171 NE 100 St (15)CONTRACTOR
Name
BENNETT ELECTRIC SERVICE CO IN
License No. EC 0000625
Address
6900 N E 4TH COURT
MIAMI FL 33138
Telephone
305- 759 -1665 Fax 305- 7541877
Qualifier Name
JOHN P. HIGGTNS
PROPERTY OWNER
Name LOVE, DAN I FL
Address
171 N E 100 STREET
MIAMI SHORES VILLAGE
Home Telephone 305 -759-1 080
Business Telephone
Fax
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'l Attachment
Other
Add'l Detachment
Other
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step I.
Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted
along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
Job Address: 171 N E 100 STREET MIAMI SHORES VILLAGE
Address Apt.
Folio Number) ) 3 'j 6 01 o t. Q
LotO� �d�
\ N) ') Block j S
Subdivisio SC-< P /04
Current Use of Property
Proposed Use of Property
Tenant Information
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Master Permit No.
Subsidiary Permit No.
City State
PERMIT APPLICATION
Zip
Description of Work ( 1) SW T TCH, ( 1 )1 I GHT ( 1) RECEPTACLE
Zoning Linear Feet
S quare Feet Units Floors
1 -41ue of Work S 0 1 °0 Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
C
Page 2
IMI ORTA NOTICES
1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
STATE OF FLORIDA, COUNTY OF MIAMI -DADE
Sign ure of Owner
t %l(; P D. A4-e_ t Name
SEAL:
Sworn to and ubscribed b fore me this
Zoo
Si! 1 re of Notary
"A 4. John M Farquhar
* =D * My Commission CC908801
.s '4.,,# Expires March 27, 2004
Personally known OR, Produced Identification
ublic - State of Florida
day of WO vg /L
Type of Identification Produced:
STATE OF IDA, a TY OF MIAMI -DADE
0 ,
ture of on or / Q
Jahn P ys as
Print Name �.
Sworn to and subscribed bef. e me this day of l✓v✓einb re..,
20o 1
SEAL:
Notary Pu
- State of Florida
PERMIT APPLICATION
Type of Identification Produced:
4,, . John M Farquhar
** My Commission CC908801
Exp March 27, 2004
Personally known OR, Produced Identification
MEMO: PERMIT: 170 NE 100 ST
lam S lr
BENNETT ELECTRIC SERVICE CO.
6900 N.E. 4TH CT., MIAMI, FL 33138
DA DE: 759 -1665 • BROWARD: 920 -4899
FAX: 754 -1877
** SDCrY DOLLARS AND 60 CENTS **
PAY VILLAGE OF MIAMI SHORES
TO THE
ORDER
OF
NationsBank
9499 NE 2nd Avenue
Miami Shores, Florida 33132
63 -550
660
DATE
11/19/01
1 1:06600 S 50 2 401320 ?10811'
CHECK NO.
00024577
AMOUNT
* * * * ** *60.60
2
0
•
8
N
m
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE
Dryer
QTY.
TYPE.
Outlet, Appliance
QTY.
TYPE
Service Repair
QTY.
A/C Central 1 -3 Ton
Cooling Tower
Fan
Outlet, Wall
I
Service, Temporary
A/C Central 4 -7 Ton
- Paint Booth
Fire Pump
Ventilation, Cost
Outlet, Switch
/
Signs
Ductwork, Cost of
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
- Process/Pressure Piping
A/C Central 16-20 Ton
Fixture Light
Bath Fan - Vented, #
Parking Lot Lights
Fireplaces, Number of
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
/
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp. Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
MECHANICAL
TYPE,
Minimum Fee
QTY.
TYPE
Condensate Drain
QTY. TYPE
Generator
QTY.
I'YPE
Refrigeration, Tons
QTY.
A/C Central, Tons
Bath Tub
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
- Paint Booth
Filter Replace
Ventilation, Cost
Pool Piping
Air Handler, Tons
Sprinkler Repair
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
- Process/Pressure Piping
Cap - Water
Gas - Appliance
Bath Fan - Vented, #
Pump, Domestic
Fireplaces, Number of
Pressure Vessel
Cap - Sewer
PLUMBING
TYPE.
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
QTY.
TYPE
Soakage Pit
QTY.
