822 NE 96 StBUILDING
ELECTRICAL
PLUMBING
Legal Lot Bl.
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE 194
PERMIT N° 1511
Work to be performed under this Permit
Owner of
wilding
Architect
Contractor
or Builder
Subdi-
vision
Value of
Project
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 sVill 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. a "
Signed. By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
Contractor's
License No.
Amt. of
Permit
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot Bl.
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 1998
Work to be performed under this Permit
Subdi-
vision
Value of
Project
DATE
. J
194
Contractor's
License No.
Amt. of
Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the
application 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 apecifications and
that he assumes responsibility for work done by his agents, servants or employees.
Signed: By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL .Q1
PLUMBING ❑ PERMIT Np 9030
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal Lox
Description i 1 Bl.
Address of
Building
This permit is granted to the contractor or builder named above to construct the building or to install the eluipment 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 an%
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may he 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 ha assume, respon
sibility for work done by his agents, servants or employees.
CONTRACTOR or BUILDER
Work to be performed under this Permit
Date
Contractor's
License No.
'7
Subdi-
vision — —
Sq. Ft.
Value of j Amount of r✓
Project $ 11 Permit
- A i (INSPECTOR) BY
In consideration of the issuance to me of this per I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plan , drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
•
BY AUTHORITY
967
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
MIAMI SHORES VILLAGE, FLORIDA
DATE 194_
Contractor's
License No. rv:
PERMIT N° 1320
Work to be performed under this Permit
Subdi-
vision
Legal Lot Bl.
Description
Address of
Building
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition
upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or,>wecifisations and
that he assumes responsibility for work done by his agents, servants or employees. -I' ,-
Signed. • 77 : r.,,.n.f By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
4
CONTRACTOR OR BUILDER BY AUTHORITY
Value of
Project
Amt. of
Permit
Permit No
Ivo? to', El
New Building Remodeling Addition
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
(Signed)
Date
of the above described construction, and he has carefully read the foregoing application, ancri at he
therein by him stated are true.
ROTARY DU3LIC STATE OF FLORIDA
WY CONNISSIOU EXP. PAR 31,1989
BOCpEQ -ItIR 1- •GENERAt /13*, - 11 .
My Commission Exp
NOTE: A re•inepection fee of $1.00 will be made when such re•inspection
materials and /or workmanship.
1fi r
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
7 - 8e(;
, e.
0
APPLICATION FOR ELECTRICAL PERMIT , ���
/7/9-/
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.
'/Ownei s Name and Address. /.? f � /1fv �� (� No ?22 P Street 9 69 .S
Registered Architect and /or E eer..f.O .kiii... e r�. ...d.....Se.(....A, kk >J. (- G"-er — a
E Ioyi g flectri a s � . A. S'.I (A)/ /Qr No Street.... r
r a
/ Ion and Legal Descripti n Lot 7 Block 7 � {� Subdivision../ .4" J`
✓ p Street and Number where work is to be performed— No.... .. Street. ° "h ofe-cr Ir.
State work to be performed and purpose of building (By Floors)
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
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•contracttors, on work to performed under this ?permit, as are
Jimmied by Miami Shores Village.
Master Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE. Be '
Before me, the undersigned authority,, a notary public, duly authorized to administer oaths and take acknowledgments, personally •
appeared ' 7 " . �i.9 g- .. ..... .
did sign the same, and
that all fact.
i/ Notary Public, State of Florida
is made by improper notice for inspection, or faulty
SWITCH
0
LIGHT
OUTLETS
PLUG
RECE•P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
H
fl(4 /r
"l
TOTAL
CONTR.
I �;
/
33.9
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
,
Permit No
Ivo? to', El
New Building Remodeling Addition
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
(Signed)
Date
of the above described construction, and he has carefully read the foregoing application, ancri at he
therein by him stated are true.
ROTARY DU3LIC STATE OF FLORIDA
WY CONNISSIOU EXP. PAR 31,1989
BOCpEQ -ItIR 1- •GENERAt /13*, - 11 .
My Commission Exp
NOTE: A re•inepection fee of $1.00 will be made when such re•inspection
materials and /or workmanship.
1fi r
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
7 - 8e(;
, e.
0
APPLICATION FOR ELECTRICAL PERMIT , ���
/7/9-/
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.
