707 NE 93 StCompany
Job
Time Ready
Date Ready
REQUEST FOR INSPECTION
PHONE
Address
/
Inspection V •
A.M. 7 P.M.
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DATE ' v 194
ELECTRICAL PER IT N° 5993- Contractor s
PLUMBING �`�' License No.
Owner of
Building
Architect
Contractor
or Builder
Work to be
Legal Lot
Description
p
formed under this Perini
Signed.
Subdi-
vision
Address of
Building
This p it is anted to . e contractor builder ed a ove to construct the building or to install the equipment or vice described in the appli-
cation herefor m 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 responsibih for * .0 5 h knowledge of • ' + + ces and
regulations pertaining to the work covered hereby whether shown. on the plans orpviings r, " the ents o tions and Wit he respon-
sibility for work done by his agents, servants or employees.
4
I •R
In c• ation of the issuance to me of this permit I agree to .erform the work covered hereund: n compliance with all ordinances and regulations
pertaining . ere and in strict conformity with the plans, draw' gs ." atements or specifications s bmitted the proper authorities of Miami Shores Village.
In accepting permi 1 assume p, s•on;aility for all work do either *self, my agent, sere or eop oyee.
r'''
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of -
Building
MIAMI SHORES VILLAGE. FLORIDA
❑ 3
DATE
❑
PERMIT N° 3459 Contractor's
License No.
Architect
Contractor
or Builder 1/7, L
Legal Lot
Description
Address of t -�
Building
CONTRACTOR OR BUILDER
L
Work to be performed under this Permit
B1
BY
195
Subdi-
vision
Value of I I Amount of
Project $ 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 or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed ; r',�; �
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.
AUTHORITY ey
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
P lZ
Lot
7 0 1 f\) <.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N? 5484
1 l e ` O tt .c ,
7 ?'z' • /
Work to be performed under this Permit
B1
Signed
1
Subdi-
vision
Value of
Project
INSPECTOR
•
(.
DATE re ''
Contractor's I
License No. -'
r
, Q _ ,
BY AUTHORITY
r3
' 195
/ jc.t
Amount of / 00
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 k. - ledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in tYp'statements or s cificatio that he assumes responsibility for work
done by his agents, servants or employees.
In consideration of the issuance to me of this permit I agree to perform the work cove :: hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications emitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my gcJent, seeant or employee.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building EV
MIAMI SHORES VILLAGE. FLORIDA
DATE 7- Z- 195 1
❑ PERMIT N? 7435
0
Lit 4
Architect
Contractor
or Builder 4 `• 7 -`' 4 l. .. Cl E c 7 9 3
Legal Lot
Description I+ Bl.
Building 7
Address of rt / C /
`' 7 /- 1 '"
CONTRACTOR OR BUILDER
Work to be performed under this Permit
IA) LI
Subdi-
vision
Value of
Project $
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 y specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed
Contractors ., - <
License No.
Amount of
Permit $
BY
INSPECTOR // a
In consideration of the issuance to me of this permit I agree to perform the work co i4 d hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specificati S 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, sejrant or employee.
/ice+ . 'It .. ......,..
BY AUTHORITY
6
Permit No ...... _________ _______ ________
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 "
Registered Architect and /or Engineer } //
Employing Electrician's Name we+"7. _ 1 '� _
Location and Legal Description Lot_______.> _
Street and Number where work is to be performed —No r____ >~
--
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Amount of Permit $_
()
MIAMI SHORES VILLAGE
No. ______ __________________ Street____ __ ___________
Block
(Signed)
No._ Street__
Date
Subdivision_ _ —__ .
Street
Overhead t-
Service Underground Size Feeders______________ Conduit.___ Main Sw._ Amps. Main Fuses
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
My Commission Expires .Notary Public. State of Florida
Repairs ____ No. of Stories___________
_Amps
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, u are
licensed by Miami Shores Village.
(Signed) `..r(.,,...q.
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 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.LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
I
1...)
