1165 NE 100 St (3)Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and specifications must be kept at
building during progress of work.
Owner's Name and Address X/ 777-4 No // w 5 Aft Street MO 5. 77
Registered Architect and/or Engineer
Employing Electrician's Name Apf aeC7n1C No c..40. �//c.42v.x/ kreet
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Amount of Permit $
APPLICATION FOR ELECTRICAL PERMIT
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
Date '2— 7/7/
636/ 144-4- /k/A LR1 ; 3 30/ V
Repairs
service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L .Metal Moulding
0! (Signed). OI 'SM
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, . work b •erf•rm under this permit, as are
licensed by Miami Shores Village.
No. of Stories
Master Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. J j e6
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
RE/RIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. HEAT.
CONN.
SPACE
14
STRIP
H
TOTAL.
CONTR.
LIST
1- 20 � W
'/
CHECK
lO O0
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
LIST
•-•
CHECK
0 Ioo
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and specifications must be kept at
building during progress of work.
Owner's Name and Address X/ 777-4 No // w 5 Aft Street MO 5. 77
Registered Architect and/or Engineer
Employing Electrician's Name Apf aeC7n1C No c..40. �//c.42v.x/ kreet
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Amount of Permit $
APPLICATION FOR ELECTRICAL PERMIT
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
Date '2— 7/7/
636/ 144-4- /k/A LR1 ; 3 30/ V
Repairs
service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L .Metal Moulding
0! (Signed). OI 'SM
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, . work b •erf•rm under this permit, as are
licensed by Miami Shores Village.
No. of Stories
Master Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. J j e6
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
Contractor �c
or Builder j`�"' c if * a +
Legal Lot
Description
MIAMI SHORES VILLAGE, FLORIDA ��rr
❑ DATE " " 1934(0
PERMIT N9 7678
0
O
Owner of
v
Building ,,r f 4 S►
Architect
Work to be performed under this Permit
u e1
---
Address of it t t .� Value of Amount of
Building
Project $ II 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 applica-
tion 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 respon-
sibility for work done by his agents, servants or employees.
Subdi-
vision
Signed.
% �
License No.
Contractor's
g; /
>"'''`• INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance wi all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authori,Ii s of Miami Shores Village. In as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employed.
r la
CONTRACTOR OR BUILDER BY AUTHORITY ...or