ELECTRICAL PERMITS�PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Job Address
Legal Description Master Permit # '7.6'7
Owner / Lessee / Tenant
Owner's Address /c260 A . E • -/ 7 5 eg L T
Contracting Co. C o( \
Qualifier \JO phone c?
State#
Architect /Engineer Address
Bonding Company Andress
Mortgagor Address
PLUMBING MECHANICAL PAVING FENCE SIGs
Permit Type (circle one): BUILDING
WORK DESCRIPTION .TAJ• 5 774
Square Ft.
/2(0 15
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE Tt
DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOi
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. I certif:,
that all work will be performed to meet the standards of all laws regulating construction in thi:.
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 wort'
will be done in compliance with all applicable laws regulating construction and zoning.
Furthermore, I authorize the above -named contractor to do the work stated.
Signature o Owner and /or Con
Date:
No
My
*
ry as to Owner and /or
omission Expires:
* * *
PERMIT FEE: APPROVED:
/50. 9'0 Zoning
.
Tecrtg
15 a O
� 9A_sir r�S
Mechanical
,z44ti koRAI 6 z_u+J
*
Competency1
NANCY DE LA TORRE
MY COMMISSION 0 CC 304461
s I d AtI fIES: August 2, 199t 1 g r
o °, "•' Bonded Thni Notary Public Uncle
Condo President
*
*
Fire
Building
Plumbing
Address
Tax Folio
phone
Estimated Cost
ture
Ins. Co.
i4 2. /L,.9
o? /c
of Co1'1'�IiR1N� Owner - Builder
Notary Public, State of Florida
Comm. expires Jan 24, 1997
O. CC254592
Notary as to Contractor or Owner - Builder
My Commission Expires:
* * * * * *
Other
Electrical
Engineering
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
6C Date d Job Address 1 6 �I • ( l <C-1 Tax Folio
Legal Description /� Historically Designated: Yes No 0
Owner/Lessee / Tenant E F t l2/f )i L U)( Master Pen nit # .3 q® 6
Owner's Address
Contracting Co. P/ Z t C (s ( or( l c Cl / _Ty c
Qualifier rL 6 2 /7 ,o ri X17 -!i/,) , /Lc. C 3n F2/ 7 gig
State # Municipal # (F 2 `t' f Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILD 1 ELECTRICAL UMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
D GO I' /•t q
Square Ft. Estimated Cost (value)
Phone '?0 _
Address P- U. 60 x q 7? 2 L -)' .2,97,
766 7 3
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 com.liance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the w
Si e of owner ... or ondo President Date
Building
Signature o aetor r S caner -Buil. er
Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder Date
My Commission Expires: My Cf MITIM9,n1 , IA Aw SEAL
O <i SANDRA LI LJONITIEL
iz * COMMISSION NUMBER
- -P sr CC401261
c MV C LM
O2 ISSION .EXP. Al
/� fir —
FEES: PERMIT v `v RADON C.C.F. • 5 t] NOTARY J ' TOTAL DUE `75
Electrical
APPROVED:
Zoning
Mechanical Plumbing Engineering
Date
%,(7h;,,
PuLL (i) 1g ovffr-tEcr
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PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 1' 1[ 1 09 V Job Address/ ntgl Tax Folio /F °! • - °/ 6
6. ) J 21 ,td az � Zdtd;AU �.�d /
Legal Description
/ Lessee / Tenant ALA,t O,Q/V L !1 Master Permit #
Owner's Address 1�� / / Phone
Contracting Co. 1 Cc) C( C'Zri CO33 Address ttt PY S7
Qualifier ��y }J LyelJ Phone gin - C I r) r
State # Rage Municipal # Competency # 167(7 Ins.Co. V1 PT(AJ6) C4WO&T
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION c? - U IC po L &IJ\ I N{) /1017 ft_
Square Ft. Estimated Cost(value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS 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- med ntractor to do the work stated.
A44
,4%k f�
Signat13Aei
Da • e : / /
) Ai 1.14...e.
to a- to 4.. =r a
My Commission Expir
APPROVED:
Zoning
n• or Condo President
•
tor P " d$ *BE•AL
SUSAN K LYNN
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC313484
MY COMMISSION EXP OCT 10,1997
• * * * * *
C.C.F. RADON
Fire
Building
Mechanical Plumbing_
*
ract• • Owner- Builder
Sign
D
/4/141/A-W.s.
