ELECTRICALBUILDING ❑
ELECTRICAL ® PERMIT N? PLUMBING ❑ N. 9 2 3 5
ROOFING ❑
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Lot
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 he plans or drawings or in the statements or specificatiglis'and that he assumes responsibility for work
done by his agents, servants or employees. ! 1
Signed
..../1...o _:. ..,,,. r ./ ,,..,, w
INSPECTOR /
In consideration of the issuance to me of this permit I agree to perform the work covere/ hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specificationV 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.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
BL
T
Subdi-
vision
BY
DATE
Sq. Ft
Value of
Project $
4 ..
195
Contractor's
License No
ti
Amt. of
Permit
AUTHORITY
7
Permit No _� 5 .
Application is hereby made for the approval of the detailed statement o f the plans and specifications herewith , ibmitted 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 Enginee
Employing Electrician's Name__
Location and Legal Description Lot V
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling
STATE OF FLORIDA,
COUNTY OF DADE.
j
APPLICATI m N FOR ELECTRICAL PERMIT
ss.
NOTE: A re- inspection fee of $1.00 will be
materials and /or workmanship.
M IAM I SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Service Overhead Size Feeders Con�uit Main Sw Amps Main Fuses ___Amps
Underground
Type of Installation — Conduit_ Tubing B.X.L. Metal Moulding
Amount of Permit $ - -,r ei-73 — — — — — — — — — — — (Signed)41111,
e9trical Inspector.
The undersigned applicant for this building p mit does hereby certify that derstands and accepts his obli;0' ons as an employer of
labor under the Florida Workmen's Compensation ct, being Section 5966, Co . d General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and wiI 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 agree to employ only such sub - contra n work to • - perfor 1 -d under this permit, as are
licensed by Miami Shores Village. ■
No._ )
Block
Addition .J repairs No. of Stories
( Sign
Date.___
No._. 0 7 40 L__$ i Street
My Commission Expires Notary Public, State of Florida
Subdivision
Street
ster Electrician.
Before me, the undersigned authority, a notary public, duly a uthorized 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.
made when such re- inspection is made necessary by improper notice for inspection, or faulty
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
RE RIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
J • 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 _� 5 .
Application is hereby made for the approval of the detailed statement o f the plans and specifications herewith , ibmitted 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 Enginee
Employing Electrician's Name__
Location and Legal Description Lot V
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling
STATE OF FLORIDA,
COUNTY OF DADE.
j
APPLICATI m N FOR ELECTRICAL PERMIT
ss.
NOTE: A re- inspection fee of $1.00 will be
materials and /or workmanship.
M IAM I SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Service Overhead Size Feeders Con�uit Main Sw Amps Main Fuses ___Amps
Underground
Type of Installation — Conduit_ Tubing B.X.L. Metal Moulding
Amount of Permit $ - -,r ei-73 — — — — — — — — — — — (Signed)41111,
e9trical Inspector.
The undersigned applicant for this building p mit does hereby certify that derstands and accepts his obli;0' ons as an employer of
labor under the Florida Workmen's Compensation ct, being Section 5966, Co . d General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and wiI 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 agree to employ only such sub - contra n work to • - perfor 1 -d under this permit, as are
licensed by Miami Shores Village. ■
No._ )
Block
Addition .J repairs No. of Stories
( Sign
Date.___
No._. 0 7 40 L__$ i Street
My Commission Expires Notary Public, State of Florida
Subdivision
Street
ster Electrician.
Before me, the undersigned authority, a notary public, duly a uthorized 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.
made when such re- inspection is made necessary by improper notice for inspection, or faulty
Permit No
Location and Legal Description Lot
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub tted 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 r ? `�_i•3r_ ,� ' / No. 3 Z_ Street_ Z ' ( "J _____ �J f �
Registered Architect and /or Engin et. _____
1.;
Employing Electrician's Nam �!�� ! w_ _ . No.__ r Street
___ ____Block Subdivisigp--- ______ —
Street and Number where work is to be erformed —No. Street f �J___ - '�"""'
P ,,,,2 -& _ _ -�_ -- _ -� --
State work to be erformed and purpose of building // ` =* � F•
P P P g (By Floors) - -- - LC.-1_I__ <. � � ;� ' , r! � .,.i .>G„j�''P��,.
