ELECTRICALOwner's Name and Address
Registered Architect and /or Engineer 't
Employing Electrician's Name Of ` •
Location and Legal Description Lot...IJ vt r / 2 Y Co t' 1`i
Street and Number where work is to be performed —No / 2) °
State work to be performed and purpose of building (By Floors)
New Building Remodeling e" Addition
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL_ PERMIT
Permit No
ems R
Block ry
Date /O— 2 2F L 6
Street 7 7 g P '
I.
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.
No / Z 7 47 /11 °' Street 9 7 . 4- 11 $
No G 0 l. A "` Street a 7 14it
Subdivision M1N'0 Sf1°rz S
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 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.
STATE OF FLORIDA, 1
COUNTY OF DADE. ss'
Before me, the undersigned authority, a notary
appeared
(Signed) UV( I//
Muter Electrician.
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
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 $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'7'S
FIXTURES
NO. LAMPS
REPRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONIC
g�ACE
Hdi► TER
STRIP
HEATER
TOTAL
CONTR.
LIST
/
/
'$
-J
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEC
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Owner's Name and Address
Registered Architect and /or Engineer 't
Employing Electrician's Name Of ` •
Location and Legal Description Lot...IJ vt r / 2 Y Co t' 1`i
Street and Number where work is to be performed —No / 2) °
State work to be performed and purpose of building (By Floors)
New Building Remodeling e" Addition
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL_ PERMIT
Permit No
ems R
Block ry
Date /O— 2 2F L 6
Street 7 7 g P '
I.
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.
No / Z 7 47 /11 °' Street 9 7 . 4- 11 $
No G 0 l. A "` Street a 7 14it
Subdivision M1N'0 Sf1°rz S
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 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.
STATE OF FLORIDA, 1
COUNTY OF DADE. ss'
Before me, the undersigned authority, a notary
appeared
(Signed) UV( I//
Muter Electrician.
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
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.
- a-e'' 9 ( A
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. T:944 / �
Owner's Name and Address 11 (.�e:.P'I u1-4. No a lo Street
Registered Architect and /or Engineer "� /]
Employing Electrician's Name O rr f n f 3L C /T rt No ) ^* 0 / C) Street.. -). 03 ..: Qa
STATE OF FLORIDA, l
COUNTY OF DADE. 1
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 Repairs No. of Stories
Service Overhead Site Feeders Conduit
Underground
Type of Installation— Conduit Tubing
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPA'-TMENT
PLICATIONI FOR ELECTG° OCAL PERMIT
f
Amount of Permit $. • 76 (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 work to
licensed by Miami Shores Village.
My Commission Expires
Main Sw Amps Main Fuses Amps
B.X.L Metal Moulding
Date
Subdivision
Street Ai- E.. • q 6.
Electrical
Inspector.
ccepts his o i ations as an employer of
of Florida ermanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
ed under this permit, as are
Notary Public, State of Florida
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE•P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATI:R
W. HEAT.
CONN.
SPACE
HEALER
STRIP
HEATER
TOTAL
CONTR.
LIST
r,{ 7
(�11 ! 1
/
IG� = � •` (9 =
‘. 7`
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
—�
MOTORS
0.1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONYR.
LIST
CHECK
- a-e'' 9 ( A
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. T:944 / �
Owner's Name and Address 11 (.�e:.P'I u1-4. No a lo Street
Registered Architect and /or Engineer "� /]
Employing Electrician's Name O rr f n f 3L C /T rt No ) ^* 0 / C) Street.. -). 03 ..: Qa
STATE OF FLORIDA, l
COUNTY OF DADE. 1
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 Repairs No. of Stories
Service Overhead Site Feeders Conduit
Underground
Type of Installation— Conduit Tubing
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPA'-TMENT
PLICATIONI FOR ELECTG° OCAL PERMIT
f
Amount of Permit $. • 76 (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 work to
licensed by Miami Shores Village.
My Commission Expires
Main Sw Amps Main Fuses Amps
B.X.L Metal Moulding
Date
Subdivision
Street Ai- E.. • q 6.
