973 NE 96 St (4)Da
Type Insp'
Permit No.
Name
Address
Company
Phone #
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
For Inspector \\ \ t ! 9A. & ate
Approved ( i'v
Dal
Type Insp'n
Permit No.
Address
Company
Phone #
Inspection Date
Correction
MIAMI SHORES VILI GE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
973()'l.r.9,(LA,,
30s� 1, D6
Approved
Re- Insp'n Fee ❑
� r
MIAMI SHORES VILLAGE ( P \
BUILDING DEPARTMENT \
305- 795 -2204
Building Inspection Request
Date
Type Insp'n�
Permit No. 65 LLY
Name
Address - l.ct_
Company \-C I C llale
Phone #
Inspection Date) /3
Approved
Correction
Re- Insp'n Fee
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 11/12/2002
O Applicant: SHAUN
Owner: FULLER
JOB ADDRESS: 973
Parcel # 1132060143230
NE 96
Contractor ONE STOP REMODELING
Local Phone: 305 - 620 -0269
Building Permit
Permit Number: BP2002 -1933
FULLER
SHAUN
ST
Contractor's Address: 16280 NW 27 AVE
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 11 & LOT 12
BLK 77 LOT SIZE 100.000
Fees:
FEE2002 -6367
FEE2002 -6368
Description
Building Permit Application Fee
CCF
Total Fees:
Amount
$60.00
$0.60
$60.60
Total Fees: $60.60
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 5/11/2003
Work: LOW SLOPE FOR CAP SHEET APPPLICATION
This Permit is granted to the contractor c
ordinances pertaining thereto and with the t
and approved by the proper municipal autht
authorization. A further condition upon whir
ordinances and regulations pertaining to the
by his agents, servants or employees.
Signed:
In consideration of the issuance to me of ti
with the plans, drawings, statements or spec A
myself, my agent, servants . employe
Construction Value:
$550.00
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. . Re- incnorti")
fee is $50.00, which must be paid in advance before calling
Look for: green background on the frunt of this check and the itnageSafeb logo on back. If not present, do not cash 9
21 1
H.T.W. CONSULTANTS CORP
305 - 620 -0269
16280 N.W. 27TH AVENUE
OPA LOCKA, FL 33054
PAY
TO THE
ORDER OF
7 ,.C
Le o
DATE
Bank of America.
V; 9:73 /E66s1
11 2 L L911' ,:L;30000 ?I: 00 3666398 L4011'
ACH Rif 063100277
FOR
5
63 -4/630 FL
9832
$
•
.DOLLARS 8 r-
AP
Test Location
Uplift Pull Test(P or F)
Test Location
Uplift Pull Test(P or F)
Test Location
Uplift Pull Test(P or F)
Test Location
Uplift Pull Test(P or F)
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62
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y
SITE SPECIFIC INFORMATION
EA Nf¢f2b FIl°,-
453 tit. O 'T., M i -tt ,F1
Roofing Contractor: Agog eft) Ui t
Type of Tile: DA 't S al
Approximate Roof Height:—
Type of Access to Roof: Scaffolds
Approximate Square Footage of Roof: 3 0U 0 ft 1/ Ladder
Required Testing Force: 35 lbs. Testing Equipment: Chatillion100
Date Tested 3 -
Owner's Name
Job Address
IN ACCORDANCE
Civil Engineer:
Lab Certification # 98- 0608.04
4
U.S. SOUTH
Engineering & Testing Lab., Inc.
6065 N.W. 167th Street, Suite B -23 • Miami Lakes, Florida 33015
Telephone: (305) 558 -2588 • Fax: (305) 362 -4669
ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN
FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPILANCE
PROTOCOL TAS 106
TEST RESULTS
P = PASS, F = FAIL
H THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT
TEST.
