440 NE 92 St (10)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date/'' Time
Type Insp'n °! Pte,1
Permit No. Al Z e �®
Name a ./
Address #4/ Pd 97--
Compan ,4, v° J �C
Phone #
For Inspector:
Approved
Correction
Re- Insp'n Fee
Name & Date
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Time
Type Insp k
/ n
Permit No. v � "OO Q
Name ' y4. _gicif,
Address ` `► 0 / r te'
Company gliffaMM
Phone #
r IW7)41 0 0 For Inspecto : Name & Date
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Correction ❑
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MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date f Time
Type Insp'
Permit No.
Name �� 1
Address
Compa
Phone #
For Inspector:
Approvecj►�
Correction I/V
Re- Insp'n Fee
D
Name & Date
o
o
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
d Building Inspection Request
Dated b)Oime
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Permit No. L L O 0 � °
Name
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For Inspector: ) � /& Date
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Re- Insp'n Fee ❑
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date._i> /Z Time
�
Type Insp'n ��!���_ .�, "4 C
Permit No. I et
Name ?i,5; /∎ -?
Address 9V[ 4/ F-•
Company
Phone # .3e 7ff 39e 7
For Inspector:. `" a , Name & Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date , 6 "- -1-C Time
Type Insp'n O 2 k v �r
Permit No. �� 6 /i --/2.g. /
Name 6d �� f ;ie /�'I/lil
Address ` ' 9 4' 7)- Sf
Company /9 le itric
Phone # S 7 ? "-- 7
For Inspector: Fa -14-O,2,
Approved
Correction
Re- Insp'n Fee
Name & Date
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 0 , Time
Type Insp'
Permit No.
Name
Address q\10 . I (• of
Correction
Company
Phone 3 2 S 1 13
For Inspector: ( / 2 $ / 1 Name
PAA ti
Approved
Ty
Re -Insp' n Fee ❑
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Type Insp'n
MIAMI SHORES VILLAGE
BUILDING DEPARTME
305- 795 -2204
Building Inspection Req
Date ) ° , - frO)- Time
Permit No. E L (9 2002°P1
Name 7/-4j4)/1
Address 9 SI
Compan 1 r
Phone #
For Inspector:
Approved
Correction
Re- Insp'n Fee
Miami Shores Village Electrical Permit
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 8/27/2002
Applicant: GLADSTONE PHILLIPS
n Owner: PHILLIPS GLADSTONE
JOB ADDRESS: 440 NE 92 ST
i n° Contractor AV ELECTRIC CENTER CORP
Local Phone: 305 - 885 -7732
Parcel # 1132060140050
Permit Status: APPROVED Permit Expiration: 2/23 /2003 Construction Value: $1,000.00
Work: POOL ELECTRICITY
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
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.
�- c 0, o
ti ti�� 5, o 0
Total Fees:
Total Receipts: $0.00
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 responisibility for all work done by either
myself, my agent, servants or e• • •yes.
Signed:
Legal Description:
Permit Number: EL2002 -280
Contractor's Address: 495 W 15 ST
Page 1 of 1
MIAMI SHORES SEC 2 PB 10 -37 W 5 IN OF LOT 6 & ALL LOTS 7 & 8 BLK 49 LOT
(Contractor or Builder) BY:
AV ELECTRIC CENTER CORP
495 W 15TH STREET
HIALEAH, FL 33010
TO THE
ORDER OF / 4 46;&<
PAY
l/r/Z
r y
FOR
UNION PLANTERS BANK
6z- A "/1
DATE
000 2803 •:06 70084 I4o: u' 13500 1579 2"
$ 10
& Y I L DOLLARS
2803
63-841/670
BRANCH 6213F
Security
F••tur••
"
CONTRACTOR
New Construction
Name Ai I / t; 1..... ‘T � / ��
W � �
/�p� /
License 14o. 9� L' O) /
Address
Address 4(9 W, iV 5r
/If/1 / d 3 302,0
Repair
Telephone 3 0,/.4.; Fl ( ' 07 „ gg p
O
�j q
!l
Qualifier Name /
,/
PROPERTY OWNER
New Construction
Name 6 - ^
"17+
W � �
/�p� /
//
Address
(/
Repair
Home Telephone
Alteration Interior
Business Telephone
Relocation of Structure
Fax
Shell Only
TYPE OF MANAGEMENT (✓ )
New Construction
, Enclosure
Alteration Exterior
(/
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add'I Detachment
Other
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Aliami Shores Village:
Step 1.
