1210 NE 100 St (3)� �
Permit No..... .. . ... Date..... ---- f i
Application is hereby made for the approval of the detailed statement of the p ans and specifications her.with submitted for the building or other
structure herein described This application is made in complia and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all ro isions of the Laws of the State of Floric.a all ordinances Miami Shores Village and all uses and regulations of eh• Building Division
of Miami Shor ,. Village shall be complied with, whe.her he ein specs ied or not. A copy of approved plans and specifications must be kept at
building during •ogress of wor % / /�f
Owner's Name and Address.._ .... fC /'� �����iL� No. ...1.. / l :1. e e et_.._ /00 .. .
Registered Archiect ^ d /o . ,: nrer
Employing Electrician s Nam
Location and Legal Descriptioi of ... .. . .
Street and Number where work is to be performed —No .
State work to be perfo.med and purpose of building (By Floors)
New Building........... ... Remodeling............. Addition ......_ ...._...._....Repairs No. of Stories
Service Overhead Size Feeders ..........Co iduit..
Underground
Type of Instal tipn – iiduit_ . ...... . .T lkiir
Amount of Permit $ ..
STATE OF FLORIDA, 1
COUNTY OF DADE. I
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
ss.
•
(Signed)
0
Block... ...
Main Sw Amps.
.B.5(L ... ......Metal Moulding... .. ..
/.gyp 7
Street. (Y ..
..... Subdivision..
.Street.
l
.Main uses
Electr
The and rs'gned applicant for tl-i^ building permit doer hereby certify that he understands and accepts his obligation
iabo und- r the Flo;da Workmen's Compensation Act being Section 5966, Compiled General Laws of Florida Pcrma
has ompl'_d ..ith the provisions thereof. and will require similar compliance from all contractors or sub-contractors
work to be p rformed under this permit; and will post o. cause to be posted for inspection on the site of the wo k s
as are requir d b, the Act The undersign d agrees to
cei sed by Miami Shores Village
.:. ......... .
.Amps
nspector.
employer of
Supplement, and
oyed by him in the
public notice or notices
ipso; only such sub contractors, on work to be y_rfor., ed under this permit, as
(Signed) .�
Master Electricia
are
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 construLtion, and he h.. carefully read the foregoin 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 workma .ship.
SWITCH
OUTLETS
L!oH'
OUPL :. b
PLJO
REC 'P'T'S
1 IXT..RES
NO LAMPS
REFRIO.
OI'TLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEARER
STRIP
HEATEr2
TOTAL
CONTR.
LIST
CHECK
ENT.
Ss
DISi.
;.AEi.
SE V CE
T' MP.
$ERVIC °
PERM
/ S
2
/
MOTORS
0.1 HP
MOTORS
1.5 HP
N?, ^N
TRANS.
R .D10
TOTAL
CONT
LI T
CHE K
L.o
r—,
0
., .v
� �
Permit No..... .. . ... Date..... ---- f i
Application is hereby made for the approval of the detailed statement of the p ans and specifications her.with submitted for the building or other
structure herein described This application is made in complia and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all ro isions of the Laws of the State of Floric.a all ordinances Miami Shores Village and all uses and regulations of eh• Building Division
of Miami Shor ,. Village shall be complied with, whe.her he ein specs ied or not. A copy of approved plans and specifications must be kept at
building during •ogress of wor % / /�f
Owner's Name and Address.._ .... fC /'� �����iL� No. ...1.. / l :1. e e et_.._ /00 .. .
Registered Archiect ^ d /o . ,: nrer
Employing Electrician s Nam
Location and Legal Descriptioi of ... .. . .
Street and Number where work is to be performed —No .
State work to be perfo.med and purpose of building (By Floors)
New Building........... ... Remodeling............. Addition ......_ ...._...._....Repairs No. of Stories
Service Overhead Size Feeders ..........Co iduit..
Underground
Type of Instal tipn – iiduit_ . ...... . .T lkiir
Amount of Permit $ ..
STATE OF FLORIDA, 1
COUNTY OF DADE. I
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
ss.
•
(Signed)
0
Block... ...
Main Sw Amps.
.B.5(L ... ......Metal Moulding... .. ..
/.gyp 7
Street. (Y ..
..... Subdivision..
.Street.
l
.Main uses
Electr
The and rs'gned applicant for tl-i^ building permit doer hereby certify that he understands and accepts his obligation
iabo und- r the Flo;da Workmen's Compensation Act being Section 5966, Compiled General Laws of Florida Pcrma
has ompl'_d ..ith the provisions thereof. and will require similar compliance from all contractors or sub-contractors
work to be p rformed under this permit; and will post o. cause to be posted for inspection on the site of the wo k s
as are requir d b, the Act The undersign d agrees to
cei sed by Miami Shores Village
.:. ......... .
