30 NE 95 St• • t
JOB: AD:
•
•
BUILDING : •
: WORK
ELECTRICAL : \
: DONE BY: 1"
PLUMBING •
•
• : REQUESTED •
Inspector's Report:
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
i
The following is ready for Inspection: --
READY
JOB: AD:
BUILDING
ELECTRICAL :
PLUT/ BING
Inspector's Report: ..
•
: WORK
: DONE BY:
: REQUESTED
•
•
•
• :
The following is ready for Inspection: -
r e .
READY
Permit
Application is hereby made for the approval of the detailed statement of the plans and specifications herh 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 `
Registered Architect and /or Engineer ____.-
Employing Electrician's Name _____________._�__ No Street__
r ~ \• d
Location and Legal Description Lot I. Block
Street and Number where work is to be performed —No. Street
New Building.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMt
State work to be performed - and purpose of building (By Floors)
Service Overhead Size Feeders Conduit
Underground
Amount of Permit $ (Signed)
My Commission Expires
(Signed)
Remodeling Addition Repairs No. of Stories
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Street ______1
Subdivision____
Main Sw Amps. Le Cam___ Main Fuses. Amps.
��z
` � ''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 wo5k to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. as.
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.
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.
Master Electrican.
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
/t
/ . _.
/
f , .. j .
f
' L —
r `
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
r
r
CHECK
Permit
Application is hereby made for the approval of the detailed statement of the plans and specifications herh 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 `
Registered Architect and /or Engineer ____.-
Employing Electrician's Name _____________._�__ No Street__
r ~ \• d
Location and Legal Description Lot I. Block
Street and Number where work is to be performed —No. Street
New Building.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMt
State work to be performed - and purpose of building (By Floors)
Service Overhead Size Feeders Conduit
Underground
Amount of Permit $ (Signed)
My Commission Expires
(Signed)
Remodeling Addition Repairs No. of Stories
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Street ______1
Subdivision____
Main Sw Amps. Le Cam___ Main Fuses. Amps.
��z
` � ''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 wo5k to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. as.
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.
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.
Master Electrican.
•
•
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERM
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications here tw'th 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.
Permit
Owner's Name and Address No —_. Street
Registered Architect and /or Engineer __
Employing Electrician's Name
Location and Legal Description Lot Block Subdivision —____ __ ________________
Amount of Permit $
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
No Street
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
round Size Feeders Conduit Main Sw Amps. / / Main Fuses Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
(Signed)
(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 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
Master Electrican.
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
LI GHT
OUTLETS
PLUG
RECE' WT 8
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
b .
!
t
.•
. . - -
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
1,'
'
1
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERM
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications here tw'th 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.
Permit
Owner's Name and Address No —_. Street
Registered Architect and /or Engineer __
Employing Electrician's Name
Location and Legal Description Lot Block Subdivision —____ __ ________________
Amount of Permit $
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
No Street
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
round Size Feeders Conduit Main Sw Amps. / / Main Fuses Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
(Signed)
(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 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
Master Electrican.
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.
Owner's Name and Addriss
Registered Architect and /or Engineer
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No Date___ s ____
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.
2i -
Employing Plumber's Name
Location and Legal Description Lot 1 Block i Subdivision
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 No. of Stories
Size Septic Tank Type of Tank Capacity Gals .___.t_____ __ __________
____ -.__�
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
Amount of Permit $_ l - (Signed)
'No _ . Street
Plumbing Inspector.'
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob 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� --- --- - - - - -- - -+t
Master Plumber.
My Commission Expires Notary Public. State of Florida
i
Street-z- - -- — --
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.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER ,"
DEEP
WELL
SPRKLR.
SYSTEM
SWIM 'G
POOL
CONTR.
CHECK
Owner's Name and Addriss
Registered Architect and /or Engineer
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No Date___ s ____
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.
