185 NE 100 St (15)Inspection Number.'
P -999;
Inspection Date: 02/15/2006
Inspector: Devaney, Michael
Owner: NEWMAN, FREDERICK
Job Address: 185 100 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: SANDERS ELECTRIC INC
Building Department Comments
Wednesday, February 15, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
u.:N6
Block:
rift N unn
21
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Electric
Phone Number (305)757 -1073
Parcel Number 1132060132070
Lot:
Phone: 305 -624 -1003
Page 1 of 2
Passed
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number.'
P -999;
Inspection Date: 02/15/2006
Inspector: Devaney, Michael
Owner: NEWMAN, FREDERICK
Job Address: 185 100 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: SANDERS ELECTRIC INC
Building Department Comments
Wednesday, February 15, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
u.:N6
Block:
rift N unn
21
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Electric
Phone Number (305)757 -1073
Parcel Number 1132060132070
Lot:
Phone: 305 -624 -1003
Page 1 of 2
185NE100ST
ELECTRICAL ROUGH INSPECTION FOR RE -WIRE
Passed
Inspector Comments
_
- �
V/
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: 12/20/2005
Inspector: Devaney, Michael
Project: <NONE>
Owner: NEWMAN, FREDER QK
1 N
Job Address: 185 100 ST ZCoS fig/
Miami Shores Village, FL
Contractor: SANDERS ELECTRIC INC
Building Department Comments
Monday, December 19, 2005
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
1 (305)795 -2204 Fax: (305)756 -8972
Block:
Phone Number
Permit Type: Import ermit
Inspection Typ • Rough
Work Classification: Electric
Parcel Number 1132060132070
Lot:
Phone: 305 -624 -1003
Page 1 of 2
Tel: (305) 795.2204 Fax: (305) 756.8972
Tenant/Le .Nance
$ Value of Work For this Permit CO .
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
BUILDING PE } d v EI Permit No. ELO5 -- 28
PERMIT APPLICATION S ' ` T iVlas er Permit No. JV5 - 1 I
FBC 2001
Permit Type (circle): Building Electrical I /Plumbing Mechanical Roofingg
Owner's Name (Fee Simple Titleholder) s � , 1 Phone # 3 e3= 7c7-/073
�r
Owner's Address / g /JD
City in ! t 4'C 5' ere..,S State FL-
Type of Work: Addition 11A4teration New
Describe Work: �c1-1 ��((_ _ �Q %%.1G
Zip
Job Address (where the work is being done) / ' e v V /00
City Miami Shores Village County Miami -Dade
33 / ;
Zip
State Certificate or Registration No. tC- Certificate of Competency No.
Architect/Engineer's Name (if applicable) k 01..
Phone # ? .0c -
Square Square Footage Of Work:
kow S/r-rps; FC
313
Is Building Historically Designated YES NO X
Contractor's Company Name _LI, i Phone # 3ZZ 4pz-4 - (1 X '
Contractor's Address 3 115 1,1 Vti 11:34
,
Cit 1 o►M c G' `Ct ..s State C L_- Zip 'V317-'5
Qualifier n p% 17k P e. s
1 `t 3S )
7g /- /'3S^
❑ Repair /Replace ❑ Demolition
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ d'-h m/ m d CCF $ . ( CO /CC
Notary $5- Training/Education Fee $ 0 2-0 Technology Fee $ Z
Scanning $ 00 Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ 1 1 - L�
(Continued on opposite side)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Signature
* * * * * * * ** * * * * * * * * * * * **
My Commi sion Expires:
APPLICATION APPROVED BY:
chc 05/13/03
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S 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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Owner or Agent
The foregoing instrument was acknowledged before me this
day of , .0 _, by day of ,,., „ ,� 20
who is personal], known to me or who has produced
As identification and who did take an oath.
