372 NE 98 St (14)BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor `[
or' 04'
Legal Lot
Description
Address of
Building
tAD
.0
MIAMI SHORES VILLAGE, FLORIDA
ERMIT N° 5921
Work to be performed under this Permi
Bl.
Subdi-
vision
Value of
Project
DATE
Contractor's
License No
pir
Amt. of / .S
Permit - - •' .=:,==s61
This 'permit s granted to the contract. - ` or uilder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance viith any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be i voked
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 ordinance -id
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in - tementspr specifications and that he assumes res 3n-
sibility for work done by his agents, servants or employees.
Signed. c
By
d
SPECTO
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
Iii accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. a,
ems ` .,. A mrrE 1 :).15
Q
AUTHORITY
194_7_
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor
or Builder
�N� s
MIAMI SHORES VILLAGE, - FLORIDA
DATE 194
PERMIT N? 5921
Contractor's
License No.
Work to be performed under this Permit
Owner of
Building
Subdi-
vision
Legal Lot Bl•
Description
Address of -
Building
This permit fs granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wil be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed • - . , 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.
Value of
Project
Amt. of s..
Permit
f CONTRACTOR OR BUILDER , BY AUTHORITY
Permit No
Service Overhead
Underground Size Feeders
STATE OF FLORIDA, f
COUNTY OF DADE.
ss.
erein by hire > stated IRl PUO e of FLORIDA at URGE
MY COMMISSION EXPIRES JUN. fit, 2.974
IDONDED THROUGH FRED W. DIESTELHORST
MIAMI S li.. [ RES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION F®'- EL ECTRI
AL PERMIT
July 10, 1970
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, Fiurida,
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.
372 N • E. 98 th Street
Mr. Wilson
Owner's Name and Address No .. .Street
Registered Architect and /or Engineer
Employing Electrician's Name State- i i d e '._ 1 e c t r i c No 204 3 N. g • Street 141 Street
Location and Legal Description Lot 37 ` - Block Subdivision
Street and Number where work is to be performed —No lye E.9 98th S t a Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling ✓ Addition Repairs No. of Stories
Conduit Main Sw Amps.... 15 .fY.!1.!tain Fuses Amps
Type of Installation— Conduit v Tubing B.X.L Metal Moulding
Amount of Permit $ . ? (Signed) I / ..,. % . l.lt X ' :2 / 1)
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.
(Signed)
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
/ '2O
to me well known, and wh ,, being 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
a AzZac ) .
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
PLUO
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
7b
CHECK
,21"4>-1
Permit No
Service Overhead
Underground Size Feeders
STATE OF FLORIDA, f
COUNTY OF DADE.
ss.
erein by hire > stated IRl PUO e of FLORIDA at URGE
MY COMMISSION EXPIRES JUN. fit, 2.974
IDONDED THROUGH FRED W. DIESTELHORST
MIAMI S li.. [ RES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION F®'- EL ECTRI
AL PERMIT
July 10, 1970
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, Fiurida,
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.
372 N • E. 98 th Street
Mr. Wilson
Owner's Name and Address No .. .Street
Registered Architect and /or Engineer
Employing Electrician's Name State- i i d e '._ 1 e c t r i c No 204 3 N. g • Street 141 Street
Location and Legal Description Lot 37 ` - Block Subdivision
Street and Number where work is to be performed —No lye E.9 98th S t a Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling ✓ Addition Repairs No. of Stories
Conduit Main Sw Amps.... 15 .fY.!1.!tain Fuses Amps
Type of Installation— Conduit v Tubing B.X.L Metal Moulding
Amount of Permit $ . ? (Signed) I / ..,. % . l.lt X ' :2 / 1)
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.
(Signed)
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
/ '2O
to me well known, and wh ,, being 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
a AzZac ) .
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No 1 1 l Lam-
Location and Legal Description Lot
STATE OF FLORIDA, }
COUNTY OF DADE. ss'
My Commission Expires
MIAMI SH
C
A/4LC
Street and Number where work is to be performed —No . a 111 e.
