1255 NE 95 StNotary
My Co '!'ion xpires:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Jo&Address 425-5 A/0- Tax Folio
Legal Description J Historically Designated: Yes No
Owner/Lessee / Tenant gh../i�Qi 1 4t / %///1flA4O I) Master Permit # 4z7 O Q 3
Owner's Address /a �t «
Contracting Co. , / f'*
Qualifi a
State #t a 4 Municipal #
Phone
Square Ft. Estimated Cost (value)
RADON C.C.F.
Address 3,4ic /1 /Sa'
ss# - Phone 5 J -�
Competency #
Address
Address
Ins. Co.
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING EI C i : AL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
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 at-a work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named ntracto o do the w. stated.
1 /".. ' Signature' of Co
9 0
NOTARY — O BOND
APPROVED:
Zoning
Building Electrical
Mechanical Plumbing Engineering
Date
Ley Description Historically Designated: Yes No
Owner's Address
Qualifier
State #
Architect/Engineer
Bonding Company
Mortgagor
/ Tenant ` K`ae I (, T G' R N/
Permit Type (circle one): BUILDIN
WORK DESCRIPTION v
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Mob Address 1 Z9 5 (VE 55' 51- Tax Folio
scAw-e 5 b � M
/12 _C Municipal #
ELECTRIC
Competency #
Address
Address
Address
Master Permit # 4
Phone
Address 36. E )1-1-6 5t
SS# )( - hone q / 63 7 3
Ins. Co. 1, K2 (`
PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
170 xeJ te 5 ')-6t) 1 I
aPS 0 M h�'Y�Vj ate.
Square Ft. Estimated Cost (value)073t7Qw i7l)
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 k will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to e w stated.
APPROVED:
Zoning
Mechanical
F
awVlti—
S nature of owner and/or Condo President
4
Notary as to Own d/or Condo President Date
My Commi :R' t lees: OFFICIAL NOTARY SEAL
Vp S MARGARITA MONTIEL
�O n r .cop 7v x -1
OF FP DEC. 17,20
FEES: PERMIT RADON
Signature 9 ontractof or Owner - Builder
Notary as to Contractor or Owner - Builder
My Conunission Expires:
C.C.F. r . a ° NOTARY BOND
Building Electrical
TOTAL DUE
oo
8 �
Date
Plumbing Structural Engineer
DRIP LOOP
ro BE 3 0'
IAFG (JAIN)
U
k 200A
METER
i
2' ABOVE ROOF
C' 10 WWI
Km cum
g' Pt AS'ILC
I C11111G
• .i
HAIN CB
PANEL
•
•r 1 ^,,c atECv
1:1,111P '
• FIlITS11ED IRA7lE
i
cI u )IIN TII
•
WM .4140.41
TWA, Uf •
. J Ir
Z/0" X U
610.11-Q1
Rn1I Q
•
SUB C
• .PANEL
• ,CONTRM.S
K1� LI( UI` ' EAST / •
Conductor sCcr ____� 1.l2
' Conduit size
Conduit type..
Thru
ion
(;round wlr-c tare_
L.).-
_____
HAIN. DIS YtINNECT
Ratlno ' Ar1pS
r-tu�► _Apps
Sub I3realre ._. . .Amps
SUI3 FEEDER
New t:xlslJnp_
Type
Slze
Bond Mae. _•;
[NS CDE PANEL
Rn'l.•1n _495 A. ,�.s
flan $US5 Yes _1•1n
LOcc"tbn_
• _ _ —
s inwii11r1E aF cop rnAcTort
PER S.F.I1.C, 4'iO5,2.(B)
t.C.E ec 0 60 ;le _
c -
(\i r 17--
B Y >'4>' fk4 °'d __
•
•
Permit No .
Owner's Name and Address
Registered Architect and/or Engineer
Employing Electrician's Name
Location and Legal Description Lot
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
No
Block
Street
Street and Number where work is to be performed—No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
r
Amount of Permit $_ • '"'"
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
(Signed)
(Signed) -
, • e i
Date..2
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.