New Building" Remodeling � Addition Repairs
(Signed)
(Signed) __________
Date
Notary Public. State of Florida
No. of Stories_____________
Service
Overhead
round d Size Feeders 3 - 4 Conduit___J Main Sw . 0 Amps. __— ______ —____ Main Fuses Amps.
Type of Installation— Conduit Tubing_ ___X B.X.L. Metal Moulding
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 pe y rmed under this permit, as are
licensed by Miami Shores Village.
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
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECCE•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
Cie
r
"J
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
) ,..04 6 .
•
/w,
(�♦
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
Location and Legal Description Lot
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub tted 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 r ? `�_i•3r_ ,� ' / No. 3 Z_ Street_ Z ' ( "J _____ �J f �
Registered Architect and /or Engin et. _____
1.;
Employing Electrician's Nam �!�� ! w_ _ . No.__ r Street
___ ____Block Subdivisigp--- ______ —
Street and Number where work is to be erformed —No. Street f �J___ - '�"""'
P ,,,,2 -& _ _ -�_ -- _ -� --
State work to be erformed and purpose of building // ` =* � F•
P P P g (By Floors) - -- - LC.-1_I__ <. � � ;� ' , r! � .,.i .>G„j�''P��,.
New Building" Remodeling � Addition Repairs
(Signed)
(Signed) __________
Date
Notary Public. State of Florida
No. of Stories_____________
Service
Overhead
round d Size Feeders 3 - 4 Conduit___J Main Sw . 0 Amps. __— ______ —____ Main Fuses Amps.
Type of Installation— Conduit Tubing_ ___X B.X.L. Metal Moulding
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 pe y rmed under this permit, as are
licensed by Miami Shores Village.
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
materials and /or workmanship.
JOB:
BUILDING
PLUMBING
•
ELECTRICAL -
•
•
•
•
The following is ready for Inspection:
Inspector's Report:
•
•
•
•
•
WORK
• DONE BY:
REQUESTED
•• • •
-
•
•
•
••
• ••
• • • •
•
AD:
C r,d.
� i•
2 '
•
: WILL BE READY
Permit
Application is hereby made for the approval of the detailed statement
structure herein described. This application is made in compliance and
and all provisions of the Laws of the State of Florida, all ordinances of
of Miami Shores Village shall be complied with, whether herein spe
building during progress of work.
Owner's Name and Address j /
Registered Architect and /or Engineer
.
Employing Electrician's Name
Location and Legal Description Lot__
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Remodeling
New Building
Amount of Permit $
APPLICATION FOR ELECTRICAL PERMIT
Service Overhead ✓ , _ _ ,_ - I±
Underground
STATE OF FLORIDA, t
COUNTY OF DADE.
ss.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
of the plans and specifications herewith submitted for the building or other
conformity with the Building Ordinance of Miami Shores Village, Florida,
Miami Shores Village and all rules and regulations of the Building Division
cified or not. A copy of approved plans and specifications must be kept at
1 .^ ` /_ !
No / Street f"
No.
Block
Street
Addition
Main Sw 10 Amps.
(Signed) ----- - - - - -- --
ri / / /
Date
,r-
1
Street -- _-- - -- -- — - - -- - - =
Repairs —___ No. of Stories
Type of Installation— Conduit Tubing_ f-"' 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 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 pe armed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly
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.
authorized to administer oaths and take acknowledgments, personally
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.
Main Fuses Amps.
Master Electrican.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P
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.
