ELECTRICALPermit No (IL'(
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electriciad'e Name C 3 °
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o1 other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and specifications must be kept at
building during progress of work.
rte d d O g 4( . (< N 3 S S N I✓. Street
IC47' , 0- No 2 Z 9
Date -7 l 11 ! 7 C
Street..ff 4.457- S
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No
39 ' s's N Street ? �o S
State work to be performed and purpose of building (By Floors)
/ �.�eC°ca� se S avl
New Building Remodeling Addition Repairs No. of Stories
Main -fuses Amps
Service Overhead r/ Size Feeders y ` Conduit Main Sw °1 0 Amps 1 -e z
Underground
Type of Installation—Conduit %.---*" Tubing B.X.L .Metal Moulding
Amount of Permit $
l � %
(Signed) 5V`—
The undersigned applicant for this building permit does hereby certify that he understands and accepts his
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-con
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,
COUNTY OF DADE. I ss
Before me, the undersigned authority, a notary public, duly authorized
appeared
(Signed)
to administer oaths and take
igations u an employer of
Permanent Supplement, and
ractors employed by him in the
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
therein by him stated are true.
Notary Public, State of Florida
Electrical pector.
acknowledgments, personally
My Commission Expires
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
that all facts
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE•P•T•S
FIXTURES
NO. LAMPS
RE ►RIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
I
CHECK
)
• L `
C `-
2i
ENT.
SW.
D1ST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 MP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
I "
Permit No (IL'(
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electriciad'e Name C 3 °
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o1 other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and specifications must be kept at
building during progress of work.
rte d d O g 4( . (< N 3 S S N I✓. Street
IC47' , 0- No 2 Z 9
Date -7 l 11 ! 7 C
Street..ff 4.457- S
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No
39 ' s's N Street ? �o S
State work to be performed and purpose of building (By Floors)
/ �.�eC°ca� se S avl
New Building Remodeling Addition Repairs No. of Stories
Main -fuses Amps
Service Overhead r/ Size Feeders y ` Conduit Main Sw °1 0 Amps 1 -e z
Underground
Type of Installation—Conduit %.---*" Tubing B.X.L .Metal Moulding
Amount of Permit $
l � %
(Signed) 5V`—
The undersigned applicant for this building permit does hereby certify that he understands and accepts his
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-con
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,
COUNTY OF DADE. I ss
Before me, the undersigned authority, a notary public, duly authorized
appeared
(Signed)
to administer oaths and take
igations u an employer of
Permanent Supplement, and
ractors employed by him in the
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
therein by him stated are true.
Notary Public, State of Florida
Electrical pector.
acknowledgments, personally
My Commission Expires
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
that all facts
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work. /
/� Date 11 / 7 , 19 1----
__
Owner's Name and Address t___ a ( '1 4- / . No.39 Street /�" � t5�.'__ —
Registered Architect and /or Engineer_J___ W 6 / ` /
Name and address of licensed contractor___ � 0 ' U ? 0 ( W ' 1 O Zi/liYi
Location and legal description of lot to be _)
- 7 ) 2 ` 4 built on: ^n
Lot
Block `! �l aa Subdivision vS a - �" � ( - 44 -i Q-
Street and Number where work is to be done___� _c• ' . 1 6 0(-4
State work to be done and purpose of building (by floors) ____
Pi_1.T_LO._ L CA.
—
— __�_____________________ and for no other purpose.
New Building .. Remodeling Addition___ Repairs No. of Stories
To be constructed of C L Kind of foundatiory� Roof Covering
Estimated Total cost of improvements $ f ���_ Amount of Permit $
Zone cubage required _Plan Cubage
Distance to next nearest building __Size of Building Lot
Maximum live Load to be borne by each floor _
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
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, Perma ent Sup lement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor employed by him
in the work to be performed under this permit; and will post or cause to be p ted for inspection on the site of the w. su public notice
or notices as are required by the Act. The undersigned agrees to employ only such ubcdntractOrs, on wort t• . perf teed under this
permit, as are licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Disapproved
(Signed)
Florida
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION Ect BUILDING PERMIT
D
•
��
Remarks (Signe �f
Before me, the undersigned authority, a notary public, duly authorized to administer oaths a{ ake acknowledgments, personally ap-
peared
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 t / rue.
Permit No ,/e, `' Date ` I Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
to me well known,
Building pector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Permit No.../ G/ G t
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....{ 1 c PA No 3 q Street
Registered Architect and /or Engineer
Employing Electrician's Name V 1 1 - r_ No • Street
Location and Legal Description Lot Block Subdivision
Amount of Permit tra
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
0 - x,. C)
ar Date /
ss.
New Building Remodeling Addition
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit 1 Tubi g B.X.L Metal Moul 'ng
-� p,J � '- .c, -: A, ...�..�.� t 4 ' �. ,c. �..c, .4,ti- r .
(Signed)
...t4
Ele• (,' or.