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi- family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.) $
Inspector State Educational Fund $
State DCA (Radon) $
Code Enforcement Fine
Zoning Review
0 PROOF OF OWNERSHIP
(Attach)
❑ FIRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
$
SECTION
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
BY
DATE
cyfrsor'ey
( sq.ft. = x/1000 •
x ¢.60)
(¢.005 /sq.ft.)
(¢.01 /sq.ft.)
REVIEWED AND PREPARED BY:
PERMIT APPLICATION
0 CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $
ISSUING OFFICIAL
DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2' AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http:/ /www.miamishoresvillage.com
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date d 4 / Job Address / 7/ /(/en/ ��r /D()
Legal Description Historically Designated: Yes No
f N-; Owner/Lessee / Tenant r GLI P D . L a V E Master Permit # 415,7
. 6�5 -71- 9 /DSO e 4 A 1
Owner's Address / 7/ /tic /DD*C. ,- PEFT, 11/..9/0/i1/4—/iatoz.Phone ,/
Contracting Co. ,�J .JEST E /.��r/��C �_ /1 v/CF (v. - Address 9DD � � �� (G� f s A//4„),,,
/A'291, Jl
Qualifier ;',4/ /1/6"/4).5 SS# Phone ?Ci5 - 7c59 - / l' & V
State # E(r DnIJD l _ Municipal # 0 2, 2-91 Competency # E-Cr 0,6 62.3 - Ins. Co. c.-L)
Architect/Engineer
Bonding Company /1./,i9
Mortgagor A//4
Permit Type (circle one): BUILDING LECTRIC PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION "rEeo4).0E27 /q)/;/ (11 K/ /ilara4� 7-0 7,_577-L/6- , vim ia C. de0 oz-7-
Square Ft. Estimated Cost (value) ' Df7
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 one in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above-named contractor to do the work stated.
• c 0 7->/ _a i
No
My o
and/or Condo President Date
D7 / -O
wne d/or Condo President Date
on Expire . John M Farquhar
* * Commission CC90880i
3 N,F Expires March 27, 2004
FEES: PERMIT 60/1Pv RADON
Address
Address
Address
7---))57 7,n 0,2 x A).rf/ Xt..J 6-4,)6 -e / . 0 0v/1 - L5 Dw
tor or Owner - Builder
Not , o Con
M Co ssion Expir
7
Builder Date
"AN John M Farquhar
*�Q* My Commission CC908801
‘4„ „� Expires March 27, 2004
C.C.F. , `P -0 NOTARY '" BOND
TOTAL DUE
p� -3I -o
Date
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Engineering
1 BATHTUB
BIDET
�� !
SOAKAGE FIT C ? P. M �
CATCH BAS
•
CiiTI 'S (switch & light)
FD1:TURFS
E DISHWASHER , .
DISCHARGE. WELL .
�Vm_,,�,
_�
RECEPTACLES
DR N K FO INT,wft
AREA DRAIN.
.__
:
SERVICE SIZE-AMPS
tin...,.,, ...
FLOOR DRAIN
...�".�—_..�.,..
RC,,C?F INLET
SFRV. REP/i✓tr"I ER CHG.
ORREASE �� —�
��ITERCEP'i "OR
SOLAR WATER HEATER
`.��'
SERVICE TEMP
FIRE STANDPI• E
RANGE TOP
i LAVATORY
LAWN SPRK. SYS.. -
OVEN
f
LAUNDRY TRAY y
L cLL r fHESwA 5 HER
POC!L PIPING .— n-
3AS RANGE
a
WATEfl. HEATER
MOTC1 S 0 - I HP
SHOWER
__
METER 5f "'I'- {C:iS)
MOTORS 1 - 3 HP
MOTORS. 3 - 5 HP.� ._ .
SINZ' POT/ CON?
(AS PIPING
SINK RESIDENT .
..
MOTORS 5 - 8 HP
SINK SLOP ,
MO VORS 8 - 10 HP •
MO>;ORS In - 23 HP
TEM.WATER CLOS,
UiRIN .L
MECOAN!CP-L -
MC/TOr;S 224 -100 H?
I
.,
WATE .0 ; 1
•
CF1iiju. HEATING
MOTORS OVER 100 HP
INDIRECT WASTES
A,`C (WINDOW)
R
A/C WINDOW
AIR CONDITIONERS
.--
WATER SUPPLY TO:
NC {CENTRAK.1
DUC !'.WORK
STRIP I!EATER
A/C UI'!IT
FIRE SPRINKLER.
REFRiGERA7H
GENER. TRVNSFCRM.
