ELECTRICALPermit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date. .._ .h— P 2
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o1 other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv :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 plans and specifications must be kept at
building during progress of work.
Owner's Name and Address 1 > 11 -- E No ) a.. 8•• Street WE' � s
Service Overhead
Registered Architect and /or Engineer {�
Employing Electriciah's Name ��L J l t.�'e` /(: b' •. No...‘Sf.Q.O Street..4 r.
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
Amps
Main Fuses Amps
Underground Size Feeders Conduit Main Sw
Type of Installation- -Conduit Tubin f B.X.L .Metal Moulding
(Signed) .
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations ao an employer of
labor under the Florida Workmen's Compensation ..pct, 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 fost 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 agree.; to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Amount of Permit $
��yy �
(Signed).... '!''.a: G..
T... .. ,'� - 1�
Master Electrician.
STATE 1 0F FLORIDA, 1
COUNTY OP DADE. ss'
Before me, the undersigned authority, a nctary 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 facto
therein by him stated are true.
Notary Public, State of Florida
My Commission Expires
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'B
FIXTURES
NO. LAMPS
RE'RIG.
OLTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
I
CHECK
I ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
p � �,r `
P /
p°+ •; i�
MOTORS
O.1 NP
MOTORS
t•B HP
N EON
TRANS.
RADIO
TOTAL
i � � I
CL
LIST
LIST
J
e
o '�t
CHECK
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date. .._ .h— P 2
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o1 other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv :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 plans and specifications must be kept at
building during progress of work.
Owner's Name and Address 1 > 11 -- E No ) a.. 8•• Street WE' � s
Service Overhead
Registered Architect and /or Engineer {�
Employing Electriciah's Name ��L J l t.�'e` /(: b' •. No...‘Sf.Q.O Street..4 r.
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
Amps
Main Fuses Amps
Underground Size Feeders Conduit Main Sw
Type of Installation- -Conduit Tubin f B.X.L .Metal Moulding
(Signed) .
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations ao an employer of
labor under the Florida Workmen's Compensation ..pct, 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 fost 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 agree.; to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Amount of Permit $
��yy �
(Signed).... '!''.a: G..
T... .. ,'� - 1�
Master Electrician.
STATE 1 0F FLORIDA, 1
COUNTY OP DADE. ss'
Before me, the undersigned authority, a nctary 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 facto
therein by him stated are true.
Notary Public, State of Florida
My Commission Expires
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.
Date / 005 Job Address IQQ / fe .Q5 64• Tax Folio q -3%09- 011 -.(U2U
1
Legal Description l-(>/ - 6.28 B /// � ♦Sii ). = 1 atY)1 .52a. 3
/ Lessee / Tenant 6hu rO n 1/41DQ Lan Master Permit # 37
n I
Owner's Address ( C� � nE � � � ��' Phone r 7 c 3 L ( � t1 1t 5
Contracting Co. � (l�l �l� 'SeO(irl
Qualifier
State # "ETN IRI Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELIFIIAD PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION I�C� IQL A town
J
Square Ft. Estimated Cost(value)
1 0.35- o
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO D(
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 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, FLUMBING, 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 wi all :•plicale laws regulating construction and zoning. Furthermore, I
authori e above -nam . contra o do the work stated.
Signature
Date: �
: m ; iiayr
Notary asp° `-r 8001 amoie
My Commissiotl 'xpires:
** *
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
* *
Address (([)Q'6 nu) ((07
SS# Phone Ka0 - (J bl a'
- ma3ter - 3 - .De .v I oe,.5
"OFFICIAL SEAL"
E . i ye S. ° Ibizu
as 'IM x111. •
02OFMe
0
FEES: PERMIT /.4 RADON
APPROVED:
Zoning
Mechanical
Signatur / of Con ractor
q
Date: •�` 5
�•�o� ;�:',� • F FICIAL SEAL"
S. A!
b;:u
Nota
Coodff f# 2a
my Comkg ion Expires:
* * * * * * *
0 0
C.C.F. 1. NOTARY
Fire Other
Building Electrical
Plumbing Engineering
TOTAL DUE
Permit No •
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRIC L PERMIT
Date Ja.Ixua.ry....3Q.o....19
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 Robert ]I No 1081 Street N0l30 95th St0
Registered Architect and /or Engineer
Employing Electrician's Name L & i E,LE OTRIC CO 0 INC� 13335 N 0 4'U L'
0 7 t Street Ave NO o Miami v Fla 0
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Same as above Street
State work to be performed and purpose of building (By floors)
New Building Remodeling X Addition Repairs No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
1050
(Signed)
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands and accepts his
labor under the Florida Workmen's Compensation Act, Deing Section 5966, Compiled General Laws of Flori
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•con
work to be performed under this permit; and will post cr cause to be posted for inspection on the site of the
as are required by the Act. The undersigned agrees to , :mploy only such subcontractors, on work to be pe
licensed by Miami Shores Village.
