1234 NE 96 St (3)MIAMI SHORES VILLAGE
Offic f Eliectricafl Inspector
,' /1 ,400 ;.
CERT!FII CAT E
•
F NSPECTBON
F' ES THAT the wiring and apparatus �
THIS CERTI
,� g pparatus installed at `"
by Address
for owner, and occupied as
has been inspected and current is authorized to be turned on, until otherwise notified, for:
Size of Service Number of Lighting Circuits
Range watts. Water Heater watts
Power: Connected load H P. Space - Heaters watts
Other Apparatus {�
; ELECTRICAL INSPECTOR.
PERMIT
Nom /f
JOB:
BUILDING
:
ELECTRICAL :
PLUMBING
• i :
Inspector's Report:
OS
•
:
•
•
•
•
: WORK
: DONE BY:
•
•
•
: REQUESTED
I #0
9/e-1-7/et- :
i/50/4
The following is ready for Inspection:
•
•
• W I
•
.
•
•
•
•
•
BE READY
4
JOB:
PLUMIMBING
BUILDING
The following is ready for Inspection:
Inspector's Report: -
eazt( ADJ134 AiE
I
WORK
DONE BY
REQUESTED
•
•
U�
•
•
•
•
•
•
•
•
WILL BE READY
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 w}}ether 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__
No Street____ jj
,( fj Subdivision1____
Street and Number where work is to be performed—No. ___ / Street _ ______
Amount of Permit $_ —_
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
s s.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Block__
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
No. Street
Repairs No. of Stories
Service Overhead Size Feeders G Q Conduit 2 /'.t Main SwG Amps. Main Fuses Amps.
Underground
Type of Installation — Conduit_ Tubing B.X.L. ____. Metal Moulding
_(Signed) _�✓� %�.
- --
'' — - - - - - --
Electrical nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub-contractor s,_ n work_ to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
aster Electrican.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS OUTLETS
PLUG
RECE'
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT,
CONN.
SPACE
H EATER
STRIP
HEATER
TOTAL.
CONTR.
� 'Z.
1
/
�
./
/3 I
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 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 w}}ether 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__
No Street____ jj
,( fj Subdivision1____
Street and Number where work is to be performed—No. ___ / Street _ ______
Amount of Permit $_ —_
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
s s.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Block__
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
No. Street
Repairs No. of Stories
Service Overhead Size Feeders G Q Conduit 2 /'.t Main SwG Amps. Main Fuses Amps.
Underground
Type of Installation — Conduit_ Tubing B.X.L. ____. Metal Moulding
_(Signed) _�✓� %�.
- --
'' — - - - - - --
Electrical nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub-contractor s,_ n work_ to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
aster Electrican.
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.
Registered Architect and /or Engineer ___
Employing Electrician's Name
•
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No. _ _L____ Date 0 V
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.
I ifr (
Owner's Name and Address 11 _ r No Street
� — - --
No Street_- -------- - ---_–
Location and Legal Description Lot..../ Block
Street —
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs ____ No. of Stories
Overhead � � ` i
Service Underground Size FeedersS/_f1 u Con _l �i c_ Main Sw.�� 4 " �..� Amps. Main Fuses Amps.
Type of Installation — Conduit Tubing B.X.L. Metal Moulding
'
— f -- ate ^ai — o -�
Amount of Permit $ � ' (Signed) ` 4.11
( g ) r 7:: ..-Le _ .r± te d . ...____ ) _ 0 -------
Electrical Tnsper.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, -on wont to be performed under this permit, as are
licensed by Miami Shores Village. ) /
/
/ / i --0
I Electrican.
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, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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
RECK'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
LIST
CLIsT
4)/ii'--
�
. ! 1 x w
�, /. :t,
f
i
1
F�j
, -- / / --
/
u
/ 2
V�1 L
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Registered Architect and /or Engineer ___
Employing Electrician's Name
•
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No. _ _L____ Date 0 V
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.
I ifr (
Owner's Name and Address 11 _ r No Street
� — - --
No Street_- -------- - ---_–
Location and Legal Description Lot..../ Block
Street —
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs ____ No. of Stories
Overhead � � ` i
Service Underground Size FeedersS/_f1 u Con _l �i c_ Main Sw.�� 4 " �..� Amps. Main Fuses Amps.