DIET.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
a- _
MOTORS
O -I HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
P�
V6
CHECK
Permit
Application is hereby made for the approval of the detailed statement
structure herein described. This application is made in compliance and
and all provisions of the Laws of the State of Florida, all ordinances of
of Miami Shores Village shall be complied with, whether herein spe
building during progress of work.
Owner's Name and Address j /
Registered Architect and /or Engineer
.
Employing Electrician's Name
Location and Legal Description Lot__
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Remodeling
New Building
Amount of Permit $
APPLICATION FOR ELECTRICAL PERMIT
Service Overhead ✓ , _ _ ,_ - I±
Underground
STATE OF FLORIDA, t
COUNTY OF DADE.
ss.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
of the plans and specifications herewith submitted for the building or other
conformity with the Building Ordinance of Miami Shores Village, Florida,
Miami Shores Village and all rules and regulations of the Building Division
cified or not. A copy of approved plans and specifications must be kept at
1 .^ ` /_ !
No / Street f"
No.
Block
Street
Addition
Main Sw 10 Amps.
(Signed) ----- - - - - -- --
ri / / /
Date
,r-
1
Street -- _-- - -- -- — - - -- - - =
Repairs —___ No. of Stories
Type of Installation— Conduit Tubing_ f-"' 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 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 pe armed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly
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.
authorized to administer oaths and take acknowledgments, personally
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.
Main Fuses Amps.
Master Electrican.
Permit No
c p 0
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
3-1 Date 1 .lJan 6 5
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 George Jfo rr i s o n
Registered Architect and /or Engineer
Employing Electrician's Name Jones Elec. e C . Se rv. � Inc . N.149 M7 71st S H eet 2. L,
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
Amount of Permit $
J %✓ Q. et .. � _ Z - '/• / 11°3
. Overhead � ICC Underground Size Feeders Conduit Main Sw Amps Main Fuca Amps
of Installation— Conduit Tubing B.X.L
O 40 4 I ti� Esc r t > { � /-
Addition Repairs No. of Stories
(Signed)
T. I,/ . ....I L o "'est
Elect ' : ' Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of
labor under the Florida Workmen's Compensation Act, being Section 3966, Compiled General Laws of Florida Perman Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors em. • ed 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 under this permit, as are
licensed by Miami Shores Village.
No3 Jam'' 95t •
.Metal Moulding
S td e
44 7 - 4" - c --.1
Muter Electrician.
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, 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•inspcction 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
REPRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACC
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
Sw.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
P RM.
MOTORS
O. HP
MOTORS
1.S HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
J. fY nl
CHECK
Permit No
c p 0
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
3-1 Date 1 .lJan 6 5
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 George Jfo rr i s o n
Registered Architect and /or Engineer
Employing Electrician's Name Jones Elec. e C . Se rv. � Inc . N.149 M7 71st S H eet 2. L,
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
Amount of Permit $
J %✓ Q. et .. � _ Z - '/• / 11°3
. Overhead � ICC Underground Size Feeders Conduit Main Sw Amps Main Fuca Amps
of Installation— Conduit Tubing B.X.L
O 40 4 I ti� Esc r t > { � /-
Addition Repairs No. of Stories
(Signed)
T. I,/ . ....I L o "'est
Elect ' : ' Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of
labor under the Florida Workmen's Compensation Act, being Section 3966, Compiled General Laws of Florida Perman Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors em. • ed 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 under this permit, as are
licensed by Miami Shores Village.
No3 Jam'' 95t •
.Metal Moulding
S td e
44 7 - 4" - c --.1
Muter Electrician.
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, 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•inspcction 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.
kidresit of
Caetraator
or Builder
Legal
MIAMI SHORES VILLAGE, FLORIDA .�
❑ DATE ! • 1 r 19
Z PERMIT N9 6037 Contractor's _
❑ License No 7 *' 7 `?
❑ Work to be performed under this Permi
Owner of
Building - 4� , o. * C 4D rr, ', o • ,C . ..)e. (s>n k. 0.-
Architect z r C - C. 4) _ .
