ELECTRICAL• 0
Permit No. ___ q. --- �-- _ —___ --
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTM ENT
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.. I/
Owner's Name and Address, f
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot ____________ _____________ __________ _________Block — _____________ Subdivision ___________- _______— ___ —___.
Street and Number where work is to be performed —No Y ____..
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.. Repairs
Amount of Permit S L/C'
No " Street_
(Signed)
No
Street___ ..___— __—___—___
Street
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 _—_— _______ _________________
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.
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 above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires
(Signed) —`` .�
Notary Public. State of Florida
Master Electrican.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE•P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
.
/
(
i
1
• ;/
` /-
— /
G"
t Y
CHECK
ENT. DIST.
SW. CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O -I HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
ONTR.
C LIST
j�
/1
1..."'
CHECK
• 0
Permit No. ___ q. --- �-- _ —___ --
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTM ENT
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.. I/
Owner's Name and Address, f
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot ____________ _____________ __________ _________Block — _____________ Subdivision ___________- _______— ___ —___.
Street and Number where work is to be performed —No Y ____..
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.. Repairs
Amount of Permit S L/C'
No " Street_
(Signed)
No
Street___ ..___— __—___—___
Street
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 _—_— _______ _________________
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.
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 above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires
(Signed) —`` .�
Notary Public. State of Florida
Master Electrican.
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.
O4ner of
Braiding
Architect
Co itractor
or Builder w
Le al
De 'ption
Ad ess of
B ding
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 10136
Work to be performed under this Permit
Bl.
f
Subdi-
vision
Value of
Project $
DATF.
Contractor's
License No
J
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
her for in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drags, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
tim 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
ted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
nin
g to the work covered hereby whether shown on the plans or dr ings or in the statements specifications and that he assumes responsibility for work
by agents, servants or employees. r r �,r
Signed • s r / . ,: .. .r 4: , li BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perfgim the work covered hereunder in compliance with all ordinances and regulations
C rta ining thereto and in strict conformity with the plans, drawings, statefne, is or specifications submitted to the proper authorities of Miami Shores Village.
accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
$ // 7j
BY AUTHORITY
Total
Ceiling
Bracket
Receptacle
Switch
Bell
Floods
Sign
SERVICE
Outlets
Outlet
AMP.
Form 63 (Rev.)
LEGAL DESCRIPTION:
New Construction
ROUGH WIRING
FIXTURES
Master
Electrician
For
Application Received
Final OK No.
OK for
I hereby make application for an electrical permit to install or change electrical wiring in or on B
the premises described below, and I agree to comply with all the rules and regulations governing
electrical installations in the City of Miami. DATE
Lot Block Subdivision
Address �: _. � . , __ /o
Building Occupied as:
BUILDING DEPARTMENT
ELECTRICAL INSPECTION DIVISION
C-FT f -O - , FLORIDA •
Existing Structure
Owner
Occupant
INSPECTION REPORT
Fee Paid
EQUIPMENT
Phone .."; Address
Inspector
Ready .
Addition to Existing Building
Main Switch
EQUIPMENT
Stove
Receptacle
Size Service
Wires
Size Service
Conduit
Water Heater
0
No. Circuit
Spaceheater
Special Power or Heat Wiring for:
MOTORS (List and Give H. P. of Each Motor)
Total Lights
Ceiling
Bracket
Streamer
Display Case
Will Call
ROUGH WIRING
FIXTURES
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 1 1/4/ic
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 14/,.x /4. Lc. No L -- t om Street...04 �-
Registered Architect and /or Engineer
S etit ✓. ��
Employing Electrician's Name ...4..a# 4 ' . .F ,fir � No. �– Street ./V: . ✓Cm.
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 1„S�
State work to be performed and purpose of building (By Floors)
Amount of Permit $ ' (Signed)
STATE OF FLORIDA, 1
COUNTY OF DADE. ! j
85.
My Commission Expires
Street 4 - 4 7 y 4 17
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation —Conduit Tubing B.X.L Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and acre f his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws • Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or •.ub• 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.
Notary Public, State of Florida
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appzared
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.
NOTE: A re•inspcction 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
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.8 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
__/-_
_/-
CHECK
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 1 1/4/ic
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 14/,.x /4. Lc. No L -- t om Street...04 �-
Registered Architect and /or Engineer
S etit ✓. ��
Employing Electrician's Name ...4..a# 4 ' . .F ,fir � No. �– Street ./V: . ✓Cm.
