ELECTRICALPermit No
New Building A/
, STATE OF FLORIDA, }
COUNTY OF DADE:
88.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATI N FOR ELECTRICAL PE =' MOT
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 �Y ! ® s , p
eld No 0 '/ 17 Street
Registered Architect and /or Engin C. J
Employing Electrician's Name • V • 4l.d✓.'...lrPf4e ee No 0 / /6f
Location and Legal Description Lot / 6 Block 9' / Subdivision... .
12.- l
Street and Number where work is to be performed —No � �(� /1/. ' �' Street i
State work to be performed and purpose of building (By Floors)
Service Overhead Size Feeders Conduit Main Sw
Underground
Date V
Street ,(/' ' ` AVV
Remodeling Addition Repairs No. of Stories
/ co el A
/ - 5,a4fpbv 14/g M aes'
Master Electrician.
Amps
Type of Installation --- Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ .d. 1.0 (Signed)......
Electri 1 Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a 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.
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
ROPRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
C G
LInT NTR.
, .
'
7
,
CHECK
ENT.
SW.
DIET.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
/
/
G 0.1
e �0(5
1,e1 0,
le,e
,, /W 4 // il e .
C' tee _.
CHECK
I �� 5. 31
Permit No
New Building A/
, STATE OF FLORIDA, }
COUNTY OF DADE:
88.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATI N FOR ELECTRICAL PE =' MOT
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 �Y ! ® s , p
eld No 0 '/ 17 Street
Registered Architect and /or Engin C. J
Employing Electrician's Name • V • 4l.d✓.'...lrPf4e ee No 0 / /6f
Location and Legal Description Lot / 6 Block 9' / Subdivision... .
12.- l
Street and Number where work is to be performed —No � �(� /1/. ' �' Street i
State work to be performed and purpose of building (By Floors)
Service Overhead Size Feeders Conduit Main Sw
Underground
Date V
Street ,(/' ' ` AVV
Remodeling Addition Repairs No. of Stories
/ co el A
/ - 5,a4fpbv 14/g M aes'
Master Electrician.
Amps
Type of Installation --- Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ .d. 1.0 (Signed)......
Electri 1 Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a 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.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No / 7- 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. l
Owner's Name and Address ..� g P2
Registered Architect and /or Engine /
Employing Electrician's Name C.... � �' e ea No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No ,/. /ci ` / . ,j.'.,, 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
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date.
8S.
No Street
(Signed) 2 • ... r' `
Amount of Permit $ (Signed)....
Eleetrca Inspecto
The undersigned applicant for this building permit does hereby certify that he understands and accepts his' obligations as an employer o
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo�i a Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•e 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.
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.
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.
ACE
H A TER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
D1ST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O. HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No / 7- 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. l
Owner's Name and Address ..� g P2
Registered Architect and /or Engine /
Employing Electrician's Name C.... � �' e ea No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No ,/. /ci ` / . ,j.'.,, 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
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date.
8S.
No Street
(Signed) 2 • ... r' `
Amount of Permit $ (Signed)....
Eleetrca Inspecto
The undersigned applicant for this building permit does hereby certify that he understands and accepts his' obligations as an employer o
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo�i a Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•e 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.
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.
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.
Date �.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
7� Job Address / //t � � � Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant (t ' i Ve' 6o )4 )
Owner's Address ` / 5 9 S �c
Contracting Ct„ P t y 1 / � (7) % t ( Address
Qualifier I l /� / . r r l�l d 5 & 1 SS# � - . phone � 13. l T ,963 73
/ )efoil(4;-ve
State # � ( 3')(7/ 0 5 unicipai # Competency #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): IEUIILDIIN
WORK DESCRIPTION
Pildr ( I
Signature of o
Notary as to`Owne{,pn
My Commissio
APPROVED:
Zoning
Mechanical
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that a
!'' . k,
AtAit
C01410.3
FEES: PERMIT X 33 RADON
Master Permit # 1 /4 1 10,
Phone
./1/ ),.ffs
Ins. Co.
S ELECT ; PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
b
ex) "direr SPV1/'rE' (4,1
J,
f
s co )1 141 ye4k-eAr Gold ,
3e,' 49
Square Ft. Estimated Cost (value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS T YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDFR
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.
ork will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to die wyAc stated.
Date
Date
gnatu#f Con M ctor o Owne 'lder Date
Ad ` Pi,th
Notary ast. on tor or i.s si, _,..,• rYS
ires: CL kDYSJ VILLAR
OTARY PUBLIC SPATE OF FLORIDA
COMMISSION NO. CC7142fa
MY COMMISSION ESP' MAR. 1
My Commission E
C.C.F. /.1 NOTARY S
Building
Plumbing
Electrical
BOND
TOTAL DUE
?°
Date
Structural Engineer
ITEM
BATH TLB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
'
A/C (CENTRAL)
D R I N K I N G FOUNTAIN
SERVICE SIZE IN AMPS ‘G>:,
OLCT WORK
FLOOR GRAIN
_
SERVICE REPAI TE C-IANE "
/
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
. _
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
IrOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 CC,P.
