ELECTRICALMIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No /
Ar ti
Date i " eJ �.: ; ...
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 'e o
Registered Architect and /or Engineer
Employing Electrician's Nam et a .' _:.__..... .:Ida ' Street
Location and Legal Description Lot Block ,�, Subdivision
Amount of Permit $
OF FLORIDA, 1
COUNTY OP DADE. I
65.
Street and Number where work is to be performed— No. ..aa..:. ■14
State work to be performed and purpose of building (By Floors) iee-- T„
ttreet
New Building Remodeling Addition Repairs No. of Stories
Ohd
Servi vcrea
ce Underground Size Feeders Conduit Main Sw. Amps Main Fuses Amps
Type of Installation— Conduit iV Tubing B.X.L Metal Moulding
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pirmanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontracts 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)
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
4RCE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. NEAT.
CONN.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
7 ,
PPP
v
�,R,
��iiii"' ---
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No /
Ar ti
Date i " eJ �.: ; ...
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 'e o
Registered Architect and /or Engineer
Employing Electrician's Nam et a .' _:.__..... .:Ida ' Street
Location and Legal Description Lot Block ,�, Subdivision
Amount of Permit $
OF FLORIDA, 1
COUNTY OP DADE. I
65.
Street and Number where work is to be performed— No. ..aa..:. ■14
State work to be performed and purpose of building (By Floors) iee-- T„
ttreet
New Building Remodeling Addition Repairs No. of Stories
Ohd
Servi vcrea
ce Underground Size Feeders Conduit Main Sw. Amps Main Fuses Amps
Type of Installation— Conduit iV Tubing B.X.L Metal Moulding
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pirmanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontracts 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)
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.
Nei
Permit No. ________
Amount of Permit $
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
MIAMI SHORES VILLAGE
My Commission Expires
. t
Conduit_ _ L . Main Sw ._j�
(Signed)
(Signed) _
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 __„diSLls_ No
Registered Architect and /or Engi ___
Employing Electrician's Name _ 1 — No Street_
Location and Legal Description Lot__02_ #__ _C! ! 1 /
_ _ n , Subdivision ______________________________.
z
Street and Number where work is to be performed —No._ __ .y__ ,5___ e.____1___ L _ C Street
State work to be performed and purpose of building (By Floors)
New Building d Remodeling Addition_______________________ Repairs
No. of Stories
Service O Undergrou d Size Feeders
V Type of Installation— Conduit Tubing ✓ __ B.X.L .Metal Moulding
or
Amps.
Main Fuses_J ! Amps.
Electrical Inspector.
The undersigned,applicant for this building permit does hereby certify that h derstands and accepts his ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled neral Laws of Florida Pc neat 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 .'rk to be performed under this permit, as are
licensed by Miami Shores Village.
1 4
MaElectrican.
STATE OF FLORIDA,
ss
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 be 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'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.
2 2.
/r
2.4 4
2J
/
/
/
/
/
I2.
Q
/ x
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
/
L _
CHECK
Nei
Permit No. ________
Amount of Permit $
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
MIAMI SHORES VILLAGE
My Commission Expires
. t
Conduit_ _ L . Main Sw ._j�
(Signed)
(Signed) _
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 __„diSLls_ No
Registered Architect and /or Engi ___
Employing Electrician's Name _ 1 — No Street_
Location and Legal Description Lot__02_ #__ _C! ! 1 /
_ _ n , Subdivision ______________________________.
z
Street and Number where work is to be performed —No._ __ .y__ ,5___ e.____1___ L _ C Street
State work to be performed and purpose of building (By Floors)
New Building d Remodeling Addition_______________________ Repairs
No. of Stories
Service O Undergrou d Size Feeders
V Type of Installation— Conduit Tubing ✓ __ B.X.L .Metal Moulding
or
Amps.
Main Fuses_J ! Amps.
Electrical Inspector.
The undersigned,applicant for this building permit does hereby certify that h derstands and accepts his ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled neral Laws of Florida Pc neat 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 .'rk to be performed under this permit, as are
licensed by Miami Shores Village.
1 4
MaElectrican.
STATE OF FLORIDA,
ss
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 be 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.