Type of Installation — Conduit Tubing B.X.L. Metal Moulding
'
— f -- ate ^ai — o -�
Amount of Permit $ � ' (Signed) ` 4.11
( g ) r 7:: ..-Le _ .r± te d . ...____ ) _ 0 -------
Electrical Tnsper.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, -on wont to be performed under this permit, as are
licensed by Miami Shores Village. ) /
/
/ / i --0
I Electrican.
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, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No /AZ. l!/ Date ,/ 6 - 4/
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
,lF.:1 . �_s No..1 ._Y 4 ... l..,(G Street
_ '
Registered Architect and /or Engineer
Employing Electrician's Name
licensed by Miami Shores Village. 7
7
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed— No..,/ - V 17 1 6. / SC Street
State work to be performed and purpose of building (By Floor
New Building Remodeling Addition,/ Repairs No. of Stories
appeared !" ....
Servi Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Tubing ,,...B.X.L Metal Moulding
Cc, e1- At •,.`i i .t.. >. l '
..� . , ' l , 1' l ( • ; !J B /" C e. , .�
4/1 J
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 be p ted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ s h subcontractors, on work to be performed under this permit, as are
3 7)
7)
2 ("Signed)
STATE OF FLORIDA, 3 ✓ /0- 0
COUNTY OF DADE. ss. i - 7
Before me, the undersigned au ority, 3ng3fP
C 1. ..��r "FL -0-- ?G t -
Street (/ 1 .
Master Electrician.
c, duly authorized to administer oaths and take acknowledgments, personally
to me well known, and who, being by me first ul sworn, upon oath deposes and says that he is the
of the above described construction, and he as 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
LIST
GUST
7
/ /
! /
y 3
� 4'
7
�
_
.�
_ �
� -
_
/
A� V
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
) I
CHECK
t - "
1 - .> id
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No /AZ. l!/ Date ,/ 6 - 4/
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
,lF.:1 . �_s No..1 ._Y 4 ... l..,(G Street
_ '
Registered Architect and /or Engineer
Employing Electrician's Name
licensed by Miami Shores Village. 7
7
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed— No..,/ - V 17 1 6. / SC Street
State work to be performed and purpose of building (By Floor
New Building Remodeling Addition,/ Repairs No. of Stories
appeared !" ....
Servi Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Tubing ,,...B.X.L Metal Moulding
Cc, e1- At •,.`i i .t.. >. l '
..� . , ' l , 1' l ( • ; !J B /" C e. , .�
4/1 J
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 be p ted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ s h subcontractors, on work to be performed under this permit, as are
3 7)
7)
2 ("Signed)
STATE OF FLORIDA, 3 ✓ /0- 0
COUNTY OF DADE. ss. i - 7
Before me, the undersigned au ority, 3ng3fP
C 1. ..��r "FL -0-- ?G t -
Street (/ 1 .
Master Electrician.
c, duly authorized to administer oaths and take acknowledgments, personally
to me well known, and who, being by me first ul sworn, upon oath deposes and says that he is the
of the above described construction, and he as 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.
9
eg.
APPLICATION FOR ELECTRICAL PERMIT
Permit No.... .... Date..........
Application L hereby made for the approval of the detailed statement of the p ans and specifications her with submitted for the bu•+ding or other
.tructure herein described This application is made in complia and conformity with the Building Ordinance of Miami Shores Village, Flo ida,
and all ro isions of the Laws of the State of Flor a all ordinances ' Miami Shores Village and all ules and regulatio s of h. Building Division
of Miami Shor . Village shall be complied with whe.her he ein specs led or not. A copy of approved plans and speci 'cations must be kept at
building durng ogress of wor
Owner's Name and Address.
Registered Archi ect d or Engin: er . .. .. .
Employing Electrician s Name.
Location and Legal Descriptioi of
Street and Number where work is to be performed —No .
State work to be perfo med and purpose of building (By Floors)
New Building ... ..... Remodeling....... ......Addition
Service Overhead Size Feeders duct. .. .. ..Main Sw . . .. . . . Amps... ... Main uses
Underground " "' ..Co '
Type of Instaliation— Conduit. . - .T,ibirg. .. _B X L . .. Metal Moulding
STATE OF FLORIDA, }
COUN i Y OF DADE
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
... ....No.. ` 6.
.. No......... .
_ Block.. ... . .
(Signed)
..Street
. Subdivision..
.Street.... ... .. .
. Repairs..
A nount of Pe m t $ (Signed). \ s �' •'''.
