1077 NE 96 StTotal
Ceiling
Bracket
Receptacle
Switch
Bell
Floods
Sign
SERVICE
.02:17
Outlet
AMP.
i
Form 63 (Rev.)
A
t k * A 4tR ���
(
I hereby make application for an electrical permit to install or change electrical wiring in or on
the premises described below, and I agree to comply with all the rules and regulations governing
electrical installations in the City of Miami.
LEGAL DESCRIPTION:
Lot
Address tr, ` A , J 1
Building Occupied as:
New Construction
ROUG WIRING
Main Switch
EQUIPMENT
FIXTURES
Master
Electrician
For
Application Received
Stove
Receptacle
[_ Total Lights
Final OK No.
OK for
Size Service
Wires
Water Heater
Block Subdivision
Ceiling
ROUGH WIRING
Size Service
Conduit
Special Power or Heat Wiring for:
BUILDING DEPARTMENT
ELECTRICAL INSPECTION DIVISION
Existing Structure
No. Circuit
Spaceheater
Bracket
Owner
Occupant
Streamer
Phone
INSPECTION REPORT
Fee Paid
Inspector
DAT E
Addition to Existing Building
MOTORS (List and Give H. P. of Each Motor)
Display Case
Address / "eV .
eady /..,..••••'".""-- Will Call
EQUIPMENT
FIXTURES
Permit No 1
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 P R , J o J ri P/ N 4 /
Registered Architect and /or Engineer.. e.r.P' f / -4-"+:,,T `i Y - .. Al 1 1....! c
tI r ... 5 ...r 4i >. - _ l-4- No.....l...A /
Employing Electrician's Name /1
Location and Legal Description Lot / * 4 Block 1 ?' Subdivision
Street and Number where work is to be performed —No / 2 7 Street..4/ .G V. ..l
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
414. I Conduit./ " Main Sw....J /7 Amps .Main Fuses
Type of Installation — Conduit Tubing !/ B.X.L Metal Moulding
Service Overhead Size Feeders
Underground
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 subcontractors, on work to
licensed by Miami Shores Village.
ve
Q 2 / c
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date./ h / r
No Street
Street ... /.Y Ai 2 , ^ t 4/4.
c) Amps
(Signed)
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
(Signed)..f..
Master Electrician.
STATE OF FLORIDA, }
COUNTY OP 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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. H EAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
Qe
/
"
7
it B .r
!l
/
/, t'/ A
/
�^
J C'
/
/
7 S"
3
2 J t--
CHECK
(
-i . -
)
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.3 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LI3T
/�
1
2. 0
445 / '
/, O6
/
, 7 '
3, uo
CHECK
Permit No 1
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 P R , J o J ri P/ N 4 /
Registered Architect and /or Engineer.. e.r.P' f / -4-"+:,,T `i Y - .. Al 1 1....! c
tI r ... 5 ...r 4i >. - _ l-4- No.....l...A /
Employing Electrician's Name /1
Location and Legal Description Lot / * 4 Block 1 ?' Subdivision
Street and Number where work is to be performed —No / 2 7 Street..4/ .G V. ..l
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
414. I Conduit./ " Main Sw....J /7 Amps .Main Fuses
Type of Installation — Conduit Tubing !/ B.X.L Metal Moulding
Service Overhead Size Feeders
Underground
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 subcontractors, on work to
licensed by Miami Shores Village.
ve
Q 2 / c
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date./ h / r
No Street
Street ... /.Y Ai 2 , ^ t 4/4.
c) Amps
(Signed)
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
(Signed)..f..
Master Electrician.
STATE OF FLORIDA, }
COUNTY OP 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 (~1
ROOFING
Owner of (s,
Building "��'V • �.
CONTRACTOR OR BLILDER
MIAMI SHORES VILLAGE, FLORIDA
DATA: /a• a 7 .5'/ 195
PERMIT N? 12553
❑ Work to be performed under this Permi
Architect
Contractor n
or Builder_ -- l .
Legal Lot I) Bi.
Description. III
Address of [ , y Value of Amt. of
Building ' D 1 -' Q _ (f ( , j, 4 Project $ ( Permit $ / 7 t
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device deeanbed 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 specification's that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time 0 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 ordinance and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Si l ``'' w ► ' - g) ■J CLi
INSPECTOR
In consideration of the issuance to me of this permit I agree to *orm 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.
Subdi-
vision
BY
Contractor's
License No
AUTHORITY
Permit No.. .4;1
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
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
° / F
Employing Electrician's Name No.
Location and Legal Description Lot Block
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
(Signed)
Date
No 7 Z " reet
Street
Amount of Permit $ (Signed)
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 ' ork to
licensed by Miami Shores Village.
Street /> >'
Subdivision
`Repairs No. of Stories
Servi Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
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.
STATE OF FLORIDA,
COUNTY OF DADE: I
SS.
Before me, We 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
O UTLETS
PLUG
RECE'P'T'S
FIXTURES
N O. LAMPS
REFRIG.
O UTLET
IRON
O UTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
H EATER
TOTAL
CONTR.
LIST
/ . J A Y
n
/ ^
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
/
U
M OTORS
0-1 HP.
-411...* r Q. g
-
�M.,.: r
- ye
MOTORS
! 1.5 HP
y...a°
N EON
TRANS.
s
.
- ; ` ?q ' �f
RADIO
TOTAL
.0
CONTR.
LIST
CHECK
Permit No.. .4;1
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
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
° / F
Employing Electrician's Name No.
Location and Legal Description Lot Block
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
(Signed)
Date
No 7 Z " reet
Street
Amount of Permit $ (Signed)
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 ' ork to
licensed by Miami Shores Village.
Street /> >'
Subdivision
`Repairs No. of Stories
Servi Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
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.
STATE OF FLORIDA,
COUNTY OF DADE: I
SS.
Before me, We 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.
Date K "!
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitteijbr 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 cope of approved plans and specifications must be kept at
building during progress of work.
No � ` t
... Street r , 'r 0"
Permit No �..�..T�
Owner's Name and Address
Registered Architect and /or Eng >�...j
Employing Electrician's Name
Service Overhead Size Feeders Conduit
Underground
Type of Installation -- Conduit Tubing
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE:
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
UO
SE.
MIAMI SHORES VILLAGE
Before me, tl;e undersigned authority, a notary public, duly authorized to
No...
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 ego. � Repairs No. of Stories
Main Sw Amps Main Fuses Amps
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 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 performed under this permit, as are
licensed by Miami Shores Village.
....l�Y w..
er Electrician.
(Signed) : '' },
flew
i
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.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
_
�,,. J
— �j P
/ 7
gg��
t :f
,.. </ ye.
P
....,
CHECK
�,J
/V L./
‘,7-C4-.
Date K "!
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitteijbr 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 cope of approved plans and specifications must be kept at
building during progress of work.
No � ` t
... Street r , 'r 0"
Permit No �..�..T�
Owner's Name and Address
Registered Architect and /or Eng >�...j
Employing Electrician's Name
Service Overhead Size Feeders Conduit
Underground
Type of Installation -- Conduit Tubing
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE:
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
UO
SE.
MIAMI SHORES VILLAGE
Before me, tl;e undersigned authority, a notary public, duly authorized to
No...
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 ego. � Repairs No. of Stories
Main Sw Amps Main Fuses Amps
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 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 performed under this permit, as are
licensed by Miami Shores Village.
....l�Y w..
er Electrician.
(Signed) : '' },
flew
i
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.