251 NE 98 St (9)Permit No
3 7
Service Overhead
Underground Size Feeders
Amount of Permit
STATE OF FLORIDA,
COUNTY OF DADE. f
se.
MIAMI SHORES VILLAGE % /7(7,
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT q
Date ^ g lr.
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:rda,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation of the Building Dig ision
of Miami Shores Village shall be complied with, whether hercin specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address..
Registered Architect and /or Enginee6., 4-c:te6
�� m p� fl opng t r i 'pi 'me .6�� / P... /.. 'Y / 0 . PO.sa.C) 114,/ gt n and Legariip L ot s . y� f .�T /o ` •1L �9 Block
No Subdivision. / °O
Street and Number where work is to be performed —No c 1 !.. ....
State work to be performed and purpose of building (By Floors)
New Building Remodelin Addition Repairs No. of Stories
No ‘P // f Street F v
Conduit.. Main Sw Amps Main Fuses Amps
Type of Installation — Conduit Tubing.. ... B.X.L .Metal Moulding
(Signed) ce4.
Electrical Inspector.
The undersigned applicant -for this building permit does hereby certify that he understands an 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 sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed). flea .
Master Electrician.
Street ..V
Street
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
0
LIGHT
OUTLETS
PLUG
RECE'P'T's
FIXTURES
NO LAMPS
RtFR10.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. NEAT.
CONN.
SPACE
NEATER
STRIP
H
TOTAL
CN1CR
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
3 7
Service Overhead
Underground Size Feeders
Amount of Permit
STATE OF FLORIDA,
COUNTY OF DADE. f
se.
MIAMI SHORES VILLAGE % /7(7,
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT q
Date ^ g lr.
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:rda,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation of the Building Dig ision
of Miami Shores Village shall be complied with, whether hercin specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address..
Registered Architect and /or Enginee6., 4-c:te6
�� m p� fl opng t r i 'pi 'me .6�� / P... /.. 'Y / 0 . PO.sa.C) 114,/ gt n and Legariip L ot s . y� f .�T /o ` •1L �9 Block
No Subdivision. / °O
Street and Number where work is to be performed —No c 1 !.. ....
State work to be performed and purpose of building (By Floors)
New Building Remodelin Addition Repairs No. of Stories
No ‘P // f Street F v
Conduit.. Main Sw Amps Main Fuses Amps
Type of Installation — Conduit Tubing.. ... B.X.L .Metal Moulding
(Signed) ce4.
Electrical Inspector.
The undersigned applicant -for this building permit does hereby certify that he understands an 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 sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed). flea .
Master Electrician.
Street ..V
Street
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
775 7
Owner's Name and Address
STATE OF FLORIDA,
COUNTY OF DADE. Il ss.
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.
(Signed)
No. S
Date c
so
Street.
Y
Registered Architect and /or En ineer /
Employing Electrician's Name . No.�i7ig e Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground P
Type -If Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (Signed)
Electricdl Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed unde - is 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, a,;d 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. H EAT.
CONN.
SPACE
HE4. ER
STRIP
HEATER
TOTAL
CONTR
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
T Ci'P.
SERVICF
PERM.
MOTO ?:J r. - OTORS
0.1 HP 1.5 HP
2 I.��
J�
/ �
N E ^:
TRANC.
RADIO
TOTAL
V
-�~
CL R.
LIST
CHECK
4 /de P 5 —,1)
®'
Permit No
775 7
Owner's Name and Address
STATE OF FLORIDA,
COUNTY OF DADE. Il ss.
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.
(Signed)
No. S
Date c
so
Street.
Y
Registered Architect and /or En ineer /
Employing Electrician's Name . No.�i7ig e Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground P
Type -If Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (Signed)
Electricdl Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed unde - is 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, a,;d 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 1 ( /
MIAMI SHORES VILLAGE • • - o ,;
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.
Owner's Name and Address l J No
Registered Architect and /or Engineer
Employing Electrician's Name �..� :. a. % � � .... •Y.� +�� ._...L .(...No Street
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) �:i..Q...��°
New Building Remodeling Addition P�
Service d Size Feeders Conduit_..ry1 ::..,Main Sw
Type ;if Tubing B.X.L
Amount of Permit $
STATE OP FLORIDA, l
COUNTY OF DADE. j
es.
