873 NE 96 St (4)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 94 8 h g Job Address 275 / V/E. % �� . Tax Folio � � — 3 °� 6 — 0/ 7�' - c: 8, 0
Legal Description 10 -71— 02 9 ol. 6 Bock 9 Historically Designated: Yes No V
Owner/Lessee / Tenant C.� II a £ /e/ 0 Master Permit # ( 33 fir) 51� g3 ?S
Owner's Address 9/5 N ,E 9CO S. /H1 eun t' S`10 re s Phone (36 5) 7$"6 — ,,l.;Z e?,5'
Contracting Co. t. a. n 5er- E 1 eefr 1. C. L:o • Address ?9 a / Na) 7 /lye.
Qualifier 0 e r E. Lcen er- ss# „ -SO5 759 -5777 4/
G.a . f 7.2
State # ,EC 00000 / 4 9 Municipal # Competency # Ins. Co.
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING (FENCE SIGN
Address
Address
Address
WORK DESCRIPTION In 54g, 1 1 2 0 (..1.` e ) 5 SU) 'i--t� 4- 1 Few, Oc,c t' -le -
ke-1 oce.L-e- Pockres 4- A Sw , .1-c tees Zn sict 8.1-3• rec-w l 1( i-“,
Square Ft Estimated Cost (value) f 9 7o, a o
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 wor will be done in compliance with . :..licable
laws regulating construction and zoning. Furthermore, I authorize the above -nam contractor t do the work state•.
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
r
FEES: PERMI T/\ ,/ /_ /e-P0 _ RADON
Signa
Ci&C.C.43 d asid � a "jqf
Notary as 4gg,9,421.94212kauil r Date
My Collin "empires: PATRICIA L. WILSON
MY COMMISSION 4 CC 482514
.XPIRER• duty 25. ie99
tor or Own Date
%•A. °. ,t: °` Bottled Thru Notary Pubic thtderwrfters
C.C.F. /. C NOTARY 0 BOND
APPROVED:
Zoning Building Electrica
Mechanical Plumbing Engineering
c3" A "' ON' S `.i0'-A-'- == S :GMA '��= si
-.• ; t_
PLUMBING
3!cT
CRI;IXING F.=
GREASE TRAP
LAVATORY
::A:1LRY TRAY
2TrJ IIASr -�
r iEER
::`x. ?0T/3 C3P.
S 1 GC. 3E"s1C..�CE
S:NK. SLOP
7:'3i3RY TAT ER Cr.cT
TITER C.OSET
LL
: ! i TASTES
TA-_, SIPPLT T0:
:CUNIT
. 'RE SPRINKLER
?ET R.4 E1 11ZSi .
iIREWVIM ?CCL •
1ATER SERVICE
SERER CC :IONS
UT :L; T-SE
UT:L:TY-ZATER
•1c TANK
RELAY
C4AI:v iE f3. 4" TILE/RES.
P.Sr 1 =CON SEPTIC TAMC
SGAXX4-?IT CJ. FT.
C.. CI L.SIN
0I.r=;.. ;c
CC1.EST:C ELL
AREA CAIN
:ice :4L
":AE :T147!F
l XLIR T TZ I
ADDENDUM TO @UILDPNG PERMI
MIT
•
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ELECTRICAL
salmi wnziS
LIGEE am.!T! 1
lrae.S
L V la MOM
�C YID slt"E IN APS
SERVICE : >LIRl1E1 GIME
APP! !AC CUTLETS
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eve
RAM T
SGTa'S a- 1:3?
SGTrRS VS 1- 3 HI'
1GTCAS QVe 3- . s
SUMPS OVER 3- 3 19
1CTCRS OVER 3- 10 ?P
SQTCRS avEI 10- 1 :"
SaTCRS 0VET 3-:w :P
SGTCRS OVEN iW iP
VC TIM
A IR C..."alT'MSS
SHIP ?TEAM
MOAT= 7ANSacolE zS
lx ATI2S iRARSRBIEIS
e BATC+'S TRAM - "ZieS
WILES UL
S10 TLEE
SIGN TRAVERIeS
SIG,v TI1E C
Farms
.EYIS10N a!IUTS
v10LATi0N
MECHANICAL
FEE !Tat
/ 2 7 SP,z sews
mom. WIG
f A/C (TM
A/C =ORAL)
GILT Mat
RERIGBAT10li
PRESS Mil MSS PIPUG
IHIEGEKI TADS
AWE E;1243 TAliLT
u-.