NOTA' Y P BL NOTARY PUBLIC:
Sign: ` / � Sign:
Print: Print:
** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ._ •
•
Zip
Contractor
The foregoing instrument was acknowledged before me this
y
r�u)� '' Plans Examiner
Engineer
Zoning
t
who is person to me or who has produced
entification and who did take an oath.
ov to '
My Com ission Expires: >tlantic R
* * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * ** * * * * * * * ** * * * * * * **
********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
g
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR MAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 FP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
'HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
1
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
F I XTLRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
-
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
_
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
j
LAWN SPRINKLER SYSTEM
GAS RANGE
I
METER SET (GAS)
GAS PIPINi,
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN A£PLIC.tTION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAII?ED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
ELECTRICAL
MECHANICAL
•
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 9/30/2005
Applicant: FREDERICK NEWMAN
Owner: NEWMAN FREDERICK
JOB ADDRESS: 185 NE 100 ST
Contractor SANDERS ELECTRIC INC
Local Phone: 305 -624 -1003
Parcel # 1132060132070
Signed: (INSPECTOR)
Electrical Permit
Permit Number: EL2005 -285
Contractor's Address: 3915 NW 164 ST
Permit Status: APPROVED Permit Expiration: 2/8 /2006 Construction Value: $1,000.00
Work: ROUGH OUTLET WIRING FOR ELECTRIC ALTERATION
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1AMD PB 10 -70 E1/2 LOT 21 & ALL LOT 22 BLK 15 LOT SIZE
Fees: Description Amount
FEE2005 -12986 Building Fee $150.00
FEE2005 -12987 CCF $0.60
FEE2005 -12988 Training and Education Fee $0.20
FEE2005 -12989 Notary Fee $5.00
FEE2005 -12990 Technology Fee $2.50
FEE2005 -12991 Scanning Fee $3.00
Total Fees: $161.30
Total Fees: $161.30
Total Receipts: $0.00
SEP 3 0 PAID
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',assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
MIAMI SHORES VILL if b
BUILDING DEPARTMENT (9 14
305- 795 -2204 "f
Building Inspection Request
Date ' (Zq oS
Type Insp'n F;
Permit No. [ L_U.(JJ — 130
Name go,WWIt ik
Address I'S NF /00 SC
Company S td rS ? tank ) roc,
Phone # 16/ 6/4 ,003
Inspection Date 05
Approved C/
Correction ❑ .¢,6 0.,"
Re- Insp'n Fee ❑
{t �
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 10(0S
Type Insp'n r 1144
Permit No. EL-2._COS — 130
Name 1
Address 135 NE 100 T
Company S4kd (7✓S FLotr {(
Phone # 3os/ Z4
Inspection Date 3/WO
Approved 13/
Correction ❑ �C°,6zL® Q'�
Re=Insp' n Fee
4
3169 ai
MIAMI SHORES VILLAGE 9 /0 S
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
Type Insp'n
Permit No. e 1 os - ■„
Name
Address) 1 "f 110031
Compan
Phone #
Inspection Date ` S
Approved
Correction
Re- Insp'n Fee
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 4/27/2005
Applicant: RANDY GRIFFIN
Owner: GRIFFIN RANDY
JOB ADDRESS: 185 NE 100 ST
Contractor SANDERS ELECTRIC INC
Local Phone: 305 - 624 -1003
Parcel # 1132060132070
Signed:
(INSPECTOR)
Electrical Permit
Permit Number: EL2005 -130
Contractor's Address: 3915 NW 164 ST
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1AMD PB 10 -70 E1/2 LOT 21 & ALL LOT 22 BLK 15 LOT SIZE 75
Fees: Description Amount
FEE2005 -5277 Building Fee $150.00
FEE2005 -5279 Notary Fee $5.00
FEE2005 -5281 Training and Education Fee $0.60
FEE2005 -5282 CCF $1.80
FEE2005 -5283 Scanning Fee $3.00
FEE2005 -5284 Technology Fee $3.00
FEE2005 -5285 Submittal Fee ($50.00)
Total Fees: $113.40
Total Fees: $113.40
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 10/22/2005 Construction Value: $2,300.00
Work: REMOVE OLD CLOTH BUILDING WIRE AND REPLACE WITH INSULATION. CONVERT EXINTING INSIDE C/B BOX TO 194 40
41-af o
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
BUILDING ° n n 'L 05=/ d
, r _ Permit No. 3
PERMIT APPLICATION ?R 2 _ Master Permit No.