'/Ownei s Name and Address. /.? f � /1fv �� (� No ?22 P Street 9 69 .S
Registered Architect and /or E eer..f.O .kiii... e r�. ...d.....Se.(....A, kk >J. (- G"-er — a
E Ioyi g flectri a s � . A. S'.I (A)/ /Qr No Street.... r
r a
/ Ion and Legal Descripti n Lot 7 Block 7 � {� Subdivision../ .4" J`
✓ p Street and Number where work is to be performed— No.... .. Street. ° "h ofe-cr Ir.
State work to be performed and purpose of building (By Floors)
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
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•contracttors, on work to performed under this ?permit, as are
Jimmied by Miami Shores Village.
Master Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE. Be '
Before me, the undersigned authority,, a notary public, duly authorized to administer oaths and take acknowledgments, personally •
appeared ' 7 " . �i.9 g- .. ..... .
did sign the same, and
that all fact.
i/ Notary Public, State of Florida
is made by improper notice for inspection, or faulty
ss.
'MIAMI S H O RES VILLAGE
Amount of Permit $ —____ ____________�
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No __ —__ ___ Date'
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buildin.; or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address No Street
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No. Street
State work to be performed and purpose of building (By Floors)
No Street
New Building Remodeling Addition Repairs___________
(Signed)
My Commission Expires Notary Public, State of Florida
No. of Stories __
Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses Amps.
Underground P P
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
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 wo:k such public notice or notices ss 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
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
ss.
'MIAMI S H O RES VILLAGE
Amount of Permit $ —____ ____________�
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No __ —__ ___ Date'
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buildin.; or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address No Street
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No. Street
State work to be performed and purpose of building (By Floors)
No Street
New Building Remodeling Addition Repairs___________
(Signed)
My Commission Expires Notary Public, State of Florida
No. of Stories __
Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses Amps.
Underground P P
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
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 wo:k such public notice or notices ss 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.
Permit No. — - — — — -- Date
Application is hereby made for the approval
structure herein described. This application is
and all provisions of the Laws of the State of
of Miami Shores Village shall be complied
building during progress of work.
Owner's Name and Address
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. i �'
My Commission Expires
• - 1r L "
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
of the detailed statement of the plans and specifications herewith submitted for the building or other
made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
with, whether herein specified or not. A copy of approved plans and specifications must be kept at
Street and Number where work is to be performed —No
O .
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
�
Block
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Service Overhead Size Feeders Conduit_____ Main Sw - - Amps.
Underground p
Type of Installation — Conduit__,, Tubing B.X.L Metal Moulding,
No
(Signed)
Electrical Inspector /
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employe 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)
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is
materials and /or workmanship.
f
r >� - Street �' f
Street
1
Subdivision __ " - 7..r-
Street
Main Fuses Amps.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared — — -- - -- - — —
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is 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
/ `' to L_
No. of Stories
r.-
Master Electrican.
made necessary by improper notice for inspection, or faulty
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTUf2ES
NO.LI " MPS
/
/
REFRI G.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL.
CONTR.
LIST
CHECK
ENT. DIST,. -"
SW. 96
SERVICE +'SERVICE
/SERVICE
TEMP./ PERM.
.
MOTORS MOTORS
0 -1 HP „✓' 1 -5 HP
NEON
; TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK -
Permit No. — - — — — -- Date
Application is hereby made for the approval
structure herein described. This application is
and all provisions of the Laws of the State of
of Miami Shores Village shall be complied
building during progress of work.
Owner's Name and Address
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. i �'
My Commission Expires
• - 1r L "
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
of the detailed statement of the plans and specifications herewith submitted for the building or other
made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
with, whether herein specified or not. A copy of approved plans and specifications must be kept at
Street and Number where work is to be performed —No
O .
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
�
Block
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Service Overhead Size Feeders Conduit_____ Main Sw - - Amps.
Underground p
Type of Installation — Conduit__,, Tubing B.X.L Metal Moulding,
No
(Signed)
Electrical Inspector /
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employe 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)
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is
materials and /or workmanship.
f
r >� - Street �' f
Street
1
Subdivision __ " - 7..r-
Street
Main Fuses Amps.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared — — -- - -- - — —
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is 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
/ `' to L_
No. of Stories
r.-
Master Electrican.
made necessary by improper notice for inspection, or faulty
�) 4
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No._ qs Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
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
Service Overhead Size Feeders Conduit._ Main Sw.
Underground
Type of Installation— Conduit Tubing ___ B.X.L.______________.Metal Moulding
i Amount of Permit $
(Signed)
No. – – – -- — – — – . Street_ ._._.