Electrical Inspector.
ligations as an employer of
Permanent Supplement, and
ors employed by him in the
rk such public notice or notices
ormed under this permit, as are
Master Electrician.
STATE OF 1PLORIDA,
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 swcrn, 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 hiin 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. IRON
OUTLET OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
/ACE
ATER
STRIP
HEATER
TOTAL
ONTR. ` L eT
1
4
5
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•8 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No •
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRIC L PERMIT
Date Ja.Ixua.ry....3Q.o....19
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 Robert ]I No 1081 Street N0l30 95th St0
Registered Architect and /or Engineer
Employing Electrician's Name L & i E,LE OTRIC CO 0 INC� 13335 N 0 4'U L'
0 7 t Street Ave NO o Miami v Fla 0
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Same as above Street
State work to be performed and purpose of building (By floors)
New Building Remodeling X Addition Repairs No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
1050
(Signed)
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands and accepts his
labor under the Florida Workmen's Compensation Act, Deing Section 5966, Compiled General Laws of Flori
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•con
work to be performed under this permit; and will post cr cause to be posted for inspection on the site of the
as are required by the Act. The undersigned agrees to , :mploy only such subcontractors, on work to be pe
licensed by Miami Shores Village.
Electrical Inspector.
ligations as an employer of
Permanent Supplement, and
ors employed by him in the
rk such public notice or notices
ormed under this permit, as are
Master Electrician.
STATE OF 1PLORIDA,
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 swcrn, 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 hiin 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.
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
appeared
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No `—
Application is hereby made f6r the approval of the detailed statement of the plans and specifications herewith submjt(ed for 'the building or other
structure herein described. This application is made in compliance and conformity with the Buildilg 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.
SS.
(Signed)
Date
Owner's Name and Address No /0 ? � ‘' Street
(r '
Registered Architect and /or Engineer
Employing Electrician's Name...EPIrv- +=z23i s
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No... /a r/ 3' I 7. i Street
State work to be performed and purpose of building (By Floors) .e•:R4. !''lyi./ ► G%,2
New Building Remodeling Addition Repairs No. of Stories
7a/ 2:
No. P �I e.. Street. nt •
Service Underground Size Feeders Conduit Main Sw Amps Main Fuses
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit Hoes hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the
work to be performed under this permit; and will post o:: 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
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 carefull'' 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.
a
Amps
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
I
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
I
•
B
I
CHECK
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
appeared
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No `—
Application is hereby made f6r the approval of the detailed statement of the plans and specifications herewith submjt(ed for 'the building or other
structure herein described. This application is made in compliance and conformity with the Buildilg 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.
SS.
(Signed)
Date
Owner's Name and Address No /0 ? � ‘' Street
(r '
Registered Architect and /or Engineer
Employing Electrician's Name...EPIrv- +=z23i s
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No... /a r/ 3' I 7. i Street
State work to be performed and purpose of building (By Floors) .e•:R4. !''lyi./ ► G%,2
New Building Remodeling Addition Repairs No. of Stories
7a/ 2:
No. P �I e.. Street. nt •
Service Underground Size Feeders Conduit Main Sw Amps Main Fuses
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit Hoes hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the
work to be performed under this permit; and will post o:: 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
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 carefull'' 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.
a
Amps
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No N Date
Application is hereby made for the approval of the det:.iled 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, whethe r 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 1C V -
Registered Architect and /or Engineer
Employing Electrician's Name 7`
Street and Number where work is to be performed —No
STATE OF FLORIDA, j
COUNTY OF DADE. Jl
55.
