489 NE 95 St (2)Street and Number where work is to be performed —No.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Q `� Date__ — .�_ . — ._�L_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. '��f''
Owner's Name and Address________ C ! _L _Street
Registered Architect and /or En gia r_________�
Employing Electrician's Name_ __.__ — ^ � c'� � No._ Street_
Location and Legal Description t 2 �' - -+ t- V Block
t_ _Street____ - --.
State work to be performed and purpose of bhilding (By. Floors)_ ______ ____ ____� !_✓_'_____
New Building — _Remodeling Addition_
Service Overhead Si
Underground ze Feeders Conduit
Type of Installation — Conduit_---- ._ Metal Moulding_
Amount of Permit $ -_1 ' 9-1 (Signed)_
STATE OF FLORIDA,
COUNTY OF DADE.
}
ss.
Before me, the undersigned authority,
appeared_ — — — — — -- — —
Subdivision S
__Repairs No. of Stories_____
Main Sw._ —_ - -- Amps•---- _-- -___ -- -Main Fuses__ — __________.__Amps
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify .th� understands and accepts hi /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 erjrmed un this permit, as are
licensed by Miami Shores Village.
(Signed) Vl - 1 ,7•. -le"" 1
M er Electrician.
e.
a notary public, duly authorized to administer oaths and take acknowledgments, personally
to me well known, and who, being by me firs 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 I
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.
Notary Public, State of Florida
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
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Street and Number where work is to be performed —No.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Q `� Date__ — .�_ . — ._�L_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. '��f''
Owner's Name and Address________ C ! _L _Street
Registered Architect and /or En gia r_________�
Employing Electrician's Name_ __.__ — ^ � c'� � No._ Street_
Location and Legal Description t 2 �' - -+ t- V Block
t_ _Street____ - --.
State work to be performed and purpose of bhilding (By. Floors)_ ______ ____ ____� !_✓_'_____
New Building — _Remodeling Addition_
Service Overhead Si
Underground ze Feeders Conduit
Type of Installation — Conduit_---- ._ Metal Moulding_
Amount of Permit $ -_1 ' 9-1 (Signed)_
STATE OF FLORIDA,
COUNTY OF DADE.
}
ss.
Before me, the undersigned authority,
appeared_ — — — — — -- — —
Subdivision S
__Repairs No. of Stories_____
Main Sw._ —_ - -- Amps•---- _-- -___ -- -Main Fuses__ — __________.__Amps
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify .th� understands and accepts hi /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 erjrmed un this permit, as are
licensed by Miami Shores Village.
(Signed) Vl - 1 ,7•. -le"" 1
M er Electrician.
e.
a notary public, duly authorized to administer oaths and take acknowledgments, personally
to me well known, and who, being by me firs 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 I
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.
Notary Public, State of Florida
Permit No.___ 7-
Application is hereby made for the approval of the detailed statement o f the plans and specifications herewibmitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordina 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 th, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address_.
Registered Architect and /or Engineer_.__- -
Employing Electrician's Name_
Location and Legal Description Lot____.
Amount of Permit $___ S-�
STATE OF FLORIDA,
COUNTY OF DADE.
}
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
s
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__
Servi Overhead Size Feeders
Underground
Type of Installation — Conduit_ ...... ________.Tubing Lei __._B.X.L._.._..________ -Metal Moulding
No— -- Li - - -- Street_
(Signed) _
No. ? __. -g _._.__Street__ -(_��__ _7 _I_
Block 6 11 Subdivision__ _ __S__
Street__
r
Date._
Repairs No. of Stories___.._._._......
/ f
Conduit_ I .2..__._Main Sw.___ __:r J Amps Main Fuses___ __-_.Amps
trical Inspector.
The undersigned applicant for this building permit does hereby certify that he /derstands and accepts his obligga as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Com General Laws of Florida Pe nent 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; an 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 -co actors, on wor to be .erformed 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, 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.
Master Electrician. .
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
7f 7.--
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
$TRIP
HEATER
TOTAL
LIST
(
1
1
1
)
9 ---,
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0 -1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CL
LIST
/ U V
/ ^
/ /t 0
V
CHECK
it
Permit No.___ 7-
Application is hereby made for the approval of the detailed statement o f the plans and specifications herewibmitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordina 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 th, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address_.
Registered Architect and /or Engineer_.__- -
Employing Electrician's Name_
Location and Legal Description Lot____.
Amount of Permit $___ S-�
STATE OF FLORIDA,
COUNTY OF DADE.
}
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
s
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__
Servi Overhead Size Feeders
Underground
Type of Installation — Conduit_ ...... ________.Tubing Lei __._B.X.L._.._..________ -Metal Moulding
No— -- Li - - -- Street_
(Signed) _
No. ? __. -g _._.__Street__ -(_��__ _7 _I_
Block 6 11 Subdivision__ _ __S__
Street__
r
Date._
Repairs No. of Stories___.._._._......
/ f
Conduit_ I .2..__._Main Sw.___ __:r J Amps Main Fuses___ __-_.Amps
trical Inspector.
