765 NE 96 StJOB:
BUILDING
ELECTRICAL
PLUMBING
•
•
•
•
•
•
•
e v .• ••••■•••■■•••
AD:
• •
• •
The following is ready for Insp6ction:
Inspector's Report:
••
. ,
/
• DONE BY: ,
I k..........rt.-1_,„.,
• •
WORK
- r
• • •
: : Ft1 : WILL BE READY
. . • 'N
• • .
. . , ,\ 1 1
•
•
•
. .'
• .
• 1 • •
• , 4
N., ...--. •
•
•
• •
• • V
• •
• • 11
• •
• •
0
1 I /
!i"."
Permit No
27
Service Overhead Size Feeders
Underground
Amount of Permit S_ •
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 submitte• for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinan. ;e 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 specifief 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_
My Commission Expires
No.__ Street
No______ – – – – -- ------- - - - - -- Street______-____________ ______
Block Subdiyjcion
r
Street and Number where work is to be performed —No / _ . 4_ v – Street____._
State work to be performed and purpose of building (By Floors)
New Building Remodeling _ Addition
Conduit Main Sw._____ — Amps. Main Fuses
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
Electritlla Inspector.
The undersigned applicant for this building permit does hereby certify t, t 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)
Date
Repairs
/e....f//eZ
No. of Stories
Amps.
aster Electrican.
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, 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
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.
1
1
, .
I ;
If
/
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
27
Service Overhead Size Feeders
Underground
Amount of Permit S_ •
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 submitte• for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinan. ;e 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 specifief 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_
My Commission Expires
No.__ Street
No______ – – – – -- ------- - - - - -- Street______-____________ ______
Block Subdiyjcion
r
Street and Number where work is to be performed —No / _ . 4_ v – Street____._
State work to be performed and purpose of building (By Floors)
New Building Remodeling _ Addition
Conduit Main Sw._____ — Amps. Main Fuses
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
Electritlla Inspector.
The undersigned applicant for this building permit does hereby certify t, t 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)
Date
Repairs
/e....f//eZ
No. of Stories
Amps.
aster Electrican.
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, 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
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made or 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, rke4her he tin specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. ( (
s
Owner's Name and Address ___ . _____ —.1,__
Registered Architect and /or Engi eer
Employing Electrician's Name c 7;y' = No. - Street
Location and Legal j Block
g al Descri Ption Lot � - ---- --- � - � - - - � --{ - ---- �.,.� Subdivision_
Street and Number where work is to be performed —No. 4 . 4 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 MairlSw._ ___ Amps. Main Fuses Amps.
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
------------ ------ ----- -- - - -- -
Amount of Permit $ �
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 st.ch 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.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
(Signed)
Date_..
No.__________ Street
Notary Public, State of Florida
Mas r Electrican.
36 6
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'8
FIXTURES
NO.LAMPS
REFRI G.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
',
) l
i
,1
„o.
/
'
1
,
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made or 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, rke4her he tin specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. ( (
s
Owner's Name and Address ___ . _____ —.1,__
Registered Architect and /or Engi eer
Employing Electrician's Name c 7;y' = No. - Street
Location and Legal j Block
g al Descri Ption Lot � - ---- --- � - � - - - � --{ - ---- �.,.� Subdivision_
Street and Number where work is to be performed —No. 4 . 4 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 MairlSw._ ___ Amps. Main Fuses Amps.
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
------------ ------ ----- -- - - -- -
Amount of Permit $ �
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 st.ch 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.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
(Signed)
Date_..
No.__________ Street
Notary Public, State of Florida
Mas r Electrican.
36 6
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.
APPLICATION FOR ELECTRICAL PERMIT
Permit No.__
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sabmitted'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 _
Location and Legal Description Lot__ _ __ ^
_ _— _____________ Block Subeliyision_____ ____________W__ __ ____
Street and Number where work is to be performed —No 4. 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.
Underground
Type of Installation— Conduit___ ___ ________ Tubing _ B.X.L. Metal Moulding
r ! .t
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No._____ —__— ,___— S!:reet_
No. -- -- -- – Street__– _______-- _----- _ _____–
(Signed)
(Signed)
Amps. Main Fuses _ Amps.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify tbt be 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.
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 be 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
rt 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
HE:ATER
STRIP
HEATER
TOTAL
CONTR.
