ELECTRICALIssue Date: 2/1/2007
Owner's Name: SHERI ASHCRAFT
Permit Type: Electrical - Residential
Work Classification: New
Job Address: 307 99 Street NE
Miami Shores, FL 33138 -2436
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 07/31/2007
Contractor(s)
JC ELECTRIC INC
Phone
(305)754 -6949
Primary Contractor
Yes
Additional Information
Type of Work: electrical
Classification: Residential
Additional Info:
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, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work
stated.
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee - New Construction
Scanning Fee
Technology Fee
Total:
Amount
$0.72
$0.24
$5.00
$150.00
$3.00
$3.75
$162.71
Building Department File Copy
Applicant Signature
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: EL - - - 185
Phone:
1132060135480
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 1,200.00
Required Inspections
Alteration
Underground Rough
WW
Service Change
Meter Box
Fire Alarm
Relocation
Final
Invoice Number
EL - 2 - 07 - 27378
Total:
Amt Due
$162.71
FEB o spe
C� i'i
Amt Paid
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
Owner's Address 30 /U& '? 5J-
City OA ` I CLAN- -T 5 State
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL # t 2 a b - O t-3 S -f t
City , i.•
• . 3 • / r ` State //
Is Building Historically Designated YES NO l�
Type of Work: ❑Addition ❑Alteration :New
Describe Work: /2 to
******* * * * * * * * * * * * * * * * * * * * * * * * * * * *** ** *F * * * ** * * * * * * * *****
Submittal Fee $ Permit Fee $
Notary $ Training/Education Fee $ 0'24
Scanning $ Radon $ DPBR $
Bond $ Code Enforcem $ Double Fee $
Structural Review. $
Per,
Miami Shores Village
Bu D artment
10050 N.E,d Ave, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.89 72
BUILDING 01101 -
u
PERMIT APPLICATION
FBC 2004
Master Permit No.
Plumbin Mechanical
Permit Type (circle): Building Electrical
Owner's Name (Fee Simple Titleholder) 11..2 Phone # as
Zip 331'38
Phone #
County Miami -Dade, Zip
Contractor's Company Name -3 e t t,' . • v t-- Phone # 3 d f 7
Contractor's Address / / 1. / 400 5 $
Zip 3 /. . 110 /
Phone #
Total Fee Now Due $
=METZ
JAN 3 1 ral
BY: ....
No. 10'l - i e6 ,
*** * * * **
Roalwg
5"
S 5
Qualifier Name 3"" c.- lLe -get •- , i ., Phone # .3+� '7 r y
State Certificate or Registration No. Q who ''‘ d 3 Certificate of Competency No.
Architect/Engineer's Name (if applicable) k' A
Value of Work For this Permit $ /' 1-00. '� Square / Linear Footagn Of Work:
❑ Repair/R.eplace ❑ Demolition
* * *** * * **
CCF $
Technolo Fee $
Zoning S
k 1
See Reverse Ma 0 e
Cfc
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Sign:
Print:
Owner or Agent
The foregoing instrument was acknowledged before me this
day of 664 , 20 0/ , by SI4.6 'CV I As G1 crffT ,
who is personally known to me or who has produced iv¢t /I -
A U114 5 (4 51 30 As identification and who did take an oath.
NOTARY PUBLIC:
'`
My Commission Expires:
- �- -
_is%
*************************************************************************,*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY
(Revised 02/08/06)
Signature
Contractor
The foregoi ;instrument was acknowledged before me this3/
day of- Jr , 20 62_, by 3 (2 o "
who is personally known to me or who has produced FA L,
60 379 o
3 as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
� � �Z_ 94.4. Plans Examiner
Engineer
Zoning
Inspection Date: 02/20/2007
Inspector: Devaney, Michael
Owner: ASHCRAFT, SHERI
Job Address: 307 99 Street NE
Miami Shores, FL 33138-2436
Project: <NONE>
Contractor: JC ELECTRIC INC
Building Department Comments
Friday, February 16, 2007
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Block:
Phone Number
u. .