ES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FO r- ELECTRICAL PERMIT
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, Fiurida,
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 4. E S T E C
No 3 7 2 / (1, 1 ' Street
V &-,-JeleA)
'* 7. (f7-5
Notary Public, State of Florida
9, sr
Registered Architect and /or Engineer
7. 7,V
4 C /Ck,ki ✓ .. 574: v i`G
• N PS ��, Street .. 3t.3...,4
Employing Electrician's Name..
3 Block (/a° Subdivision
Street 9t! 5 7 KtT
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service d Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
und
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 subcontractors employed by him in the
work to be performed under this permit; and will post or causz to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. .
(Signed) ain..40Q
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared ' C. '- 4..7� 1! n/ /✓
to me well kno , and who, being by me first duly sworn, upon oath deposes and says that he is the 7,7 4
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 hire stated are true.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
(�
3
9.
,{gyp'
r
q Z` `_
.i ° / V
`-
CHECK
ENT.
SW.
DIET.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O•I HP
MOTORS
I. HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No 1 1 l Lam-
Location and Legal Description Lot
STATE OF FLORIDA, }
COUNTY OF DADE. ss'
My Commission Expires
MIAMI SH
C
A/4LC
Street and Number where work is to be performed —No . a 111 e.
ES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FO r- ELECTRICAL PERMIT
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, Fiurida,
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 4. E S T E C
No 3 7 2 / (1, 1 ' Street
V &-,-JeleA)
'* 7. (f7-5
Notary Public, State of Florida
9, sr
Registered Architect and /or Engineer
7. 7,V
4 C /Ck,ki ✓ .. 574: v i`G
• N PS ��, Street .. 3t.3...,4
Employing Electrician's Name..
3 Block (/a° Subdivision
Street 9t! 5 7 KtT
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service d Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
und
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 subcontractors employed by him in the
work to be performed under this permit; and will post or causz to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. .
(Signed) ain..40Q
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared ' C. '- 4..7� 1! n/ /✓
to me well kno , and who, being by me first duly sworn, upon oath deposes and says that he is the 7,7 4
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 hire 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.
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 Engine
Employing Electrician's Name r� ' _��'�_2�_
New Building
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE /6 d .�Y
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Location and Legal Description Lot_ �_ Block ubdivtslon_
Street and Number where work is to be performed— No. __ a_ 7 _____ .7 e .. ______ Street
State work to be performed and purpose of building (By Floors)
-� – - -- - - -- No._ –
Remodeling Addition.. Repairs
Overhead b := L____.� Amps.
Service Underground '''. Size Feeders____________ Conduit._ Main Sw._
Type of Installation— Conduit B.X.L Metal Moulding
Amount of Permit $I (Signed)
1: A
_2 No./ 2 treet_
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)
Date /1
Street
Main Fuses___L_ Amps.
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. e
My Commission Expires Notary 'Public. State of Florida
� 0:12 s
No. of Stories
Master Electrik n.
•1
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
I RON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
C L ST
g
I X
(9
1
; D
-
A
�,®
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
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 Engine
Employing Electrician's Name r� ' _��'�_2�_
New Building
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE /6 d .�Y
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Location and Legal Description Lot_ �_ Block ubdivtslon_
Street and Number where work is to be performed— No. __ a_ 7 _____ .7 e .. ______ Street
State work to be performed and purpose of building (By Floors)
-� – - -- - - -- No._ –
Remodeling Addition.. Repairs
Overhead b := L____.� Amps.
Service Underground '''. Size Feeders____________ Conduit._ Main Sw._
Type of Installation— Conduit B.X.L Metal Moulding
Amount of Permit $I (Signed)
1: A
_2 No./ 2 treet_
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)
Date /1
Street
Main Fuses___L_ Amps.
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. e
My Commission Expires Notary 'Public. State of Florida
� 0:12 s
No. of Stories
Master Electrik n.
•1
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.
FLOOR
NUMBER OF
SIZES OF
INSULATION
OPEN OR
OPEN
Number of
Circuits
Outlets
Motor
Gen.