Amount of Permit
STATE OF FLORIDA,
COUNTY OF DADE. ss•
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No.__ _ %__J _ ____ Date 041P1 • dam - o
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.
rr ✓
Owner's Name and Address _ 1_e r` e L_ I I o _ No Street_____________ __
Registered Architect and /or Engi
Employing Electrician's Name _3 •71_4_ A/
_W._ Sc
_� �o _ No Street____ ._
Location and Legal Description Lot V __ _____Block
Street and Number where work is to be performed —No _.�_� � Street___. _ it
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
My Commission Expires
Service Overhead Size Feeders Conduit__ Main Sw Amps. Main Fuses__
Underground
Type of Installation— Conduit Tubing
B.X.L.
•
lectrical Inspector.
The undersigned applicant for this building permit does hereby certify that a derstands and accepts his obi' at ns as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966. Compiled eral Laws of Florida Perman 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.
(Signed)
Metal Moulding
Notary Public. State of Florida
No. of Stories
ter Electrican.
Amps.
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.
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.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Amount of Permit
STATE OF FLORIDA,
COUNTY OF DADE. ss•
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No.__ _ %__J _ ____ Date 041P1 • dam - o
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.
rr ✓
Owner's Name and Address _ 1_e r` e L_ I I o _ No Street_____________ __
Registered Architect and /or Engi
Employing Electrician's Name _3 •71_4_ A/
_W._ Sc
_� �o _ No Street____ ._
Location and Legal Description Lot V __ _____Block
Street and Number where work is to be performed —No _.�_� � Street___. _ it
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
My Commission Expires
Service Overhead Size Feeders Conduit__ Main Sw Amps. Main Fuses__
Underground
Type of Installation— Conduit Tubing
B.X.L.
•
lectrical Inspector.
The undersigned applicant for this building permit does hereby certify that a derstands and accepts his obi' at ns as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966. Compiled eral Laws of Florida Perman 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.
(Signed)
Metal Moulding
Notary Public. State of Florida
No. of Stories
ter Electrican.
Amps.
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.
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.
lF
e
State work to be performed and purpose of building (By Floors)
-C ne , o, Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
}
5s.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date
Application is hereby made for the approval of the detailed statement of the plans and specifications her?./th submitt for the building or other
structure herein described. This application is made in compliance and conformity with the Building Or ante 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
k
No
z q 7 Street.. A1 ( ./ G
Owner's Name and Address / e No
Registered Architect and /or En ineer,
Employing Electrician's Name /■6
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No / f Street 4
9 / / Street 1 ��J, e.i
fie, ci .- #- 4' , f1jS
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders / ' / Conduit / Main Sw ` ��� ° A mps Main Puses(ea / / Amps
Type of Installation— Conduit F Tubing B.X.L Metal Moulding
(Signed)
ectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli tions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P rmanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contra ,es 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 wor such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, work to be per armed under this permit, as Ore
licensed by Miami Shores Village.
aster 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.
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 fau'.ty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
R ECE'P'7' S
FIXTURES
N O. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
SPACE
H CATER
STRIP
H EATER
TOTAL
CONTR.
LIST
i
/
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
M OTORS
1•3 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
", 4 *
.4-
CHECK
lF
e
State work to be performed and purpose of building (By Floors)
-C ne , o, Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
}
5s.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date
Application is hereby made for the approval of the detailed statement of the plans and specifications her?./th submitt for the building or other
structure herein described. This application is made in compliance and conformity with the Building Or ante 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
k
No
z q 7 Street.. A1 ( ./ G
Owner's Name and Address / e No
Registered Architect and /or En ineer,
Employing Electrician's Name /■6
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No / f Street 4
9 / / Street 1 ��J, e.i
fie, ci .- #- 4' , f1jS
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders / ' / Conduit / Main Sw ` ��� ° A mps Main Puses(ea / / Amps
Type of Installation— Conduit F Tubing B.X.L Metal Moulding
(Signed)
ectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli tions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P rmanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contra ,es 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 wor such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, work to be per armed under this permit, as Ore
licensed by Miami Shores Village.
aster 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.
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 fau'.ty
materials and /or workmanship.