SUBMITTED j
State of FL Certificate Authorization # 4100
P.E. fl,/ 15
3 -4 -01
PRINTED BY: UNIQUE GRAPHICS: 954-484-9923 FAX: 954-484.9997
Project N Q
5035
Permit # 6 Pa G2604 0 2 -
4i Poe- Date Installed: - 2 / -
Roof Pitch: 3 ti
Other
1
SKETCH Of ROOF
NOTES D2 0136 ' 1 7-0 G l 'Ti.( wlF°041
11
415 eiq ST &t -e5 (
JOB
SHEET NO 1 " - OF
CONTRACTOR
CHECKED BY •
DATE
SCALE
44
rr
t
Permit No
Amount of Permit $
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 o1 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
ERG /i aZ t+ - No 9 -- N street
Registered Architect and /or Engineer y
Employing Electrician's Name L L 0 1 Ai' `� O , .n/C
Location and Legal Description Lotr.The /2
Street and Number where work is to be performed —No. . 73 1,0 C
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Block
Z in
Service Overhead
Size ze Feeders..4 /o 41° Conduit Main S.P Amps Main Fuses Amps
nground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
(Signed)
(Signed)
Date
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
licensed by Miami Shores Village.
No --51J 6 / C,eP Street 3X° 44 'e NA . 33 0 a2
Subdivision �°''�'� 'fh ®°'e
Street
Repairs / No. of Stories
STATE OF FLORIDA, 1
COUNTY OF DADE. I °s
Before me, the undersigned authority, a notary pu• ic, 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
therein by him stated are true
N PUBLIC SATE C F FLORIDA AT LARGE
MY COMMISSION EXFIRES APR. 21. 1978
.........1MCIEInKRU.G.ENERAL INSURANCE UNDERWRITERS
My Commission Expires
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made
materials and /or workmanship.
Notary Public, State of Florida
necessary by improper notice for inspection, or faulty
/
Electn Inspector.
ccepts •'is obligations as an employer of
of orida Permanent Supplement, and
sub-contractors employed by him in the
of the work such public notice or notices
be performed under this ,ner_ l:, es are
Muter Electrician.
Clpi�ir a r :er -z..)
did sign the same, and th2t all fags
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REI'RIO.
OUTLET
**We
QUSbiT
AAN.E
OM ttT
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
H
TOTAL
CL
ST
LIST
f/
Y'
' 4
I 4
I4
1
1
1
'1
1
CHECK
0 PVC
7
d ) /eye 6 /r
Wai , j
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
t
Permit No
Amount of Permit $
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 o1 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
ERG /i aZ t+ - No 9 -- N street
Registered Architect and /or Engineer y
Employing Electrician's Name L L 0 1 Ai' `� O , .n/C
Location and Legal Description Lotr.The /2
Street and Number where work is to be performed —No. . 73 1,0 C
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Block
Z in
Service Overhead
Size ze Feeders..4 /o 41° Conduit Main S.P Amps Main Fuses Amps
nground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
(Signed)
(Signed)
Date
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
licensed by Miami Shores Village.
No --51J 6 / C,eP Street 3X° 44 'e NA . 33 0 a2
Subdivision �°''�'� 'fh ®°'e
Street
Repairs / No. of Stories
STATE OF FLORIDA, 1
COUNTY OF DADE. I °s
Before me, the undersigned authority, a notary pu• ic, 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
therein by him stated are true
N PUBLIC SATE C F FLORIDA AT LARGE
MY COMMISSION EXFIRES APR. 21. 1978
.........1MCIEInKRU.G.ENERAL INSURANCE UNDERWRITERS
My Commission Expires
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made
materials and /or workmanship.
Notary Public, State of Florida
necessary by improper notice for inspection, or faulty
/
Electn Inspector.
ccepts •'is obligations as an employer of
of orida Permanent Supplement, and
sub-contractors employed by him in the
of the work such public notice or notices
be performed under this ,ner_ l:, es are
Muter Electrician.
Clpi�ir a r :er -z..)
did sign the same, and th2t all fags
Electrical Contractor • 1151 WEST 28th STREET • HIALEAH, FLORIDA 33010 • PHONE: (305) 887 -3863
45/77
LLOYD N. JONES
9 73- 4e ?4
/ ,1',i .=,;4
S e' /le ✓ 0, C / , � 2 Cla - Co .0 C
4- 40 .4-4/.7) iFc ✓e #6 DcJ ec. , �
tif /® ocivzec. s ( roe/ r4)
ta e //
a�ra
v4d' '� /'Q� CrviweCk
✓4�� )742 ®v/ ,e
o u v
8azt‘ . Qx4 . P-i (7 per h,a, /?
