ELECTRICAL� '0 MIAMI SHORES VILLAGE
A BUILDING DEPARTMENT
•
305-795-2204
Building Inspection Request
9f Time
Date
Type Insp'n e U C e C
Permit No. ° 3 )5.
Name t' crf r •
Address 1 "-- 3 E. - l q S�
Company' 0 \ \G-em
Phone # V'e1 1 1 1 ,
For Inspector: /51 C I al Name & D
Approved
Correction
Re- Insp'n Fee
o 2._ �s���
xve3k /d44/77e
x e,f af� 0A0 RI `la-
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple T lder) ( C- =e--' (7 D i /2 Phone #
Owner's Address / A/ £ 9 9 6 4?
Cit i/idi74. 5t'7'e:4L-5 State CV.)/9 Zip / 3
Tenant/Lessee Name Phone #
Job Address (where the work is being done) / _/ f q
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name Y V r / 1�(
Contractor's Address t7 7 / ) 9O
City . )// (. State
Qualifier (.4, /116 a) /9 - (.o( i(L(./)(
Architect/Engineer's Name (if applicable) Phone #
Architect/Engineer's Address
City State Zip
$ Value of Work For this Permit 530 0
Number of: Bays Stories . ' Families Bedrooms Baths
Type of Work: DAddition Alteration ['New New ❑ Repair/Replace ❑ Demolition
Describe Work: XI SIS /( ., o d $ // f s, l5 4S • ".
County Escrow Fee $
Education/Training Fee $ Tech $
Code Enforcement $ Bond $
Minus Plans Check Fee $ Total Fee Now Due $ / o� p ,S D (Continued on opposite side)
Miami Shores Village
Build D_epa t ment
N[ E 11V ( 1)
Plumbing Mechanical
County Miami -Dade Zip
NO
Permit No. f I _
Master Permit No.
Phone #
Zip
Roofing
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
6 /25 - //- 677 - 6 70e
J) /7
Square Footage Of Work:
Permit Fee $ / /,S !'..1 Notary $ 5 • CO
Scanning $ Radon $
Struct. $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the a;. •nce of s , h posted notice, the
inspection will not be approved and a reinspection fee 1 be charged.
The f egoing ' nstrument was acknowledged
day of , b
who is personally own to m- or who has produced -J
As identification and who did take an oath.
Signature
Contractor
The foregoing instrument was acknowledged before me this-,--
day of 't ,201_;,by (L r/1 /A,(ih. •
who is personally known to me or who has produced
as identification and who did take an oath.
NOT LIC: NOTARY PU)LI
Sign. Sign:
P Print: _�'!D Y F'u ��� ? to • a ... -
o �, w ar,,,� Angela M Becker • ' mission Expires Feb 1, 2004
My Commission Expires: ; . o My Co ssion E
My Commission 0A?50 y € lssion # CC90b894
* * * * * * * * * * * * * * * * * * * * *% Fttolor ivatitirstm, * * *** * *,r * * * * * * * * * * * * * * * ** *****-14*.**** , * * **
(Certificate of Competency Holder)
State Certificate or Registration No. CC /3O613 /5* Certificate of Competency No.
****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY: �� l ����� Plans Examiner
Engineer
Zoning
Chc7/7 /03
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Ex 02.
MIA 1ISHORES VILLAGE
ELECTF{ICAL INSPECTION DEPARTMENT
APPLICATIy FOR ELECTRICAL PERMIT
�
Permit No 11 S-F w �� Date LI - .,7 - z„,
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 her 'n specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. 9 .
Owner's Name and Address.. /e.4..No 1.6/ 4 Street 4 l .
Amount of Permit $ (SP
STATE OF FLORIDA,
COUNTY OF DADE. I ss.
Registered Architect and /or En in er
Employing Electrician's Name ... I
Location and Legal Description Lot /
Street and Number where work is to be performed —No .1
Lam' c No i
New Building Remodeling Addition
Block ) Subdivisj
v
(Signed)
(Signed)
,761s 3s
State work to be performed and purpose of building (By Floors)
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps_ _ _
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
ctrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig s as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P- . nent 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 ,e- performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
- O-UyTLL.ETTSS
CA
�//
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONYR.
LIST
CHECK
"'P "' ,
Jr
MIA 1ISHORES VILLAGE
ELECTF{ICAL INSPECTION DEPARTMENT
APPLICATIy FOR ELECTRICAL PERMIT
�
Permit No 11 S-F w �� Date LI - .,7 - z„,
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 her 'n specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. 9 .
Owner's Name and Address.. /e.4..No 1.6/ 4 Street 4 l .
Amount of Permit $ (SP
STATE OF FLORIDA,
COUNTY OF DADE. I ss.
Registered Architect and /or En in er
Employing Electrician's Name ... I
Location and Legal Description Lot /
Street and Number where work is to be performed —No .1
Lam' c No i
New Building Remodeling Addition
Block ) Subdivisj
v
(Signed)
(Signed)
,761s 3s
State work to be performed and purpose of building (By Floors)
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps_ _ _
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
ctrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig s as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P- . nent 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 ,e- performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
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 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 L ��S! No f'� 6 Street r 9957"
Registered Architect and /or Engineer
Employing Electrician's Name No i C l� ei ofe C `o No /' 06r " -91-- Street /"/ P 4 ' • O /y46' & -
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
83.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Amount of Permit $
(Signed)
Date
Street
/I- (--63
4- 97 5 '
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub contractors, on work jo be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
STATE OF FLORIDA, j
COUNTY OF DADE. J j
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.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
J
/
CHECK
/ CV
- '
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
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 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 L ��S! No f'� 6 Street r 9957"
Registered Architect and /or Engineer
Employing Electrician's Name No i C l� ei ofe C `o No /' 06r " -91-- Street /"/ P 4 ' • O /y46' & -
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
83.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Amount of Permit $
(Signed)
Date
Street
/I- (--63
4- 97 5 '
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub contractors, on work jo be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
STATE OF FLORIDA, j
COUNTY OF DADE. J j
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 p MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL Date /".. PLUMBING ❑ PERMIT N• Q 8589
ROOFING ❑
Architect
Contractor
or Builder +
Legal Lot
Description II B1
Address of
Building
s #.;
/ 4 I
CONTRACTOR or BUILDER
� a i / e
re
Contractor's
License No.
BY AUTHORITY
/`a
try
Work to be performed under this Permit
y
Owner of �r /' �,ejl .• / �/j '" .,,
Building ) L (r{e e , _ .�• t .+ S IC ; . r , t ,ee- 2
Subdi-
vision
Sq Ft
r
Value of 11 Amount of
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• x- f R •. .t , e • (INSPECTOR) BY y * - '' •-a-d' -
In consideration of the issuance to me of this permit I glee to perform 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 assume responsibility for all work done by either, myself, my agent, servant or employee.
'MELDING ❑ DATE
ELECTRICAL
PLUMBING
GOOFING
Dwner of
�uflding_
Architect
_:ontracto
'r Builde
•egal
)escripti
'Uddress
wilding
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N? 9269
Work to be performed under this Permit
Contractor's
License No
195
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
ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
lrawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ime 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
ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
,ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
lone by his agents, servants or employees.
Signed• BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinance3aand regulations
,ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
n accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY AUTHORITY
7
•
1
r
n
Lot
B1
Subdi-
vision
I f
Sq. Ft
Amt. of
Permit
$
Value of
Project
$
'MELDING ❑ DATE
ELECTRICAL
PLUMBING
GOOFING
Dwner of
�uflding_
Architect
_:ontracto
'r Builde
•egal
)escripti
'Uddress
wilding
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N? 9269
Work to be performed under this Permit
Contractor's
License No
195
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
ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
lrawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ime 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
ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
,ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
lone by his agents, servants or employees.
Signed• BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinance3aand regulations
,ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
n accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY AUTHORITY
7
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date ...V6`'/ X12.. ....., {... /..J
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sifbmitted 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.
q
Owner's Name and Address...../— 1� ,` No... Street.
Registered Architect and /or Engineer
Employing Electrician's Name. ��° 46,9 . �� � No e
Permit No F ` —
MIAMI SHORES VILLAGE
id ," Street
Location and Legal Description Lot Block Subdi ision
Street and Number where work is to be performed —No ,/ 9 _ a4., Street... f7 1
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
� „ ic Overhead Underground Site Feeders Conduit Main Sw Amps Main Fuses
✓ ype of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. j
SS.
(Signed)
V . J
Electrical nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his /•bligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo • a Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-co tractors 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 nos
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under th'j'ermit, a
licensed by Miami Shores Village.
(Signed) .
aster Electric 1 ii.
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'1'S
FIXTURES
NO. LAMPS
REFR10.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACC
HEA TER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIET.
CAS.
SERVICE SERVICE
TEMP.
AlI'
a'- -lL/
�
MOTORS
0.1 HP
. 7
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
l f 1Cif
� PER � M. /� �,}
/G� C d.l i�lN�
..
