310 NE 98 St (6)Date / / / 3 1 457-3 Job Address 3/42 96 Tax Folio 1/ iGU‘ � 1 /
Legal Description Ali
/ Lessee / Tenant �� )rte - - ) /Voo/ee Master Permit # 55-°71.--
Owner's Address
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
c3ro /t/ e 7I /2/'. �,b 2
Contracting Co. tee e- Address ° 33 Z-e / '"
Qualifier ,&4) h zD SS4t _ _ < Phone `r �o� ✓��
State it €/e f" # 6° - ?° 1 7 0 )g , Competency 4t ' 9( 6 Ins.Co. /C-e-d S �r�
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION &l 7 ' ri''e
Signature of owner and /or Condo President
Date: Date:
Notary as to Owner and /or Condo President
My Commission Expires:
* * *
P-7v4) - �-
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,
* * *
Zoning Building
Signature
i f7:.
Contractor or Owner- Builder
rictDtr.o ?a11101W$; , 1}
EXPIRES: May 28, 1996
�6�dsd 7hru Notary Publle Undervrdterr
Nary as t
My Commissi
*
FEES: PERMIT 10,00 RADON C.C.F. ,6 NOTARY
APPROVED: Fire Other
Phone q/ ?-- `''�7/7
e anical Plumbing Engineerin&
er
* * *
TOTAL DUE 5e ..
Electrical
* *
Permit No
Location and Legal Description Lot // Block
�i -f� Subdivision
Street and Number where work is to be performed—No ...l. D... ......l...C! s / " Street
State work to be performed and purpose of building (By Floors). r b G f4T E S V 1 C uJ
New Building Remodeling Addition Repairs No. of Stories
(ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plane and specifications herewith ubmitted 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 / 1 ` M b 6
Registered Architect and /or Engineer
Employing Electrician's Name° E L'4 WD E J- E C ) C' No 3 JY II 0 Street
I ..M I SHORES VILLAGE
(Signed)
No d /t) .N F
Amount of Permit $...'tb✓!.(/ (Signed)... 1).014 1 .IVt
6- •
Street
S
Servi Overhead UndergB5310 Site Feeders �u Conduit Main Sw.....s b a Amps Main Fuses Amps
//
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 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-contrac rs, on work to be performed under this permit, as are
licensed by Miami Shores Village.
ter Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE. os.
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 Eupirea Notary Public, State of Florida
NOTE: A re-inspection fee of 81.00 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
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECc
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•5 MP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
�I y� Pr
/ �7
CHaCR
Permit No
Location and Legal Description Lot // Block
�i -f� Subdivision
Street and Number where work is to be performed—No ...l. D... ......l...C! s / " Street
State work to be performed and purpose of building (By Floors). r b G f4T E S V 1 C uJ
New Building Remodeling Addition Repairs No. of Stories
(ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plane and specifications herewith ubmitted 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 / 1 ` M b 6
Registered Architect and /or Engineer
Employing Electrician's Name° E L'4 WD E J- E C ) C' No 3 JY II 0 Street
I ..M I SHORES VILLAGE
(Signed)
No d /t) .N F
Amount of Permit $...'tb✓!.(/ (Signed)... 1).014 1 .IVt
6- •
Street
S
Servi Overhead UndergB5310 Site Feeders �u Conduit Main Sw.....s b a Amps Main Fuses Amps
//
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 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-contrac rs, on work to be performed under this permit, as are
licensed by Miami Shores Village.
ter Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE. os.
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 Eupirea Notary Public, State of Florida
NOTE: A re-inspection fee of 81.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
epe
MIAMI SHORES VIILLAGE
[ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No // Date /I).
/ {
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, Fiv: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 '' 1 °k ®ogr No ' Q AE.. . le a– Street
Registered Architect and /or Engineer .�7f��°d / p � / �// p(�
Employing Electricia6's Name..... kW... ;X`�. 6: ./.C' 7 . / /�.�'.....��e.allo.l '3a 5 �� l'�C > Street / / 7 e
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
Amount of Permit $ (Signed)
(Signed)
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
ectrical Inspe r.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obJi(ations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida ermanent 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.
r Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. 06 '
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 facto
therein by him stated are true.
My Commission Eupirea 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'8
FIXTURES
NO. LAMPS
RERRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. NEAT.
CONN.
SPACE
NEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
3....1 0
a. S0
ENT.