Cri
4 c
cedh
qd,z A i., 4.37 ew
Al de B /Iff. £-' /V / ?6' /
ried * c9 4
7A a./ 4 9 fry
SL lQ
/976
S`. co
/ 6. 0
4.00
0. o®
2. O
2. oe
2.00
ELECTRICAL INSPECTION DEPARTMENT
P31.-D 1 ( 1895 APPLICATION FOR ELECTRICAL PERMIT
FV n o
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. {f (ID (,�,}.
Owner's Name and Address... .O�� U 00 No 97 3 Street..l. ...5 �C1.
.
Registered Architect and /or Engineer .. Mec5tz_ ., /� �"OZ S
Employing Electrician's Name.. Mktll . m. E L LT C..0 No 3 1 3 1 Street.N. ......0
11 0E, d i) l Il -
Location and Legal Description Lot 1 t tt 1D Block l 1
Subdivision TAIAr i •1{RRIS
Street and Number where work is to be performed —No 913 Street.t 110 5
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Servfa Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $
S
t(
MIAMI SHORES VILLAGE
(Signed )...Ce-
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts . c obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub•contractors,on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. I °°
(Signed)
OGO2,Cb
Date - a.'
aster 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
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
H
TOTAL
CONTR.
LIST
CHECK
/%s
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
ELECTRICAL INSPECTION DEPARTMENT
P31.-D 1 ( 1895 APPLICATION FOR ELECTRICAL PERMIT
FV n o
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. {f (ID (,�,}.
Owner's Name and Address... .O�� U 00 No 97 3 Street..l. ...5 �C1.
.
Registered Architect and /or Engineer .. Mec5tz_ ., /� �"OZ S
Employing Electrician's Name.. Mktll . m. E L LT C..0 No 3 1 3 1 Street.N. ......0
11 0E, d i) l Il -
Location and Legal Description Lot 1 t tt 1D Block l 1
Subdivision TAIAr i •1{RRIS
Street and Number where work is to be performed —No 913 Street.t 110 5
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Servfa Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $
S
t(
MIAMI SHORES VILLAGE
(Signed )...Ce-
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts . c obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub•contractors,on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. I °°
(Signed)
OGO2,Cb
Date - a.'
aster 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.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of l�
V
Lot
CONTRAC1 OR UILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 2752
Work to he performed under this Permit
DATE
194_,
( Contractor's 4r4.
License No.
BI Subdi-
vision
�'° ^ j t Value of Amt. of
Building 1/
,r ,,P / Project Permit .F Z
This permit is granted to the contractor or builder naded 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 assuttpjI.es'tlie responsibility for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans dr diawings or in the statements or specifications and
that he assumes.responsibility for work done by his agents, servants or employees.
Signed. , ( '\
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,.p a • g thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Vilrage c g this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
MIAMI SHORES VILLAGE, FLORIDA
❑ PERMIT N9 6180 Contractor's ,_/
License No. f '
❑
ID Work to be performed under this Permit L - -* -^f;- - '' '--
Contractor i
or Builder c j >: "::, - -, t.�
Legal Lot
Description Bl
CONTRACTOR OR BUILDER
i
-r
DATE
d
19
Subdi-
vision
Address of Value of 11 Amount of
Building Project $ II Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed. `. t s -- y ' INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all orchlitfiraeasand regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac.
cepting this permit I assume responsibility for all l work don b ei.. er, myself, my agent, servant or employee.
r / � .
lAl en
BY AUTHORITY ABBOT
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
❑ PERMI N? 10405
0
Lott
II BI
Legal
Description
Address of , i "
Building I
MIAMI SHORES VILLAGE, FLORIDA
Work to be performed under this Permit 1 { i Jr d✓ ex/ r " %{
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants o emplo ees. r?