PROCL•SS/PRE: S PIPE
SPECIAL PURPOSE
iiE TER -NEW
UNDEit(31:oLiND T :u' ;.
Oil T i.ETS- COMMERCIAL:
HEATER -REPL.
LAWN SPR.•.VEL L
ABOVE GP.C`•JrID TANK
SIGN TUBES
—
SIGN SIGN TRANSFORM.
• 7
SWIM. POOL
PRESSURE ""
I WATER SERVICE
STEAM BOILERS
SIGN -TIME CLOCK '
SEWER CONNECT.
HOT WATER 3OILER.S
APPLIANCE OUTLETS
UTILITY -SEWER
MECHAN. VENT .A.
ANTENNA
UT :LITY•WATEir.
TRANSPORT. AS;:EMB.
TELEVISION
ELEV ATO;2./ESCALATO
A LAR.VIS
RELA Y
DRAT FIELD
FIRE SPRINKLER SYS.
TELEPHONE oUT'I.ETS
PUMP.''.IBANDON
SEPTIC TANK
COOLING TOWERS
TMc-CLO°.L
I I
1
ADDENDUM TO BUILDING PERMIT APPLICATION
(.;,N APPLICATION. F3.11 BUILDING PER!4:IT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE=
OWNER'S 140TARLZED..31 IATVRE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.
PLJa'v1Bz? G.• •
FEF.:
PLUMBING
ITEM
UNIT
UNIT FEE
Date
Legal Description
Owner / Lessee / Tenant /10--e- 1 / ''°` & 'u t
Owner's Address / 7 / A[ E 00 � 1' Phone
Contracting Co. W Pi I 2Address Z_1 �3 3 "Sf
Qualifier,/ 6c / a l SS# Phone 3e'd /// 7
State # Municipal # Competency # /34 yf ns.Co. c-paS �t(4 c. 71St/
Architect /Engineer Address
Bonding Company Address
Mortgagor
0 •': AFFIDAVIT: I
b
Signature
Date:
** *
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
/-]
Job Address /7/ � l4 ✓
or Condo President
Notary ~ s Wv BpFR1xl/ I�OT sn UP
My Comm ft, ApipmpliA M MONTIEI
x * COMMISSION NUMBER
� 3 i . ' Q CC401261
VI j MY COMMISSION .EXP.
*Or. cv * AOCP. 17,1918
FEES: PERMIT 1 RADON
Permit Type(circle one): BUILDING ELECTRICAL °LUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 5 % �:41c
Square Ft. Estimated Cos
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.
rtify that all the foregoing information is accurate and that all work will
ith all applicable laws regulating construction and zoning. Furthermore, I
ed contractor to do the work stated.
esident
Address
S of Contract •;' or Owner- Builder
Date:
Tax Folio
Fire Other
it 3 Zo e'/ e
Master Permit # 36
Notai>< to G6ntr or or Owar Builder
My Commission Expi T PUILIC OF FI.ORIDA
MISSION EXP. APR.30,1995
80IIDE0 TNRU GENERAL INS. UND.
* * * * * * * * **
C.C.F. 1' NOTARY TOTAL DUE 164"
Zoning Building Electrical p
Mechanical Plumbing Engineering
itit
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building - A
r PERMIT
Address of .-
Building f / €` `V
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Architect
Contractor
or Builder
Legal Lot
Description
B1
N9 4922
Work to be performed under this Permit
DATE
Contractor's f
License No. L, ?
4 ' .% y f! 4 k ..t y tj
4f, ‘1
Subdi-
vision
Value of ( Amount of
Project $ 1 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.
7
Signed. F �� ✓ ; 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 as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
ABBOT
No.
Item
No.
Item
No.
Item
Request Inspections Made
Switch Outlets
Range Outlets
Motors, 0 -1 H. P.
Receptacles
Appliance Outlets
Motors, 1 -5 H. P.
l
Light Outlets
Fan Outlets
Motors, 5 -10 H. P.
FIXTURES
Centers of Distribution
Motors, 10 -25 H. P.
Refrigerator Outlets
Service — Temporary
Motors, Over 25 H. P.