FBC 2001
Permit Type (circle): Building P ii�ing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) FTZtit • U 'IJ m An4 Phone # 305 7 ;37 l b/ 3
Owner's Address 145 U E- q `#' - s-r,
Cit 1 f i St- V7Q1�S State
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 1 cZS ‘60
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO �—
Contractor's Company Name E iV C I -.
Contractor's Address 1415 i' W (�p4' •
City Mb-) li State FL
Qualifier ��' "Cb'S
Architect/Engineer's Name (if applicable) Phone #
Architect/Engineer's Address
City State
$ Value of Work For this Permit ...3 .CD Square Footage Of Work:
Number of: Bays Stories Families Bedrooms Baths
Type of Work: ['Addition ['Alteration ❑New Repair/Replace ❑ Demolition
Describe Work: IIE.MQ0 -- 1:‘,LL.. 00) CA- 1 -(, Q.J3L J 7 l',v 1k. L G. ■)\ Ra- AV D
Q � u311 A — RA vk tasvUn.\ ►0�A 3v\�i 14(1 L I QE . AC_ 1A Etc ski s-'
sS 5t 'D� OA D ) IL A Si5 i t.1 AcK AA) i1✓ NI "tom '-Xis INGq 60i Sit
/FW * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** a `i
Coi Escrow Fee $ Permit Fee $ /3 ®' mD Notary $
Tech $ Scanning $ Radon $
Bond $ Struct. $
Education/Training Fee $
Code Enforcement $
Minus Plans Check Fee $
Miami Shores Village
Building Department
Zip
Phone # C I b24 I CCY5
Zip
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Zip
Total Fee Now Due $ (Continued on opposite side)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip •
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S 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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Owner or Agent
The forgoing instrument was acymewledged before me thisLS The f or
day o , 20 , by
who is personally known
15
NOTARY P
P
chc7/7 /03
IC.
My Commission Expires:
State Certificate or Registration No. E. C.. i 3 00 2-10B4)
Signatures /
Contractor
g instrument was ac wledged before me this a
o me or who has produced
/ who is p
ratification and who did take an oath. S b
2.• — `O: Co
1 �JI
_
II
Expires: May 264
Bonded Tit
Atlantic Bondi
gc .
ii;
IC:
111
70
/L. , 2 `OS by
rsonally known to
My Commissio
Expires:
Certificate of Competency No. t 1 1 35
or who has produce &C,
• e tification and who did take an oath.
P i• a ar •c■6 1 !►$
a lai -2.4:4.apI1.�n,ir :. 11
cding Co., Inc. y **
*
****************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * *.. *� * * * * **
(Certificate of Competency Holder)
************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * *s * **
APPLICATION APPROVED BY: �� /pPA d� Plans Examiner
Engineer
Zoning
Gonell
ITEM
BATH TUB
UNIT
FEE
UNIT
7
FEE
ITEM
SPACE HEATERS
UNIT
FEE
ITEM
SWITCH OUTLETS
BIDET
LIGHT OUTLETS
r(
CENTRAL HEATING
D I SHyASHER
RECEPTACLES
Z .)