. .J
/
1
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 ...... _________ _______ ________
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 "
Registered Architect and /or Engineer } //
Employing Electrician's Name we+"7. _ 1 '� _
Location and Legal Description Lot_______.> _
Street and Number where work is to be performed —No r____ >~
--
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Amount of Permit $_
()
MIAMI SHORES VILLAGE
No. ______ __________________ Street____ __ ___________
Block
(Signed)
No._ Street__
Date
Subdivision_ _ —__ .
Street
Overhead t-
Service Underground Size Feeders______________ Conduit.___ Main Sw._ Amps. Main Fuses
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
My Commission Expires .Notary Public. State of Florida
Repairs ____ No. of Stories___________
_Amps
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, u are
licensed by Miami Shores Village.
(Signed) `..r(.,,...q.
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 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.
MIAMI SHORES VILLAGE
L
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
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 speci4d 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 Electrician's Name ______________
Amount of Permit $ ■
t ' - — — -- — -- — - -- — No. — — —_ -- — — —_ Street_
e ,
Location and Legal Description Lot_ _ ______— _.w____B1ock 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
Service Overhead Size Feeders___ Conduit_______— Main Sw.
Underground
Type of Installation— Conduit Tubing B.X.L. __ - Metal Moulding
No
(Signed)
Amps. Main Fuses
My Commission Expires Notary Public. State of Florida
Street
No. of Stories.________ —_
Master Electrican.
Amps.
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.
(Signed)
STATE OF FLORIDA, I
COUNTY OF DADE. es.
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 be 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. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
j
CHECK
MIAMI SHORES VILLAGE
L
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
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 speci4d 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 Electrician's Name ______________
Amount of Permit $ ■
t ' - — — -- — -- — - -- — No. — — —_ -- — — —_ Street_
e ,
Location and Legal Description Lot_ _ ______— _.w____B1ock 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
Service Overhead Size Feeders___ Conduit_______— Main Sw.
Underground
Type of Installation— Conduit Tubing B.X.L. __ - Metal Moulding
No
(Signed)
Amps. Main Fuses
My Commission Expires Notary Public. State of Florida
Street
No. of Stories.________ —_
Master Electrican.
Amps.
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.
(Signed)
STATE OF FLORIDA, I
COUNTY OF DADE. es.
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 be 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.
JOB: ADD:
BUILDING ; •
ELECTRICAL WORK
: : DO ITE BY:
PLUMBING : •
REQUESTED
The following is ready for inspection: -
Inspectorts Report : -'
•
•
WILL BE READY
r
BUILDING,
ELECTRICAL'
LE CTR I CAL'
PLUMBING
•
•
•
• WORK
DONE BY:
REQUESrTED
sre
ADD:
The following is ready for inspection: -
Inspectorls Report : -
/
•
•
•
1 :
ter ILL BE READY
JOB: _ 1 AD:
•
BUILDING :
ELECTRICAL •
•
PLUMBING
Inspector's Report : -
•
•
•
•
WORK
DONE BY:
:REQUESTED
•
The following is ready for Inspection: -
•
•
•
•
•
•
•
•
•
•
•
•
•
•
WILL BE READY
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No I 9 )0", Date C
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 P No. Street_
Registered Architect and /or Engineer
Employing Electrician's Name No. ________ —_.
Location and Legal Description Lot________ '_ .... Block Subdivision
Street and Number where work is to be performed —No 1 — – Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs ____ No. of Stories_________
Service Overhead Size Feeders Conduit._____—_ Main Sw _ Amps. Main Fuses_ Amps.
Underground
Type of Installation— Conduit Tubing______________ B.X.L. Metal Moulding
Amount of Permit $
lectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he 4fnderstands 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.
My Commission Expires
MIAMI SHORES VILLAGE
(Signed)
(Signed)
Street___________
Notary Public. State of Florida
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.LAMPS
REFRIG.
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.
SER E
RM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No I 9 )0", Date C
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 P No. Street_
Registered Architect and /or Engineer
Employing Electrician's Name No. ________ —_.
Location and Legal Description Lot________ '_ .... Block Subdivision
Street and Number where work is to be performed —No 1 — – Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs ____ No. of Stories_________
Service Overhead Size Feeders Conduit._____—_ Main Sw _ Amps. Main Fuses_ Amps.
Underground
Type of Installation— Conduit Tubing______________ B.X.L. Metal Moulding
Amount of Permit $
lectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he 4fnderstands 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.