2i -
Employing Plumber's Name
Location and Legal Description Lot 1 Block i Subdivision
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 No. of Stories
Size Septic Tank Type of Tank Capacity Gals .___.t_____ __ __________
____ -.__�
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
Amount of Permit $_ l - (Signed)
'No _ . Street
Plumbing Inspector.'
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob 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� --- --- - - - - -- - -+t
Master Plumber.
My Commission Expires Notary Public. State of Florida
i
Street-z- - -- — --
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
Employing Electrician's Name
Date 44
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 5 Street l'
Registered Architect and /or Engineer
No._.. _ n (
Street
Location and Legal Description Lot Block Subdivision
n
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 J 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
Amount of Permit $ '�i (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 insp-ectio n 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 p t , s are
licensed by Miami Shores Village. �2`' �, a
STATE OF FLORIDA, 1
COUNTY OF DADE. 1
85.
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
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
-
TOTAL
CONTR.
LIST
4f
1
.'''
> „
CHECK
C'
/ ; _,
/ /, _,.
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RAD10
TOTAL
CONTR.
LIST
CHECK
Permit No.. .. . .�.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Employing Electrician's Name
Date 44
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 5 Street l'
Registered Architect and /or Engineer
No._.. _ n (
Street
Location and Legal Description Lot Block Subdivision
n
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 J 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
Amount of Permit $ '�i (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 insp-ectio n 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 p t , s are
licensed by Miami Shores Village. �2`' �, a
STATE OF FLORIDA, 1
COUNTY OF DADE. 1
85.
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No L
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date °' G - —
—
Application is hereby made for the approval of the detailed statement o f 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 / - 1
Owner's Name and Address__ . No._ _ ___ _____C ' &. • Street___9
Registered Architect and /or ti n I
Employing Electrician's Name 1_ -L--_ _ls(. -- �" = - -. .L _ - - - -- Street------- ______ __________ ________
- --
Block Subdivision
Location and Legal Description Lot
Street and Number where work is to be performed—No._ —___ Street__
State work to be performed and purpose of building (By Floors)
New Building j Remodeling Addition_______ ________________________Repairs No. of Stories
Service Overhead Size Feeders
Underground
Type of Installationduit?
STATE OF FLORIDA,
COUNTY OF DADE.
}
ss.
Conduit_ d
Main Sw._�
(Sign
Moul
t * Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he' understands and accepts his bl ations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida ermanent 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 p osted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be .erformed under this permit, as are
licensed by Miami Shores Village.
ps _ Main Fuses— L.•_? ___ _ ------Amps
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
Master Electrician.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
/.
-
�/
/
CHECK
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 L
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date °' G - —
—
Application is hereby made for the approval of the detailed statement o f 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 / - 1
Owner's Name and Address__ . No._ _ ___ _____C ' &. • Street___9
Registered Architect and /or ti n I
Employing Electrician's Name 1_ -L--_ _ls(. -- �" = - -. .L _ - - - -- Street------- ______ __________ ________
- --
Block Subdivision
Location and Legal Description Lot
Street and Number where work is to be performed—No._ —___ Street__
State work to be performed and purpose of building (By Floors)
New Building j Remodeling Addition_______ ________________________Repairs No. of Stories
Service Overhead Size Feeders
Underground
Type of Installationduit?
STATE OF FLORIDA,
COUNTY OF DADE.
}
ss.
Conduit_ d
Main Sw._�
(Sign
Moul
t * Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he' understands and accepts his bl ations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida ermanent 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 p osted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be .erformed under this permit, as are
licensed by Miami Shores Village.
ps _ Main Fuses— L.•_? ___ _ ------Amps
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
Master Electrician.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
`..
l�6 OSers
BATH
Tune
SHOWERS
LAVA.
Tomas
SINKS
BLOT
/SINKS
LAUNDRY
TUS•
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'S*
TOTAL
FIXTURE[
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
ePRKLR.