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: New
Parcel Number 1132060135480
Lot:
Phone: (305)754-6949
Page 1 of 1
FEB 2 1 2001
Passed 2/
Inspector Comments
Failed
Correction
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled
re-inspection fee is paid .
until
Inspection Date: 02/20/2007
Inspector: Devaney, Michael
Owner: ASHCRAFT, SHERI
Job Address: 307 99 Street NE
Miami Shores, FL 33138-2436
Project: <NONE>
Contractor: JC ELECTRIC INC
Building Department Comments
Friday, February 16, 2007
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Block:
Phone Number
u. .
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: New
Parcel Number 1132060135480
Lot:
Phone: (305)754-6949
Page 1 of 1
Inspection Date: 02/07/2007
Inspector: Devaney, Michael
Owner: ASHCRAFT, SHERI
Job Address: 307 99 Street NE
Miami Shores, FL 33138 -2436
Project: <NONE>
Contractor: JC ELECTRIC INC
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Electrical - Residential
Inspection Type: W W
Work Classification: New
Phone Number
Parcel Number 1132060135480
Lot:
Phone: (305)754 -6949
Tuesday, February 6, 2007
Page 1 of 1
FEB 0 8 2007
Passed
Inspector Comments
/.—
7
f , X__
P \''
/ /a Y�r —, Wi.
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Inspection Date: 02/07/2007
Inspector: Devaney, Michael
Owner: ASHCRAFT, SHERI
Job Address: 307 99 Street NE
Miami Shores, FL 33138 -2436
Project: <NONE>
Contractor: JC ELECTRIC INC
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Electrical - Residential
Inspection Type: W W
Work Classification: New
Phone Number
Parcel Number 1132060135480
Lot:
Phone: (305)754 -6949
Tuesday, February 6, 2007
Page 1 of 1
Permit Number: EL -1 -07 -185
Invoice Number: EL -2 -07 -27378
Applicant: SHERI ASHCRAFT
Company Name:
Owner Address:
307 99 Street NE
MIAMI SHORES, FL 33138
Job Address:
307 99 Street NE
Miami Shores, FL 33138 -2436
Date
Tuesday, February 6, 2007
02/06/2007 Check
Receipt
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Payment Type Check Number
1017
Amount
$162.71
Change
$0.00
Total Payment: $162.71
Page 1 of 1
Permit No.. .A/14-)114-
/ / 3 7o / 3 'J : ' . '7
MIAMI SHORES VILLAGE /11 179 -71- 0
ELECTRICAL INSPECTION DEPARTMENT /C it-1)- / 7
APPLICATION FOR ELECTRICAL PERMIT %34
z, J i 3 ,'p 13
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 - erei specified not. A copy of approved plans and specifications must be kept at
building during progreu of work.
C:
Owner's Name and Address / 7 ' 0 t 115
Registered Architect and /or Engineer , r
Employing Electrician's Name 6 A //V C.
State work to be performed and purpose of building (By Floors) Gt1 1 ie 1 P Cr
No . "
Street r'.� `77
No / 9411 Street RP /f1 g, .J /J'%
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 3 ' 3 Street 4)E 9 ' S T
of A
sic /?' Sy
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 budding permit does 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 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.
o �y
„V. Op_
STATE OF FLORIDA, 1
COUNTY OF DADE. } u.
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 thee /C/C(An
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.
I +UTART PUBLIC STATE OF FLORIDA AT LARGE ' p
MY COMMISSION EXPIRES NOV I2 198 3 I `- ...nett- . ,f E m State E - IV
Expires 'I S • UNbERWR I TERS Notary Public, State of Florida
My Commission xpi
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
OUTLrrs
LIONT
0
PLUG
RCCE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANOE
OUTLET
RANOE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
MEATIER
STRIP
H
TOTAL
CONTR.
LIST
r
/0/l
CHECK
J
7.
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
M
PER.
C
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
311
CHECK
/
..
