ELECTRICALPermit No1M 4 ./
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date v :4
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, 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. ., %./
. (- 15( ! ! � - ` //
No... 2- 3? N e Street ef (
Registered Architect and /or Engineer d
Employing Electrician's Name r / E rDti �� � N L No 7 0 3 t 5 4) Street.3 ( / 1 1C/ 1 / –
Location and Legal Description Lot Block
Street and Number where work is to be performed —No 'I 3 /116
State work to be performed and purpose of building (By Floors)
c
P.
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ 1 ► (Signed) / A.t..:... GO
STATE OF FLORIDA, }
COUNTY OP DADE. N '
My Commission Expires
Subdivision
Street
S & .y c_c
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, pn work jQ be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) ir i �%t'✓j.�
836
Notary Public, State of Florida
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.
NOTE: A re•inepection 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
0
LIGHT
0
PLUG
RtCE•P•T•S
FIxYuRts
No L
REPRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. MEAT.
CONN.
SPACE
NEATER
STRIP
NEATER
TOTAL
CONTR.
LIST
CHICK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.1 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No1M 4 ./
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date v :4
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, 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. ., %./
. (- 15( ! ! � - ` //
No... 2- 3? N e Street ef (
Registered Architect and /or Engineer d
Employing Electrician's Name r / E rDti �� � N L No 7 0 3 t 5 4) Street.3 ( / 1 1C/ 1 / –
Location and Legal Description Lot Block
Street and Number where work is to be performed —No 'I 3 /116
State work to be performed and purpose of building (By Floors)
c
P.
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ 1 ► (Signed) / A.t..:... GO
STATE OF FLORIDA, }
COUNTY OP DADE. N '
My Commission Expires
Subdivision
Street
S & .y c_c
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, pn work jQ be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) ir i �%t'✓j.�
836
Notary Public, State of Florida
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.
NOTE: A re•inepection 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
MIAMI SHORES VILLAGE / -
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, 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.
Ownei s Name and Address..l.r /I No....i. ?.5. Street Al- 6 "f'V" S 1
Registered Architect and /or Engineer
//
Employing �Icaticio / mcD l/4Pi 'TO� �1 � -4
ocitib and legal Description Lot 9 Block Subdivision 9
Street and Number where work is to be performed—No .../.2.3.8........ Street /C -e r
State work to be performed and purpose of building (By Floors) T ES
New Building i Remodeling Addition Repairs No. of Stories
Service Overhead Site Feeders 4
Underground
STATE OF FLORIDA,
COUNTY OF DADE. I "'
of
Conduit Z Main Sw 2-°0 Amps Main Fuses Amps
Type of Installation— Conduit ...X Tubing B.X.L .Metal Moulding
Amount of Permit $ N
(Signed)
Electrical Inspector.
The undersigned applicant for this budding permit does hereby certify that he understands and accepts his obligations u an employer of
labor under the Florida Workmen's Compensation Act, being Section 9966, Compiled General Laws of Plorida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post, or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)....
No 7031
Date.... /0
il Z
9"'
Street..SW 3 "5r A- ,-rz
Muter 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
0
PLUG
RECE'P'T's
FIXTURES
NO. LAMPS
REIRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
NEATEN
W. HEAT.
CONN.
SPACE
NEATER
STRIP
NEATER
TOTAL
CONTR.
a
2G,
_s-'‘
aq
J I I
5.1/.5 1T5
1
! , j-/
//
. V5
CHICK
14.\1511 I
ENT.
Sw.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
}- �/
1� Al'IJ
MOTORS
0.1 HP
MOTORS
14 HP
NEON
TRANS.
AI
R
TOTAL
CONTR.
LIST
,
7 4 - 2 7 0
CHECK
1 I
"b /
..
Permit No
MIAMI SHORES VILLAGE / -
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, 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.
Ownei s Name and Address..l.r /I No....i. ?.5. Street Al- 6 "f'V" S 1
Registered Architect and /or Engineer
//
Employing �Icaticio / mcD l/4Pi 'TO� �1 � -4
ocitib and legal Description Lot 9 Block Subdivision 9
Street and Number where work is to be performed—No .../.2.3.8........ Street /C -e r
State work to be performed and purpose of building (By Floors) T ES
New Building i Remodeling Addition Repairs No. of Stories
Service Overhead Site Feeders 4
Underground
STATE OF FLORIDA,
COUNTY OF DADE. I "'
of
Conduit Z Main Sw 2-°0 Amps Main Fuses Amps
Type of Installation— Conduit ...X Tubing B.X.L .Metal Moulding
Amount of Permit $ N
(Signed)
Electrical Inspector.
The undersigned applicant for this budding permit does hereby certify that he understands and accepts his obligations u an employer of
labor under the Florida Workmen's Compensation Act, being Section 9966, Compiled General Laws of Plorida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post, or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)....
No 7031
Date.... /0
il Z
9"'
Street..SW 3 "5r A- ,-rz
Muter 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.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
//II( Job
Date 7 Address /0�3 a ALE, yg 57 Tax Folio
Legal Description
Owner / Tenant 'Co A Ai I O (4.) /A KOw S K 1 Master Permit #
Owner's Address / o' 3 �j ,t) . r t . fr ST Phone
Contracting Co. aJ 4;11 HAW/ Z✓LS
Qualifier 20,u 4d A-"4 S
ndo President Date
2
resident /
Signa
owner and/or,
1vdt rry d Owner a�td/or C
t as t or C.�'
My Commission Expires:
ek" f005E032
FEES: PERMIT
ature of Contractor or
Historically Designated: Yes No
xfacua at
Notary as to Contractor or Owner-
My Commission Expires:
EXPIRES JUN 13, ZO
BONDED 'MU
A r. vrtr. »f*J! N CO.. SC
0 4 ADON C.C.F. ' • a D NOTARY
30 _7 3 f . 0
.01JG Address ZI2. /23 5r.
SS # )/ Phone 3a5 2 - 766
State #a to c/ Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION /�_` / z T
Pe-- f' Y 1 r -v•-•1
at_ \ l M
ao
Square Ft. Estimated Cost (value) L I DO O ' 4 °
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LEND1 LOR AliATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning -. ermore, I authorize the above -named contractor to do the ork stated.
•ViA
uilde r
Date
Date
Pv dG OFFICIAL " ANN UCAAZ u
0 COMMON NvuMl
< CC723488
on COMMISSION eXPIREB
MAR. a 200
BOND
TOTAL DUE
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Engineering