LIST
1 ..
, „..„.•
j
,
.. _T
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
APPLICATION FOR ELECTRICAL PERMIT
Permit No.__
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sabmitted'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 _
Location and Legal Description Lot__ _ __ ^
_ _— _____________ Block Subeliyision_____ ____________W__ __ ____
Street and Number where work is to be performed —No 4. 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.
Underground
Type of Installation— Conduit___ ___ ________ Tubing _ B.X.L. Metal Moulding
r ! .t
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No._____ —__— ,___— S!:reet_
No. -- -- -- – Street__– _______-- _----- _ _____–
(Signed)
(Signed)
Amps. Main Fuses _ Amps.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify tbt be 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.
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 be 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
rt 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
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No—_..e__ ' �— 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 sp eified or not. A copy of approved plans ..nd 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
Amount of Permit S
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
Block
No. Street
No Street
Street and Number where work is to be performed —No. k 1 -\
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses. Amps.
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
My Commission Expires
(Signed)
(Signed)
Notary Public. State of Florida
Sub8,�sioT__ —___
Street Z_ -t! "_
No. of Stories
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.
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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE : '
PE,FM7.
MOTORS
0-1 HP
MOTORS
I -3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR. IST
LIST
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No—_..e__ ' �— 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 sp eified or not. A copy of approved plans ..nd 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
Amount of Permit S
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
Block
No. Street
No Street
Street and Number where work is to be performed —No. k 1 -\
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses. Amps.
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
My Commission Expires
(Signed)
(Signed)
Notary Public. State of Florida
Sub8,�sioT__ —___
Street Z_ -t! "_
No. of Stories
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.
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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
44 /1 7
Permit No. _____
_________________
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby mad or the approval of the detailed statement
structure herein described. This application is made in compliance and
and all provisions of the Laws of the State of Florida, all ordinances of
of Miami Shores Village shall be complied
building during progress of work. ) !'
s
Owner's Name and Address
Location and Legal Description Lot
-------------------------- - - - - -- -
Amount of Permit 5 _
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
her berin s
Registered Architect and /or Engi eer 1
Employing Electrician's Name _ '4L'
My Commission Expires
1 Block
Street and Number where work is to be performed —No.
State work to be performed and purpose of building (By Floors)
of the plans and specifications herewith submitted for the building or other
conformity with the Building Ordinan:e of Miami Shores Village, Florida.
Miami Shores Village and all rules and regulations of the Building Division
fi �,
ef or not. A copy of approved plans and specifications must be kept at
No
New Building Remodeling Addition
Service Overhead Size Feeders Conduit Main Sw Amps. _ Main Fuses Amps.
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
(Signed)
No Street
Subdivision__
CIL
1/4 ■6treet
Date.
Notary P,iblic. State of Florida
Street
Repairs —___ No. of Stories
Electrical Inspector
The undersigned applicant for this building permit does hereby certify that he understands and accep :s 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 perform ed under this permit, as are
licensed by Miami Shores Village.
Mastfr 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
I `,
LIGHT
OUTLETS
ETS
1 /
PLUG
RECE'P'T'S
J
FIXTURES
NO.LAMPS
i
REFRIG.
OUTLET
/ •
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HE ER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
44 /1 7
Permit No. _____
_________________
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby mad or the approval of the detailed statement
structure herein described. This application is made in compliance and
and all provisions of the Laws of the State of Florida, all ordinances of
of Miami Shores Village shall be complied
building during progress of work. ) !'
s
Owner's Name and Address
Location and Legal Description Lot
-------------------------- - - - - -- -
Amount of Permit 5 _
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
her berin s
Registered Architect and /or Engi eer 1
Employing Electrician's Name _ '4L'
My Commission Expires
1 Block
Street and Number where work is to be performed —No.
State work to be performed and purpose of building (By Floors)
of the plans and specifications herewith submitted for the building or other
conformity with the Building Ordinan:e of Miami Shores Village, Florida.
Miami Shores Village and all rules and regulations of the Building Division
fi �,
ef or not. A copy of approved plans and specifications must be kept at
No
New Building Remodeling Addition
Service Overhead Size Feeders Conduit Main Sw Amps. _ Main Fuses Amps.
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
(Signed)
No Street
Subdivision__
CIL
1/4 ■6treet
Date.
Notary P,iblic. State of Florida
Street
Repairs —___ No. of Stories
Electrical Inspector
The undersigned applicant for this building permit does hereby certify that he understands and accep :s 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 perform ed under this permit, as are
licensed by Miami Shores Village.
Mastfr 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building ,r' i -' }'`,�
Lot
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N° 2779
Work -to be performed under this Permit
Bl.
7 ,..r
a r,
This permit is granted to the contractor or builder named above to construct the buildin or to install the equipment or' described
application herefor in strict compliance with all ordinances pertaining thereto and with the ut rstanding that the work will be performed is
with any plans, drawings, statements or specifications that may have been submitted to and by the proper municipal authorities. Thie
be revoked at any time if the work is not done hi compliance with such ordinances or if the pp are changed without . A further
upon which this permit is granted is the underst$nding that the contractor or builder.tiained abovetlinumes the responsibility for a thorough
the ordinances and regulations pertaining to the work covered hereby whether showd on thelpl a lilt drawings or in the stMentents
that he assumes responsibility for work done by his agents, servants or employees.
Value of
Project
Signed. ,. a., r . 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 •
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of M
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY
Subdi-
vision
Contractor's
License No.
Amt. of
Permit
Permit 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 speffied 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
Service Overhead Size Feeders
Underground
Amount of Permit $ L�
t Block --
Subdivision
Street and Number where work is to be performed —No J___ '_ �� �__ Street 1__ ?f'_.G.= _ -
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
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, 1
COUNTY OF DADE. SS.
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 be has carefully read the
therein by him stated are true.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Date
` ` No. Street
Conduit Main Sw Amps. Main Fuses Amps.
(Signed)
No Street
Electrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
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
(Signed)
Notary Public, State of Florida
No. of Stories
Master Electrican.
authorized to administer oaths and take acknowledgments, personally
deposes and says that he is the
foregoing application, and that he did sign the same, and that all facts
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.LA MPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT. SPACE
CONN. HEATER
STRIP
H EATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERV IC
P
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit 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 speffied 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
Service Overhead Size Feeders
Underground
Amount of Permit $ L�
t Block --
Subdivision
Street and Number where work is to be performed —No J___ '_ �� �__ Street 1__ ?f'_.G.= _ -
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
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, 1
COUNTY OF DADE. SS.
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 be has carefully read the
therein by him stated are true.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Date
` ` No. Street
Conduit Main Sw Amps. Main Fuses Amps.
(Signed)
No Street
Electrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
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
(Signed)
Notary Public, State of Florida
No. of Stories
Master Electrican.
authorized to administer oaths and take acknowledgments, personally
deposes and says that he is the
foregoing application, and that he did sign the same, and that all facts
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.
^^
^^ ^` ^^ ^` ^^
.. .. .. .. .. ..
^^ 4. ^^ ^^ ^^
.. ..
LEI
ed
..
/
g
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 2 O V _
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
Owner's Name and Address JAMES HIGGINBOTHAM
No 765
Street N. E. 96 Street
Registered Architect and /or Engineer
Employing Electrician's Name A. C. ELECTRIC CO. s INC. N 3200 Street North Miami Avenue
Location and Legal Description Lot Block Subdiv.ision
Street and Number where work is to be performed —No 765 Street N. E. 96 Street
State work to be performed and purpose of building (By Floors) Electrical ..installations ...ami.repaira
New Building Remodeling Addition Repairs X}{ No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type r1f Installation — Conduit Tubing B.X.L Metal Moulding....
Amount of Permit $ 7 (Signed).... %6
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 emp1eyeeb7 him in the
work to be performed under this permit; and will post or cause to be posted for- inspectiop qft 'sij the work such public nottde or notices
as are required by the Act. The undersigned agrees to employ only such sub- contrac : s, o, e rm�d under this as are
licensed by Miami Shores Village.
STATE OF FLORIDA, '1
COUNTY OF DADE. I
SS.
(Si
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, a,,d 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
HE[: 'ER
STRIP
HEATER
TOTAL
CONTR
LIST
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TCP.'P.
SERVICF
PERM.
MOTOP3
0.1 HP
f:: OTORS
1.5 HP
NE ^N
TRANS.
