ELECTRICALMIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date..- -(--'`
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub trxd for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of iami 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 Mia ni 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 anO_Address �� = �� No " - Street
Registered Architect and /or Engineer
` / "�
Employing Electrician's Name ���' � � -- I �� . -
Permit No
No Street
�J-
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Site
Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts h bligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fly a Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•c.ntractors employed by him in the
work to he 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 a
licensed by Miami Shores Village. r . -
(Signed )A'
Master Electricia
STATE OF FLORIDA, 1
COUNTY OF DADE. I
ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me wel'. known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
7 ?
AL
CONTR.
LIST
/1
CHECK
7
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
n
✓;
_ � o
", 1 ;:
1 ^- � )
MOTORS
0.1 HP
MOTORS
1•5 HP
NEON
TRANS.
RADIO
TOTAL
, CONTR.
(8 LIST
s
/ CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date..- -(--'`
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub trxd for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of iami 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 Mia ni 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 anO_Address �� = �� No " - Street
Registered Architect and /or Engineer
` / "�
Employing Electrician's Name ���' � � -- I �� . -
Permit No
No Street
�J-
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Site
Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts h bligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fly a Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•c.ntractors employed by him in the
work to he 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 a
licensed by Miami Shores Village. r . -
(Signed )A'
Master Electricia
STATE OF FLORIDA, 1
COUNTY OF DADE. I
ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me wel'. known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE. FLA.
JOB_'
ADDRESS /0
INSPECTION
TIME READY'
REMARKS •
N?
7169
INSPECTOR DATE r-
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
PERMIT
Work to be performed
,14.
MIAMI SHORES VILLAGE, FLORIDA
Bl.
DATE
N? 6218
under this Permit AP /1,e/s/
Subdi-
vision
.•/ /' (.4 -
�
BY
Contractor's
License No.
94_
Address of /� Value of Amt. o V
Building(] / Project �Q Permit
This permit is,gsaa d' •'above to construct the buil ' g 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 are changed without thorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assum e res.0. ibili for orough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or draw : s or in ii. ications and that he assumes respon-
sibility for work done by his agents, servants or employees. .
Signed .. 1. B
NSP ,+1 OR
In consideration of the issuance to me of this permit I agree to perform the work covered reundef in compliance witli-all ordinances an6segulhtions
pertaining thereto and in strict conformity with the plans, drawings, statements or specificatio submitted to the proper authorities of Miami Shores Village.
In acceptin: is pe ..it I ass responsibility for all work done by either myself, my agent, servant or employee.
✓ �., 4 # //.
.1 / _ - �+
^ . Q RA • ' •R BUILD
AUTHORITY
�UILDING
LECTRICAL
'LUMBING
v
'..re lutect
ontractor
Jr Builder *
,egal Lot
Description
In considera
.ertaining theret
n accepting
MIAMI SHORES VILLAGE,
"PERMIT N
4205
under this Permit! f'
Work to be performed
Dwner of /
iuilding
Subdi-
vision
FLORIDA,
t
DATE
Signed. � _ i r „!' _ By
SPECTER
ractor's
icense No
BY AUTHORITY
194
r
address of 1°'� : Value of Amt. of .. `G
ij A" • Project 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 appli-
ation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any
.tans, drawings statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
t 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
'ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the stat ents or specifications and that h es es respon-
ibility for work done by his agents, servants or employees.
the issuance to me of this permit I agree to perform the work covered hereunder in compliance with a dinances and reg + : • s
ict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
me r onsibility for all work done by either myself, my agent, servant or employee.
4 „ , t • .
CONTRACTOR OR RAER
Permit No.... - G
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Appli:ation is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
etructire herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv:ida,
and a:l 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. AA�
Owner's Name and Address ' #NES ° J J. yN` p No � Street.... /!fit �%.- .....1 S 5 r
Registered Architect and /or -. Engineer p
Emplo;,ing Electrician's Name..G.j/. K . '. 19F4D.)/ .�e�.E.erxte //V No.....IQQ
C2 Location and Legal Description Lot 9 L.. 3 Block %I yJ
Street and Number where work is to be performed —No f.
