1201 NE 94 St (3)6
Permit No
Amount of Permit $
STATE OF FLORIDA, , t
COUNTY OF DADE. j
APPLICATION FOR ELECTRICAL PERMIT
Date F ` "(
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. /
Owners Name and Address �i , 2 /&41 (1!
4 No t''l G ✓ ✓ s treet , , ' ' ' s treet '
et % '
Registered Architect and /or Enginee `"� �� �'�!t`?�-
Employing Electrician's Name �w : f = , , t „ . . . . No ✓r ' 1 1-e i 'Stiret � / / { J ..
Location and Legal Description Lot / Block `' Subdivisions' 4 ./ ”
Street and Number where work is to be performed— No....., 1 _ � / � f Street /7 E. ,9 Lid/
r
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
- C) K.I
f c ,
S erv i ce
Overhead Site Feeders... G Conduit Main Sw �-- Amps Main Fuses 7 tj ` Amps
,Type of In tallation— Conduit. ,A Tubing it B.X.L Metal Moulding A
� 2 Lc r xy � asc. C f ,-tai -1.-c °` ..� fin_: �� ✓ � f� Z� ���?_. -� L _Z c .
ElectrlNCl Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts l obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of orida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or b•contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub•contractgts, on work to be perrpst�vtsder this permit, as are
licensed by Miami Shores Village.
E6.
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
MIAMI SHORES VILLAI3E
ELECTRICAL INSPECTION DEPARTMENT
(Sign d) e ' .. .......
Notary Public, State of Florida
(Signed)
Master Electrician
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
OU TLETS
�3 3
PLUG
RLCE'P
4
FIXTURES
NO. LAMPS
71
REFRIO.
OUTLET
/
IRON
OUTLET
/
.140.1.00e
OUTLET
/
RANGE
CONN.
I
WATER
H
W. HEAT.
CONN.
fTiR /i
AC[
H . AT[R
ea.
STRIP
HEATER
TOTAL
C L STR•
/ 'I
CHECK
ENT.
Sw.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
MOTORS
0.1 HP
MOTORS
1.3 HP
NEON
TRANS.
RADIO
TOTAL
R•
CONTR.
Q e
���PER
((
_` V{4
C.�
CHECK
6
Permit No
Amount of Permit $
STATE OF FLORIDA, , t
COUNTY OF DADE. j
APPLICATION FOR ELECTRICAL PERMIT
Date F ` "(
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. /
Owners Name and Address �i , 2 /&41 (1!
4 No t''l G ✓ ✓ s treet , , ' ' ' s treet '
et % '
Registered Architect and /or Enginee `"� �� �'�!t`?�-
Employing Electrician's Name �w : f = , , t „ . . . . No ✓r ' 1 1-e i 'Stiret � / / { J ..
Location and Legal Description Lot / Block `' Subdivisions' 4 ./ ”
Street and Number where work is to be performed— No....., 1 _ � / � f Street /7 E. ,9 Lid/
r
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
- C) K.I
f c ,
S erv i ce
Overhead Site Feeders... G Conduit Main Sw �-- Amps Main Fuses 7 tj ` Amps
,Type of In tallation— Conduit. ,A Tubing it B.X.L Metal Moulding A
� 2 Lc r xy � asc. C f ,-tai -1.-c °` ..� fin_: �� ✓ � f� Z� ���?_. -� L _Z c .
ElectrlNCl Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts l obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of orida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or b•contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub•contractgts, on work to be perrpst�vtsder this permit, as are
licensed by Miami Shores Village.
E6.
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
MIAMI SHORES VILLAI3E
ELECTRICAL INSPECTION DEPARTMENT
(Sign d) e ' .. .......
Notary Public, State of Florida
(Signed)
Master Electrician
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
PERMIT APPLICATION FOR MUNICIPALITIES OF
(OWNER TO RETAIN COPY)
Date 7 G Z Job Address /020/
,A
Legal Description � / ,.,..'/ � Master
Owner's
Lessee / Tenant .,� `
Address / e iJ� 9 /s ° %m( ° ,/ dreS
Co/Lei
� A 7 dal/ /%C� (07 /702.6 ,C,
Address �.6 4. %
Contracting Co/
Architect /Engineer
Bonding Company
Mortgagor
Qualifier ,e/7 ,c4 4i72_ SS# 266- /% - 6/ Phone — -13
State# ce /.6 Competency# '¼$( Wcf
Permit Type (circle one): BUILDING ELECTRICAL
WORK DESCRIPTION Aee er9i
det in 3 7 4 00/ �
Square Ft.
Signature of Owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
* . * *
PERMIT FEE: APPROVED:
Zoning
�.SOecF
Mechanical
Fire
uilding
41
Address
Address
Address
Tax Folio
Permit #
Phone
Ins. Co.
PLUMBING MECE ____ PAVING FENCE SIGN
d ®/7e L n AA 5 y/s „
df T,/' 67...30' 6 54 , - 03 l– — e v /2, 0
Estimated Cost ..P, 37r
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO
DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for. ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work
will be done in compliance with all applicable laws regulating construction and zoning.
Furthermore, I authorize the above -named contractor to do the wort: stated.
AA0
Signature of Cont .1 •'or or Owner - Builder
Date: 7 - - �...�,1
otary as to Cont ctd1i1 i'Oo/_rieE .f16MictdId mor4
My Commission Expires MY CO1MISSION EX?. OCT. 1,1? "?
