490 NE 96 StMIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
ELECTRICAL fli PLUMBING ❑ PERMIT N? 9128
ROOFING ❑
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
•
CONTRACTOR OR BUILDER
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 that he assumes responsibility for work
done by his agents, servants or employees.
f
Signed• �� �' 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
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 dose by either, myself, my agent, servant or employee.
Bt.
r(
Subdi-
vision
Sq. Ft
Value of
Project $
DATF 195.
Contractor's
License No
tr
Amt. of
Permit $
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N° 2605
Work to be performed under this Permit
B1
Amount of
Permit $ •
Subdi-
vision
Value of
Project $
_,
DATE 195
Contractor's
License No.
This permit is granted to the contractor or builder named above to construc 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 cr in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed. 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
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY s=y
Permit No 0 �
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,
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.
Owners Name and Address (11A-&-- No Street
Registered Architect and /or Engineer
Employing Electrician's Name te.. No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 4 q O '1--) q4 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
Amount of Permit $
STATE OP FLORIDA, 1 S 4
COUNTY OF DADE. I 68'
0 (Signed)
(Signed)
Date
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
LL
7
Muter Electrician.
Before me, the undersigned authority, a notary public, duly author , 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.
y Commission Expires Notary Public, State of Florida
NOTE: A ryinspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /o ! orkmanship.
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.
ACE
HATER
STRIP
HEATER
TOTAL
CO
LIST
ern
, _ d ]
�
CHECK
Gjl
I/ kr
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.6 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No 0 �
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,
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.
Owners Name and Address (11A-&-- No Street
Registered Architect and /or Engineer
Employing Electrician's Name te.. No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 4 q O '1--) q4 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
Amount of Permit $
STATE OP FLORIDA, 1 S 4
COUNTY OF DADE. I 68'
0 (Signed)
(Signed)
Date
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
LL
7
Muter Electrician.
Before me, the undersigned authority, a notary public, duly author , 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.
y Commission Expires Notary Public, State of Florida
NOTE: A ryinspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /o ! orkmanship.
BUILDING
ELECTRICAL
PLUMBING
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 2287
DATE 194
Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Subdi-
vision
Value of
Project
Contractor's
License No.
Legal Lot Bl.
Description
Address of
Building
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
that he assumes responsibility for work.done by his agents, servants or employees.
Signed• 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 regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
Amt. of
Permit
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Legal Lot Bl.
Description
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 2383
Work to be performed under this Permit
Owner of
Building
A Architect
Contractor
or Builder
Subdi-
vision
Value of
Project
DATE 194
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
that he assumes responsibility for work done by his agents, servants or employees.
Signed• 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 regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
BY AUTHORITY
Contractor's
License No.
Amt. of
Permit
� Permit No.... ( 1
STATE OF FLORIDA, 1
COUNTY OF DADE. I
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
- (- 6J
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.
SS.
(Signed)
Date
No B ` Street__.. /. i! �
Owner's Name and Address
Registered Architect and /or Engineer -- /
Employing Electrician's Name C�$- - �! y0 Si
Street C.
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
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground p P
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ Iv (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause 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, jbn work to be perforated under this permit, as are
licensed by Miami Shores Village.
.J"
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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
7D 6
A
((( ��
Arc
tna
CHECK
/
� Permit No.... ( 1
STATE OF FLORIDA, 1
COUNTY OF DADE. I
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
- (- 6J
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
SS.
(Signed)
Date
No B ` Street__.. /. i! �
Owner's Name and Address
Registered Architect and /or Engineer -- /
Employing Electrician's Name C�$- - �! y0 Si
Street C.
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
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground p P
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ Iv (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause 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, jbn work to be perforated under this permit, as are
licensed by Miami Shores Village.
.J"
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
r ------
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 Enginee
Employing Electrician's Name
Location and Legal Description Lot Block
Street and Number where work is to be performed —No
State work to be performed and pur.os= • building (By Floors)
Amount of Permit
STATE OF FLORIDA, }
COUNTY OF DADE. 68.
