801 NE 92 St (4)Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is l mad or the approval of the detailed statement of the plans and specifications herewith submitted f or the buiding or o
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 :. :: ,V ) No. ___ ______
i Street__
Registered Architect and /or Engineer _ 2'"1_t_.: C.__`-- _.LL:_ ! -. -
Employing Electrician's Name (" C--<. ' No Street _--- _- _-- _- _____-__- _______- _._-____
Location and Legal Description Lot_______ _ti__ _ Block ____— ___ Subdivision__
Street and Number where work is to be performed —No / :_. ;l_,.l_ —,..-" 'CL_ 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. __r__ Amps.
Underground
Type of Installation— Conduit Tubing B.X.L .Metal „I oulding
'''..:1- - - - = - -- c...[._ (u= fie-'- trE! --Z. ,^^
Amount of Permit S._
My Commission Expires
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notice 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.
f --_
yy yam
(Signed)
Notary Public. State of Florida
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn. upon oath deposes and says that he is
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.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is l mad or the approval of the detailed statement of the plans and specifications herewith submitted f or the buiding or o
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 :. :: ,V ) No. ___ ______
i Street__
Registered Architect and /or Engineer _ 2'"1_t_.: C.__`-- _.LL:_ ! -. -
Employing Electrician's Name (" C--<. ' No Street _--- _- _-- _- _____-__- _______- _._-____
Location and Legal Description Lot_______ _ti__ _ Block ____— ___ Subdivision__
Street and Number where work is to be performed —No / :_. ;l_,.l_ —,..-" 'CL_ 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. __r__ Amps.
Underground
Type of Installation— Conduit Tubing B.X.L .Metal „I oulding
'''..:1- - - - = - -- c...[._ (u= fie-'- trE! --Z. ,^^
Amount of Permit S._
My Commission Expires
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notice 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.
f --_
yy yam
(Signed)
Notary Public. State of Florida
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn. upon oath deposes and says that he is
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.
CSNTR.
5 J ZIST
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
• TLET
:•
A I
RANGE
CONN.
WATER
HEATER
,!�l
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
!rOrl.A
....-
17
l
= CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
/
MOTORS
0.1 HP
■
MOTOR
NEON
- ANS.
RADIO
TOTAL
/ 0 ®i
/0 /!
CHECK
Jr
/P
� a
MIAMI SHORES VILLAGE ° o
ELECTRICAL INSPECTION DEPARTMENT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subml4ted 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 Buflding
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 _ ____ _ __ _________No.__1[ _� _.V fi Street____
Registered Architect and /or Engineer-__
Employing Electrician's Name ----..... - -�r 1- - - -�' 'L�- - - - No. -- -2f�.�-
Location and Legal Description Lot- QQ
Street and Number where work is to be performed -No l�.Q1
State work to be performed and purpose of building (By Floors)
New Building Remodeling
Se Overhead Size Feeders l_d_. ConduiL Main Sw. Q Amps.
Underground
Type of Installation - Conduit__-___-________ TubingB.X.L.__ ._ Metal Mouldin
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. f SS.
t
APPLICATION FOR ELECTRICAL PERMIT
O
Block
Addition___ Repairs
Subdivision
Street
Date
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S •element, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl. -• 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 . 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, u are
licensed by Miami Shores Village.
(Signed)!' /.t' �' �I C •
My Commission Expires Notary Public, State of Florida
No. of
Main Fuses l0O .Amps
Before me, the undersigned authority, a notary public, duly a uthorized 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.
BUILDING
ELECTRICAL
PLUMB /!G
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
ERMIT N2 7394
Wor o be p rformed under this Permit
3
Architect
Contractor
or Builder
Legal
Description
Address of
Building
This perm granted to the contractor or .udder named above • construct the building or
cation herefor in strict compliance with all ordi ces pertaining theret and with the understand'
plans, drawings, statements or specifications tha may have been submitted to and app
at any time if the work is not done in compliance with such ordinances or if the pla
permit is granted is the understanding that the contractor or builder named above a
regulations pertaining to the work covered hereby whether shown on the
sibility for work done by his agents, servants or employees.
Subdi-
vision
DATE
/c
Contractor's
License No.
to install the equipment or device described in the appli-
the work will be performed in compliance with any
municipal authorities. This Permit may be revoked
t authorization. A further condition upon which this
ility for a thorough knowledge of the ordinances and
-men or . pecifications and th.he assumes respon-
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all es aid EpglaSon
I liertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorM s of M mi Shores Village.
In accepting this ermit I assume responsibility for a work done by either myself, my agent, servant or employee.
,....
.P,e/ Y
c RACTOR OR BUILDE BY
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor
or Builder
Owner of
Building
Legal Lot Bl.
Description
Address of 1
Building /
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE 194
PERMIT N° 7303
Work to be performed under this Permit
Subdi-
vision
Value of
Project
f / •
Contractor's
License No.
Amt. of
Permit
This permit is gr to the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans 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 or ances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he mes respon-
sibility 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 regulation•
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Villag=
In accepting this permit, I assume responsibility for all work done by either myself, my agent, servant or employee.
BY AUTHORITY
F
Date " i - G Job Address 0 t OC: P 6 41 Tax Folio t ( - 16, -ccn- V o `,! es
Legal Description /UP U / 4,44.4
Owner / Lessee / Tenant
Owner's Address
Contracting Co. L 4( h A OC., oerAl V I Address : ] k )L 1 t✓ +4
Qualifier \t✓1( m f 1T Kkla xD t' , - Phone
WORK DESCRIPTION
Square Ft. Estimated Cost(value)
7)
oflowner and /or Condo President
Notar as/to Owner and /or Condo President
My Commission Expires:
71. /
l lV�� i ')l.it i[ ci4 x..�`--
** * idFFICIAliNOTARY SEAL
XENIA J RXER- PE4tERA *
NOTARY PUBLIC STATE OF FLORIDA
FEES: ERI "IMISSION NO. CC : ;'
MY COQ
`P
APPROVED: v
Zoning
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Mechanical
Date:
J ,i,:.
* * a ....._. * *
Fire
Building
*
Master Permit # ✓ 7 ���
P hone '° f l
State # Municipal # Competency #Eil" );
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL 'LUMBING MECHANICAL ROOFING PAVING PEE SIGN
i i - k (ier,i ix( - y.5-4f v\ ± new.' pane `Y z t a J'
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize the above -named contractor to do the work stated.
/r ; / 93
Si W ature of Contrac or or 1 - Builder
OFFICIAL NOTARY SEAL
XENIA ARXER - PERERA
NOTARY PUBLIC STATE OF FLORIDA
Notary $vllt0009 rE.aCtdtNOW. �..'� -Builder
My Commission Expires:
lectrical
* * *
C.C.F. NOTARY TOTAL DUEf
**
Other
Plumbing Engineering