Electrical
Inspector.
ccepts his o i ations as an employer of
of Florida ermanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
ed under this permit, as are
Notary Public, State of Florida
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
Lot
PERMIT :N° 10585
MIAMI SHORES VILLAGE, FLC3RIDA
DATE f �
Work to be performed under this Permit
Owner of
Building
Bl.
Subdi-
vision
CONTRACTOR OR BUILDER BY
Value of
Project I$
Contractor's
License No
Amt. of
Permit $
]95 0
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authori2,ation. 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.
Signed • Y
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunc:er 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.
AUTHORITY
Permit No
APPLICATION FOR ELECTRICAL PERMIT
- ,
MIAMI SHORES VIILLAI3E
ELECTRICAL INSPECTION DEPARTMENT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
VA /7 1 rt / No Street
Registered Architect and /or Engineer �� / / 99 / �
Employing Electrician's Name ! Y ® �� �/ No ... t� 1`/ .... - . .Street
Location and Legal Description Lot 7:0 Block Subdivision r
Street and Number where work is to be performed —No /� , Y •e/ Street / / v
State work to be performed and purpose of building (By Floors)
New Building
Remodeling Addition Repairs No. of Stories
Overhead '�
Service Underground Size Feeders / Conduit.... / .� Main Sw / 0 Amps..... Main Fuses Amps
Type of Installation — Conduit t " Tubing '----- B.X.L Metal Moulding
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. I
(C)
ss.
(Signed)
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, mpil d General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance 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 noti:es
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work _o )e perf rmettinder this permit, as are
licensed by Miami Shores Village.
Electrical Inspector.
7
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTL ETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER I W. HEAT.
HEATER CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CGNTR. LIST
/
/ , Y /
//7 , may
6 � .: t-J
/
cc's
/
—!/
7 sue°
I
C "
/
2
4e)
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/ )
/ L
/® O
/ J (-)
CHECK
t)
Permit No
APPLICATION FOR ELECTRICAL PERMIT
- ,
MIAMI SHORES VIILLAI3E
ELECTRICAL INSPECTION DEPARTMENT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
VA /7 1 rt / No Street
Registered Architect and /or Engineer �� / / 99 / �
Employing Electrician's Name ! Y ® �� �/ No ... t� 1`/ .... - . .Street
Location and Legal Description Lot 7:0 Block Subdivision r
Street and Number where work is to be performed —No /� , Y •e/ Street / / v
State work to be performed and purpose of building (By Floors)
New Building
Remodeling Addition Repairs No. of Stories
Overhead '�
Service Underground Size Feeders / Conduit.... / .� Main Sw / 0 Amps..... Main Fuses Amps
Type of Installation — Conduit t " Tubing '----- B.X.L Metal Moulding
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. I
(C)
ss.
(Signed)
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, mpil d General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance 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 noti:es
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work _o )e perf rmettinder this permit, as are
licensed by Miami Shores Village.
Electrical Inspector.
7
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date. 4/ ?$ /88
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building co 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 progress of work.
Owner's Name and Address Craig Collet
Registered Architect and /or Engineer Alarm Control, Inc.
r/
Employing E ctricia s NName.Lo ten E. Melton N 6065 N. W. 167 Struts X 1315 s Miami Lakes FL
jo2r6-- 0,e Location and Legal Description Lot Blocky ' ° Subdivision. %�
Loren E. Melton
Street and Number where work is to be performed —No Street
State work to be performed and purpose of, building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit `Main Sw Mops Main Fuses Amps
Underground
Type of Installation - -Conduit Tubing B.X.L .Metal Moulding
ff c
Electric l 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 bepefformed under his permit, as are
licensed by Miami Shores Village.
therein by him stated are true. .1:017 :2Y rr'..T^. S'S'_ C" Fur m
1 :91
(Sig
No 1270 N. E. 97 Strut Miami Shores, FL
T10000145 CC #7603
Master Electrician.
STATE OP FLORIDA, t
COUNTY OP DADE. l N '
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 qualif.ter
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all fans
My Commission Expires Notary Public, Sta f Florida
NOTE: A re.inepection 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.
OUTLETS
LIGHT
OUTLETS
PLUG
RECe'••T'S
FIXTURES
.