No Street
_Block
Repairs ____ No. of Stories _ _____
_______
Amps. Main Fuses___________________Amps.
F Inspector.
The undersigned applicant for this building
g pp g 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 wozk 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. t ss.
(Signed)
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.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
I �
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No._ qs Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
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
Service Overhead Size Feeders Conduit._ Main Sw.
Underground
Type of Installation— Conduit Tubing ___ B.X.L.______________.Metal Moulding
i Amount of Permit $
(Signed)
No. – – – -- — – — – . Street_ ._._.
No Street
_Block
Repairs ____ No. of Stories _ _____
_______
Amps. Main Fuses___________________Amps.
F Inspector.
The undersigned applicant for this building
g pp g 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 wozk 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. t ss.
(Signed)
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.
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.
OUTLETS OUTLETS RECE'P'T's NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. H ( TOTAL
HEATER dJ �s'71
CONTR. /b• 7 ) c 1 1 ft
LIST . . N C /
CHECK
ti '/
ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO' �(` , /f �•�1`OTAL I
SW. CAB. TEMP. PERM. 0.1 NP 1.5 HP TRANS. �r
CONTR. •
LIST .r pi, c,/,.....
CHECK
Permit No
Owner's Name and Address...
Registered Architect and /or Engin
Employing Electrician's Name
Location and Legal Description Lot Cl
Service Ovad�
Underground
Amount of Permit $
STATE OF FLORIDA, .)
COUNTY OF DADE. I
PZ
8 3.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications he `. ith sub 1'J d for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of ` iami 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 here' specified or not. A copy of approved plans and specifications must be kept at
building during progress of wor
dive" egld
Block
rr���t
Size Feeder`��, ... :Conduit BSc Main Sw.
(Signed)
ee,
No PA/
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Street
(Signed) l
� .
The undersigned applicant for this building permit does hereby certify that he understands and acre
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of
has complied with the provisions thereof, and will require similar compliance from all contractors or s
work to be performed under this permit; and will post or cause to be posted for inspection on the site o
as are required by the Act. The undersigned agrees to employ only such subcontractors, on w. k to b
licensed by Miami Shores Village.
Street. .Q .B
Street. Y .
7 1 1 1 ,
Subdivision.
No. of Stories 4. °
/ j".& Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
lectrieal Inspector.
pts his obligations as an employer of
orida Permanent Supplement, and
contractors employed by him in t
the work such public notice or notices
Ff .. ed under this permit, as are
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH L
LIGHT P
PLUG F
FIXTURES R
REPRIG. I
IRON R
RANGE R
RANGE W
WATER W
W. HEAT. A
ACE S
STRIP
Permit No
Owner's Name and Address...
Registered Architect and /or Engin
Employing Electrician's Name
Location and Legal Description Lot Cl
Service Ovad�
Underground
Amount of Permit $
STATE OF FLORIDA, .)
COUNTY OF DADE. I
PZ
8 3.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications he `. ith sub 1'J d for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of ` iami 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 here' specified or not. A copy of approved plans and specifications must be kept at
building during progress of wor
dive" egld
Block
rr���t
Size Feeder`��, ... :Conduit BSc Main Sw.
(Signed)
ee,
No PA/
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Street
(Signed) l
� .
The undersigned applicant for this building permit does hereby certify that he understands and acre
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of
has complied with the provisions thereof, and will require similar compliance from all contractors or s
work to be performed under this permit; and will post or cause to be posted for inspection on the site o
as are required by the Act. The undersigned agrees to employ only such subcontractors, on w. k to b
licensed by Miami Shores Village.
Street. .Q .B
Street. Y .
7 1 1 1 ,
Subdivision.
No. of Stories 4. °
/ j".& Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
lectrieal Inspector.
pts his obligations as an employer of
orida Permanent Supplement, and
contractors employed by him in t
the work such public notice or notices
Ff .. ed under this permit, as are
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No c..5 Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address .■.,
Registered Architect and/or Engineer
Lsrp--V,-, \ ,,__; -- (s) .;. .
Employing Electrician's Name Nb '''? (%,;,‘,,, `\Z L-.. C- . ,' _->V-':.- -,$ No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed—No
State work to be performed and purpose of building (By Floors)
Amount of Permit $
STATE OF FLORIDA, } (
ss.
COUNTY OF DADE.