' / 7 No Street ' 1:1 3 1
Street
No. of Stories ......
Overhead
Service und Size Feeders Conduit._ Sw. ___
Amps. Main Fuses________Amps.
Undergro
Type of Installation—Conduit Tubing B.X.L Metal Moulding
Master Electrican.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
.4...
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1-5 HP
NEON
TRANS.
RADIO
TOTAL.
CONTR.
LIST
CHECK
•
Permit No .
Owner's Name and Address
Registered Architect and/or Engineer
Employing Electrician's Name
Location and Legal Description Lot
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
No
Block
Street
Street and Number where work is to be performed—No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
r
Amount of Permit $_ • '"'"
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
(Signed)
(Signed) -
, • e i
Date..2
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.
' / 7 No Street ' 1:1 3 1
Street
No. of Stories ......
Overhead
Service und Size Feeders Conduit._ Sw. ___
Amps. Main Fuses________Amps.
Undergro
Type of Installation—Conduit Tubing B.X.L Metal Moulding
Master Electrican.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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 2
Owner's Name and Address
/' ,
Employing Electrician's Name ' �_
Registered Architect and /or Engineer
MIAMI SHORES VI LLAG E
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
�—.
a-.
No. - -- :10114:
--a7-
Date
Street
Street
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.
+. ` 6
Location and Legal Description Lot___:_____._____'_ 1 • Block _ Subdivision_ Z.�,_ .,
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
Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses Amps.
Underground P P
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $_�
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Es.
(Signed)
(Signed) • d
0 Master3e ican.
,r
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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' WT S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
I RON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
H EATER
TOTAL
CONTR.
LIST
,'
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No 2
Owner's Name and Address
/' ,
Employing Electrician's Name ' �_
Registered Architect and /or Engineer
MIAMI SHORES VI LLAG E
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
�—.
a-.
No. - -- :10114:
--a7-
Date
Street
Street
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.
+. ` 6
Location and Legal Description Lot___:_____._____'_ 1 • Block _ Subdivision_ Z.�,_ .,
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
Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses Amps.
Underground P P
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $_�
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Es.
(Signed)
(Signed) • d
0 Master3e ican.
,r
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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.
AP FOR ELECTRICAL PERMIT
.
Permit
Owner's Name and Address ___N_r_ ' _1___ —__ •
Registered Architect and /or Etigineer
Employing Electrician's Name __.
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Service =^-=' Size Feeders Conduit = per__ Main Sw.
erground
Type of Installation -- Conduit / Tubing____ B.X.L. Metal Moulding
Amps.
Date
Application is hereby made fot, the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. Thi( 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.
No 1 k Street_:'_r"____
• :No': Street
Location and Legal Description Lot __ _ —_' Block
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
My Commission Expires Notary Public, State of Florida
4
•
Subdivisign__ � __ ° _ 2 __
•
No. of Stories
Main Fuses Amps.
(Signed) ---- - - - - -- — - --
—� Electrical4itsliector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
tt
(Signed) L-= 4 - ---- - y—_-' ='' s '
` Ma s t e r Master tlectrican.
!,
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
oy,
+ •
I
< w .,A
4'
d
-7a.
CHECK
•
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -S HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
AP FOR ELECTRICAL PERMIT
.
Permit
Owner's Name and Address ___N_r_ ' _1___ —__ •
Registered Architect and /or Etigineer
Employing Electrician's Name __.
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Service =^-=' Size Feeders Conduit = per__ Main Sw.
erground
Type of Installation -- Conduit / Tubing____ B.X.L. Metal Moulding
Amps.
Date
Application is hereby made fot, the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. Thi( 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.