MOTORS OVER 3- 5 If
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSE43LIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
'HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER- REPLACE
GENERATORS TRANSFORMERS
'
LAWN SPRINKLE; -WELL
SPECIAL PURPOSE
SWIb$AING PDX
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
_
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA •
RELAY
TELEVISION OUTLETS
,
GRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER 1'EATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
.
METER SET (GAS)
GAS PIPING
_
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION 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
•
DRIP LOOP
[0 BE ]O'
.'AFG (MIN)
CL.MP
i
2' ABOVE ROOF
;= OOA
/
C•IETER
etc1 11114
t'✓ 7o canq
rcmm
F1I ITSI1ED GRAI1E
•
p".
•./
f'YC SLfl
1-IAIN CI]
PANEL
H IN DEP TI I
•
•
•
W
TEAT Mir
[l.N1f
r � (1.1I411
AID a111u
SUB C D
PANEL
('
• • CONTR
k1:1Lk UI .Iiii:A- JJ
Conductor sue.
' Conduit stz e , //1
Conduit - typ p-
Tru ( E- — _ - _ ND
SUB FEEDER
New
Typo
Size
S.F.11.C, ASflri,2(3)
• S IIi11/1 11111 OF COHTRAcTOR
NOTARY
•
• •
1 1 r--• - r
•
•
Ground) wirc ^size_ ___• -- --
RAIN. DIS YONNECT
R at] no
Hum Anps
Sub Br. alcer-s: _ wAmps
•
Exl -
ENS [DE PANEL
R n tine Apips
Bond Sus S _ •t' es _No
(_oCc t1kn_
( ) \/ I- D
B
Owner's Name and Address
Registered Architect and /or Engineer
To be constructed of- L 1.LL. - - �
Estimated Total cost of improvements $
Disapproved
(Signed) .....
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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
reguiations 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 the work.
, ,c)
..__ ....._ �/�
Name and address of licensed contractor A A l�Lf'• i)
Location and legal descr'ption of lot tribe built on:
g .'
Lot __� . _ ._. . Block L Subdivision__________ __ _
Street N 14 � here work is to be done.. __II 1-V-_t_.- ,!_1 4 T
O
State work to be done and purpose of building (by floors)
filar To.. 23,c, JA.1 P.L.w.Q -�.4 0_ n' S.
New Building temodeling Addition._ _ ._. Repairs No. of Stor s
Kind of foundation. _ �C_�_t�aA'�% Roof Cox ring iL
Amount of Permit o -
Zone cubaee required .71 0-®0 _Plan Cubage.__ rir,_ t ,,, ' ti ,'��c' //r r The undersigned applicant for this building pennit does hereby cg:Ttify 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 rovisions thereof, and vvill require similar compliance from all contractors or sub employed by him
in the work to be performe under this permit; and will post or cause to be poste for inspection on the site/of ihe work such public notice
or notices as are required by the Act. The undersigned agrees to employ only suc , '''ubcontractors, on, ork t e performed under this
Remarks (Sign Azii!" „( etd<s(.-4
Distance to next nearest building . Size of Building Lot ' 4 147 .5--
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
permit, as are licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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 tru //
Permit No �� 1 Date.. 7 / --/J ` 6 d Read, Sworn to and Subscribed before me.
Date._ A
ui ding Inspector
Dat e---�__4.��� -�
T.
No Street
and for no other purpose.
19 6 6
to me well known,
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
11
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r
n . , ,
..,---, i? ,,,
7 .. Z;
6 7 ,-
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, - .Th ,' n. ' % • , u "
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7 37
7
7
le
MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
ELECTRICAL ❑ DATP 19,$a%
PLUMBING ❑ PERMIT N? 9895 Contractors 2
License No.
ROOFING ❑
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR OR BUILDER
Bl.
Subdi-
vision
Sq. Ft
Value of
Project $
Amt. of
Permit $ 'e
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 or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed • t a 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 permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
17
;UILDING
:LECTRICAL
' LUMBING
;OOF ING
)wner of
. uilding
.rchitect
:ontracto
r Builde
egal
)escripti
.ddress
uilding
PERMIT N9 9758
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
erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
me 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
ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
ertaining 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
one by his agents, servants or employees.
Signed• ' BY"'
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
., accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
Work to be performed under this Permit
DATE
Contractor's
License No
BY AUTHORITY
19$
<IT. 1 7
, __
t i
r
n
Lot
Bl.