J Contractor
or Builder • , - = 1' a �' C' s C t Q
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Legal Lot
11 B1 Subdi Description vision
rJ
Building d � of ` Value of 1 Amount of
•
/'� J Project $ Permit $
This permit is grant d 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 statementspr specificatio . and that h ssumes respon-
sibility for work done by his agents, servants or employees. f j
Signed �Ll— f I t . / PECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance all ordinances and re • tions
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autho s of Miami Shores Village. In as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. f /
1y CONTRACTOR OR BUILDER
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.
�1e
Owner's Name and Address No V Street.. F....!
Registered Architect and /or Engineer , a
Employing Electrician's Name 4 `` �..a.L...� ' � No y' Street.,ts...e�_i
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date
Amount of Permit $
55.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
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 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 accept* his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of ' orida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or 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.
(Signed) 1 1 ,
Notary Public, State of Florida
Master Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE. I
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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIS
/ ST.,
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•B HP
NEON
TRANS.
RADIO
TOTAL.
CONTR.
LIST
CHECK
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.
�1e
Owner's Name and Address No V Street.. F....!
Registered Architect and /or Engineer , a
Employing Electrician's Name 4 `` �..a.L...� ' � No y' Street.,ts...e�_i
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date
Amount of Permit $
55.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
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 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 accept* his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of ' orida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or 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.
(Signed) 1 1 ,
Notary Public, State of Florida
Master Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE. I
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.
Contractor
or Builder , / «• >'�°
Legal
Description
Address of
Building
This permit is grant : < fo the con
application herefor in strict compliance wish
with any plans, drawings, statements or y '_
be revoked at any time if the work is not don • in
upon which this permit is granted is the undersmn
the ordinances and reguladons ertdning tts wa
that he assumes responsibility for work dolls hi
this e
With
4
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
PE
&to be
-- ' { ', ziba
Lot
In consideration of the issuance to ma
clone pertaining thereto and in strict. con
Village. In accepting this patmit I sue;
MI MI SHORES VILLAGE, FLORIDA
DATE
Contractor's
License No.
N? 2461
ed un der this Permit
Subdi-
vision
Value of
Project
AMC. of 1� r
Permit I ' J ....'"
or bu er oa®aed ove to construct the building or to install the equipment or device described in the
ordinances pertaining thereto and with the understanding that the work will be performed in compliance
that may have been submitted co and approved by the proper municipal authorities. This Permit may
plianee with such ordinances or if the plans are changed without authorization. A further condition
that the contractor or builder named above assumes the responsibility for a thorough knowkdes of
covered hereby whether shown on the plans or drawings or in the statements or specifications and
AUTHORITY
1941
es, servants or employees. ,
4 1 INSPECTOR
1 agree to _perform the work covered hereunder in compliance with all ordina and regale.
wings, statements or specifications submitted to the proper authorities of Miami Shores i {
k done by either myself, my agent, servant or employee.
NO.
STREET
PART OF LOT
LOT
BL'K
TOWN, ADDITION, OR SUBDIVISION
Signs
Billboards
Other Apparatus
II
Permit Fee
3 y
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters'
Signs
Billboards
Other Apparatus
Permit Fee
3 y
1c
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises
during the construction.
Owner of Building .... ...41440. .6 ....1
Contractor or Electrician.... ,..
Dated , 192
:TINO CO., MIAMI, FLA.
Town of Miami ,Shores
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores, Florida,... { , L,l,s
PROPOSED LOCATION
NUMBER OF
DESCRIPTION OF WORK
N 119
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of the Town of Miami Shores and the rules and regulations of the Electrical Department of the Town of Miami Shores. This Permit may be revoked at
any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specification unau-
thorized by this Department.
, El+ectritial Inspector.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree t o the proposed construction in strict conformity with
Application and the plans and specifications ',thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of th'
of Florida, all the Electrical Ordinances and Codes of the Town of Miami Shores, d awl ru es and regulations of the Electrical Department o .
n of Miami Shores.
/ (Seal
,y.