790 NE 96 St (8)Date Job Address 7 9e7 . A/2: ' 6 S % Tax Folio i,7 l ' C,/ . ab d
Legal Description )41/7,,,,, Historically Designated: Yes No
/�
Owner/Lessee / Tenant , 1v v ! C �SSOJ, ' b ; 9 l6 c 1---c - Master Permit # le.nq
Owner's Address 7 0 /V r' /c- 6 7
Contracting Co. 4 t i i ." • j� "A I Addressc> - K . ,"� ,/ .d /__<:
Qualifier W - a l , 6C / 0 . SS #4,24 - % 2 7 - ' Phone -Cr,
State # - Atfl> 9W Municipal #
PERMIT APPLICATION FOR MIAMI S
Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING LE�Y L LUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTI
Square Ft. Estimated Cost (value)
RES VILLAGE
Phone 3 .) 9 S/ `f„2 5,
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 done in compliance with all applicable
laws regulating construction • ,' zoning. Furthermore, I authorize the above -named con' . ctor to do the work stated.
0
Signature of owner and/or
JU ,•T ORES
SION # CC 550034
. une 4, 2000
il °"- Signature
Notary
My Commission Expires
FEES: PERMIT S RADON C.C.F. ' 6v NOTARY
APPROVED:
Zoning Building Electrical
Mechanical Plumbing
BOND
Date
Date
n 6
TOTAL DUE t✓
Engineering
C
t 1 . .
/
/ •
fr
/
- , 7., .("'
2 .'`; • • ,
•
Function Public Serj'ice
lage maintenance departments,
asanagement the cost of
rounding public buildings.
clude: -street tree trimming,
i
s' planting new areas and in
tamed and clean. Equipment
ation wagon, two pick4up, truck
an
pith water tk_'arid two other
of Public Services is shown in
go of the streets and waste
vers ton holpers and twe
artment. When other maintenance
nest'or vacations personnel from
.-k of the more important sans—
;::
r N
•• 8•
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
J G
Permit No .. _ s 1
Application is hereby made for the approval of the detailed statement of the plans and specifications f'ewith s pitted for the building o: other
structure herein described. This application is made in compliance and conformity with the Building •rdinance of Miami Shores Village, Fioada,
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 -9. ..., ..
Registered Architect and /or Engineer {/ / � ' y
Employing Electriciafi's Name..... e..s.. i. .. e e No. //70 • Street... . 4.2 ...
Location and Legal Description f o f Block Subdivision.
•
(Signed)
(Signed)..'
Date.
No 9 O Street.
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..
9�
Y/ � �,.....tio. of Stories /
Service Overhead Site Feeders Condit?.. Main Sw Amps Main Fuses . Amps
Underground
Type of Installation Conduit
.Tubing.... ... B.X.L Metal Moulding
Amount of ermu l; T ..... .._....
The undersigned applicant for this budding permit does hereby certify that he understands and accepts his o gations 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•cont mctors 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 perfornteder this permit, as arr
licensed by Miami Shores Village.
Electrical Inspector.
Master Electrician.
STATE OF A LORIDA,
COUNTY OF DADE. 85.
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 the 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 oign 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 51.00 will be made w + :en such re•inspection is made necessaty by improper notice for inspection, or faulty
materials and/or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE P r'S
FIXTURES
NO LAMPS
REPRI3.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHICK
ENT.
SW.
I .24
V
iL
SERVICE
TEMP.
SERVICE
PERM.
f
MOTORS
0.1 HP
MOTORS
1•5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
J G
Permit No .. _ s 1
Application is hereby made for the approval of the detailed statement of the plans and specifications f'ewith s pitted for the building o: other
structure herein described. This application is made in compliance and conformity with the Building •rdinance of Miami Shores Village, Fioada,
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 -9. ..., ..
Registered Architect and /or Engineer {/ / � ' y
Employing Electriciafi's Name..... e..s.. i. .. e e No. //70 • Street... . 4.2 ...
Location and Legal Description f o f Block Subdivision.
•
(Signed)
(Signed)..'
Date.
No 9 O Street.
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..
9�
Y/ � �,.....tio. of Stories /
Service Overhead Site Feeders Condit?.. Main Sw Amps Main Fuses . Amps
Underground
Type of Installation Conduit
.Tubing.... ... B.X.L Metal Moulding
Amount of ermu l; T ..... .._....
The undersigned applicant for this budding permit does hereby certify that he understands and accepts his o gations 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•cont mctors 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 perfornteder this permit, as arr
licensed by Miami Shores Village.
Electrical Inspector.
Master Electrician.
STATE OF A LORIDA,
COUNTY OF DADE. 85.
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 the 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 oign 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 51.00 will be made w + :en such re•inspection is made necessaty by improper notice for inspection, or faulty
materials and/or workmanship.
BUILDING
ELECTRICAL
PLUMBING
MIAMI SHORES VILLAGE, FLORIDA
DAT
PERMIT N° 2137
Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
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 ass pek the responsibility for a thorough knowledge of
the ordinances and regulations pertaining o the work covered hereby whether shown on the plans or drawly/or t -let -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 la.
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami S ores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
. CONTRACTOR OR BUILDER BY
Gv —
Subdi-
vision
Value of
Project
Contractor's
License No.
Amt. of " '" „ cs
Permit f.
9 ►VTHORM
e
1944
(i
-DING
ECTRICAL
-)PLUMBING
1"
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N° 2067
Work to be performed under this Permit
CONTRACTOR OR BUILDER BY
Subdi-
vision
Contractor's
License No.
Architect
Contractor
or Builder
Legal Lot BI.
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 tray.,
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 -
upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough kpowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans q,:dsawfflgs or in the atatements.or specifications and
that he assumes responsibility for work done by his agents, servants or employees. t f
INSPECTOR By
Signed.
NSPE TO Signed: By
Value of
Project
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
AUTHORITY
194 /
APPLICATION FOR ELECTRICAL PERMIT
Permit No. / - - -- ------ - - - - -- Date
/ _
i
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.
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE.
Bs.
1._
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Owner's Name and Address ___._`- No Street
Registered Architect and /or Engineer
Employing Electrician's Name No Street
Location and Legal Description Lot / `� Block Subdivision
Street and Number where work is to be performed —No. Street
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
_(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)
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.
My Commission Expires Notary Public, State of Florida
No. of Stories
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
H EATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
t`
'(
CHECK
ENT.
SW.
DIST.
CAB.
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
/ _
i
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.
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE.
Bs.
1._
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Owner's Name and Address ___._`- No Street
Registered Architect and /or Engineer
Employing Electrician's Name No Street
Location and Legal Description Lot / `� Block Subdivision
Street and Number where work is to be performed —No. Street
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
_(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)
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.
My Commission Expires Notary Public, State of Florida
No. of Stories
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.
Permit No.
Application is hereby mafde for the approval of the detailed statement of the plans and specifications herewith sub itted 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 specifie 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
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___.
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
8s.
1
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No
No Street
Block
�._ Street
Repairs
Date
Subdivision
Street
My Commission Expires Notary Public, State of Florida
No. of Stories
/
�• - 7 7 T
(Signed) f � , , ,;(/
s
Electrical Inspector.
Master Electrican.
•
Service Overhead Size Feeders. Conduit Main Sw. Amps. Main Fuses Amps.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
The undersigned applicant for this building permit does hereby certify that hwunderstands 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 ynder this permit, as are
licensed by Miami Shores Village.
u ;
(Signed) -
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
E NT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PER
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
1
L '
CHECK
Permit No.
Application is hereby mafde for the approval of the detailed statement of the plans and specifications herewith sub itted 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 specifie 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
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___.
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
8s.
1
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No
No Street
Block
�._ Street
Repairs
Date
Subdivision
Street
My Commission Expires Notary Public, State of Florida
No. of Stories
/
�• - 7 7 T
(Signed) f � , , ,;(/
s
Electrical Inspector.