My Commission Expires
MIAMI SHORES VILLAGE
(Signed)
(Signed)
Street___________
Notary Public. State of Florida
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.
K < ' 1 C'
Permit No
Application is hereby made for the approval
structure herein described. This application is
and all provisions of the Laws of the State of
of Miami Shores Village shall be complied
'building during progress of work. . r)
w„ `
Owner's Name and Address ___. "l_
• r
� __________�__M__�______W_ r No Street_
Registered Architect and /or Engineer ________: ___1
1 .
Employing Electrician's Name _ Y- - .---- _ No
•
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
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 S
STATE OF FLORIDA,
COUNTY OF DADE. ss'
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
of the detailed statement of the plans and specifications herewith submitted for the building or other
made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
with, whether herein specified or not. A copy of approved plans and specifications must be kept at
f .
(Signed)
(Signed)
Street
My Commission Expires Notary Public, State of Florida
No. of Stories._
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.
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 be 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. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
HEATER
TOTAL
CONTR.
LIST
I
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
K < ' 1 C'
Permit No
Application is hereby made for the approval
structure herein described. This application is
and all provisions of the Laws of the State of
of Miami Shores Village shall be complied
'building during progress of work. . r)
w„ `
Owner's Name and Address ___. "l_
• r
� __________�__M__�______W_ r No Street_
Registered Architect and /or Engineer ________: ___1
1 .
Employing Electrician's Name _ Y- - .---- _ No
•
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
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 S
STATE OF FLORIDA,
COUNTY OF DADE. ss'
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
of the detailed statement of the plans and specifications herewith submitted for the building or other
made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
with, whether herein specified or not. A copy of approved plans and specifications must be kept at
f .
(Signed)
(Signed)
Street
My Commission Expires Notary Public, State of Florida
No. of Stories._
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.
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 be 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
f
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PER IT N 2995 ,J
DATE
Work to be perfor ed under this Pere' "` - ../#?`" C A.. /
,7 s' I.w
i �
-\ r_ 1;/
Lot . i �.. je
r "
7 Bl.
i
�.1
upon which this permit is granted is the understanding that the contractor or
the ordinances and regulations pertaining to the work covered hereby whethe
that he assumes responsibility for work done by his agents, servants or employ
Subdi-
vision
BY
Si =ned•
INSPECTOR
Cotctor'is
License Nb.
:i •
Amt. of
Permit
ilder named above 4ssujnes the responsibility for
hown on the plans or drawings or in the state$ne
i
194 4" ) ° ' 1 �
Address of / . ' _.' ' ` / Value of
t 1• Project
Building r ' , -.-
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 rdinances pertaining thereto and with the understanding that the work will be performed in compliance
with any plans, drawings, statements or specifics ions 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..lans are changed without authorization further condition
°rough knowledge of
of sp eifications and
,'#
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in cocnpliance4vith all ordinances and regula-
,tions pertaining thereto and in strict conformity( with the plans, drawings, statements or specifications submitted to the proper authorities of..Miami Shores
17 illage. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employ..
AUTHORITY
SIP
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
Builder r'
Legal Lot
Description
Address of
Building
This permit iegrant
CONTRACTOR OR BUILDER
PER
MIAMI SHORES VILLAGE, FL ORIDA
i rk to b6 perrff
IT N? 3040
BL
A
ed r this Permit
Subdi-
vision
P
DATE C
Contractor's
License No '
i � � " Value of Amt. of ! , ' , ""
��, _! Project
to the c6ntract r orb ilder named above to construct the building or to install
Permit ✓'
'
the equipment or device described in the
application herefor in strict compliance with all lordinances 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 q. he plans are changed without authorization. A further condition
upon which this permit is granted is the understanding that the contractor or builder naiied aboverassumes theaesponsibility for a thorough owledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans dratvcngs or in the stateme is pr s cations and
that he assumes responsibility for work done by his agents, servants or employees. ; " } �
By,•
BY
Signed-
In consideration of the issuance to me of this permit I agree to perform the Cork covered hereunder in compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity) with the plans, drawings, statem nts or specifications submitted to t ` proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or emioyea.