Iron Outlets
Service — Equipment
Radio Outlets
Approved by
Space Heaters (Bath)
Meter Change
Radio Antenna
Space Heaters (Other)
Neon Transformers
Violations
Connected
19
Water Heater Outlets
Sig Outlets
Reinspection
ELECTRICAL PERMIT APPLICATION
Give full and accurate information �/l4'/ • S0261' Date / /4a,(f
ELECTRICAL DEPARTMENT of the CITY of MIAMI
Application is herewith made for an electrical permit covering an electric installation in or on the premises stated below. The ap-
plicant hereby a rees to ke such • stallation in accordance with the requirement of the City of Miami ��eeehh,, Florida, electrical
code. n Tllat<<e
Name �4,._. �� . Lot Block
Address �/ llf 400_ Sub- Division
Electrical Contractor r � C� , 10 &° g Permit Number
Master's Signature i
-
'
Owner's Name and Address � -
Registered Architect and /or Engineer
6n ,'/
Employing Electrician's Name.. .
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 4 ° Date / R.
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.
Street and Number where work is to be performed —No /2/ /OV
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Amount of Permit $ ,/ • `n! " (Signed)
No 1 , Street /&
No 1 . 1 J 3 6 v ` - / . G t f r 7 7 ? - - - , ,
Location and Legal Description Lot Block Subdivision
Street
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)a„A "
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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Oxrttti ,
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE. s ''
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
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
CE
CE
SC
H TER
STRIP
HEATER
TOTAL
CONTR.
LIST
/
, `
^r`
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
145 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Owner's Name and Address � -
Registered Architect and /or Engineer
6n ,'/
Employing Electrician's Name.. .
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 4 ° Date / R.
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.
Street and Number where work is to be performed —No /2/ /OV
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Amount of Permit $ ,/ • `n! " (Signed)
No 1 , Street /&
No 1 . 1 J 3 6 v ` - / . G t f r 7 7 ? - - - , ,
Location and Legal Description Lot Block Subdivision
Street
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)a„A "
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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Oxrttti ,
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE. s ''
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
Owner's Name and Address
Registered Architect and /or Engineer.
Employing Electrician's Name
E s.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
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 s •e co plied with whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress o
No.../ 7 .f
Nodfiral
Location and Legal Description Lot Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Street
Street..
Subdivisi
Street./
42..1-a==J°4-c4
No. of Stories
Service Overhead Site
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.
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 subcontractors / on work to be •erformed under this permit, as are
licensed by Miami Shores Village. s
1
(Signe•�.
STATE OF FLORIDA, , j
COUNTY OF DADE: I
Before me, t13e 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 fact6
therein by him stated are true.
Notary Public, State of Florida
aster Electrician.
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
R ECE:P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
H EATER
TOTAL
CONTR. IEr
LIST
L
l
�'.7,
CC��
i �
(-7,--s--)-
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
�
MOT
M OTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
0.1 1kr
CONTR.
LIST
P T
401.0 )
/
CHECK
Permit No
Owner's Name and Address
Registered Architect and /or Engineer.
Employing Electrician's Name
E s.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
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 s •e co plied with whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress o
No.../ 7 .f
Nodfiral
Location and Legal Description Lot Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Street
Street..
Subdivisi
Street./
42..1-a==J°4-c4
No. of Stories
Service Overhead Site
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.
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 subcontractors / on work to be •erformed under this permit, as are
licensed by Miami Shores Village. s
1
(Signe•�.
STATE OF FLORIDA, , j
COUNTY OF DADE: I
Before me, t13e 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 fact6
therein by him stated are true.
Notary Public, State of Florida
aster Electrician.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No.144
ELECTRICAL INSPECTION DEPARTMENT
•
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address TrelE No. 171
Registered Architect and /or Engineer
Employing Electrician's Name �_L AVM.O/d S r4 No.__ 3 '
Block l ,
Location and Legal Description Lot___ Q _
Street and Number where work is to be performed —No. I /
MIAMI SHORES VILLAGE
State work to be performed and purpose of building (By Floors) 8 C r_1:41 _R Ar3$ _ =_
New Building Remodeling Addition Repairs
Service Overhead Size Feeders Conduit —____ Main Sw Amps.
Underground
Date_1!Ee ,_Ll - --
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ 7 ricze-
lec al 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.
My Commission Expires
(Signed)
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
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
No. of Stories
Main Fuses Amps.
