ELECTRICALDate Ti e
Type Insp'n
'°?`.
N..
:
AOP
Compa
Phone # / • •
Permit No
For Inspector:
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Name & Date
Pc Le e6,0
Correction
MIAMI SHORES VILLA
BUILDING DEPARTME
305- 795 -2204
Building Inspection Request
Date
Type Insp'n / ) .
Permit No. GI 04 - 7 J
Name (2-0.
Address px0Ck ► Cp S 1
Company Foot
Phone # / 42— ,2s 3 1
) .
Inspection Date 1
,, -.)7
Approved
Re-Insp'n Fee ❑
p"-c.7/2-
����G /x-
e A 2 (.° Z— /47•01)vf-
Permit No / Co ? T
Owner's Name and Address
STATE OF FLORIDA, }
COUNTY OF DADE. B°.
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 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.
Registered Architect and /or Engineer
Employing Electrician's Name No Street
Location and Legal Description Lot 2 0 Block 7 3 Subdivision
Street and Number where work is to be performed —No C 9 'Vr • Street 99
State work to be performed and purpose of building (By Floors) //f/4"/r4"1f
New Building Remodeling x Addition Repairs No. of Stories
Servic n ergroun ize Feeders Q Conduit 4 Main Sw
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (Signed)
(Signed)
No 2 G 9 Street Ali Q ��•
4'P
ps
/® — ®r 77
Date
Main Fuses
f4 /
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 Florid 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
RERRIO.
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
1.3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No / Co ? T
Owner's Name and Address
STATE OF FLORIDA, }
COUNTY OF DADE. B°.
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 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.
Registered Architect and /or Engineer
Employing Electrician's Name No Street
Location and Legal Description Lot 2 0 Block 7 3 Subdivision
Street and Number where work is to be performed —No C 9 'Vr • Street 99
State work to be performed and purpose of building (By Floors) //f/4"/r4"1f
New Building Remodeling x Addition Repairs No. of Stories
Servic n ergroun ize Feeders Q Conduit 4 Main Sw
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (Signed)
(Signed)
No 2 G 9 Street Ali Q ��•
4'P
ps
/® — ®r 77
Date
Main Fuses
f4 /
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 Florid 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
bQ
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Service Overhead Size Feeders f ` � Conduit./ Main Sw (0 V
Underground
Amount of Permit $
BS.
Date ( D — '
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.
\� Owners Name and Address No G I S �' • 2 7
Q q Q Rftis ed Architect and /or Engineer /��� �� /�
- )mPlaying Electrician's Name...`. a :.: {!f...�;1�4 . F... No 1 .�.�..:2. L!!.., Streets 7 J...4.... 3Pir iG
L6(s' ,lion and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 2_ 6 ? Street l 7 1 . f f
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amps Main Fuses Amps
Type of „Installation- Conduit Tubing B.X.L Metal Moulding n
l`�it'e stn G 1' _ • + �..rt ��u ,/�.�taw.R..I f
(Signed) et- ° -
Electricsr
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 Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-co • ors 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 ork such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub•contractora, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)... .. • 9/ -Q
Muter Electrician.
STATE OF FLORIDA, l
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of 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
REIRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
H (A TER
STRIP
HEATER
TOTAL
C L STR•
2_
•t
`
G.
—/
CHECK
ENT.
SW.
DIST. SERVICE
CAS. TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1. S HP
NEON
TRANS.
RADIO
TOTAL
CONT
! 0
/6cam.. /O O
CHECK
bQ
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Service Overhead Size Feeders f ` � Conduit./ Main Sw (0 V
Underground
Amount of Permit $
BS.
Date ( D — '
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.
\� Owners Name and Address No G I S �' • 2 7
Q q Q Rftis ed Architect and /or Engineer /��� �� /�
- )mPlaying Electrician's Name...`. a :.: {!f...�;1�4 . F... No 1 .�.�..:2. L!!.., Streets 7 J...4.... 3Pir iG
L6(s' ,lion and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 2_ 6 ? Street l 7 1 . f f
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amps Main Fuses Amps
Type of „Installation- Conduit Tubing B.X.L Metal Moulding n
l`�it'e stn G 1' _ • + �..rt ��u ,/�.�taw.R..I f
(Signed) et- ° -
Electricsr
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 Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-co • ors 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 ork such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub•contractora, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)... .. • 9/ -Q
Muter Electrician.