MIAMI SHORES VILLAGE
No ` ` Street )1
No 6 ( ev
Date
Street •
9‘,0
Subdivisio
Street "6-
New Building Remodeling Addition Repairs No. of Stories
(Signed)
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Elea rival Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(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
PLUO
RECE'P'T's
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
gpACE
H EATER
STRIP
HEATER
TOTAL
CONTR.
LIST
/
(�
7
/
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0.1 HP
M OTORS
1.3 HP
N EON
TRANS.
RADIO
TOTAL
CONTR. IST
LIST
71'/78
/!G
o
�" '
j�t�-':. ry_
�^�
CHECK
Permit No
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
r ------
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 Enginee
Employing Electrician's Name
Location and Legal Description Lot Block
Street and Number where work is to be performed —No
State work to be performed and pur.os= • building (By Floors)
Amount of Permit
STATE OF FLORIDA, }
COUNTY OF DADE. 68.
MIAMI SHORES VILLAGE
No ` ` Street )1
No 6 ( ev
Date
Street •
9‘,0
Subdivisio
Street "6-
New Building Remodeling Addition Repairs No. of Stories
(Signed)
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Elea rival Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(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.
JOB:
BUILDING
ELECTRICAL •
PLUMBING
Inspector's Report :
AD:
•
•
•
•
•
•
•
•
•
• WORK
•
• DONE BY:
•
•
•
:REQUESTED
•
•
• •
• •
The following is ready for Inspection: -
iqcs 9,‘„
•
WILL BE READY
r
JOB: AD:
BUILDING
• •
•
ELECTRICAL :
PLUMBING •• WORK
• •
DONE BY:
The following is ready for Insp.,Iction:
Inspector's Report' , -
n
: REQUESTED : WILL BE READY
c1' •
I \
' )
•
• 1
1
•
•
JOB:
BUILDING
ELECTRICAL .
PLUEBING
Inspector's Report:
•
•
•
•
•
AD:
. WORK
: DONE BY:
•
. REQUESTED
The following is ready for Inspec
. WILL BE READY
•
•
•
•
!/
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit 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 1/4a–
Registered Architect and /or Enginee
Employing Electrician's Name
Location and Legal Description Lot_ Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition .._______________________ Repairs
Service Overhead Size Feeders Conduit._ ____r_— Main Sw
Underground
Type of Installation— Conduit
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE. ss.
My Commission Expires
No. _ __._ __. Street
No
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 Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
aster
Amps. Main Fuses__ _--________--.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
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public. State of Florida
No. of Stories.
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'8
FIXTURES
NO.LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HE R
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
n
) -
/
CHECK
9
ENT.
SW.
DIET.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEO
T NS.
RADIO
TOTAL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit 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 1/4a–
Registered Architect and /or Enginee
Employing Electrician's Name
Location and Legal Description Lot_ Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition .._______________________ Repairs
Service Overhead Size Feeders Conduit._ ____r_— Main Sw
Underground
Type of Installation— Conduit
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE. ss.
My Commission Expires
No. _ __._ __. Street
No
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 Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
aster
Amps. Main Fuses__ _--________--.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
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public. State of Florida
No. of Stories.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No.___- _y______ 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
New Building
Location and Legal Description Lot 1 . Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Service Overhead Size Feeders Conduit Main Sw
Underground
No Street
No Street
b
Subdivision_
Street \\
Remodeling Addition Repairs No. of Stories
Amps. _ Main Fuses Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
88.
Before me, the undersigned authority, a notary public, duly
appeared — — --
to me well known, and who, being by me first duly sworn, upon oath
of the above described construction, that he has carefully read the
therein by him stated are true.
My Commission Expires
(Signed)
Electric t'Inspector.
rtify thatFhe understands and accepts his obligations 'as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has coin-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
authorized to administer oaths and take acknowledgments, personally
Master Electrican.
deposes and says that he is the
foregoing application, and that he did sign the same, and that all facts
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
I -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No.___- _y______ 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
New Building
Location and Legal Description Lot 1 . Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Service Overhead Size Feeders Conduit Main Sw
Underground
No Street
No Street
b
Subdivision_
Street \\
Remodeling Addition Repairs No. of Stories
Amps. _ Main Fuses Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
88.