Sw.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
iiik.
iJ A�'
MOTORS
0.1 HP
MOTORS
•8 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
- . c a
..
epe
MIAMI SHORES VIILLAGE
[ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No // Date /I).
/ {
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, Fiv: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 '' 1 °k ®ogr No ' Q AE.. . le a– Street
Registered Architect and /or Engineer .�7f��°d / p � / �// p(�
Employing Electricia6's Name..... kW... ;X`�. 6: ./.C' 7 . / /�.�'.....��e.allo.l '3a 5 �� l'�C > Street / / 7 e
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
Amount of Permit $ (Signed)
(Signed)
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
ectrical Inspe r.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obJi(ations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida ermanent 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.
r Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. 06 '
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 facto
therein by him stated are true.
My Commission Eupirea 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, FLA.
N? 6126
•
JOB
ADDRESS gl it ) - 9
INSPECTION n v ai ,mac =c -A? . CC _
TIME READY
REMARKS:
INSPECTORS DATE
BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N? 5512
Owner of
Building d +- ' " r;
Architect
Contractor
or Builder
Legal Lot
Description Bi.
Work to be performed under this Permit
Subdi-
vision
DATE
Contractor's
License No.
Address of 1 Value of
Building r, Project $
This permit is granted to the contractor or builder named above to construct the building or i:o 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 cmd that he assumes responsibility for work
done by his agents, servants or employees. ,,,,',/
195
Amount of
Permit $
Signed Y J I3Y•
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 ac-
,epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY AUTHORITY
MI AMI SHORES VILLAGE, FLA.
JOB ,t *;. ? T
ADDRESS ZI m R.) -
REMARKS:
N? 6126
INSPECTION { v c
TIME READY
INSPECTOR DATE
MIAMI SHOES VILLAGE, FLA.
_ r
JOB
ADDRESS <-
G
ES C/
INSPECTION 7e NI L C_E C-7l
TIME READY 14-"1 - IC `K Z
REMARKS:
N:' 6248
INSPECTOR DATE ( ' " l
r�te--••
V ,L NTR.
L
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T's
3
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
p
W. HEAT.
CONN.
PACE
H TF
/
STRIP
HEATER
..
TOTAL
a
v
•
—.Q —
LIST
ENT.
SW.
DIET.
CAa.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CHECK
Permit No
sr/ 2-
Amount of Permit $ 2 °7
My Commission Expires
- IAMI1 SHORES VILLA E
ELECTRICAL INS'sP li:CTION DEPARTMENT
AP LlC Ti • N FD ELECTRICAL PE UT
7
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 Fuilding Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must 'e kept at
building during progress of work.
Owner's Name and Address �.� No G Street..o
Registered Architect and /or Engine �,ry
Employing Electrician's Name... A��`J ..i'i .._...._.._.��,7.�... Street .77 .. R
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 ( Floors)
New Building Remodeling Addition.. 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
(Signed) t)
Electrical j Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and cepts his obligations as an efitployer 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.
Notary Public, State of Florida
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE. ss'
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re•insp.:ction 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 3-5-(
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PPLICATION 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
Cr
Registered Architect and /or Engineer �y q ¢ f
Employing Electrician's Name.... it 7' 0 fi /e No ,�.�.. Street i `'' / MS
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 3 / Street
New Building Remodeling Addition
No
3 la
Date
Street
1/6 7
State work to be performed and purpose of building (By Floors)
-- Repairs No. of Stories
p Service Overhead Size Feeders Conduit Main Sw Am Amps
s Main Fuses Am
2• �) Underground P P
2 Type of Installation — Conduit )C Tubing ) B.X.L Metal Moulding
Amount of Permit $
STATE OF FLORIDA, ,)
COUNTY OF DADE. I
58.
(Signed)
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts )1 obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of F16 da Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or su ntractors 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 a 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.
0
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
REFRIO.
OUTLET
IRON
OUTLET
RANGE.
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
UST
0 s/0
CHECK
■ ts
.a.
Permit No 3-5-(
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PPLICATION 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
Cr
Registered Architect and /or Engineer �y q ¢ f
Employing Electrician's Name.... it 7' 0 fi /e No ,�.�.. Street i `'' / MS
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 3 / Street
New Building Remodeling Addition
No
3 la
Date
Street
1/6 7
State work to be performed and purpose of building (By Floors)
-- Repairs No. of Stories
p Service Overhead Size Feeders Conduit Main Sw Am Amps
s Main Fuses Am
2• �) Underground P P
2 Type of Installation — Conduit )C Tubing ) B.X.L Metal Moulding
Amount of Permit $
STATE OF FLORIDA, ,)
COUNTY OF DADE. I
58.
