739 NE 94 St (4)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date b . - ime
Type Insp'n
Permit No. E o T3 //6
Name
Address
Compa
Phone # S 1 6 ( 7
For Inspector: 11/.4)(O EName & Date
Approved
Correction ❑ z
Re- Insp'n Fee ❑
/-74°"� 57n/)S
Name
Address
Company
Phone #
For Inspector:
Date Ti i e
Type Insp'n �� ) f !
Permit No. r 0
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
- Mad- if
667 //80
Name
Iii %4
r /6
/ o1
e.
7-7L ex I- /V'. ).-"07 Grmt'aG�. `T
7 1 0 , ' d i l O ' ' o 'cr 'A-( -
Io �r/avzT,stfo a46 'I �S
/4- 1c3,4 a e;e4toerrePA.,
FLOORS
I IAIUHCb JNLT
NUMBER OF
TOTAL
OUTLETS
SIZE OF
SIZE SERVICE
CONDUIT
NO.
CIRCUITS
LIGHTS
CEILING
BRACKETS
MAIN
SUBS
BRANCHES
BASEMENT
FIRST
SECOND
t
THIRD
FOURTH
LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION
WILL BE RETURNED.
LOT NUMBE `' L) � / 6L9CK NUMBER
STREET ANDe'BER
OWNER
OCCUPIED AS
BUILDING- -NEW OR OLD (UNDERLINE WHICH)
H. P. OF EACH MOTOR VOLTS TOTAL AMPS PHASE
CEILING
/ - ~ .
Z: f
KIND OF INSTALLATION
CONTRACTO
BRACKETS
RECEIVED BY INSPECTOR
PROGRESS
WILL INSPECT AGAIN
1
ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI
Desiring your certificate of Approval, application is hereby made for an inspection of the
electric installation in the premises stated below, for which undersigned agrees to correct
any infractions of the National Electrical Code and the City Ordinance pointed out by In-
spector.
SICIF
/1
RECEPTACLES
1`:
ROUGH WIRING
FINAL No.
CORRECTED
TEMPORARY DAYS.
D'ri,„,,JBSUED
SWITCHES
,
A'PLICA'1rION
WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR
SPECIFICATIONS
STOVES
REMARKS
SU9D!VISION
OCCUPANT
WATER HEATERS
NO / ` +
DATE % A. 5 193
SIGNS
OTHER APPARATUS
t O
r a
OPEN OR CONCEALED KNOB. RX., BX., MLDG., CONDUIT, METALLIC TUBING
INSPECTION WANTED
BY ADDRESS / f
SPACE BELOW FOR INSPECTOR'S USE ONLY
$f
INSPECTED
REMARKS
. • 9
e .
P
� (K
1
FEE REMITTED Li
INSPECTOR
CEILING BRACKETS
RECEPTACLES
SWITCHES
STOVES
WATER HEATERS
SIGNS
OTHER APPARATUS
1
i
BRACKETS
MAIN
SUBS
BRANCHES
BASEMENT
!
FLOORS
FIXTURES ONLY
NUMBERS OF
TOTAL
OUTLETS
SIZE OF
SIZE SERVICE
, CONDUIT
No.
CIRCUITS
LIGHTS
CEILING
BRACKETS
MAIN
SUBS
BRANCHES
BASEMENT
!
4"
FIRST
SECOND
THIRD
FOURTH
ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI
Desiring your certificate of Approval, application is hereby made for an inspection of the electric
installation in the premises stated below, for which undersigned agrees to correct any infractions of
the National Electrical Code and the City Ordinance pointed out by Inspector.
LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL. SPACES MUST BE FI 1 i., D OR APPLICATION
f=
r
WILL BE RETURNED
•
LOT NUMBER BLOCK M R —,� I�DIiFI ION i �,"
STREET AND�I UMBd- ,. SIDE
OWNE
OCCUPIED AS
BUILDING - -NEW OR OLD (UNDERLINE WHICH)
M. P. OF EACH MOTOR VOLTS
KIND OF INSTALLATION
BY
REMARKS r— 1
CONTRACTO
OPEN OR CONCEALED KNOB, RX., BX., MLDG., CONDUIT, METALLIC TUBING
RECEIVED BY INSPECTOR
PROGRESS
WILL INSPECT AGAIN
ROUGH WIRING
FINAL NO.
CORRECTED /��'°
TEMPORARY !! DAYS.
DATE ISSUED / �'�.�
APPLICATION
WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR
SPECIFICATIONS
INSPECTION WANT
SPACE BELOW FOR INSPECTOR'S USE ONLY
l '
REMARKS / ( . •
FEE REMITTED
ADDRESS
DATE
NO
/7 /z
M 1
OCCUPANT
TOTAL AMPS PHASF
„7",
Kji"
1935
INSPECTED
INSPECTOR
FLOORS
FIXTURES ONLY
NUMBERS OF
TOTAL
OUTLETS
SIZE OF
SIZE SERVICE
CONDUIT
No.