Main
Sub
Branch
sement__
'st
:ond
ird
urth
ler Floors
Form 246
)y � LO CATION
AVOID DELAY BY GIVING L ULL AND ACCURATE INFORMATION. ALL SPACES M STe E FILLED OR APPLICA-
I WILL BE RETURNED •
lock Number
Street and Number g . % a 7
e
Lot Ntunber
Occupied as
Building —New or 04. underline which).
H. P. of each motor
Number of Motors H P
Greatest Number of Lights on One Branch (Nature of Work)
Ba
Fi
Se
Th
Fo
0
Outsets
Corrected
Temporary
Approved Letter
Date Issued
DATE— r ,� L� ? 1
� e
Electrical Department of the 3ity of Miami
Desiring your Certificate of Approval, application is hereby made
for an inspection of the electric installation in the premises stated be-
low, for which undersigned agrees to correct any infractions of the
atipn l Electrical Code and the City Rules pointed out by Inspector.
Motors I Receptacles Generators
Days
Time
Allowed
Days
DEFECTIVE
APPLICATION
6
f ' Side_
Occupant
Work — Additional or New (underline which).
SPECIFICATIONS
Volts —Amps
Stoves Rater Heater Signs Billboards Other Apparatus
Will be finished
(ema rks
tj
Electric Light Co
•
Fee remitted
No.4_,,ssrk
i S ACE BELOW FOR INSPECTORS USE 0 LY
Received by Inspector �� Inspect�e 2
CERTIFICATES Correct Location � • f 6 (r ' !'
,,
Correct Equip. 'V� C 1 '`" •-k.
Progress Will inspect again_
Rough Wiring V
FINAL No
Phase
Open — Concealed Knob— Mldg.— Conduit
REMARKS •
Work will be started_
(Applicant sign he e)f / % // . ` "'" ' `, -�) ,/ f Address
Street
z'7
__ _._ _Inspector
Permit No. ____.: y_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted 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_ ‘41 —. _ 2h / _ No .9 7 2
Registered Architect and /or Engineer_
Employing Electrician's Name_Z_ -- aa
Location and Legal Description Lot
Street and Number where work is to be performed—No ... 7
State work to be performed and purpose of building (By Floors)
New Building
Service Overhead Size Feeders_ Conduit ____________Main Sw.�_____- _____________Amps Main Fuses Amps
Underground
Type of Installation — Conduit______—______ Tubing _________ _______B.X.L.__ —_._ Metal Moulding__ _______________________ _____________ _________________
-- -- - - -- — / 7,77 —
- -
Amount of Permit $- l- -j° — - -- - --- _- ---- -- -_ - -- ( 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 p osted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
}
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 72hr's � /� / 4 S�
ss.
__Remodeling_______ __Addition_
No L _yt11J________ _______.______Street_ >1__C!' --L e _z2 --
Block Subdivision
Street___!! -
Repairs No. of Stories
i c0 y l�
Street__'L Q_g ___—
92 f
' ' �
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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL.
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
• TRANS.
RADIO
TOTAL
CONTR.
LIST
l e
, %.
F�, + .
''' iY
, }] t - ,
; �
If //
__ /� '
>
i �
s � 6 r �� I :> ��i:, p � o
7 /
_
/ i
`
� ,-`.
CHECK
Permit No. ____.: y_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted 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_ ‘41 —. _ 2h / _ No .9 7 2
Registered Architect and /or Engineer_
Employing Electrician's Name_Z_ -- aa
Location and Legal Description Lot
Street and Number where work is to be performed—No ... 7
State work to be performed and purpose of building (By Floors)
New Building
Service Overhead Size Feeders_ Conduit ____________Main Sw.�_____- _____________Amps Main Fuses Amps
Underground
Type of Installation — Conduit______—______ Tubing _________ _______B.X.L.__ —_._ Metal Moulding__ _______________________ _____________ _________________
-- -- - - -- — / 7,77 —
- -
Amount of Permit $- l- -j° — - -- - --- _- ---- -- -_ - -- ( 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 p osted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
}
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 72hr's � /� / 4 S�
ss.
