4 C q ertaining to the work coven:d hereby whether shown on the plans or drawings in the statements or specifications and that he assumes responsibility for work
one by his agents, servants or employees. /
t 1 1
Signed- , t , r , „ . / . r, .,. BY ,/,,,,' ; •
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
accepting this permit I assurne responsibil:ty for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architeuf
Contractor
or Builder
Legal Lot
Description
Address of
Building
Y
e
ONTRAC`'OR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 10798
Work to be performed under this Permit
Y�
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 cornplianr.e 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 dore in compliance with such ordinances or if the plans are changed without authorization. A further condition uron which this permit is
granted is the unde- standi:Ig that the contractor or builder named abode assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work co\ered 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 employee:;.
Signed 4:_- BY '
INSPFCTOR
In consideration of the issuance to me of this permit I agree to 'perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting. this permit I assume responsibility fpr all work done by either, rnyself, my agent, servant or employee.
Bl.
Suhdi-
vi'.i-
Value of
Project $
DATE
Contractor's
License No.
Amt. of
Permit $
BY AUTHOR ETY
1951_
D a t
PROVED:
;SEES: PERMIT
11�,:3ncr / Lessee / Tenant
4 Job Address `-7 7 kr 3 °3 i ` Tax Folio // 6 - 43 ° ' 6 9 _
Le al Description
'Owner ° s Address q7 N EL 3 3 S r.
Contracting Co. PC) U k „_ •J . Address / : a c) fc; : () ' / / a /
qualifier // -✓c 0:1 AJ P0A: i kr . Phone l a / 7 2-) 7
State # e%. Municipal # Competency # S 2-5 Ins.Co. 7-4=
Ocpc3 %) 3
Architect/Engineer Address
I ondiang Company Address
Mortgagor Address
Permit Type(circle one): BUILDING q:ECTRICAL UMBING MECHANICAL ROOFING PAVING FENCE SIGN
'1OL R DESCRIPTION fr( 4- </- Lz
C C
Square Pt. Estimated Cost(value) 80 c) C) ca
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 OITAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
07 COM2 EVCEMENT) .
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.
O NEJ ' APPIDAVIT: I certify that all the foregoing information is accurate and that all work will
be donne in compliance with all applicable laws regulating constr c ion and zoning. Furthermore, I
°
a thorrize the above-named red contractor to do the work stated. ,
Signature of ower and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
Zoning
E
1
MIT APPLICATION FOR MIAMI SHORES VILLAGE
E -) 1)--pcz.So
s t
RADON C . C . P. NOTARY ° �' TOTAL : JUE bc
Fire Other
Buildin -; Electrical
Phone
Master Permit # ?)-
Signature of Contr ctor or Owrer-Builder
Date:
Notary as to Contractor or Owner- Builder
My Commission Expires:
Mechanical Plumbing Engineering
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
' LIGHT OUTLETS r
g>.
CENTRAL HEATING
DISHWASHER
�'
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
I
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
-_
SERVICE REPAIR/METER CHAFE
APPLIANCE OUTLETS
RANGE TOP
�
REFRIGERATION
GREASE TRAP
INTERCEPTOR
PROCESS AHO PRESS PIPING
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 C0W.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 IP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 FP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 FP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
1
1
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
i
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
0
SWIMMING POOL
OUTLETS COMMERCIAL
I
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY- WATER
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
GRAINFIELD, 4" TILE/RES.
-;_
TELEVISION OUTLETS
VIOLATION
PUMP 8 ABANDON SEPTIC TANK
REINSPECT ION
■
1
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
l
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RAKE
■,
-
METER SET (GAS)
GAS PIPING
-
-
0
ADDENDUM TO BUILDING PERV1IT APPLICATION
(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.)
PLUM
I N G
ELECTRICAL
i-51
MECHANICAL
Ss.
MIAMI SHORES VILLAGE
ELECTR!GAL iNISPECTION C EPARTM ENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date -
_Application is lyc :LI for the approval cf the detailed statement of the plans and specifications herewith submitted for the building or other
sac...rt.:le herein C.1.1.1.11Fibi2: 1 h 1 .:1 anplicatiun is made in compliance and conformity witla the Building Ordinance of Miami Shores V illage, Florida,
.in bwirrs re: :he
Stt. cf Florida, all ordinances of Miami Shores Villag.2 and all rules and rcgula.ions of the Buildin Division
'.1 with . whether herein specified or nc.L. A of approvrei peim and spa:1Eu Lions mast ac kept at
. cf year's..
• /
T • ?.
wr.et's No Street ,e
R..:giinered 1'a-chin:ea ar,e2./or Er.F.incen
'; , • ,,....is ...,,, , ..