Before me, the undersigned authority, a notary public, duly
appeared — — --
to me well known, and who, being by me first duly sworn, upon oath
of the above described construction, that he has carefully read the
therein by him stated are true.
My Commission Expires
(Signed)
Electric t'Inspector.
rtify thatFhe understands and accepts his obligations 'as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has coin-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
authorized to administer oaths and take acknowledgments, personally
Master Electrican.
deposes and says that he is the
foregoing application, and that he did sign the same, and that all facts
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.
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant 1 v' Q Master Permit #
9 r PE , S7tr Phone , OOO 646? --c )e-
Contracting Co. "/Z._ .5 7 4/y Address /7d
Qualifier ou j Q� G / ss# Phone / V 4" )f.3777
State # E O' (j ) d f2/ Municipal #
Owner's Address
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING � riAL LUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft Estimated Cost (value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be s one in compliance with all applicable
laws r ating construction and zoning. Furthermore, I authorize the above -named contract to do the :.k stated.
_•
Si:� - C' owner :' • or Condo President Date or'.
'•�Rr;tti�
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
` y 2 '/
Job Address N1E �� �� Tax Folio `/ ` /� DC' ?s /V D -Cep
ELBA BROOKINS
MY COMMISSION 1: CC 921848
EXPIRES: April 25, 2004
Bonded Thru Notary Public Underwriters
FEES: PERMIT &ea' d RADON
Not as to Owner :: d/or Condo President Date
My Commission Expires:
Competency #
Address
Address
Ins. Co.
Signatur
r Owner - Builder
Notary as to min or O ; - Builder Date
My Commission Expires:
NANCY WATKINS
4.4 MY COMMISSION # CC 830430
EXPIRES: May 8, 2003
P' Bonded Thru Notary Public Underwriters
C.C.F. " 6 0 NOTARY ®'' BOND
APPROVED:
Zoning - Building Electrical
Mechanical Plumbing Engineering
06/08/2001 07:00 9724097696
• Return to:
Instrument Prepared By:
CHRISTOPHER P. KELLEY, Esquire
11098 Biscayne Boulevard, Suite'205
Miami, FL 33161
Grantee's Tax ID No.
and
Folio No. 11- 3208-014 -0550
WARRANTY DI=ED
THIS INDENTURE, Made this / day of June, 2001, Between, E. THOMAS
FITZPATRICK and DEIRDRE E. FITZPATRICK, his wife, GRANTORS, and ROBERT BOURNE,
a single man, whose post office address is 490 N.E. 98 Street. Miami Shores, FL 33138,
GRANTEE,
WITNESSETH, That said GRANTORS, for and in consideration of the sum of Ten and
00/100 Dollars, and other good and valuable considerations to said GRANTORS in hand paid by
said GRANTEE, the receipt whereof is hereby acknowledged, have granted, bargained and sold
to the said GRANTEE, and GRANTEE'S heirs and assigns forever, the following described land,
situate, Tying and being. in Miami -Dade County, Florida to -wit:
Lots 1 and 2, Block 53, of MIAMI SHORES SECTION 2, according to the Plat
thereof, recorded in Plat Book 10, Page 37, of the Public Records of Miami -Dade
County, Florida
SUBJECT TO: Applicable zoning and/or restrictions and prohibitions imposed by
govemmental authority; Conditions, Restrictions limitations, reservations,
easements, and other matters appearing on records, if any; Utility easements of
record, taxes for the year 2001 and subsequent years.
and said GRANTORS do hereby fully warrant the title to said land, and will defend the same
against the lawful claims of all persons whomsoever.
IN WITNESS WHEREOF, GRANTORS have hereunto set their hands and seals the day
and year first above written.