CIRCUITS
LIGHTS
CEILING
BRACKETS
MAIN
SUBS
BRANCHES
BASEMENT
FIRST
SECOND _
THIRD
FOURTH
F-�
Desiring your certificate of Approval, application is hereby
installation in the premises stated below, for which undersigned
the National Electrical Code and the City Ordinance pointed
LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES M
WILL BE RETURNED
LOT NUMBE
CONTRACTO
BY
CEILING BRACKETS
i
7
DATE / ?'7 1934
ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI
BLOCK NUMBER
of T � �
H. P. OF EACH MOTOR VOLTS
RECEPTACLES
1
RECEIVED BY INSPECTO R
PROGRESS
WILL INSPECT AGAIN
ROUGH WIRING
FINAL No.
CORRECTED
TEMPORARY DAYS.
DATE ISSUED
SWITCHES
KIND OF INSTALLATION OPEN OR CONCEALED
REMARKS
APPLICATION
L
SUB IVISION
•
OCCUPANT
SPECIFICATIONS
STOVES I WATER HEATERS
INSPECTION WANT D
ADDRESS V(
SPACE BELOW FOR INSPECTOR'S USE ONLY
No.
made for an inspection of the electric
agrees to correct any infractions of
out by Inspector.
UST BE FILLED OR APPLICATION
SIDE
WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR
TOTAL AMPS PHASF
STREET AND NUM
OWNE
OCCUPIED As
BUILDING - -NEW OR OLD (UNDERLINE WHICH)
SIGNS OTHER APPARATUS
KNOB, RX., BX., MLDG., CONDUIT, METALLIC TUBING
REMARKS
�J NSPECTED
FEE REMITTED f -
INSPECTOR
FLOORS
FIXTURES ONLY
NUMBERS OF
TOTAL
SIZE OF
SIZE SERVICE
CONDUIT
No.
CIRCUITS
—
LIGHTS
CEILING
BRACKETS
OUTLETS
MAIN
SUBS
• BRANCHES
BASEMENT
FIRST
SECOND
THIRD
FOURTH
Desiring your certificate of Approval, application is hereby made for an inspection
installation in the premises stated below, for which undersigned agrees to correct any
the National Electrical Code and the City Ordinance pointed out by Inspector.
LOCATION
AVOID DELAY BY GIVINp .•PULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED 0
ILL BE RETURNED . i
i l ...,
LOT NUMBE BLOCK NU MBE VISION
STREET AND U BER 7
OWNE
OCCUPIED AS
BUILDING- -NEW OR OLD (UNDERLINE WHICH)
H. P. OF EACH MOTOR_
CEILING BRACKETS RECEPTACLES
ELECTRICAL DEPARTMENT OF THE CI
SWITCHES 1 STOVES
KIND OF INSTALLATION OPEN OR CONCEALED
REMARKS
CONTRACTO
APPLICATION
OCCUPANT
SPECIFICATIONS
BY ADDRESS
WORK- -ADDITIONAL, NEW, ALTERATION OR REPAIR
VOLTS__ .__..______ TOTAL AMPS PHASE___ --
WATER HEATERS
KNOB, RX., BX., MLDG., CONDUIT, METALLIC TUBING
INSPECTION WANTFD
L
"SIGNS
DATE
OTHER APPARATUS
193—
Y OF MIAMI
of the electric
infractions of
SPACE BELOW FOR INSPECTOR'S USE ONLY
RECEIVED BY INSPECTO INSPECTED
PROGRESS REMARKS
WILL INSPECT AGAIN
ROUGH WIRING
FINAL No
CORRECTED
TEMPORARY DAYS. FEE REMITTED ( /
DATE ISSUED E LJ
INSPECTOR
CEILING
BRACKETS
RECEPTACLES
SWITCHES
SIZE SERVICE
CONDUIT
STOVES
WATER HEATERS
SIGNS
OTHER APPARATUS
OUTLETS
MAIN
SUBS
BRANCHES
/—
6. A.*
FLOORS
FIXTURES ONLY
NUMBER OF
TOTAL
SIZE OF
SIZE SERVICE
CONDUIT
No.