A
AAAL
Master Electrican.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection' is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
.
r
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP,
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No.144
ELECTRICAL INSPECTION DEPARTMENT
•
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address TrelE No. 171
Registered Architect and /or Engineer
Employing Electrician's Name �_L AVM.O/d S r4 No.__ 3 '
Block l ,
Location and Legal Description Lot___ Q _
Street and Number where work is to be performed —No. I /
MIAMI SHORES VILLAGE
State work to be performed and purpose of building (By Floors) 8 C r_1:41 _R Ar3$ _ =_
New Building Remodeling Addition Repairs
Service Overhead Size Feeders Conduit —____ Main Sw Amps.
Underground
Date_1!Ee ,_Ll - --
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ 7 ricze-
lec al 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.
My Commission Expires
(Signed)
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
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
No. of Stories
Main Fuses Amps.
A
AAAL
Master Electrican.
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.
NO.
STREET
PART OF LOT
TiT2 '9 i , '
LOT
BL'K
SUBDIVISION
/ -
ifit
)fda/10
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
9ie
.
.///e."
,., b
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Cillractor or Electrician (.ff../
r _
Owner of Building
Dated
dA Miami CAOren
F L o R ID A
OFFICE OF ELECTRICAL DEPARTMENT
LOCATION
Miami Shores Village, Fla ,
In consideration of the issuance to me of the foregoing Electrical
the Application and the plans and specifications thereof heretofore by me
State of Florida, all the Electrical Ordinances and Codes of Miami Shores
Shores Village.
DESCRIPTION OF WORK
NUMBER OF
' 19 itiO,
11P00 7
19
This Permit is granted upon the express condition that all facts stated in the Application are trut_and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit m
upon the violation of any provisions of said laws, ordinances, or rules and regulations or upon,any change in plans and s
t.Department.
■9 730
be revoked at any time
cifications unauthorized by
, Electrical_ Inspector.
Permit, 113ereby agree to do the proposed construction in strict conformity with
submitted, and in compliance with all provisions of all Electrical Laws of the
Village, and .11 rules wind gulat ns of Of Electrical Department of Miami
(Seal)
NO.
STREET
PART OF LOT
LOT
BL'K
SUBDIVISION _
Signs
Billboards
Other Apparatus
Permit Fee
a '
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
a '
d Vis
� , ' i '
,
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building -
Contractor or Electrician
In consideration of the issuance to me of the foregoing Electrical
the Application and the plans and specifications thereof heretofore by me
State of Florida, all the Electrical Ordinances and Codes of Miami Shores
Shores Village.
ddl_iami Jhoresllage
F L 0 R 1 D A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla ,
LO CATI O N
DESCRIPTION OF WORK
NUMBER OF
Wit a 1t,
Dated , 19
- r
19
° 730
9'4
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time
upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by
this Department.
, Electrical Inspector.
Permit, I hereby agree to do the proposed construction in strict conformity with
submitted, and in compliance with all provisions of all Electrical Laws of the
Village, and all rules and- 4.egulations of the Electrical Department of Miami
,
1
-
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No._A 4f
SS.
My Commission Expires
Addition
Amount of Permit $_ j_ e t. (Signed) I
Repairs
Date_P f C. _t i 31_
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 " & �x__g f No.
Registered Architect and /or Engineer
Employing Electrician's Name SL 4�.".4
Location and Legal Description Lot__ 2e 2 a
Street and Number where work is to be performed —No 1
State work to be performed and purpose of building (By Floors)
New Building Remodeling
Street - - - E- --I - - s r
No. 3 W Street_! 4 5 '
Block ' 1 Subdivision_ AL S_
Street N
Service Overhead Size Feeders Conduit Main Sw Amps. _ Main Fuses Amps.
Underground P p
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
No. of Stories
.� Elec al 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.
a 1� s
s- ___rte -��_�� �•_�: ±?1== ��'_��"�
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE.
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
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
1
CHECK
<% ^ ^f
i 71 u
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No._A 4f
SS.
My Commission Expires
Addition
Amount of Permit $_ j_ e t. (Signed) I
Repairs
Date_P f C. _t i 31_
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 " & �x__g f No.
Registered Architect and /or Engineer
Employing Electrician's Name SL 4�.".4
Location and Legal Description Lot__ 2e 2 a
Street and Number where work is to be performed —No 1
State work to be performed and purpose of building (By Floors)
New Building Remodeling
Street - - - E- --I - - s r
No. 3 W Street_! 4 5 '
Block ' 1 Subdivision_ AL S_
Street N
Service Overhead Size Feeders Conduit Main Sw Amps. _ Main Fuses Amps.
