ELECTRICALBUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Contractor
or Builder
CONTRACTOR OR BUILDER
MIAMI SHORES
PERMIT N9
Work to be performed under this Permit
Architect
1
Legal Lot Bl.
Description
•
VILLAGE, FLORIDA
9499
Subdi-
vision
Value of
Project $
DATF.
J-�
Contractor's
License No
Amt. of
Permit
Address of i r r '
Building r f -► �! 1
6 f
This permit is granted to the contractor or build named above`3o 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,
irawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
■me if the work is not done in compliance with such ordinances or if the plans are charged without authorization. A further condition upon which this permit is
-anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
rtaining to the work covered hereby whether shown on the plans or drawings or•In the statements r s,pe and that he assumes responsibility for work
le by his agents, servants or employees.
/
Signed: .'BYf�
INSPECTOR
In consideration of the issuance to me of this pecmiL ° to perform the work covered hereunder in co lance with ill ordinances and regulations
ning thereto and in strict conformity with the plans, drawings, statements or specifications submitted to th roper authorities of Miami Shores Village.
epting this permit I assume responsibility for all work done by either, myself, my agent, servant or empl ee.
BY AUTHORITY
// r","
$ /
195!
SWITCH LIGHT
OUTLETS OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
I CONN.
SPACE
HEATER
STRIP TGi;_
HEATER
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
ADIO
TOT , .L
LIST
•
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 7 `x / .1 Date
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 Pni:ding Ordinance or Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shore Village a' d Al rules and regulations of the B:.ildin' Divaon
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approc: d plans and speciSe, :ions must be k•nt 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
Street and Number where work is to be performed— No. _______
State work to be performed and purpose of building (By Floors)
Building ___ Remodeling Addition
Ne::
_.No.___ j
Block
Street..
Repairs
Service Overhead Size Feeders . ____. _____ __ Conduit Main Sw .___________.___ ____ ___Amps.
Underground
Type of Installation—Conduit __Tubing B X L Metal Moulding
Amount of Permit $
ss.
Street
(Signed)
Street
Subdivision
. Main Fuses
Electrical Inspector.
The undyrsi Red applicant for this building permit does hereby certify that he undcr,tands and accept , ? is ob ie : .t ;:ens s :c:1 d ,ri.o} r of
labor under the Florida V \ orkmen's•- Compensation Act, being Section 5.i{1 =i, Compiled C 1 :,1 Laws of :r1or:d. 1'c nil,. ,II.t Sap; �'; r• and
has complied vlitil ti:e provisions thereof, and will require similar comj).iaace from ali contract ur soil- coutraeLurs re :oloyrd h. ;,, tl
‘cork to be perforalLd under this permit; and will post or cause to be posted for inspection oil the of the work sac'1i pt.hlie notice n I,aiicc
as are required by the Act. The undersigned agrees to employ only suc:1 sub- contractors, en wc,rk to be performed under this perluit, as arc
licensed by Miami Shores Village.
.1/4.
( Signed) — i,
`taster Llc.lric an.
t _Z
No. of Stories .
. Amps
STATE OF FLORIDA, }
COUNTY OF DADE.
Before Rte, the undersigned authority, a notary public, duly authorized to administer oaL' s ,,c1 tol:e acknowl: d .meats, personally
appeared
to me well kuov,n, and who, ht-lag by me first duly sworn, upon oath deposes and says that lie is the
of the abu\e described construction, and he has carefully read the foreF,oing application, and that h: did i.e s and that alt iact
therein by him stated are true.
My Commission Expires Notary Public, State of Floridc
NOTE: .1 re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspt(tioll, or fault).
material!; and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
1 PERMIT N° 9752
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project $
DATE •1 195
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 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 oApecifications 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 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
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for 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.
STATE OF FLORIDA, l
COUNTY OF DADE. I
E 9.
Owner's Name and Address No Street " "'
Registered Architect and /or Engineer
Employing Electrician's Name a No , - t'' Street ' I
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 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
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 Perth Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 notic-
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as arc
licensed by Miami Shores Village.