Signed, seeded, and deliveyE d in our presence;
Witness „Name
,Vas cvl 7. (...u44.9.---
Print Name
Witne D ame
I Y crk.sorj
Print Name
STORE OPERATIONS Z4
10'774/ ,
E. THOMAS FITZP • TRICK Grantor
DEIRDRE E. Fl
Grantor
PAGE 01
STATE OF FLORIDA )
COUNTY OF MIAMI -DADE )
I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the
State and County aforesaid to take acknowledgments, personally appeared E. JHOMAS
FITZPATRICK and DEIRDRE E. FITZPATRICK, who produced V I k . . / 0 ( LI ('C-r
and . respectively, as identification, and who executed the foregoing
instrument and acknowledged before me that they executed the - : me.
WITIl SS my hand and official seal in the Co,rlty and State last a said this
day of J Vh 2001.
My Comm ISSI �j< , ,. `` "' "'' A` G,,l,l.,, NOTARY •UBLIC; State of FLORIDA at Large •
5.' : at i s: ^ v:'i :l. 125
;; t...::. ;` .i {, l: I:.•.. Icy
•
06/08/2001 06:59 9724097696
Return to:
•
Instrument Prepared 8y
CHRISTOPHER P. KELLEY, Esquire
11098 Biscayne Boulevard, Suite 205
Miami, FL 33161
Grantee's Tax ID No.
and
Folio No. 11 -3208- 014 -0550
WARRANTY DEED
THIS INDENTURE, Made this / day of June, 2001, Between, E. THOMAS
FITZPATRICK and DEIRDRE E. FITZPATRICK, his wife, GRANTORS, and ROBERT BOURNE,
a single man, whose post office address is 490 N.E. 96 Street, Miami Shores FL 33118,
GRANTEE,
WITNESSETH, That said GRANTORS, for and in consideration of the sum of Ten and
00/100 Dollars, and other good and valuable considerations to said GRANTORS in hand paid by
said GRANTEE, the receipt whereof is hereby acknowledged, have granted, bargained and sold
to the said GRANTEE, and GRANTEE's heirs and assigns forever, the following described land,
situate, lying and being. in Miami -Dade County, Florida to -wit:
Lots 1 and 2, Block 53, of MIAMI SHORES SECTION 2, according to the Plat
thereof, recorded in Plat Book 10, Page 37, of the Public Records of Miami -Dade
County, Florida
SUBJECT TO: Applicable zoning and/or restrictions and prohibitions imposed by
govemmental authority; Conditions, Restrictions limitations, reservations,
easements, and other matters appearing on records, if any; Utility easements of
record, taxes for the year 2001 and subsequent years.
and said GRANTORS do hereby fully warrant the title to said land, and will defend the same
against the lawful claims of all persons whomsoever.
IN WITNESS WHEREOF, GRANTORS have hereunto set their hands and seals the day
and year first above written.
Signed, se4Ied, and detive4d in our presence:
Witness ame
SUS rvt CQ (Add 0,✓ )
Print Name
Witness Name
/4444 Yc� kserJ
Print Name
:pg:nri R. ( %c•lil: a.
My COmrrtiss4ori: If*S: aror•,s;q. cc:
STORE OPERATIONS Z4
(.01760 , . 1>;
E. THOMAS FITZP TRICK Grantor
\ °;\
\ 1r Q 4I
NOTARY ' UBUC; State of FLORIDA at Large
PAGE 01
STATE OF FLORIDA )
COUNTY OF MIAMI - DADE )
I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the
State and County aforesaid to take acknowledgments, personally appeared E. / THOMAS
FITZPATRICK and DEIRDRE E. FITZPATRICK, who produced �,p 004 /t C./
and , respeclvely, as identification, and who executed the foregoing and acknowledged before me that they executed the . : me. oregomg
j WIT�IgSS my hand and official seal in the C. ty and State last of said this
I day of ;J N C_ - 2001.
ITEM
BATH TL8
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
0IS??OSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TCP
UNDERGROUND TANKS
LAVATORY ,-
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 If
STEAM BOILERS
SHOWER
MDTCRS OVER 1- 3 if
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 if
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS /ESCALATORS
TEMPORARY WATER CLOSET
MQTCRS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 If
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 NP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECT ION
WATER SLPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SW 144 ING POOL
OUTLETS COAERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN T I WE CLOCK
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4 TILE/RES.