State vork to be performed and purpose of building (By Floors)
yVe
New Building Remodeling Addition
Street
Su.)1111 ....m
street ...it -L- . . e /10E o
Subdivision "A- Sb.O.f2e4 .&X vG
1(')G, Ro
Repairs No. of Stories
Service
Overhead
Site Feeders Conduit Main Sw Amps Main Fuses . Amps
Jnderground
Type o'' Installation— Conduit Tubing ....................B.X.L Metal Moulding
Amount of Permit $
Electrical Inspector.
The undersigned applicant for this building permit does hereby eel tify that he understands and accepts his obl • ations 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 'ae 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 reluired by the Act. The undersigned agrees to employ only such sub - contractors, or�work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE (DP FLORIDA, }
COUNTS.' OP DADE.
Before me, the undersigned authority, a notary public, duly authorized
appeared
as.
(Signed) • ", '"
(Signed) �•
to me weL 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
therein by him stated are true.
Notary Public, State of Florida
aster Electrician.
to administer oaths and take acknowledgments, personally
sign the same, and that all facts
My Commission Expires
NOTE: A re-inspection fee of $1.00 will be made e:hen such re-inspection is made necessary by improper notice for inspection, or faulty
materials aid /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'8
iGial
1(JgS �
,�1*
RfiFR1 O.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. HEAT.
CONN.
SPACE
H
STRIP
HEATER
TOTAL
CONTR.
LIST
/
/4.5
CHECK
ENT.
DIST.
SERVICE $& ViC
�C�
c kk11
O,
�f 1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
�' v
S SW.
CAB.
TEMP. PERM.
CONTR.
i A
Jz X � S //u 4 S
P. e u p G e. f %
r 0/ P
nP
CHECK
.4T
Permit No.... - G
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Appli:ation is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
etructire herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv:ida,
and a:l 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. AA�
Owner's Name and Address ' #NES ° J J. yN` p No � Street.... /!fit �%.- .....1 S 5 r
Registered Architect and /or -. Engineer p
Emplo;,ing Electrician's Name..G.j/. K . '. 19F4D.)/ .�e�.E.erxte //V No.....IQQ
C2 Location and Legal Description Lot 9 L.. 3 Block %I yJ
Street and Number where work is to be performed —No f.
State vork to be performed and purpose of building (By Floors)
yVe
New Building Remodeling Addition
Street
Su.)1111 ....m
street ...it -L- . . e /10E o
Subdivision "A- Sb.O.f2e4 .&X vG
1(')G, Ro
Repairs No. of Stories
Service
Overhead
Site Feeders Conduit Main Sw Amps Main Fuses . Amps
Jnderground
Type o'' Installation— Conduit Tubing ....................B.X.L Metal Moulding
Amount of Permit $
Electrical Inspector.
The undersigned applicant for this building permit does hereby eel tify that he understands and accepts his obl • ations 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 'ae 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 reluired by the Act. The undersigned agrees to employ only such sub - contractors, or�work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE (DP FLORIDA, }
COUNTS.' OP DADE.
Before me, the undersigned authority, a notary public, duly authorized
appeared
as.
(Signed) • ", '"
(Signed) �•
to me weL 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
therein by him stated are true.
Notary Public, State of Florida
aster Electrician.
to administer oaths and take acknowledgments, personally
sign the same, and that all facts
My Commission Expires
NOTE: A re-inspection fee of $1.00 will be made e:hen such re-inspection is made necessary by improper notice for inspection, or faulty
materials aid /or workmanship.
NO.
STREET
PART OF LOT
LOT
BL'K
SUBDIVISION
Signs
-.1) ...,
Other Apparatus
;,.) /
, /: ,-,f ". i ,,,.. v .-.),„(4/0 7 i......4***
Outl�e
Motors
Receptacles
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 rl r t I %! / Miami Shores .� r *'° r
ores Village, Fla , +{ ./ 19
r .
Contractor or Electrician, A
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
this Department. (.; I
, 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
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
Shores Village. ! /
Dated
aiami cShores
F L O R D A
OFFICE OF ELECTRICAL DEPARTMENT
N
LOCATION
DESCRIPTION OF WORK
N° 6 81
, 19 (Seal)
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
CI DATE SHORES VILLAGE, FLORIDA , _ is
DATE / 19
PERMIT N9 5 619 Contractor's _
License No. �4
_I '),t r 411.1 C-
Architect
Contractor Ale or Builder /"T L I- C.- / i ( j[
Legal Lot
Description II B1
Address of f
Building
CONTRACTOR OR BUILDER
L (c r — The C_
J
Work to be performed under this Permit
Signed.
c.
