622 NE 98 St (11)FLOORS
FIXTURES ONLY
NUMBER OF
TOTAL
OUTLETS
SIZE OF
SIZE SERVICE
CONDUIT
No.
CIRCUITS
LIGHTS
CEILING
BRACKETS
MAINS
SUBS
BRANCHES
BASEM ENT_
FIRST
SECOND
THIRD
,
FOURTH
Al
Form 296
LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION ALL SPACES MUST BE FILLED OR APPLICATION
WILL BE RETURNED.
LOT NUMBER
STREET AND 1
OWNER
OCCUPIED AS
BLOCK NUMBER / (a
UMBER
rf CiR'�- '��r -,
WORK — ADDITIONAL, NEW, ALTERATION OR REPAIR.
SPECIFICATIONS
H. P. OF EACH MOTOR VOLTS TOTAL AMPS
BUILDING — NEW OR OLD (UNDERLINE WHICH)
LIGHTS
CEILING
BRACKETS
KIND OF INSTALLATION OPEN OR CONCEALED KNOB, RX., BX., MLDG. CONDUIT
REMARKS
1 <e fe
RECEIVED BY INSPECTOR
PROGRESS
WILL INSPECT AGAIN
ROUGH WIRING
FINAL ' No `
CORRECTED
TEMPORARY DAYS.
DATE ISSUED
ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI
Desiring your Certificate of Approval, application is hereby made for an inspection of
the electric installation in the premises stated below, for which undersigned agrees to correct
any infractions of the National Electrical Code and the City Ordinance pointed out by Inspector.
RECEPTACLES
7- `y q- .7)/
APPLICATION NO. J ‘/,5—
DATE 7 193__
1
FEE REMITTED
SWITCHES
SUBDIVISI-N. 2A/
STOVES
WATER HEATERS
CONTRACTOR P . kg2ECTION WANTED
BY ADDRESS
SPACE BELOW FOR INSPECTOR'S USE ONLY
SIGNS
PHASF
OTHER APPARATUS
INSPECTED
T
REMARKS
1//
INSPECTOR
BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N? 3983
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description Bl
Address of
Building
CONTRACTOR OR BUILDER
DATE
Contractor's
License No.
195
Work to be performed under this Permit
Subdi-
vision
Value of Amount of
Project $ Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 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 s
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Contractor
or. Builder
Legal
Description
Lot
MIAMI SHORES VILLAGE," FLORIDA
DATE
PERMIT N° 4985
Work to be performed under this Permit
Architect _ =
fi
Bl.
•
• Subdi-
vision
CONTRACTOR OR BUILDER BY
Contractor's
License No.
AUTHORITY
a
Address of 2 Value of Amt. of
Building a fr ,II ' . I Per
Project mit ,"`
This permit is granted to the contractor qr builder named above to construct the building or to install the equipmentpt t wice 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.respon§ibility for a„thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings `or ttf the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. } a , %''n
c y* � ® B � AIL. 00.11
Signed INSPECTOR By
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. ; o
Village f Miami Shores
JOB -211P74 , S
ADDRESS 6 / C '
INSPECTION /C ,✓ ' C
TIME READY ?-‘11 6
REMARKS
INSPECTOR
N? 4813
cLej)
DATE e--/-e-:-C-6
FLOOR
NUMBER OF
SIZES OF
INSULATION
OPEN OR
CONCEALED
Number of
Circuits
Outlets
Motor
Gen.
Main
Sub
Branch
sement—
•st
;ond____
ird
/ 0
�(
/
/
urth
Ier Floors.
AVOID
I ttu tie t4
Ba
Fi
Se
Th
Fo
Ot
Motors
REMARKS •
Work will be starte
(Applicant sign here)
Received by Inspector
CERTIFICATES
Progress
Will inspect again
Rough Wiring
FINAL No •
Corrected
Temporary
Approved Letter
Date Issued
Days
APPLICATION
DATE
Electrical Department of
.192f
e City 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
National Electrical Code and the City Rules pointed out by Inspector.
LOCATION
DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICA-
U TION WILL B RETURNED
Lot Num 9 ber 7 d / 6 Block Number 9 0 / '
Street and Number 3 7 Side
1,, _ /
Owner T✓ �� - -ti -- s— -'- Occupant
Occupied as.L1 - ' - k 'f - o
Building —New or Old (underline which).