No 1 k Street_:'_r"____
• :No': Street
Location and Legal Description Lot __ _ —_' Block
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
My Commission Expires Notary Public, State of Florida
4
•
Subdivisign__ � __ ° _ 2 __
•
No. of Stories
Main Fuses Amps.
(Signed) ---- - - - - -- — - --
—� Electrical4itsliector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
tt
(Signed) L-= 4 - ---- - y—_-' ='' s '
` Ma s t e r Master tlectrican.
!,
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No-2"123
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 l_l_L__ !____ No / '"' .5` Street 4 .
Registered Architect and /or Engineer j __ __.
Employing Electrician's Name af—± _5� /� No •
Location and Legal Description Lot ' Block
Street and Number where work is to be performed—No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Service Overhead Size Feeders Conduit Main Sw Amps. Main Fuses Amps.
Underground P P
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
(Signed) — -- — — — -- — -- _ _
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be p rformed under this permit, as are
licensed by Miami Shores Village. i .•�"u
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
My Commission Expires
(Signed)
Street
Date_
/ cr 4
Notary Public. State of Florida
ice
Street
/".,"=" s i
Subdivisioa�_
N
No. of Stories
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared — — — —
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
aterials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
o_I HP
'
MOTtIRS
1_S ?FyP
N
AN
RADIO
TOTAL
CONTR.
LIST
I
] p
J/1' 9 ,
-t �
� y
I
d' + �
V
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No-2"123
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 l_l_L__ !____ No / '"' .5` Street 4 .
Registered Architect and /or Engineer j __ __.
Employing Electrician's Name af—± _5� /� No •
Location and Legal Description Lot ' Block
Street and Number where work is to be performed—No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Service Overhead Size Feeders Conduit Main Sw Amps. Main Fuses Amps.
Underground P P
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
(Signed) — -- — — — -- — -- _ _
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be p rformed under this permit, as are
licensed by Miami Shores Village. i .•�"u
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
My Commission Expires
(Signed)
Street
Date_
/ cr 4
Notary Public. State of Florida
ice
Street
/".,"=" s i
Subdivisioa�_
N
No. of Stories
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared — — — —
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
aterials and /or workmanship.
JOB:
•
BUILDING
ELECTRICAL
PLUMBING
•
•
•
•
•
•
•
•
Inspector's Report:
WORK
: DONE BY:
•
•
•
•
REQUESTED
•
The following is ready for Inspection:
WILL BE READY
Ir -
Y �� t
JOB:
BUILDING
PLUMBING
•
•
•
•
•
•
ELECTRICAL :
•
•
•
Inspector's Report:
•
•
•
•
. WORK
DONE BY:
•
•
AD:
The following is ready for Inspection:
•
: REQUESTED WILL BE READY
•
•
•
•
J.
•
•
•
•
,ry
JOB:
BUILDING
• ,
ELECTRICAL
PLUMBING
•
• .
• • -el'
.
• •
• •
• •
The following is ready for Inspection:
• •
/' • •
• •
WORK
DONE BY:
REQUESTED
Inspector Is Report:
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•
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MIAMI SHORES VILLAGE
ELECTRICAL INSPECTIQN DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 2 Date 2
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 _! �____ No Street- -- 72
Employing Electrician's Name
Location and Legal Description Lots
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
Registered Architect and /or Engineer _____"
My Commission Expires
Street
Subdivision
Street_____
Block
Street and Number where work is to be performed —No
State work to be perfo ed and purpose of building (By Floors)
New
Building g g Addition Repairs
Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses Amps.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) _
No. of Stories
Notary Public, State of Florida
Electrical Inspector.
T Master lectrican.
•
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared -------- _ -- -��
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
EATER
W. HEAT.
CONN.
SPACE
TER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTIQN DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 2 Date 2
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 _! �____ No Street- -- 72
Employing Electrician's Name
Location and Legal Description Lots
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
Registered Architect and /or Engineer _____"
My Commission Expires
Street
Subdivision
Street_____
Block
Street and Number where work is to be performed —No
State work to be perfo ed and purpose of building (By Floors)
New
Building g g Addition Repairs
Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses Amps.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) _
No. of Stories
Notary Public, State of Florida
Electrical Inspector.