The undersigned applicant for this building permit does hereby certify that he /derstands and accepts his obligga as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Com General Laws of Florida Pe nent 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; an 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 -co actors, on wor to be .erformed 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, 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.
Master Electrician. .
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.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No !> Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for tie 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 an
building during progress of work.
Owner's Name and Address
Registered Architect and /or
Employing Electrician's Name
Location and Legal Description
Street and Number where work
State work to be performed and
New Building
68.
gineer ._.....
Lot
MIAMI SHORES VILLAGE
028 �.
i be performed—No
No '/ 9 Street
No 6 Street
Street
s to a per orme —No
purpose of building (By Floors)
Remodeling Ad Bete .... . efirei>1(/
Service Overhead Size Feeders Conduit Main Sw
Underground
Type of Installation — Conduit Tubing B.X.L
Amount of Permit =r..f (Signed)
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Sectipn 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the si
as are required by the Act. The undersigned agrees to employ only such subcontractors, on
licensed by Miami Shores Village.
(Signed)
STATE OP FLORIDA, 'l
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized
appeared
Block tr-49
Subdivision. ,X
/t'/ 6. .,
Amps Main Fuses Amps
Metal Moulding
to administer oaths and take
Electrical Inspector.
Mas er Electrician.
il—
ea Qe
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
sub-contractors employed by him in the
of the work such pub!' ice or notices
erformed un , as are
acknowledgments, personally
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.
ACE
H ATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No !> Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for tie 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 an
building during progress of work.
Owner's Name and Address
Registered Architect and /or
Employing Electrician's Name
Location and Legal Description
Street and Number where work
State work to be performed and
New Building
68.
gineer ._.....
Lot
MIAMI SHORES VILLAGE
028 �.
i be performed—No
No '/ 9 Street
No 6 Street
Street
s to a per orme —No
purpose of building (By Floors)
Remodeling Ad Bete .... . efirei>1(/
Service Overhead Size Feeders Conduit Main Sw
Underground
Type of Installation — Conduit Tubing B.X.L
Amount of Permit =r..f (Signed)
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Sectipn 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the si
as are required by the Act. The undersigned agrees to employ only such subcontractors, on
licensed by Miami Shores Village.
(Signed)
STATE OP FLORIDA, 'l
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized
appeared
Block tr-49
Subdivision. ,X
/t'/ 6. .,
Amps Main Fuses Amps
Metal Moulding
to administer oaths and take
Electrical Inspector.
Mas er Electrician.
il—
ea Qe
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
sub-contractors employed by him in the
of the work such pub!' ice or notices
erformed un , as are
acknowledgments, personally
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of ``
Building 7 1
This permit is granted to the await
cation herefor in strict compliance with III
plans, drawings statements or sp - u
at any time if the work is not done in
permit is granted is the understanding
regulations pertaining to the work oovsd
sibility for work done by his agents, aervents
Lot
In consider of thin'
ertaining them i t
CONTRA
Wart
J l
MI SHORES VIL.LIAGE*, FLORIDA
IT N°
8751
ed under this Pertnit
Subdi-
vision
DATE
19141
Coil or's
Lice rise No.
(4?
I
L alue of
70jBCt
r builder named above to constru t the building or to install the e
pertaining thereto and with Ithe understanding that the work
have been submituid to and proved by the proper moni
such ordinances or if the p ns are changed
or builder named above assumes the
whether shown on the plans wings :t
ove as.
Signed.
orities. This Permit may be revoked
without authorization. A further condition upon which this
onsibility for a thoro lino of the oidiosmces and
le stat t91 sp- "• y that he amen respon,
CT
nn th 1 irk ,eovered hereunder In .11
i ts . spar aicatlons submitted to proper authorities
e or employee.
Amt. of
Permit
ntent or device described is the applfl'
e performed in compliance with any
IV I
or kidder named abov od
ny ,, there .<:d
have . era submitt
such ordinances o
aon tmotor or builder named
y ether shown on the plans
emp1
Val' a of
Pro
UILDING
LECTRICAL •
LUMBING
iwner of
uilding
rehitect
Ionia-actor
r Builder
,egal /Lot
inscription
uilding
PE
fork
In consideration of th
g thereto and in strict
ting this perRit I assure
ddress of 3r
This permit is granted to the
ation herefor in strict compliance with ally;
lens, drawings, statements or specifications
t any time if the work is not done in
ermit is granted is the understanding that di
- on1ations pertaining to the work covered .
talky for work done by his agents, servants
1 SHORES V L.AGC, FLORID
tI
DATE
T N9 85
is Perin i
Cootraetor'e
No.
0
install the equipment or device de tibed'in the appli-
at the work will be performed in oompllaaoe with any
osier municipal authors. This Permit may be revoked
out authorization. A farther condition upon which this
onsibility for .. ,r, .,t knowledge of the ordinances and
is or ipe "cations and di he assumes respon-
OR
vered hereunder in compliance with all or
n ations submitted to the proper authorities
t, servant or employee.
7
II Amt, t
Permit
14
I ,
II