Work — Additional or New (underline which).
SPECIFICATIONS
H. P. of each motor
Number of Motors H P Volts —Amps Phase
Receptacles Generators ( Stoves (Water Heater
Greatest Number of Lights on One Branch (Nature of Work) Open — Concealed Knob— Mldg.— Conduit
Will be finished
SPACE BELOW FOR INSPECTORS USE ONLY
Correct Location r,
Correct Equip. ` � , c
DEFECTIVE
Time
Allowed
nays
Address
Street 1,9/7
Inspected
Signs I Billboards Other Apparatus
0 0
Electric Light Co
Fee remitted
lemarks
Inspector
FLOOR
NUMBER OF
SIZES OF
INSULATION
OPEN OR
CONCEALED
Number of
Circuits
Outlets
Motor
Gen.
Main
Sub
Branch
sement _.—
.a t
:ond —.
ird_
51
/
r
6
6
urth
ter Floors.
C
r orm 2411
AVOID DELAY BY GIVING FULL AND
Lot Number 9 e / b Block Number
Street and Number
Owner
Occupied as
Building —New or Old (underline which).
Work — Additional or New (underline which).
SPECIFICATIONS
H. P. of each motor
Number of Motors_. H P Volts _ —Amps
Ba
Fi
Se
Th
Fo
ot
1 OutiNts- -
3s
REMARKS •
Work will be started
(Applicant sign here)
Received by Inspector
CERTIFICATES
Progress
Will inspect again
Rough Wiring
FINAL
Corrected
Temporary
Date Issue
Motors 1 Receptacles I Generators
,2y
No
Approved Letter
APPLICATION 1 No /3143 - 4
DATE . 192
Electrical Department of the City 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
National Electrical Code and the City Rules pointed out by Inspector.
SPACE BELOW
2 s .
Days
DEFECTIVE
Time
Allowed
nays
LOCATION
ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICA-
TION WILL BE RETUR
/ D I 4„, . ..,:
Correct Location
Side /
Occupant
Phase
Stoves Water Heater: Signs 1 Billboards I Other Apparatus
g'do °W
COO
1
Greatest Number of Lights on One Branch r (Nature of Work) Open—Concealed o ldg ' Conduit
Correct Equip ;
Will be finished
Address
Street / 2 7 J /I ,.�
FOR INSPECTORS USE ONLY ll
tf /.rl C /
Fee remitted
Inspected
o •
r
0
Electric Light Co.
3emarks
nspector
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 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 wo
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
--
/ -
Amount of Permit $ �� V ' -y
STATE OF FLORIDA,
COUNTY OF DADE. 8s.
Location and Legal Description Lot_ �_______�__� --
Street and Number where work is to be performed —No 6
JZ S treet_ _ __/1 W __ 11
4: n 0�-
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.. Repairs
Service Overhead Size Feeders_____ Conduit.._______._ Main Sw.
Underground
Type of Installation— Conduit Tubing
My Commission Expires
B.X.L. .Metal Moulding
(Signed)
No 6 2
(Signed)
Street
No. of Stories
Amps. Main Fuses ________.__ .Amps.
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 - contractor work to be performed under this pe...it, as are
licensed by Miami Shores Village.
Master Electrican.
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
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
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
'
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 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 wo
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
--
/ -
Amount of Permit $ �� V ' -y
STATE OF FLORIDA,
COUNTY OF DADE. 8s.
Location and Legal Description Lot_ �_______�__� --
Street and Number where work is to be performed —No 6
JZ S treet_ _ __/1 W __ 11
4: n 0�-
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.. Repairs
Service Overhead Size Feeders_____ Conduit.._______._ Main Sw.
Underground
Type of Installation— Conduit Tubing
My Commission Expires
B.X.L. .Metal Moulding
(Signed)
No 6 2
(Signed)
Street
No. of Stories
Amps. Main Fuses ________.__ .Amps.
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 - contractor work to be performed under this pe...it, as are
licensed by Miami Shores Village.
Master Electrican.
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
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
Owner of
. Building
Architec
Contractor
or Builder
Legal Lot
Description
Address of
MIAMI SHORES VILLAGE, FLORIDA
DATE 194
Contractor's
License No.