INSPECTOR
AUTHORITY
194'
State work to be performed and purpose of bui
11 d t s - /
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
,APPLICATION FOR ELECTRICAL PERMIT
,
Permit __`_______ _
7//
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. or�� �/��
Owner's Name and Address �1LL _ __ C-2____L,(�1
Registered Architect and /or En eer
Employing Electrician's Name _�
Location and Legal Description Lot___________ ____ _________________________ Block _____ Subdivision
Street and Number where work is to be performed— No._70 ._., ___. Street
New Building Remodeling Addition
Service Overhead Size Feeders_ Conduit__ Main Sw
Underground
Type of Installation— Conduit Tubing _ B.X.L. Metal Moulding
Amount of Permit $ j�-- –
performed under this permit; and ,'ill.
required by the Act. The under signed agrees
licensed by Miami Shores Village.
7f
STATE N F ORIDA, t\ COUNTY OF DADE.
My Commission Expires
(Signed)
such sub- contractors, on 'work
(Signed
No. 7
to be
Date >!%
Repairs
Notary Public, State of Florida
Street_LL_.(s / ` _
NoA t 314_ Street___ _ 3-29
No. of Stories.____ ___ ___
Amps. Main Fuses_ _Amps.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify 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 ,r
ii
e posted for inspection on the site of the work such public notice or notices as are i
performed under this permit, as are
er Electrical'.
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.
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
I RON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
H EATER
TOTAL
CONTR.
LIST
\/
J�
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
State work to be performed and purpose of bui
11 d t s - /
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
,APPLICATION FOR ELECTRICAL PERMIT
,
Permit __`_______ _
7//
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. or�� �/��
Owner's Name and Address �1LL _ __ C-2____L,(�1
Registered Architect and /or En eer
Employing Electrician's Name _�
Location and Legal Description Lot___________ ____ _________________________ Block _____ Subdivision
Street and Number where work is to be performed— No._70 ._., ___. Street
New Building Remodeling Addition
Service Overhead Size Feeders_ Conduit__ Main Sw
Underground
Type of Installation— Conduit Tubing _ B.X.L. Metal Moulding
Amount of Permit $ j�-- –
performed under this permit; and ,'ill.
required by the Act. The under signed agrees
licensed by Miami Shores Village.
7f
STATE N F ORIDA, t\ COUNTY OF DADE.
My Commission Expires
(Signed)
such sub- contractors, on 'work
(Signed
No. 7
to be
Date >!%
Repairs
Notary Public, State of Florida
Street_LL_.(s / ` _
NoA t 314_ Street___ _ 3-29
No. of Stories.____ ___ ___
Amps. Main Fuses_ _Amps.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify 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 ,r
ii
e posted for inspection on the site of the work such public notice or notices as are i
performed under this permit, as are
er Electrical'.
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.
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
Registered Architect and /or Engineer `
Employing Electrician's Name . .
Location and Legal Description Lot
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
Amount of Permit S
SS.
My Commission Expires
0
Block
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
, 45 - 7
No ��..e�..p..:�..�w
•
(Signed) lam'
Date -
. S bdlvII ' un
Notary Public, State of Florida
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. ,, 9 �J �� , - J
Owner's Name and Address... �2. ..� __•• • 7:tre. .... LL1 e Pa
z.o.. 4 •l/../5treet.
•
:Street f
u
4reet
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps
Underground
Type of Installation— Conduit ubing B.X.L Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts . s 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)
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE.
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.
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.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
Registered Architect and /or Engineer `
Employing Electrician's Name . .
Location and Legal Description Lot
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
Amount of Permit S
SS.
My Commission Expires
0
Block
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
, 45 - 7
No ��..e�..p..:�..�w
•
(Signed) lam'
Date -
. S bdlvII ' un
Notary Public, State of Florida
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. ,, 9 �J �� , - J
Owner's Name and Address... �2. ..� __•• • 7:tre. .... LL1 e Pa
z.o.. 4 •l/../5treet.
•
:Street f
u
4reet
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps
Underground
Type of Installation— Conduit ubing B.X.L Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts . s 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)
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE.
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.