Date
Contractor's
License No.
Subdi-
vision
Sq Ft
Value of I I Amount of
Project $ Permit $
J),
Signed4 (INSPECTOR) BY
In consideration of the issuance to me of this permit I agree to perfo the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I aisume responsibility for all work done by either, myself, my agent, servant or employee.
ti.
CONTRACTOR or BUILDER BY AUTHORITY
Permit No....... i4 )2)
7
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. s�
Owner's Name and Address ....d.�. No -,1. ��yy .7 .3 Street.N 6 s
Registered Architect and /or Engineer
Employing Electrician's Name.CAM.PE...44.... .1.k./rT_..//S( A.../Ya ,c....Street.. / 4'1 33/$:0
Location and Legal Description Lot 7 Block Subdivision
q
Street and Number where work is to be performed —No / / ./V / v 5 14 s 1 Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs ' No. of Stories
Service _
Size Feeders__ / H
Overhead nduit /'�
d �o Main Sw Amps /.5 Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
(Signed)...... ...:... G�
ELECTRICAL INSPECTION DEPARTMENT
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
55.
MIAMI SHORES VILLAGE
(Signed ).,.._5.i?... .
,,q ,2/ ¥
Date 7-29-Air
Master Electrician.
J/C7 / / ,
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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
K / �/ r y
. TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
t•5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
%s'D A
/ M
CHECK
Permit No....... i4 )2)
7
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. s�
Owner's Name and Address ....d.�. No -,1. ��yy .7 .3 Street.N 6 s
Registered Architect and /or Engineer
Employing Electrician's Name.CAM.PE...44.... .1.k./rT_..//S( A.../Ya ,c....Street.. / 4'1 33/$:0
Location and Legal Description Lot 7 Block Subdivision
q
Street and Number where work is to be performed —No / / ./V / v 5 14 s 1 Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs ' No. of Stories
Service _
Size Feeders__ / H
Overhead nduit /'�
d �o Main Sw Amps /.5 Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
(Signed)...... ...:... G�
ELECTRICAL INSPECTION DEPARTMENT
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
55.
MIAMI SHORES VILLAGE
(Signed ).,.._5.i?... .
,,q ,2/ ¥
Date 7-29-Air
Master Electrician.
J/C7 / / ,
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.
Permit No (Y..`
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 complianc.>. 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
Amount of Permit $
STATE OF FLORILA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 3- --(21"
Registered Architect and /or En giineer. ..
Employing Electrician's Name, a No/ _ 7..Q.7 Street 4/ ")‹! u
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 9 7.3 Street o ` ? 9C
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Service Overhead Size Feeders ..... ...........Conduit
Undergra.ind
Type Installation— Conduit ...T. b ig.
Main Sw
.B.X.L
(Signed).
The undersigned applicant for this building permit does hereby certify that he understands and Lccepts his obligations as an employer of
labor under the :lorida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplenent, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as a e
licensed by Miami Shores Village.
(Signed)
No / !. 3 Strea.,.,.9 G
Repairs No. of Stories
Amps Main Ruses.. Amps
Metal Moulding.
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 constru,.tion, a .d he has carefully read the foregoini 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.
OUTLE"
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. H.' AT.
CONN.
SPACE
HE:. ER
STRIP
HEATED
TOTAL
CONTR
LIST
q
<
CHECK
ENT.
SW.
DIer.
CAB.
'7 ERV ICE
T_ P.
SERVIC.
PERM.
:ti 0'i0:'..
0.1 HP
N. OTORS
1.5 HP
NEC Al
TRANC.
RADIO
TOTAL
CON. a.
LIFT
CHECK
Permit No (Y..`
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 complianc.>. 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
Amount of Permit $
STATE OF FLORILA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 3- --(21"
Registered Architect and /or En giineer. ..
Employing Electrician's Name, a No/ _ 7..Q.7 Street 4/ ")‹! u
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 9 7.3 Street o ` ? 9C
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Service Overhead Size Feeders ..... ...........Conduit
Undergra.ind
Type Installation— Conduit ...T. b ig.
Main Sw
.B.X.L
(Signed).