PERMIT N? 4985
r
Wgrk to be performed under this Permit
e � ro'
7 ` G
Bl.:y
4 Value of Amt. of q 4 /
Building . Y ► 60 .. Project Permit _� , s
Th permit is granted to the contractor builder/tamed above to construct the building or to install the equipment 3vice described in the appli-
cation herefor in strict compliance with all ord ances pertaining thereto and with the understanding that the work will be pe #ormed 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 ,tuthorization. A further condition upon which this
res' c nsibi}ify for a y thorough knowledge of the ordinances and
e ernen specifications and that he assumes respon-
permit is granted is the understanding that the contractor or builder named above assum e
regulations pertaining to the work covered hereby whether shown on the plans or d ' —
sibility for work done by his agents, servants or employees. '`47
Signed. By
' By
In consideration of the issuance to me of this permit I agree to perform the work eovere. ereunde' in compliance with all ordinances and'iegulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifica�..ns submitted to the proper au �q ies of Miami o lane. ow p ng this permit I assume responsibility for all work done by either myself, my age , servant or employee. "
f /
CONTRACTOR OR BUILDER " • •
Subdi-
vision
AUTHORITY
BUILDING
ELECTIZICAL
PLUMBING
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
Owner of >7
Building ®® �(,ii
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 8190
Work to be performed under this Permit �
Bl.
� Value of Amt. of
���; i9 Project Permit`�
This permit is granted to tlie 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 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 sta ements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed''t . , ;' :. B � =l
INSPECTOR
In consideration of the issuance to me of this permit I agree to performi
pertaining thereto and in strict conformity with the plans, drawings, statements
In accepting this permit I assume responsibility for all work done by either ys
CONTRACTOR OR BUILDER
Subdi-
vision
•
DATE Via '/ d 1947
'Contractor's
License No.
g
work covered hereunder in compliance with all ordinances and regulations
r specifications submitted to the proper authorities oftMiiimi Shores Village.
my agent, servant or employee. � ° i
4.2 5
AUTHORITY
Permit No 35 si 3
Registered Architect and /or Engi eer
Employing Electrician's Name...
STATE OF FLORIDA, }
COUNTY OF DADE. sa.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
•
Owner's Name and Address Street.. ? ' ' / a
No( ?o7,1 41
Date ...
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 6
State work to be performed and purpose of building (By
New Building Remodeling Addition Repairs
Street....�1"
Street
7?? 9 F
Floors)
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from .ntractors or
work to be performed under this permit; and will post or cause to be posted for inspect' on the site
as are required by the Act. The undersigned agrees to employ only such sub - contractor .. on work to
licensed by Miami Shores Village.
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.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
f the work such notice or notices
ormed nder t's permit, as are
(Sign
M a s t e r 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.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1_11
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/ 00 ` .�_ -.i� c.
�
�l
CHECK
Permit No 35 si 3
Registered Architect and /or Engi eer
Employing Electrician's Name...
STATE OF FLORIDA, }
COUNTY OF DADE. sa.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
•
Owner's Name and Address Street.. ? ' ' / a
No( ?o7,1 41
Date ...
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 6
State work to be performed and purpose of building (By
New Building Remodeling Addition Repairs
Street....�1"
Street
7?? 9 F
Floors)
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from .ntractors or
work to be performed under this permit; and will post or cause to be posted for inspect' on the site
as are required by the Act. The undersigned agrees to employ only such sub - contractor .. on work to
licensed by Miami Shores Village.
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.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
f the work such notice or notices
ormed nder t's permit, as are
(Sign
M a s t e r 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.
Permit No � (' 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.
Owner's Name and Address___. / I_/_ &____ 1 - _ A____- _____.____________No.__6- _�`______- ____--__-Street___?? 9° •
Registered Architect and /or Engineer
•
Employing Electrician's Name__ -- 4I 0A_ r___ — Ej.. _ __----- ___No.__ -_- __ ---_ -- --
_ __Street__g-2? _ 4 •
Block Subdivision
Street and Number where work is to be performed—No .____- __ .6._ f`ic.`r /Y[ • street 75 °''''•
State work to be performed and purpose of building (By Floors)
New Building Remodeling X Addition _Repairs No. of Stories
Location and Legal Description Lot__
Service Overhead Underground Size Feeders Conduit_ _____________Main Sw Amps. Main Fuses — ___Amps
Type of Installation — Conduit_______________ Tubing__________— ___B.X.L. —_ ._ Metal Moulding ________
________________ _____— _— _______-- ___— __________
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
w
(Signed)
- 1Q.-ctricalInspector.