RADIO
TOTAL
CLH':R.
LIST
150
Four -1 hp
CH EC
$3.00
_
$4.00
$7.
g
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 2 O V _
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
Owner's Name and Address JAMES HIGGINBOTHAM
No 765
Street N. E. 96 Street
Registered Architect and /or Engineer
Employing Electrician's Name A. C. ELECTRIC CO. s INC. N 3200 Street North Miami Avenue
Location and Legal Description Lot Block Subdiv.ision
Street and Number where work is to be performed —No 765 Street N. E. 96 Street
State work to be performed and purpose of building (By Floors) Electrical ..installations ...ami.repaira
New Building Remodeling Addition Repairs X}{ No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type r1f Installation — Conduit Tubing B.X.L Metal Moulding....
Amount of Permit $ 7 (Signed).... %6
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 emp1eyeeb7 him in the
work to be performed under this permit; and will post or cause to be posted for- inspectiop qft 'sij the work such public nottde or notices
as are required by the Act. The undersigned agrees to employ only such sub- contrac : s, o, e rm�d under this as are
licensed by Miami Shores Village.
STATE OF FLORIDA, '1
COUNTY OF DADE. I
SS.
(Si
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, a,,d 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.
r
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lat
MIAMI SHORES VILLAGE, FLORIDA ff
Date 7 19—±7
PERMIT N° 8882
CONTRACTOR or BUILDER
Work
6'
to be performed under this
Subdi-
BY
vision
Permit
Contractor's
License No.
Sq Ft
Value of I Amount of
Project $ II Permit $ 7'
AUTHORITY
•
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 o; employees.
! /'t
(INSPECTOR) BY
In consideration of the issuance to me of this perm { agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, awings, 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, mysqf, my agent, servant or employee.
bate q- 6- 0 0 Job Address 7 N E 9 b &TR.EE T Tax Folio
Legal Description Historically Designated: Yes No
Master Permit # try ' '1
Owner's Address 7 (05 NE 96 STREET Phone 305 75 — 1 94 i
Owner/Lessee / Tenant E. CTTO
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Contracting Co. C. G EL E. C.TRt CA L t? C. t iro G Address 1 0 3 0 /OW alx' 1 R/Z M r A FL 33169
Qualifier DAB (,L p33)O
State # f-- 2,004,94.4 Municipal # 30- Z,1 0 99 g
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING LECTRICAL LUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIP'T'ION 1 Am P SER.V1c6
Square Ft. Estimated Cost (value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MA`.
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).
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separat
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicabl
laws regula . g construction anc) zoning. Furthermore, I authorize the above -named contractor to do the work stated.
owner and/o
ignaturt,
ecudtio
l
.o • •rest•ent Date
rest
Notary as to Owner and/or Cond
My Commission Expires: p,. ' 758851
�r PV, P Ue ( f Commis s t st23 2002
` o Expir a
✓� O Q T1 pN IC BOND
FEES: PERMIT f e9e? RADON
9 1 6 1 zcca
Date
S S#
V.Phone .305 65 6 -0 9 7,,2
Competency # 91E000181+
Address
Address
Address
1 111111111.1111.111111. : '
Aka
Signa : = of Contract. . • weer- Builder
ethaz, a
C.C.F. t 10 0 NOTARY
Ins. Co.
gso�
EA 11E Ins.
q -e -oo
Date
0 C
Notary as to Contractor or Owner- Ide Date
My Commission Expir Y Po ula I , Gray
` ,:, cc,Commissior. # CC 758851
IaI Q Expires August 23, 2002
s `� p - BONDED THRU
OF A NITIC BCNDING CO., INC
TOTAL DUE S
Electrical P-
BOND
APPROVED:
Zoning Building
Mechanical PIumbing Engineering
3-obc x }65 r t. 96 GT
fV\ m t S ho R.,s � FL
C & C Electrical Co., Inc.
P.O. Box 4451
Hollywood, Florida 33083
(305) 655 -0972
• 4‘Cu IN 3/4' COND.
TO Cw,P.
I5o
AMP
MCB
PIINE.
ELECTRICAL RISER
n.t.s.
120/240 V, 3 WIRE, I- PHASE_
4 7' 4° 110 TNUJ, Cu IN 2' CONC,
MIN Cu IN 2' CONE).