) - j` .
CHECK
f ,,,, ('/
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date ...V6`'/ X12.. ....., {... /..J
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sifbmitted 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.
q
Owner's Name and Address...../— 1� ,` No... Street.
Registered Architect and /or Engineer
Employing Electrician's Name. ��° 46,9 . �� � No e
Permit No F ` —
MIAMI SHORES VILLAGE
id ," Street
Location and Legal Description Lot Block Subdi ision
Street and Number where work is to be performed —No ,/ 9 _ a4., Street... f7 1
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
� „ ic Overhead Underground Site Feeders Conduit Main Sw Amps Main Fuses
✓ ype of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. j
SS.
(Signed)
V . J
Electrical nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his /•bligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo • a Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-co tractors 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 nos
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under th'j'ermit, a
licensed by Miami Shores Village.
(Signed) .
aster Electric 1 ii.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 7 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. I
Owner's Name and Address I Jl..�� \ f No.1 .� 7�..5 r / / Street
Registered Architect and /or Engineer ti _
Employing Electrician's Name ....���
Location and Legal Description Lot ( Block ( .2 Subdivision � 2 . ,
STATE OF FLORIDA, 'l
COUNTY OF DADE. ! j
55.
Street and Number where work is to be performed —No
C.v 6 1
i
Amount of Permit $ (Signed)
No V O C (
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
it Overhead
Service
Underground Site Feeders Conduit Main Sw Amps Main Fuses Amps
'L.� e of Installation— Conduit Tubing B.X.L Metal Moulding
tor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga '•ns as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P'manent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contra•.rs 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• 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.
1.. &net
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.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
/
/
f
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON RADIO
TRANS.
TOTAL
'- �J�— /�/{f_
.� ,
CONTR.
LIST
//� / p
��!/ ��../ l�[s�'"4.'t..f
ist ".
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 7 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. I
Owner's Name and Address I Jl..�� \ f No.1 .� 7�..5 r / / Street
Registered Architect and /or Engineer ti _
Employing Electrician's Name ....���
Location and Legal Description Lot ( Block ( .2 Subdivision � 2 . ,
STATE OF FLORIDA, 'l
COUNTY OF DADE. ! j
55.
Street and Number where work is to be performed —No
C.v 6 1
i
Amount of Permit $ (Signed)
No V O C (
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
it Overhead
Service
Underground Site Feeders Conduit Main Sw Amps Main Fuses Amps
'L.� e of Installation— Conduit Tubing B.X.L Metal Moulding
tor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga '•ns as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P'manent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contra•.rs 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• 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.
1.. &net
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑ DATF. 195
ELECTRICAL 11 PERMIT IN? 12895 Contractor's
PLUMBING ❑ License No
ROOFING ❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR OR BUILDER
Bl.
Subdi-
vision
Value of
Project $
Amt. of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed. BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and 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 assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
Permit No
1a /3
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 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.
Service Overhead Site Feeders 'I; / Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Owner's Name and Address....
Registered Architect and /or gin
Employing Electrician's Name
Location and Legal Description Lot 1 y r I �^ / / 6 Q Biock Subdivision
/ �f
Street and Number where work is to be performed —No d, 1 Street.../.. • e
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $
The undersigned applicant for this building permit does hereby certify that he understan2dnd accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
1 S
j
O
STATE OF FLORIDA,
COUNTY OF DADE. } ss. ! f-
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
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
Date s ✓ S Z
No Street
No Street
Notary Public, State of Florida
Electrical Inspector.
(Signed) 0-4` p":4
Master Electrician.
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. H EAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
nC
AID
^//
K%J �-I/
-- _
/
/ 0 6
I
`
h ,S
/
/ /y
-S
1
..i
-..--?)
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
O•i HP
M OTORS
1.6 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
CHECK
/ d C.)
d v
Permit No
1a /3
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 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.
Service Overhead Site Feeders 'I; / Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Owner's Name and Address....
Registered Architect and /or gin
Employing Electrician's Name
Location and Legal Description Lot 1 y r I �^ / / 6 Q Biock Subdivision
/ �f
Street and Number where work is to be performed —No d, 1 Street.../.. • e
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $
The undersigned applicant for this building permit does hereby certify that he understan2dnd accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
1 S
j
O
STATE OF FLORIDA,
COUNTY OF DADE. } ss. ! f-
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
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
Date s ✓ S Z
No Street
No Street
Notary Public, State of Florida
Electrical Inspector.
(Signed) 0-4` p":4
Master Electrician.
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.