No of Stories
•
.....Amps
> 1 ctr:al Inspector
The nd ,s'■'ncd applicant for t i builds g pe ^it doe hereby ce tify that he understands and crepts his ob)s ti ns as an employer of
Cabo and r he Flo 'da W.,rkmen s Compe sat on Act being Section 5966, Compiled General Laws of Florida 1?" rranent Supplement and
has ompl d ith the p ovisi ns thereof and will require s1m1;1 compliance from all contractors or sob- contractors employed by him in the
work to be i- for. led under this permit• and will post .i cause to be posted for inspection on the site of the wo k .,I,c public notice or notices
as a- e requir d b the At The undersign, d agrees to iplo ' only such qub con,ra. tors, on work to be rfor ed under this permit, as a e
ce- sed by Miami Shores Village
Master Electrician
Before me the undersigned authority a notary public duly authorized to administer oaths and take acknowledgments, personally
app. ared .
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 construLtion, and he h, carefully read the foregoin application, and that he did sign the same anal 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 workma .ship.
SWITCH
OUTLETS
L'GH
OU "L b
PL. G
REC P'T S
.XT RE..;
NO LAMPS
REFRIG.
0 • ' ET
IRON
OUT ET
FLAN E
OUTLET
R NGE
CONN
WAT R
HEAT R
W. HEA''.
CONN
SPACE
HE ER
STRIP
HEATE
L <! .' (
,fTAL
'_
CONTR.
LIST
(SA
r.. (
CHECK
-
.
ENT.
5' .
DIS..
AB
SE
T
V - E
MP.
SERV C
PERM
••''''' -
• (• %
MOTORS
0.1 HP
MOTORS
1.5 HP
N N
TR'N
R DIO
TOTAL.
CONT
LI T
F
(
e.-'(.7
CHE K
e v C.7..∎
9
eg.
APPLICATION FOR ELECTRICAL PERMIT
Permit No.... .... Date..........
Application L hereby made for the approval of the detailed statement of the p ans and specifications her with submitted for the bu•+ding or other
.tructure herein described This application is made in complia and conformity with the Building Ordinance of Miami Shores Village, Flo ida,
and all ro isions of the Laws of the State of Flor a all ordinances ' Miami Shores Village and all ules and regulatio s of h. Building Division
of Miami Shor . Village shall be complied with whe.her he ein specs led or not. A copy of approved plans and speci 'cations must be kept at
building durng ogress of wor
Owner's Name and Address.
Registered Archi ect d or Engin: er . .. .. .
Employing Electrician s Name.
Location and Legal Descriptioi of
Street and Number where work is to be performed —No .
State work to be perfo med and purpose of building (By Floors)
New Building ... ..... Remodeling....... ......Addition
Service Overhead Size Feeders duct. .. .. ..Main Sw . . .. . . . Amps... ... Main uses
Underground " "' ..Co '
Type of Instaliation— Conduit. . - .T,ibirg. .. _B X L . .. Metal Moulding
STATE OF FLORIDA, }
COUN i Y OF DADE
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
... ....No.. ` 6.
.. No......... .
_ Block.. ... . .
(Signed)
..Street
. Subdivision..
.Street.... ... .. .
. Repairs..
A nount of Pe m t $ (Signed). \ s �' •'''.
No of Stories
•
.....Amps
> 1 ctr:al Inspector
The nd ,s'■'ncd applicant for t i builds g pe ^it doe hereby ce tify that he understands and crepts his ob)s ti ns as an employer of
Cabo and r he Flo 'da W.,rkmen s Compe sat on Act being Section 5966, Compiled General Laws of Florida 1?" rranent Supplement and
has ompl d ith the p ovisi ns thereof and will require s1m1;1 compliance from all contractors or sob- contractors employed by him in the
work to be i- for. led under this permit• and will post .i cause to be posted for inspection on the site of the wo k .,I,c public notice or notices
as a- e requir d b the At The undersign, d agrees to iplo ' only such qub con,ra. tors, on work to be rfor ed under this permit, as a e
ce- sed by Miami Shores Village
Master Electrician
Before me the undersigned authority a notary public duly authorized to administer oaths and take acknowledgments, personally
app. ared .