-
/ T U
Permit No.. .A/14-)114-
/ / 3 7o / 3 'J : ' . '7
MIAMI SHORES VILLAGE /11 179 -71- 0
ELECTRICAL INSPECTION DEPARTMENT /C it-1)- / 7
APPLICATION FOR ELECTRICAL PERMIT %34
z, J i 3 ,'p 13
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 - erei specified not. A copy of approved plans and specifications must be kept at
building during progreu of work.
C:
Owner's Name and Address / 7 ' 0 t 115
Registered Architect and /or Engineer , r
Employing Electrician's Name 6 A //V C.
State work to be performed and purpose of building (By Floors) Gt1 1 ie 1 P Cr
No . "
Street r'.� `77
No / 9411 Street RP /f1 g, .J /J'%
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 3 ' 3 Street 4)E 9 ' S T
of A
sic /?' Sy
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 budding permit does 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 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.
o �y
„V. Op_
STATE OF FLORIDA, 1
COUNTY OF DADE. } u.
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 thee /C/C(An
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.
I +UTART PUBLIC STATE OF FLORIDA AT LARGE ' p
MY COMMISSION EXPIRES NOV I2 198 3 I `- ...nett- . ,f E m State E - IV
Expires 'I S • UNbERWR I TERS Notary Public, State of Florida
My Commission xpi
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.
ELECTR ICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No jU, /qf
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 D Ziccardi
Registered Architect and /or Engineer
Employing Electrician's Name P & K Electric Corp.
Location and Legal Description Lot Block
Street and Number where work is to be performed —No 343 N. E. 99 St,
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs .X No. of Stories
Service Overhead Size Feeders 2/0
Type of Installation— Conduit X
Amount of Permit $ liL,QQ
STATE OF FLORIDA,
COUNTY OF DADE. I �''
MIAMI SHORES VILLAGE
(Signed).
No 3113 N. E. 99
N 388
Florida Reaideace
Conduit 2" Main Sw Amp 150
Tubing X B.X.L .Metal Moulding
Date
Street
(Signed) `� / - • '
Subdivision
Street
Street Ali Baba Ave.
Main Fuses Amps
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ..ligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid. Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
M .ter 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
H
W. HEAT.
CONN.
SPACE
H
STRIP
HEATER
TOTAL
CONTR.
2
3
1
1
1
7.00
CHECK
ENT.
SW.
'DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1 -3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
2 -150
amp
7.00
CHECK
ELECTR ICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No jU, /qf
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 D Ziccardi
Registered Architect and /or Engineer
Employing Electrician's Name P & K Electric Corp.
Location and Legal Description Lot Block
Street and Number where work is to be performed —No 343 N. E. 99 St,
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs .X No. of Stories
Service Overhead Size Feeders 2/0
Type of Installation— Conduit X
Amount of Permit $ liL,QQ
STATE OF FLORIDA,
COUNTY OF DADE. I �''
MIAMI SHORES VILLAGE
(Signed).
No 3113 N. E. 99
N 388
Florida Reaideace
Conduit 2" Main Sw Amp 150
Tubing X B.X.L .Metal Moulding
Date
Street
(Signed) `� / - • '
Subdivision
Street
Street Ali Baba Ave.
Main Fuses Amps
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ..ligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid. Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
M .ter 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
r.
CONTRACTOA
MIAMI SHORES SHORES VILLAGE. FLORIDA
PERMIT N° 6428
0
-11:$ ,J( ECCe 712 iQ
11 Lot
95 r
op BUILDEFi
Signed.
Work to be performed under this Permit
Lice 7 12 g., 7/1
Subdi-
vision
Value of
Project $
INSPECTOR
BY
#11,1-1,0 -
DATE — 195 7
Contractor's 27 05(
License No.
Amount of 3
Permit $ *.r. eb
This permit is grcirdsci to ibe contractor or builder named above to construe 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 f 1 ondition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough kn the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or dra ar In the statements or specifications 0 at e assumes responsibility for work
done by his agents, servants or employees.
In consideration of the issnmoe to me of this permit I agree to perform the work covered - = under in compliance with all ordinances and regulations
pertaining thereto and S •strict conformity with the plans, drawings, statements or specifications su -d to the proper authorities of Miami Shores Village. In ac-
cepting this permit I aim tesponsibility for ill work done by either, myself, my agent, servant or employee.