The undersigned applicant for this building permit does hereby certify that he understands and Lccepts his obligations as an employer of
labor under the :lorida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplenent, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as a e
licensed by Miami Shores Village.
(Signed)
No / !. 3 Strea.,.,.9 G
Repairs No. of Stories
Amps Main Ruses.. Amps
Metal Moulding.
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 constru,.tion, a .d he has carefully read the foregoini 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.
JOB:
BUILDING
ELECTRICAL
PLUMBING
Inspector's Report :
•
•
•
•
The following is ready for Inspection: -
!� .
WORK
DONE BY:
:REQUESTED
•
•
•
•
•
•
•
•
•
•
•
•
WILL BE READY
JOB: t
ELECTRICAL
PLUMBING
•
•
Inspector's Report : -
The following is ready for Inspection: --
AD: f73 3 /1 (7 6
WORK
DONE BY:
:REQUESTED
WILL BE READY
A
1 //4
JOB:
BUILDING :
ELECTRICAL :
PLUMBING
Inspector's Report :
The following is ready for Inspection: -
f
AD:
WORK
DONE BY:
:REQUESTED
• •
,/ •
• •
• 4
• •
• • •
- 4
WILL BE READY
Permit No._
New Building
Amount of Permit $
APPLICATION FOR ELECTRICAL PERMIT
7
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 Engin
Employing Electrician's Name __
Location and Legal Description Lot
ss.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
ck,
Street and Number where work is to be performed —No._ jx.,1 L
State work to be perform ed and purpose of building (By Floors)
(Signed)
(Sig
'
No. t i
Date
Street -
Remodeling Addition.. Repairs
Type of Installation— Conduit Tubing ' _ B.X.L. Metal Moulding
Stre— U-74/-71
�
___ -- Subdivision
Street_______.
Service Overhead Size Feeder . 4f -
__ / Conduit. Main Sw ___ / f — Amps. Main Fuses Amps.
Underground `y"
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, ' rk, to be performed under this permit. as are
licensed by Miami Shores Village. > e. /1
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 be did sign the same, and that all facts
therein by him stated are true.
Notary Public. State of Florida
No. of Stories
Electri a1" Inspector.
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
f
LIGHT
OUTLETS
fll �/
_.G G
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
— n - 77:
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
�
S a 6 / f_ C ` � 1
/
1
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
I i,
1 "D'
CHECK
Permit No._
New Building
Amount of Permit $
APPLICATION FOR ELECTRICAL PERMIT
7
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 Engin
Employing Electrician's Name __
Location and Legal Description Lot
ss.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
ck,
Street and Number where work is to be performed —No._ jx.,1 L
State work to be perform ed and purpose of building (By Floors)
(Signed)
(Sig
'
No. t i
Date
Street -
Remodeling Addition.. Repairs
Type of Installation— Conduit Tubing ' _ B.X.L. Metal Moulding
Stre— U-74/-71
�
___ -- Subdivision
Street_______.
Service Overhead Size Feeder . 4f -
__ / Conduit. Main Sw ___ / f — Amps. Main Fuses Amps.
Underground `y"
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, ' rk, to be performed under this permit. as are
licensed by Miami Shores Village. > e. /1
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 be did sign the same, and that all facts
therein by him stated are true.
Notary Public. State of Florida
No. of Stories
Electri a1" Inspector.
Master Electrican.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No._
Owner's Name and Address
Registered Architect and /or Engineer -
Employing Electrician's Name V_
Location and Legal Description Lot
Street and Number where work is to be performed —No.
Amount of Permit $
SS.
My Commission Expires
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
- - -- — Date_J [_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sttfimitted 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.
e h.
Block
No. _ I( +' - 3:_ _�_i 4. _ Streeter _
No. ` �? 1, Street-__2— �, - f =• l _r'
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition _ Repairs
Service Overhead Size Feeders Conduit Main Sw. Am s.
Underground p _____ Main Fuses Amps.
Type of Installation — Conduit Tubing B.X.L. Metal Moulding
9
11 7
Electrical Inspgftor.