� :r , a= to 'on.
y o fission E
Other
ICIAL NOTARY SEAL
SUSAN K LYNN
NOTARY PUBLIC STATE OF FLORIDA
* * COIAMISSION*NO. CC31�S484
MY COMMISSION EXP OCT 10,1997
NOTARY TOTAL DUE C.I , r
- Builder
Engineering
ITEM
BATH TL8
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WINO)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN MPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
__APPLIANCE
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE (MOUND TANKS
LAUNDRY TRAY
WATER HEATER
/
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
J
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 If
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTCRS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTCRS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 If
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WIDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
-
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER- REPLACE
GENERATORS TRANSFORMERS
_
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES.
VIOLATION
'
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
P G 1i7 s
D I SCHARGE WELL
7 -- ,e4 N S FO &7'4
DOMESTIC WELL
AREA DRAIN
/-16277) /t/a)
ROOF INLET
(J // ::: ' Z 4 /
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
icy e of Miami Shores N° 4138
.�g
, JOB F S o 00 -
ADDRESS / Z6 c
O
INSPECTOR
,INSPECTION A. dt.1.4 4- ". cLj/z i e -
TIME READY 65
PP REMARKS 1 (7 r
i �
O /1-011
4, 4
DATE Z (" "��
MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
DATF
ELECTRICAL o
PLUMBING ❑ PERMIT N? 8986
ROOFING ❑
Owner of
Building_
Architect
Contracto
or Builder
Legal
Descriptic
Address
Work to be performed under this Permit
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 oe`s ecif fitions and that he assumes responsibility for work
done by his agents, servants or employees.
Signed • {. 7 J • BY
'INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
a F. UY
CONTRACTOR OR BUILDER
ID .
BY
Contractor's
License No.
C
AUTHORITY
195/
176
J /
i
1 � "
' . ` .
1
y` v
3
1
'e.
n
Lot''
Bl
Subdi-
vision
,f
;_
.!;
V
,!
�
`��
'°` "
., r.
.� F J „r •
r 8
Sq. Ft
Amt. of
Permit
$ /' r-
N i ',
L
Value of
Project
$
MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
DATF
ELECTRICAL o
PLUMBING ❑ PERMIT N? 8986
ROOFING ❑
Owner of
Building_
Architect
Contracto
or Builder
Legal
Descriptic
Address
Work to be performed under this Permit
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 oe`s ecif fitions and that he assumes responsibility for work
done by his agents, servants or employees.
Signed • {. 7 J • BY
'INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
a F. UY
CONTRACTOR OR BUILDER
ID .
BY
Contractor's
License No.
C
AUTHORITY
195/
176
Permit N
Amount of Permit $ Z./ ‘9"1"
STATE OF FLORIDA, }
COUNTY OF DADE. ss.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
LICATION FOR ELECTRICAL PERMIT
/ ./7
n>
Application is a ade for the approval of the detailed statement of the plans and specifications he with submitted fo 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. �y @.--
Owner's Name and Address �/ 6 p L, ) No O �j 0 Ai' Street , q 2- ` s.
Registered Architect and /or Engineer / / ��
Employing Electrician's Name ,?c,� ./�� L 11L31-2-1 ......Noo Street
.2
Location and Legal Description Lot..0. /� . 6 -g' v i w &I. Subdivision ... ....... . ... •...... .
Street and Number where work is to be performed —No I .� � Street y-'" 4
State work to be performed and purpose of building (By Floors)
New Building 1.--- Remodeling Addition Repairs No. of Stories /
Overhead �,,�,�
Service Underground Size Feeders d b Conduit Main Sw...... Amps .1/— Main Fuses..../ • Amps
Type of Installation — Conduit Tubing V— B.X.L Metal Moulding
(Signed). 1.6..)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. J S
(Signed)
Notary Public, State of Florida
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.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
V D
�ci
7
2- 9'
/
/
/
/
I /
CHECK
ENT.
SW.
DIST. SERVICE
CAS..I`,� TEMP.
•AM.. 6 E�
SERVICE
PER
2
MOTORS
0.1 HP
MOTORS
145 HP
N EON
TRANS.
RADIO
TOTAL.
CONTR.
99 i
CHECK
Permit N
Amount of Permit $ Z./ ‘9"1"
STATE OF FLORIDA, }
COUNTY OF DADE. ss.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
LICATION FOR ELECTRICAL PERMIT
/ ./7
n>
Application is a ade for the approval of the detailed statement of the plans and specifications he with submitted fo 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. �y @.--
Owner's Name and Address �/ 6 p L, ) No O �j 0 Ai' Street , q 2- ` s.