The undersigned applicant for this building permit does hereby certify that he/iin erstands and accepts his obligations as emploxer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Coile General Laws of Florida Permane. ..plement, and
has complied with the provisions thereof, and will require similar compliance f o all contractors or subcontractors emp . •ed 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 sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
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.../ G/ G t
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....{ 1 c PA No 3 q Street
Registered Architect and /or Engineer
Employing Electrician's Name V 1 1 - r_ No • Street
Location and Legal Description Lot Block Subdivision
Amount of Permit tra
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
0 - x,. C)
ar Date /
ss.
New Building Remodeling Addition
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit 1 Tubi g B.X.L Metal Moul 'ng
-� p,J � '- .c, -: A, ...�..�.� t 4 ' �. ,c. �..c, .4,ti- r .
(Signed)
...t4
Ele• (,' or.
The undersigned applicant for this building permit does hereby certify that he/iin erstands and accepts his obligations as emploxer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Coile General Laws of Florida Permane. ..plement, and
has complied with the provisions thereof, and will require similar compliance f o all contractors or subcontractors emp . •ed 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 sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
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.
BUILDING
CTTRICAL
PLUMBING
Owner of
Building
ArchJtect
Cont
or Builder
Legal
Description
Addr�ss of
Buil g
Lot
• *r 1 ,
MIAMI SHORES VILLAGE, FLORID:,,,
DA
PERMIT
N? 10100
Work to be erformed under this Permit
de r
• � y
CONTRACTOR OR BUILDER
1�
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device d
herek r in strict compliance with all ordinances pertaining' thereto and with the understanding that the work will be performed in com
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon
granted is the understanding that the contractor or bul *er named above assumes the responsibility for a thorough knowledge of the o
pertaining to the work covered hereby whether shown on the plans or dra j,;}gs or in the statements specifications and that he . eeumes
done by his agents, servants or employees.
Subdi-
vision
Value of
Project $
Contractor s
License No
Signed • 1 ..r l r4'isR. BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to p m the work covered hereunder in compliance
pertaining th eto and in strict conformity with the plans, drawing, star is or specifications submitted to the proper a
Tn ac opting his permit r I assume lity for all work done by eit r, myself, my agent, servant or employee.
it c
Amt. of
Permit >i
1 91_
• 41
in the application
of with any plans,
be revoked u any
which this permit is
and regulations for wrk
for wort
and
Shores Yee.
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑ DATE • ''1 - 195
ELECTRICAL APE R M IT 'N? 11988
PLUMBING fl
ROOFING ❑ Work to be performed under this Permit
Owner of
Building
Architect
' ontractor
or Builder
Legal
Description
Address of
Building
Lot
\,;\
CONTRACTOR OR BUILDER
Bl.
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
. drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and tha(hF assumes responsibility for work
done by his agents, servants or employees.
Signed •
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, s or employee.
Subdi-
vision
Value of
Project $
BY
Contractor's
License No.
BY
Amt. of
Permit $
(A)
AUTHORITY
Permit
Application is bete
structgre herein descl
d ail provisions of
Serv Overhead Size
Amount of Permit $
irt3ani Shores
building during progress of
mater ials and /or workmanship.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
'bed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida.
the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
illage shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
work.
Owner's Name and Address ___ _____
Feeders
Conduit.
Type of Installation—Conduit
___ Tubing___
MIAMI SHORES VILLAGE
-r
(Signed)
/A/ „r
Main Sw._1' —_ Amps.
Date
-t� — 2 'I► No _s ` `! —. Street
Registered Architect and /or Engine r _
Employing Electrician's Name � -4.4 . Sr ,I_22 _ �,_,, u' No. y L _ .2!� ._,.. S t reet__ ._ _ _ L _________—__
Location and Legal Description Lot__ _ Block Subdivision_— _-- ________/_ _ _
Street and Number where work is to be performed— No.___ L l__(f ,_____ Street a e __ —...
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
I
B.X.L Metal Moulding
bv /
My Commission Expires Notary Public. State' of Florida
No. of
Main Fuses _ Am s.
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 the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on ofk to be performed under this permit, as are
licensed by Miami Shores Village.
f / �l
(Signe `-.' tl�. �—�+ —•
aster Elect ri
STATE OF FLORIDA, }
COUNTY OF DADE. es. 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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is ade nec fsary by i�rrproper otiyk for inspection, or faulty
” "!! ii, 1/1 !
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RE
FIXTURES
NO.LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR. LIST
1, '?
..2
en
____L___ ______L___
✓- .
+
CHECK
/S /
.3419
✓
-__`-
V ".
.
1.■-- -
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
UST
•
CHECK
'
Permit
Application is bete
structgre herein descl
d ail provisions of
Serv Overhead Size
Amount of Permit $
irt3ani Shores
building during progress of
mater ials and /or workmanship.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
'bed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida.
the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
illage shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
work.
Owner's Name and Address ___ _____
Feeders
Conduit.
Type of Installation—Conduit
___ Tubing___
MIAMI SHORES VILLAGE
-r
(Signed)
/A/ „r
Main Sw._1' —_ Amps.
Date
-t� — 2 'I► No _s ` `! —. Street
Registered Architect and /or Engine r _
Employing Electrician's Name � -4.4 . Sr ,I_22 _ �,_,, u' No. y L _ .2!� ._,.. S t reet__ ._ _ _ L _________—__
Location and Legal Description Lot__ _ Block Subdivision_— _-- ________/_ _ _
Street and Number where work is to be performed— No.___ L l__(f ,_____ Street a e __ —...