PERMIT APPLICATION
Master Permit No. 2 00 3T`
Subsidiary Permit No. ,1,/. e c7 • cg
Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit-
ted along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
Job Address: / G o A & 2 - I � 1
Folio Number
Lot Block
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
ARCHITECT
Name
License No.
Address
Telephone
Fax
Address Apt.
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
g1 ,474 ,
City
Description of Work
g o
State
Subdivision PB PG Zoning Linear Feet
Current Use of Property Square Feet Units Floors
Proposed Use of Property Value of Work ) 1 (t','t . a b Bldg Value
Tenant Information Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
PERMIT CHANGE (✓ )
ENGINEER
Name
License No.
Address
Telephone
Fax
ELECTRICAL
TYPE
Minimum Fee
Qi'V'.
nil.::
Dryer
QTY.
T1TF:
Outlet, Appliance
Q'fV
'I'vPI:
Service Repair
QT V'.
A/C Central 1 -3 Ton
Dryer Vents, Number of
Fan
Ventilation, Cost
Outlet, Wall
Ductwork, Cost of
Service, Temporary
Periodic Inspections
A/C Central 4 -7 Ton
Fire Sprinkler System
Fire Pump
Outlet, Switch
Fireplaces, Number of
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
I
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
f
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
NIECHANICAL
TYPE ()Ty.
Minimum Fee
T''PF,
Condensate Drain
()Ty. nil:
Generator
QTV". TV"PJ QTY.
Refrigeration, Tons
A/C Central, Tons
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
Paint Booth
Ventilation, Cost
Air Handler, Tons
Ductwork, Cost of
- Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
- Process/Pressure Piping
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE.
Drains, Roof
QTY'.
TYPE
Miscellaneous Fixture
QTY.
TYPE
Soakage Pit
QTY.
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinlder
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
Job Site: 1/40 ,E 92
Type of Review: ' MI
Code Section
Page Location
L'Y 2119/r
9c)wderie
Miami Shores Village
Building Department
Plans Examination Sheet
Date: /e 62l
9 < 4 __ / - '1r�/9
d ' /l L ,1'E e
fia09/r- e-9
a21, h �
6 Offs`
9`�''%� 1 wr ee r "A$ r® e-
Utz, "(17 1/i77% cz
By:
Comments
f-PP 4(7 �j 4/6
lo If ki/ T g
d /
,���� � ,� / j/ j/ 5
�`/ � e"4/ 4e ) te
CONTRACTOR
Name // / be: �,
License o. / �_ 6 9 /g o f
C% 1 —'
Address ' e J /...
lad oiw- 3 30/
Telephone 3 i 1 ‘ .-- d ga (57 Fax gly1/6"
Qualifier Name /J, ucr /j dk,....,d/4_,
PROPERTY OWNER
New Construction
Name p r1
443 9 ro /l,'
Address Q kvi, /fir
4IY r, 1U6 5 2
'-1 M -(/ S 2c.
Home Telephone
Repair
Business Telephone
Alteration Interior
Fax
Demolish
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
/
Repair
Alteration Interior
i/
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'l Attachment
Other
Add'l Detachment
Other
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted
along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
Job Address: LI / V E qi A)
Address Apt.
Folio Number Description of Work L : �.? c 7-A (4.e...- ` l 4 /4/
Lot Block
Subdivision PB PG Zoning Linear Feet
Current Use of Property Square Feet Units Floors
Proposed Use of Property Value of Wor S 0019.00 Bldg Value
Tenant Information Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
i/ /fig
PERMIT APPLICATION
Master Permit No. ,2.000- )( /
Subsidiary Permit No. loZ-
City State Zip
ENGINEER
Name
License No.
Address
Telephone
Fax
ELECTRICAL
TYPE.
Minimum Fee
QTY.
TYPE
Dryer
QTV.
TYPE
Outlet, Appliance
QTY.
TYPE
Service Repair
QTY.