A/C (WINO)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING'
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 If
MECHANICAL VENTILATION
.SINK, RESIDENCE
MOTORS_ OVER .5- 8 HP
.TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES --
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
-
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER- REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
- SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
•
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
_
DRAINFIELD,-4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATIf9N FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNAL! ■OT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
•
PLUMBING
ELECTRICAL
MECHANICAL
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date u G• 2- Job Address /if /Ui: /(� " � / -Tax Folio
Legal Description n Historically Designated: Yes No
Owner/Lessee / Tenant (i/IJ F6 )
Owner's Address / /V E, ZOO S
Contracting Co. 24 6 AV c. Address
Qualifier ( !Z4 &,6 OA /t- b SS# / Phone gAr 957- 93; ,1
J J
State # E Gras, ti 9 Municipal # Competency # / � Ins. Co. n'A7 f L >1
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
?t L. d c-ATE e GEc , JE"R- vie cc
WORK DESCRIPTION
Square Ft. Estimated Cost (value) 7 /6 , ocS ,
Signature of owner and/or Condo
Notary as to Own
My Commissi
ident
d/or Condo President
xpires:
FEES: PERMIT �✓'i 470 RADON
Date
Date
Signature oft
C.C.F. ' NOTARY 3 l BOND
Master Permit # C� � 13 S - ) 45
9-0k6
Phone
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 compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the work s
CA/
Owner - Builder
No tary as to Contract , Owner- Builder
My Conu" ;: n F
O ,�p, %Y P OFRgAL NOTARY SEAL
d 8 MARGARITA MO$m
_ n COMMSSION NUMS@R
4 • ae:: Q CC797277
�rF P P MY COMMISSION EXPIRES
OF DEC. 17,2002
Date
e -a -9 cy
Date
APPROVED:
Zoning Building Electrical d-
Mechanical Plumbing Structural Engineer
TOTAL DUE
DRIP LOOP
ro DE 1o'
(aFG (MIN)
00A
'METER
2' ABOVE ROOF
•
i •'
ir' PLATTE
&C.l1111G
• Fl1ITSlIED TRADE
r'1C LEC
>=' VO ttaCi
cuticula
•
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1HIAIN _C1)
PANEL
(
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TENT loss*
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WO' NUJ ]IEP TI I x, alb a)
pii� atllu
SUB CB
PANEL
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Conductor sue 2 /0 7 °V
rir
• Conduit stz a
Conduit type &i.p YL..
HO
)1AtN: DIS YONI1ECT
R;atlnp _hips
Hum ': ZOZ _Amps
Sub I3rea% _ Amp
SUB 'FEEDER
iv
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•ryp ( 044-r Bond 3'ize•
INSIDE PANEL
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• Locu-tton 6.4 ti 047
PER •S.F.D.C, 4506,20) J
,CONTRt7MR...LI.f.GNf.A. C /�•.�__:+_ --
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• — _ L ...� ....._.�..��
S IflH1 TIR$ OF CoRTRA4OR
r-
Tru roof YES.__
Ground wlrc gaze_
•
•
•
•
NOTARY
r\I 1 ) 1 1 \,/ 1- .f)
BY �
•
ma
•
•
MAHN SHOR S V8LL GE
!
MECHANICAL
SUBJECT TO COMPLIANCE WITH
RULES ALL FEDERAL, STATE AND COUNTY
!iND REGULATIONS.
MIAMI SHORES VILLAGE ASSUMES NO RESPONSIBR IT►
OF OR RESULTS FROM THESE P�..,ISE3 FOR ACCURACY
COMPLIANCE MCOP WITH THE CO SHORES ITH LTGE S OUTH FLORIDA BUILL) C
CONTRACTORS ARE CHARGED WI D T E ARC/ill-Ea, A S DER & ADOPTED BY
P.'r ' BUILDER SUB
LEDGE OF ALL BUILDING
REGULATIONS WHETHER OR NOT SPECIFICALLY INDIC
•
/rH" MIAMI SHORES VILLAGE
Permit No viopY5
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building cot 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 wth, ether rein s ecified or not. A copy of approved plans and specifications must be kept at
building during progress of wor
Owners Name and Addre
Registered Architect and /or Engineer
plo ing cc ic' A;a, am 57C- - f .... �-s No. 6 5 4`)- S
Location �nd Legal D / / eacriPr�ir LoE.7.. - : 4LJ % /�4� fi r "- -f rilock
Lo
Street and Number where work is to be performed— No.... .. r /6 S / Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling
Service S n . Sise Feeders
er
an� erground
Type of Installation — Conduit s' Tubing..