S�cAl1 c�t1:�
?CT uTE 33 MSS
1e'W IC.& Of um
MUMFATIM MEALS
_VATQLS/MLATERS
FIRE 4RII�`R 51! as
=LING MEM
vIIa nen
IIISPETI. ON
•
•
f
9
CHECK
Permit No
Service Overhead
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, Fiu.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 specificationil must be kept at
building during progress of work.
Owners Name and Address rote s �/ No 1 Street tE • 611.0 Registered Architect and /or Engineer
Employing uu __/''## �
Electrician's Name.t��,��� CJl/,R 1101• No... . Street ��
• •. � . ••= a I� W�}.�� ...lY.A�..
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) ..:.C.
New Building Remodeling Addition Repairs No. of Stories
Underground Site Feeders
Type of Installation — Conduit Tubing.
Amount of Permit $
STATE OP FLORIDA,
COUNTY OF DADS I
as.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Conduit.. Main Sw Amps Main Fuses Amps
My Commission Expires
NOTE: A re-inspection fee of $1.00 will be made when such
materials and /or workmanship.
(Signed)
B.X.L Metal Moulding
(Signed)
Date 1 >2
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on wor , to
Electrical Inspector.
ccepts his obligations u an employer of
of Florida Permanent Supplement, and
sub-contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
licensed by Miami Shores Village
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
re-inspection is made necessary by improper notice for inspection, or faulty
SWITCH L
LIGHT P
PLUG F
FIXTURES R
REFRIO. I
IRON R
RANGE R
RANGE W
WATER W
W. MEAT. S
SPACE S
STRIP T
TOTAL
CONTR.
LIST
CHECK
ENT. D
DIET. S
SERVICE S
SERVICE M
MOTORS M
MOTORS N
NEON R
RADIO T
TOTAL
CONTR. c
c
Permit No
Service Overhead
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, Fiu.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 specificationil must be kept at
building during progress of work.
Owners Name and Address rote s �/ No 1 Street tE • 611.0 Registered Architect and /or Engineer
Employing uu __/''## �
Electrician's Name.t��,��� CJl/,R 1101• No... . Street ��
• •. � . ••= a I� W�}.�� ...lY.A�..
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) ..:.C.
New Building Remodeling Addition Repairs No. of Stories
Underground Site Feeders
Type of Installation — Conduit Tubing.
Amount of Permit $
STATE OP FLORIDA,
COUNTY OF DADS I
as.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Conduit.. Main Sw Amps Main Fuses Amps
My Commission Expires
NOTE: A re-inspection fee of $1.00 will be made when such
materials and /or workmanship.
(Signed)
B.X.L Metal Moulding
(Signed)
Date 1 >2
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on wor , to
Electrical Inspector.
ccepts his obligations u an employer of
of Florida Permanent Supplement, and
sub-contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
licensed by Miami Shores Village
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
re-inspection is made necessary by improper notice for inspection, or faulty
BUILDING-
ELECTRICAL PERMIT A N? 419
P
O wner of Building
Architect and /or Engineer
l f
Contractor or Builder
Proposed Location
AMOUNT
Dated_
J
NAME
NAME
•
NA
r
LOT ?LOCK
R - D PAYMENT ACCT. DEPT.
, 19
SUB - DIVISION
ADDRESS
ADDRESS
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
J 19
9 t-f--
LICENSE NO.
INSPECTOR
This permit is issued to Lc' { - # ' - ,..__ To.. "
the building above described, as per application, Plans and Specifications heretofo filed in this office. This permit is granted upon the express c dition
that all facts stated in the application are true and that the construction compl' strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Shores illage. This permit may be revoked at any time upon the violation f any provisions of said
laws, ordinances or rues and regulations, or upon a . y a e in the plans and specifications pDAuthoriz the buil g ins
fl In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
ns and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building ordinances and zoning laws of Miami Shores Villag nd all rules and regulations of the bujjldipg deep ment Miami Shores Village.
J
(SEAL)
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained fr e Planning Board.
A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection or faulty materia and /or workmanship.
ELECTRICAL PERMIT A N° 88
Netai
ner of Building__ 1
Architect and J Er>!giffeer___
Contractor
Proposed Location
This permit is issued to
AMOUN? ..,,,
Dated
LOT
. PAYMENT ACCT. DEPT.
, 19
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
/ /ff
ADDRESS LICENSE NO.
44 1‘"
NA ADDRESS
tisv
N ME ADDRESS L IC E NSE NO.