CIRCUITS
LIGHTS
CEILING
BRACKETS
OUTLETS
MAIN
SUBS
BRANCHES
BASEMENT
FIRST
I
SECOND
I
THIRD
I
FOURTH
I
A-63 •
AVOID DELAY BY GIV
LOT NUMBER
STREET AND e NUMBER
OWNER ! ..d_i'i e• a
OCCUPIED As '
BUILDING — NEW OR OLD (UNDERLINE WHICH)
CONTRACTOR F
BY , I r ' / API _ , 7 4.- ,/r
ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI
Desiring your certificate of Approval, application is hereby made for an inspection of the electric
installation in the premises stated below, for which undersigned agrees to correct any infractions
of the National Electrical Code and the City Ordinance pointed out by Inspector.
LOCATION
ING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION
WILL BE RETURNED.
RECEIVED BY INSPECTOR
PROGRESS
WILL INSPECT AGAIN
ROUGH WIRING
FINAL No
CORRECTED
TEMPORARY DAYS.
DATE ISSUED
BLOCK NUMBER " SUBDIVISION
7 `7 % lit 7i(
APPLICATION
OCCUPANT
SPECIFICATIONS
SIDF
WORK — ADDITIONAL. NEW, ALTERATION OR REPAIR
H. P. OF EACH MOTOR VOLTS TOTAL AMPS
NO
DATF - !rte 193
PHASF
KIND OF INSTALLATION OPEN OR CONCEALED KNOB. RX., BX., MLDG., CONDUIT. METALLIC TUBING
REMARKS
INSPECTION WANTED
ADDRESS
SPACE BELOW FOR INSPECTOR'S USE ONLY
FEE REMITTED
/ .a 4 ,7 C-` Gi .2f A /,f ° °�` • .
INSPECTED
REMARKS
INSPECTOR
MIAMI S)DRES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
- . Date
Ap. . .ereby 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 _ 7/1.— ° ____7r i - •C5 °4►
Registered Architect and /or E.:' _
--- -- ,,.,/� ,��•
Employing Electrician's Name __ twa. ,r. -L-C le i -4' tea^- No ./ 3 Y Street- t i.i.
Location and Legal Description Lot _ F _ __ / _______ _glock Subdivision_ — '
Street and Number where work is to be performed —No r �+- Street____ _,____
State work to be performed and purpose of building (By Floors) ____,j_1,� 4=
New Building Remodeling Addition Repairs No. of Stories
No 7 Street /�!ti___cV fliAx44
__
Service Overhead Size Feeders Conduit Main Sw. Amps. ___— _______ _____ Main Fuses Amps.
Underground P P
Type of Installation -- Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE. ss'
My Commission Expires
(Signed)
-{r
(Signed) �•
oaths and take
Notary Public, State of Florida
Electrical Inspector.
MastEr Electrican.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ogations 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 • 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 otice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on'" work to °� perfo ed u er this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer
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 fad
therein by him stated are true.
acknowledgments, personally
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
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O -I HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
MIAMI S)DRES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
- . Date
Ap. . .ereby 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 _ 7/1.— ° ____7r i - •C5 °4►
Registered Architect and /or E.:' _
--- -- ,,.,/� ,��•
Employing Electrician's Name __ twa. ,r. -L-C le i -4' tea^- No ./ 3 Y Street- t i.i.
Location and Legal Description Lot _ F _ __ / _______ _glock Subdivision_ — '
Street and Number where work is to be performed —No r �+- Street____ _,____
State work to be performed and purpose of building (By Floors) ____,j_1,� 4=
New Building Remodeling Addition Repairs No. of Stories
No 7 Street /�!ti___cV fliAx44
__
Service Overhead Size Feeders Conduit Main Sw. Amps. ___— _______ _____ Main Fuses Amps.
Underground P P
Type of Installation -- Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE. ss'
My Commission Expires
(Signed)
-{r
(Signed) �•
oaths and take
Notary Public, State of Florida
Electrical Inspector.
MastEr Electrican.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ogations 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 • 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 otice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on'" work to °� perfo ed u er this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer
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 fad
therein by him stated are true.
acknowledgments, personally
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.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
J �
Owner's Name and Address _-7) � 7 No. L_3_(�__.
Registered Architect and /or E
Employing Electrician's Name
Location and Legal Description Lot Y
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 Repairs
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
ss.
My Commission Expires
MIAMI ORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
Date
Subdivision
1
Street_21 _P
..1
Street - ---- — -- — -- — - - -- —
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
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 otice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, work to b perfori u der this permit, as are
licensed by Miami Shores Village.
Mast Er Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer
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.
oaths and take
Notary Public, State of Florida
acknowledgments, personally
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
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 is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
J �
Owner's Name and Address _-7) � 7 No. L_3_(�__.
Registered Architect and /or E
Employing Electrician's Name
Location and Legal Description Lot Y
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 Repairs
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
ss.
My Commission Expires
MIAMI ORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
Date
Subdivision
1
Street_21 _P
..1
Street - ---- — -- — -- — - - -- —
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
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 otice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, work to b perfori u der this permit, as are
licensed by Miami Shores Village.