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 construLtion, and he h, carefully read the foregoin application, and that he did sign the same anal 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 workma .ship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
L
Description
Address of
Buildin
This permit 1* gamed to easnastarns-baT
MIAMI SHORES VILLAGE, FLORIDA --
DATE
194_
R
PERMIT N? 6966
W ork to be performed under this Permit
CONTRACTOR OE BUILDER
cation h in strict compliance with all ordinances
plans, drawings, statements or specifications that may have been submitted to and approved
at any time if the work is not done in compBance with such ordinances or if the plans are chang
permit is granted is the understanding that the contractor or builder named above
regulations pertaining to the work covered hereby whether shown on the plans or
sibility for work done by his agents, servants or employees.
•
Contractor's
License No
Signed: By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perfonn work covered hereunder in compliance with all ordinances and regulations
perta ining thereto and in strict conformity with the plans, draveing' or specifications submitted to the proper authorities of Miami Shores Village.
Jn accepting.this permit I assume responsibilfty for ail work don either myself, my agent, servant or employee.
r,
.1
MIAMI SHORES VILLAGE, FLORIDA
BUILDING D 17 - # C.. ...
Date 19_2
ELECTRICAL
PLUMBING 0 PERMIT N? 10699 Contractor's
ROOFING 0 License No.
0 Work to be performed under this Permit
Owner of
Building \k) L k. i s 4-.1
Architect
Contractor ,.
or Builder .-- t , ‘ ., , , i ....--
Legal Lot li
Description 11 Bl-
Address of — .... r e .
I
Building
CONTRACTOR or BUILDER
L
Subdi-
vision
Sq Ft
Value of 11 Amount of
Project $ I1 Permit $
BY AUTHORITY
1 (
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 arn
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 1 ag,ree 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.
a
1
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 :n 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, whi ther 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 6. /b0- CS...C/ C,( `.
Street and Number where work is to be performed —No
New Building Remodeling Addition
Service Overhead Size Feeders Conduit.. Main Sw
Underground
Amount of Permit $ ..................... .. ..
STATE OF FLORIDA, }
COUNTY OF DADE. ss.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date /2
MIk,MI SHORES VILLAGE
Street.: ..............
hiezAyttctki
e if S..../ /ems Nojef eLC'. -ce/cire Strelilsk /
(Signed
No. i(
Registered Architect and /or Engineer ..
Employing Electrician's Name ti-W
Location and Legal Description Lot Block Subdivision
State work to be performed and purpose of building (By Floors)
Type o f Installation — Conduit Tubing....... . B.X.L Metal Moulding.. -_. ...
(Signed) `' `
The undersigned applicant for this building permit does hereby ce tify 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 emplo, only such subcontractors, on work to
licensed by Miami Shores Village
Street
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and
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 ha carefully read the foregoing application, and that he did
therein by him stated are true.
Amps Main Fuses Amps
Repairs No. of Stories
Electrical Inspector.
.ccepts his obligations as an employer of
of Florida Permanent Supplement, and
sub- contractors employed by him in the
of the wo k such public notice or notices
be )erfor ; ed under this permit, as are
Master ctrician.
take acknowledgments, personally
sign the same, and that all facts
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
TCMP.
SERVICE
P ERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N =ON
TRAN ✓.
RADIO
TOTAL
CONTR.
LIST
CHECK
a
1
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 :n 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, whi ther 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 6. /b0- CS...C/ C,( `.
Street and Number where work is to be performed —No
New Building Remodeling Addition
Service Overhead Size Feeders Conduit.. Main Sw
Underground
Amount of Permit $ ..................... .. ..
STATE OF FLORIDA, }
COUNTY OF DADE. ss.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date /2
MIk,MI SHORES VILLAGE
Street.: ..............
hiezAyttctki
e if S..../ /ems Nojef eLC'. -ce/cire Strelilsk /
(Signed
No. i(
Registered Architect and /or Engineer ..
Employing Electrician's Name ti-W
Location and Legal Description Lot Block Subdivision
State work to be performed and purpose of building (By Floors)
Type o f Installation — Conduit Tubing....... . B.X.L Metal Moulding.. -_. ...
(Signed) `' `
The undersigned applicant for this building permit does hereby ce tify 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 emplo, only such subcontractors, on work to
licensed by Miami Shores Village
Street
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and
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 ha carefully read the foregoing application, and that he did
therein by him stated are true.
Amps Main Fuses Amps
Repairs No. of Stories
Electrical Inspector.
.ccepts his obligations as an employer of
of Florida Permanent Supplement, and
sub- contractors employed by him in the
of the wo k such public notice or notices
be )erfor ; ed under this permit, as are
Master ctrician.
take acknowledgments, personally
sign the same, and that all facts
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 '4/5
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Dace February4, 1985
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oe 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 plans and specifications must be kept at
building during progreu of work.