Subdi-
vision
,f
.,
sq. Ft
Amt. of
Permit
$ : '
Value of
Project
$
;UILDING
:LECTRICAL
' LUMBING
;OOF ING
)wner of
. uilding
.rchitect
:ontracto
r Builde
egal
)escripti
.ddress
uilding
PERMIT N9 9758
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
erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
me 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
ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
ertaining 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
one by his agents, servants or employees.
Signed• ' BY"'
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
., accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
Work to be performed under this Permit
DATE
Contractor's
License No
BY AUTHORITY
19$
<IT. 1 7
Permit No / .. /
Registered Architect and /or Engin
Employing Electrician's Name 6
Location and Legal Description Lot
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. j ss '
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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.
Name and Address C�:�= No Street
.e S' No Ai"
Block
Street and Number where work is to be performed —No
Date `g,,./
Street
a 'J (Signed) L / ..
Subdivision. ...�
Street
State work to be performed and purpose of building (By Floors)
Building a Remodeling Addition Repairs No. of Stories
Service Underground Size Feeders Conduit Main Sw p�'r °�, M see' ' Amps
Type of Installation— Conduit Tubing B.X.L .Metal Moulding
Electri sa1 Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as all 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) 62., -' s::
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'Y'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H E � TER
W. H EAT.
CONN.
SPACE
HEATER
STRIP
H EATER
TOTAL
CONTR.
CHECK
E NT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
04 HP
M OTORS
1.8 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
/
,,p p
/ N� 5
�
ln+'��e � ` ' /
0Y/ #9 2 4
,
> 4 ,Ve in
y ! e
d4 e .
CHECK
A ' f ?J
Permit No / .. /
Registered Architect and /or Engin
Employing Electrician's Name 6
Location and Legal Description Lot
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. j ss '
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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.
Name and Address C�:�= No Street
.e S' No Ai"
Block
Street and Number where work is to be performed —No
Date `g,,./
Street
a 'J (Signed) L / ..
Subdivision. ...�
Street
State work to be performed and purpose of building (By Floors)
Building a Remodeling Addition Repairs No. of Stories
Service Underground Size Feeders Conduit Main Sw p�'r °�, M see' ' Amps
Type of Installation— Conduit Tubing B.X.L .Metal Moulding
Electri sa1 Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as all 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) 62., -' s::
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.
Permit No d �
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.... ,<.¢°i 4 '/ els5�.Ite- e '7 No Street
Registered Architect and /or Engine
Employing Electrician's Name // 6...< / -4 ea No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No //e) A" '')° Street t- A
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
STATE OF FLORIDA, , 1
COUNTY OF DADE. I
APPLICATION FOR ELECTRICAL PERMIT
Date /7 a
Amount of Permit $ (Signed)..
88.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Electrical Inspector•.
The undersigned applicant for this building permit does hereby certify that he understands and accepts hisiobligations 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) a —'�
i l 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.
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.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•S HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
( , W /
CHECK
Permit No d �
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.... ,<.¢°i 4 '/ els5�.Ite- e '7 No Street
Registered Architect and /or Engine
Employing Electrician's Name // 6...< / -4 ea No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No //e) A" '')° Street t- A
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
STATE OF FLORIDA, , 1
COUNTY OF DADE. I
APPLICATION FOR ELECTRICAL PERMIT
Date /7 a
Amount of Permit $ (Signed)..
88.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Electrical Inspector•.
The undersigned applicant for this building permit does hereby certify that he understands and accepts hisiobligations 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) a —'�
i l 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.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
PERMIT /// j/ ' t APPLICATION FOR MIAMI SHORES VILLAGE 4 t Date � � � Job Address Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant Cren Master Permit #
Owner's Address 1/ 511/ V to Phone
O
Contracting C� y Y' j (^ ! G } Z C Address /?&' d V g) Lf s •
Qualifier k / ` y l 2 d ;�/i ss# - - - Wne 7O5 l 9-63 73
State # r c... Q0l 0 5 # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDIN c r ELEC ' PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION g per)), ' re i4 a kk`l p
nlejr ci y)4 (RO (101 ej ,b
Estimated Cost (value) ,? "CO
Square Ft.
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUP
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.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that a ork will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to . + e w• stated.
Notary as to'Owner,n
cl/ �tdent Date
m
My Comission ` `. � .. .'' ',
(
i %,n . ,Aru .
APPROVED:
Zoning
Mechanical
H ��--
and/or Condo President
7� 7 -j 6 2 -a
FEES: PERMIT X 9J 4 ' 0 ' RADON
C.C.F. /' ' NOTARY S BOND
Building Electrical
r r/�
f Con ctor o Owner wilder
• '
on ctor or
Notary as t. ' tr s
My Commission Ex�ppires• D ' V;" A..3 t
4 7, °h
COMMIy;_. C. , NC.