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.
d%
Permit No
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
APPLICATION FOR ELECTRICAL PERMIT
1 j
��� Date
Registered Architect and /or B(ngineer
Employing Electrician's Name S7 7 :_ q. No Street
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
Servi
Overhead Size Feeders '�- � � Conduit 1 Main Sw
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
L /c No 707 Street �E / 3
Amps Main Fuses / 1643 / 1 ? J" Amp
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
55.
My Commission Expires
(Signed)
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Muter Electrician.
STATE OF FLORIDA, i
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
ACE
H TER
STRIP
H EATER
J , /,�`
i..)i9 �
/
TOTAL
/
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0.1 HP
MOTORS
1.3 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
l
CHECK
d%
Permit No
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
APPLICATION FOR ELECTRICAL PERMIT
1 j
��� Date
Registered Architect and /or B(ngineer
Employing Electrician's Name S7 7 :_ q. No Street
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
Servi
Overhead Size Feeders '�- � � Conduit 1 Main Sw
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
L /c No 707 Street �E / 3
Amps Main Fuses / 1643 / 1 ? J" Amp
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
55.
My Commission Expires
(Signed)
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Muter Electrician.
STATE OF FLORIDA, i
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No
/ _
5 �4
Date � 'X' Z XcA
Application is hereby made for the approval of the detailed statement of the plaids 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 i��Y12o• /••.,
STATE OF FLORIDA, 'l
COUNTY OF DADE. I
SS.
No 7
Street.% 10 SO
Registered Architect and /or Engi .__. /
Employing Electrician's Name. ✓�r�� .. 0 No... . /8 6 Street.
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) . .. ..7*
New Building Remodeling Addition Repairs No. of Stories
(Signed)
Al% ems. -e/
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SCACE
HEATER
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
/
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No
/ _
5 �4
Date � 'X' Z XcA
Application is hereby made for the approval of the detailed statement of the plaids 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 i��Y12o• /••.,
STATE OF FLORIDA, 'l
COUNTY OF DADE. I
SS.
No 7
Street.% 10 SO
Registered Architect and /or Engi .__. /
Employing Electrician's Name. ✓�r�� .. 0 No... . /8 6 Street.
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) . .. ..7*
New Building Remodeling Addition Repairs No. of Stories
(Signed)
Al% ems. -e/
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING ❑
ELECTRICAL tsq
PLUMBING ❑
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
L.!
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
DATE /1
Contractor's
License No
PERMIT N9 9467
Bl.
Subdi-
vision
Sq. Ft
Value of
Project $
BY
Amt. of
Permit
AUTHORITY
195
� 4I
Work to be performed under this Permit 4.44 { ' C
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 o in the statements off pecific ions and that he assumes responsibility for work
done by his agents, servants or employees. ,,.... -'
Signed• r +Y /1' i f �... , 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 permi I assume responsibility for all work done by either, myself, my agent, servant or employee.
17
Issue Date: 3/27/2006
Owner's Name: TAKANOBU TANIZAKI
Permit Type: Electrical - Residential
Work Classification: Addition /Alteration
Job Address: 707 93 Street NE
Miami Shores Village, FL 33138-
Contractor(s) Phone
L S CURTIS INC 305 - 892 -0115
Primary Contractor
Yes
Comments:
ELECTRICAL WORK FOR INTERIOR RENOVATION
Additional Information
Type of Work: INTERIOR RANOVATION Additional Info:
Classification: Residential
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, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that
all work will be done in compliance with all applicable laws regulating construction
and zoning. Futhermore, I authorize the above -named contractor to do the work
stated.