NO LAMPA
RYFRIO.
OUTLET
ET
IRON
OUTLET
RANG[
OUTLET
RANG[
CONN.
WATER
HILATCR
W. MEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
Bu
1 / /In
T
TOTAL
CONTR. ) LIST
LIST
R1 19
CHECK
ENT.
SW.
DIsT.
CAS.
SERVICE
Tamp..
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.0 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
•
CNECR
.
Permit No
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date. 4/ ?$ /88
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building co 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 progress of work.
Owner's Name and Address Craig Collet
Registered Architect and /or Engineer Alarm Control, Inc.
r/
Employing E ctricia s NName.Lo ten E. Melton N 6065 N. W. 167 Struts X 1315 s Miami Lakes FL
jo2r6-- 0,e Location and Legal Description Lot Blocky ' ° Subdivision. %�
Loren E. Melton
Street and Number where work is to be performed —No Street
State work to be performed and purpose of, building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit `Main Sw Mops Main Fuses Amps
Underground
Type of Installation - -Conduit Tubing B.X.L .Metal Moulding
ff c
Electric l 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 bepefformed under his permit, as are
licensed by Miami Shores Village.
therein by him stated are true. .1:017 :2Y rr'..T^. S'S'_ C" Fur m
1 :91
(Sig
No 1270 N. E. 97 Strut Miami Shores, FL
T10000145 CC #7603
Master Electrician.
STATE OP FLORIDA, t
COUNTY OP DADE. l N '
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 qualif.ter
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all fans
My Commission Expires Notary Public, Sta f Florida
NOTE: A re.inepection 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 11/0 3 Job Address /;? y ?7 Tax Folio / I U 195- °1 PA v'
Legal Descriptions, `' F M‘ �1[ (, 106
�%v'i
4//6
Owner / Lessee
/ Tenant
Owner's Address - 5-117 " Phone
Contracting Co.
Qualifier a w` AeI E- LOLL /,s
State #Z" :06 ° 6412 4 0 Municipal #
Architect /Engineer
Bonding Company
Mortgagor
Permit Type(circle one): BUILDING LECTRIC
//
WORK DESCRIPTION I �' �"C L g
Square Ft. Estimated Cost(value) / 9(O.
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 . 11 compliance with all applicable laws regulating construction = d zoning. Furthermore, I
author ze %e above - ame , • tractor to do the work stated. � FL 15(, ECfC .lo .S`Ctfs-�/'10
is
Sigdature of Contractor or Owner- Builder
Date: / /7 93
nature of owner and /or Condo President
ate: /7-- / 7- 93
7 ems 1 /!a- J �1
h er and /or Condo Ptesident
Notary a
My Commiss V.n Expires:
** * *
FEES: PERMIT
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Zoning
Address � y 5,44),
0 5 ? 44.5, P Oeri
) Phone
Competency # Ins .Co .eogo:f /7'-dd, J Lc dAio
Address
Address
Address
PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Notary o Contract
My Commission Ex
Fire
Building
Mechanical Plumbing
Master Permit # ,S ZO 7
"4 Pi-4,e_,
or Owne Builder
NOTARY TOTAL DUE X
Other
+! ` 14 97 K7/lj
Electrical j I
Engineering_
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
2
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
M
CENTRAL HEATING
DISHWASHER
RECEPTACLES
Ira
A/C (WINO)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
�
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
SASE TRAP
APPLIANCE OUTLETS
2
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE (MOUND 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 ASSEh6LIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 If
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
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
FIXTURES
7
SEPTIC TANK
ANTENNA
RELAY •
TELEVISION OUTLETS
DRAINFIELD, 4" TILE/RES.
VIOLATION
PUMP 8 ABANDON SEPTIC TANK
-
_
REINSPECTION
SOAKAGE PIT CU. FT.
•
CATCH BASIN
DISCHARGE WELL
DOMESTIC
AREA EA DRAIN
AIN N
ROOF INLET
=
=
III
III
=
=
=
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
=
=
GAS RANGE
-
METER SET (GAS)
_
GAS PIPING
(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.)
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL