75 NE 98 St (10)BUILDING ❑ ,,
ELECTRICAL E l 1c
PLUMBING ❑ PERMIT N? 9825
ROOFING ❑
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE. FLORIDA
r i " f
t # �., t
CONTRACTOR OR BUILDER
Bl.
Signed.-
? e t',-
Subdi -
vision
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.
Sq. Ft
Value of
Project $
DATE
Contractor's
License No f,. r**
1
Amt. of
Permit $ ?
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.
BY AUTHORITY
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
fe 4 y 4' 1940
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. c
Owner's Name and Address WO S• Carroll No Street
Permit No
Registered Architect and /or Engineer. .
Employing Electrician's NameL a W1$ C t
asner
Location and Legal Description Lot Block
N,,E.. 8'S,t
t.
State work to be performed and purpose of building (By Floors) Reside/Al
Street and Number where work is to be performed—No. 75
New Building. Remodeling Addition Repairs No. of Stories
Overhead
Service . V Site Feeders.. Conduit 21 �//
1 /Main Sw Amps Main Fuses Amps
Type of Installation — Conduit Tubing B. X.L Metal Moulding 44, • 6C• 1
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
fp
55.
•
(Signed)
(Signed).
No AA/
Date
Street
Subdivision
Meet
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts )is obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of 1 rida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the '
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub•contractors, ol to be performed under this permit, as are
licensed by Miami Shores Village.
t� ,,
aster 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 $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
GNOISI
OUTLET
RANGE
P
WATER
HEATER
W. HEAT.
CONN.
E
T
STRIP
H EATER
gf PI*
S'4
/
TOTAL
CONTR.
LIST
/4
is
gr.
/
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS MOTORS
0.1 HP 1 -5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
o
�O `
4 .1
CHECK
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
fe 4 y 4' 1940
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. c
Owner's Name and Address WO S• Carroll No Street
Permit No
Registered Architect and /or Engineer. .
Employing Electrician's NameL a W1$ C t
asner
Location and Legal Description Lot Block
N,,E.. 8'S,t
t.
State work to be performed and purpose of building (By Floors) Reside/Al
Street and Number where work is to be performed—No. 75
New Building. Remodeling Addition Repairs No. of Stories
Overhead
Service . V Site Feeders.. Conduit 21 �//
1 /Main Sw Amps Main Fuses Amps
Type of Installation — Conduit Tubing B. X.L Metal Moulding 44, • 6C• 1
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
fp
55.
•
(Signed)
(Signed).
No AA/
Date
Street
Subdivision
Meet
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts )is obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of 1 rida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the '
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub•contractors, ol to be performed under this permit, as are
licensed by Miami Shores Village.
t� ,,
aster 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.