VIOLATION
PUMA & ABANDON SEPTIC TANK
REINS?ECT ION
SOAKAGE P I T CU. FT.
f a.` ,---2-,
CATCH BASIN
_15// ��
DISCHARGE WELL
4.'��� J
DOMESTIC WELL
AREA GRAIN
Iii, 2. _
ROOF INLET
SOLAR WATER HEATER
FIRE STANTIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
-
Permit No.�_ —_�
Street and Number where work is to be performed —No
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,
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_
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot Block Subdivision____ J' �� _ _!
Street f -- - -- — —
State work to be performed and purpose of building (By Floors) —
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit
Underground
Type of Installation— Conduit Tubing
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No
r
Main Sw Amps.
Date
Street___
Main Fuses Amps.
B.X.L. Metal Moulding
ti v o
Amount of Permit $ (Signed) K. r ,-
ElectTitl Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Notary Public. State of Florida
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared __________— to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that 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
REFRI O.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
"• :.
- °
.
_ p
d
"`
•.
/
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
I -S HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
-
Permit No.�_ —_�
Street and Number where work is to be performed —No
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,
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_
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot Block Subdivision____ J' �� _ _!
Street f -- - -- — —
State work to be performed and purpose of building (By Floors) —
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit
Underground
Type of Installation— Conduit Tubing
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No
r
Main Sw Amps.
Date
Street___
Main Fuses Amps.
B.X.L. Metal Moulding
ti v o
Amount of Permit $ (Signed) K. r ,-
ElectTitl Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Notary Public. State of Florida
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared __________— to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that 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.
Permit No.__ __fr 11 '
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby de for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein descri d. 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 ____
Location and Legal Description Lot r l�'
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
No. Street
Street
Block _'' Subdivision_
Ct
Street N_- _
No
New Building Remodeling Addition Repairs
Amount of Permit ___ _ _ — _ _ — _(Signed)
STATE OF FLORIDA, k
COUNTY OF DADE. as.
My Commission Expires
(Signed)
Notary Public, State of Florida
fi
No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps. Mairi Fuses Amps.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
--
Electric' Inspector.
The undersigned applicant for this building permit does hereby certify tha e understands and accepts his obligations as an employer of labot
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. <"
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that 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
H EATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
.,
ENT.
SW.
DIST.
CAB.
SERVICE SERVICE
TEMP. PERM. .
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
� yam' ✓
CHECK
Permit No.__ __fr 11 '
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby de for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein descri d. 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 ____
Location and Legal Description Lot r l�'
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
No. Street
Street
Block _'' Subdivision_
Ct
Street N_- _
No
New Building Remodeling Addition Repairs
Amount of Permit ___ _ _ — _ _ — _(Signed)
STATE OF FLORIDA, k
COUNTY OF DADE. as.
My Commission Expires
(Signed)
Notary Public, State of Florida
fi
No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps. Mairi Fuses Amps.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
--
Electric' Inspector.
The undersigned applicant for this building permit does hereby certify tha e understands and accepts his obligations as an employer of labot
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. <"
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that 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.
Date L
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.
Permit No.___ 4
Owner's Name and Address
Amount of Permit $__
MIAMI SHORES VILLAGE
My Commission Expires
APPLICATION FOR ELECTRICAL PERMIT
ELECTRICAL INSPECTION DEPARTMENT
Registered Architect and /or Engineer
■
X �
Employing Electrician's Name No Street_______________
Location and Legal Description
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs ____ No. of Stories
Service Overhead Size Feeders Conduit
Underground
No._ Street
Main Sw. Amps. Main Fuses___ Amps.
Type of Installation— Conduit 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 Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) �'
STATE OF FLORIDA, }
COUNTY OF DADE. ss.
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
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public. State of Florida
Master 'Electrican.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
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.