Owner's Name and Address
Dr. Ke f f er No
1234 N . E . 96th S tree t
N/A
Employing Elect icia s ame. Tri — City Electric Co.,
Location and egal Description Lot / A. IA' .1 cg.0 .... .Block
Street and Number where work is to be performed —No 1234
State work to be performed and purpose of building (By Floors)
Service
Ing 2900
New Building Remodeling Addition Repairs yes
N.W, 7th ....Street_
subdivision ....7 6 ' , $'Gc'.Y
Street N. E. 96th Street
Change /Residence
Street
No. of Storie9n (
service Overhead Site Feeders 1 1 0 Conduit Main Sw Amps 2.0. Main Fuses 2 Amps
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ 15.00
appeared
D.R. Borden, Jr.
My Commission Expires
(Signed) fv t D
Sob
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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.
(Signed)
D.R. Borden, r.
EC 0000136 264 -53 -8789
Muter Electrician.
STATE OF FLORIDA, j
COUNTY OF DADE. l ace'
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the Electrical Contractor
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
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' •'T'S
FIXTURES
NO
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
NEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIET.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIFT
CHECK
.
Permit No '4/5
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Dace February4, 1985
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oe 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 plans and specifications must be kept at
building during progreu of work.
Owner's Name and Address
Dr. Ke f f er No
1234 N . E . 96th S tree t
N/A
Employing Elect icia s ame. Tri — City Electric Co.,
Location and egal Description Lot / A. IA' .1 cg.0 .... .Block
Street and Number where work is to be performed —No 1234
State work to be performed and purpose of building (By Floors)
Service
Ing 2900
New Building Remodeling Addition Repairs yes
N.W, 7th ....Street_
subdivision ....7 6 ' , $'Gc'.Y
Street N. E. 96th Street
Change /Residence
Street
No. of Storie9n (
service Overhead Site Feeders 1 1 0 Conduit Main Sw Amps 2.0. Main Fuses 2 Amps
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ 15.00
appeared
D.R. Borden, Jr.
My Commission Expires
(Signed) fv t D
Sob
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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.
(Signed)
D.R. Borden, r.
EC 0000136 264 -53 -8789
Muter Electrician.
STATE OF FLORIDA, j
COUNTY OF DADE. l ace'
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the Electrical Contractor
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
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
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date (/ I.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fioada,
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 . .,v t.......`. No...,/F' e' d Street
Registered Architect and /or Engineer
Employing Electrician's Name.... = `" " ' ! i ' :ex"' , - •- ',:--.''' 1.10.6b(2
Location and Legal Description Lot Block Subdivision
� ,
, e:..
Street and Number where work is to be performed —No /f Street 4
State work to be performed and purpose of building (By Floors) / -1f " '--4'•4•
New Building Remodeling Addition !' Repairs No. of Stories
..mss •_ �/ /t
Service Overhea� Underground Size Feeders Condui `� a Main Sw Amps ' ✓��4r
Type of Installation — Conduit u ing B.X.L .Metal Moulding
Street
Main Fuses Amps
'� f✓i /A e .l /i• ' �� i /ice f'
Amount of Permit i...IP (Signed) t Ft) ( ....._ .
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, work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed
STATE OF FLORIDA, 1 /32 � 33 Muter Electrician.
COUNTY OF DADE. j
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 $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. HEAT.
CONN.
SPACE
H
STRIP
H
TOTAL
CONTR.
LIST
CHECK
_
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O. HP
MOTORS
t.B HP
NEON
TRANS.
RADIO
TOTAL
GLt$T LtsT
- -:
/
CHECK
r3'', /�`
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date (/ I.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fioada,
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 . .,v t.......`. No...,/F' e' d Street
Registered Architect and /or Engineer
Employing Electrician's Name.... = `" " ' ! i ' :ex"' , - •- ',:--.''' 1.10.6b(2
Location and Legal Description Lot Block Subdivision
� ,
, e:..
Street and Number where work is to be performed —No /f Street 4
State work to be performed and purpose of building (By Floors) / -1f " '--4'•4•
New Building Remodeling Addition !' Repairs No. of Stories
..mss •_ �/ /t
Service Overhea� Underground Size Feeders Condui `� a Main Sw Amps ' ✓��4r
Type of Installation — Conduit u ing B.X.L .Metal Moulding
Street
Main Fuses Amps
'� f✓i /A e .l /i• ' �� i /ice f'
Amount of Permit i...IP (Signed) t Ft) ( ....._ .