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compli
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
Subdi-
vision
�
Value of
Project $
Amount 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 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 statemyrfs or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
INSPECTOR
with all ordinan -s and regulations
orities of Miami Shores Village. In ac•
BY AUTHORITY ■ ■o.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
0
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description II Bl.
Work to be performed under thLs Permit
Address of - fw ... Value of 11 Amount of
Building ) '„ Project $ II 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.
Na 7660
DATE 19
Contractor's /f
License No.
Subdi-
vision
Signed. / l - a._ 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 ao
cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee.
a
BY AUTHORITY
ABBOT
..
CLOSETS
BATH
TUBS
SHOWERS
LAVA
TORIES
NKS
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM - G
POOL
CONTR.
LIST
CHECK
;2000
Permit No.__7 t-
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING 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
buildirg during progress of work.
Owners Name and Address K. J. 1 i2Ch 5� 0 No.__ —._ N.E. . ._ -- -- - -- - -•--- - -- - -_ St � 93 Street
Registered Architect and /or Engineer- -_---- __� --_ -- -- --------- _� - __ --
Dade Gas C
Employing Plumber's Name ___ ___ ______y No.___
Location and Legal Description Lot.__ Block Subdivision
Street Ind Number where work is to be performed -No ,gam 510 Street N.E. 93 St.
State work to be performed and purpose of building (By mors)_20) Gas Tank &t Meter - (CHANGE OF C0MPA!'�)
ISo appT a'ice3 connee ce t as pcEer::Gorapar,J1 Pas IT - here
New Building _______— ____ ........ ____ Remodeling—_-____ ___ _____ Addition._.____ Repairs No. of Stories
Size Septic Tank_____ —.__
Type of Tank_____ Capacity Gals
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City - Well.___-_-__ ...... ___ ... _______..... ________- _____Size of Soakage Pit
Amount of Permit $—
STATE OF FLORIDA,
COUNTY OF DADE.
(Signed)_
(Signed)
Date__
Plumbing Inspector. -
T1-e 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 5968, 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 undersigned agrees to employ only such sub- contractors, on work to be permed under his permit, as are
licensed by Miami Shores Village.
June 14, 19660
Street
No':!. 7 Avenue
- -- = - - - ---- - - - - -
/- tx
? S 65
My Commission Expires Notary Public, State of Florida
Master Plumber.
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 the 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.
Owners Name and Address
STATE OF FLORIDA,
COUNTY OF DADE. ss
Chairman ___ _ _
Member _
Member
Council Approved
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing o- 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 Law 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 o, not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Regist° d_Architeo ngineer ..
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot _ Block. Subdivision
Suet 4nd Number where work is to be done 3 ` " E
State w° k to b one pu�i.ose 2, . (by rs)_- 'e-
ate
Date
Date- 'LJ22 a ., 19.6
-_ No. ___ _ Street' -4E
Notary Public, State of Florida
7 7 / 0 + . !�2
and for no othet purpose.
New Building___________ Remodeling Addition Repairs No. of Stories (/
To be constructed of Kind of foundation Roo C�ov� ring
_--
Estimated Total cost of improvements $____ �� Amount of Permit $
Zone cubage required____ ____plan Cubage
Distance to next nearest building __________________Size of Building Lot
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 Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him
in the xvork 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 p.iI contractors, on work to be ormed n.1. this
permit, as are licensed by Miami Shores Village. � ��
Remarks (Signed) ( -'- Y"G/`7/FP� l
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 a'aove described construction, that he has carefully read the fore :oing application, and that he did sign the same, and that all facts
therein by him s d are true.
/' Permit No
` -& 6 Read, Sworn to and Subscribed before me.
Disappr&ved
( Signed)
to me well known,
Building Inspector - Commission Expires
PLANNI . !' BOARD.___. __ DATE
Member .__ _ ._
Member
Member
Disapproved
Date
NOME: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
_ NO.
