795 NE 94 St (2)i
Application is hereby uinde for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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 the work.
°1.-
Registered Architect and /or Engineer ka-,.. CC to €_ c
Name and address of licensed contractor
Location and legal ption of lot to be bui on: ` 3
Block - 7 Subdivisio A t ' " �l L - -. - S.
Street and re work is to be dons -- and purpose of building (by floors) EC_ 2 t �a ........ -. =.* �----- ...__..t! ig,!_.r/_CD-CV
Owners Name and Addrese
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation v Roof �e g
Estimated Total cost of improvements $ 3‘9
Amount of Permit +r__
Zone cubage required plan Cubage
Distance to next nearest building.. Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications forpaid building. All not es, with reference to the building and its construction may
be sent to
The undersigned applicant for this building p rinit does hereby certify th h understands and accepts his obligations as an empl er
piled General Laws of Florida, Permanent Sup pleue nt,
of labor under the Florida Workmen's Compensation Act, being Section 5966,
and has complied with the provisions thereof, and will require similar complianc � from all contractors or sub - contractors employed by um
in the work to be performed under this permit; and will post or cause to be post d for ins ection on the site of the work such public n cite
or notices as arc required by the Act. The undersigned agrees to employ only s su•. -' tractors, on work to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer
peared
Disapproved
(Signed)
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 scatted are true.
Permit No.__ __,f.. Date �! (Read, Swo to and Subscribed before me.
MOAMO SHORES V0LLAGE
BUILDING INSPECTION DEPARTMENT
APPLOCAT ON FOR
Chairman
Member
Member
Council Approved
E.;
UOLOOIrkG PERRaiOT
M
PLANNING BOARD DATE
oaths
Notary Public, State of Florida
Commission Expires
and take acknowledgments, personally ap-
to me well known,
Member
Member
Member
Date Disapproved ....... .Date
NOTE A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the PL,nnin Board.
A re-inspection fee of $I.00 will be chnrged when such re- inspection in made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Permit No
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 Sauter No. ....N 94t1
Registered Architect and /or Engineer
Employing Electrician's Name..BTOtheTS...E.leCtriC No.133 NJ, ... reAve o
Location and Legal Description Lot Block Subdivision
795--- N.oE..4.___94th Street Street
Street and Number where work is to be performed —No
AfPPL CATll N [F CLC C RO AL IP En MOT
State work to be performed and purpose of building (By Floors )IfCI4'.aSe ,serv1Ce to 150 AD wire 3_ c/aJc
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
.. Seques. t. ...to...wark..with...Thur.sday. 0cbober....1.9th - <3.0...a Am.
Amount of Permit $5 °°°
S 1sATE OP FLORIDA, 1
- COUNTY OF DADE. DADS. Il
ss.
MOAMD SG;10.RCS ‘nLLAGE
" ELECTRICAL INSPECTION DEPARTMENT
0
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands and
labor under the Florida Workmen's Compensation Act, being Section 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 site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
licensed by Miami Shores Village.
(Signed)
Date 0cbober 16 1967
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
a 7 ?sue
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-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
Increase
Wire
3
service to
D 0/a /c ®$2,00
150 -$3000
S5 n00
cHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.8 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
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 Sauter No. ....N 94t1
Registered Architect and /or Engineer
Employing Electrician's Name..BTOtheTS...E.leCtriC No.133 NJ, ... reAve o
Location and Legal Description Lot Block Subdivision
795--- N.oE..4.___94th Street Street
Street and Number where work is to be performed —No
AfPPL CATll N [F CLC C RO AL IP En MOT
State work to be performed and purpose of building (By Floors )IfCI4'.aSe ,serv1Ce to 150 AD wire 3_ c/aJc
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
.. Seques. t. ...to...wark..with...Thur.sday. 0cbober....1.9th - <3.0...a Am.
Amount of Permit $5 °°°
S 1sATE OP FLORIDA, 1
- COUNTY OF DADE. DADS. Il
ss.
MOAMD SG;10.RCS ‘nLLAGE
" ELECTRICAL INSPECTION DEPARTMENT
0
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands and
labor under the Florida Workmen's Compensation Act, being Section 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 site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
licensed by Miami Shores Village.
(Signed)
Date 0cbober 16 1967
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
a 7 ?sue
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-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
REPRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
Lim'
Lim'
1
2
7
2
1 ° 2
L
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.9 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHOCK
Permit No
Amount of Permit $
STATE OF FLORIDA, 1
88.
COUNTY OF DADE.
MIIA I SHORES VM.LAGE
ELECTRICAL INSPECTION DEPARTMENT
AFPO=OC Aril N FoR ELC CTROCAL P E MDT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flu :Ida,
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 , y... et C, {..4o-.. . . N0.79.5 N, E, Street 94th..
Registered Architect and /or Engineer
Employing Electriciaf's Name.t.- rguson Electric, Inc. N01 .N.o.. E . Street. 143 St..
Location and Legal Description Lot Block Subdivision.
Street and Number where work is to be performed —No N. E • Street 94th St
State work to be performed and purpose of building (By Floors) Af .lr121g....f.OZ.. ad.C31t7.(�n
New Building Remodeling Addition XXX Repairs No. of Stories
Service Overhead
Site Feeders Conduit.. Main Sw Amps Main Fuses . Amps
Underground
Type of Installation— Conduit Tubing.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation -s an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma fit Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors e .Toyed 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 thrork such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work A be perf.rmed under this permit, as are
licensed by Miami Shores Village
.B.X.L..