.Amps
nspector.
employer of
Supplement, and
oyed by him in the
public notice or notices
ipso; only such sub contractors, on work to be y_rfor., ed under this permit, as
(Signed) .�
Master Electricia
are
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 construLtion, and he h.. carefully read the foregoin 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 workma .ship.
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL ❑
PLUMBING ❑ PERMIT N? 10696
ROOFING ❑
Owner of / t r t J
Building � .� t _ r C •� J./
Architect
( f
Date—_ "1 '
Contractor's
License No.
Work to be performed under this Permit
oroBuilder R e.* .di , I , 0(e, {� �.. f ›,f
Legal Lot 1 Su
Description vbdi-
n
isio
Sq Ft -�
7 f , ti ► _ . # ? 11 Value of 11 Amount of ! i 0
Building ,
Address of
Project $ 11 Permit $ t "
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 tlr employees.
4.
Signed.— "' 0 . (7i PECTOR) BY
In consideration of the issuance to me of this permit I agree' perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawl statements or specifications submitted to the proper authorities of Miami Shores Village.
In acceptit his permit I assume reponsibility for all work do6e by either, myself, my agent, servant or employee.
CONTRACTOR or BUILDER
BY/
f
AUTHORITY
Permit No
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name 44
Location and Legal Description Lot
Street and Number where work is to be performed —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 work
( 2-\
d.'�
4
► /1 4Z. / No Street
a
No.
02/0
. ...... .....Block
nj
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
STATE OF FLORIDA, ,)
COUNTY OF DADE. I
55.
My Commission Expires
1
(Signed)
Date b= V
Street
ez.
a Subdivision
Street
Electrica Inspector.
The undersigned applicant for this building permit does he •y certify that he un• erstands and accepts his obligations a n employer of
labor under the Florida Workmen's Compensation Act, being Sectio ' 66, Compile • General Laws of Florida Perm nt Supplement, and
has complied with the provisions thereof, and will require similar compliant all contractors or sub - contractors 'ployed 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, 4n work to be perform , under thi permit, as are
licensed by Miami Shores Village. �l I performe l �I 1)
Notary Public, State of Florida
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.
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
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
1
/
)
)
/
%
(
p
!/
CHECK
i
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
/
MOTORS / MOTORS
0.1 HP FFF /// 1.8 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
1
/
/
CHECK
�
1/e0
/C>C)
Permit No
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name 44
Location and Legal Description Lot
Street and Number where work is to be performed —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 work
( 2-\
d.'�
4
► /1 4Z. / No Street
a
No.
02/0
. ...... .....Block
nj
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
STATE OF FLORIDA, ,)
COUNTY OF DADE. I
55.
My Commission Expires
1
(Signed)
Date b= V
Street
ez.
a Subdivision
Street
Electrica Inspector.
The undersigned applicant for this building permit does he •y certify that he un• erstands and accepts his obligations a n employer of
labor under the Florida Workmen's Compensation Act, being Sectio ' 66, Compile • General Laws of Florida Perm nt Supplement, and
has complied with the provisions thereof, and will require similar compliant all contractors or sub - contractors 'ployed 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, 4n work to be perform , under thi permit, as are
licensed by Miami Shores Village. �l I performe l �I 1)
Notary Public, State of Florida
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.
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.
."
Size of Service
MIAMI SHORES VILLAGE
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
Ceilittot
THIS CE,gTIFIETPLAT. t)be wiring and apparatus installed at
k''' ,.-Le ,//, (
by . , K 4.1... 14., Address
for fi / rw owner, and occupied as . is =- /
has been inspected and current is author' ed to be turned on, until otherwise notified, for:
Number of Lighting Circuits
Range /‘ , watts. Water Heater X
t ;
Power: Connected load Y H P. Space Heaters
Other Apparatus
//,
PERMIT
No. e
t.,,,
ELE AL INSPECTOR.
watts
watts
FLOOR
NUMBER OF
SIZES OF
F _
1NSULATION
OPEN R
CONCEAO 'D
NUMBER OF
CIRCUITS
OUTLETS
MOTOR
GEN.
MA
SUB
■
BRANCH
B:::mt en
�
�,e,
Second
Third
Fourth
Other
Floors
Owner
Details of proposed work:
Number of Motors
OUTLETS
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for issuance of permit for electrical installation as described below, and for
inspection of same after installatii:
/4 pt 4
Building Contracto
Electrical Contractor
Location of proposed work: Lot Bloc . divis�on
f
Building: Old or new Number of stories Used as
Description of proposed work
MOTORS
RECEPTACLES
GENERATORS
STOVES
WATER H'TERS
SIGNS
BILLBOARDS
OTHER APPARATUS
Additional Information
Signature of Applicant
aiami j
F L 0 R 1 D A
H P Volts Amps Phase
Address (if other than owner or contractor)
- Address
6
{f
(SPACE BELOW FOR INSPECTOR'S USE ONLY)
Date / /'/
9 (
193
A
Work begun Inspected
Work finished Final inspection
Amp
ector