T Master lectrican.
•
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared -------- _ -- -��
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
ELECTRICAL INSPEd TI N DEPARTMENT
�a APPLICATION FOR ELECTRICAL PERMIT
Permit No 2 ) `__/ 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. ,p
(I/.,
No. 11 f Street -- - ! �r —r /
Owner's Name and Address
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. 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
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $ 4
STATE OF FLORIDA,
COUNTY OF DADE.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
s s.
My Commission Expires
Main Sw. Amps. _________________ Main Fuses Amps.
)
(Signed) -c�s� 2/�. ^2.�
Electrical Inspector.
(Signed) _L _,(__
prsi
Master Fd ctrican.
Before me, the undersigned
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
Notary Public. State of Florida
7
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
REFRI G.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
L1sr
`1,
��
1
•
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPEd TI N DEPARTMENT
�a APPLICATION FOR ELECTRICAL PERMIT
Permit No 2 ) `__/ 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. ,p
(I/.,
No. 11 f Street -- - ! �r —r /
Owner's Name and Address
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. 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
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $ 4
STATE OF FLORIDA,
COUNTY OF DADE.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
s s.
My Commission Expires
Main Sw. Amps. _________________ Main Fuses Amps.
)
(Signed) -c�s� 2/�. ^2.�
Electrical Inspector.
(Signed) _L _,(__
prsi
Master Fd ctrican.
Before me, the undersigned
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
Notary Public. State of Florida
7
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date_ / ‘p `_�!
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. f ,
/2 f ' / " Registered Architect and/or Engineer
40- sr
No
Owner's Name and Address
Employing Electrician's Name
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
�
Permit No.___2 — ' •' .
Amount of Permit $
1
j r
No Street
(Signed) r2
(Signed) yr
Electrical Inspector.
Master Ellctrican.
tE
No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps. __— Main Fuses______________ __Am
Underground p ____________Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, 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.
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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
AC
AC
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date_ / ‘p `_�!
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. f ,
/2 f ' / " Registered Architect and/or Engineer
40- sr
No
Owner's Name and Address
Employing Electrician's Name
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
�
Permit No.___2 — ' •' .
Amount of Permit $
1
j r
No Street
(Signed) r2
(Signed) yr
Electrical Inspector.
Master Ellctrican.
tE
No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps. __— Main Fuses______________ __Am
Underground p ____________Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, 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.
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.
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. ,-
/ % —
J
O
/2
wner's Name and Address V _42_ _ ' � L �;� No
,,��yy
Registered Architect and /or Engineer�
Employing Electrician's Name ca23 % � ✓
f /
Street !_ �/
No Street ,
Location and Legal Description Lot �? _ - Block _ ''� Subdivistoa y_ _ _ L 'i `" _�_,�� 'i ,�- '': ...`,/ „„, �
- - -- - - - ---
� �
c � '
Street and Number where work is to be performed—No.
G 1= _ —__ _' —_—
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Service Overhead Size Feeders Conduit / Main Sw
Underground
Street_
No. of Stories
Amps. _________________ Main Fuses_____ Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $_
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
85.
My Commission Expires
Electrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
(Signed)
Master Electrican.
Notary Public. State of Florida
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
.PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
N5O RADIO
9 TRAN C
TOTAL
CONTR.
LIST
,1),;/
r / V/
/� r
F /r
----
yi- ✓ j' / ' / -
CHECK
; .
% I
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. ,-
/ % —
J
O
/2
wner's Name and Address V _42_ _ ' � L �;� No
,,��yy
Registered Architect and /or Engineer�
Employing Electrician's Name ca23 % � ✓
f /
Street !_ �/
No Street ,
Location and Legal Description Lot �? _ - Block _ ''� Subdivistoa y_ _ _ L 'i `" _�_,�� 'i ,�- '': ...`,/ „„, �
- - -- - - - ---
� �
c � '
Street and Number where work is to be performed—No.