A/C Central 1 -3 Ton
7,
Fan
Outlet, Wall
Service, Temporary
A/C Central 4 -7 Ton
/
Fire Pump
Outlet, Switch
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
4 02
Space Heater (kw)
A/C Central 16-20 Ton
Fixture Light
/ ()
Parking Lot Lights
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
/
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
/S
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
/
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
t
Low -volt, Television
Service, Number of Amps
Water Heater New
MECHANICAL
T}.l,F,
Minimum Fee
QTY.
Ty pE
Condensate Drain
QTY.
. E
Generator
vv.
TYPE
Refrigeration, Tons
QTR.
A/C Central, Tons
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
Paint Booth
Ventilation, Cost
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Supply, AC Well
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Temporary Toilet
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
cm
. rvpi , :
Miscellaneous Fixture
()Ty.
.l.YPl;
Soakage Pit
QTY.
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
RECEIVED AND REVIEWED B
DATE: /v m'2-
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date )a Job Address L f 4- 0 me (1 S I . Tax Folio
Legal option Historically Designated: Yes No
Owner / Tenant k � Cif/ i o S
Owner's Address � 6/1Y t –
Contracting Co. 1 ' C/ l eG
Q ualifier�.l� l (1 J ItYlcO
State # I /
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDIN
WORK DESCRIPTION
a
A
Signature of own
No
My
ocluillsgstv E AFRAL NOTARY ,;r: A,
�� E A BERGEW
s ` 0 COMMISSION - NUMBER
_;�yp4 Q CC661267
t` • MY COMMISSION I-xP'W "
of FN 0 JULY ? >j`'
FEES: PERMIT 33 ‘ RADON
Municipal #
ELECTRICA . PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Date
SS# /Phone P 3?
/Gbd Ins. Co. / 7inairg/4r/
Master Permit #
Phone � U /� /�
Address � `"1 to "� O .
Competency #
Address
Address
Address
Square FL 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 zonin;— ••;1l ermore, I authorize the above -named contractor to do the work stated.
Signature of Contractor or Owner - Builder
Notary as to Co tractor or t 171AC>
My Commission Expir< ss& Ue�•�
*
y 4 • �91I '
O
'F �a
Or FA
1 7 4 .3 9iI
IAL NOTARY SEAL
MARY P BRIGGS
COMMISSION NUMBER
CC741860
MY COMMISSION EXPIRES
?A AY 11,2002
C.C.F. r NOTARY BOND
Date
Date
APPROVED:
Zoning Building
Mechanical Plumbing Engineering
Electrical:%/ ST:1 04;47,4
ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADI6 . TOTAL.
SW. CAS. TEMP. PERM. 0.1 HP 1•5 HP TRANS.
CONTR.
LIST
CHECK O '
Permit No
Owner's Name and Address
Amount of Permit $
C2
STATE OF FLORIDA,
COUNTY OF DADE. I
se.
My Commission Expires
j
o Date "a6,4
s –
Application is hereby made for the approval of the detailekstatement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conforngty with the Building Ordinance of Miami Shores Village,,Eiu. -ida;
and all provisions of the Laws of theState of Florida, all ordinances of Miami Village ild all iegu t ?oni uilding Division
of Miami Shores Village shall be complain wij, & whetl$r herein specified or not. A copy o - •proved plans and specifications mus •e kept at
building during progress of work.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Registered Architect and /or Engineer
Employing Electriciad's Name t� ' 1 ' allo Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No. , � se,k) Street 1v
State work to be performed and purpose of building (By Floors)
New Building o Remodeling Addition
MIAMI SHDRESS VILLAGE !if 3
No ® Street...!`° e 9�
Repairs No. of Stories
U
Service Overhead Size Feeders Conduit Main Sw Amps Main Fmses Amps
Underground
Type of Installation— Conduit Tubing B.X.L .M,1 Moulding
(Signed) ....f.".`
G,
. (Signed)
0
0
, 9 % y l� .
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•contrac.rs, 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.
/h / 4.
/
SWITCH , L
LIGHT P
PLUG F
FIXTURES R
REFRIO. I
IRON R
RANG[ R
RANG[ W
WATER W
W. HEAT. S
SPACE S
STRIP /
/ v fZ. T
TOTAL
CONTR. /
/� 3
37
CHECK c
c. )
) 7 —S
Permit No
Owner's Name and Address
Amount of Permit $
C2
STATE OF FLORIDA,
COUNTY OF DADE. I
se.