For; .•,:,:•:r.., .111,,.:tr:. N NJ Steed . _,•' •t • # i - . • k -
i7n ar d 1 t;;z1 ascripticn. Lot Block Subdivision
/. . • ,
11ii-,•- a ,1,1-.1 Nunil: '...- s lr.',:e work. is Lo be -2,r:1'a:ince—No _ .. . _ • -: _ Street ‘,," . ). 2 LI '.., ..,' er-- , ----- --------- -- --
- ry 7 --.:2,' , -,',. pisrpcsii o bailding (By Floors)
. , I
1_, PLUC rr11 1 r.1 1 1,FRI'G. . IF-1 1 1 ,1.1 .1... ' , , NCE WA 1 11. HEAT. SPACE. STRIP
TOTAL
1.1. TLET. . 1..L.Th-TTS NECE N.J.LAMPE CUTLET 1 CUTLET C....,...1...E. C1,1NN. HEATER CONN. 1 1- Ef." .1 HEATER
CONTR. 1
I ,
LIE r : ! , / 7 1 ■
. 1 T
. I
CHEUK .
1 1
VIEE SSV'T.:112. 1 MOTORS MOTORS NEON i rio
0-1 HP H? - rnANn.
:E.
. L. ra n '` Sw. Amps. Amps.
I/etai Moulding
- 74 ` of S:ories
1 11 spe:t..
7:: H :1'1 hereby c7L-tiri t 1 2 a !le': ac:pt -Hs , ;1 - .11 gationa as an employe.: cf labor
:1 , :H ,Lag Section 59 G, (Y.= Sur.plement, and has corn-
is e : , :otnpiiart - 2 ftc-7.i nIl t nr..91-_-.yerl by him in the work to be
i1 --i: ;- 7 C27! :::11,F2 o ha posted for insp.:calms rae i. ta of aha whili each public, notice or notices as are
Tire i employ only such sub-contra:trio , V,`c::k to L 1'crzed under this permit, as are
allacre; Viii:
# 4
(Signed) ' ' <
My Commission Notary Pubhi, cf Florida
1 A1aster Electrican.
TOTAL
SF ATE OF 11.Cif.IDA,
COUNTY OF I
Before ire, the undersi2,ned authorit!,,, a notary public, duly authorizer to administer oaths and take acknowledments, personally
appeared
in me well kilo and s- bo, being by me first duly sworn, upon oath deposes and says that he is the
of the ,ibov dt :-lad construction, that he has carefully read the foregoing application, and that he did sia the same, and dna Al facts
therein . by hint sta:::d are talc.
ra-insrsca fee of $1 .CO swill. be rra:Ca whcd iz clads necessary by imperap.ir netice for in.spection, or faulty
seorkraanship.
SWITCH LIGHT PLUG FIXTURES REFRIG.
i OUTLETS OUTLETS RECE'P'T'S No. LAMPS OUTLET
--
Co NT R.
L1s
CHECK
CONTR.
LIST
ENT.
sw.
C:HECK
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the 1 uildinf; or other
stricture 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 -hall be complied with, whether herein specified or not A. copy of approved plans anc specifications rust be kept at
building during progress of work.
O.'.ner's Namc arc Addre- s..- -- --..
.._... No Street
Registered Architect and /or Engineer
Employing Electrician Nara.... No Street
Location and Lekal Description Lot Block Subdivis nn...._...-
Street and Number •,'here w:or:: is to h, per r,rmed— Nr1 Street
state work to he performed and purple of building (By H'.a
New Building Remodeling Addition Repairs No. of Stories
DIST. SERVICE SERVICE
CAB. TEMP. PERM.
IRON RANGE RANGE WATER 1W. HEAT.
OUTLET ; OUTLET CONN. HEATER I CONN.
MOTORS
0 1 HP
Service Overhead Size Feedcr• Conduit Main Sw. Amps
Underground
Type of Installation - -- Conduit Tuning B.X.L Metal Moulding
MOTORS NEON
1.5 HP TRANS.
The undersigned applicant for this building permit does hereby certify that he •understands and a
Libor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Law
has complied with the provisions thereof, and will require s imilar 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 work to
licensed by Miami Shores Village.
Before nee, the undersigned authority, a notary public, duly authorized to administer oaths and
SPIT :E
H EAl' ER
STRIP
HEATER
RAO10
TOTAL
TOTAL
M: in Fuses Amps
Amount of Permit: $ (Signed)
Electrical Inspector.
ccepts his obligations as :0 employer of
of Florida Permanent S ipplement, and
suh•contractors eraployed by hi:n in the
of the work such public notice or notice
be performed under this permit, as are
(Signed)
Master Elcctrician.
take acknowledgments, personally
appeared
to !lie 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 applico :fon, and that he • did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, St:_te of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is rr.ade necessary by improper notice far inspectour., or faulty
oaterials and /or workmanship.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT _
Permit No Date
Application is hereby made for the approval of fac detailed statement of the plans and specifications herewith submitted for the hu iding or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and :al provisions of the Laws of the State of Florida, all ordinances of Miami Shore; \Wage and all rules and regulations of the Budding Diyis-ion
f Nliand Shores Vi.lage shall be complied sith, whether herein specified or not. A copy of approved plans and specifications mast be kipt at
building during progres of work.
