45 NE 96 St (3)TypeIusp'n
Permit No.
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Dates r ad Time
97‘ rA()
Name
Address `I ) ' , � r
Company ;��,��
Phone # " = i
For Inspector: C" Name &Date
C:t)
Approved
Correction
Re- Insp'n Fee
SECTION 1524
HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING
CONSIDERATIONS
1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with
the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter
15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for
roofing system installations. Additionally, the following items should be addressed as part of the agreement
between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been
explained.
® 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High .Velocity Hurricane
Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion
performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship
provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should .
be addressed as part of the agreement between the owner and the contractor. • ® 8 2 . . Renailing Wood D • When replacing ro the existing wood roof deck may have to be
renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida
Building Code. (The roof deck.is usually concealed prior to removing the existing roof system).
0 8 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring
units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or
owner should notify the occupants of adjacent units of roofing work to be performed.
0 i
ill' 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be
viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail
penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the
option of maintaining this appearance.
ly 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may
cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural
distress and . may require the review of a professional structural engineer. Ponding may shorten the life
expectancy and performance of the new roofing system. Ponding conditions may not be evident until the
original roofing system is removed. - Ponding conditions should be corrected.
0 6. Overflow scuppers (wall outlets): It is required that .rainwater flow off so that the roof is not
overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if
overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in
accordance with the Florida Building Code, Plumbing.
7. Ventilation: Most roof structures should have some ability to vent natural airflow through the
interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be
reduced. It may be beneficial to consider additional venting which can result in extending the service life of the
• roof. •
Owner s/Agent's Signature
CADOCU ME- IkmpLLOCJUS- 11Temp\SECTIOY 1521Aa
3o/o•-Pot,af1
Date Contractor's Signature
UILDING
LECTRICAL
LUMBING
OOIFING
'wrier of
Jilding
CI
D DATE -. - 195
❑ PERMIT N? 3201 Contractor's
License No. • ,�
❑ Work to be performed under this Permi --
rchitect
jntractor
- Builder
=gal Lot
=ascrip """
idress of
'ildinq
MIAMI SHORES VILLAGE. FLORIDA
Bi.
Subdi-
vision
Value of
Project $
Amount of
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 application
refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
.wings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
.e 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
rated is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
, taininc 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
•ie by .zis agents, servants or employees.
Signed. BY
INSPECTOR
In :onsideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
-taining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
•ting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY 6 , AF N,
BUILDING
ELECTRICAL
PLUMBING
`
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building_ • __
PERMIT N? 6108
Work to be performed under this Permit
This permit is granted to the contractor or builder named above to
cation herefor in strict compliance with all ordinances pertaining thereto a
plans, drawings, :> tatements or specifications that may have been submitte
at any time if the work is not done in compliance with such ordinances
permit is granted is the understanding that the contractor or builder na
regulations pertaining to the work covered hereby whether shown on ie
sibility for work done by his agents, servants or employees.
MIAMI SHORES VILLAGE, FLORIDA
Bl.
Subdi-
vision
Value of
Project
DATE
Contractor's
License No.
•
Amt. of `
Permit - - 1 ''"""'"•••■'
struct the building or to install the equipment or device described in the appli-
with the understanding that the work will be performed in compliance with any
e nd approved by the proper municipal authorities. This Permit may be revoked
e plans are changed without authorization. A further condition upon which this
.)ve assumes the responsibility for a thorough knowledge of the ordinoces and
plans or drawings or in the statements or specifications and that,he assumes'Qrespon-
Signed: By
INSPECTOR
In consideration of the issuance to me of this permit I agre to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, dram gs, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work dol. by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 3 ' 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 �
Registered Architect and /or Engineer..,
Employing Electrician's Name • /�' -• 1 •
Location and Legal Description Lot /
Street and Number where work is to be performed —No
No Street
- No Street
Block L^ Subdivision
Street :`
State work to be performed and purpose of building (By Floors)
New Building Remodeling / Addition I'l
Amount of Permit $
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
i
(Signed).......... t y. . . •�
lectrical 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 p t 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 t employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
0
(Signed) -
Master Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. j
65.
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
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H ATER
STRIP
HEATER
TOTAL
CONTR.
LIST
-,
'
G
,��
/., /O (-)2;",
CHECK
ENT.
SW.
DIST.
CAB.
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 3 ' 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 �
Registered Architect and /or Engineer..,
Employing Electrician's Name • /�' -• 1 •
Location and Legal Description Lot /
Street and Number where work is to be performed —No
No Street
- No Street
Block L^ Subdivision
Street :`
State work to be performed and purpose of building (By Floors)
New Building Remodeling / Addition I'l
Amount of Permit $
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
i
(Signed).......... t y. . . •�
lectrical 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 p t 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 t employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
0
(Signed) -
Master Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. j
65.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building r
rchitect
contractor
:r Builder -
.egal
Description
Lot
'-address of
luilding 4 ti
MIAMI SHORES VILLAGE. FLORIDA ;,
0
P DATE % / 195_
❑ PERMIT N° 3 015 Contractor's
License No.
0
❑ Work to be performed under this Permit
CONTRACTOR OR BUILDER
,
r
Bl.
Subdi-
vision
Value of
Project $
•
Amount of
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 application
ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
trawings, statement:, or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ime if the work is r ot done in compliance w th such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
:ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
ertaining to the wo:-k covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
lone by his agents, servants or employees.