My Commission Expires
j
o Date "a6,4
s –
Application is hereby made for the approval of the detailekstatement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conforngty with the Building Ordinance of Miami Shores Village,,Eiu. -ida;
and all provisions of the Laws of theState of Florida, all ordinances of Miami Village ild all iegu t ?oni uilding Division
of Miami Shores Village shall be complain wij, & whetl$r herein specified or not. A copy o - •proved plans and specifications mus •e kept at
building during progress of work.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Registered Architect and /or Engineer
Employing Electriciad's Name t� ' 1 ' allo Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No. , � se,k) Street 1v
State work to be performed and purpose of building (By Floors)
New Building o Remodeling Addition
MIAMI SHDRESS VILLAGE !if 3
No ® Street...!`° e 9�
Repairs No. of Stories
U
Service Overhead Size Feeders Conduit Main Sw Amps Main Fmses Amps
Underground
Type of Installation— Conduit Tubing B.X.L .M,1 Moulding
(Signed) ....f.".`
G,
. (Signed)
0
0
, 9 % y l� .
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•contrac.rs, 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.
/h / 4.
/
Application is hereby made for the approval of the detailed statement or toe plans and specifications herewith submitted for the build •
ing 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 speci1ied_.or.- not.4 copyy f< approved
plans and specifications must be kept at building during progress of the work.
I k l i Date..
Owner's Name and Address .!.:.! i.
Registered Architect and /or Engineer .......... :,.• ,,.••.,,, „,.,:.
Name and address of licensed contractor /' e �rtS!.,l.2.t/ .... tO2522 ' " 15 C7
APPLICATION FOR BUILDING PERMIT
a..
t •
//
MIAMI SHORES VILLAGE '' 5 `/
BUILDING INSPECTION DEPARTMENT
Date
Building Inspector
NOTE: A charge of $1.00 will be made for making corrections or cha
the Planning hoard.
A re•in.pection fee of 31.00 will be charged when such re- inspection
materials anti /or workmanship.
4-q ubdivisio .. 4 si•-,t'/» �r..c
4 _942 sr
Location / an leg description of lot to be built on:
Lot / Block
Street and Number where. work is to be done
j
State work to be done � and pu (by fl
osc of budding (boors) 1 . � L� - - c �}L!� — __!�
1T! .1!�.T.._.._.._.._ —
[1�..._ ozz �1� .._.. :+ '1L f oe. 4 /4fo # A00 _........_
5 &:& /0,6.._. B721 .., / s i ..._..._ . /0..i& el r :PneyP and for no other purpose.
New Bui!ding Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $.. Q..O --- Amount of Permit S...
Zone cubage required plan Cubage
Size of Building Lot
Distance .to next nearest building
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to..
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 Sop ileorent,
and has complied Keith 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 su actors, on work t be performed under this
permit, as are licensed by Miami Shores Village. I .
Remarks __. —.__ (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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..
Permit No ..__a 1 . i. 0 Date
Disapproved
(Signed)
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Chair :pan Member
\icrnber Member
Member .. .. _--- ..__....._..__._ ...._....... Member
Council Approved Date Disapproved
to me well known,
Date
nges to this application after approval has been obtained from
is made necessary by improper notice for inspection or faulty
3/1
Permit No
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 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
CONTR.
LIST
CHECK
CONTR.
LIST
CHECK
STATE OF FLORIDA,
COUNTY OF DADE. I se.
Registered Architect and /or Engineer
Employing Electrician's Name ..../c2/r" L.. C- -•�/C - No. ea- Tyr Street
Location and Legal Description Lot Block p, Subdivision
Street and Number where work is to be performed —No 'q/.22 �E l •
� Street
State work to be performed and purpose of building (By Floors) S/ - e'a/ce— / r%Le Q .e. .
New Building Remodeling Addition Repairs X No. of Stories
SWITCH LIGHT PLUG FIXTURES REFRIO.
OUTLETS OUTLETS RECE'P'T'S NO. LAMPS OUTLET
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
..