•
fa ' 7'!, )�2 Jam' •
BLOC S' •IVISION NO. 8
To
the building above described, as per application, Plans and Specifications heretofor/'filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State • Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Sh• Village. This permit may be revoked at any time upon the violation of an provisions of said
laws, ordinances or rules and regulations, or u change in the plans and specificati• . n ut • aid by the uilding inspecto
$
901
INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
cans and specifications thereof heretofore by me submitted, and in compliance with all provisions of al building la of the State of Florida, all the
building ordinances and zoning law of Miami Shores Village and all rules and regulations of the �f� g rt nt If Miami Shores Village.
• V • ` ,,,.�,( (SEAL)
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re- inspection fee of $1.00 will be made when such re- inspection is made n c nary by improper notice for inspection or faulty materials and /or workmanship.
for / •
1
r
Number of Lighting Circuits
Range N t-1 watts. Water Heater � d
Power: Connected load H P. Space Heater
Other Apparatus
MIAMI SHORES VILLAGE ` PERMIT
Office of Electrical Inspector 4 ki` ''
CERTIFICATE OF INSPECTION
THIS CERTIFIES THAT the wiring and apparatus installed at ✓ f a
by L. 1 , / ,fit:
Address
owner, and occupied as +i
has been inspected and current is authorized to be turned on, until otherwise notified, for:
Size of Service / eef
1L
i r I f ELECTRICAL INSPECTOR.
watts
watts
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot___________.
Service Overhead Size Feeders Conduit
Underground
Type of Installation— Conduit Tubing
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
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 emplfy only such
licensed by Miami Shores Village. !/
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No _ / ". Date _fix
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 crr not. A copy of approved plans and specifications must be kept at
building during progress of work. . i d ..'
No J i: '�/ ; • s- — - —
Block i S b& ' '
Street and Number where work is to be performed —No.
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs ___ No. of Stories
Main Sw Amps. Main Fuses _ Amps.
B.X.L Metal Moulding
(Signed)
Street
u fston____
Street _At
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by hint in the work to be
inspection on the site of the work such public notice or notices as are
sub-contractors, on ork to b... erformed under this permit, as are
:!
Notary Public, State of Florida
Ma,;ter Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
HEATER
TOTAL
CONTR.
LIST
2 �
.L �
I .
CHECK
/
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADI -D
TOTAL
CONTR.
LIST
CHECK
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot___________.
Service Overhead Size Feeders Conduit
Underground
Type of Installation— Conduit Tubing
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
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 emplfy only such
licensed by Miami Shores Village. !/
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No _ / ". Date _fix
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 crr not. A copy of approved plans and specifications must be kept at
building during progress of work. . i d ..'
No J i: '�/ ; • s- — - —
Block i S b& ' '
Street and Number where work is to be performed —No.
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs ___ No. of Stories
Main Sw Amps. Main Fuses _ Amps.
B.X.L Metal Moulding
(Signed)
Street
u fston____
Street _At
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by hint in the work to be
inspection on the site of the work such public notice or notices as are
sub-contractors, on ork to b... erformed under this permit, as are
:!
Notary Public, State of Florida
Ma,;ter Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No Ar
Amount of Permit
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
Date if"
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 m. not. A copy of approved plans and specifica.tions must be kept at
building during progress of work.
My Commission Expires
_•4 / Block
Service Overhead Size Feeders Conduit Main Sw. Amps.
Underground P
(Signed)
(Signed
No Street
i
roe, Ar -rY,d
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building_.. Remodeling Addition Repairs No. of Stories.
Street
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Subd'vision__ -1.
Electric) Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be,.�performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, k
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.
Notary Public, State of Florida
Main Fuses Amps.
Master Electrican.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE•P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEAT =R
TOTAL
CONTR.
LIST
y A _
— lb, •
I
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADII
TOTAL
CONTR.
LIST
CHECK
Permit No Ar
Amount of Permit
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
Date if"
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 m. not. A copy of approved plans and specifica.tions must be kept at
building during progress of work.
My Commission Expires
_•4 / Block
Service Overhead Size Feeders Conduit Main Sw. Amps.
Underground P
(Signed)
(Signed
No Street
i
roe, Ar -rY,d
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building_.. Remodeling Addition Repairs No. of Stories.
Street
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Subd'vision__ -1.
Electric) Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be,.�performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, k
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.
Notary Public, State of Florida
Main Fuses Amps.
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.