STREET f/IJ
, - t
PART OF LOT
ey
LOT
BL'K
SUBDIVISION
i`, i '
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
�� �'
8151 Arm-
; V)
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the constructio
Owner of Building ( u 4
Contractor or Electricia
aiami cShores
F L O A 1 D A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla , 1 dIP . 9' 7 ' 19
NUMBER OF
LOCATION
N° 681
•
DESCRIPTION OF WORK
"
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 '; pecifications 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 ups} any change in he plan and speci ations unauthorized by
this Department. /' sj
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Elect ical Ordi : nces and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
Shores Village.
f_
Dated , 19
i� ~ . c � •' .� /
, Electrical Inspec or.
(Seal)
r
J
1 ,
BUILDING
ELECTRICAL
PLUMBING}
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
uildin
Address of � , - '` " Value of Amt. of
Bg_ +i.� x ' � ,'" Project Permit -
--This termitic granted.to..the.00ntractq= r riaYt above. to eonetruct the building or to install the equipment or deuce described in the appli-
cation herefor in strict compliance with all ordinances pertaining tiler o and with the understanding that the work will be performed in compliance with any
plans, draw ngs, 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 conditi.. .on which this
permit is granted is the understanding that the contractor or builder named above assumes the ' y for a thorough knowledge . o respons b ces and
regulations pertaining to the work covered hereby whether shown on the plans or d�gwing in the �tfe or spec,if• ations and t respon-
sibility for work done by his agents, servants or employees. f d :
Signed' ,, -,,,..0' / r' ,1. 1 ,,.
SPE OR y
In consideration of the issuance to me of this permit I agree to peifyinr the work covered hereunder in compliance with,B.u, ordinances and egelyyt�rrons
pertaining thereto and in strict conformity with the plans, drawings, st4itments or specifications submitted to the proper authorities of Miami ShW&Vitiage.
In accepting this permit I assume responsibilityjor all work done by either myself, my agent, servant or employee.
/ - 1 064r iR OR
9
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 6272
Work to 1:1,c performed under this Permit L. (77/
1 ' 1
Subdi-
vision
BY
DATE
Contractoi
License No.
194'
/7/
AUTHORITY
Permit No.
Amount of Permit $
V MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
My Commission Expires
(Signed)
(Signed)
0
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 S1 ores 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 7 J� z j C ^ ' r� _ t _ No
Registered Architect and /or Engineer
Employing Electrician's Name
Location anc Legal Description Lot__ _ Block_ Subdivision__
Street and N amber where work is to be performed —No Street_______
No _______ — —
Repairs No. of Stories
Service Overhead Size Feeders Conduit.___ —_ Main Sw._______ -- Amps. Main Fuses_ __________Amps.
Und trground
Type of Installation— Conduit Tubing B.X.L .Metal Moulding
Electrical Inspector.
The ur dersigned applicant for this building permit does hereby cer:ify that be 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 u.rder 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.
Notary Public. State of Florida
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. 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 abox e described construction, that he has carefully read the :foregoing application, and that he did sign the same, and that all facts
therein by h m 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.
SW TCH
OUT.-ETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
° f
�1' /"'
t j
/
,
CHECK
L
ENT.
S W.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
J�st
` V .
/✓ ,
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No.
Amount of Permit $
V MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
My Commission Expires
(Signed)
(Signed)
0
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 S1 ores 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 7 J� z j C ^ ' r� _ t _ No
Registered Architect and /or Engineer
Employing Electrician's Name
Location anc Legal Description Lot__ _ Block_ Subdivision__
Street and N amber where work is to be performed —No Street_______
No _______ — —
Repairs No. of Stories
Service Overhead Size Feeders Conduit.___ —_ Main Sw._______ -- Amps. Main Fuses_ __________Amps.
Und trground
Type of Installation— Conduit Tubing B.X.L .Metal Moulding
Electrical Inspector.
The ur dersigned applicant for this building permit does hereby cer:ify that be 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 u.rder 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.
Notary Public. State of Florida
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. 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 abox e described construction, that he has carefully read the :foregoing application, and that he did sign the same, and that all facts
therein by h m 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.
THIS CERTIFIES THATthe wiring and apparatus installed at
, •�'
1:14,< . t
by
MIAMI SHORES VILLAGE
Office of Electrical, Inspector
CERTIFICATE OF INSPECTION
for `` (! A - - fi- owner, and occupied as i
has been inspected and current is authorized to be turned on, until otherwise notified, for:
Size of Service Number of Lighting Circuits
s- 1
Range —
. ! " `"•'' 41 + r 17- watts. Water Heater watts
Power: Connected load H P. Space Heaters watts
Other Apparatus .v
Address
/.