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, work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed
STATE OF FLORIDA, 1 /32 � 33 Muter Electrician.
COUNTY OF DADE. j
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 $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date 4 Job Address 4 ���� S�'
Signature of Owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
* . *
PERMIT FEE: APPROVED:
Zgning
Mechanical
Fire
Building
Plumbing Engineering
Tax Folio 1/ 52I /11 JO
Legal Description/44p °+'E ' 5Sce.$ Master Permit #
Owner / Lessee / Tenant `l�7cz.eS K‘kc ti,
Owner's Address Phone
Contracting Co. IF tfC) c- Address t s 1 r.k r&
Qualifier ..--N F` C�tMtce SS# - - Phone ���`; I'c
State# Competency# A l✓ee,/ Ins. Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDIN ELECTRIC PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION ?v��� 1 h h-`Me■. ZC-A.:\ V r -- ,� • CA.ev1CO S
Square Ft. Estimated Cost \„4_1
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO
DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work
will be done in compliance with all applicable laws regulating construction and zoning.
Furthermore, I authorize the above -named contractor to do the wor \stated.
\
Signa , f 69ntractor or Owner- Builder
Date:
N• ar to Contractor or Omer - Builder
M Commission Expires:d� /� / ff/
* * * * * *
Other
lectrical
*
A4 P, LC); 5) 11
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date g // Address /:72 5 /\ / q Si -Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant J 1 / & )1/4) Master Permit # 3 1
Owner's Address O2 5 1- ' c11 5 Phone ( 9 'g / 1/ S
Contracting Co. C 7g ae : r � . t- L 2.,271Cd
, � �
Phone 6 `-1
State # Municipal # 1/1/3 Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft. Estimated Cost (value) 0 a S
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
i
r / e`1 .,lf Cf ffLkf -(�. _ _ i^ L�
Signature of owner and/or oWo PresiOnt Date ignature Of Contra , or or Owner - Builder Date
t
Notary as to Owner d/or Condo President Date No as �: actor or Owner ffniidtir I Date
sipn,Expites `': d
FEES: PERMIT RADON
C.C.F. C) NOTARY
APPROVED:
Zoning Building Electrical .:.
Mechanical
TOTAL DUE
st)
Plumbing Engineering
Date 74, Job Address / 2 - 3 V A y‘ Tax Folio
Legal Description / Historically Designated: Yes No
Owner/Lessee / Tenant /✓, 1 /r / � t '")
Owner's Address /-r/
Contracting Co. /4 e l' L Y- G / )-/ C- 1 N
Qualifier i iY h ' - L C r i t, 1 F L- 0 i ss#
a(14,_ nature of owner and/or Condo President D to
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
otary.aa.ta Owner and/or Condo President Date
My conurlission Expires:
FEES: PERMIT 5 ` C RADON C.C.F.
Master Permit #
Phone
Address 9 9 J ) At C 57 ! Lt /4e e l�
<- Phone 9: �� - 'i'6' ''
State # f_ Z cot: 7 70W Municipal # 3 6— 16' ,n 5 Competency # & / .5 Ins. Co.
Architect/Engineer E Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDIN(ELECTRICAI PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION J /j t) C l - & LZ CG • (s€ t) S '=,! % 6..
E�' Q
Square Ft. Estimated Cost (value) ()
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of Contractor or Owner- Builder Date
N \,
Notary as to Contractor or Owner - Builder Date
My Commission Expires:
NOTARY TOTAL DUE -517
APPROVED:
Zoning Building Electrical :./l /t/�i'C
Mechanical Plumbing Engineering
•
J /
10' ‘(Lov3.t1) Q 0J
J.A.C. ELECTRIC, INC.
939 Adams Street
Hollywood, R.. 33019
— Brow: 922-6742
4--09:57
xisY° 0 1 -t�- s�r�' Size
1451-60 o � p SF 3 -CT
f
l
p iqc
Ne
v
F, R L, s LT
ITEM
BATH TlB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/I€TER CHANGE
,
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TCP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 If
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECT ION
WATER SUPPLY TO:
AIR CONDITIONERS
•
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
•
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
.
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY - SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENMA
RELAY
TELEVISION OUTLETS
DRAINFIELO, 4' TILE/RES.