SERVICE
PERM.
IRON
OUTLET
APrse
RANGE
OUTLET
RANGE
CONN. '
AMR
MOTORS
0.I HP
WATER
HEATER
MOTORS
1-5 HP
W. HEAT.
CONN.
NEON
TRANS.
SPACE
HEATER
STRIP
HEATER
RADIO
Service Overhead on
Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground P
Type of Installation — Conduit Tubing B.X.L Metal Moulding
:7l' as PA/
MIAMI SHW6ES VILLAGE
2.
Amount of Permit $ (Signed)
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obl'
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida
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.
(Signed)
No W /V Street 9g S 7
Q
Master Electrician.
TOTAL
TOTAL
ectrica ,s .: r.
ations as an employer of
ermanent Supplement, and
Before me, the undersigned authority, a notary public, duly authorized to administer oaths
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.
and take acknowledgments, personally
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
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRI?
HEATER
TOTAL.
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1•5 HP
NEON
TRANS.
RADIO
TOTAL.
CONTR.
LIST
CHECK
Permit No
1 2 u� Cy
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 1 4peg4 49i
Owner's
Registered Architect and /or Engineer
g�
Employing Electrician's Name ........ ee 1` 4 ' �� i.' No it � Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No VP A
State work to be performed and purpose of building (By Floors) PLE: P
New Building Remodeling Addition Repairs ✓ No. of Stories
Ohd
Servi verea
ce d Size Feeders Conduit Main Sw Amps a Main Fuses 1?---''-'- c)
Uaducreen
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $.3
STATE OF FLORIDA, }
COUNTY OF DADE. ss.
(Signed) ' 2 ,
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.
(Signed)._ / (,,'
Date --
4) ,o2C / 776
Street
Street X"?
A
a-er,/goe
?2 spa
Electrical spector.
Master Electrician.
Amps
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.
r
MIAMI SHORES VILLAGE, FLA. N®
JOB (90 t L L Q
ADDRESS T -( c 1 r , 9 A r
6418
' ` e
INSPECTION E.0
TIME READY 1 I _ . '-�' �" (/ .
REMARKS •
INSPECTOR DATE
NO.
STREET
PART OF LOT
LOT
BL'K
SUBDIVISION
r^
1
Other Apparatus
Permit Fee
i
Outlets
Nfx5r rs
Ritcextacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
/
/
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building
CcOctor or Electrician1
Dated , 19
Miami cliores
F Z 0 R 1 D A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla , r 19
LO CATION
DESCRIPTION OF WORK
NUMBER OF
N° 255
•
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
upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by
thi1epartment.
, Electrical Inspec•.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
he Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
'tate of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
hores Village.
(Seal)
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building Miami Shores Village, Fla , 19
Contractor or Electrician
NO.
Outlets
Motors
Receptacles
STREET
Generators
Stoves
Water Heaters
2thami cfhores
F 1. O A I D A
OFFICE OF ELECTRICAL DEPARTMENT
PART OF LOT
NUMBER OF
LO CATI 0 N
LOT
BL'K
DESCRIPTION OF WORK
Signs
Billboards
Other Apparatus
SUBDIVISION
■9 255
Permit Fee
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
.4iami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time
n 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.
, 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
pplication and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
Village.
Dated 19 — — — (Seal)
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE 1 19
PERMIT 5906 Contractor s
License No.
❑ Work to be performed under this Permit_
B1
BY AUTHORITY
Subdi-
vision
Address of Value of 1 Amount of
Building Project $ 1 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 assumes respon-
sibility for work done by his agents, servants or employees.
Signed: u INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all crdinance, regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
ABBOT':.{""
BUILDING
ELECTRICAL
PLUMBING
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 3285
DATE
Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal Lot Bl.
Description
Address of
Building
Subdi-
vision
Value of
Project
1 tr;s Contwtioll may b
ar Prouet,) 1,11er,u itat;o!,3
Ycnu are cautioned I: consult ycltr War P.:
Rn.7 office beit.re ;7.4irtaig tlie - Aio;k auth
thts permit.
Amt. of
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
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.
Signed: By
INSPECTOR
Contractor's
License No.