STATE OF FLORIDA, l
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of 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 Date e', l {EI
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. A
Owner's Name and Address __ '4> _s ` '
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Amount of Permit $
My Commission Expires
e
No
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
(Signed)
No.
ICY -7e
(Signed) , - - - -_–
Street
Service Overhead Size Feeders Conduit Main Sw.____— Amps.
Underground
Street_
Street
Subdivision
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public. State of Florida
No. of Stories
Main Fuses Amps.
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. 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, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'8
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
1 1
t
V'
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1-5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit Date e', l {EI
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. A
Owner's Name and Address __ '4> _s ` '
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Amount of Permit $
My Commission Expires
e
No
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
(Signed)
No.
ICY -7e
(Signed) , - - - -_–
Street
Service Overhead Size Feeders Conduit Main Sw.____— Amps.
Underground
Street_
Street
Subdivision
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public. State of Florida
No. of Stories
Main Fuses Amps.
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. 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, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Installation of FPL Co. Owned Direct Buried Underground Service
Lateral
REF 724-kelo77e T
■286 NE 99 sr
Dear Sir:
We are pleased to advise you that an underground electric
service lateral for your existing /mod
2E5 /6EAZE , Lot .-1J , Block ?3
N0/4M1 Shi-oeES 4 / /3»/VI!/ io -7D Sub.,
known /to be known as . ..26 F NL 9 9 £7
will be provided from our distribution facilities as indicated on the
service location sketch to the right.
The total differential cost to you. for the installation of this
service lateral is $ 9/• oL7
Please arrange for installation of meter socket and conduit as
detailed on reverse side of this letter.
Complete Service Lateral Easement below and return original
copy of this letter along with your check to address shown below
. at least 3D days before service is required. Retain duplicate copy
of this letter for your records.
Yours very truly,
SERVICE LATERAL EASEMENT I
FLORIDA POWER & LIGHT COMPANY
P. O. Box /9.00 ,
, Fla. 33/0/
ZIP CODE
Phone 37' S 33,3 Ext 2 r3
Jt/oo4�
c dge.../.2 C � ' 'y R THE M ANAGER
SEE OTHER SIDE FOR WORK BY CUSTOMER REQUIRED TO
ACCOMMODATE FPL CO. DIRECT BURIED SERVICE LATERAL.
(
SEC rioN
1
TOWNSIIIP
RANGE - .S
yg,
DATE
C-070
.4
OWNER
I
SERVICE LATERAL EASEMENT
!
NE 99 ST
.i-
!
r11 ; J 1 j
i; i E I I -! I I -0
! 1' L � I -' i 1, 11 j II,Ii1 ft,
! _ 1 I
I 1 . ? t t j..i t 1 i 1 ..I j I i I.! i •
T
1411_ I 1.1,1 f!II
T
I I
. _. 1 I 1 1
_ 1
r � 1 I ' � 1
1 1 1..,
/ I fff !
�
l i
t I � I l 1 f, .1 t,, , ! I t.;
i !! i,I t,
. t 1 1, i I i 1'! '
! ,. I, 11 , i,1
UNDERGROUND SERVICE LATERAL EASEMENT
The above meets with my /our approval and I /we hereby grant an easement for the installation,
maintenance and operation of this electric service lateral.
Signatures:
OWNER � // , /
DATE
DATE
INDICATE NORTH
FORM 181 REV. 12/71
WORK BY CUSTOMER REQUIRED TO
ACCOMMODATE FPL CO. DIRECT
BURIED SERVICE LATERAL. '
Motor Socket
Service Ground Installed By Customer
CUSTOMERS CONDUIT.
2" Rigid Galvanized for Customer's
200 Amp Service and Less.
Above 200 Amp, Request Instruction,
from FPL
45 MAXIMUM BEND
(Smooth bend to clear footing. Where
bend exceeds 45 ° , 242" Conduit Is required.)
Non Metallic Bushing
PREFERRED METHOD
Grounding
Bushing
116 SDB -CU
Locknut
CMU or CHU Meter Socket with Triple Ground
Lug furnished by FPL Co. Installed by Customer.
Strap to Wall
Note 2
6' Max.
5' Min.
18"
11
L-24"
Patio, Porch,
Pool, Etc.
Customer's
21/2" Rigid
Galvanized
Conduit
TYPICAL PLAN ALTERNATE METHOD
24" Min
Patio, Etc.