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 1„S�
State work to be performed and purpose of building (By Floors)
Amount of Permit $ ' (Signed)
STATE OF FLORIDA, 1
COUNTY OF DADE. ! j
85.
My Commission Expires
Street 4 - 4 7 y 4 17
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation —Conduit Tubing B.X.L Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and acre f his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws • Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or •.ub• 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.
Notary Public, State of Florida
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appzared
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.
NOTE: A re•inspcction 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
w
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 of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and specifications must be kept at
building during progress of work.
No525 N. E. 92 Street' ,lviiami Shores,F1
Owner's Name and Address B, Neale
Registered Architect and /or Engineer
Employing Electrician's
Location and Legal Description Lot [[ [[ Q Block Subdivision
Street and Number where work is to be performed—No 525 N s ...x......92 St • Street
State work to be performed and purpose of building (By Floors) le trical service increase
New Building Remodeling Addition Repairs XX
inc.serv. from 100 to
Service Overhead II1
Size Feeders Conduit Main Sw Ampe.2.O.0. Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
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 subcontractors, on work to be performed urtder)his permit, as are
licensed by Miami Shores Village.
Amount of Permit >i £
(Signed) c---1
(Signed)
Date June 28, 1976
No. of Stories
Muter Electrician.
STATE OF FLORIDA, j
COUNTY OP DADE. I 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
REPRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. HEAT.
CONN.
SPACE
14
STRIP
H
TOTAL
CONTR.
1.157
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
1.157
CHECK
Permit No
w
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 of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and specifications must be kept at
building during progress of work.
No525 N. E. 92 Street' ,lviiami Shores,F1
Owner's Name and Address B, Neale
Registered Architect and /or Engineer
Employing Electrician's
Location and Legal Description Lot [[ [[ Q Block Subdivision
Street and Number where work is to be performed—No 525 N s ...x......92 St • Street
State work to be performed and purpose of building (By Floors) le trical service increase
New Building Remodeling Addition Repairs XX
inc.serv. from 100 to
Service Overhead II1
Size Feeders Conduit Main Sw Ampe.2.O.0. Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
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 subcontractors, on work to be performed urtder)his permit, as are
licensed by Miami Shores Village.
Amount of Permit >i £
(Signed) c---1
(Signed)
Date June 28, 1976
No. of Stories
Muter Electrician.
STATE OF FLORIDA, j
COUNTY OP DADE. I 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 `�` 3 r
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:lda,
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
Registered Architect and /or Engineer
Employing Electriciafi's Name ( .El E /C- ea' .. 9. ..£ L reet
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service verhead Sise Feeders Conduit Main Sw Amps Main Fuses .Amps
Overhead
Underground
Type of Installation— Conduit Tubing..... ........... B.X.L Metal Moulding
Amount of Permit S
ctricel Ins
The undersigned applicant for this building permit does hereby cel tify that he understands and accepts his ob ions as an employer of
labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida manent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, }
APPLICATION FOR ELECTRICAL PERMIT
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Street
(Signed) 6.0 / ` -
(Signed)
Date
No . L fe Street Jr
Master Electrician.
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 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
FIXTURES
No. LAMPS
REPRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
i�
r
CHECK
!J )
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
4
A
�q--
-'�✓
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
, �
CONTR.
ST
LIST
CHECK
�' / rf
Permit No `�` 3 r
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:lda,
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
Registered Architect and /or Engineer
Employing Electriciafi's Name ( .El E /C- ea' .. 9. ..£ L reet
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service verhead Sise Feeders Conduit Main Sw Amps Main Fuses .Amps
Overhead
Underground
Type of Installation— Conduit Tubing..... ........... B.X.L Metal Moulding
Amount of Permit S
ctricel Ins
The undersigned applicant for this building permit does hereby cel tify that he understands and accepts his ob ions as an employer of
labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida manent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, }
APPLICATION FOR ELECTRICAL PERMIT
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Street
(Signed) 6.0 / ` -
(Signed)
Date
No . L fe Street Jr
Master Electrician.
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 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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect I.
Contractor
or Builder
Legal Lot
Description
Address of
Building
PERMIT N° 2618
MIAMI SHORES VILLAGE, FLORIDA
Bl
Value of
Project $
DATF 195
Contractor's
License No.
Work to be performed under this Permit
Subdi-
vision
Amount of
Permit $
This permit is granted to the contractor or builder named above to construc 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 cr 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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY 6 su