Fees Due
CCF
Education Surcharge
Permit Fee - Additions /Alterations
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$0.40
$150.00
$3.00
$3.75
$158.35
Invoice Number
EL -3 -06 -24250
Total:
Amt Due
$158.35
Amt Paid
Building Department File Copy
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 02/02/2007
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: EL -3 -06 -704
Phone: (305)758 -5354
1132060141780
Lot:
PB:
Total Square Feet:
Total Valuation:
Required Inspections
0
$ 1,075.00
Alteration
Underground Rough
WW
Service Change
Meter Box
Fire Alarm
Relocation
Final
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
Miami Shores Village
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING Permit No. EL
PERMIT APPLICATION Master Permit No. RC Q7 - aab
FBC 2001
Permit Type (circle): Building Electrical ! Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) : , Phone #
Owner's Address
City State Zip
Tenant/Lessee Name
Job Address (where the work is being done) 70 7 ,v` 3
City Miami Shores Villa County Miami -Dade Zip 5
Is Building Historically Designated YES NO
Contractor's Company Name Z rc,A,./2/ Phone # 7� '' T) / i 7
Contractor's Address
City
-
State Certificate or Registration No. / _ ����CJ �( Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit /, 0 fJ
Type of Work:
Describe Work:
(Continued on opposite side)
/Lf- State /2— /
r S
Addition J ['Alteration ['New ❑ Repair/Replace ❑ Demolition
5 � / fir
Total Fee Now Due $ / 53. 3 S
Building Department
Phone #
Zip
Square Footage Of Work:
* * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
R1 CEWED
MAR 1 0 2005
Submittal Fee $ Permit Fee $ /3 %- CCF $ ( - Z CO /CC
Notary $ Training/Education Fee $ 0 . 40 Technology Fee $ 3 .
Scanning $ 3. Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
• * .
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Mortgage Lender's Name (if applicable) �/� -
Mortgage Lender's Address v Y
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:
Sign:
Print: Print:
My Commission Expires:
APPLICATION APPROVED BY:
chc 05/13/03
State Zip
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this / 7
day of , 20 _, by day of I e bruci // , 20 C', by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath.
as identification and who did take an oath.
My Commission
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
/0/
Plans Examiner
Engineer
Zoning
TEM
ATH TU3
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FE
ITEM
SPACE HEATERS
UNIT
FEE
IDET
LIGHT OUTLETS
CENTRAL HEATING
ISHWASHER
RECEPTACLES
A/C (WIND)
ISPCSAL
SERVICE TEMPORARY
A/C (CENTRAL)
RINKIFG FOJHTAIN
SERVICE SIZE IN A},PS
DUCT WORK
LOOK DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
CREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
NTTERCEPTCR
RANGE TCP
UNDERGROUND TANKS
OVEN
ABOVE GROUND TANKS
.AVATCRY
TRAY
WATER HEATER
U.F. PRESSURE VESSELS
.AUNDRY
:LOTHES WASHER
MOTORS 0- 1 H°
STEAM BOILERS
;HOWER
MOTORS OVER 1- 3 If
HOT WATER BOILERS
;INK, POT /3 COMP.
MiOTCRS OVER 3- 5 HP
MECHANICAL VENTILATION
;INK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 H"
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MJTCRS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 2E' -100 NP
COOLING TOWERS
WATER CLOSET
MJTCRS OVER 100 HD
VIOLATION
INDIRECT WASTES
I
1
I A/C WINDOW
REI1NSFECTJON
WATER SUPPLY TO:
1
1
I AIR CONDITIONERS
I
I`
A/C UNIT
1
STRIP HEATER
I
1
FIRE SPRINKLER
GENERATORS TRANSFORMERS
I
1
HEATER -NEW INST.
1
_
I GENERATORS TRANSFORMERS
1
HEATER - REPLACE
1
GENERATORS TRANSFORMERS
1
1
I
LAWN SPRINKLER -WELL
1
SPECIAL PURPOSE
I
I
1
SWIMMING POOL
OUTLETS COMAERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
*SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TUMC CLOCK
UTILITY -WATER
F I XTLRES
SEPTIC TANK
ANTENNA
RELAY
1 TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP L ABANDON SEPTIC TANK
RE I N SSPECT I ON
SOAKAGE PIT CU. FT.
CATD1 BASIN
DISCHARGE WELL
DOMESTIC WELL
I
AREA DRAIN
'
,
ROOF INLET
SOLAR WATER HEATER
I
I
FIRE STANDPIPE
I I
POOL PIPING 1
1 1
LAWN SPRINKLER SYSTEM'. 1
1
SAS RANI'"
I I .