My Commission Expires
Amount of Permit $ c... (Signed)
(Sig
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
JJ / APPLICATION FOR ELECTRICAL PERMIT
Permit No._–__
Repairs
Service Overhead Size Feeders.. Conduit_____________ Main Sw. Amps.
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Date
Main Fuses_
Notary Public, State of Florida
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 __e .
Registered Architect and /or Eng'' et //
Employing Electrician's Nam •__ _ _ _._No._,��UQ_______________ _ Street__ I/
Location and Legal Description Lot__
Street and Number where work is to be performed —No Street 7_ -
-_
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
No. of Stories
•
Amps.
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 -co on work to be performed under this permit, as are
licensed by Miami Shores Village.
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 be 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
HEATER
W. HEAT.
CONN.
SPACE
HEATLR
STRIP
HEATER
TOTAL
CL
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
My Commission Expires
Amount of Permit $ c... (Signed)
(Sig
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
JJ / APPLICATION FOR ELECTRICAL PERMIT
Permit No._–__
Repairs
Service Overhead Size Feeders.. Conduit_____________ Main Sw. Amps.
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Date
Main Fuses_
Notary Public, State of Florida
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 __e .
Registered Architect and /or Eng'' et //
Employing Electrician's Nam •__ _ _ _._No._,��UQ_______________ _ Street__ I/
Location and Legal Description Lot__
Street and Number where work is to be performed —No Street 7_ -
-_
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
No. of Stories
•
Amps.
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 -co on work to be performed under this permit, as are
licensed by Miami Shores Village.
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 be 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.
0
~_ .
■.1"
, • ,4,410k
1014
• ...••••-••sor
Noy
4 .morr - m'Ir-or
in the ePPliestice
onlh any Plane,
y be revolted at any
this permit is
and regulations '11
responsbiiity for work
ordinances and regulations
of Miami Shore/ Village.
MIAMI SHORES VILLAGE, FLORIDA
DATE— )•" � $ + ' 195
BUILDING ❑
ELECTRICAL aV' PE RM I T N? 15670
PLUMBING ❑
ROOFING ❑ Work to be performed under this Permit
Owner of
Building '" ✓`. "t..
Architect
.�
Contractor .
or Builder :'\k-.A.".1 • . • e "cit w
r
Legal Lot
Description
Address of ,
.
Building �s► "' 1 ,j, i " „ . )e4
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in dm application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wM be performed in compliance wlfik any plus.
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authoritea. This Permit may be at
time if the work is not done in compliance with such ordinances or if the plane are changed without authorization. A further condition uppoona which
granted is the understanding that the 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 specifications and that he assumes
done by his agents, servants or employees.
CONTRACTOR OR BUILDER
Signed • _.
Subdi-
vision
Value of
Project $
BY
Contractor's
Lice No.
Amt. of
Permit $
V
BY w
In consideration of the issuance to me of this permit I agree to the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plane, drawings, stateents 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
Date 6/7//3 Job Adress
Legal Description --
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Owner / Lessee / Tenant W./46/ Master Permit #,_03
Owner's Address 3`!S NC 9/ 44 ` ST Phone
Contracting Co. E. Wt. 6,6mm; clic Address l HC 3 Z
&•Nn. &,Powitek;
State #67( 0 001/3 1 / Municipal
Qualifier
Architect/Engineer
Bonding Company
Mortgagor
Permit Type(circle one): BUILDING (ELECTRICAL
APPROVED:
Address
WORK DESCRIPTION GO E C K tJ l J G-
t v.0 t= S //e E' ••vt a vrt�T /,vG
()
Signatukle of owner
Date:
6/7 1,
o-
cc c 5ss-4
Notary as to Owner and /or Condo President
My Commission Expires:
395 WC 97 4 ' sr.
i �a
SS# Phone
Competency # Ins.Co. /tV&4N
Address
Address
PLUMBING MECHANICAL RO OFING PAVING PENCE SIGN
Fo k 5 ro titA- h
�wk A-fi e- / / ,444.10 ✓A L f b/O
of ,t -' F;►'7!/,fC '400 / %ti
OWNER'S AFFIDAVIT: I certify that all the foregoing informat
be done in compliance with all applicable laws regulat;
authorize the above -named contractor to do the work sta
FL 4ie o-
� g� 3 //55
and /or Condo President
Tax Folio 1 l 31 o (,{ 3 5 S o o
No .ry as tp
My Commits.