PERMIT
,/
N .
ELECTRICAL INSPECTOR.
FLOORS
PIA I UMnb WILT
NUMBER OF
TOTAL
OUTLETS
SIZE OF
SIZE SERVICE
CONDUIT
No.
CIRCUITS
LIGHTS
CEILING
BRACKETS
MAIN
SUBS
BRANCHES
BASEMED'T
l±
FIRST
7 s.
—
SECOND
THIRD _
FOURTH
V
A -63 a
LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED 9R APPLICATION
WL BE RETURNED.
BLOCK NUMBER
1
LOT NL MBER.
STREET AND NUMBER
OWNER_ 1r , I :• ' .,'1�1`f'
OCCUPII:D As
BUILDING- -NEW OR OLD (UNDERLINE WHICH)
.ya.+
H. P. CF EACH MOTOR VOLTS TOTAL AMPS PHASE
CEILING
{
BRACKETS
f+`
KIND OF INSTALLATION
RECEPTACLES
et •
REMARKS
MASTER ELECTRICIAN
BY �4DDRESS
RECEIVED BY INSPECTOR
PROGRESS
WILL INSPECT AGAIN
ROUGH WIRING
FINAL No
CORRECTED
TEMPORAIIY DAYS.
DATE ISSUED
DATE
ELECTRICAL DEPARTMENT DEPARTMENT OF THE CITY OF MIAMI
Desiring your certificate of Approval, application is hereby made for an inspection of the
electric installation in the premises stated below, for which undersigned agrees to correct
any infractions of the National Electrical Code and the City Ordinance pointed out by In-
spector.
OPEN OR CONCEALED KNOB. RX., BX.. MLDG., CONDUIT, METALLIC TuaiNG
SWITCHES
e R
G
SPACE BELOW FOR INSPECTOR'S USE ONLY
INSPECTED
REMARKS
APPLICATION
STOVES
- c
SUBDIVISION � ° .� - . e ,./ "`'
SIDE
d
OCCUPANT
WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR
SPECIFICATIONS
WATER HEATERS
SIGNS
•
INSPECTION WANTED
NO
GbI
OTHER APPARATUS
FEE REMITTED
INSPECTOR
Permit Nc
1
MIAMI SHORES VILLAGE
ELECTRICAL INSPIECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
a 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. AIR
Owner's Name and Address!.1R t A l /1
Registered Architect and /or Engineer in
�J1
Employing Electrician's Name aCi t/ 1.- No Street
Location :,nd Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No
State wort- to be performed and purpose of building (By Floors)
New Builiing Remodeling Addition Repairs No. of Stories
Amount or Permit $ (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. I
66.
S ..f Mi ES L Y.j/z• h'
No
9 21re4. _ .... .... t..... /.. . A- lS"v
(Signed)
Street 4/ J 3
Street /V L 9.3 r... 4
Service
Overhead
Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Electrical Inspector.
The tndersigned applicant for this building permit does hereby certify that he understands and accepts his obli ations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P rmanent Supplement, and
■
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contra ors employed by him in the
1 work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials aid /or workmanship.
SWITCH
OLTLETS
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
CONTR.
LIST
CHECK
ENT.
Gw.
DIST.
CAB.
SERVICE
TCP.:P.
SERVICE
PERM.
MOTOR,^
0.1 HP
MOTORS
1•5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
/
CHECK
Permit Nc
1
MIAMI SHORES VILLAGE
ELECTRICAL INSPIECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
a 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. AIR
Owner's Name and Address!.1R t A l /1
Registered Architect and /or Engineer in
�J1
Employing Electrician's Name aCi t/ 1.- No Street
Location :,nd Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No
State wort- to be performed and purpose of building (By Floors)
New Builiing Remodeling Addition Repairs No. of Stories
Amount or Permit $ (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. I
66.
S ..f Mi ES L Y.j/z• h'
No
9 21re4. _ .... .... t..... /.. . A- lS"v
(Signed)
Street 4/ J 3
Street /V L 9.3 r... 4
Service
Overhead
Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Electrical Inspector.
The tndersigned applicant for this building permit does hereby certify that he understands and accepts his obli ations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P rmanent Supplement, and
■
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contra ors employed by him in the
1 work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials aid /or workmanship.