Mast Er Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer
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.
oaths and take
Notary Public, State of Florida
acknowledgments, personally
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.
/
WITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
No. LAMPS
REFRIG.
OUTLE?
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEA. ER
T
/
STRIP
HEATER
TOTAL
CONTR
LIST
g
J f�
/
/
CHECK
ENT.
SW.
DI-3Y.
CAB.
T ERV ICE
Tom: "P.
SERVICE
PERM.
///���
1 / .
PoMOYOP:.
O -I HP
S:OTORS
I.3 HP
N EO N
TRANC.
RADIO
TOTAL
CON R.
LIST
CHECK
Permit No 6 [ 7
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 complianc 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
Employing Electrician's Nam
Location and Legal Description L.t Block Subdivision
Street and Number where work is to be performed —No Street
\' < t�e work to be performed and purpose of building (By Floors)
1 Rew? B u ;ding Remodeling Addition
Servic�
. Size Feeders.
Un ergro,Ind
Type Inst ati91—Conduit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. I
r\ -- 2 „er". j i
ELECTRICAL INSPECTION DEPARTMENT'
APPLICATION FOR ELECTRICAL PE: IT
Date
65.
'neer
MIAMI SHORES VILLAGE
Conduit.. ' Main Sw
.Tob: ,g... .B.X.L
No
/4 U Amps
(Signed)
.Metal Mouldin
O
The undersigned applicant ;or this building permit does hereby certify that he understands and
labor under the :lorida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors o
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to
licensed by Miami Shores Village.
LI, ( 6 D
Street / r.t
Repairs No. of Stories
Main Fuses Amps
•12
Electrical Inspector.
ac j pts his obligations as an employer of
Florida Permanent Supplement, and
sub - contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
(Signed
Maste ict cian.
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, a:.d 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
ROOFING
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE -J 19
❑ PERMIT
Owner of l �..+
Building tf y ,� - 9�*
Architect
Contractor
or Builder V tA, 0 # : .— ,c4 Q Q 1 L i
Legal Lot
Description
11 B1
N? 6177
r k
CONTRACTOR OR BUILDER { BY
Contractor's / T
Licens
Work to be performed under this Permit .fL. /1 -G.
Subdi-
vision
Address of N -'t C Q...4.. Value of 1 Amount of � 3' ,3
Building ,� . j � . f .
Project $ 1 Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed. 4^__ f `"' 11) INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance wi ordinances and regulations
pertaining thereto and in strict conformity with the plane, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
AUTHORITY
OT
lUILDING
LECTRICAL
'LUMBING
Owner of
Building
4v
Work to be performed under this Permit
PERMIT N ? 4437
Architect
Contractor
or Builder
Legal Lot Bl. Subdi-
Description vision
Address of ' ' ! f - V Value of Amt. of j C'10".. Building r -' 9 Project Permit i
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 appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the 'work will be "per ormed 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/he statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. �.r' ,,-�- j
Signed: �.r "�✓ B / i'�l� i>
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform It work covered hereunder in compliance with all ordinances and regulations
pertain thereto and in strict conformity with .the plans, drawings, statements 'or specifications submitted to the proper authorities of Miami S11ores Village.
In acce "ng hi it I assu
em me responsibility for all work done by either myself, my agent, servant or employee.
i ff ) 'k L ,._ ..Lf AUTHORITY
CO? RACTOR OR BUILDER BY
MIAMI SHORES VILLAGE, FLORIDA
DATE ' t 1944
Contractor's
License No.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
DateA) O' 0 PM) Job Address - i3 / N. E . 17 Tax Folio /( .10 e �� U
Legal Description ° Wgg
er Lessee / Tenant
Owner's Address J AJ E • 9 (1 L14 f T .
Contracting Co. f 2QU � Q cot•
Qualifier- ()L't \. 2QUt+0
State # Municipal # Competency
Architect /Engineer
Bonding Company
Mortgagor
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
** *
FEES: PERMIT
*
*
'7
ss #
# 16 o S 6
Phone
3S"- 0-1(.
Ins.Co. ST41 r(
Address
Address
Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION Chi S
Se ( k - }b Is) ip
Square Ft. Estimated Cost(value) )(
eI C'trcv
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 information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize the above -named contractor to do the work state
Signature f ntractor or Owner- Builder
Date: 0 1 9.3
f tary/as to Cos
y Commission E_
Other
, "' , -t'OttareiktikrRikilOtift
7 ' :My Commission Exp. Apt 30, 1
•41.4.1.`• 00.: No. CC197545
Electrical I,
SFPHINF ENIIRCH
**
TOTAL DUE
Engineering