5c✓
!H9 G,t/
2S Z - o 2-55"
Square Ft. Estimated Cost(value) � 000. 0 0
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.
n is accurate and that all work will
c. uction and zon g. Furthermore, I
S ' gnatu e of Contra tor or Owner-Build
Datel
. 21
actor or Owner-Builder
,R Expires: U TATE OF FLORIDA
MY COMMISSION EXP. OCT.23,1994
BONDED T* RU GENERAL INS.
FEES: PERMIT. O< e/ RADON C.C.F. _ ,4 7,i NOTARY TOTAL DUE]K / ' 7/
**
Fire Other
Zoning Building (E1ectra1 ' %
Mechanical Plumbing Engineering
Permit No
Street and Number where work is to be performed--No
State work to be performed and purpose of building (By
New Building Remodeling 1 / Y �
.... ........ ...............
Amount of Permit $ e. - "��
8s.
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 of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu.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. n
Owner s Name and Address / + f U 1..... !714'42.i.3�?• ? No
Registered Architect and /or Engineer
Employing Electrician's Name
®u. Y c1 �c„ (c. ( No
Location and Legal Description Lot Block
Floors) r- ;::4) e-- - ) 09-(,,C
(Signed)
(Signed)
Date
Street / ' r .'........ ?.. ... ,›.
Street. ...... _... .
Subdivision.
Street / 77 5.t
3 . 1
Addition Repairs No. of Stories �•
Service UOnderground Size Feeders Conduit Main Sw Amps Main Fuses . Amps
Type of Installation— Conduit Tubing.. B.X.L.. Metal Moulding
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, r,nd
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contra.ctors employed by him in the
work to be performed under this permit; and will pose or cause to be posted for inspectio• -- • he site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub•contracto . on wor' to be performed under this permit, as ar_
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OP DADE.
3efoT the under ned aythority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me wei own, and who, being by me firs uly sworn, upon oath deposes and says that he is the
of the above described construction, and he s carefully read the foregoing applica ion, and that he did :.i.gn the same, and that all facts
therein by him Stated are true.
My Commission Expires
NOTE: A re• inspection fee of 51.00 will be made a•P.n such re- inspection is made essary by improper notice for 'nspection, or faulty
materials and /or workmanship
Master Electrician.
Notary Publ'State of rida
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
No. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT. SPACE
CONN. HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
/(2 ' `
GJQglil rlr'U
4. �fl+
��
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR. IST
LIST
'
CHECK
•
Permit No
Street and Number where work is to be performed--No
State work to be performed and purpose of building (By
New Building Remodeling 1 / Y �
.... ........ ...............
Amount of Permit $ e. - "��
8s.
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 of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu.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. n
Owner s Name and Address / + f U 1..... !714'42.i.3�?• ? No
Registered Architect and /or Engineer
Employing Electrician's Name
®u. Y c1 �c„ (c. ( No
Location and Legal Description Lot Block
Floors) r- ;::4) e-- - ) 09-(,,C
(Signed)
(Signed)
Date
Street / ' r .'........ ?.. ... ,›.
Street. ...... _... .
Subdivision.
Street / 77 5.t
3 . 1
Addition Repairs No. of Stories �•
Service UOnderground Size Feeders Conduit Main Sw Amps Main Fuses . Amps
Type of Installation— Conduit Tubing.. B.X.L.. Metal Moulding
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, r,nd
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contra.ctors employed by him in the
work to be performed under this permit; and will pose or cause to be posted for inspectio• -- • he site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub•contracto . on wor' to be performed under this permit, as ar_
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OP DADE.
3efoT the under ned aythority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me wei own, and who, being by me firs uly sworn, upon oath deposes and says that he is the
of the above described construction, and he s carefully read the foregoing applica ion, and that he did :.i.gn the same, and that all facts
therein by him Stated are true.
My Commission Expires
NOTE: A re• inspection fee of 51.00 will be made a•P.n such re- inspection is made essary by improper notice for 'nspection, or faulty
materials and /or workmanship
Master Electrician.
Notary Publ'State of rida