(Signed) .' a
Master Electrician.
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
--
a
. f ,(,-lt
.I •
. • -
,
•'
CHECK
ENT. DIST.
SW. CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL.
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for 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.
STATE OF FLORIDA, l
COUNTY OF DADE. I
E 9.
Owner's Name and Address No Street " "'
Registered Architect and /or Engineer
Employing Electrician's Name a No , - t'' Street ' I
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 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
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 Perth Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 notic-
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as arc
licensed by Miami Shores Village.
(Signed) .' a
Master Electrician.
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.
-
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAM •S
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
SWITCH
OUTLETS
CONTR.
LIST
CHICK
.
ENT.
SW.
DIST.
CAC.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.0 HP
NEON
TRANS.
RAOIO
TOTAL
CONTR.
LIST
CHECK
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
i a
Permit No 1 f' D r
Date ,��
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, Fio: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 plane and specifications must be kept at
building during progress of work.
Owner's Name and Address Yri; ...
Amount of Permit $
4
MIAMI SHORES VILLAGE
(Signed)
Registered Architect and /or Engineer Q
Employing Electrician's Name.....
ZlR... er oe G ffe .No /5 P 57 / Street 09 ‘
Location and Legal Description Lot 99 Block Subdivision
Street and Number where work is to be performed— No....... p.. ' . .. /.....e Street ' 7,
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Servi Ov erhead //� �, /
erground Size Feeders.... .., .....Conduit. .. .`LZ...Main Sw... Amps Main Fuss
Type of Installation—Conduit
Tubing B.X.L .Metal Moulding
Electrical Ynspector.
The undersigned applicant for this building permit dots 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.
Street
STATE OF FLORIDA,
COUNTY OF DADE. I "
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
Amps
My Commission Expires
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 -
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.
STATE OF FLORIDA,
COUNTY OF DADE. j
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date , s 2 -5
85.
My Commission Expires
MIAMI SHORES VILLAGE
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name L. L' ,--��r - "d ez No 7 C 1 Street Q xr '
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No / o.... Street `��../' 7::✓
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
(Signed)
No.....`..Q. Street
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
if \ �
Amount of Permit $ d ' (Signed) • 1
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 subcontractors, on work to
licensed by Miami Shores Village.
Electrical Inspector.
ccepts hf� 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
Notary Public, State of Florida
Master Electrician.
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.
NOTE: A re•inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.0 HP
N EON
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.
STATE OF FLORIDA,
COUNTY OF DADE. j
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date , s 2 -5
85.
My Commission Expires
MIAMI SHORES VILLAGE
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name L. L' ,--��r - "d ez No 7 C 1 Street Q xr '
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No / o.... Street `��../' 7::✓
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
(Signed)
No.....`..Q. Street
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
if \ �
Amount of Permit $ d ' (Signed) • 1
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 subcontractors, on work to
licensed by Miami Shores Village.
Electrical Inspector.
ccepts hf� 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
Notary Public, State of Florida
Master Electrician.
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.
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
Owner of
Building
MIAMI SHORES VILLAGE. FLORIDA
DATE 195
❑ PERMIT N° 3133 Contractor's
License No.
0
Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
Bl.
Subdi-
vision
Value of
Project $
Amount 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 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 cr 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 regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY 6 •+ = "�
Owner's Name and Address
Registered Architect and /or Engi
Employing Electrician's Name (EogG C i o
Location and Legal Description Lot
/AC
nJ
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors).
STATE OP FLORIDA,
COUNTY OF DADE. I °°
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date /6/27 7 PO
Permit No..z.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o1 other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio: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 plane and specifications must be kept at
building during progress of work.
No / O 7 5 / Street
x 6 93(, Ce' je't? i / F/ 3
Block Subdivision
Street A.) E
7
New Building Remodeling Addition Repairs No. of Stories
Ser Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ ... \./ (} Lk.R_' DO (Signed) Q
4 V Electrical Inspector.
The undersigned applicant or is 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 subcontractors 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 perf . n ed under this permit, as are
licensed by Miami Shores Village.