. (Signed)
Elect ' i.I Inspec
Metal Moulding.
My Commission Expires
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made
materials and /or workmanship.
NOTE: Auto ground recepticals to be used on
11/26/73
Date
Master Electi'itian
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.
Notary Public, State of Florida
necessary by improper notice for inspection, or faulty
above mentioned job
JERGUSON ELECTRIC, INC.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
❑ DATE < 19
PERMIT N° 4073
Contractor's
❑ License No
❑ Work to be performed under this Permit_
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
B1
' y 4
x
Subdi-
vision
Value of
Project $
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. 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 conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
Amount of
Permit $
ADDOT
A
BUILDING ❑
ELECTRICAL Er
PLUMBING ❑
ROOFING ❑
CONTRACTOR or BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 9275
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description 1 BI
Address of i J =
Building
Date
Contractor's
License No.
Work to be performed under this Permit
Subdi-
vision
Sq Ft
Value of 11 Amount of
Project $ II 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• ' � (INSPECTOR) BY
In consideration of the issuance to me' of this permit IAgree to perform the work covered hereunder in compliance with all ordinances and regulations
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.
BY AUTHORITY
19
0
Permit No
O
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 et. No
-
Registered Architect and /or Engineer
Employing Electrician's Name
and Number where work is to be performed —No
0`%OA SH II ES \COLLAGE
(ELECTRICAL INSPECTION ®IEPARTM[ENT
AFFL OCQTl NI FoR [ IBC CTf IICAL PER MDT
9•L �
•�•+ / ^/' No
Location and Legal Description Lot Block Subdivision
Date
Amount of Permit $ / '
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 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 site
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to
licensed by Miami Shores Village.
/ Ls Street. .. ..V �ll
Street
(Signed)
Street_... 4'..c'� �.� i;
No. of Stories
State work to be performed and purpose of building (By Floors)
New Building Remodeling Additiun Repairs
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
Electrical Inspector.
ccepts his obligations as an employer of
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
Master Electrician.
A 1,
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-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.
2-
/ .
/
''
/ . �lg
CHECK
-- -
0
-'
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
0
Permit No
O
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 et. No
-
Registered Architect and /or Engineer
Employing Electrician's Name
and Number where work is to be performed —No
0`%OA SH II ES \COLLAGE
(ELECTRICAL INSPECTION ®IEPARTM[ENT
AFFL OCQTl NI FoR [ IBC CTf IICAL PER MDT
9•L �
•�•+ / ^/' No
Location and Legal Description Lot Block Subdivision
Date
Amount of Permit $ / '
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 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 site
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to
licensed by Miami Shores Village.
/ Ls Street. .. ..V �ll
Street
(Signed)
Street_... 4'..c'� �.� i;
No. of Stories
State work to be performed and purpose of building (By Floors)
New Building Remodeling Additiun Repairs
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
Electrical Inspector.
ccepts his obligations as an employer of
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
Master Electrician.
A 1,
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-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
3
SS.
MAKI SHnRES VH=LAME
ELECT f ICAL INSPECTION DEPA'-TM[ENT
QPP1L9CQT11 N Fon ELCCT DCAL FCG3MUT
Date 5
0
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
Location and Legal Description Lot Block
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
No..I.�... /..S..S.I^� .P Stre
(Signed)
No - J 3—
h ` 1 Street
Subdivisi
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (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 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
STATE OP 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, 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.
ACG:
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
°
/
CHECK
p
ENT.
SW.
DIST.
CAB.
SERVICE
TEK P.
SERVICE
PERM.
MOTORS
0.1 HP
M TORS
1}S HP
1 /
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
d
Permit No
3
SS.
MAKI SHnRES VH=LAME
ELECT f ICAL INSPECTION DEPA'-TM[ENT
QPP1L9CQT11 N Fon ELCCT DCAL FCG3MUT
Date 5
0
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
Location and Legal Description Lot Block
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
No..I.�... /..S..S.I^� .P Stre
(Signed)
No - J 3—
h ` 1 Street
Subdivisi
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (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 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
STATE OP 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, 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.
APPL➢CATUON FOR CLECTROCQL. PEEG°3MIOT
Permit No c7 9 c(4 Date - 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 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
Amount of Permit $
S8.
M OAM D S H o IRES VL,ILAGE
ELECTRICAL INSPECTION DEPARTMENT
No
Street
Registered Architect and /or .. Eng1neer r
Employing Electrician's Name c' 4 ' ` r ` - No c ! Street � '
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 1 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 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 complied with the provisions thereof, and will require similar compliance from all contractors or sub•contr‘etors 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)
Master Electrician.
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, 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
LIOHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SEACIL
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
/F
CHECK
ENT.
SW.
D18T.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
,
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
APPL➢CATUON FOR CLECTROCQL. PEEG°3MIOT
Permit No c7 9 c(4 Date - 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 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
Amount of Permit $
S8.
M OAM D S H o IRES VL,ILAGE
ELECTRICAL INSPECTION DEPARTMENT
No
Street
Registered Architect and /or .. Eng1neer r
Employing Electrician's Name c' 4 ' ` r ` - No c ! Street � '
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 1 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 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 complied with the provisions thereof, and will require similar compliance from all contractors or sub•contr‘etors 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)
Master Electrician.
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, 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
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N2 4064
Work to be performed under this Permit
Owner of
Building
DATE • 194_
Contractor's
License No
Architect
Contractor
or Builder
Legal Lot Bl. Subdi-
Description vision
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 appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th 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: 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 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