25
Date
S" i -
Date
/ ?°
TOTAL DUE
Plumbing Structural Engineer
ITEM
BATH T18
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE I N AMPS �'GS,
DUCT WORK
FLOOR CRAIN
SERVICE REPAIR/1<EiES CHAt1 1
/
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
-
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 If
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 FP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 1CO FP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
'
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
_
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SW I f 4I NG POOL
OUTLETS COWERC IAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA ' •
RELAY
TELEVISION OUTLETS
GRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
_
_
DISCHARGE WELL
DOMESTIC WELL
,
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
.
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
,
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION 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
DRIP LOOP
(CJ BE ] 0'
-AF- 1_, (AI N )
•' 6' ' i ' -
2 ' ABOVE ROOF
i
•
P•
CV? PVC
CL.IIIP '
F1I ITSIIED GRADE
•
•.i
MAIN CB
PANEL
�1 I
II
•
w•w• 4 Kvim
TEM U1!]•
J IP
ale X Ur
WO' H111 Mill l Get? J U
111113 vulu
SUB C I;
. PANEL
(' It
Sh 1111/1
S.F.I1.C,
1 — 1 c"' r• r- r-, 'r '-• • •
K1:�Ll� U1< • Ivi ��'1 -
'I-kl
Conductor sl
• Conduit stze
Condutt typp-
Coru roof
Gr. °kJ nc.J wire rim C _.._.__. -_
HAIN. D SYONNECT
R afi no Amps
Hum
• Sub Brealcer-s Amps
•
_Amps
NO
SUB FEEDER
New ExJ
Bond .stze .,_ • �...�. -
ENS [DE PANEL
Rating /T A4-4.1s
1lond Buss _ 't' es _140
. I . oC4 - tto n_ ' �/ •} o�
411116,2(B)
• ,CONTR R LAL' N��::_
1111E OF CONTRACTOR
_ ._,.... — _- ---- --- _ :...,...-- _..,... r._
NOTARY
l'I -' I 'I - 1D_
B
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build -
ing 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 the work. ` i-
Date.. . ` , 191
No Street
Registered Architect and /or Engineer__ _ ._ �_.�Q ��
Owner's Name and Address....._.. �...:.._ .
g g - - -
Name and address of licensed contractor /L 1 :''l
APPLICATION FOR BUILDING PERMIT
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
'
Location and le of lot to be built on:
.
Lot., 5 `� / ..) .'!� ' Block r ' 3 ) Subdivision „ f
St eet'an Num erZ work is to be done.... //. __ _ _ 1 T �
State work to be done and ur ose of building (by floors) P g � Y ) �- 21t=
,7
and for no other purpose.
New Building ' �lternodeling ( 1a-� Addition' a Repairs No. of Stor I
To be constructed of -' 6 e ` ' Kind of foundation._.i�_l_ ! I 'lx ` Ro of Covering__._.!:. e
oav
Estimated Total cost of improvements $ 'ZO Amount of Permit $ ' ' . ✓
- ,.
Zone cubage required...., i Plan Cubage__..<_z` ;_
/L •
Distance to next nearest building Size of Building Lot 4
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup element,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only sucl) subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signeda4 w ii
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the 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,
�
Permit No / %' Dat -- /I ({ Read, Sworn to and Subscribed before me.
Disapproved Date._C
T ��_
B t. Notary Public, State of Florida
uilding Inspector My Commission Expires
to me well known,
PLANNING BOARD DATE
Chairman Member
Member Member
Member ....... Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
/./.9.e.,,,,,,,t_it
a e_e A — ,6 '-- 45( 1 1-0 7 .. 37 3 ,2 -
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6 !I7)( t1 ., °' 1 7 ?. 5
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is l 0 5 , )( ; ° y �1 D
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al
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= 3)7
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37 7 =kg; 7 6 eF- y�
- r - Jz l 1I �,
D
4 c 1°,1,
MIAMI SHORES VILLAGE. FLORIDA
ELECTRICAL ❑ DATE 19$
PLUMBING ❑ PERMIT N? 9895 Contractor s
License No f'
ROOFING ❑
BUILDING ❑
❑ Work to be performed under this Permit_
Owner of
Building a `
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR OR BUILDER
Bl.
Subdi-
vision
Sq. Ft
Value of
Project $
Amt. of
Permit
BY AUTHORITY
i
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 or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
,. rt .:
Signed • / f a - k • 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 permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
.UILDING ❑
LECTRICAL PERMIT N? 'LUMBING ❑ N . 9 75 8
.00FING ❑
iwner of
uilding
.rchitect
: ontractor
r Builder
egal
Description
ddress of
uilding
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE.
Bl.
Subdi-
vision
Work to be performed under this Permit_
FLORIDA
DATE
Contractor's
License No
Sq. Ft
Value of
Project $
Amt. of
Permit $
4.,
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
erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
me 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
ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
ertaining 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
one 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
ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
is accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
17