Owner's Name and Addres No Street
Registered Architezt :-.d/or EnyinLer
Employing Electrician's, Nara,: Streel-
Locdtion and Legal Description Lot Block Subdivision..
Street and Number whet: work is to he performed --No Street
State work to be performed and purposz of building (By Floors)
Ncw Building Remodeling Addition Repairs No. of Stories
SWITCH LIGHT FLUG FIXTURES REFRIG. IRON
OUTLETS OUTLETS ' RECE'P'T'SI NO. LAMPsi OUTLET OUTLET
CONTR.
LIST
CHECK
CONTR.
Lisa
ENT. DIST. SE.RVICE SERVICE
SW. CAS. TEMP. PERM.
CHEC:K
RANGE RANGE: WATER
OUTLET CONN. HEATER
MOTOF:5
0.1 HP
W. HEAT.
CONN.
SPAC.E
HEATER
STRIP
H EATER
MOTORS NEON RADIO
1-5 HP TRANS.
TOTAL
TOTAL
Overhead
Service Underground Sizc Feeders Conduit Main Sw Amps Fuses Amp
Type of Instal:at:on- —Conduit Trbing B.X.L Metal Moulding
*lount 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, Ccmp:'ed General Laws uf Florit a Permanent H,upplement, and
has complied with the provisions thereof, and will require similar compliance fror- all contractors or sub-contactors employed hy him in the
work to be performed under this permit; and will post or cause to he posted for intpection on the site of the work such public notice or notice,
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to he performed under th permit, as are
licensed by Miami Shores Village.
(Signed)
Maste- Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. 5 "
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
tn me well know l, and who, being hy me firs: duly sworn, upon oath deposes and says that he is the
cf the above described construction, and he has carefully read the foregoing ;ipplication, and that he did sign the same, and that all fact:
therein by him stated are true.
My Commission Exp:ams Notary Public, State of Florida
NOTE: A. re-inspection fee of $1.0 wil be made when such re-inspect :s made necessary by improper notice for in Tection, or faulty
materials and/or workmanship.
•
MIAMI SHORES VILLAGE
€ LECTRICAL INSPECTION D EPA,- TMENT
f [ FL l(ATIUN F ELE'r'TRW
Permit No 1 Da t e s
Application is hereby made for the approval of the detailed statement of the lane and s reifications ` erewith submit
Registered Architect and /or Eng' er.
Employing Electrician's Name_.e . .0...-
Location and Legal Description Lot
re
l
and Number where work is to be performed —No r .2
State work to be performed and purpose of building (By Floors)
ervice Overhead Undergroun$" Size Feeders Conduit Main Sw
No.
Block Subdivision
1 _
Street
Amps. f '
Type If Installation— Conduit Tubing B.X.L Metal Moulding..-
STATE OF FLORIDA, }
COUNTY OF DADE.
Amount of Permit $ CZ? (Signed)..a ,/4 -l`
ss.
L E M PT
P P ted 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 � �ar/
Atreet
Street
New Building Remodeling Addition Repairs No. of Stories
Main Fuses Amps
lectrica Inapeactor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi =.lions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida .J rmanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•cantra ors 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.
(Signed)..... y. C 11/47(
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, a.,d 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 $1.00 will be made when such re• inspection is made necessary by improper notice For inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
C'LUO
RECE'P'Y'S
FIXTURES
No. LAMPS
REFRIO.
OUTLre
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HE ^.
STRIP
HEATER
TOTAL
CONTR
LIST
f
3
CH¢Cti
C
c��r'
c , " D._
V
/r
ENT.
Sw.
DIST.
CAB.
SERVICE
TC,'P.
SERVICE
PERM.
MOYOPC
0.1 HP
P /
. ^ . :OTORS
1•9 HP
N EON
TRANF.
RADIO
TOTAL
C1 Y R.
. . ^YLIS
•- / !
•
MIAMI SHORES VILLAGE
€ LECTRICAL INSPECTION D EPA,- TMENT
f [ FL l(ATIUN F ELE'r'TRW
Permit No 1 Da t e s
Application is hereby made for the approval of the detailed statement of the lane and s reifications ` erewith submit
Registered Architect and /or Eng' er.
Employing Electrician's Name_.e . .0...-
Location and Legal Description Lot
re
l
and Number where work is to be performed —No r .2
State work to be performed and purpose of building (By Floors)
ervice Overhead Undergroun$" Size Feeders Conduit Main Sw
No.
