801 NE 97 St (14)BUILDING
ELECTRICAL
PLUMBING El
ROOFING
Owner of
Building
ii PERMIT N9 15887
Lil Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
Subdi-
vision
Value of
Proect $
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
; 4
CONTRACTOR OR BUILLAR
MIAMI SHORES VILLAGE, FLORIDA
DATE
Signed BY
INSPECTOR
Contractor's
License No
Amt. of
Permit $
195
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 his permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING",
Owner of ,
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
A t
• - 1/
,
4- •
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
t.
Bl
Work to be performed under this Permit__
N9 4970
Subdi-
vision
Value of 11 Amount of
Project $ 11 Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
DATE - -
19
Contractor's ,
License No.
Signed: - -. INSPECTOR
........-
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
AV ROT
Date
Owner/Lessee / Tenant
Owner's Address
Contracting Co.
Qualifier
State # eF�,0Q0 ,014
WORK DESCRIPTION
APPROVED:
Zoning
Mechanical
-•
otary as to Owne
My Commission E.
00
FEES: PERMIT 3 RADON
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address
Legal Description Historically Designated: Yes No
AA
/- ef9-24-vc-&-e-
Municipal #
Square Ft. Estimated Cost (value)
Signature of owner and/or Condo Pre ent Date
. ` #7 ,/k Tax Folio
•
RY PU OFFICIAL piOTAHY SEAL
2 Tle r (1 SAHIWA AI WIH73GM
4( % ..�?i• C9GiiAI$ ION NUAAt3ZH
IUi o `r CC340045
7,, . 41 AY OOA9H11:151ON 9SiP
� OF FL. � igi4 1 . i ,d'1■1
Sign ture of Contractor
My Commission E
Building Electrica
1l-- 320& - O /f -258 -D
Master Permit #
Phone '-67— 00 Z
Address /Z 7 &? 4
SS#
Competency # Ins. Co. �L�if� t J
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDIN ELECTRIC L UMBING MECHANICAL ROOFING PAVING FENCE SIGN
WARNING TO OWNER: Y SU 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 ELECTRICAL, PLUMBING, SIGNS, POOLS. ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Owner- Builder
1 otary as to Contractor or Owner- Builder
113 Y Pe4 OFFICIAL NOTARY OZ.AL
O �T� `r <i SAHINA t iYIIH awti
is �E'F :# CDCA I(L ,5ION Ndieid�H
'�, 'i _dill.'✓ `'P CC 404
IX/ O O∎s"ililk.401WN L WV
OF ,. ■47i1r1.
Date
Date
C.C.F. i.5O NOTARY TOTAL DUE 3i—• -
Plumbing; Engineering
O
M8 SHORES VILLAGE
ELECTRICAL, BINSPEC41OR1 DE =ARTME .+T
AFL LMATi Nl FOR ELECaTPIC kL PER f T
Permit No C .Il
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flu :Ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address ,LIZZIE A® FIT& No 801 Street with Ste,
Registered Architect and /or Engineer ,t �
Employing Electrician's Name L & L1 E EC'iiiIC C00ANC0 No 9g Street 1T ®` b:iUtTh
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 Site Feeders Conduit. Main Sw Amps Main Fuses . Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit e..1(1:1) . .............. .. .. (Signed)
Date ®CT®B. 24 , 1073
Elaeericel – ape
The undersigned applicant for this building permit does hereby certify that he understands and accepts his igations as an employer of
labor under the Florida Workmen's Compensation .Act, being Section 5966, Compiled General Laws of Flori . 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.
(Signed) `" (/ G ry i..
Master Electrician.
STATE OF FLORIDA, }
GO.
COUNTY OF DADE.
I&efore 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 facto
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re•inopection fee of $1.00 will be made when such re-inspection is made necessary by improper nctice for inspection, or faulty
materials and /or workmanship.
CR/ITCH
OUTLETS*
LIGHT
OUYLEYc
PLUG
RECe•P•V'e
"11ITURaS RaGR10.
No. LAMPS OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
;•113
,,
-- -,
TOTAL
CONTR.
LICIT
2
4
49
6
•
3.
�1.
CN¢ca
- --
— — —
—
ENT.
OW.
-
DIST.
CAD.
-
SERVICa
TEMP.
SERVICE
PERM.
MOTO=
0.1 HP
MOTORS
1.9 HP
NEON
TRANO.
RADIO
TOTAL
C LInT.
ACID a
.....
,`,33.
CDa ECDt
_ _m
O
M8 SHORES VILLAGE
ELECTRICAL, BINSPEC41OR1 DE =ARTME .+T
AFL LMATi Nl FOR ELECaTPIC kL PER f T
Permit No C .Il
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flu :Ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address ,LIZZIE A® FIT& No 801 Street with Ste,
Registered Architect and /or Engineer ,t �
Employing Electrician's Name L & L1 E EC'iiiIC C00ANC0 No 9g Street 1T ®` b:iUtTh
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 Site Feeders Conduit. Main Sw Amps Main Fuses . Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit e..1(1:1) . .............. .. .. (Signed)
Date ®CT®B. 24 , 1073
Elaeericel – ape
The undersigned applicant for this building permit does hereby certify that he understands and accepts his igations as an employer of
labor under the Florida Workmen's Compensation .Act, being Section 5966, Compiled General Laws of Flori . 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.