AUTHORITY
6 4111110°
r
SWITCH
OUTLETS
LIGHT
OUTLET.
PLUG
RECE••T'S
FIXTURE.
NO. LAMPS
Runic.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. NEAT.
CONN.
/VACS
HEATER
STRIP
HEATER
TOTAL
r, t O NTN.
7,, LI$T
,
1....
/
) �
CHECK
ENT.
Sw.
DI.T.
CAS.
SERVICE
TEMP.
SERVICE
PERN.
MOTOR.
0.1 HP
MOTORS
•1.. HP
NEON
TRANS.
RADIO
TOTAL
Comm
LIST
-- ,
. 4 .
CHECK
-ter
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No CO V
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. f
Owner's Name and Addreu
Registered Architect and /or Engineer
Employing Electrician's Name s .. sr `' „ A "do.., ° ' Street
Location and Legal Description Lot Block Subdivision
_
Street
Street and Number where work is to be performed —No h
State work to be performed and purpose of building (By Floors) %" ..
New Building Remodeling Addition
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) '
: �
Eleal { Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati ? d` 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 OF FLORIDA,
COUNTY OF DADE. l u '
MIAMI SHORES VILLAGE
'
No
ci
(Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer
appeared 1,
Date lz / C s Z tir
oaths
Street
si
Repairs No. of Stories
Master Electrician.
and take acknowledgments, personally
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 rainspection fee of $1.00 will be nude when such re'inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No.
Owner's Name and Address ._
Registered Architect and /or g ee
Employing Electrician's Name
Location and Legal Description Lot
MIAMI SHORES VILLAGE
ELECTR &c AL 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 budding or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Plorida,
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 heroin specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Block
Street and Number where work is to be performed —No. _�
State work to be performed and purpose of building (Bt Floors)
New Building Remodeling 1 Addition
Service Overhead Size Feeders
Underground
No. 2._‘f S.?
No.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
/ Amount of Permit $
(Signed) -- - - -- ---
. .� Street-- 7-1—
Repairs
.__ Street.._.._-__..._ -
Subdivision_..__--
Street - .. _.._....�._......o....
No. of Stories..
Conduit.. — .. Main Sw._...e.........._ Amps. Main Fuses ........, ... -Amps.
(Signed) .k.....�....._._.. _1..,.w._t_�C^:
lectrical 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 bas nom-
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 rf• med under permit, as are
licensed by Miami Shores Village.
aster El
STATE OF FLORIDA, k
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 be 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
materials and /or workmanship.
fie ORO
ulty
SWITCH
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LIGHT
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PLUG
RECE'P'T'S
FIXTURES
O.LAMPS
REh RIO.
TL E7
IRON
OUTLET
RANGE
OUTLET
RANOL
CONN.
WATER
HEATER
W. HEAT.
COMM
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HEATER
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HEATER
TOT AL
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CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
GNECK
Permit No.
Owner's Name and Address ._
Registered Architect and /or g ee
Employing Electrician's Name
Location and Legal Description Lot
MIAMI SHORES VILLAGE
ELECTR &c AL 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 budding or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Plorida,
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 heroin specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Block
Street and Number where work is to be performed —No. _�
State work to be performed and purpose of building (Bt Floors)
New Building Remodeling 1 Addition
Service Overhead Size Feeders
Underground
No. 2._‘f S.?
No.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
/ Amount of Permit $
(Signed) -- - - -- ---
. .� Street-- 7-1—
Repairs
.__ Street.._.._-__..._ -
Subdivision_..__--
Street - .. _.._....�._......o....
No. of Stories..
Conduit.. — .. Main Sw._...e.........._ Amps. Main Fuses ........, ... -Amps.
(Signed) .k.....�....._._.. _1..,.w._t_�C^:
lectrical 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 bas nom-
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 rf• med under permit, as are
licensed by Miami Shores Village.
aster El
STATE OF FLORIDA, k
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 be 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
materials and /or workmanship.
fie ORO
ulty