APPLICATION FOR ELECTRICAL PERMIT A '
Date I 1
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Permit No.____ _3_,/
Owner's Name and Address No. i Street
Architect and /or Engineer
Employing Electrician's Name
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
No. Street
Location and Legal Description Lot ' � a Block
Street and Number where work is to be performed —No y Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs __
Subdivision
Service Overhead Size Feeders Conduit Main Sw Amps. Main Fuses Amps.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
--r-'-
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)
Master Electri ac n.
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
No. of Stories
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRI G.
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
APPLICATION FOR ELECTRICAL PERMIT A '
Date I 1
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Permit No.____ _3_,/
Owner's Name and Address No. i Street
Architect and /or Engineer
Employing Electrician's Name
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
No. Street
Location and Legal Description Lot ' � a Block
Street and Number where work is to be performed —No y Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs __
Subdivision
Service Overhead Size Feeders Conduit Main Sw Amps. Main Fuses Amps.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
--r-'-
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)
Master Electri ac n.
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
No. of Stories
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
7
OUTLETS
MOTORS
RECEPTACLES
GENERATORS
STOVES
WATER H'TERS
`
citi0 row
.SO s , �..
GEN.
MAIN
SUB
7
Basement
/
/
First
FLOOR
NUMBER OF
SIZES OF
INSULATION
OPEN OR
CONCEAL'D
NUMBER OF
CIRCUITS
OUTLETS
MOTOR
GEN.
MAIN
SUB
BRANCH
Basement
First
5 4`�
15y
/T
L /
f 7
Second
Third
Fourth
Other
Floors
aiami cJhores9illage
F L O A 1 D
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for issuance of permit for electrical installation as described below, and for
inspection of same after installation:
Owner mi i /1
Building Contractor
Electrical Contractor
Date
Address ?73 77 .
'4
'
Location of proposed work: Lot C loc Subdivision
Building: Old or new Number of stories / Used as AZ-
dm.
Description of proposed work
Details of proposed work:
Number of Motors
H P Volts
Signature of Applicant
Address (if other than owner or contractor)
(SPACE BELOW FOR INSPECT USE
Amps Phase
Additional Information
Work begun Inspected
Work finished Final inspection
, Inspector
APPLICATION FOR ELECTRICAL PERMIT
4
Permit No.__ ___ - Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the bu ding 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
Owner's Name and Address ___
Registered Architect and /or Enginee
Employing Electrician's Name
nn
Location and Legal Description Lot Q
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
/ r
r
Street and Number where work is to be performed —No. L,
State work to be performed and purpose of building (By Floors)
No.
- ' – No
Block
(Signed)
i f
1 Street
----- - - - 1 - --
VT
Service Overhead Size Feeders____ Conduit Main Sw. Amps.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Mould±
/1l 1 �.
Street '- • _ =_ --
Subdivision___ //
Street_ `S
New Building Remodeling Addition Repairs No. of Stories
Main Fuses Amps.
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.
Electrical Inspector.
•
Mas;:er Electrica
STATE OF FLORIDA, }
C
ss.
OUNTY 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.
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
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATitR
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
APPLICATION FOR ELECTRICAL PERMIT
4
Permit No.__ ___ - Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the bu ding 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
Owner's Name and Address ___
Registered Architect and /or Enginee
Employing Electrician's Name
nn
Location and Legal Description Lot Q
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
/ r
r
Street and Number where work is to be performed —No. L,
State work to be performed and purpose of building (By Floors)
No.
- ' – No
Block
(Signed)
i f
1 Street
----- - - - 1 - --
VT
Service Overhead Size Feeders____ Conduit Main Sw. Amps.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Mould±
/1l 1 �.
Street '- • _ =_ --
Subdivision___ //
Street_ `S
New Building Remodeling Addition Repairs No. of Stories
Main Fuses Amps.
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.
Electrical Inspector.
•
Mas;:er Electrica
STATE OF FLORIDA, }
C
ss.
OUNTY 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.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
Owner's Name and Address
Registered .Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Service Overhead Size Feeders
Underground
Amount of Permit 5 —
STATE OF FLORIDA,
COUNTY OF DADE.
Before me,
appeared
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date___
f
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 pecified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
44 I
New Building Remodeling
7
My Commission Expires
No.
Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
(Signed)
(Signed)
No
Addition
2_3
Street___
Street_4__A/
Street_
Subdivision__
Repairs No. of Stories
Conduit Main Sw Amps. _________ Main Fuses Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
lectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig ons 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.
Notary Public, State of Florida
Master Electrican.
the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE•P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
Y
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
Owner's Name and Address
Registered .Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Service Overhead Size Feeders
Underground
Amount of Permit 5 —
STATE OF FLORIDA,
COUNTY OF DADE.