No Street
(Signed)
(Signed)
Street
%
New Building Remodeling Addition Repairs No. of Stories
v. Overhead Service Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps
Type of Installation—Conduit Tubing B.X L Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and/or workmanship.
GY
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TCI.'P.
SERVICE
PERM.
MOTORD
0.1 HP
MOTORS
1.5 HP
NE0111
TRAND.
RADIO
TOTAL
CONTR.
LIST
CHECK
.....
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No c..5 Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address .■.,
Registered Architect and/or Engineer
Lsrp--V,-, \ ,,__; -- (s) .;. .
Employing Electrician's Name Nb '''? (%,;,‘,,, `\Z L-.. C- . ,' _->V-':.- -,$ No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed—No
State work to be performed and purpose of building (By Floors)
Amount of Permit $
STATE OF FLORIDA, } (
ss.
COUNTY OF DADE.
No Street
(Signed)
(Signed)
Street
%
New Building Remodeling Addition Repairs No. of Stories
v. Overhead Service Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps
Type of Installation—Conduit Tubing B.X L Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and/or workmanship.
GY
JOB: AD:
BUILDING
ELECTRICAL
PLUMBING
Inspector's Report: 7
•
•
• • WORK
• DONE BY
•
• REQUESTED : WILL BE READY
•
The following is ready for Inspection:
•
•
BUILDING
ELECTRICAL
•
•
•
•
•
•
Inspector's Report:
•
•
•
•
•
•
: WORK
PLUMBING : DONE BY:
•
•
•
•
•
•
•
•
•
•
• 1 i
•
•
•
The following is ready for Inspection:
•
: REQUESTED : WILL BE READY
-.1(
1
/
t 1
v
•■■•••••••■■•••••••••••••,..,
0
n
3
Permit No '
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Registered Architect and /or Engineer
-
Employing Electrician's Name ____ — __ No Street
Location and Legal Description Lot Block T / ,1 Subdivision " 1
Street and Number where work is to be performed —No.
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Service Overhead Size Feeders Conduit
Underground
Type of Installation — Conduit Tubing
Amount of Permit $
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
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
No
Street f
Main Sw. Amps. Main Fuses Amps.
B.X.L._____________ Metal Monlding
Date
No. of Stories
4
(Signed)
Electrical Inspector.
rtify that understands and accepts his obligations as an employer of labor
Compiler 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) 1 r .. [ J • ._......
Master Electrican.
t'
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.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No '
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Registered Architect and /or Engineer
-
Employing Electrician's Name ____ — __ No Street
Location and Legal Description Lot Block T / ,1 Subdivision " 1
Street and Number where work is to be performed —No.
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Service Overhead Size Feeders Conduit
Underground
Type of Installation — Conduit Tubing
Amount of Permit $
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
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
No
Street f
Main Sw. Amps. Main Fuses Amps.
B.X.L._____________ Metal Monlding
Date
No. of Stories
4
(Signed)
Electrical Inspector.
rtify that understands and accepts his obligations as an employer of labor
Compiler 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) 1 r .. [ J • ._......
Master Electrican.
t'
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.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No.. Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Vil1.ge, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address No Street
Registered Architect and/or Engineer
Employing Electrician's Name — —
No Street
Location and Legal Description Lot Block
Subdivision_
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
Overhead .
Service Underground Size Feeders _ _____ _____
Conduit_ -' _ Main Sw . t. Amps.
Type of Installation—Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $__ __
Electrical Inspeci or.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has
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 notice; 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
(Signed) _
(Signed)
Street
Repairs No. of Stories
_ — ____
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
Master Electrican.
Main Fuses Amps.
labor
com-
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by - mproper 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
,
/
'
ildi
,
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1-5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
-
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No.. 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 Vil1.ge, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address No Street
Registered Architect and/or Engineer
Employing Electrician's Name — —
No Street
Location and Legal Description Lot Block
Subdivision_
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
Overhead .
Service Underground Size Feeders _ _____ _____
Conduit_ -' _ Main Sw . t. Amps.
Type of Installation—Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $__ __
Electrical Inspeci or.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has
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 notice; 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
(Signed) _
(Signed)
Street
Repairs No. of Stories
_ — ____
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
Master Electrican.
Main Fuses Amps.
labor
com-
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by - mproper notice for inspection, or faulty
materials and/or workmanship.
Permit No.
Owner's Name and Address
Amount of Permit $_
STATE OF FLORIDA, t
COUNTY OF DADE.
s s.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications mus: be kept at
building during progress of work.