4
Block Subdivision
s
Street / �
/r�r, i /r D 1/ d
Amps Main Fuses Amps
Metal Moulding
(Signed).. ..�it.<••a
The undersigned applicant for this building permit does hereby certify that he understands and accepts
1
Street/%
r
Date
G
Repairs No. of Stories
(Signed)... ` ��'
Electrical Inspector.
obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fl ' 'da 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
therein by him stated are true.
sign the same, and that all facts
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
RETRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H
STRIP
HEATER
TOTAL
CONTR.
LIST
y '
L
`' '
d
; 6
,'j.
Y
f , .,,
I
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
t'
S. r-
C,..
MOTORS
O.1 HP
MOTORS
1•5, MP
i
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
j.t (t,
CHECK
Permit No 1 ( /
MIAMI SHORES VILLAGE • • - o ,;
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.
Owner's Name and Address l J No
Registered Architect and /or Engineer
Employing Electrician's Name �..� :. a. % � � .... •Y.� +�� ._...L .(...No Street
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) �:i..Q...��°
New Building Remodeling Addition P�
Service d Size Feeders Conduit_..ry1 ::..,Main Sw
Type ;if Tubing B.X.L
Amount of Permit $
STATE OP FLORIDA, l
COUNTY OF DADE. j
es.
4
Block Subdivision
s
Street / �
/r�r, i /r D 1/ d
Amps Main Fuses Amps
Metal Moulding
(Signed).. ..�it.<••a
The undersigned applicant for this building permit does hereby certify that he understands and accepts
1
Street/%
r
Date
G
Repairs No. of Stories
(Signed)... ` ��'
Electrical Inspector.
obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fl ' 'da 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
therein by him stated are true.
sign the same, and that all facts
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.
\ ��� o 1
-2,6.0EP y if 0 ) S A ci A/A — W H ,,,
i itc rc+-
o ioii/ip, _ 7'
fin° , ads-
r
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No.____I_ r _4__ T _ Date. _______!. �' —t i e t
Application is hereby made for the approval of the detailed statement o f 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_______
Amount of Permit $___,l st
ss.
Registered Architect and /or Engi eer
Employing Electrician's Name_ t _mss
Location and Legal Description Lot _________— _ _ _ Block .___Subdivision__
Street and Number where work is to be performed —No. l __ S L— Street 11f s 7 irmix
State work to be performed and purpose of building (By Floors)___
New Building_ _ Remodeling—___ —______Addition------ ___ -__ Repairs_
My Commission Expires
Service Overhead Size Feeders Conduit__ _________ Sw.
Underground
Type of Installation— Conduit_ Tubing B.X.L._ ___ Metal Moulding
No. 1_1'1 Street___, N f- 9 Q
__No _- 1.0 __Street___AL 1 i
Amps. Main Fuses
_No. of Stories
trical Inspector.
The undersigned applicant for this building permit does hereby certify that nderstands and accepts his ob ' .'e as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, • ed General Laws of Florida ' - nent 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 p osted 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 •
(Signed) _____
�� Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly a uthorized 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.
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
F IXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. H LAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
411119r‘vi
MOTORS
0.1 HP
MOTORS
1 -5 HP
NEON
TRANS.
.m....nT
RADIO
TOTAL
CONTR.
LIST
.r-
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No.____I_ r _4__ T _ Date. _______!. �' —t i e t
Application is hereby made for the approval of the detailed statement o f 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_______
Amount of Permit $___,l st
ss.
Registered Architect and /or Engi eer
Employing Electrician's Name_ t _mss
Location and Legal Description Lot _________— _ _ _ Block .___Subdivision__
Street and Number where work is to be performed —No. l __ S L— Street 11f s 7 irmix
State work to be performed and purpose of building (By Floors)___
New Building_ _ Remodeling—___ —______Addition------ ___ -__ Repairs_
My Commission Expires
Service Overhead Size Feeders Conduit__ _________ Sw.
Underground
Type of Installation— Conduit_ Tubing B.X.L._ ___ Metal Moulding
No. 1_1'1 Street___, N f- 9 Q
__No _- 1.0 __Street___AL 1 i
Amps. Main Fuses
_No. of Stories
trical Inspector.
The undersigned applicant for this building permit does hereby certify that nderstands and accepts his ob ' .'e as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, • ed General Laws of Florida ' - nent 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 p osted 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 •
(Signed) _____
�� Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly a uthorized 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.