M OTORS
0-1 HP
MOTORS
1 -3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Date L
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.
Permit No.___ 4
Owner's Name and Address
Amount of Permit $__
MIAMI SHORES VILLAGE
My Commission Expires
APPLICATION FOR ELECTRICAL PERMIT
ELECTRICAL INSPECTION DEPARTMENT
Registered Architect and /or Engineer
■
X �
Employing Electrician's Name No Street_______________
Location and Legal Description
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs ____ No. of Stories
Service Overhead Size Feeders Conduit
Underground
No._ Street
Main Sw. Amps. Main Fuses___ Amps.
Type of Installation— Conduit 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 Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) �'
STATE OF FLORIDA, }
COUNTY OF DADE. ss.
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
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public. State of Florida
Master 'Electrican.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
APPLICATION FOR ELECTRICAL PERMIT
Permit No. - - -= (i L = - Date__ — Lj4 - ____
— — —
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 No Street_
Registered Architect and /or Engineer
■
Employing Electrician's Name !tom -?�_ri
Location and Legal Description Lot
•
ELECTRICAL INSPECTION DEPARTMENT
No. Street
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
Service Overhead Size Feeders Conduit Main Sw Amps. Main Fuses Amps.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $_
(Signed)
Electri1 Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
(Signed)
I..
■
My Commission Expires Notary Public. State of Florida
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that 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
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
HEATER
TOTAL
CONTR.
LIST
'4.
, j s
' �
A
1
I
I
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
APPLICATION FOR ELECTRICAL PERMIT
Permit No. - - -= (i L = - Date__ — Lj4 - ____
— — —
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 No Street_
Registered Architect and /or Engineer
■
Employing Electrician's Name !tom -?�_ri
Location and Legal Description Lot
•
ELECTRICAL INSPECTION DEPARTMENT
No. Street
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
Service Overhead Size Feeders Conduit Main Sw Amps. Main Fuses Amps.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $_
(Signed)
Electri1 Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
(Signed)
I..
■
My Commission Expires Notary Public. State of Florida
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that 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.
Permit No
Location and Legal Description Lot
MIAMI SHORES VILL GE
ELECTRICAL INSPECTION ,• EPARTL ENT
APPLBCATM Ft) F ELECT ;; B(AL 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,
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.
' / f ti
Owner's Name and Address ! ; 6�r v No e7 Street...
Registered Architect and /or Engineer
Employing Electrician's Name .. 6'2 ,4-'
rd
Block 3 Subdivision,d.,t ` -
Street 4 • V. L4-7
New Building Remodeling Addition Repairs No. of Stories
Street and Number where work is to be performed —No 7 0
State work to be performed and purpose of building (By Floors) ....�c?..K' ,1 `
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
a� 1
•
Amount of Permit $ (Signed)
STATE OF FLORIDA, }
COUNTY OF DADE.
No Street
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obl'a�ions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 1efmanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Date .3 - f a
lectrical Ins�ec[or.
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.
11 /
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REPRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CL
LIST
�g
./ J
/
3
/
CHOCK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS MOTORS
0.1 HP 1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/ //P
CHECK
Permit No
Location and Legal Description Lot
MIAMI SHORES VILL GE
ELECTRICAL INSPECTION ,• EPARTL ENT
APPLBCATM Ft) F ELECT ;; B(AL 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,
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.
' / f ti
Owner's Name and Address ! ; 6�r v No e7 Street...
Registered Architect and /or Engineer
Employing Electrician's Name .. 6'2 ,4-'
rd
Block 3 Subdivision,d.,t ` -
Street 4 • V. L4-7
New Building Remodeling Addition Repairs No. of Stories
Street and Number where work is to be performed —No 7 0
State work to be performed and purpose of building (By Floors) ....�c?..K' ,1 `
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
a� 1
•
Amount of Permit $ (Signed)
STATE OF FLORIDA, }
COUNTY OF DADE.
No Street
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obl'a�ions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 1efmanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Date .3 - f a
lectrical Ins�ec[or.
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.
11 /