No ____ Street
Registered Architect and /or Engineer
Employing Electrician's Name ___.._ No .. Street
and Legal Description Lot Block. Subdivision
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
(Signed)
Street
Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses ____Amps.
Underground
Type of Installation— Conduit_ Tubing B.X.L. Metal Moulding
Electrical Inspec'or.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer 1 4 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)
My Commission Expires Notary Public. State of Florida
No. of Storiea _
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXT ES
NO.IE' MPS
REFRI G.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
D
C .
SERVICE
TEMP. :
SERVICE
PERM.
MOTORS
0 -1 HP
MOTORS
1 -5 HP
ON
• RA NS.
RADIO
TOTAL
CONTR.
LIST
/
CHECK
_
...
...
.,r•^.'°
.`•
Permit No.
Owner's Name and Address
Amount of Permit $_
STATE OF FLORIDA, t
COUNTY OF DADE.
s s.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications mus: be kept at
building during progress of work.
No ____ Street
Registered Architect and /or Engineer
Employing Electrician's Name ___.._ No .. Street
and Legal Description Lot Block. Subdivision
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
(Signed)
Street
Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses ____Amps.
Underground
Type of Installation— Conduit_ Tubing B.X.L. Metal Moulding
Electrical Inspec'or.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer 1 4 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)
My Commission Expires Notary Public. State of Florida
No. of Storiea _
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Amount of Permit $ f ' < —r-
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No..__ ✓__— / _ Date_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. ,
Owner's Name and Address I/6
L.. i
4 -
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Service Overhead Size Feeders `" Conduit
Type of Installation— Conduit Tubing B.X.L.
My Commission Expires
Block t 1
•� y+"
.. ` + :.. � r•
. NO
/r
Main Sw +:•i I.
No / '..
(Signed)
New Building Remodeling Addition Repairs
Amps.
Metal Moulding
(Signed)
Street'
Subdivision_
Street
AL �•'- -,
Street
Notary Public. State of Florida
:r "
No. of Stories
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.
j 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.
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
0 TLETS
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
f f
o6`y
J
f
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
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Amount of Permit $ f ' < —r-
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No..__ ✓__— / _ Date_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. ,
Owner's Name and Address I/6
L.. i
4 -
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Service Overhead Size Feeders `" Conduit
Type of Installation— Conduit Tubing B.X.L.
My Commission Expires
Block t 1
•� y+"
.. ` + :.. � r•
. NO
/r
Main Sw +:•i I.
No / '..
(Signed)
New Building Remodeling Addition Repairs
Amps.
Metal Moulding
(Signed)
Street'
Subdivision_
Street
AL �•'- -,
Street
Notary Public. State of Florida
:r "
No. of Stories
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.
j 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.
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 APPLICATION FOR MIAMI SHORES VILLAGE
Date Y)--//. Job Address �; Nice'
Tenant
��,rzei Tax Folio 11 aj d.J 6 ) /
tAA. 6( In S u r '� S e- , ( Lc /s, C? Ni U t: 7 s
Legal Description
Owner / Lessee /
Owner's Address
Contracting Co.
Qualifier k i'v v,/, I t,v 6 Le,,, t z
State # LOOrAle Municipal # Competency #
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING
WORK DESCRIPTION Roo k v�
V e VIA :1 L. 4t r Master Permit 4k v
)- � S ;` a e� Phone 7-1 7 `N .
Le-t, C 1<< Address
ECTRICAL) PLUMBING MECHANICAL
Cc , N.a ;
Square Ft. Estimated Cost(value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAX 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 and zoning. Furthermore, I
authorize,/ he above-named cpntractor to do the work stated.
** *
Signature of owner and /or Condo President
Date :9 /ge9y
No•<=ryas to Own
My'Commission Ex
FEES: PERMIT l
APPROVED:
K 14 L _
144t ckc
Phone 1/:7 '1 ! 3
Ins.Co. e
ROOFING PAVING FENCE SIGN
iC
.U"EPHINE CHURCH
. I C
1;.• No. CC197546
Signatur b ra for or Owner- Builder
Date: 1 &'
L ary as to Co
Commission E
* * * * * * * * * * *A)
W
RADON C.C.F. NOTARY �,-1�
Fire Other
Zoning Building Electrical d
**
Il d
TOTAL DUE
Mechanical Plumbing_ Engineering