No Street
e No 3 Ai LJ' Street
Location and Legal Description Lot Block Subdivision
J -
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
a � ��
�7 e �
l l mps� Main 17 s Amps
Service Overhead t/ Size Feeders.,3 ' 'P'‘ Conduit Main Sw
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ ,r .. /.... (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.
(Signed)..
•
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: ! re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials a • /or workmanship.
SWITCH
OUTLETS
�) C�
LIGHT
OUTLETS
PLUG
RECC EE'P'T'S
/
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
/O le,s,
- - ---
/8•0
60
�..
MOTORS
0.1 HP
, -
MOTORS
1•5 HP
/ E% V
/ NEON
TRANS.
Tom+
/ �
S�
C l d
RADIO
TOTAL
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
CONTR.
LIST
! A
;4 -4 e. /?
/
/
,G
.. -79
� . s/.
CHECK
/
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No N Date
Application is hereby made for the approval of the det:.iled 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, whethe r 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 1C V -
Registered Architect and /or Engineer
Employing Electrician's Name 7`
Street and Number where work is to be performed —No
STATE OF FLORIDA, j
COUNTY OF DADE. Jl
55.
No Street
e No 3 Ai LJ' Street
Location and Legal Description Lot Block Subdivision
J -
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
a � ��
�7 e �
l l mps� Main 17 s Amps
Service Overhead t/ Size Feeders.,3 ' 'P'‘ Conduit Main Sw
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ ,r .. /.... (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.
(Signed)..
•
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: ! re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials a • /or workmanship.
Permit No
Owner's Name land Address...,3rwi �r
licensed by Miami Shores Village.
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby mad for the approval of the detailed statement of the plans and specifications herewith sub(nitted 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.
Remodeling Addition
No. /O 2 Street 1.
Registered Architect and /or Engineer
Employing Electrician's Name No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed—No .._„le4 B
/ �a � Street 7
State work to be performed and purpose of building (By Floors)._.. --r--
New Building
Date
/3
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 $
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from 'all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
(Signed)
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
(Signed)..... A7C/LA-L42//
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take
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 carefull.r read the foregoing application, and that he
therein by him stated are true.
acknowledgments, personally
did sign the same, and that all facts
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.
S'ACE
HEATER
STRIP
HEATER
/ f /1J
� L
� _
TOTAL
I
CONTR.
LIST
•
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•3 HP
NEON
TRANS.
RADIO
TOTAL.
CONTR.
LIST
CHECK
Permit No
Owner's Name land Address...,3rwi �r
licensed by Miami Shores Village.
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby mad for the approval of the detailed statement of the plans and specifications herewith sub(nitted 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.
Remodeling Addition
No. /O 2 Street 1.
Registered Architect and /or Engineer
Employing Electrician's Name No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed—No .._„le4 B
/ �a � Street 7
State work to be performed and purpose of building (By Floors)._.. --r--
New Building
Date
/3
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 $
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from 'all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
(Signed)
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
(Signed)..... A7C/LA-L42//
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take
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 carefull.r read the foregoing application, and that he
therein by him stated are true.
acknowledgments, personally
did sign the same, and that all facts
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.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date..
Application is hereby made for the approval of the detailed statement of the plans and specifications he ' ith sub ritted 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.11i''
STATE OF FLORIDA, 1
COUNTY OF DADE. J j
88.
My Commission Expires
MIAMI ;SHORES VILLAGE
Street and Number where work is to be performed —No
t!� No
Registered Architect and /or Engineer a
Employing Electrician's Name No Street
Location and Legal Description Lot Block _ �. Subdivision
Street .2'
/y 7
/ 1 g.j.Street
7 l 7 -sr
State work to be performed and purpose of building (By Iloors)
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.A� B.X.L Metal Moulding
(7 /4 . 4A".. 1 P
Amount of Permit $ . � (Signed)
Electrical Inspector.
• The undersigned applicant for this building permit hoes hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation . Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub' contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
cs)
Notary Public, State of Florida
aster 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.
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
1
I
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RAD10
TOTAL
CONTR.
LIST
CHECK
i`f
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date..
Application is hereby made for the approval of the detailed statement of the plans and specifications he ' ith sub ritted 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.11i''
STATE OF FLORIDA, 1
COUNTY OF DADE. J j
88.
