1043 NE 98 St (13)Permit No
Owner's Name and Address 'Z€ 77;c ) C
Employing ElectriciaA's Name
MIAMI SHORES VILLAGE
ELECTR ICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Registered Architect and /or Engineer
6e c7e /e ?"C1e
D " lz e/ � � /
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, F1u: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 progreu of work.
C .r No Street 3 � 46 '
Street
Location and Legal Description Lot Block Subdivision /� .�2
eet...P'. Xf� 96 s/
40 L ,
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) - /y /
New Building Remodeling Addition Repairs No. of Stories
Se rvice Overhead
Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $....l.O
STATE OF FLORIDA,
COUNTY OF DADE. I U.
(Signed) ....... !. 1C' e()
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 w• uch public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, to be •crformed under this permit, as are
licensed by Miami Shores Village.
(Signed)
‘64,
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 neoeuary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
0
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. MEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
/
/
f
CHECK
J K
(0r 1.1 r
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1 -1 HP
NION
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
410
..
Permit No
Owner's Name and Address 'Z€ 77;c ) C
Employing ElectriciaA's Name
MIAMI SHORES VILLAGE
ELECTR ICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Registered Architect and /or Engineer
6e c7e /e ?"C1e
D " lz e/ � � /
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, F1u: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 progreu of work.
C .r No Street 3 � 46 '
Street
Location and Legal Description Lot Block Subdivision /� .�2
eet...P'. Xf� 96 s/
40 L ,
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) - /y /
New Building Remodeling Addition Repairs No. of Stories
Se rvice Overhead
Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $....l.O
STATE OF FLORIDA,
COUNTY OF DADE. I U.
(Signed) ....... !. 1C' e()
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 w• uch public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, to be •crformed under this permit, as are
licensed by Miami Shores Village.
(Signed)
‘64,
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 neoeuary by improper notice for inspection, or faulty
materials and /or workmanship.
Location d legal description of lot to be built on:
Lot Block /./
Street and Number where work is to be done ... /& .. f ,�,
State work to be done and purpose of building (by floors)
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Disapproved �) `.I Date
(Signed)
Building Inspector
Chainnan
Member
Member _....._..._.r.
Council Approved Date
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
t
APPLICATION FOR BUILDING PERMIT
I
Application is hereby lnndc for the approval of the detailed statement ur me plans and specifications herewith submitted for the build •
inc or other structure hers n described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. an l 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 the ork.
1 �b �p u ze
.....
Owner's Name and Address ..... .. ..
Registered Architect and /or Engineer..... Jt3.Gt. ..U1../�!
Name and address of licensed contactor \So. cS 7 . z _.../i`tGl
Subdivision .....1.. /..1./.Fi.dEl.! ,, .L..L. —.
The undersigned applicant for this building pennit does hereby certify that he
of labor under the Florida Workmen's Compensation Act, being Section 5966, Co
and has complied kith the provisions thereof, and will require similar compliance
in the work to be performed under this permit; and will post or cause to be post
or notices as arc required by the Act. The undersigned agrees to employ only su
pennit, as are licensed by Miami Shores Village.
Remarks - -- -. — ..
NOTE: A charge of $1.00 will be made for making corrections or changes to
the Plannir.g Board.
A rc•inspet.tion fee of $1.00 will be charged when such re- inspection is made
materials anti /or workmanship.
Date..._..._..._. 7 11 — . — ..---..._....
. No... ......._...._.. Street--
..
fr
u der ands and acce
General Law
all contractor
inspection
ntractors
dete
and for no other purpose.
New Building Re uodcling Addition Repairs No. of Stories
To be constructed of .�r..l1..E1l.rie Kind of foundation t .n.i:.t €f e Ijo f �O vering
Estimated Total cost of improvements $ (a. tf... Amount of Permit S. a
Zone cubage required .Plan Cubage
Distance to next nearest building. Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
his obligations as an employer
f Florida, Permanent Supplement,
or sub - contractors employed by him
he site of the work such public notice
rk to be performed under this
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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 tru . .
Permit No. ' Date qilh 1 Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires _...._ _........._..r..���
PLANNING BOARD .._......DATE
Member
Member
Member
Disapproved Date
this application niter approval has hero obtained from
necessary by Improper notice for inspection or faulty
,
TOTAL
FIXTURES
CLOSETS
BATH
TUBS
SHWERS
O
LAvA•
Tonics
SINKS
SLOP
SINKS
LAUNDRY
Tuns
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
CONTR.
.LIST
CHECK
SEPTIC
• TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
H
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'O
POOL
ROO Nis
ri
CoNT
— �
-
••—,—/--•
LIST
CHECK
4
•
Permit No ..2 ' J
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 1 2 r ti
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
O
Registered Architect and /or Engineer � ! �+ _ �/ - �/
Employing Plumber's Name tads el ^ -_ czfrIA1�.G,,- NO... .,,.,�..Gm...L ,..- 8treet...�2.,Y.�,- ....1S. i
Block
Location and Legal Description Lot
Street and Number where work is to be performed —No
State tiGork to be performed and purpose of building (By Floors) )
F
New Building Remodeling —__ _ _ Addition.
Size Septic Tank_-- .-------- --- -- - - - - -- •..Type of Tank__ _--------- •--- •- •- •-- •• - - -.
Feet of Drain Tile._.- -- __ —Dist. Feet of Tank or Drain Field from Well. -
Nature of Water Supply: City — Well. _.____ - -- ..Size of Soakage Pit
Amount of Permit $
7.
STATE OF FLORIDA, 1 µ
COUNTY OF DADE. 1
(Signed)_
No street_.._.ls. sT
Date. -— .../. — .0 /
Street
Repairs No. of Stories
Capacity Gals.
Plumbing 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 a ch p J' c notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contract. on work to � • -%' under this permit, as are
Miami Shores Village.
licensed by ' ./r -
Muter Plumber.
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 , up and says that he is the
of the above described construct kgc►ilotildri regeing application, and that be did sign the same, and that all facts
therein by him stated are true My Commission Expires April 5, 199
Bonded thrl JadcO insurance Agency ( �
My Commission Expires Notary Public, State . s • r' • '
NOTE: A re- inspection fee of $1.00 will be made when such re•inspeotion is made.neoessary by improper notice for inspection, or fault'
materials and /or workmanship.