Master Electrican.
•
Service Overhead Size Feeders. Conduit Main Sw. Amps. Main Fuses Amps.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
The undersigned applicant for this building permit does hereby certify that hwunderstands 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 ynder this permit, as are
licensed by Miami Shores Village.
u ;
(Signed) -
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._ 7/ ____
Service Overhead Size Feeders /
Underground
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Amount of Permit $ (Signed)
ss.
My Commission Expires
No
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied y5ith, whither herein s. led 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 ` ! L � No
Location and Legal Description Lot 1 _ '# Block \ j ____ 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
Street
Notary Public, State of Florida
Street..
Conduit .—Main Sw. Amps. _________ —_____ Main Fuses Amps.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that 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
J1
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
2
REFRIG.
OUTLET
IRON
OUTLET
�
RANGE
OUTLET
-�-
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR. sT
LIST
/ /�
J
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._ 7/ ____
Service Overhead Size Feeders /
Underground
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Amount of Permit $ (Signed)
ss.
My Commission Expires
No
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied y5ith, whither herein s. led 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 ` ! L � No
Location and Legal Description Lot 1 _ '# Block \ j ____ 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
Street
Notary Public, State of Florida
Street..
Conduit .—Main Sw. Amps. _________ —_____ Main Fuses Amps.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that 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.
JOB:
BUILDING
•
•
•
•
•
•
Inspector's Report:
ELECTRICAL : 1 /'
: WORK
PLUMBING • : DONE BY:
: REQUESTED
! f 1
•
•
•
• if7.1- -it •
• • •
•
•
The following is ready for Inspection:
, 77a /de fG
•
•
• .
•
•
•
WILL BE READY
JOB:
BUILDING
PLUMBING
•
.
ELECTRICAL :
•
•
•
•
The following is ready for Inspection: -
Inspectors Report:
: WORK
: DONE BY:
•
REQUESTED : WILL BE READY
•
•
•
•
•
•
•
•
•
• •
•
•
•
•
•
•
• •
•
. •
• •
•
•
J )
JOB : L.- 't .. ;a*.►
BUILDING
ELECTRICAL
PLUMBING
Inspector's Report:
•
•
•
•
•
•
•
•
•
•
• •
AD:
WORK
DONE BY:
: REQUEST?
The following is ready for Inspection:
: WILL BE READY
•.
•
•
•
•
•
•
•
•
•
•
•
'-r
Registered Architect and /or Engineer
Employing Electrician's Name
APPLICATION FOR ELECTRICAL PERMIT
Permit No. �'��__`�_,l Date
Application is hereby de for the approval of the detailed statement of the plans and specifications herewith sub itted 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 t h, whether herein speeifi 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
No Street Location and Legal Description Lot / f Block ,o. Subdivision
and Number where work is to be performed —No { Street _ ti.— 4_:_:
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 OF FLORIDA,
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 he has carefully read the
therein by him stated are true.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that h nderstands 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, op- work to be performed yhder this permit, as are
licensed by Miami Shores Village.
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
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.
Master Electrican.
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.
CAS.
SERVICE
TEMP.
SERVICE
PER
MOTORS
0-1 HP
MOTORS
1 -a HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
J
CHECK
Registered Architect and /or Engineer
Employing Electrician's Name
APPLICATION FOR ELECTRICAL PERMIT
Permit No. �'��__`�_,l Date
Application is hereby de for the approval of the detailed statement of the plans and specifications herewith sub itted 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 t h, whether herein speeifi 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
No Street Location and Legal Description Lot / f Block ,o. Subdivision
and Number where work is to be performed —No { Street _ ti.— 4_:_:
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 OF FLORIDA,
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 he has carefully read the
therein by him stated are true.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that h nderstands 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, op- work to be performed yhder this permit, as are
licensed by Miami Shores Village.
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
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.
Master Electrican.