I
METER SET (GAS) 1
I (
GAS PIPING
PLUMBING
• • . . ADDENDUM TO BUILDING PERMIT APPLIUA 11UN
AN A£PLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
ELECTRICAL
MECHANICAL
Inspection Date: 08/15/2006
Inspector: Devaney, Michael
Owner: TANIZAKI, TAKANOBU
Job Address: 707 93 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: L S CURTIS INC
Building Department Comments
Monday, August 14, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
AUG 16 RECD
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Block:
Phone Number (305)758 -5354
Parcel Number 1132060141780
Lot:
Phone: 305- 892 -0115
Page 2 of 2
Passed
Inspector Comments
j
`
46---
Failed
Correction
Needed '
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: 08/15/2006
Inspector: Devaney, Michael
Owner: TANIZAKI, TAKANOBU
Job Address: 707 93 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: L S CURTIS INC
Building Department Comments
Monday, August 14, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
AUG 16 RECD
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Block:
Phone Number (305)758 -5354
Parcel Number 1132060141780
Lot:
Phone: 305- 892 -0115
Page 2 of 2
M nspection Number: INSP -12623
Inspection Date: 05/04/2006
Inspector: Devaney, Michael
Owner: TANIZAKI, TAKANOBU
Job Address: 707 93 Street NE
Project: <NONE>
Miami Shores Village, FL 33138-
Contractor: L S CURTIS INC
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Ph o (305)795 -2204 Fax: (305)756 -8972 st zo,
Permit Type: Electrical - Residential
Inspection Type: Underground Rough
Work Classification: Addition /Alteration
Block:
P r i tt; imber: EL -3-06 -704
Phone Number (305)758 -5354
Parcel Number 1132060141780
Lot:
Phone: 305- 892 -0115
Wednesday, May 3, 2006
Page 2 of 2
Passed
Inspector Comments
/
�/ ,G` S
Failed
10-----
L/ i V' ‘
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
M nspection Number: INSP -12623
Inspection Date: 05/04/2006
Inspector: Devaney, Michael
Owner: TANIZAKI, TAKANOBU
Job Address: 707 93 Street NE
Project: <NONE>
Miami Shores Village, FL 33138-
Contractor: L S CURTIS INC
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Ph o (305)795 -2204 Fax: (305)756 -8972 st zo,
Permit Type: Electrical - Residential
Inspection Type: Underground Rough
Work Classification: Addition /Alteration
Block:
P r i tt; imber: EL -3-06 -704
Phone Number (305)758 -5354
Parcel Number 1132060141780
Lot:
Phone: 305- 892 -0115
Wednesday, May 3, 2006
Page 2 of 2
Date
04/03/2006
Permit Receipt
1
Permit Number: EL -3 -06 -704
Invoice Number: EL -3 -06 -24250
Applicant: TAKANOBU TANIZAKI
Company Name:
Payment Type CheckNum
Check CC
Amount
$158.35
Total Payment: $158.35
Monday, April 3, 2006 Page 1 of 1
Inspection Number: IN4P -1
Inspection Date: 05/04/2005
Inspector: Devaney, Michael
Owner: TANIZAKI, TAKANOBU
Job Address: 707 93 Street NE
Project: <NONE>
Miami Shores Village, FL 33138-
Contractor: L S CURTIS INC
Building Department Comments
Wednesday, May 3, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 - 890 1 6 2006
Permit Type: Electrical - Residential
Inspection Type: Underground Rough
Work Classification: Addition /Alteration
Block:
Phone Number (305)758 -5354
Parcel Number 1132060141780
Lot:
Phone: 305 - 892 -0115
Page 1 of 2
Passed ad/
Inspector Comments
1/
f'
A007-
/( (� /JfJ /�jf
/v // 0 7
—
` � /"
d ,7/
F ailed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: IN4P -1
Inspection Date: 05/04/2005
Inspector: Devaney, Michael
Owner: TANIZAKI, TAKANOBU
Job Address: 707 93 Street NE
Project: <NONE>
Miami Shores Village, FL 33138-
Contractor: L S CURTIS INC
Building Department Comments
Wednesday, May 3, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 - 890 1 6 2006
Permit Type: Electrical - Residential
Inspection Type: Underground Rough
Work Classification: Addition /Alteration
Block:
Phone Number (305)758 -5354
Parcel Number 1132060141780
Lot:
Phone: 305 - 892 -0115
Page 1 of 2