785 NE 95 StBUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot Bl.
Description
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 3872
Work to be performed under this Permit
Subdi-
vision
Value of
Project
DATE 194—
Contractor's
License No.
Amt. of
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
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 mnunicipzl 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.
Signed- 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 t -tthe 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
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE 194___
Contractor's •.
License No
PERMIT N° 1065
Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot Bl.
Description
Address of Value of Amt. of
Building _ Project 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
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.
Signed: 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 assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
Subdi-
vision
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 1448
Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot Bl.
Description
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 the plans or drawings or in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees.
Subdi-
vision
Value of
Project
DATE 194_ __
Contractor's
License No.
Amt. of
Permit
Signed: 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 assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith tibmitted or 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 c plied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Service Ova Size Feeders
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a
85.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMU
Owner's Name and Address
Architect and /or
Employing Electrician's Name �!n
Location and Legal Description Lot___ n_
_, ' '&
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Type of Installation— Conduit Tubing
Date.�_
No. Street
No.!/ / 6 62J_ Street
Block__ - - . �S D _ Subdivision
Street___ ^
New Building Remodeling Addition Repairs
P 84
Conduit___ Main Sw.__ Amps. Main Fuses__
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village. r
My Commission Expires
notary public,
B.X.L. Metal Moulding
(Signed
(Signed) — —
duly authorized to administer
Notary Public. State of Florida
No. of Stories
j Amps.
Iectrical Inspector.
rtify that he understands and accepts his obli tions as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed udder this permit, as are
Master Electrican.
v,
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 OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
HEATER
TOTAL
CONTR. LIST
�I / ✓fY
t4 �'
J�
G
/
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O -1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
n
Ei
CHECK
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith tibmitted or 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 c plied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Service Ova Size Feeders
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a
85.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMU
Owner's Name and Address
Architect and /or
Employing Electrician's Name �!n
Location and Legal Description Lot___ n_
_, ' '&
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Type of Installation— Conduit Tubing
Date.�_
No. Street
No.!/ / 6 62J_ Street
Block__ - - . �S D _ Subdivision
Street___ ^
New Building Remodeling Addition Repairs
P 84
Conduit___ Main Sw.__ Amps. Main Fuses__
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village. r
My Commission Expires
notary public,
B.X.L. Metal Moulding
(Signed
(Signed) — —
duly authorized to administer
Notary Public. State of Florida
No. of Stories
j Amps.
Iectrical Inspector.
rtify that he understands and accepts his obli tions as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed udder this permit, as are
Master Electrican.
v,
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.
4-
t. ,
/ r
•
•
JOB:/ / AD: i
BUILDING :
ELECTRICAL:
PLUJMBING :
: WORK
DONE BY
The following is ready for Inspection:
Inspector's Report: -
: REQUESTED : WILL )3E READY
m
APPLICATION FOR ELECTRICAL PERM!
G ,.
Permit No.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewithsy bmitted 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 c plied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. 1
Owner's Name and Address S2/C' j.= l " �? �� � No Street
Registered Architect and /or Engin w �� p
Employing Electrician's Name' ®1 1 p _ ' *,{� fe' ° - - - - -- N / r ' L//1 o �
Location and Leg al Description LY ���Z
P tion Lot__ -- ��' Q- - -- - � - -- Block 7- -_ ° --- °
New Building
Overhead
Service Size Feeders
Amount of Permit $_________
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
My Commission Expires
Date
. Street__
Subdivision
Street__
Remodeling Addition Repairs
Type of Installation— Conduit Tubing B.X.L. .Metal Moulding
QQ
nn D'
Conduit____/ _ f___ Main Sw.___ _ _____ Amps. Main Fuses __a Amps.
(Signed) - -` =—
Notary Public. State of Florida
No. of Stories.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obl$tions 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 uPder this permit, as are
licensed by Miami Shores Village.
/,.
(Signed)
( Master Electrican.
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, 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,
materials and /or workmanship.
SWITCH
OUTLETS
— U
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAM
/1
REdRIG.
OUTLET
/
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
, ` r-
C ONT R .
=
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS
RADIO
TOTAL
C ONTR.
LIST
0
(�
C..."''''.°"...-.
CHECK
APPLICATION FOR ELECTRICAL PERM!