Before me,
appeared
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date___
f
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 pecified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
44 I
New Building Remodeling
7
My Commission Expires
No.
Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
(Signed)
(Signed)
No
Addition
2_3
Street___
Street_4__A/
Street_
Subdivision__
Repairs No. of Stories
Conduit Main Sw Amps. _________ Main Fuses Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
lectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig ons 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.
Notary Public, State of Florida
Master Electrican.
the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
OUTLETS
MOTORS
RECEPTACLES
GENERATORS
STOVES
WATER H•TER•
SIGNS
BILLOOARD•
OTHER APPARATUS
MAIN
SUB
BRANCH
Basement
First
FLOOR
NUMBER OF
SIZES OF
INSULATION
OPEN OR
CONCEAL'O
NUMBER OF
CIRCUITS
OUTLETS
MOTOR
GEN.
MAIN
SUB
BRANCH
Basement
First
Second
Third
Fourth
Other
Floors
411111" lb
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for issuance of permit for electrical installation as described below, and for
inspection of same after installation:
Owner
Building Contractor
Electrical Contractor
Location of proposed work:
Building: Old or new
Details of proposed work:
Number of Motors H P
Address (if other than owner or contractor)
Lot 2 6 Block 7 f Subdivision A41
Number of stories Used as
Description of proposed work \A241 t (,' ; (- L.
Volts Amps
Additional Information
Signature of Applicant
(SPACE BELOW FOR INSPECTORS USE ONLY)
Work begun Inspected
Work finished Final inspection
Date Z7 / 3 1 93 4—
Address k73 rg
Phase
, Inspector
V
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement o f 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_____
Permit No
Registered Architect and /or Engineer_
Employing Electrician's Name_
No
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 rs )
New Building_ __— _____— __________Remodeling_ _� Addition Repairs No. of Stories
Amount of Permit $____ -
STATE OF FLORIDA,
COUNTY OF DADE.
}
ss.
No
__Street__
Street --- .----------------- ------------------------- - - - ---
(Signed) -- - - --
T Elecixical Inspector.
The undersigned applicant for this building permit does hereby certify that a understands and accepts his o • ations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida ermanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the
work to be performed under this permit; and will post or cause to be p osted 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.
Er
Service Overhead Siz Feeders _______ Conduit_________ - __Main Sw.— ______._________ _Amps Main Fuses_.. Amps
Underground -___Am
Type of Installation-Conduit ______ __________Tubing___ _B.X.L._____. Metal Moulding _ •
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
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
V
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement o f 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_____
Permit No
Registered Architect and /or Engineer_
Employing Electrician's Name_
No
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 rs )
New Building_ __— _____— __________Remodeling_ _� Addition Repairs No. of Stories
Amount of Permit $____ -
STATE OF FLORIDA,
COUNTY OF DADE.
}
ss.
No
__Street__
Street --- .----------------- ------------------------- - - - ---
(Signed) -- - - --
T Elecixical Inspector.
The undersigned applicant for this building permit does hereby certify that a understands and accepts his o • ations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida ermanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the
work to be performed under this permit; and will post or cause to be p osted 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.
Er
Service Overhead Siz Feeders _______ Conduit_________ - __Main Sw.— ______._________ _Amps Main Fuses_.. Amps
Underground -___Am
Type of Installation-Conduit ______ __________Tubing___ _B.X.L._____. Metal Moulding _ •
1/
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of t;se 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 "- X 5 7 °
Date 10 Z1
Registered Architect and /or Engineer
E��m in Electrician's - t �
a e.LJff /
�l 7, � /1-7"' / s/7 ' No. (� % Street... 7:":
Y;d' uo4f' and [ i.egal Descri on Lot . ^J�" �l
Block k Subdivision& e'
Street and Number where work is to be performed—No ..��.t"•".� f ez, ..' . : ?�,', Street T _*j 6, e-?- . % ✓r ,.i /f
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs... ��
A /
Servf Overh Conduit Main Sw. t „,z4 ,42
ttterground
Type of Installation
Amount of Permit S
sa.
(Signed)
(Signed)
Amps ..V
Tubing B.X.L .Metal Moulding
RArs670 3`)
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 pu'Dlic notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
No. of Stories
Main Fuses Amps
Master Electrician.
STATE OF FLORIDA, l
COUNTY OP DADE. I
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 Flon;da
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made neceuary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'F'T•S
FIXTURES
NO. LAMPS
RUM I0.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H
STRIP
MEATIER
TOTAL
CONTR.