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
I
B.X.L Metal Moulding
bv /
My Commission Expires Notary Public. State' of Florida
No. of
Main Fuses _ Am s.
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 the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on ofk to be performed under this permit, as are
licensed by Miami Shores Village.
f / �l
(Signe `-.' tl�. �—�+ —•
aster Elect ri
STATE OF FLORIDA, }
COUNTY OF DADE. es. 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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is ade nec fsary by i�rrproper otiyk for inspection, or faulty
” "!! ii, 1/1 !
, 4
7 0
,
//
ti
4
BUILDING
ELECTRICAL
PLUMBING
Work to be performed under this Permit .
Owner of /
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
This permit
Lot
Bl.
RACT.R OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATF ,F� , 194
PERMIT N °. 4695
Subdi-
vision
Value of
Project
r i
s granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. .-
Signed �-+ INSPECTOR By
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and iegulations
pertain' g thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper author; A of Miami 9ho s•VVI11 ge.
In acc =.ting this permit I assum responsibility for all work done by either myself, my agent, servant or employee.
i
BY AUTHORITY
Contractor's
License No.
Amt. of
Permit
•
Permit No O (o
Registered Architect and /or Engineer.
wr 2 /
Employing Electrician's Name' %
Service Overhead Size Feeders Conduit
Underground
Type of Installatio Conduit Tubing
Amount of Permit $...
STATE OF FLORIDA, }
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
(
SS.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No
(Signed)
(Signed)
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications here t 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.....
No Street
s l Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Main Sw Amps Main Fuses Amps
B.X.L Metal Moulding
a
31
or.
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 sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
r;
tree
Notary Public, State of Florida
Master 'El
rician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE•P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
/AP
�71
�V
MOTORS
0.1 HP
MOTORS
1-5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
I
I
-7
-7
--J
1
CHECK
3o0
3
Permit No O (o
Registered Architect and /or Engineer.
wr 2 /
Employing Electrician's Name' %
Service Overhead Size Feeders Conduit
Underground
Type of Installatio Conduit Tubing
Amount of Permit $...
STATE OF FLORIDA, }
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
(
SS.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No
(Signed)
(Signed)
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications here t 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.....
No Street
s l Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Main Sw Amps Main Fuses Amps
B.X.L Metal Moulding
a
31
or.
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 sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
r;
tree
Notary Public, State of Florida
Master 'El
rician.
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
MIAMI SHORES VILLAGE, FLORIDA
DATE.- --
PERMIT N? 4695
Work to be performed under this Permit
Owner of
Building -
194'' 'Le
Contractor's
License No.
Architect
Contractor
or Builder
Legal Lot Bl. Subdi-
Description vision
Address of Value of Amt. of �'
Building 1� Project Permit 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 appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed: BY ,C f
INSPECTOR'
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all .Ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In acre ting this permit I assume/responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Architect
Contractor
or Builder
Legal
Description
Addr ess of
PERMIT
Owner of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
BI
N9 7069
CONTRACTOR OR BUILDER BY
Work to be performed under this Permit
� % f
Signed.
In consideration of the issuance to me of this permit I agree to perform the work covered hereundefr in compliance with
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
DATE
Contractor's r / ,
License No.
AUTHORITY
Subdi-
vision
�' .z
t Value of �I Amount of /'
Building € �. ' + Project $ Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
*,. f INSPECTOR
J ordinances'`�td.aegulations
oMiami Shores Village. In ao
41111OT
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date e9 5 f Job Address �5 • 27f % " Tax Folio
Legal Description Historically Designated: Yes No
Owner/Ise e / Tenant
Owner's Address
Contracting Co. /� U p, 0 2 t l �U . /( C.T K 1 (. Address / rs-G6 / C+'
Qualifier /(1/9/11, ,D egym oNl) 6 SS# Phone (�3c5) 3aa YS
414 // — r P Qab0 � i P y �/ tom• -...e
State# /
Munici al # om eten # Ins. Co. T *
Architect/Engineer
Bonding Company
Mortgagor
e o owner and/,or Con cl4 President Date
r
•m. ,.
•
Notary as .,and,4or ►' g : 1113913 Date • My Co isS iiE,xpire =ices December 4, 1999
T .
F; ► °C "r7f•`X Inv :.' =a yPl rs
FEES: PERMIT /4 RADON
C.C.F.
Address
Address
Address
Square Ft. Estimated Cost (value)
Master Permit #
Phone v/
•
-
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Q
If gc�' ,i- /G ` •
00'0
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR LMPROVEMENTS 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 = : ating construction ar)} zoning. Furthermore, I authorize the above -named contractor to do the work stated.
a
Signature of Contr a for or 0 ' er- Builder
4�19
Notary as to Co
My Commissio
I P — rt a - .
ONSIY # :cc 515098 Date
EXPI s Decerr.izr 1993
0 614ed Thru Nota,Y Pr i c U
I :Date
NOTARY TOTAL DUE .0ifr "
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Engineering