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
ions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
'illage. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
i !`% . •(� 4,
PERMIT N? 5127
Work to be performed under this Permit *± ..'t» so. , '"'++sisse
, r
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
A
Legal Lot Bl.
Description
Address of A. - ;'`` - °' "ralue of flint. of r
Building _ ' / '1 `'` Project Permit?'
This permit is granted to the contractor r builder named above to construct the building or to install the equipment or device /described in the appli-
cation 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 apr'bhanged without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above es the - sponsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or . in . . tltstat or specifications and that he . assumes respon-
sibility for work done by his agents, servants or employees. r # R r
•
Signed:_
Subdi-
vision
BY
DATE
Contractor's
License No.
By
"io"
194
4 %4, I PECTIR
In consideration of the issuance to me of this permit I agree to perform the wo;Yk covered hereunder in compliance with all ordinances and r _ulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Sho s Village.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
AUTHORITY
BUILDING ❑
ELECTRICAL ❑ PERMIT N9 9905
PLUMBING ❑
ROOFING ❑
Owner of
Building_
Architect
Contracto
or Builder
Legal
Descriptio
Address
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
Work to be performed under this Permit
19L
DATE
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.
Signed • 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 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.
BY AUTHORITY
is 17
r
Lot I
n
Bl,
Subdi-
vision
i f
Sq. Ft
Amt. of
Permit
$ ._
Value of
Project
$
BUILDING ❑
ELECTRICAL ❑ PERMIT N9 9905
PLUMBING ❑
ROOFING ❑
Owner of
Building_
Architect
Contracto
or Builder
Legal
Descriptio
Address
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
Work to be performed under this Permit
19L
DATE
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.
Signed • 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 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.
BY AUTHORITY
is 17
p ILDING
LECTRICAL
PLUMBING
Owner of
Building
•
Architect
Contractor
or Builder
Legal
Description
Lot
■
CONTRACTOR OR BUILDER
Bl.
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N? 5127
■.J
Subdi-
vision
Contractor's
License No.
Work to be performed under this Permit
Address of ' Value of Amt. of
Building Project Permit ,r " 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 appli-
catiop 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 ally 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 theiresponsibility for a thorough knowledge of the ordinances and
re rations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibili for work done by his agents, servants or employees.
Signed. ! s ` By �,,e$.
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances an ,tegulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authof{Pies of Miami Shies Village.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
"�r� _ J BY AUTHORITY
I
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Q 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. ,,o /
Owner's Name and Address. ...,Paed®r�
Registered Architect and /or Engi er
Employing Electrician's Name rst/ ,-( C-44.— Street ' /Q/
/<// 7
Location and Legal Description Lot ,,// Block Subdivision
Street and Number where work is to be performed—No.. 1 1'�® # A.. 21- Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling m� Addition
7 7treet
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 $
,i jA 31'
(Signed)
Electrical Inspector.
he undersigned app lleant 'Foo tliis 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. ->
(Signed) C6 � e'Z .
Master Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. Il ss.
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
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
__%T!
"�l /� t /fin
CONTR.
LIST
7
A
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL.
CONTR.
LIST
/ N1
,A)
is
CHECK
^^
� V ■
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Q 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. ,,o /
Owner's Name and Address. ...,Paed®r�
Registered Architect and /or Engi er
Employing Electrician's Name rst/ ,-( C-44.— Street ' /Q/
/<// 7
Location and Legal Description Lot ,,// Block Subdivision
Street and Number where work is to be performed—No.. 1 1'�® # A.. 21- Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling m� Addition
7 7treet
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 $
,i jA 31'
(Signed)
Electrical Inspector.
he undersigned app lleant 'Foo tliis 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. ->
(Signed) C6 � e'Z .
Master Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. Il ss.
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 No
ielor
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 HENDERSON No
Registered Architect and /or Engineer
Employing Electrician's Name. BURNS... &...eAE.OER,..._IAC.. ' No 3251 Street .... N...W... 7th ...St.
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 440 Street N E 92 St •
State work to be performed and purpose of building (By Floors)
New Building Remodeling XXX. 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 $.... «00 (Signed) CA-
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 2— - -G -
88.
My Commission Expires
440
Street
(Signed) FRANK MARTIN
NE 92 St.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and a epts 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 ,r 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 .ite 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 lectrician.