* * * * * 'FiwtO TH CENEI:;' I OCS
Other
Electrical
Engineering
DADE COUNTY
1/32 (4 6 /0 s
Jar
767- 7t3‘,/
Date:
ATTENTION: BUR -DING OFFICIAL
O'INZR'S AFFIDAVIT
1, IC 5 5 � e4sl �
the property d as:
ADDRESS: / 0 / /O 9 .� 1/7V 4 4; cez,'
LEGAL DESCRIPTION:
(Lot - Block - Subdivision)
I:authorize ,d/2 � 7 J� , L / �/���7 a A
obtain a building permit for the following work.
STATE OF FLORIDA
COUNTY OF DADE
Before me personally appeared `o 5 e,� ' ) e c a''
being duly sworn upon oath says that the lttatements set forth bo a are true and correct.
Subscribed and sworn to before me this day of 19 7 2_r-
NOTAR Y.P.OBL =ROR
,:iTS;;I!"Jr. f )CT. . J
ycr,` nF .1
/ 9
certify that I am the owner of
COUNTY, STATE OF rr 9
as my agent to
who by me
MIAMI SHORES VILLAGE
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 herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name f ! /f t iA r''e'Ve;
t b1id
Location and Legal Description Lot Block Subdivision
/",,74/ 4-
Street and Number where work is to be performed —No
Lt Er r 2.4
State work to be performed and purpose of building (By Floors)
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
e
Amount of Permit $ i.
The undersigned applicant for this building permit does hereby certify that he understands and acce
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of
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 of
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the
appeared
85.
r s
(Signed) e:--1(
(Signed)
ndersigned authority, notary public my authorized to administer •oaths and
to me well known, apd who, being by me first duly sworn, upon oath deposes and says that he is the
of the above d escribed construction, and he has carefully read the foregoing application, and that he did
therein by him stated are true.
Notary Public, State of Florida at Large
My Commission Expires A.0 ^. 23, 1962
BonOed.by.A. merican..SUra4 •Co: •of
My Commission Expires
NOTE: A re•insrcction fee of $1.00 will be made when such re-inspection is made necessary by
materials and /or workmanship.
X7/ -2-,/S9
No
e 47r e- Street 1 .5 717-1 ' 7—
No 9.71. li w Street % 7 4S.r' eC"
Street
Notary
(7 _ 2
..t
Lo
.0 Electrical Inspector.
pts obligations as an employer of
orida Permanent Supplement, and
contractors employed by him in the
the work such public notice or notices
performed under this permit, as are
Master Electrician.
take acknowledgments, personally
sign the same, ngd that all facts
Public, State of Florida
improper notice for inspection, or faulty
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.
CAM.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS NEON
1.5 HP TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
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 herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name f ! /f t iA r''e'Ve;
t b1id
Location and Legal Description Lot Block Subdivision
/",,74/ 4-
Street and Number where work is to be performed —No
Lt Er r 2.4
State work to be performed and purpose of building (By Floors)
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
e
Amount of Permit $ i.
The undersigned applicant for this building permit does hereby certify that he understands and acce
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of
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 of
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the
appeared
85.
r s
(Signed) e:--1(
(Signed)
ndersigned authority, notary public my authorized to administer •oaths and
to me well known, apd who, being by me first duly sworn, upon oath deposes and says that he is the
of the above d escribed construction, and he has carefully read the foregoing application, and that he did
therein by him stated are true.
Notary Public, State of Florida at Large
My Commission Expires A.0 ^. 23, 1962
BonOed.by.A. merican..SUra4 •Co: •of
My Commission Expires
NOTE: A re•insrcction fee of $1.00 will be made when such re-inspection is made necessary by
materials and /or workmanship.
X7/ -2-,/S9
No
e 47r e- Street 1 .5 717-1 ' 7—
No 9.71. li w Street % 7 4S.r' eC"
Street
Notary
(7 _ 2
..t
Lo
.0 Electrical Inspector.
pts obligations as an employer of
orida Permanent Supplement, and
contractors employed by him in the
the work such public notice or notices
performed under this permit, as are
Master Electrician.
take acknowledgments, personally
sign the same, ngd that all facts
Public, State of Florida
improper notice for inspection, or faulty
BUILDING
ELECTRICAL
PLUMBING
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 9166
CONTRACTOR OR BUILDER
Bl.
Work to be performed under this Permit
Signed:
BY
Subdi-
vision
2. 7 }
Sq. Ft
Value of
Project $
DATE' J �f
Contractor's -.
License No.
Amt. of
Permit
V
195_ •
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 specification*. #nd that he 'assumes responsibility for work
done by his agents, servants or employees.
BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hiereunder in compliance with all ordinances and regulations • pertainin thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
n accepting this permit I assume responsibility for all work done by either, myself, my agent, setvant or employee.
AUTHORITY
BUILDING ❑
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
Lot
! ?,
DATE
❑ PERMIT N? 9276
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
r
BI.
Work to be performed under this Permit C/c •= • re
fni f Y. C. ff* /vest ".
/ez 1/. 4. ,r> e.
Subdi-
vision
Sq. Ft
Value of
Project $
BY
• /S
Contractor's
License No. .
Amt. of
Permit $
AUTHORITY
195
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 wort: 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 sttements or specifications ar{d'°that he assumes responsibility for work
done by his agents, servants or employees. �" f
Signed: .. -'t,. /
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered reunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications mitted 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.
17