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
0� L `
Permit No._ F`___ 9 � 7 Date. _- 1__- Q__-oS 7 _-Z I Q
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address____ ______ _._ , .___ No. Street__
Registered Architect and /or Engineer_ �) /� n_
Employing Electrician's Name__ __1V _ '� _ = �L -et., No._ 2- 0 Street_-_-_ _) �._ -_
Location and Legal Description Lot______________— _________ c2sr_ qq Block Subdivision_
, �
Street and Number where work is to be performed —No 6. Street_ .._ C. J_4_
State work to be performed and purpose of building (By Floors)
New Building - _.,_) Remodeling Addition Repairs No. of Stories_____.__._._
Amount of Permit $ j '
1 "
Servi Under a and Size Feeders *1 Conduit_ l 2/ Main Sw.__ Amps.
Type of Installation— Conduit__________
Moulding
( Signedtee_!- /l • ' - "-/
J Electricallnepector.
The undersigned applicant for this building permit does hereby certify tha e understands and accepts hi ligation as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, piled 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 p osted 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) ° 9:4 1�.
Main Fuses _. __. .Amps
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared_
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, 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
S
OUTLETS
PLUG
RECP
E''T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. H EAT.
CONN.
SPACE
HEATER
STRIP
HEATER
Fa, k
TOTAL
CONTR.
LIST
C I
/ (/
O
p� 9
/ k
/
/
/
/
3
J
CHECK
E NT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1.5 HP
N EON
TRANS.
RA DIO
TOTAL.
CONTR.
LIST
1
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
0� L `
Permit No._ F`___ 9 � 7 Date. _- 1__- Q__-oS 7 _-Z I Q
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address____ ______ _._ , .___ No. Street__
Registered Architect and /or Engineer_ �) /� n_
Employing Electrician's Name__ __1V _ '� _ = �L -et., No._ 2- 0 Street_-_-_ _) �._ -_
Location and Legal Description Lot______________— _________ c2sr_ qq Block Subdivision_
, �
Street and Number where work is to be performed —No 6. Street_ .._ C. J_4_
State work to be performed and purpose of building (By Floors)
New Building - _.,_) Remodeling Addition Repairs No. of Stories_____.__._._
Amount of Permit $ j '
1 "
Servi Under a and Size Feeders *1 Conduit_ l 2/ Main Sw.__ Amps.
Type of Installation— Conduit__________
Moulding
( Signedtee_!- /l • ' - "-/
J Electricallnepector.
The undersigned applicant for this building permit does hereby certify tha e understands and accepts hi ligation as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, piled 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 p osted 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) ° 9:4 1�.
Main Fuses _. __. .Amps
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared_
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
0
PERMIT
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE ! 19
Bl
N9 7757
Work to be performed under this Permit
Contractor's
License No.
a - 1
Subdi-
vision
Address of �a:. Value of 1 Amount of
Building / ' %/ - Project $ ( 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. 21 i....= -,� < SPECfOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ances avid regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
•
BY AUTHORITY
AFOOT algettiS
Date
State # fro 0000
WORK DESCRIPTION
Signature of owner an
FEES: PERMIT 3 ' RADON
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address ,4 „ / 21 G q Tax Folio / 1 — 3 P2 (/ tp r ( 3 - c/(7
Legal Description
Owner/Lessee / Tenant (iveLPA
Owner's Address o25/ 21E 7 0 4 '
Permit Type (circle one): BUILDIN ELECTRICAL
President Date
otary as to Owner and/or l,on r eslucn} s�.
1� ,, CLFPr�;i'1L rvJtaHY SEAL
My Commission Expires: z � i vpAA'INA p{ hihaVH
A .t r. i y ..�.enwrI $'di4 h1JMaEH
.ce rsi♦ 4utilmeootuui CAP
<<",„
Marl. i 1 44 , 4
Historically Designated: Yes No
Master Permit #
Phone
APPROVED:
Zoning Building Electrical 1.
Mechanical Pltunhing Engineering
Address aac Pa pr2hr 49
SS# . - - P hone 9 y S' / as- .
Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
LUMBING 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.
4 ✓dt�
Signature of Contract 'j r Owner- Builder Date
Notary as to Contra mar.'a ^'..., r -. •
My Commission Ex iree41Y P :3FFHCiAL NOT AN' 4c
e - SAaiNM M Psihot.t'
,,V } 4 CUMAiiiS31ON Nuwioc •
1't� " st� O dY C.iinnMia1 ..
OF f\ NIA el. 1, ;,.
C.C.F. NOTARY
WOri,
Date
TOTAL DUE 33S0