LIST
E..'"
'- !•
�C-
Ar 7
t ai
� I j
/
,f
�
C��, :f�
...
..
N7
J"
CHECK
I/
if, . (°
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
�4 /, ,r
� i 4P) �
CHECK
/
r
1/
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of t;se 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 "- X 5 7 °
Date 10 Z1
Registered Architect and /or Engineer
E��m in Electrician's - t �
a e.LJff /
�l 7, � /1-7"' / s/7 ' No. (� % Street... 7:":
Y;d' uo4f' and [ i.egal Descri on Lot . ^J�" �l
Block k Subdivision& e'
Street and Number where work is to be performed—No ..��.t"•".� f ez, ..' . : ?�,', Street T _*j 6, e-?- . % ✓r ,.i /f
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs... ��
A /
Servf Overh Conduit Main Sw. t „,z4 ,42
ttterground
Type of Installation
Amount of Permit S
sa.
(Signed)
(Signed)
Amps ..V
Tubing B.X.L .Metal Moulding
RArs670 3`)
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 pu'Dlic notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
No. of Stories
Main Fuses Amps
Master Electrician.
STATE OF FLORIDA, l
COUNTY OP DADE. I
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 Flon;da
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made neceuary by improper notice for inspection, or faulty
materials and /or workmanship.
t
_ . .
- - -
4w. 11,N"7- •
„ i
4 '
74;
•
•
•
Owner of
Buli
. Architect
• ..
• • •
or Iktilder
Legal -
pt
Adicksa: of
• Build*, •••• •
, .
, •
WM;
e
Owner of Building.
Architect awslpiewallilika
Contractor oulillesr
Proposed Location
This permit is issued to_
tbe building above desclibed. as per
that all facts stated in the
and compliance with tbe
regulations of the building di
laws. ordinances %pies and
111111--
Architect and /or Etkgimer
sa
NO.
STREET
PART OF LOT
LOT
BL'K
SUBDIVISION
Signs
Billboards
Other Apparatus
Permit Fee I
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee I
e -.
; �
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building
Contractor or Electrician
Dated
Miami cShores9llage
F L O B ID A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla , ' 19�
NUMBER OF
LO CATI 0 N
DESCRIPTION OF WORK
T
This Permip- granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time
upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by
this Department.
1C. , Electrical Inspector.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
Shores Village. / - J
f 19 �: . ✓ (Seal)
NO.
STREET , '
PART OF LOT
LOT
BL'K
SUBDIVISION
Signs
Billboards
Other Apparatus
,,
/:1 /
...-
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
-
f .
Pit
r
Fee
1
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building
Contractor or Electrician
iami cShores9 llage
F L O A I D A
OFFICE '1:1"P ELECTRICAL DEPARTMENT
Miami Shores Village, Fla ,
LO CATI 0 N
N° 589
DESCRIPTION OF WORK
Dated , 19.
N
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village.. This Permit may be revoked at any time
upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by
this Department.
, Electrical Inspector.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
he Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
ate of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations, of the Electrical Department of Miami
-ores Village.
(Seal)
' APPLICATION FOR ELECTRICAL PERMIT
Permit No ______ I
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the btilding 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 §pecified or not. A copy of approved plans and specifications must be kept at
building during progress of work. .mac
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
Service Overhead Size Feeders
Underground
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE.
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.
ss.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Block
No IF 110
No
(Signed)
s
Street__,,,
Date
Before me, the undersigned authority, a notary public, duly authorized
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
therein by him stated are true.
Street /1 t
Street__,[_ /__
Subdivision
r
Notary Public, State of Florida
Repairs No. of Stories___
n 4 1"
Conduit Main Sw Amps. Main Fuses Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
lectrical Inspector.
t.
rtify that he understands and accepts his obligaribns as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
1 .
(Signed) '_1_
Master Electrican.
to administer oaths and take acknowledgments, personally
the same, and that all facts
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
4
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRI G.
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
' APPLICATION FOR ELECTRICAL PERMIT
Permit No ______ I
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the btilding 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 §pecified or not. A copy of approved plans and specifications must be kept at
building during progress of work. .mac
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
Service Overhead Size Feeders
Underground
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE.
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.
ss.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Block
No IF 110
No
(Signed)
s
Street__,,,
Date
Before me, the undersigned authority, a notary public, duly authorized
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
therein by him stated are true.