(Signed)
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts )1 obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of F16 da Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or su ntractors 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 a 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.
0
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.
615-
Permit No
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.
Owner's Name and Address No 0 O Street 1414
Registered Architect and /or Engineer' f
Employing Electrician's Name ... 'No../ 96 4 . JL . Street
Location and Legal Description Lot Block: Su ivision
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
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
Electrica Inspe ,•r.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his igations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flor'� . ' , 'ermanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-co actors 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 OF FLORIDA, l
COUNTY OF DADE. I
A
8S.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PLICATION FOR ELECTRICAL PERMIT
(Signed)
(Signed) NI SI
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
REPRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
H TER
STRIP
HEATER
TOTAL
CONTR.
LIST
a
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
li
) p 1
CHECK
615-
Permit No
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.
Owner's Name and Address No 0 O Street 1414
Registered Architect and /or Engineer' f
Employing Electrician's Name ... 'No../ 96 4 . JL . Street
Location and Legal Description Lot Block: Su ivision
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
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
Electrica Inspe ,•r.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his igations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flor'� . ' , 'ermanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-co actors 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 OF FLORIDA, l
COUNTY OF DADE. I
A
8S.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PLICATION FOR ELECTRICAL PERMIT
(Signed)
(Signed) NI SI
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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE 195
Contractor's
License No
p PERMIT 11T° 3497
0
Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot
Description — B1
Address of 3 /1) /(6- 94 4 /;�
Building �°
CONTRACTOR OR BUILDER
Subdi-
vision
Value of
Project $
Amount of
Permit $
This permit is granted to the contractor or builder named above to construc 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 cr 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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
Permit No 216'?
Amount of Permit $
STATE OF FLORIDA, l
COUNTY OF DADE. I
SS.
MIAMI SHORES VILLAGE "1/
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. /
Owner's Name and Address (
Registered Architect and /or Enginee
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No /1.) y►
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
No Street
Date
Street. '
Subdivision
v Street
Repairs No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of :Installation— Conduit Tubing B.X.L Metal Moulding
(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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)... �r
4
.
Master Electncfane
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
OUTL
�f�
LIGHT
OUTLETS
— 6
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
CHECK
'
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
RM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
(� ��
,Nl�-
,I�
12. V-0
�
�1 ^
.- / ,
" V
Z
CHECK
Permit No 216'?
Amount of Permit $
STATE OF FLORIDA, l
COUNTY OF DADE. I
SS.
MIAMI SHORES VILLAGE "1/
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. /
Owner's Name and Address (
Registered Architect and /or Enginee
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No /1.) y►
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
No Street
Date
Street. '
Subdivision
v Street
Repairs No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of :Installation— Conduit Tubing B.X.L Metal Moulding
(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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)... �r
4
.
Master Electncfane
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.__l✓, Date_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submj tC ed for the'buildingor other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of4liami 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 pivision
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be 1(pt at
building during progress of work.
Owner's Name and Address
Amount of Permit $_
Registered Architect and /or Engineer
Employing Electrician's Name ` ___n 6 No
APPLICATION FOR ELECTRICAL PERMIT
GE
.7
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
y ter_ No.
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Street r!
o �:L
Street___ c
Notary Public. State of Florida
—
Location and Legal Description Lot Block Subdivision _ __________ --
Street and Number where work is to be performed —No
Repairs No. of Stories
Overhead e.
Service Underground Size Feeders Conduit_____________ Main Sw.___.. Amps. ` Main Fuses Amps.
Type of Installation— Conduit Tubing B.X.L ..__Metal Moulding
4 - --N a
(Signed) _____, — - L__1___. -_ ,'' =— - -
'Electrical Spector.
The undersigned applicant for this building permit does hereby certify that h inderstands 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.
- ` ,+� f/
(Signed) + - t' -:ef.
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
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' WT S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
'
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
IST
LIST
CHECK
—
4
Permit No.__l✓, Date_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submj tC ed for the'buildingor other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of4liami 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 pivision
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be 1(pt at
building during progress of work.