G 1= _ —__ _' —_—
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Service Overhead Size Feeders Conduit / Main Sw
Underground
Street_
No. of Stories
Amps. _________________ Main Fuses_____ Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $_
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
85.
My Commission Expires
Electrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
(Signed)
Master Electrican.
Notary Public. State of Florida
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date *
Application is hereby made fo the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. Thilapplication 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 ___ k. �____ �_ �________ No
Registered Architect and /or Engineetq
Employing Electrician's Name
Amount of Permit $_
Location and Legal Description Lot
Street and Number where work is to be performed —No
=? -7 ..2
7
Block__
No: Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
`7
(Signed)
c n (*•,
Street:L/Z
Subdivision_
Street__.l�
No. of Stories
Service Ov e
n erground Size Feeders Conduit__.(2_; Main Sw. d Amps. ____ Main Fuses Amps.
Type of Installation— Conduit f Tubing ____.1 B.X.L Metal Moulding
Electrical pector.
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, Comiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared _
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires
(Signed) .Z
Mas lectrican.
Notary Public. State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
RR
•
W. HEAT.
CONN.
SPACE
H EATER
STRIP
HEATER
TOTAL
LIST'
?
1
"
CHECK
CC
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date *
Application is hereby made fo the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. Thilapplication 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 ___ k. �____ �_ �________ No
Registered Architect and /or Engineetq
Employing Electrician's Name
Amount of Permit $_
Location and Legal Description Lot
Street and Number where work is to be performed —No
=? -7 ..2
7
Block__
No: Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
`7
(Signed)
c n (*•,
Street:L/Z
Subdivision_
Street__.l�
No. of Stories
Service Ov e
n erground Size Feeders Conduit__.(2_; Main Sw. d Amps. ____ Main Fuses Amps.
Type of Installation— Conduit f Tubing ____.1 B.X.L Metal Moulding
Electrical pector.
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, Comiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared _
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires
(Signed) .Z
Mas lectrican.
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
Tok
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
/ 1 AI
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
Location and Legal Description Lot 1 / r Block Subdivision
Street and Number where work is to be performed —No 66 Street It/ 9J s 7
State work to be performed and purpose of building (By Floors) �. Y...L.. ; ! 4 .. e....as/..
No. of Stories
New Building Remodeling Addition
Underground Size Feeders Conduit Main Sw %6`� —Amps Main Fuses Amps
pe of Installation — Conduit .. Tubing B.X.L
*-P., v •
Overhead
0
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OP DADE.
S S.
(ALE RLECTRI .0
(Signed).
No 1)56
0 No t Q .I. • R - Street.. 1
Metal Mouldin
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 sub•contractPrs, on work to be performed u rt ermit, as are
licensed by Miami Shores Village.
O (Signed)
Street.. # \E ' 95" ST
3° G 0
Mastef 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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANOE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
H ATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O -I HP
MOTORS
1 -3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
Tok
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
/ 1 AI
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
Location and Legal Description Lot 1 / r Block Subdivision
Street and Number where work is to be performed —No 66 Street It/ 9J s 7
State work to be performed and purpose of building (By Floors) �. Y...L.. ; ! 4 .. e....as/..
No. of Stories
New Building Remodeling Addition
Underground Size Feeders Conduit Main Sw %6`� —Amps Main Fuses Amps
pe of Installation — Conduit .. Tubing B.X.L
*-P., v •
Overhead
0
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OP DADE.
S S.
(ALE RLECTRI .0
(Signed).
No 1)56
0 No t Q .I. • R - Street.. 1
Metal Mouldin
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 sub•contractPrs, on work to be performed u rt ermit, as are
licensed by Miami Shores Village.