(Signed)
L L1&t .
Notary Public, State of Morid3
J�
' aster�Eiectriaan.
Before me, undersigned auth 'ty, 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.. . tc 4 C t ta
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, anl.'i that 3Il facts
therein OlOnratiMiTrattli. OF FLORIDA AT LANZ
MY COMMISSION EOM NOV. 113 1U2
WINDED DTIM GENERAL &NI. MINDEINfiliTIRS
My Commission Expires
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'8
FIXTURES
No. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
LIST
- .
L A
W
CHECK
i .
a)
/' /
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.8 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
.
Owner's Name and Address
Registered Architect and /or Engi
Employing Electrician's Name (EogG C i o
Location and Legal Description Lot
/AC
nJ
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors).
STATE OP FLORIDA,
COUNTY OF DADE. I °°
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date /6/27 7 PO
Permit No..z.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o1 other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio: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 plane and specifications must be kept at
building during progress of work.
No / O 7 5 / Street
x 6 93(, Ce' je't? i / F/ 3
Block Subdivision
Street A.) E
7
New Building Remodeling Addition Repairs No. of Stories
Ser Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ ... \./ (} Lk.R_' DO (Signed) Q
4 V Electrical Inspector.
The undersigned applicant or is 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 subcontractors 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 perf . n ed under this permit, as are
licensed by Miami Shores Village.
(Signed)
L L1&t .
Notary Public, State of Morid3
J�
' aster�Eiectriaan.
Before me, undersigned auth 'ty, 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.. . tc 4 C t ta
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, anl.'i that 3Il facts
therein OlOnratiMiTrattli. OF FLORIDA AT LANZ
MY COMMISSION EOM NOV. 113 1U2
WINDED DTIM GENERAL &NI. MINDEINfiliTIRS
My Commission Expires
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.
CONTRACTOR
rue. Name F-,pR�b � /S 8_LECt -¢- k Li gkT,mq - i 1.
License No. q c r cO v 7... 7
ZZ G
Address /sop
R t E _ /1 0 a.
N- L_ X3(9 1
Telephones 99 5 6 90 Faze 6 Cii I ,.
J
Qualifier Namerp 1 t� .h. 59S.
PROPERTY OWNER
New Construction
k n e ll') in h.. J. 1 liftivyt, A(6 co bon;
Addr
( k i Z !✓t: e I 7 5
!l'iacz,i SG►ores Fi 33/30 - 2534
Home Telephone: 05-75 - la I?
Alteration Exterior
N � Business Telephone 4
Repair
Fax Nig
Alteration Interior
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'l Attachment
Other
Add'l Detachment
Other
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
6b Address:
Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit-
ted along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
/044 itl Street
Address
Apt.
Folio Number 1 scription of Work crisr&L 6 f ?Uii
Lot Block , 1",N,0 1 R46 e O (NP7:
Subdivision PB PG Zoning Linear Feet
Current Use of Prope Square Feet Units Floors
Proposed Use of Property ge9r' 1 ( 7 La18e of Work /) Bldg Value
Tenant Information Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Master Permit No.
Subsidiary Permit No.
PERMIT APPLICATION
Mahti- &ores rL 33/3g -256
City State Zip
ENGINEER
Name
License No.
Address
Telephone
Fax
Page 2
IMPORTANT NOTICES
1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECT hD FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and Installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1°' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
STATF OF FLORIDA, COUNTY OF MIAMI -DADE
TN., Signature of Owner
6 - L I'1trt,,tn J. CiIAGDbOht
Print Name 11 z
Sw m to and subscribed before me this
`L• / / day of
ignature of Notary Publiz` =Stare
SEAL:
Personally known OR, Produced Identification
Type of Identification Produced: ' 114 A C.—
ST • OF r 4 • IDA, COU Y / ifii► I -DADE
Si:. ature of in ` /P -'
rint Name
w...- toss'
,i1*
SEAL:
PERMIT APPLICATION
subscribed before me this day of U w v ,
tary Public State o "orida
3ecker
!ta. Angela M Begkef DD11�55o p
0 � 04 � 8 a
My Comndesi011 `:' �.�t
dt Expires November 15, 2006
Personally known OR, Produced Identiifiication Cam'
Type of Identification Produced: ZLJL "1 -\.11-5-/- 0E
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE
Dryer
QTY.