Owner's Name and Address
Amount of Permit $_
Registered Architect and /or Engineer
Employing Electrician's Name ` ___n 6 No
APPLICATION FOR ELECTRICAL PERMIT
GE
.7
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
y ter_ No.
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Street r!
o �:L
Street___ c
Notary Public. State of Florida
—
Location and Legal Description Lot Block Subdivision _ __________ --
Street and Number where work is to be performed —No
Repairs No. of Stories
Overhead e.
Service Underground Size Feeders Conduit_____________ Main Sw.___.. Amps. ` Main Fuses Amps.
Type of Installation— Conduit Tubing B.X.L ..__Metal Moulding
4 - --N a
(Signed) _____, — - L__1___. -_ ,'' =— - -
'Electrical Spector.
The undersigned applicant for this building permit does hereby certify that h inderstands 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.
- ` ,+� f/
(Signed) + - t' -:ef.
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
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.
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othe>
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 cpfii lied w} , whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. ' 1 ,
� lj !21 / 7 j !� / 1111 �� Street
Owners Name and Address .,�� No. q tr___
f o
Registered Architect and /or Engineer _________y..,._��
Employing Electrician's Name � �� ^' _ " ✓�� � �, _ No D I , �__�_______
l Street l C �
Subdivision_
Location and Legal Description Lot li °_ ` / ll__ �11� Block fir`
Street and Number where work is to be performed —No ,__ �� � ) 0 ,'. y_ ___. Street____-_!___
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
9 "7 - '
Overhead
Service i le g d Size Feeders__
r r Conduit___ Main Sw.___� Amps. Main Fuses 4; - Amps.
Type of Installation— Conduit Tubing ____X B.X.L Metal Moulding
Amount of Permit $
ss.
(Signed)
Date__ /�d
' :yy
No. of Stories
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.
(Signed) air' — -- -� _! L-00"
Master Electrican.
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, 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.
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
OU�TLLJE
LIGHT
PLUG
RECE'P'T''S
FIXTURES
NO.LAMPS
REFRIG.
OUTTLLLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
C L ST
/TTS�
V (/
/ OUTLETS
L 1'i'
//
//•
/
r �
//
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
/ /
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
��
.//
/ /
l ��
it
CHECK
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othe>
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 cpfii lied w} , whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. ' 1 ,
� lj !21 / 7 j !� / 1111 �� Street
Owners Name and Address .,�� No. q tr___
f o
Registered Architect and /or Engineer _________y..,._��
Employing Electrician's Name � �� ^' _ " ✓�� � �, _ No D I , �__�_______
l Street l C �
Subdivision_
Location and Legal Description Lot li °_ ` / ll__ �11� Block fir`
Street and Number where work is to be performed —No ,__ �� � ) 0 ,'. y_ ___. Street____-_!___
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
9 "7 - '
Overhead
Service i le g d Size Feeders__
r r Conduit___ Main Sw.___� Amps. Main Fuses 4; - Amps.
Type of Installation— Conduit Tubing ____X B.X.L Metal Moulding
Amount of Permit $
ss.
(Signed)
Date__ /�d
' :yy
No. of Stories
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.
(Signed) air' — -- -� _! L-00"
Master Electrican.
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, 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.
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
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
PERMIT
No.
THIS CERTIFIES THAT the wiring and apparatus installed at
by Address
for owner, and occupied as
has been inspected and current is authorized to be turned on, until otherwise notified, for:
Size of Service Number of Lighting Circuits
Range watts. Water Heater , , watts
Power: Connected load H P. Space Heaters watts
Other Apparatus
ELECTRICAL INSPECTOR.
Permit No.
Registered Architect and /or Engineer
Ernploying Electrician's Name 2
Location and Legal Description Lot
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VI LLAG E
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 Sta ;e 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.
�, � s , r, A' 4 " / , l / U ` i9
Owner's Name and Address ___.___ __ T _ � r– %� /�
G' No L Street – . - r-
•
No.
__Block Subdivision_____ ° t
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
Overhead
Service Uadez�rd Size Feeders ✓ ____ Conduit_____ Main Sw._.._1' Amps. _________ Main Fuses Amps.
Type of Installation— Conduit Tubing____ B.X.L. ..___ Metal Moulding
(Signed)
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.
(Signed)
Date_
jJ -
Street / -<
No. of Stories
7/ Electrical Inspector.