21/2" Rigid
Galvanized Conduit
Customer's Conduit
��Noa- Metallic
Bushing
Service ground installed
by customer
ALTERNATE METHOD (See Note 1)
6' Max
5' Min
90 elbow
Note 1: Customers Conduit must extend at least 24" beyond any permanent structure such as Patio, Porch, Carport,
Swimming Pool, Etc., (measured at a right angle to the structure). 2Y2" Conduit required when 90° Elbow is used.
Note 2: To install, use mounting bosses so as to prevent warping of meter enclosure.
�Csyl�:�a I%
o. E 111 -
?4.3 '- ""Z) o,c_
eon At ea_ ®st 17
d
EX Sii J(, Ioo4mp �ANEL.
f boo Ara tO&14.44 , (1)oF e v L
0
tAv
�ra da e
4 _2m 477 / 1e 7 r • ('art
Permit No._� 6
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
4-•
APPLICATION 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 he ei specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
5 :a..)......40
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Service Overhead Size Feeders Conduit
Underground
Type of Installation— Conduit Tubing
Amount of Permit $
ss.
My Commission Expires
Street and Number where work is to be performed —No .E-, d.
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
appeared
to me well known, and who, being by me first duly sworn, upon oath
of the above described construction, that he has carefully read the
therein by him stated are true.
Block
No
1
State work to be performed and purpose of building (By Floors) _
New Building — Remodeling Addition Repairs
Stre i
No. Street
Subdivision__ —____
.Street ______ - - - - - - �= -- -- ______
- ---- - - - -- --
Main Sw Amps. Main Fuses Amps.
B.X.L. Metal Moulding
(Signed)
No. of Stories
Electrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
(Signed)
Master Electrican.
authorized to administer oaths and take acknowledgments, personally
deposes and says that he is the
foregoing application, and that he did sign the same, and that all facts
Notary Public. State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P
FIXTURES
NO. PS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
L
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -4 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No._� 6
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
4-•
APPLICATION 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 he ei specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
5 :a..)......40
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Service Overhead Size Feeders Conduit
Underground
Type of Installation— Conduit Tubing
Amount of Permit $
ss.
My Commission Expires
Street and Number where work is to be performed —No .E-, d.
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
appeared
to me well known, and who, being by me first duly sworn, upon oath
of the above described construction, that he has carefully read the
therein by him stated are true.
Block
No
1
State work to be performed and purpose of building (By Floors) _
New Building — Remodeling Addition Repairs
Stre i
No. Street
Subdivision__ —____
.Street ______ - - - - - - �= -- -- ______
- ---- - - - -- --
Main Sw Amps. Main Fuses Amps.
B.X.L. Metal Moulding
(Signed)
No. of Stories
Electrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
(Signed)
Master Electrican.
authorized to administer oaths and take acknowledgments, personally
deposes and says that he is the
foregoing application, and that he did sign the same, and that all facts
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
MIAMI SHORES VILLAGE, FLORIDA
DATE " 1944_
Contractor's
License No. `
PERMIT N9 2536
Work to be performed under this Permi
Architect
Contractor % 1 '
or Builder j
Legal Lot ;, / - Bl. Su ton
Description - +
Address of l Value of Amt. of
w
r Proj Permit L.4.
Building
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:- ., % 1 1 4. i.aeS,,,,, 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 regula-
tions 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.
CONTRACTOR OR BUILDER BY
FLOORS
FIXTURE
NUMBEROOFY
Total
Outlets
SIZE OF
Size Service
Conduit
No.
Circuits
Lights
Ceiling
Brackets
Mains
Subs
Branches
asement_
irst
:cond
hind
ourth
Form 246
F
S
T
LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICA-
TION WILL BE RETURNED
Lot Number Block N ber 0,3 • Subdivision , �" t' -' e
Street and Numb (
Owner y ' �. Occupant
Occupied as /`t /1„,"<
Building —New or Old (underline which).
H. P. of each motor Volts Total Amps Phase
By
Lights
Kind of Installation Open or Concealed
REMARKS
Ceiling
Received by Inspector
Brackets
Progress
Will Inspect again
Rough Wiring
FINAL " No
/
Corrected
Temporary _Days
Date Issued
Electrical Department of the Ci
Desiring your Certificate of Approval, applicat n is hereby made
for an inspection of the electric installation in the premises stated be-
low, for which undersigned agrees to correct any infractions of the
National Electrical Code and the City Ordinance pointed out by Inspector.