SYSTEM
SWIM'
POOL
Cowrie.
LIT
_ _
CHECK
Permit No /L
Size Septic Tank_
Feet of Drain Tile
—
Nature of Water Supply: C' —WdIL
Amount of Permit $
t
Si.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miand 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 En ' ear
Employing Plumber's Name Q
Location and Legal Description Lot.
Street and Number where work is to be performed —No 7 Y
State work to be perfcrnt6 and purpose of building (By Floors ) _ __
New Building.___--- - - - - -- - -- Remodeling— ______ ____ Addition._ — R
s /vie
;
Subdivision._ —�� 1 roZe
Type of Tan[
Dist. Feet of Tank or Drain Field from Well._._____._______._____________
Size of a Pit...
Date- ._l _______
No. of Stories J
Plumbing 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 5988, Compiled General Laws of Florida Permanent Supplement, and hay 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 undersigned agrees to employ only such subcontractors, work to be perf , , , under this mit, its are
AI
licensed by Miami Shores Village. 7
(Signed) ' �A f
gn ,�.`f(✓�'��
Master Plumber.
rs's -6/22
STATE OF FLORIDA, 1
COUNTY OF DADE.
Before me, the undersigned authority, u notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that be 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.
Iffy Oommissicn E:piras Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made whoa such trispeadas !s weds ascessary by tramper notice for inspection, at faulty
materials and /er work:moship.
5r-
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTL:"
IRON
OUTLET
RANCE
OUTLET
RANGE
CONN.
WATER
HEATER
W. Hr AT.
CONN.
SPACE
HE . ER
STRIP
HEATED
('j' '
1� L
% TOTAL
CCONTR
0
CH "' -ce
S
ENT.
SW.
DIST.
CAB.
SERVICE
TL:. P.
SERVIC"
PERM.
iii O CO. ".;
0.1 HP
.'.. JTORS
1-5 HP
NECN
TRANC.
RADIO
TOTAL
CON :R.
LIST
CHECK
'( /
Type if Installation — Conduit Tubi.ig.... B.X.L
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. I as.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No v 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 pules 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 worJ
4,, S r:' �a r
Owner's Name and Address v ;,...,.- -. k� No .L Street V.G... i ,'
9
Registered Architect and /or Engineer ... , ...�
I / /ap 9 � "
.(? i
Employing Electrician's Name.. . l�.!!! 47. ' , ��J C - No. ? P ��� Street., (-
Location and Legal Description Lot Block , Subdivision
Street and Number where work is to be performed —No -c CI Street t.
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders _U..-� Conduit Main Sw. - Amps Main Fuses Amps
Underground
(Signed)...6.-
Metal Moulding
lectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o, i' .'ions as an employer of
labor under the alorida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida ermanent 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 sub-contractors, on work to beperformed under this permit, as are
licensed by Miami Shores Village. / e
(Signed) '
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, a.,d 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 o
Building
Architect
Contract
or Builde
Legal
Descripti
Address
Building
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 1002
Work to be performed under this Permit
DATF
�r.
ontractor s
License No.
r --
194L
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. / / r '
r $ ti •
Signed• r f ; ' 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 ssume responsibility for all work done by either myself, my agent, servant or employee.
BY AUTHORITY
x
t
i r
er s
r
iit. j-
3n
Lo vi { t
l
f
--
1 _
`-
Bl.
'+
J
f'
Subdi-
vi s i on
Value of
Project
j /
l
Amt. of
Permit
t ,.
..,�.
Af
BUILDING
ELECTRICAL
PLUMBING
Owner o
Building
Architect
Contract
or Builde
Legal
Descripti
Address
Building
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 1002
Work to be performed under this Permit
DATF
�r.
ontractor s
License No.
r --
194L
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. / / r '
r $ ti •
Signed• r f ; ' 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 ssume responsibility for all work done by either myself, my agent, servant or employee.
BY AUTHORITY