Street /1 t
Street__,[_ /__
Subdivision
r
Notary Public, State of Florida
Repairs No. of Stories___
n 4 1"
Conduit Main Sw Amps. Main Fuses Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
lectrical Inspector.
t.
rtify that he understands and accepts his obligaribns as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
1 .
(Signed) '_1_
Master Electrican.
to administer oaths and take acknowledgments, personally
the same, and that all facts
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
4
Permit No
APPLICATION FOR ELECTRICAL PERMIT
3) 7- /�► g
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, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address.. / i e 1) 41 -' •
Registered Architect and /or Engineer
Employing Electriciati's Name_:.I � J
Location and Legal Description Lot
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
P1
, IC
(Signed)
(Signed).
Noce ? 3 `—"
Date
Street t�
Street - " 16 arC l -
Subdivision
Block
Street and Number where work is to be performed— No... .�..1.�` �' L • -�
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
° Street
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 u 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.
xC ec
aster Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. } es.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same„ and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH.
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T's
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATED:
TOTAL
CONTR.
LIST
I
r
1
CHECK
_
ENT.
SW.
DIET.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
1
CHECK
Permit No
APPLICATION FOR ELECTRICAL PERMIT
3) 7- /�► g
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, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address.. / i e 1) 41 -' •
Registered Architect and /or Engineer
Employing Electriciati's Name_:.I � J
Location and Legal Description Lot
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
P1
, IC
(Signed)
(Signed).
Noce ? 3 `—"
Date
Street t�
Street - " 16 arC l -
Subdivision
Block
Street and Number where work is to be performed— No... .�..1.�` �' L • -�
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
° Street
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 u 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.
xC ec
aster Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. } es.
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 - 2 2)
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 f AI IY 77 77 ( No g 7 3 N . . Street sse\s9
Registered Architect and/or Engineer
Employing Electrician's Name ............. No 73. Street c cLitkk.t,
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 Amps Main Fuses Amps
Type of Installation—Conduit Tubing B.X L Metal Moulding
Amount of Permit $ ................ ..... .............. ..
.... ...... ....... .......... .. (Signed)
The undersigned applicant for this building permit does hereby ce, tify that he understands and a
labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to emplo: only such subcontractors, on work to
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
My Commission Expires
(Signed).
Repairs
No. of Stories
....... ...
Before me, the undersigned authority, a notary public, duly authorized to administer oaths
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 ha carefully read the foregoing application, and that he did
therein by him stated are true.
Street 9
...........
E
Notary Public, State of Florida
.....
ctrical Inspector.
Master Electrician.
ccepts his obli zions as an employer of
of Florida erinanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
c
and take acknowledgments, personally
sign the same, and that all facts
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and/or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECC'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
E..'
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TCMP.
SERVICE
PERM
„...•
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
at.--
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No - 2 2)
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 f AI IY 77 77 ( No g 7 3 N . . Street sse\s9
Registered Architect and/or Engineer
Employing Electrician's Name ............. No 73. Street c cLitkk.t,
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 Amps Main Fuses Amps
Type of Installation—Conduit Tubing B.X L Metal Moulding
Amount of Permit $ ................ ..... .............. ..
.... ...... ....... .......... .. (Signed)
The undersigned applicant for this building permit does hereby ce, tify that he understands and a
labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to emplo: only such subcontractors, on work to
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
My Commission Expires
(Signed).
Repairs
No. of Stories
....... ...
Before me, the undersigned authority, a notary public, duly authorized to administer oaths
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 ha carefully read the foregoing application, and that he did
therein by him stated are true.
Street 9
...........
E
Notary Public, State of Florida
.....
ctrical Inspector.
Master Electrician.
ccepts his obli zions as an employer of
of Florida erinanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
c
and take acknowledgments, personally
sign the same, and that all facts
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and/or workmanship.
MIAMI SHORES VILLAGE
APPLICATION FOR ELECTRICAL PERM T
� Permit 2 y Date 1 / • C/
t No
Owner's Name and Address :/i
ELECTRICAL INSPECTION DEPARTMENT
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 Shore 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 paogrese of work.
Registered Architect and /or Engins,
Employing Electrician's Name.i ....k�- ✓f� "�<� ( � Noi 11 Street '- ` J `�
Location and Legal Description Lot
Street and Number where work is to be performed —No
STATE OF FLORIDA, }
COUNTY OF DADE.
f3
No - Street
(Signed)
Subdivision
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service O ver r d Size Feeders -4 � hConduit../ . .r / i: / Main Sw Amps Main Fuses..... Amps
Type of Installation -- Conduit Tubing B.X.L .Metal Moulding
t ',
Amount of Permit $ �� ( Signed , )/. j �` - '� � `�� ^ - " �, �' t
Elects V.41 Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations; is an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm,,s ens: 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 pubic notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Fl
• 3 C .,S L, >
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 11.00 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'I'5
FIXTURES
No. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H
STRIP
H
TOTAL
CONTR.