(Signed) `" (/ G ry i..
Master Electrician.
STATE OF FLORIDA, }
GO.
COUNTY OF DADE.
I&efore 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 facto
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re•inopection fee of $1.00 will be made when such re-inspection is made necessary by improper nctice for inspection, or faulty
materials and /or workmanship.
.00 T
2.25
cl) 1 .25
125
Yk , 4-) 1.25
3.50
9 .5 0 T
DOU
New Building
licensed by Miami Shores Village.
APB °LIICATION FOR ELECTRICAL PERMIT
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Permit No / 1 Date 6 "
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 " ..J No Street
Registered Architect and /or Engineer
Employing Electrician's Name v ' ..
' Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No c. Street
■
State work to be performed and purpose of building (By Floors)
A 0
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 $
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
(Signed)
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
(Signed) J�
Master Electrician.
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 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: re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials - d /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
nEFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL"
CONTR.
LIST
p �'
/
! )]
•-_,
/,
, �
CHECK
/ ■
Y ,
e;
/
"c
• • , G
ENT.
SW.
DIET.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.8 HP
NEON
TRANS.
RADIO
v
TOTAL
CONTR.
LIST
1
CHECK
/ i
6
New Building
licensed by Miami Shores Village.
APB °LIICATION FOR ELECTRICAL PERMIT
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Permit No / 1 Date 6 "
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 " ..J No Street
Registered Architect and /or Engineer
Employing Electrician's Name v ' ..
' Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No c. Street
■
State work to be performed and purpose of building (By Floors)
A 0
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 $
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
(Signed)
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
(Signed) J�
Master Electrician.
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 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: re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials - d /or workmanship.
rtr
(
r 2
1
(1-0
MIAMI SH®RES VILLAGE
ELECTRICAL INSPECTIO° DE "A TMENT
AhPLI =:A'TH:3N FOR ELECTRICAL PERMIT
Permit No /
Application is hereby nYade 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.
r /1
Owner's Name and Address 7 ,. No Street
Registered Architect and /or Engineer U 0
Employing Electrician's Name No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No :, Street ,
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses As
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
STATE OP FLORIDA,
COUNTY OF DADE.
}
68.
`
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or 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, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Date
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 fact
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of 51.00 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•3 HP
NEON
TRANS.
RADIO
YOYA's,
CONTR.
LIST
.
CHECK
MIAMI SH®RES VILLAGE
ELECTRICAL INSPECTIO° DE "A TMENT
AhPLI =:A'TH:3N FOR ELECTRICAL PERMIT
Permit No /
Application is hereby nYade 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.
r /1
Owner's Name and Address 7 ,. No Street
Registered Architect and /or Engineer U 0
Employing Electrician's Name No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No :, Street ,
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses As
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
STATE OP FLORIDA,
COUNTY OF DADE.
}
68.
`
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or 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, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Date
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 fact
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of 51.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and or workmanship.
Permit No
4
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 William Perr No 801 NE Street 97th Street
Registered Architect and /or Engineer
Employing Electrician's Name Frank Schafer, Inc. No 1 036 NW Street 54th Strout
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 801 NE 97th Street Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling XX Addition Repairs No. of Stories
*v
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing X B.X.L Metal Moulding
Amount of Permit $ ci
SS.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION! DEPARTMENT
(Signed) '"(
• 0 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 grmit, as are
licensed by Miami Shores Village.
Date 2/3/64
STATE OF FLORIDA, 1
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
er Electrician.
NOTE: A re- inspection fee of $1.00 wi be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Q
SWITCH
OUTLETS
LIGHT
O UTLETS
PLUG
RECE'P'T'S
FIXTURES
N O. LAMPS
REFRIO.
OUTLET
IRON
O UTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
ACE
HATER
STRIP
H EATER
TOTAL
CONTR.
LIOT
2
2
1
1
6
CJ
2
CHECK
Q °
7 )
/ 7—a
,
s �
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1 -5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
1 /1 /
1 L�
CHECK
r'''-'
/ ��
` --
Permit No
4
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 William Perr No 801 NE Street 97th Street
Registered Architect and /or Engineer
Employing Electrician's Name Frank Schafer, Inc. No 1 036 NW Street 54th Strout
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 801 NE 97th Street Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling XX Addition Repairs No. of Stories
*v
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing X B.X.L Metal Moulding
Amount of Permit $ ci
SS.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION! DEPARTMENT
(Signed) '"(
• 0 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 grmit, as are
licensed by Miami Shores Village.
Date 2/3/64
STATE OF FLORIDA, 1
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
er Electrician.
NOTE: A re- inspection fee of $1.00 wi be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
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