Amount pf Permit $
STATE OF FLORIDA,
COUNTY OF DADE. I
as.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT Q
Date 5 a6 7
Addition
My Commission Expires
NOTE: A re-inspection fee of $1.00 will be made when such
materials and /or workmanship.
Repairs Y
(Signed) fik. c 1 AV/ree>
(Signed)
and take
/9
/s
No Street.. .
Street 7
Subd ivisio n. l/.. !. T..
iget,1 ANU>
/
No. of Stories /
Conduit /7 Main Sw..... /5 Amps Main Fuses Amps
B.X.L Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths
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.
acknowledgments, personally
Notary Public, State of Florida
re-inspection is made necessary by improper notice for inspection, or faulty
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE' •'T'S
FIXTURES
NO LAMPS
REPRICE
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
H
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAO.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.13 HP
NEON
TRANS.
RA010
TOTAL
CONTR.
LIST
CHECK.
..
/rH" MIAMI SHORES VILLAGE
Permit No viopY5
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building cot 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 wth, ether rein s ecified or not. A copy of approved plans and specifications must be kept at
building during progress of wor
Owners Name and Addre
Registered Architect and /or Engineer
plo ing cc ic' A;a, am 57C- - f .... �-s No. 6 5 4`)- S
Location �nd Legal D / / eacriPr�ir LoE.7.. - : 4LJ % /�4� fi r "- -f rilock
Lo
Street and Number where work is to be performed— No.... .. r /6 S / Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling
Service S n . Sise Feeders
er
an� erground
Type of Installation — Conduit s' Tubing..
Amount pf Permit $
STATE OF FLORIDA,
COUNTY OF DADE. I
as.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT Q
Date 5 a6 7
Addition
My Commission Expires
NOTE: A re-inspection fee of $1.00 will be made when such
materials and /or workmanship.
Repairs Y
(Signed) fik. c 1 AV/ree>
(Signed)
and take
/9
/s
No Street.. .
Street 7
Subd ivisio n. l/.. !. T..
iget,1 ANU>
/
No. of Stories /
Conduit /7 Main Sw..... /5 Amps Main Fuses Amps
B.X.L Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths
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.
acknowledgments, personally
Notary Public, State of Florida
re-inspection is made necessary by improper notice for inspection, or faulty
Permit Not __°r
Amount of Permit $_—
STATE OF FLORIDA,
COUNTY OF DADE.
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 ''')AN P ____ No._ _�__ _� Street t LI __� O ?
Street \ 1 6 �erf/�11
Registered Architect and /or Engineer v
Employing Electrician's Name ___
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No
s s.
— )-11AA fi r
No
(Signed
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
(Signed)
Repairs
Date a 1'� 4 __l.!
�--� Street_ I) __ ���
My Commission Expires Notary Public, State of Florida
No of Stories
Service Overhead Size Feeders Conduit Main Sw. Amps. __________________ Main Fuses Amps.
Underground P
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
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 - contractors, on work to be performed under this permit, 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.
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 Not __°r
Amount of Permit $_—
STATE OF FLORIDA,
COUNTY OF DADE.
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 ''')AN P ____ No._ _�__ _� Street t LI __� O ?
Street \ 1 6 �erf/�11
Registered Architect and /or Engineer v
Employing Electrician's Name ___
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No
s s.
— )-11AA fi r
No
(Signed
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
(Signed)
Repairs
Date a 1'� 4 __l.!
�--� Street_ I) __ ���
My Commission Expires Notary Public, State of Florida
No of Stories
Service Overhead Size Feeders Conduit Main Sw. Amps. __________________ Main Fuses Amps.
Underground P
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
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 - contractors, on work to be performed under this permit, 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.
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
MIAMI SHORES VILLAGE
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.
Employing Electrician's Name __
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT.
ii f
_� Owner's Name and Address �' No.__ __�._� Street _� �______i_ 0
Registered Architect and/or Engineer
Location and Legal Description Lot Block Subdivision_______ _______________________
Street and Number where work is to be performed —No
Street
Amount of Permit $
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition___ 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)
No.