Master Electrican.
w
r .M
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.
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' WT S
FIXTURES
NO. LAMPS
REFRI G.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR. ST
L
/
r ti
Jj
p 1! yp / IIlI
e.I.,!1 114,Cf
//
'-.'`.1" It '
s, a ri
�OQ
�n_�` � _
V 'n�� "�9T
1r! 21.4
l�
U
l✓
f
N
/
CHEC
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
}
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
�/
/ j
/
S (. ,
P ' t � '
: 1
CHECK
i
. r i
//
i Va-
Permit No.
Registered Architect and /or Engineer
Ernploying Electrician's Name 2
Location and Legal Description Lot
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VI LLAG E
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 Sta ;e 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.
�, � s , r, A' 4 " / , l / U ` i9
Owner's Name and Address ___.___ __ T _ � r– %� /�
G' No L Street – . - r-
•
No.
__Block Subdivision_____ ° t
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
Overhead
Service Uadez�rd Size Feeders ✓ ____ Conduit_____ Main Sw._.._1' Amps. _________ Main Fuses Amps.
Type of Installation— Conduit Tubing____ B.X.L. ..___ Metal Moulding
(Signed)
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.
(Signed)
Date_
jJ -
Street / -<
No. of Stories
7/ Electrical Inspector.
Master Electrican.
w
r .M
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.
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.
Z
PLUMBING ❑
ROOFING ❑
Owner of
Building
BUILDING ❑ DATE
PLECTRIC:AL ❑ PERMIT N? 14654 Contractor's
License No.
Architect —
Contractor
or Builder
Legal Lot II Bl.
Description,
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Work to be performed under this PeLmit
Subdi-
vision
Value of
Project: $
Amt. of
Permit $
BY AUTHORITY
This permit is granted to the contractor or builder named above to construct the b.ailding 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, statemets 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.
APPLICATION FOR ELECTRICAL PERMIT
Permit No..4 ` w / 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.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
667' ✓• f
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No
STATE OP FLORIDA, }
COUNTY OF DADE
65.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Amount of Permit $ .....
�
No
(Signed)
No .l' �2L Street..
Street
Stree ..�� /...���...�
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
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 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 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
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. H EAT.
CONN.
SPACE
HEAVER
STRIP
HEATER
Qn �_
f
/ ���
TOTAL
CONTR.
UST
CHECK
—�
t A + "'
b
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
APPLICATION FOR ELECTRICAL PERMIT
Permit No..4 ` w / 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.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
667' ✓• f
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No
STATE OP FLORIDA, }
COUNTY OF DADE
65.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Amount of Permit $ .....
�
No
(Signed)
No .l' �2L Street..
Street
Stree ..�� /...���...�
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
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 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 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.
Owner's Name and Address d�
Registered Architect and /or Enginee
Employing Electrician's Name s�C�
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
STATE OF FLORIDA,
COUNTY OF DADE.
}
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
1 + APPLICATION FOR ELECTRICAL PERMIT
Permit No 1 �.. ) 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 wi h, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
No. 1' Street
Street
Location and Legal Description Lot Block Subdivisiop
Street ;l...a
-4
Master Electrician.
New Building Remodeling / Addition 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
Amount of Permit $ (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 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 erformed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and fake 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
herein 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•inspecti n,,is made necessary by improper notice for inspection, or faulty
materials arid /or workmanship I`;
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
RCFRIG.
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
1
MOTORS
1•3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
S /
CHECK
G
Owner's Name and Address d�
Registered Architect and /or Enginee
Employing Electrician's Name s�C�
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
STATE OF FLORIDA,
COUNTY OF DADE.
}
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
1 + APPLICATION FOR ELECTRICAL PERMIT
Permit No 1 �.. ) 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 wi h, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
No. 1' Street
Street
Location and Legal Description Lot Block Subdivisiop
Street ;l...a
-4
Master Electrician.
New Building Remodeling / Addition 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
Amount of Permit $ (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 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 erformed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and fake 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
herein 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•inspecti n,,is made necessary by improper notice for inspection, or faulty
materials arid /or workmanship I`;
ROOM AIR CONDITIONERS
C. E. HOGAN F. R. SCI - IREFFLER
OWNERS
Village of Miami Shores
City Hall, License Dept.