O (Signed)
Street.. # \E ' 95" ST
3° G 0
Mastef Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Work to be performed under this Permit 7'
Architect
Contractor
or Builder
Legal Lot ,° BI.
Description F'
Address of f r ry e" K 4' i i
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE f 7 1941_
PERMIT ■9 2125 Contractor's
License No.
Subdi-
vision
Value of
Project
Amt. of / e
Permit /
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition
upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough 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. ° By,- `
INSPECTdR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In acce ting this per t4' sum r esponsibility for all work done by either myself, my agent, servant or employee.
#; /1440,4„1
1 ' '
CONTRACTOR OR BUILDER BY AUTHORITY
e
O
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.
ACE
HATER
STRIP
HEATER
TOTAL
r lCLISr
LIST
06
to
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
44 ems"' 9 !ZIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. /p7-s--4-
Owner's Name and Address 6 a ,e �f .� 2 47, Q', / / No Street.../r �
Registered Architect and /or Engineer '' Q
Employing Electrician's Name. .>>'�;''/A` �� r�G /, 4 =/.r Street.
Location and Legal Description Lot 5 '' O Block . Subdivision
Street and Number where work is to be performed —No / `_
State work to be performed and purpose of building (By Floors),h00e-i
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $ 021 7
STATE OF FLORIDA, -
COUNTY OF DADE. I
55.
Date "9 / /1/,��
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
• Type of Installation— Conduit Tubing �' 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 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 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) ��� 1✓L ='�°` „ _�
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.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERM
Permit No 3 O,f2 Date
Application is hereby made for the approval of the detailed statement of the plans and specifications her submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Or.mance 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
STATE OF FLORIDA, }
COUNTY OF DADE.
55.
No
Amount of Permit $
• D O (Signed).
(Signed)
No /„.
/O /
Street
Street..../
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No � ` ` Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs ' No. of Stories
Service Overhead Feeders Size Feed Conduit Main Sw Amps Main Fuses Amps
Underground , i
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Elect 'csl Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent 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 n the site of the work such public or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, ,6n work to bpj performe under ermt , s are
licensed by Miami Shores Village.
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T's
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HEATER
STRIP
HEATER
TOTAL
butyl R.
LIST
CHECK
ENT.
SW.
O18 7.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
�'
1)
-
MOTORS MOTORS
0.1 HP 1.5 HP
% •..
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
291
�!//
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERM
Permit No 3 O,f2 Date
Application is hereby made for the approval of the detailed statement of the plans and specifications her submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Or.mance 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
STATE OF FLORIDA, }
COUNTY OF DADE.
55.
No
Amount of Permit $
• D O (Signed).
(Signed)
No /„.
/O /
Street
Street..../
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No � ` ` Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs ' No. of Stories
Service Overhead Feeders Size Feed Conduit Main Sw Amps Main Fuses Amps
Underground , i
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Elect 'csl Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent 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 n the site of the work such public or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, ,6n work to bpj performe under ermt , s are
licensed by Miami Shores Village.
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE 194
PERMIT N9 2920
Work to be performed under this Permit ` ``' +
Architect
Contractor
or Builder •
Legal Lot Bl.
Description
Address of
Building
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- 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 regula-
tions 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.
Subdi-
vision
Value of
Project
Contractor's r-° r*
License No. -
Amt. of
Permit
CONTRACTOR OR BUILDER BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
MIAMI SHORES VILLAGE, FLORIDA
DATE 2 1 19_6_
12
PERMIT
0
Legal
Description
Lot
B1
NC' 7204
Work to be performed under this Permit
1/
Contractor's
License No.
Subdi-
vision
Address of
Value of I Amount of f :
Building . i ( 0 - / Project $ 1 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. INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance weh all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements pr specifications submitted to the proper authorities of Miami Shores Village. In as
cepting this permit I assume responsibility for en work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY All SOT 40E-14'.'