The undersigned applicant for this building permit does hereby certify that h f derstands and accepts his ob ions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Co ,,ed General Laws of Florida I'rmanent 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, 1
COUNTY OF DADE. I
ss.
FRED H =TCHE
(Signed)
Master Electrician.
Before me, the undersigned authority, a notary public, duly a uthorized to administer oaths and take acknowledgments, personally
appeared__- - - - - - - to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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
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
CHECK
Permit No � (' 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.
Owner's Name and Address___. / I_/_ &____ 1 - _ A____- _____.____________No.__6- _�`______- ____--__-Street___?? 9° •
Registered Architect and /or Engineer
•
Employing Electrician's Name__ -- 4I 0A_ r___ — Ej.. _ __----- ___No.__ -_- __ ---_ -- --
_ __Street__g-2? _ 4 •
Block Subdivision
Street and Number where work is to be performed—No .____- __ .6._ f`ic.`r /Y[ • street 75 °''''•
State work to be performed and purpose of building (By Floors)
New Building Remodeling X Addition _Repairs No. of Stories
Location and Legal Description Lot__
Service Overhead Underground Size Feeders Conduit_ _____________Main Sw Amps. Main Fuses — ___Amps
Type of Installation — Conduit_______________ Tubing__________— ___B.X.L. —_ ._ Metal Moulding ________
________________ _____— _— _______-- ___— __________
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
w
(Signed)
- 1Q.-ctricalInspector.
The undersigned applicant for this building permit does hereby certify that h f derstands and accepts his ob ions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Co ,,ed General Laws of Florida I'rmanent 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, 1
COUNTY OF DADE. I
ss.
FRED H =TCHE
(Signed)
Master Electrician.
Before me, the undersigned authority, a notary public, duly a uthorized to administer oaths and take acknowledgments, personally
appeared__- - - - - - - to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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 APPLICATION FOR MIAMI SHORES VILLAGE
Contracting Co. f 6L4 7 - Sy Cp r
Address
Architect /Engineer Address
Bonding Company Address
26v 2.5 (4.) 39,4
t/
Date � � O 'Job Address 4; '6 57 ' Tax Folio
Legal Description
/ Lessee / Tenant c y 0 Master Permit # 3 ,6 02 0 )7
Owner's Address Cr L2 fV F 'RCS's T Phone
Qualifier C los 1 Phone el J G 2 74
g4 14120 ,., 8
State # 00! LSr83 Municipal # f CI v S Competency # / 90S Ins .Co .
Mortgagor Address
Permit Type(circle one): BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION C/2e,.4 -S C / -c 5 e,. ,VQO 4 -rPS
Square Pt. Estimated Cost(value) c CO
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 complian . with all applicable laws regulating construction and zoning. Furthermore, I
au r th a awed contractor to do the work stated.
Signatur o owner and do President
Da e:
LA-Le_ne 061-9p4
Notary as to Owner and/o'/Condo President
APPROVED:
Zoning
/ '
NELIDA VAQUER
NOTARY PUBLIC STATE OF FLOR
* 60MM1SSSON NO. G210730 *
MY COMMISSION EXP. JUNE 19,1996
FEES: PERMIT 30v RADON
*
*
*
Mechanical
r•
Si ture of Contractor or Owner- Builder
ate:
Notary as to Contractor
O FICIAL NOTAR EA
NELIDA VAQUER
NOTARY PUBLIC STATE OF FLO IDAI
eOMMISSION NO. C C210730 * * * **
MY COMMISSION EXP. UNE 19,1996
Y TOTAL DUE ;
* 1
C.C.F. A, 6 NOTARY
Other
Building Electrical
Plumbing Engineering
Owner- Builder
lvicK
FLOOR
Basement
1st Floor
2d Floor
3d Floor
4th Floor
5th Floor
6th Floor
7th Floor
8th Floor
Attic
REMARKS •
Work will be started
(Applicant sign here)
Received by Inspector G
CERTIFICATES
d
NUMBER OF
LIGHTS
Form 155
Owner 2*. Ufl�
Occupied as
Building —New or Old (underline which).