Receptacles
SPACE BELOW FOR INSPECTOR'S USE ONLY
.3 G
Remarks
Fee remitted / 1
APPLICATION
Switches
J Stoves
( ;
spection Wanted
Inspected
SAT
Work— Additional, New, Alteration or Repair.
SPECIFICATIONS �-
Water Heaters
3'- %v
Side
Signs
9 1r}
193
of Miami
Other Apparatus
Knob, RX., BX., Mldg. Conduit
Inspector
R
4
NOTE
C
7 6. ,3/c C,) (iz LI R E
ro / ,z
3) c P ro v-, 1/ I
if) / re /./-S /-2/ e/.1
oiv Scu-rti E .5 7 qUf:-`,b \ A j C2 / 1--- C
P 4 re) /2 6 S-'".9 . S VC
C)
/CC 7)
asement Req Yes 2,{ No 0 Survey/Stakes Regd. Yes 0 NojE
✓ ee Work Req Yes El Nog Permission n Req Yes 0 No.0
.f" City ' County Rd.
FDC 1 RR Xing
' LE LINE FEET
'LE LINE FT. ON
:ANSM. POLES
000v
K.V
BURIED
SUBMARINE
I5KV
I5KV
- rp Posting Req'd. Yes 1-1 No i>1 Posted tri
OTHER 500V I5KV
6,c 7 L /: .1
ALLEY
.2"7
e—C
County Air Se Rd. FAA
Dr. Dist. Transm.
equest Tel. Co. Set Poles Yesp NeLD Tel. Attachment Per
Q equest Tel. Co. Tronsfer Yes No
TRENCH r T.
DUCT
BANK FT.
K
K V
1 - 7■17 9 ? ST
NEUTRAL
CABLE FEET
R/0
••■■•••■•■■•
C , /5'
r;\
f
\\'‘)
, 4 +
- -
%. • x—
Engineer ;,./ (2) I //
)
BY CHECKED By
FLORIDA POViER & LIGHT COMPANY
Date
Dwg. No.
INDICATE NORTH
Rural Location Sec. TWP. S, R.
-
Tp;x.
-1; •
epti C'tJD
SEC7
— 1;
F I_ L.L C:a"
fl { - :
Ty/o/ ik .1
/AJ C
IA
5C. Ti /
- 1//, , 5 1 27/1
C L-• Acr ) tc_c-
- To 7 4-)ES //3 z •
5• 9 (.7
)1//,
Scale: St. Lt. Map No. IPEL Map No.
Rvio,116 No. _8P ER No.
FORM 1451 Lv, IS.r,n
r
JOB:
BUILDING
ELECTRICAL
PLUMBING
•
.
•
•
•
•
•
Inspector's Report:
•
•
•
: WORK
: DONE BY:
•
: REQUESTED
•
•
•
The following is ready for Inspection:
•
•
•
: WILL BE READY
•
•
•
r� 2
fr
Date
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
$7,171 Job Address , V Jig n? 9 "`-'✓ ' Tax Folio / , � / s gi 0 0/3 1- 70
Legal Description
Owner's Address
Contracting Co.
Qualifier () ICl/ a \464c5 50_ o1 rt,LO
State �V ` Qutp #
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING
WORK DESCRIPTION
esident Date
Signature of owner and/or Con
/ / /�...._
otary as to Owner and/or Condo President Date
My Co micainn Expires:
RICHARD A. HALES
My Comm Exp. 1/1/2002
/ No. CC 705843
rhrsonaiN Known I 1 Other I.D.
APPROVED:
Zoning
Mechanical
Historically Designated: Yes
/ Tenant ` ? /,C}A2A- /.W. K 1)i //( .1g Master Permit #
i T t
FEES: PERMIT X 38, 02
1
Address
Competency #
Address
Address
Phone .3�.s' '5"
1 Ca nt �a
SS# s hone 6 — 777d
Address
Ins. Co.
No
L PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Square Ft. Estimated Cost (value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Building
Si e of Contractor or • wner- Builder
-
Notary as to Contractor or Owner - Builder 4 Date
My Commission Expires:
C.C.F. • 60 0 NOTARY
OFFICIAL NOTARY SEAL
CATHERINE E HARDY
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC7SS188
MY COMMISSION EXP. OCT_ 26;4O2
TOTAL DUE
Electrical „6" 77,4 p F•
Plumbing Engineering