758 NE 95 St (2)BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect ; .,' /► ,
Contractor
or Builder `—
Legal Lot
Description
Address of
Building
This permit is granted to the
cation herefor in strict compliance
plans, drawings statements or
at any time if t�e work is not :done 1
permit is granted is the uncdeeatapiipg
regulations pertaining to tha
sibility for work done by his ate,:
In consideration of the issusn
g thereto and fm StOpt
thiS
'F$ ERMIT N4
BL
SHORES VILLAGE, FLORIDA
DATE
nder this Permit
6916
employees.
Signed
BY
Contractor's
Li
1 4
der named above to construct the building or to install the eq ent or = described in the ep�_
pert aining thereto and with the understanding that the work II be performed in � x
►e ve been submitted to and approved by the pro eer municipal authorities. This P- may be gi bed
eh ordinances or if the plans are changed wi .gat authorization. A further
t Y cor eotor or builder named above assumes res a ility for a .. ,, , . , kn
d hereby whether shown on the plans or din w lg a. or in statemen ,� ations
INSFBGT By
of this permit I agree to perfo the work covered hereunder in compliance with all ordinances and
th the ans, drawin s, sta ents or specifications submitted to the proper authorities of Miami Shores
for altwork done by either myself, my agent, servant or employee.
AUP1'SCTTI
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Contractor L
or Builder -`
Legal
Description
Lot
r
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N° 7077
Contractor's
License No.
Woxlf to be performed under this Permit f / / �
Architect (cc: ' �'
4e) r-e 1 •
Bl.
//:
Subdi-
vision
Address of
Building ` , '"
This permit ' granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation 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 resp n ility for a thorough knowledge of th�ances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in a tateinents or sue • 'cations ^flea he as es respon-
sibility for work done by his agents, servants or employees. i - -
/ By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict nformity with the plans drawings, statements or s ifications submitted to the proper authorities of Miami Shores Village.
In accepting is permit I assu a responsibility for work done by either myself, y aagent, serydnt or employee.
ri ,c.
[- 1 BY
CONTRACTOR OR BUILDER
Signed.
Value of
Project
Amt. of
Permit
AUTHORITY
Permit No.
e
Application i hereby tfiad or the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described his application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws.f 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 6r C. T �2� 7 u E/2 N o / /,S .0
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot___ S 96 ‘1__ _Block
Street and Number where work is to be performed —No 7 Q A
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.
Underground
Type of Installation — Conduit Tubing B.X.L. Metal Moulding
Amount of Permit 5- - - - - -- .' --
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
ss.
My Commission Expires
�c3,Sf�C/C GLE"C7/? /G
No
- (Signed)
Date
Street
Notary Public. State of Florida
Street _/ S 7 -/H 57
Street 6
Subdivision '
L 9,_,C:2?-/ Si
•
Main Fuses__— Amps.
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 t be perfo u e,a1 wit, as are
licensed by Miami Shores Village. , ? r t.
(Signed) . P '
—
Master Electncan.
STATE OF FLORIDA,
COUNTY OF DADE.
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 be 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.
LIST
�j
� .,_•-
/
y s
/
, /
I Gd Y"
f
I
1. fro
/
f/
( �•
.,
'
`
1 ��
/ �I 7'
CHECK
ENT.
SW.
DIET.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
y
^ 1 � �j
� ',/
/,
MOTORS
�-1Cf11
MOTORS
11.5 11/'
NEON
TRAMS,. �'"'
RADIO
TOTAL
,� / De
CONTR. L IST
_-
-
CHECK
Permit No.
e
Application i hereby tfiad or the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described his application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws.f 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 6r C. T �2� 7 u E/2 N o / /,S .0
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot___ S 96 ‘1__ _Block
Street and Number where work is to be performed —No 7 Q A
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.
Underground
Type of Installation — Conduit Tubing B.X.L. Metal Moulding
Amount of Permit 5- - - - - -- .' --
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
ss.
My Commission Expires
�c3,Sf�C/C GLE"C7/? /G
No
- (Signed)
Date
Street
Notary Public. State of Florida
Street _/ S 7 -/H 57
Street 6
Subdivision '
L 9,_,C:2?-/ Si
•
Main Fuses__— Amps.
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 t be perfo u e,a1 wit, as are
licensed by Miami Shores Village. , ? r t.
(Signed) . P '
—
Master Electncan.
STATE OF FLORIDA,
COUNTY OF DADE.
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 be 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.
building during progress of work.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date_____. – le "
Application is . ere • 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
A---- Owner's Name and Address - __.___ �� / W
"�' - -'== -- -- ��LL�: ��' No _ � � Stree r �.�- - ----� �'"
Registered Architect and /or Engineer ;__ _,,,r_
Employing Electrician's Name rP!i 4_r=2_ - f _ '' ? '_Ld_ ' No r'c
__ock — ________ –____ Subdivision—__—
!L
/ i �• `.4
af"
Street and Number where work is to be performed —No 7sr 6 Street _ E " .4
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Location and Legal Description Lot
Amount of Permit $
Service Overhead Size Feeders
Underground
Type of Installation— Conduit
STATE OF FLORIDA,
COUNTY OF DADE.
•
•
My Commission Expires
Conduit. ___ - -L_ Main Sw.______ -- __ Amps.
Tubing B.X.L. Metal Moulding
(Signed)
The undersigned atplicant 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.
(Signed) _ – '-. I – —
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.
Street___ + {
Notary Public, State of Florida
No. of Stories______________
Main Fuses____._ Amps.
Electrical Inspector.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'5
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.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1-5 F
NEON
TRANS.
t
RADIO
/
TOTAL
CONTR.
LI57
��
C
7
r
CHECK
I
J
mo`
Permit No.
building during progress of work.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date_____. – le "
Application is . ere • 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
A---- Owner's Name and Address - __.___ �� / W
"�' - -'== -- -- ��LL�: ��' No _ � � Stree r �.�- - ----� �'"
Registered Architect and /or Engineer ;__ _,,,r_
Employing Electrician's Name rP!i 4_r=2_ - f _ '' ? '_Ld_ ' No r'c
__ock — ________ –____ Subdivision—__—
!L
/ i �• `.4
af"
Street and Number where work is to be performed —No 7sr 6 Street _ E " .4
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Location and Legal Description Lot
Amount of Permit $
Service Overhead Size Feeders
Underground
Type of Installation— Conduit
STATE OF FLORIDA,
COUNTY OF DADE.
•
•
My Commission Expires
Conduit. ___ - -L_ Main Sw.______ -- __ Amps.
Tubing B.X.L. Metal Moulding
(Signed)
The undersigned atplicant 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.
(Signed) _ – '-. I – —
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.
Street___ + {
Notary Public, State of Florida
No. of Stories______________
Main Fuses____._ Amps.
Electrical Inspector.