LIST
f / r'.
CHECK
? ( :
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1 -5 HP
N EON
TRANS.
RADIO
-
TOTAL.
LIST
•
CHECK
� E'-
MIAMI SHORES VILLAGE
APPLICATION FOR ELECTRICAL PERM T
� Permit 2 y Date 1 / • C/
t No
Owner's Name and Address :/i
ELECTRICAL INSPECTION DEPARTMENT
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 Shore 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 paogrese of work.
Registered Architect and /or Engins,
Employing Electrician's Name.i ....k�- ✓f� "�<� ( � Noi 11 Street '- ` J `�
Location and Legal Description Lot
Street and Number where work is to be performed —No
STATE OF FLORIDA, }
COUNTY OF DADE.
f3
No - Street
(Signed)
Subdivision
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service O ver r d Size Feeders -4 � hConduit../ . .r / i: / Main Sw Amps Main Fuses..... Amps
Type of Installation -- Conduit Tubing B.X.L .Metal Moulding
t ',
Amount of Permit $ �� ( Signed , )/. j �` - '� � `�� ^ - " �, �' t
Elects V.41 Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations; is an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm,,s ens: 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 pubic notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Fl
• 3 C .,S L, >
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 11.00 will be made when such re- inspection is made necessary by improper notice for Inspection, or faulty
materials and /or workmanship.
IP NO.
STREET
PART OF LOT
LOT
BL'K
SUBDIVISION
Signs
Billboards
Other Apparatus
ii ,,- l_E+ -tic:
Permit Fee
p
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
ii ,,- l_E+ -tic:
Permit Fee
p
7
de
7 J±
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building r7ilrc tiC 1,
Y p:
Contractor or Electrician
ddfiami =ihoresllage
F L O A ID A
OFFICE OF ELECTRICAL DEPARTMENT
iami Shores Village, Fla., +.� 1 19..17
LO CATI 0 N
DESCRIPTION OF WORK
N
N? 589
•
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time
upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by
this Department. •
'
(7 i , Electrical Inspetor.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree o do the proposed construction in strict conformity with
he Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
state of Florida, all the Electrical Ordinances and Codes of !Miami Shores Village, and all ru1e» -pd r ulati of the Electrical Department of Miami
lhores Village.
Dated
(Seal)
NO.
STREET/
PART OF LOT
LOT
BL'K
SUBDIVISION
Signs
;-
Other Apparatus
Permit Fee
ty
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
ty
1
�
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building
CQ .tractor or Electrician
Dated
/•
aiami chores9llage
F L O A 1 D A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla.,
DESCRIPTION OF WORK
NUMBER OF
LO CATI 0 N
- —7 %3 19sS
This Permit „ s granted up the express con that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications subxrlitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time
upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by
this Department.
(
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to d&'the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules regulations the Electrical Department of Miami
Shores Village.
N? 553
, Electrical Inspector.
/ f 2
(Seal)
..B
E ��
ELECTRICAL PERMIT A N° 391
v ner of Building_ t..�
Architect and /or Engineer
I n conside
gins at
building
the
dinan
6 $ + —
A OUNT RECD. PAYMENT ACCT. DEPT.
19(}
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
r
ADDRESS
NAME ADDRESS
Contractor or Builder.''. 1 :`'� .J>
NAME qq
Proposed Location •_ _C qy ____ �,
LOT /ll BLOCK / ' % SUB-DIVA NO.
This permit is issued to____`IJ�C (h'_ L-=
ADDRESS
To
LICENSE NO.
41C
LICENSE NO.
the building above described, as per application. Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinance and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami S o illage. This permit may be r ked any tittle up. the violation of any provisions of said
laws, ordinances or rules and regulations, or upo. ` . tinge in the plans and specific ns u horn ' b lding inspector.
INSPECTOR
•1
ion of the issuance to me of this permit I hereb agree to the proposed construction in strict conformity with the application and
tions thereof heretofore by me submitted, and iry� compliance with all provisions of all building laws of the State of Florida, all the
s and zoning laws of Miami Shores Village d all rules and regulations of the building department of Miami Shores Village.
1 f
(SEAL)
NOT . A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
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.