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. z?n. work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed
f
Subdivision
No. of Stories
Master Electrican.
authorized to administer oaths and take acknowledgments, personally
appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public. State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIG,
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
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._
Owner's Name and Address
Registered Architect and /or Engineer -
Employing Electrician's Name V_
Location and Legal Description Lot
Street and Number where work is to be performed —No.
Amount of Permit $
SS.
My Commission Expires
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
- - -- — Date_J [_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sttfimitted 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.
e h.
Block
No. _ I( +' - 3:_ _�_i 4. _ Streeter _
No. ` �? 1, Street-__2— �, - f =• l _r'
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition _ Repairs
Service Overhead Size Feeders Conduit Main Sw. Am s.
Underground p _____ Main Fuses Amps.
Type of Installation — Conduit Tubing B.X.L. Metal Moulding
9
11 7
Electrical Inspgftor.
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. z?n. work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed
f
Subdivision
No. of Stories
Master Electrican.
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.
Amount of Permit $_
APPLICATION FOR ELECTRICAL PERMIT
Permit No. Date
4/
MIAMI SHORES VILLAGE
Application is hereby made fo 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 No._ ' '___� "_
Registered Architect and /or Eng " ee
Employing Electrician's Name ____ _______ .a9c '�__� No
Location and Legal Description Lot__ Block ___ Subdivision_
Street and Number where work is to be performed—No. _ d' Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.. Repairs ___ No. of Stories_________
oe7
ELECTRICAL INSPECTION DEPARTMENT
Service Overhead Size Feeders ______ Conduit. » Main Sw.
Underground
Type of Installation— Conduit_ _____ _________ Tubing_____________ B.X.L. Meta Moulding
(Signed
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify pt'' he understands and accepts (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)
Street
Amps. Main Fuses_
STATE OF FLORIDA,
COUNTY OF DADE. as.
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 be 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.
_Amps.
Master Electrican.
SWITCH
OUTLETS
, LIGHT
OUTLETS
PLUG
RECE•P'T'8
FIXTURES
NO.LAMPS
REFRIG.
0 LET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
F
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE SERVI
T %�
P
OTOR
MOTORS
1 -8 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Amount of Permit $_
APPLICATION FOR ELECTRICAL PERMIT
Permit No. Date
4/
MIAMI SHORES VILLAGE
Application is hereby made fo 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 No._ ' '___� "_
Registered Architect and /or Eng " ee
Employing Electrician's Name ____ _______ .a9c '�__� No
Location and Legal Description Lot__ Block ___ Subdivision_
Street and Number where work is to be performed—No. _ d' Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.. Repairs ___ No. of Stories_________
oe7
ELECTRICAL INSPECTION DEPARTMENT
Service Overhead Size Feeders ______ Conduit. » Main Sw.
Underground
Type of Installation— Conduit_ _____ _________ Tubing_____________ B.X.L. Meta Moulding
(Signed
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify pt'' he understands and accepts (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)
Street
Amps. Main Fuses_
STATE OF FLORIDA,
COUNTY OF DADE. as.
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 be 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.
_Amps.
Master Electrican.
Permit
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PPLICATION 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 must be kept at
building during progress of work.
Owner's Name and Address // No / �y
� -4sv d -
Registered .Architect and /or Engineer
Employing Electrician's Name IL_7 �f 11. _�_ No. ....L � � ��__�i Street___• –� o'
Location and Legal Description Lot Block___ Subdivision__ —_
Street and Number where work is to be performed —No i___. Stre et__ __________
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs —__ No. of Stories
Service Overhead Size ----- Conduit Main Sw Amps. —__ Main Fuses Amps.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
_'g
V11_s �t_f__�_:1 �_ + ��-- 'L_�– �' - -�_ _ `_ �-- 1 _�- �- L"�- �-- �`'- •�- ��� - - - - '� ` �.a�— L--- �-- ��it__l�_C_. --
Amount of Permit $ "^"""" (Signed)
ff
Electrical Irispettor.
The undersigned applicant for this building permit does hereby certify that 4 e 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, „cat York to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
•
!L -( wJ
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.