TYI'P.
Outlet, Appliance
QTY.
TYPE
Service Repair
QT V.
A/C Central 1 -3 Ton
Fan
Dryer Vents, Number of
Outlet, Wall
Ventilation, Cost
Service, Temporary
Air Handler, Tons
A/C Central 4 -7 Ton
- Piping, Flammable Liquid
Fire Pump
Outlet, Switch
Fire Sprinkler System
Signs
A/C Central 8 -15 Ton
Bath Fan - Vented, #
Fixture - Fluorescent
Pressure Vessel
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
/
Swim Pool, Residential
.
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
MECHANICAL
TYPE
Minimum Fee
QTY. TYPE
Condensate Drain
QTY. TYPF.
Generator
QTY. TYI'F,
Refrigeration, Tons
(En
A/C Central, Tons
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
Paint Booth
Ventilation, Cost
Solar Water Heater
Air Handler, Tons
Ductwork, Cost of
- Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Cap - Fixture
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Pump and Abandon
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
'1'YI'F.
Miscellaneous Fixture
QTY.
TYI'E
Soakage Pit
QTY.
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
SECTION
BY
DATE
Zoning
Electrical
�
0
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.)
Inspector State Educational Fund
State PCA (Radon)
Code Enforcement Fine
Zoning Review
Notary
.11ALLA ( sq.ft. = x/1000
x ¢.60)
$
$
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
(¢.005 /sq.ft.)
(¢.01/sq.ft.)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $
0
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
Miami Shores Village
10050 NE 2nd Avenue
(D
Phone: 305 - 795 -2204
Printed: 11/14/2002
Applicant: DOMINIC
Owner: GIACOBONI
JOB ADDRESS: 1044 NE 97
Contractor FREDDYS ELECTRIC & LIGHTING CORP
Local Phone:
Parcel # 1132050170210
000 6 7 5 511'
FREDDY'S ELECTRIC 5 -89
AND LIGHTING CORP.
1800 N.E. 140th ST.
NORTH MIAMI, FL 33181
PH. 305-893-5120
/ co
FIRST UNION NATIONAL BANK
OF FLORIDA
NORTH MIAMI FL
24 HOURS INFORMATION SERVICE
1-800-735-1012
FOR
1:06 700 64 3 21: 2 15 2880 6 3811'
Electrical Permit
Permit Number: EL2002 -372
GIACOBONI
DOMINIC
ST
Contractor's Address: 1800 NE 140 ST
Legal Description: REV PL MIAMI SHORES SEC 8
Total Fees: $0790
$0.00
Total Receipts:
Permit Status: Approved Permit Expiration: 5/12/2003 Construction Value: $1,000.00
Work: Install 6 appliiances outlets and 1 range outlet
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fy 1
20
i s 65
6755
DOLLARS n
63- 643/670
Page 1 of 1
PB 43 -51 LOT 9
_
BLK 181 LOT
escribed in the application herefor in strict compliance with all
statements or specifications that may have been submitted to
with such ordinances or if the plans are changed without
roe assumes the responsibility for a thorough knowledge of the
it specifications and that he assumes responsibility for work done
nances and regulations pertaining thereto and in strict conformity
his permit I assume responisibility for all work done by either
The Sunshine State —
LICENSE MUND T
G000- 241 -51 -140-0
FREDDY AROLDY GOYA
1800NE140ST
N MIAMI, FL 33181 -1823
BIRTH DATE SEX MGT. REST. ENDORSE.
04-2041 M 605
ISSUED EXPIRES
SAFE DRIVER
smae04280036
Operation of a motor vehicle constibites consent to any sobriety test required by law