Underground P p
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
No. of Stories
.� Elec al 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.
a 1� s
s- ___rte -��_�� �•_�: ±?1== ��'_��"�
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE.
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.
C
MIAMI SHORES VILLAGE PERMIT
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
Ai r )"`'y /yp. p /' •' q f,Yii
THIS CERTIFIES THAT the wiring and apparatus installed at / r '
b , 1 d 4 <j p: " r or 3FC: 40104. Address
has been inspected and current is authorized to be turned on, until otherwise notified, for:
Size of Service '," Number of Lighting Circuits rf;
Range pa watts. Water Heater watts
Power: Connected load " H P. Space Heaters ) watts
Other Apparatus
/4/
No.
owner, and occupied as
t .* '
5 ELECTRICAL INSPECTOR.
0 ... U TV. =
NUMBER OF
RECEPTACLES G&ISISOFFrell7S
INSULATION
WATER H'TERS
SIGNS
BILLBOARDS
OTHER APPARATUS
GEN.
MAIN
SUB
MIP IBIUA
// STOVES
First
FLOOR
NUMBER OF
SIZES OF
INSULATION
OPEN OR
CO NCEAL'D
NUMBER OF
CIRCUITS
OUTLETS
MOTOR
GEN.
MAIN
SUB
BRANCH
Basement
First
Second
Third
Fourth
Other
Floors
r
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for issuance of permit for electrical installation as describe . = _ •', and for
inspection of same after installation:
6. -Z Owner 0'` t M at
Building Contractor
Electrical Contract
Location of proposed work: Lot
Building: Old or new_aegel Number of stories Used as
Description of proposed work
Details of proposed work:
Number of Motors
Additional Information
Signature of Applican
Address (if other than owner or contractor
=_fhores91.11age
F L O A ID A.
H P Volts Amps Phase
Block / d - Subdivision
Date / q 193.
Address�� �' A % ti
(SPACE BELOW FOR INBPECTOR•8 U8
Work begun Inspected
y es .
Work finished Final inspectio
f
, Inspector
131.41t-DING
ELECTRICAL PERMIT A N? - 224
P BtNG
W ier of Building = L1 / L - L.
Architect and /or Engi
AUNT
NAME
. NAME
Contractor or -
NAME
Proposed Location t _ >i 4 )
LOT BLOCK
ADDRESS
I7j
ADDRESS
A,<"") - 9i
ADDRESS `
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
19 t= r
NO.
LICENSE NO.
LICENSE NO.
c.�
s
soull sioN
This permit is issued to ' '- / 4; y 4, -i a` : �i f ,. L - } 'Po
..
the building above described, as per application. Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Shores V' ag�e,. This permit may be revoked at any time/upon the violation of any provisions of said
laws, ordinances or rules and regulations, or upon a ' ° a (in the plans and specifi ati th rized\byafhe building inspector.
�!pp{y , �.. , �. . a te; '
d RECD. PAYMENT ACCT. DEPT.
STREE4T
INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
ns and sp ifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building or : Aces and zoning laws of Miami Shores Village and all rules and regulations of the building dep rtment of Mi i Shores Village.
Dated- ------ – / - 1 9- ' – i_. =t-` —. -- t - —
`' t�t ' (SEAL)
NOTE: A charge of $1.00 will be made for making corrections or changes to this application a tl:r a ` • royal has been obtained from the Planning Board.
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.
" r /' / /s.'
-BUILDING
ELECTRICAL PERMIT A N° 224
- PLUMBING
Owner of Building
Architect and /or Engineer
Contractor or Builder________ ________�
NAME
Proposed Location e `
LOT BLOCK
NAME
NAME
SUB - DIVISION
_
ADDRESS
ADDRESS
ADDRESS
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
.= 19
,
s
NO.
To
LICENSE NO.
LICENSE NO.
STREET
INSPECTOR
This permit is issued to
the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
''hat all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
lations of the building department of Miami Shores Village This permit may be revoked at any time upon the violation of any provisions of said
s, ordinances or rules and regulations, or upon atj cage in the plans and specificati9ns,.unauthorized by the building inspector.
pUNT RECD. PAYMENT ACCT. DEPT.
fn consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
and . specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
g ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village.
:
. _ . ` j - r 19_ ,, . . i t ,s. 3` t
(SEAL)
iTE: A charge of $1.00 will be made for making corrections or changes to this application a£tir approval has been obtained from the Planning Board.
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.