__Remodeling_______ __Addition_
No L _yt11J________ _______.______Street_ >1__C!' --L e _z2 --
Block Subdivision
Street___!! -
Repairs No. of Stories
i c0 y l�
Street__'L Q_g ___—
92 f
' ' �
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.
C.
FEES: PERMIT V �... ;U'? RADON
APPROVED:
Zoning
Mechanical
PERMIT APPLICATION FO
Job Address 3 A S 1 Tax Folio 11 3206)01 , (o '()
Date
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant Li a na, 16 Master Permit # 1 7/ 1 7 ( g
�
Owner's Address 3 k �0 c o gQ / - qq 8 q ' Z OS ' '1 7 ' 0 71
Contracting Co. Cl Mt,( 3(`6 (,(/AI Address / 73/0 , 69 / d
Qualifier L.fP. (hTU1 /►/anff_ SS# 403 -& -32_16_ Phone 667• dy /y
State # Fn(y()3 c(' Municipal # Competency # / / 45 Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIKN
WORK DESCRIPTION nArgoo A 1a rni - ) 'i cf5 • /0 /
2
Square Ft. Estimated Cost (value) Z . 00
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 Y9141 LEN WR
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 tated.
Signature of Contractor Date
No
My
MIAMI SHORES VILLAGE
NOTARY
actor or Owner -Bu'
Exni
OFFICIAL. NOTARY nAL
DIGP,1, M M,UNOZ
NOTARY PULL'.: STATE OF FLORIDA
COMMISSION NO CC505889
MY COMMISSION EXP. OCTOCT. 25 7999
BOND
TOTAL DUE -Q 0
Building Electrical _ __ ,07e9 Y
Plumbing Structural Engineer
APPLICATION FOR CER I lit ICATE OF RE-OCCUPANCY
geor e Z /li,ccL
hereby apply for a certificate to re- occupy the single family residence known as: (address)
37 0 2 _ I Y r Miami Shores, Florida.
Legal description:
Lot: 3 oft_ y ,Block:
I hereby certify' that I understand that the zoning of the property is for single- fatruly residential use
and that it is unlawful for more than one Family to reside therein.. I also understand that any
Certificate of Re- Occupancy that may be issued by Miami Shores Village, Florida, certifies only
that the referenced property is being used for single -may purposes and that such Certificate does
not constitute any representation, warranty or certification as to the condition of the dwelling or
other structures on such property.
Applicant: Date:
Print Name: 6 eor-c o
* ==s it* * * *_* * * * * *___ *****=** u== b* * *s * *s= * * * * * *s * * * * ** ** *_ * **_ * **
For the purposes of conducting the inspection required by Section 902 of the Miami Shores
Development and Zoning Code, contact:
Contact Name: Fs -- Telephone: 3 = )
Buyer Seller: Rialto rt, Name: n/i
Application Fee (S50) Paid: Cash: Check:
Inspection: By: F LUB
Comments:
Adock_
B&PG: / o ? .
Approved: r. Denied: Date: 6/1/99.
CERTIFICATE OF RE- OCCUPANCY
On behalf of Natal Shores Tillage, Florida, the undersigned certifies that the property described
in the application has been inspected for the purposes of re- oc=ipaacy pursuant to Sections 901
and 902 of the Mami Shores Land Development and Zoning Code and that such property may be
re- occupied by the applicant for single - family residential purposes.
MIAMI SHORES VILLAGE, FLORIDA
r
By:
Date of Certification.
THIS CER'i ii4'ICATE VERIFIES THAT THE REFERENCED PROPERTY
HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN
DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF
REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT
CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH
ONE - FAIRY DWELLING IS USED AND INTENDED TO BE USED FOR
A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS
CER1IFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR
WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER
STRUCTURES ON IHE PREMISES DESCRIBED HEREIN, OR ANY
ASPECT OF SUCH CONDITION, AND INTERESTED PARTIES ARE
ADVISED AND ENCOURAGED TO MAKE 'I HEIR OWN INSPECTION
OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION
THEREOF.