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
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PPLICATION 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 must be kept at
building during progress of work.
Owner's Name and Address // No / �y
� -4sv d -
Registered .Architect and /or Engineer
Employing Electrician's Name IL_7 �f 11. _�_ No. ....L � � ��__�i Street___• –� o'
Location and Legal Description Lot Block___ Subdivision__ —_
Street and Number where work is to be performed —No i___. Stre et__ __________
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs —__ No. of Stories
Service Overhead Size ----- Conduit Main Sw Amps. —__ Main Fuses Amps.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
_'g
V11_s �t_f__�_:1 �_ + ��-- 'L_�– �' - -�_ _ `_ �-- 1 _�- �- L"�- �-- �`'- •�- ��� - - - - '� ` �.a�— L--- �-- ��it__l�_C_. --
Amount of Permit $ "^"""" (Signed)
ff
Electrical Irispettor.
The undersigned applicant for this building permit does hereby certify that 4 e 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, „cat York to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
•
!L -( wJ
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.
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._____________ 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, ether herein specified or not. A copy of approved plans and specification 9 must be kept at
building during progress of work.
Owner's Name and Address ______ ____ __ No._
Registered Architect and /or Engineet - _,
i f
Employing Electrician's Name ____
a
Location and Legal Description Lot_______________
Street and Number where work is to be performed —No
Z3 * i
State work to be performed and purpose of building (By Floors)
New Building ,___ Remodeling___________ Addition Repairs —__ No. of Stories________—
Service Overhead Size Feeders
Underground
Conduit_— _ —_____ Main Sw
Type of Installation— Conduit Tubing _— B.X.L.
Amount of Permit S
— =— N -- -- --- Sfree ___________
(Si
Street
Subdivision __-- ______—______________
Amps. Main Fuses Amps.
Electrica nspector.
The undersigned applicant for this building permit does hereby certify th.,r `" "understands • nd ccepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compl ed General Laws o /Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or su cont ctors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the ite . ,e rk such public notice or notices as are
required by the Act. The under signed agrees to employ only such (sub- contractors, erformed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. ss'
My Commission Expires
Notary Public. State of Florida
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to
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.
administer oaths and take acknowledgments, personally
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.
CAS.
SERVICE ■
TEMP.
SE ICE
P RM. A a •
MOTORS
O- P
M RS
HP
NEO
TRA -
'ADM
TOTAL
CONTR.
LIST
-'1 T
/
j
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 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, ether herein specified or not. A copy of approved plans and specification 9 must be kept at
building during progress of work.
Owner's Name and Address ______ ____ __ No._
Registered Architect and /or Engineet - _,
i f
Employing Electrician's Name ____
a
Location and Legal Description Lot_______________
Street and Number where work is to be performed —No
Z3 * i
State work to be performed and purpose of building (By Floors)
New Building ,___ Remodeling___________ Addition Repairs —__ No. of Stories________—
Service Overhead Size Feeders
Underground
Conduit_— _ —_____ Main Sw
Type of Installation— Conduit Tubing _— B.X.L.
Amount of Permit S
— =— N -- -- --- Sfree ___________
(Si
Street
Subdivision __-- ______—______________
Amps. Main Fuses Amps.
Electrica nspector.
The undersigned applicant for this building permit does hereby certify th.,r `" "understands • nd ccepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compl ed General Laws o /Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or su cont ctors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the ite . ,e rk such public notice or notices as are
required by the Act. The under signed agrees to employ only such (sub- contractors, erformed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. ss'
My Commission Expires
Notary Public. State of Florida
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to
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.
administer oaths and take acknowledgments, personally
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.
.I ..•
Permit No.__'z!�__
Date , `
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sttmitted 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
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE. ss'
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Registered Architect and /or Engineer'
Employing Electrician's Name __,r_ _- —__
My Commission Expires
__ — stie
No4 11
'^ .r7
• ' l6 (Signed)
Addition ________________________ Repairs__
(Signed)
r
Street'�''^'' !%/)
Location and Legal Description Lot_ ______ - _ _ ___ —__ ck____ —_ - Subdivision�� f— ______ - -_
Street and Number where work is to be performed —No. ei !2s3 A t� --_ Street_ 4.