My Commission Expires
MIAMI ;SHORES VILLAGE
Street and Number where work is to be performed —No
t!� No
Registered Architect and /or Engineer a
Employing Electrician's Name No Street
Location and Legal Description Lot Block _ �. Subdivision
Street .2'
/y 7
/ 1 g.j.Street
7 l 7 -sr
State work to be performed and purpose of building (By Iloors)
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.A� B.X.L Metal Moulding
(7 /4 . 4A".. 1 P
Amount of Permit $ . � (Signed)
Electrical Inspector.
• The undersigned applicant for this building permit hoes hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation . Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub' contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
cs)
Notary Public, State of Florida
aster 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.
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.
Total
Outlets
/ '
Ceiling
Bracket
Receptacle
it_, _
eltrC+ -^
/
Switch
Bell
Floods
Sign
Outlet
SERVICE
AM�
Form 63 (Rev.)
ROUGH WIRING
/(4/."
New Construction
Main Switch
Size Service
Wires
Size Service
Conduit
EQUIPMENT
Stove
Receptacle
Water Heater
Special Power or Heat W
FIXTURES
Spaceheater
ng for:
Total Lights
Ceiling
Master
Electrician
For
Application Received
Final OK No.
OK for
'Y/
ROUGH WIRING
Bracket
BUILDING DEPARTMENT
ELECTRICAL INSPECTION DIVISION
Building Occupied as: Occupant
Existing Structure
No. Circui•
Owner
INSPECTION REPORT
Fee Paid
EQUIPMENT
Inspector
NO. B
DATE
f3
7 .
I hereby make application for an electrical permit to install or change electrical wiring in or on the premises described
below, and I agree to comply with all the rules and regulations governing electrical installations in the City of Miami.
LEGAL DESCRIPTION:
Lot
Address
Block Subdivision
Addition to Existing Building
MOTORS (List and Give H. P. of Each Motor)
Streamer
Display Case
Phone / 6 66 Address 1 ?3 W L�/�, •
Ready 6- des °s,r Will Call
FIXTURES
4
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Lot
MIAMI SHORES VILLAGE, FLORIDA
o PERMIT N? 3879
Work to be performed under this Permit
B1
"
DATE 19
Contractor's
License No.
Subdi-
vision
Address of ti Value of II of
Building
Project $ �� Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed. 1 INSPECTOR
In consideration of the issuance to me of this permit I agrue 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 as
cepting this permit I assume responsibility foi" all work done by e.ther, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY ROBOT PRINT
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
o PERMIT N? 3782
Owner of
Building
CONTRACTOR OR BUILDER
- Work to be performed under this Permit
B1
BY
Contractor's
License No.
DATE 19
Subdi-
vision
e
—Value of of
Project $ I Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining th,:reto 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 sIncifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
I' y
Signed
■ '" INSPECTOR
In consideration of the issuance to me of this permit I agrn 6 to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statemhnts, or specifications submitted to the proper authorities of Miami Shores Village. In as
cepting this permit I assume responsibility for all work done by e.ther, myself, my agent, servant or employee.
i
AUTHORITY
ABBOT PRINT
Owner's Name and Address Robert M. Adler
MIAMII SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Additional to IhAFWILICATION FOR ELECTRICAL PERMIT
Permit 078
March 6 1963
Permit No C( f Date
Application is hereby made for the approval of the det tiled 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.
Registered Architect and /or Engineer
Employing Electrician's Name L & M ELECTI I C CO o INC o No 13335 Street N.W. 7th Ave.
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 X 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 $ .80 (Signed )
Elect. Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
No 1081 Street N.E. 9 5th St.
Master Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. I SS.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly swcrn, 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 mado: 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
OUTLE,
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SIACE
H ATER
STRIP
HEATER
TOTAL
CONTR.
LIST
9
1.8
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
1
1.00
CHECK
.
Owner's Name and Address Robert M. Adler
MIAMII SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Additional to IhAFWILICATION FOR ELECTRICAL PERMIT
Permit 078
March 6 1963
Permit No C( f Date
Application is hereby made for the approval of the det tiled 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.
Registered Architect and /or Engineer
Employing Electrician's Name L & M ELECTI I C CO o INC o No 13335 Street N.W. 7th Ave.
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 X 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 $ .80 (Signed )
Elect. Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
No 1081 Street N.E. 9 5th St.
Master Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. I SS.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly swcrn, 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 mado: when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.