10050 N. E. 2nd Ave.
Miami Shores, Florida
Dear Sir:
HoGAN Lai
May 6, 1953
Signature, R. C. Moore
260 N. E. 59TH STREET MIAMI. FLORIDA
This is a letter to notify you that Mr. R. C. Moore
of 310 N. E. 98th Street, will be responsible for any
noise caused the the Philco Room Air Conditioner we
are installing for him.
o SALES
o SERVICE
o INSTALLATION
Phone 7 8 -2
131111:131M
ELECTRICAL PERMIT A N9 145
PLISIWEIff
Owner of Building
Architect and/or Engineer_
Contractor or-Buisier
Proposed Location
LOT
This permit is issued to
AMOUNT
Dated
NAME
NAME
NAME
BLOCK
RECD. PAYMENT ACCT. DEPT.
, 19
ADDRESS
ADDRESS
ADDRESS
SUB-DIVISION NO.
MIAMI SHORES VILLAGE 1
BUILDING INSPECTION DEPARTMENT
19; /
LICENSE NO.
LICENSE NO.
STREET
To ,7
the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and comphance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said
laws, ordinances or „soles and regulations, or upon any change in the plans and specifications unauthorized by the building inspector.
INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village.
i l.
(SEAL)
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re-inspecticn 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.
ELECTRICAL PERMIT A N?
=trumiliffG
livner of Building_/ _
�I NAM
Architect and /or Engineer_ ¢ :i_
NAME
j A
Contractor - -- f L " __ / /
NAME /
Proposed Location
AMOUNT RECD. PAYMENT' ACCT. DEPT.
145
ADDRESS
ADDRESS
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
, 19
LICENSE NO.
-
LICENSE NO.
LOT y BLOCK - SUB - DIVISION NO. STR€,EET
1
This permit is issued to ,r+ 1 -- ? - r - `� �_f 1( To
the building above described, as per application. Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said
laws, ordinances or, - and regulations, or upbri any change in the plans and specifications,unautho,rized by the building inspecto
C % rr y /
INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
ns and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village.
/" /;. / #,
Dated ?!L ` —.� , 19 rr_ -*-� ./ -j `�= - -y — — — — —
(SEAL)
NOTE: A charge of $1.00 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.
` � f 1/
Vi! lt Yo of Miami Shores N° 4062
JOB its p rn t *" -
ADDRESS / i9• Fir r.
INSPECTION * - d -'
TIME READY %), . • 3 ! •
REMARKS
EZ e
3 77
INSPECTOR
1 ( •
DATE V- 1.
Amount of Permit
STATE OF FLORIDA,
COUNTY OF DADE.
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 ol1'1Vliami 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 :
Registered Architect and /or Engineer
New Building
APPLICATION FOR ELECTRICAL PERMIT
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Employing Electrician's Name
Location and Legal Description Lot __Block
Street and Number where work is to be performed —No.
State work to be performed and purpose of building (By Floors)
My Commission Expires
Remodeling Addition
No. S
No
Street___ f/ 'Y
(Signed)
(Signed
G- �d
,1.
Service Underground Size Feeders Conduit Main Sw., Amps. Fuses Amps.
Type of Installation— Conduit Tubing B.X.L. .Metal Moulding
Date . / % -----
Repairs No. of Stories
`Electrical Spector.
The undersigned applicant for this building permit does hereby certify that he nderstands 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.
Street
Subdivision..__
•
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.
Notary Public. State of Florida
Master Electrican.
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.
SPACE
H EATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
p
/ , 7 �/
h
CHECK
Amount of Permit
STATE OF FLORIDA,
COUNTY OF DADE.
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 ol1'1Vliami 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 :
Registered Architect and /or Engineer
New Building
APPLICATION FOR ELECTRICAL PERMIT
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Employing Electrician's Name
Location and Legal Description Lot __Block
Street and Number where work is to be performed —No.
State work to be performed and purpose of building (By Floors)
My Commission Expires
Remodeling Addition
No. S
No
Street___ f/ 'Y
(Signed)
(Signed
G- �d
,1.
Service Underground Size Feeders Conduit Main Sw., Amps. Fuses Amps.
Type of Installation— Conduit Tubing B.X.L. .Metal Moulding
Date . / % -----
Repairs No. of Stories
`Electrical Spector.
The undersigned applicant for this building permit does hereby certify that he nderstands 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.
Street
Subdivision..__
•
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.
Notary Public. State of Florida
Master Electrican.
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.