GROUNDED TO GROUND ROD (2)
5/8' X 10' -m' LONG 6' -0' APART
DRIVEN INTO THE GROUND 8' -0'
MINIMUM.
ELECTRICAL_ PANEL ,
WATTS.
DESCRIPTION.
WIRE
BRK
CIR
CIR
1
LAKE
DESCRIPTION.
WATTS.
12000
=
RANGE
• 61
7
• 12
UV
/
20
I
2
3
13
14
15
20
20
20
• 12
• 12 J
• 12
SMALL. bpp,1eUrx
SPARE
LIGHTING / RECEPTACLE
, OC.
1 ,500
•
1,500
ORATOR
5000
DRYER (FUTURE)
4
16
20
*12
LIGHTING / RECEPTACLE
•
5
11
20
• 12
LIGHTING / RECEPTACLE
•
4,500
WATER HEATER
•10 3
6
18
20
• 12
LIGHTNG / RECEPTACLE
•
1
19
20
• 12
SPARE
1 ,500
1,500
LAUNDRY
• 12 20
a
20
50
•
A/C AIR HANDLER UNIT (25 TON (,1F4IT)
3,10400
1,500
BATHROOM RECEPTACLE
•12 20
9
21
1 .500
BATHROOM RECEPTACLE
•12 20
10
22
50
•
A/C CONDENSER (25 TON UNIT)
4 ,29600
3,150.00
LGHT'G/RECEPT (1050 SF X 31.11)
• 12 20
11
23
1,500
SMALL APPLIANCE CIR.
• 12 20
12
24
36650.00 WATTS. SUBTOTAL EXCLUDING A/C LOAD.
IST 100 WATTS AT 100% . 10,000.00
REM. 26b50.00 WATTS AT 4Q% • 10,650.00
A/0 LOAD (5000) WATTS AT 125% • 10,00000
TOTAL LOAD 30,660.00 WATTC,
C & C Electrical Co., Inc.
P.O. Box 4451
Hollywood, Florida 33083
(305) 655 -0972
Sob: 765 & q6 STR.ce-r
M 1 poAt SHoRO.S , F L.
- 1
30,6602)( 240 .. 121.15 AMPS.
NOTE : PROv1DE A 150 AMP 6ERv10E FOR EACH UNIT.
BUILDING
ELECTRICAL
PLUMBING
Work to be perfo wed under this Permit " (1� '"*• `' -
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description a t,
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N° 2322 Contra
Limas
Address of Value �
Project
permit > fir.+•+ Val �j 4 This it is granted to the contester*. o f named above to construct the builds
application herefor in strict compliance with' all ordinary pertaining thereto and with the
with any plans, drawings, statements or that may hive been submitted to rase t,
be revoked at any time if the work is not in compliance: with such ordinances or if the
upon which this permit is granted is the that the contractor or builder
the ordinances and regulations pertaining to work covered hereby whether shown or "�tt Le
that he assumes responsibility for work cons' by his agents, servants or employees.
Signed:
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work coverd hereunder in complies* with all
one pertaining thereto and in strict conforality with the plans, drawings, statements or specifications submitted to the mope jauthoritle.
"illage. In accepting this permit 1 assume responsibility for all work done by either myself, my agent, servant or emploi -
CONTRACTOR OR BUILDER BY
By
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
L "-r
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N° 2459
Work to be performed wtde+r this Permit _ -, • _,' d ��+
A .n4
, . .
Value of
Project
r
Coatmc:tor's
License
Amt. of
Permit -1
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device
application herefor in strict compliance with all ordinances pertaining thereto and with the understands that the work will be .
n� performed
with any plans, drawings, statements or spedf :edema that may have been submitted to and by the proper municipal authorities.
be revoked at any time if the work is not d in compliance with such ordinances or if the l are changed wiihoru ;Mthoritudon. A
upon which this permit is granted is the ng that the contractor or builder name above she icy for a
the ordinances and regulations pertaining to the work covered hereby whether shown . cat tier n* pr _
that he assumes responsibility for work done by his agents, servants or employees. ' -
17711 ++ �'.. 11 spacroR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in cosppliaam with all orrdi
s pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted the Erfoper authorities
•
a ge. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or ree.
CONTRACTOR OR BUILDER BY