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.
ACE
H ATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
1 5 0A
CHECK
Permit No
ielor
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 HENDERSON No
Registered Architect and /or Engineer
Employing Electrician's Name. BURNS... &...eAE.OER,..._IAC.. ' No 3251 Street .... N...W... 7th ...St.
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 440 Street N E 92 St •
State work to be performed and purpose of building (By Floors)
New Building Remodeling XXX. 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 $.... «00 (Signed) CA-
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 2— - -G -
88.
My Commission Expires
440
Street
(Signed) FRANK MARTIN
NE 92 St.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and a epts 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 ,r 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 .ite 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 lectrician.
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.
CEILING
BRACKETS
RECEPTACLES
SWITCHES
STOVES
WATER HEATERS
SIGNS
OTHER APPARATUS
BRACKETS
OUTLETS
•
SUBS
BRANCHES
BASEMENT
FLOORS
FIXTURES ONLY
NUMBER OF
TOTAL
SIZE OF
SIZE SERVICE
CONDUIT
No.
CIRCUITS
LIGHTS
CEILING
BRACKETS
OUTLETS
MAIN
SUBS
BRANCHES
BASEMENT
FIRST
SECOND
THIRD
FOURTH
A -63
APPLICA11ON
NO
DATF r° � — 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 Inspector.
LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL. SPACES MUST BE FILLED OR APPLICATION
WILL BE RETURNED.
LOT NUMBER BLOCK NUMBER SUBDIVISION
STREET AND NUMBER
OWN OCCUPANT
OCCUPIED As
BUILDING —NEW OR OLD (UNDERLINE WHICH)
H. P. OF EACH MOTOR VOLTS TOTAL. AMPS
KIND OF INSTALLATION' . _ OPEN OR CONCEALED KNOB. RX., BX., MLDG•, CONDUIT. M USING
REMARKS
CONTRACTOR ( — . ° INSPECTION WANTED
BY
RECEIVED BY INSPECTOR
PROGRESS
WILL INSPECT AGAIN
ROUGH WIRING
FINAL NO
CORRECTED
TEMPORARY DAYS.
DATE ISSUED
SPACE BELOW FOR INSPECTOR'S USE ONLY
INSPECTED
REMARKS
(
SPECIFICATIONS
WORK — ADDITIONAL, NEW. A
ADDRESS /" ?
SIDF
ATION OR REPAIR
PHASF
FEE REMITTED
INSPECTOR
Permit
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 Miar;-.i 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
r jI Pr
Owner's Name and Address g` —_
Registered Architect and /or Engine
Employing Electrician's Name
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
MIAMI SHORES'VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(e,
Location and Legal Description
Street and Number where work is to be performed —No Co
Service Overhead Size Feeders_
Underground
My Commission Expires
State work to be performed and purpose of building (By Floors)
Conduit.___ - -- Main Sw
No
(Signed
No.__ .� "' ___ ___- __________ Street_______ _ _�._______ — •
9
New Building Remodeling Addition.. Repairs
Type of Installation— Conduit 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 com-
plied 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Date
Notary Public. State of Florida
__ --- Subdivvsio --- -___ --
Street IV'
Street_
No. of Stories
Amps. Main Fuses __Amps.
,4
Master Electrican.
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, 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.
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.LAM PS
REFRI G.
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.
M OTORS
0-1 HP
MOTORS
1 -5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit
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 Miar;-.i 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
r jI Pr
Owner's Name and Address g` —_
Registered Architect and /or Engine
Employing Electrician's Name
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
MIAMI SHORES'VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(e,
Location and Legal Description
Street and Number where work is to be performed —No Co
Service Overhead Size Feeders_
Underground
My Commission Expires
State work to be performed and purpose of building (By Floors)
Conduit.___ - -- Main Sw
No
(Signed
No.__ .� "' ___ ___- __________ Street_______ _ _�._______ — •
9
New Building Remodeling Addition.. Repairs
Type of Installation— Conduit 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 com-
plied 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Date
Notary Public. State of Florida
__ --- Subdivvsio --- -___ --
Street IV'
Street_
No. of Stories
Amps. Main Fuses __Amps.
,4
Master Electrican.
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, 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.
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.