Registered Architect and /or Engineer / / ��
Employing Electrician's Name ,?c,� ./�� L 11L31-2-1 ......Noo Street
.2
Location and Legal Description Lot..0. /� . 6 -g' v i w &I. Subdivision ... ....... . ... •...... .
Street and Number where work is to be performed —No I .� � Street y-'" 4
State work to be performed and purpose of building (By Floors)
New Building 1.--- Remodeling Addition Repairs No. of Stories /
Overhead �,,�,�
Service Underground Size Feeders d b Conduit Main Sw...... Amps .1/— Main Fuses..../ • Amps
Type of Installation — Conduit Tubing V— B.X.L Metal Moulding
(Signed). 1.6..)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. J S
(Signed)
Notary Public, State of Florida
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.
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
ROOFING
Owner of _
Building 41. k" 4-4 1
Architect
Contractor
or Builder
Legal
Description
Address of
Building
In consideration of the issuance to me
pertaining thereto and in strict conformity with
cepting this permit--I assume < responsibility for
MIAMI SHORES VILLAGE. FLORIDA
PERMIT T° 3036
0
Lot _
f0
CONTRACTOR OR BUILDER
l/i:= 4.. 5 e,,,e)
Work to be performed under this Permit
Signed• f4 f /4/
° _
INSPECTOR
BY
Subdi-
vision 4-i' 7 (ft
Value of
Project $
all work done by either,- myself, my agent, servant or employee.
}
DATE /-�, J $' 195
Contractor's Cy
License No.
1 �a9:U TL
Amount of
Permit $ 2 /0 '
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 cr in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
BY
of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
AUTHORITY e
Permit No r Date
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subfni ted 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 sr -e -4 ---
Registered Architect and /or Engineer
Employing Electrician's Name 6. M . . . 1 1 L,�•• i h�, , L M , •• ' . No.. 1 /1"e- Street i lk' le' l>
Location and Legal Description Lot Block Q� Subdivision
Street and Number where work is to be performed —No .......... ....��. �/$treet
State work to be performed and purpose of building, (By Floors)
New Building Remodeling Y 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 j
Amount of Permit $
STATE OF .FLORIDA, }
COUNTY OF DADE.
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
(Signed).
No L -.
Electrical Inspect°
The undersigned applicant for this building permit does hereby certify that he understands and accepts his '•bligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo • Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•co actors 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 t work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be » erformed under this permit, as are
licensed by Miami Shores Village.
Street ....N. ..0 ..
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 $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. H EAT.
CONN.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0.1 HP
MOTORS
1 -5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
.
/`l}
,/
/.
CHECK
Permit No r Date
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subfni ted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work
Owner's Name and Address sr -e -4 ---
Registered Architect and /or Engineer
Employing Electrician's Name 6. M . . . 1 1 L,�•• i h�, , L M , •• ' . No.. 1 /1"e- Street i lk' le' l>
Location and Legal Description Lot Block Q� Subdivision
Street and Number where work is to be performed —No .......... ....��. �/$treet
State work to be performed and purpose of building, (By Floors)
New Building Remodeling Y 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 j
Amount of Permit $
STATE OF .FLORIDA, }
COUNTY OF DADE.
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
(Signed).
No L -.
Electrical Inspect°
The undersigned applicant for this building permit does hereby certify that he understands and accepts his '•bligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo • Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•co actors 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 t work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be » erformed under this permit, as are
licensed by Miami Shores Village.
Street ....N. ..0 ..
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.
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 7 Y Date / C s
Application is hereby made for the approval of the detailed statement of the plans and specifications her ith su ttted 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... / � 4 - /�
cs /� •�/Y , N 0 Stree
Registered Architect and /or Engineer
Employing Electrician's Name .... A..Cl...44......�'-� . 4 No.... & Street. /;
Location and Legal Description Lot Block Subdivision /
Street and Number where work is to be performed —No /°3 G O Street ...l.Y �1 . 7 /
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati ions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. T �'
(Signed)
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'B
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
AC[
HE ATER
STRIP
HEATER
/ 0-4
,Sir AF
/
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
145 HP
NEON
TRANS.
RADIO
TOTAL
CL
LIST
CHECK
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 7 Y Date / C s
Application is hereby made for the approval of the detailed statement of the plans and specifications her ith su ttted 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... / � 4 - /�
cs /� •�/Y , N 0 Stree
Registered Architect and /or Engineer
Employing Electrician's Name .... A..Cl...44......�'-� . 4 No.... & Street. /;
Location and Legal Description Lot Block Subdivision /
Street and Number where work is to be performed —No /°3 G O Street ...l.Y �1 . 7 /
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati ions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. T �'
(Signed)
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.