Block Subdivision
1 _
Street
Amps. f '
Type If Installation— Conduit Tubing B.X.L Metal Moulding..-
STATE OF FLORIDA, }
COUNTY OF DADE.
Amount of Permit $ CZ? (Signed)..a ,/4 -l`
ss.
L E M PT
P P ted 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 � �ar/
Atreet
Street
New Building Remodeling Addition Repairs No. of Stories
Main Fuses Amps
lectrica Inapeactor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi =.lions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida .J rmanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•cantra ors 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.
(Signed)..... y. C 11/47(
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, a.,d 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
a
Quali.E^r
WORK DESCRIPTION
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
job Addr zs `. � 6 - 7 Tax Folio
Legal Descriprior. Historically Designated: Yes No
Owner/Lessee / Tenanl /� ,� � Master Permit # ` ,G,'
Owner's Address � ;3 .' ; 5 <
Contracting Co.
St k; s# Municipal # ° 0.2,C mpetency #
A.rchitcc3/.w nginer Address
3ondirg Company Adds
Mo :g gor Address
Permit Type (circle one): BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Phony?,
Address
Scare F. Estimated Cost (value)
SS# . (.3r
Ins. Co.
✓
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY ; IESULT IN YOUR
PAYING TWICE FOR LVIPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YO1UR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Applicaticn is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). : certify fiat all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits arc required far ELECTRICAL
PLVNL'3ING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S At ± i1)A VTT 1 certify that all the foregoing information_ is accurate and that all work will be done e -corgi Liance with all appli :able laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the won : stated.
Signa - -e of own.,r,and/cr Cond. President
Notary as to O
My Cc.nmissi
FEES: PERMIT
APPROVED:
Zoning
MechEmical
Irek 4, CARMEN R DE 2AYAS
1 t1
ovuorssioN NUYBCA
CC7541 S3
ri ,.' Pry CZWASSION EXPIRES
cr„.22::N.0 -- JUNR 24,2002
_2 ('' RADON
Date
i
2,- 22 of
Date ,Signature of Ca
Notary as to Contra
My Commission Ea
Building
Plumbing
C.C.F. NOTARY
Structural Engineer,
I
actor or Owner- I3,tider
r
Owner- Builder
O�PRY y c RN�EN R E ZA
.tT r� rs ,
i # 634111183t0t1 SiUYBpe
75 63
E"FJ C01.414=Ol1 EXPSA1M
ft.‘ J6 NE 24,2 002
BOND
TOTAL DUEj L
Eiectrica ���-'
ITEM
BATH TUB
BIDET
DISHWASHER
UNIT
-
FEE
ITEM
SWITCH OUTLETS
LIGHT OUTLETS
RECEPTACLES
UNIT
FEE
r
ITEM
SPACE HEATERS
UNIT
FEE
CENTRAL HEATING
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN MPS
DUCT WORK
FLOCR 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
SINK, POT /3 COMP.
SINK, RESIDENCE
MOTORS OVER 1— 3 HP
MOTORS OVER 3— 5 HP
MOTORS OVER 5— 8 HP
r
HOT WATER BOILERS
MECHANICAL VENTILATION
TRANSPORTING ASSEMBLIES
SINK, SLOP
TEMPORARY WATER CLOSET
URINAL
MOTORS OVER 8— 10 If
MOTORS OVER 10— 25 HP
MOTORS OVER 25-100 HP
ELEVATORS/ESCALATORS
FIRE SPRINKLER SYSTEMS
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 If
VIOLATION
INDIRECT WASTES
WATER SUPPLY TO:
A/C UNIT
A/C WINDOW
AIR CONDITIONERS
STRIP HEATER
REINSPECTION
FIRE SPRINKLER
HEATER —NEW INST.
HEATER — REPLACE
LAWN SPRINKLER —WELL
SWIMMING POOL
WATER SERVICE
GENERATORS TRANSFORMERS
GENERATORS TRANSFORMERS
GENERATORS TRANSFORMERS
SPECIAL PURPOSE
OUTLETS COMMERCIAL
SIGN TUBES
- _
==
SEWER CONNECTIONS
UTILITY —SEWER
UTILITY —WATER
SEPTIC TANK
RELAY
DRAINFIELO, 4° TILE/RES.
PUMP 8 ABANDON SEPTIC TANK
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
-
- ,
SIGN TRANSFORMERS
SIGN TIME CLOCK
FIXTURES
ANTENNA
1
TELEVISION OUTLETS
VIOLATION
REINSPECTION
AREA DRAIN
ROOF INLET
-
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
_
LAWN SPRINKLER SYSTEM
GAS RANGE
- '
4ETER SET (GAS)
3AS PIPING -
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
ELECTRICAL
MECHANICA