_
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
_
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
1-
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
ELECTRICAL
MECHANICAL
f
Architect
qpiltractor
grallailder
Legal
Description
Address of
Building
4 7.1.
Lot /
MIAMI SHORES VILLAGE. FLORIDA
- 'PERMIT 'N? 11266
Work to be performed under this Permit_
34/
In consideration of the issuance to me of this permit I ag
rc rtaining thereto and in strict conformity with the phut., dra •
n accepting this permit I assume responsibility for all work
OONrIACrCR OR VOIDER
Signed:
DAT��r 1� -195
Contractors
License No.
Subdi-
vision
ill Value of 11 Amt of , _
Project $ Permit
This penmittu granted to the contractor or builder name above to construct the building or to install the equipment or device descnbed in the applicatio
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
- drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. ,/
BY
perform the work covered hereunder in compliance with all o fi nances and regulations
tements or specifications submitted to the proper authorities of Miami Shores Village.
either, myself, my agent, servant or employee.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder-
/
Legal Lot Bl.
Description
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 6966
ork to be performed under this Permit
)
Signed•
bdi-
vision
j
Address of J / } Value of Amt. of
�. Project Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further co
permit is granted is the understanding that the contractor or builder named above assumgcfe respopsibility for a thorough knowl
regulations pertaining to the work covered hereby whether shown on the plans orlra or1 statements o -: • cification
sibility for work done by his agents, servants or employees.
BY
!.
DATE
L a
1
Contractor's
License No.
By
described in the appli-
in compliance with any
Permit may be revoked
upon which this
e ordinances and
assumes respon-
AUTHORITY
LNSPECTOR
In consideration of the issuance to me of this permit I agree to perfovin a work covered hereunder in compliance with [t3P ordinances and & gialions
pertaining thereto and in strict conformity with the plans, drawings, state ` is 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
Permit No
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date i �///
'1. /f. /e
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv.tda,
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. C , it ^ S /
Owner's Name and Address 12 3 T 41 e ;! sT No Street
Registered Architect and /or Engineer
Zt lo D ying file r is Name A °G t E I !C c .. No l and Leeiription Lot..I.°I! !J /. t...att.2. .. Block Subdivision Cl.�%
Street and Number where work is to be performed— No..... /..S... Street . /./. .� �i.J
State work to be performed and purpose of building (By Floors)
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DAD. I
u.
MIAMI SHORES VILLAGE
(Signed)
New Building Remodeling Addition Repairs No. of Stories
R-,0 094e s T ' ,Ffv�
Street
Service Overhead
Site Feeders Conduit.. Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing.. ... B.X.L Metal Moulding
k
(Signed � 4�1 9 ' �. ' � 14 Electric ��
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.
Jot kl
F
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 11.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
0
LIONT
OUTLETS
PLUO
Rccc�•P'T IS
J
FIXTURES
NO LAMPS
Rc,RIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RA NOE
CONN.
WATER
H
W. HEAT.
CONN.
SPACE
NEATEN
STRIP
H
1,C,�
l![
_L____
! ,V!
J
„'TOTAL
/
CL
LIST IS7
/
O .
o
CHECK
r6 / '15
1
ENT
SW.
DIST.
CA..
SERVICE
SERVICE
PERM.
�/ f
` y C
/�
G ay
MOTOR.
O. HP
MOTOR.
1•. HP
NEON
TRANS.
RAoio
TOTAL
t1W
- "VV
IV'II % �G
CHECK
Permit No
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date i �///
'1. /f. /e
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv.tda,
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. C , it ^ S /
Owner's Name and Address 12 3 T 41 e ;! sT No Street
Registered Architect and /or Engineer
Zt lo D ying file r is Name A °G t E I !C c .. No l and Leeiription Lot..I.°I! !J /. t...att.2. .. Block Subdivision Cl.�%
Street and Number where work is to be performed— No..... /..S... Street . /./. .� �i.J
State work to be performed and purpose of building (By Floors)
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DAD. I
u.
MIAMI SHORES VILLAGE
(Signed)
New Building Remodeling Addition Repairs No. of Stories
R-,0 094e s T ' ,Ffv�
Street
Service Overhead
Site Feeders Conduit.. Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing.. ... B.X.L Metal Moulding
k
(Signed � 4�1 9 ' �. ' � 14 Electric ��
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.
Jot kl
F
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 11.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No.
Amount of Permit S_
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Application is he 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 _
STATE OF FLORIDA,
COUNTY OF DADE. as.