Progress
Will inspect again
Rough Wiring
FINAL No
Corrected
Temporary Days
Approved Letter
Date Issued
DEFECTIVE
Time
Allowed:
APPLICATION No
Date , 192
FOR FIXTURE WORK ONLY
ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI
Desiring your Certificate of Approval, application is hereby made for an inspection of the electrical installa-
tion in the premises stated below, for which the undersigned agrees to correct any infractions of the National
Electrical Code and the City Rules pointed out by Inspector.
LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.
ALL SPACES MUST BF FILLED, OR A CATION WILL BE RET NED.
CEILING OUTLETS
/
Days
Lot Number ` a 0 Block N
Street and Number 1%'2 2 ��� Sides
Occupant.
• Work— Additional or New (underline which).
5 -,
SPECIFICATIONS
Electric Light Co
Fee remitted
BRACKET OUTLETS
r' /
SPACE BELOW FOR INSPECTOR'S USE ONLY
r5 pp 9 Inspected Yid ///
Correct Location C
0
Correct Equipment -I. , �
I /
will be finished
Address
Street
3 f
NUMBER OF CIRCUITS
n
zff
•
Remarks •
Inspector
7 f.
WORK DE _ RI PT I
Square Ft. 2000
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date b J a (qr Job Address 1J22 ) � t� S+
Legal Description
1
Owner / Lessee / Tenant GU U1 0 GRAD9 Master Permit # 3636,7
Owner's Address goo n€ v' (0 --1-- Phone 7S - 3c /
Contracting Co. Br 11kS I � `�C'LV 1 A ddress 5 � N 1 ST S
Qualifier di/ / �l� � � f,/ SS# / Phone 5:5
State #AikdtVraunicipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
Signat
Date:
i���� 1Jr
ir �� f � e
Notary as to
'o 0
** *
4 1plres
and CRedeident
*
* * *
Estimated Cost(value)
Tax Folio ' l 32O? Ol? - i 83
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 do in complianc- with all applicable laws regulating construct on and zoning. y hermore, I
author ze the -i amed co tractor to do the work stated.
1 44.-.1‘41.1t
and /o 6 F C •�r tsident
is `✓ / /-
Signa ur 4 af: t :.•� . I!I
Date:
1 1;07
Notary as 4 7q'dnt
My Commission txf oanoV
res: My Commission Exp es:
///'°-
El ectrical!g
9tr- Builder
;�: LES
r on Expiroo
, 41,1 4 1. 2 " 996
8cr ` '` ui lder
**
TOTAL DUE 3 5 , S-j
FEES: PERMIT 3J ' '' RADON C.C.F. 4 50 NOTARY
APPROVED: Fire Other
Zoning Building
Mechanical Plumbing, Engineering
JI
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date c - 2- 7- 7 Job Address 2 2 1V 9 ?S' 7
Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant ('s c) 7 () (0 r ,o( v Master Permit # ' ( 8 Z i_'
j 7 -
Owner's Address � "L ? / ,;-)e)? Ph ? o
� /�'
S
Contracting Co.. jo r� , c; // f —� , ", c_ �c'i�. / ,� Address j 30
r
Qualifier x.10 ( - r o i l SS# Phone ?� S �' - 60 V?
State # Municipal # Competency # J>' c,y y 7c, Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING LECTRICA ''PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION c)- 11 cy_, y t 'i - a/c ,-. 4 S
Square Ft. Estimated Cost (value) / j c
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.
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. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President— Date
My Commission Expires:
Signature of contractor or Owner- Builder
FEES: PERMIT 6®' mO RADON C.C.F. e 0 NOTARY
Notary as to Contractor or Owner- Builder
My Commission Expires:
BOND
Date
Date
2 /-
TOTAL DUE �,,$ '
APPROVED:
Zoning Building Electrical b '
Mechanical Plumbing Engineering
6L- e) •c,
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ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
IOTCAS
SGTCRS OVER
CTCRS OVER
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SOTCRS OVER
Ii3TCRS WER
Ii1TCRS OVER
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ERATCRS iRNtSF�S
GENERA TORS TRANVOINERS
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