State work to be performed and purpose of building (By Floors)
New Building Remodeling
Service Overhead Size Feeder _ / ___ Conduit. L Main Sw.__! 0 4' — Amps. Main Fuses
Underground
Type of Installation— Conduit______________ Tubing B.X.L. Metal Moulding
Electric�tT 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 park, to 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 be 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
Master Electrican.
Amps.
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
O U
ti
f
PLUG
RECE•P
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
/
RANGE
OUTLET
T..
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
�+ i
.r
t
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/ (J
rte
CHECK
.I ..•
Permit No.__'z!�__
Date , `
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sttmitted 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
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE. ss'
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Registered Architect and /or Engineer'
Employing Electrician's Name __,r_ _- —__
My Commission Expires
__ — stie
No4 11
'^ .r7
• ' l6 (Signed)
Addition ________________________ Repairs__
(Signed)
r
Street'�''^'' !%/)
Location and Legal Description Lot_ ______ - _ _ ___ —__ ck____ —_ - Subdivision�� f— ______ - -_
Street and Number where work is to be performed —No. ei !2s3 A t� --_ Street_ 4.
State work to be performed and purpose of building (By Floors)
New Building Remodeling
Service Overhead Size Feeder _ / ___ Conduit. L Main Sw.__! 0 4' — Amps. Main Fuses
Underground
Type of Installation— Conduit______________ Tubing B.X.L. Metal Moulding
Electric�tT 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 park, to 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 be 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
Master Electrican.
Amps.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
Application is hereby 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
/ Employing Electricians Name ....i S 7 "'+ 1 + / No.__. . 1 r Street. _ '
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No , v.•? Street....:'f''
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
No . J w. Street_r. +*
The undersigned applicant for this building permit does hereby certify that he understand and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
licensed by Miami Shores Village.
Date ; ^
•
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Electrical Inspector.
ccepts his obligations as 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
(Signed)
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
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
/ rD
/
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
pi's if
4 //
J
C'AI p � T+
A. s y .,„ ,
T+
r
MOTORS
0.I HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
UST
CHECK
/ el)
/ rD
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
Registered Architect and /or Engineer
/ Employing Electricians Name ....i S 7 "'+ 1 + / No.__. . 1 r Street. _ '
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No , v.•? Street....:'f''
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
No . J w. Street_r. +*
The undersigned applicant for this building permit does hereby certify that he understand and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
licensed by Miami Shores Village.
Date ; ^
•
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Electrical Inspector.
ccepts his obligations as 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
(Signed)
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.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot BI.
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA ,{r
r 1
DATE r"� e` / C 194
Contractor's
L f ense No
)York to be performed under this Permif`
PERMIT N9 2619 i
Subdi-
vision
Value of
Project
Amt. of
Permit
/ " 71
This per 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 Fhauged 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 plain or drawings or in the statements or sprecifica.tions and
that he assumes responsibility for work done by his agents, servants or employees.
Signed• •• e, -4. � `'.. By
INSPECTOR
I. .n rat'J of he issuance to me of t} is.ppersnit I agree to perform work covered hereunder in compliance with all ordinances and regula-
tions per ai 'm t o strict conformity With the plans, drawings, st ments or specifications submitted to the proper authorities of Miami Shores
Village. i In n g t s t I assu tans' ilsty for all work done y either myself, my agent servant or employee.
CONTRACTOR OR 13111 ER BY
AUTH9 1TY
iICAL
rIBING
L NG
..r of
ilding
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
iv' PERMIT N? 15499
❑ Work to be performed under this Permit
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
B
Signed•
Subdi-
vision
Value of
Project $
DATE j" r ` w + T 195
Contractor's
License No
.
Amt. of
Permit
$ c
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 regulation
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 wort
done by his agents, servants or employees.
BY
BY AUTHORITY
►; INSPECTOR
In consideration of the issuance to me of this permit I agree to prritorm the work covered hereunder in compliance with all ordinances and regulation
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Villag
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.