304 NE 99 St (16)MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 0 '9 &5 e
Date
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. ff .I/ �
Owner's Name and Address. . I.!rf�R /4. N0.30 c , / A Street 95 Sr:
Registered Architect and /or Engineer.
E `` Electricia Name... E E 7
gto i
4 s' ca n rfdlegaal canticle Lot. ...J / 041
Street and Number where work is to be performed—No 30 «. 4/6.
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
No yd0 Sc�/
Repairs
Block 1 7 1 / Subdivision..
is8 Pa
/5y
Street / cc'' 0 /,!'!f .s 175
99 sr: Street
.Se4eAe42-4 2.9 40-t
No. of Stories
Service Overhead
Conduit Main Sw Amps Main Fuses Amps
Type of Installation -- Conduct Tubing... ... B.X.L.. Metal Moulding
Underground Site Feeders
Amount of Permit 0®
Electrical Inspector.
The undersigned applicant for this building permit dots hereby certify that he understands and accepts his obligations u an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OP FLORIDA, 1
COUNTY OP DADS. Il
a{.
(Signed )Ol! ✓.
(Signed)..
V\/
• Muter Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all face
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
PLUO
RECE'P'T'S
FIXTURES
No LAM •S
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
11
W. HEAT.
CONN.
SPACE
HEATER
STRIP
H
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIET.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
1 P
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 0 '9 &5 e
Date
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. ff .I/ �
Owner's Name and Address. . I.!rf�R /4. N0.30 c , / A Street 95 Sr:
Registered Architect and /or Engineer.
E `` Electricia Name... E E 7
gto i
4 s' ca n rfdlegaal canticle Lot. ...J / 041
Street and Number where work is to be performed—No 30 «. 4/6.
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
No yd0 Sc�/
Repairs
Block 1 7 1 / Subdivision..
is8 Pa
/5y
Street / cc'' 0 /,!'!f .s 175
99 sr: Street
.Se4eAe42-4 2.9 40-t
No. of Stories
Service Overhead
Conduit Main Sw Amps Main Fuses Amps
Type of Installation -- Conduct Tubing... ... B.X.L.. Metal Moulding
Underground Site Feeders
Amount of Permit 0®
Electrical Inspector.
The undersigned applicant for this building permit dots hereby certify that he understands and accepts his obligations u an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OP FLORIDA, 1
COUNTY OP DADS. Il
a{.
(Signed )Ol! ✓.
(Signed)..
V\/
• Muter Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all face
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.
Owner's Name and Address a e: 1V
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot a e ti ' ✓ / Block
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING 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 the work.
Ho �y
t6 Re 7t2 4
Subdivision
Street and Number where work is to be done 3 ® ci /U e /
State work to be done and purpose of building (by floors), state exterior colors (submit samples) j�/C l./4" 7'
372 7DN CLrL, 11 p t-f
/0 is la/ /7/5711
New Building Remodeling
STATE OF FLORIDA
COUNTY OF DADE.
J ss
Permit No.
Disapproved
Addition
Date
Read, Sworn to and Subscribed before me.
Date I /Z 19 - Sr
No. y Street efei
Repairs No of Stories
Notary Public, State of Florida
•
and for no other purpose.
To be constructed of Kind of foundation Rogf Covering
— op
p j y
Estimated T S otal cost of improvements S 0 Amount of Permit 3 /V I
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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 subcontractors, on work to be performed
under this permit, as are licensed by Miami Shores Village.
(Signed) Ole
Remarks
C q 55.576
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 foregoingppplication, and that he did sign the same, and that all facts therein by him stated are true.
Date 10
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of 525.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re- inspection fee of 825.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.
lv0°