PLICATION FOR ELECTRICAL PERMIT
My Commission Expires
Date
No.__1_ _3,14 4/ ___. SI01D
Registered Architect and /or Engineer
Employing Electrician's Name Arc, /�.4- t L1 No 1 Z 6 4. ___ Srreet_2
Location and Legal Description Lot__
Street and Number where work is to be performed—No. ___� SctRt 2°
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition. I/— Repairs
Block _ Subdivision
23,E /1/L
(Signed)
(Signed)
219.
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 fad
materials and /or workmanship.
No. of Stories____ — __
Overhead
Service Size Feede Conduit. Main Sw._ Amps. _ Main Fuses —_ ____
Underground !! (j
Type of Installation —C nduit____f/ Tubing fi B.X.L 7 — __�
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
H EATER
TOTAL
CONTR. IST
LIST
CHECK
7
ENT.
SW.
DIST.
CAB.
SERWCE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No.
Amount of Permit S_
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Application is he 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 _
STATE OF FLORIDA,
COUNTY OF DADE. as.
PLICATION FOR ELECTRICAL PERMIT
My Commission Expires
Date
No.__1_ _3,14 4/ ___. SI01D
Registered Architect and /or Engineer
Employing Electrician's Name Arc, /�.4- t L1 No 1 Z 6 4. ___ Srreet_2
Location and Legal Description Lot__
Street and Number where work is to be performed—No. ___� SctRt 2°
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition. I/— Repairs
Block _ Subdivision
23,E /1/L
(Signed)
(Signed)
219.
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 fad
materials and /or workmanship.
No. of Stories____ — __
Overhead
Service Size Feede Conduit. Main Sw._ Amps. _ Main Fuses —_ ____
Underground !! (j
Type of Installation —C nduit____f/ Tubing fi B.X.L 7 — __�
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
BUILDING
ELECTRICAL
PLUMBING
Legal
Description
Address of
Building
Owner of
Building ....4.04.4; 4
Lot
MIAMI SHORES VILLAGE, FLORIDA
DATE / . / :ago 194_12
Contractor's
License No. oe--
PERMIT N° 1678
Work to by performed under this Permit g
fr
Architect
Contractor
or Builder ,
•
BL
Value of
.04 4... 1
This petmit is granted to the contractor or builder named above to conotruct the
aPPliglition in strict coniiiatinal *Eh alt ordistsansipomindadng disvortgi *Aka with the
wi opirlihom4 drorrinim or opoclikadons that any have been submitted to and approved by tle proper municipal authorities. This Permit may
be teeobfigiii any time if the work is not done In compliance with such ordinances or if the plans are changed without authorizadon. A further condition
upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees. „ , el .p.' i
Signed. /1/1 ta B 0,-.‘.. ..
INSPECTOR
work covered hereunder in compliance with all ordinances and regula-
ts or specifications submitted to the proper authorities of Miami Shores
either myself, my agent, servant or employee.
In consideration of the issuance to me of this permit I agree to perform
tions pertaining thereto and in strict conformity with the plans, drawings,
Village. In accepting this permit I assume responsibility for all work done
Subdi-
vision
Project
BY
e 4)
I
JI Amt. of
Permit „ of ”"
;
or, to Imola dttrOilteporn_ t or device dosorthed in the
that t work will be performed in compliance
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of r'
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N° 1686
Work to be performed under this Permit
Architect
Contractor
or Builder
Legal
Descriptio
Address of
Building Project
This permit is granted to the contractor or builder named above to construct dee building or to instill the �eem /' <
equipment or device described. in the
application harem. in strict compliance with all ordinances pertaining thereto and with the imderstanding that the work will be performed in compliance
with any plans, drawinp, statements or opisdissuoss sasassorlusre been submitted to and approved by the proper municipal authorities. This Permit may
be revoked at any time if the work is sus dowels" oitaplitance with such ordinances or if the plans are changed without authorization. A further condition
upon which this pentilid the tuderstanding that die contractor or builder named above assumes the responsibility for a thorough knowledge of
the ordi pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or speci c,Stions and
that he reiponsibility for work done lby his agents, servants or employees.
Subdi-
vision
Value of Amt. of
Signed. t .' B
INSPECTOR
In -• • of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
tions • . s in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. - t I responsibility for all work done by either myself, my agent, servant or employee.
BY AUTHORITY
Contractor's
License No. •
1