Signed. t BY
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
ertaining thereto anc in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
Permit No &i..•Z•. -t 4
Owner's Name and Address
Amount of Permit E 4 , 00
STATE OF FLORIDA,
COUNTY OF DADE. I �''
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 or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
anti 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.
Armstrong
Registered Architect and /or Engineer
Employing Electrician's Name Griffin Elect. Cont r s . Inc.
Location and Legal Description Lot
Street and Number where work is to be performed —No
No 45 NE Street 96th
2737 NW
Date
No Street 75th
Block Subdivision
Street
November 1, 1965
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 Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
Electri c - tnnspector.
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.
d
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
RECg'P'T's
FIXTURES
No. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONK.
WATER
HEATER
W. HEAT,
CONN.
H ACE
TER
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
2
CHECK
Permit No &i..•Z•. -t 4
Owner's Name and Address
Amount of Permit E 4 , 00
STATE OF FLORIDA,
COUNTY OF DADE. I �''
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 or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
anti 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.
Armstrong
Registered Architect and /or Engineer
Employing Electrician's Name Griffin Elect. Cont r s . Inc.
Location and Legal Description Lot
Street and Number where work is to be performed —No
No 45 NE Street 96th
2737 NW
Date
No Street 75th
Block Subdivision
Street
November 1, 1965
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 Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
Electri c - tnnspector.
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.
d
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.6
Registered Architect and /or Efginepr . .
New Building Remodeling Addition
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. IT
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DE ARTMENT
PPLICATION FOR ELECT .II L PE
Employing Electrician's Na>�1 ? - No
Amount of Permit $ ✓ (Signed)
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 complianc 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 ‘ No
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main ?uses Amps
Underground
Type ,6 Installation— Conduit Tubing.... B.X.L .. . .....Metal Moulding.
c rt al Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labo: under the aorida 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
Date
F,
Street / C 7
Street
S SG
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, a 4 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
RET'S
���
FIXTURES
NO. LAMPS
REFRIO.
OUTLAY
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HE.. ^..'ER
STRIP
HEATED
TOTAL
CONTR
LIST
c'
G,
G
CHacK
Llp
(0 U
9
l`6
I , cro
ENT.
SW.
DIST.
CAB.
SERVICE
T. P.
SERV ICS
PERM.
Zi O':O :'.;
O•I HP
.`.. JTORS
1.5 HP
N ECK
TRANS.
RADIO
TOTAL
CGN:
LIST
CHECK
Permit No.6
Registered Architect and /or Efginepr . .
New Building Remodeling Addition
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. IT
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DE ARTMENT
PPLICATION FOR ELECT .II L PE
Employing Electrician's Na>�1 ? - No
Amount of Permit $ ✓ (Signed)
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 complianc 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 ‘ No
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main ?uses Amps
Underground
Type ,6 Installation— Conduit Tubing.... B.X.L .. . .....Metal Moulding.
c rt al Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labo: under the aorida 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
Date
F,
Street / C 7
Street
S SG
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, a 4 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
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
STATE OF FLORIDA,
COUNTY OF DADE I
s9.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date /
MIAMI SHORES VILLAGE
Employing Electrician's Name e
' l l 1' � l �lY: ' �% No..
Amount of Permit $ f (Signed) GA% -
(Signed)
Location and Legal Description Lot Block Subdivision
� 4
Street and Number where work is to be performed —No ✓ f • � �� 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 Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Street
Street
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
iI
9
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
REFRIQ.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
H ATER
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. IST
LIST
CHECK
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
STATE OF FLORIDA,
COUNTY OF DADE I
s9.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date /
MIAMI SHORES VILLAGE
Employing Electrician's Name e
' l l 1' � l �lY: ' �% No..
Amount of Permit $ f (Signed) GA% -
(Signed)
Location and Legal Description Lot Block Subdivision
� 4
Street and Number where work is to be performed —No ✓ f • � �� 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 Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Street
Street
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
iI
9
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.
Fermi:: No <.:� ' ( 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
STATE OF FLORIDA, }
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
88.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
a-
No Street
Registered Architect and /or Engineer
Employing Electrician's Name No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 7 Street
State work to be performed and purpose of building (By Floors)
New Building -- Remodeling Addition Repairs No. of Stories
Overhead e,
Service Under round Size Feeders Conduit Main Sw r Amps Main Fuses Amps
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 oYligations 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 ',e 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 wel'. 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
O UTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
N O. LAMPS
REFRIG.
O UTLET
IRON
O UTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. H EAT.
CONN.
ACE
HATER
STRIP
H EATER
TOTAL
CONTR.
LIST
o
p
p '
d
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•5 HP
N EON
TRANS.
RAOIO
TOTAL
CONTR.
LIST
/
i
i
".
CHECK
•
Fermi:: No <.:� ' ( 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
STATE OF FLORIDA, }
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
88.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
a-
No Street
Registered Architect and /or Engineer
Employing Electrician's Name No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 7 Street
State work to be performed and purpose of building (By Floors)
New Building -- Remodeling Addition Repairs No. of Stories
Overhead e,
Service Under round Size Feeders Conduit Main Sw r Amps Main Fuses Amps
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 oYligations 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 ',e 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 wel'. 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.