G ,.
Permit No.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewithsy bmitted 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 c plied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. 1
Owner's Name and Address S2/C' j.= l " �? �� � No Street
Registered Architect and /or Engin w �� p
Employing Electrician's Name' ®1 1 p _ ' *,{� fe' ° - - - - -- N / r ' L//1 o �
Location and Leg al Description LY ���Z
P tion Lot__ -- ��' Q- - -- - � - -- Block 7- -_ ° --- °
New Building
Overhead
Service Size Feeders
Amount of Permit $_________
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
My Commission Expires
Date
. Street__
Subdivision
Street__
Remodeling Addition Repairs
Type of Installation— Conduit Tubing B.X.L. .Metal Moulding
QQ
nn D'
Conduit____/ _ f___ Main Sw.___ _ _____ Amps. Main Fuses __a Amps.
(Signed) - -` =—
Notary Public. State of Florida
No. of Stories.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obl$tions 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 uPder this permit, as are
licensed by Miami Shores Village.
/,.
(Signed)
( Master Electrican.
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, 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,
materials and /or workmanship.
APPLICATION FOR ELECTRICAL PERMIT
Permit No 4 Y ` —_ y
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
Registered Architect and /or Engineer
Employing Electrician's Name _,;_ No. '' ` Street
Location and Legal Description Lot Block,
Street and Number where work is to be performed —No.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
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.
Underground
Type of Installation — Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
My Commission Expires
(Signed) "C� „_ 1 ' r 2 + — — --
Electrical Inspector.
rtify that he understands and accepts his ob $ ations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
(Signed)
,
Date a
.. Subdivision_
SCre c
r-
N _
Notary Public. State of Florida
Main Fuses Amps.
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths arid 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
RECE'P'T
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
H EATER
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
APPLICATION FOR ELECTRICAL PERMIT
Permit No 4 Y ` —_ y
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
Registered Architect and /or Engineer
Employing Electrician's Name _,;_ No. '' ` Street
Location and Legal Description Lot Block,
Street and Number where work is to be performed —No.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
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.
Underground
Type of Installation — Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
My Commission Expires
(Signed) "C� „_ 1 ' r 2 + — — --
Electrical Inspector.
rtify that he understands and accepts his ob $ ations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
(Signed)
,
Date a
.. Subdivision_
SCre c
r-
N _
Notary Public. State of Florida
Main Fuses Amps.
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths arid 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
IDate� 21 � C ' Job Address 153 1.4E " Tax
Legal Description L4 i7 P"-'. \T l b ("F
LO
Owne / Lessee / Tenant f ging.t2ict 1-L 14i/1/a
Owner's Address 1 9S ST. Phone
Contracting Co. ClD ( k% .4 (
SSti'# Phone 26 7 E 7Y
CoUN-ry S co7tsA ,9- / s
State # Municipal # Competency B# eC 127/ Ins.Co.
Qualifier L N t L
1
Address
F°1. )1 pbG/ /-r g/ ti
Master Permit #
15 \5 5 (0/ (\LZ
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
WORK DESCRIPTION
Square Ft. ‘ L) ®b
** *
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
\A `7P A°7 1t) 4 -- 1 Het2 (. a
ft — o a
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing informati i accurate and that all work will
be done in compliance with all applicable laws regulating c�ction and zoning. Furthermore, I
authorize the above -named contractor to do the work stat$
(0
Signature of owner and /or aohdo President
Date:
G
1� s11
Notary as to.t?wner and /or Condo President
My Commission. Expires: Notary Public, State of Florir+a
My Comm. Exp. Mar. 10, 1F[`1
Sanded thru PICHARD Ins. Agoncy
FEES: PERMIT 1O OD RADON C.C.F. r-
APPROVED:
Zoning
Mechanical
Estimated Cost(value)
Plumbing
Signa
Date:
di a %
My Commission Expires:
Fire
\ ®C
ure of Contracto or;Owner- Builder
Notary as to Contractor or Owner- Builder
Notary Public, State of Florida
My Comm. Exp. Mar. 10, 1995
l9onded thru PICHARD Ins. Agoncy
iy tY * fit*
NOTARY TOTAL DUE Pr,
Building Electrical
Other
Engineering
2
6?) 3),s