170 NE 94 St (6)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
Type Insp'n r '�1.b
Permit No. eL
Name
Sfr
Address
Company
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
(Ifei 15°, 24/ ! :h my
��-k i a IAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date / �
Type Insp'n
- 1.yf E
i
Permit No. L 04
Name
Address
Company
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
17 0 it‘) c(, -
2�1
BUILDING ❑
ELECTRICA
PLUMBING v ❑
ROOFING ❑
Owner of
Building
/ 7
CONTRACTOR or BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 9223
Architect
Contractor
or Builder
Legal Lat
Description
Address of
Building
Date ;!'
19 -'i
Contractor's
License No.
Work to be performed under this Permit
Subdi-
vision
Sq. Ft.
Value of II Amount of
Project $ II 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) BY
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
BUILDING ❑
ELECTRICAL ,
PLUMBING ❑ PERMIT N? 9350
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Lat
Address of
Building
CONTRACTOR or BUILDER
MIAMI SHORES VILLAGE, FLORI A
Work to be performed under this Permit
11 BI
l
Date
Contractor's
License No.
Subdi-
vision
Sq Ft
Value of I Amount of
Project $ II Permit $
BY AUTHORITY
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 ho assumes respon-
sibility for work done by his agents, servants or employees.
Signed (INSPE.CTOR) BY
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.
"2'
APPLLUCATl N FoR CLf CTRDCAL FIEQMDT
Permit No.......c� � Date ....U.�° 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. /J /�
Owner's Name and Address .... �.r lf. Al
r .v
Registered Architect and /or Engineer -U .�.__. , /� f� 331a Employing Electrician's Name L_ .6..NC.r e g,, No U D 0 Street.a �"
Location and Legal Description Lot Block-.. . .. Subdivisi.t'�.J( 1.R //��yy e• , G�
Street and Number where work is to be performed —No /l '_.�..... . e 1 Stred v a
State work to be perform U
n � d and purpose of building (By Floors)
New Building V Remodeling Addition Repairs No. of Stories
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
HA
SS.
WAME1 SHFORES VDLLAME
ELECTRICAL INSPECTION DEPARTMENT
0
o s "1/ No .40 Street • o ✓� !/.o
Service Overhead Site Feeders Conduit taiinweis D o0
Type of Installation —Condu � , rd4,ag B.X.L
00 Ref°J
(Signed)
(Signed)....
.Metal Moulding..
Notary Public, State of Florida
Amps
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accept 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 sub - contractors, )on work to be performed ee this permit, as 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 \ � 1� = � V�! pp--
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .l�.:. �--1- -Ir
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.
Notary Public, State of Florida at Large
'M Commission Expires Feb. 9, 1968
p�q mnc J0• EatedlY -L:•
Bo`I�R� CAmemisston xpires
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
WO
REFRIG.
OU LET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
..PLACE
:•4. e
1
TOTAL
CONTR.
LIST
' <
(2V
/ T
V /n
_I_
� ° 'Ct-t
--/�—
tlO IN 0
D
9t
--f�
CHECK
. /� '�!
'�
og
/ ® �{ %
/o ®o
p ib8'0
[[[iii.._
, ®c
/. io 0
p ,
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
6 6RS
1 -5 HP
•
&
i e,
` .l 7'QrY
NEON
TRANS.
RADIO
TOTAL
- - - -�
CONTR.
LIST
a
Y 1n'd
CHECK
"2'
APPLLUCATl N FoR CLf CTRDCAL FIEQMDT
Permit No.......c� � Date ....U.�° 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. /J /�
Owner's Name and Address .... �.r lf. Al
r .v
Registered Architect and /or Engineer -U .�.__. , /� f� 331a Employing Electrician's Name L_ .6..NC.r e g,, No U D 0 Street.a �"
Location and Legal Description Lot Block-.. . .. Subdivisi.t'�.J( 1.R //��yy e• , G�
Street and Number where work is to be performed —No /l '_.�..... . e 1 Stred v a
State work to be perform U
n � d and purpose of building (By Floors)
New Building V Remodeling Addition Repairs No. of Stories
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
HA
SS.
WAME1 SHFORES VDLLAME
ELECTRICAL INSPECTION DEPARTMENT
0
o s "1/ No .40 Street • o ✓� !/.o
Service Overhead Site Feeders Conduit taiinweis D o0
Type of Installation —Condu � , rd4,ag B.X.L
00 Ref°J
(Signed)
(Signed)....
.Metal Moulding..
Notary Public, State of Florida
Amps
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accept 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 sub - contractors, )on work to be performed ee this permit, as 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 \ � 1� = � V�! pp--
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .l�.:. �--1- -Ir
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.
Notary Public, State of Florida at Large
'M Commission Expires Feb. 9, 1968
p�q mnc J0• EatedlY -L:•
Bo`I�R� CAmemisston xpires
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 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. /� / � l
Owner's Name and Address.... / / ! -/—MV No /6o 4 Street � K
Registered Architect and /or Engineer r U b
Employing Electrician's Name / 0 / E v8 E-C .I'> (.
Location and Legal Description Lot
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE
ss.
APPLII ATQ Nl IFoR ELECTEHCAL PLEG°3MDT
IOQMO SH o'R S VOLLAGE
ELECTRIC L INSPECTION DEPARTMENT
7
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
6
Date
!6r- 6 7
/4 No.... /L2 .I Street. &J..I 6 ? 5L
Block Subdivision a� /` ' SR�
Street
-- / 77
New Building Remodeling Addition Repairs No. of Stories l
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation -- Conduit L/ Tubini... 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 un f yKis peitrtit, as are
licensed by Miami Shores Village.
Master Electrician.
o d
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. LAMF'S
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEA fER
STRIP
HEATER
TOTAL
CONTR.
LIST
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
-3 O
Permit No ,2 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. /� / � l
Owner's Name and Address.... / / ! -/—MV No /6o 4 Street � K
Registered Architect and /or Engineer r U b
Employing Electrician's Name / 0 / E v8 E-C .I'> (.
Location and Legal Description Lot
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE
ss.
APPLII ATQ Nl IFoR ELECTEHCAL PLEG°3MDT
IOQMO SH o'R S VOLLAGE
ELECTRIC L INSPECTION DEPARTMENT
7
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
6
Date
!6r- 6 7
/4 No.... /L2 .I Street. &J..I 6 ? 5L
Block Subdivision a� /` ' SR�
Street
-- / 77
New Building Remodeling Addition Repairs No. of Stories l
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation -- Conduit L/ Tubini... 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 un f yKis peitrtit, as are
licensed by Miami Shores Village.
Master Electrician.
o d
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.