Street i. 4 l, t __ _ 9.
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 - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) ' �s; AV x 'e..
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.
My Commission Expires Notary Public. State of Florida
9 ---- /I --
/ �!
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
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
•
RADIO
TOTAL
CONTR.
LIST
I
CHECK
Permit No
MIAMI SHORES VILLAGE
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.
Employing Electrician's Name __
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT.
ii f
_� Owner's Name and Address �' No.__ __�._� Street _� �______i_ 0
Registered Architect and/or Engineer
Location and Legal Description Lot Block Subdivision_______ _______________________
Street and Number where work is to be performed —No
Street
Amount of Permit $
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition___ 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)
No.
Street i. 4 l, t __ _ 9.
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 - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) ' �s; AV x 'e..
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.
My Commission Expires Notary Public. State of Florida
9 ---- /I --
/ �!
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.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building t
Architect
Contractor
or Builder
MIAMI SHORES VILLAGE, FLORIDA
DATE 56 - 1 / 1
Contractor's
License No.
fr r
PERMIT N9 1265
Work to be performed under this Permit d.+01-
Subdi-
vision
Value of
Project
CONTRACTOR OR BUILDER BY
Legal Lot Bl.
Description
Address of
Building
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. - I t )
Signed • ! , >' ; ,. r 0t-- - v. gy t' Otif
INSPECTOR
Amt. of ~�
Permit .� s
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
tions 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.
AUTHORITY
FLOORS
r IAI JI I-T
NUMBER OF
TOTAL`
OUTLETS
SIZE OF
SIZE SERVICE
CONDUIT
No.
CIRCUITS
LIGHTS
CEILING
BRACKETS
MAIN
SUBS
BRANCHES
BASEMENT —
FIRST
SECOND
•
THIRD
FOURTH
A -e3
•
APPLICATION NO
DAT 193
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 In-
spector.
• LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL. SPACES MUST BE FILLED OR APPLICATION
WILL BE RETURNED.
' 7 = I o (C
LOT NUMBER BLOCK NUMBER / c _SUBDIVISION ` / v - r
STREET AND NUM'BE
OWNS- l l -, 3 tc-,
OCCUPIED AS
CEILING
BRACKETS
RECEIVED BY INSPECTOR
PROGRESS
WILL INSPECT AGAIN
BUILDING- -NEW OR OLD (UNDERLINE WHICH)
RECEPTACLES
KIND OF INSTALLATION OPEN OR CONCEALED
REMARKS
ROUGH WIRING
FINAL No
CORRECTED
TEMPORARY DAYS.
DATE ISSUED
SWITCHES
FEE REMITTED
A
OCCUPANT
STOVES I WATER HEATERS
SIDE
SIGNS
WORK -- ADDITIONAL, NEW. ALTERATION ORREPAIR
SPECIFICATIONS
H. P. OF EACH MOTOR VOLTS TOTAL AMPS PHASE
OTHER APPARATUS
KNOB. RX., BX., MLDG., CONDUIT, METALLIC TUBING
MASTER ELECTRICIAN 4 - (tJ
INSPECTION WANTED
BY ADDRESS
SPACE BELOW FOR INSPECTOR'S USE ONLY
INSPECTED
REMARKS
FLOORS
r IA I U1(CD JILT
NUMBER OF
TOTAL
OUTLETS
SIZE OF
SIZE SERVICE
CONDUIT
No.
CIRCUITS
LIGHTS
CEILING
BRACKETS
MAIN
SUBS
BRANCHES
BASEMENT
FIRST
SECOND
THIRD
FOURTH
a
A -89
6
LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION
WILL BE RETURNED.
LOT NU'MBERfiC ‘ /� zi. BLOCK � NUMMBER g� SUBDIVISION ` � ��� � n -
/ / / "; ) r (c=
STREET AND N,UMBE
V
OWNER iii - / � -
BUILDING- -NEW OR OLD (UNDERLINE WHICH)
CEILING
REMARKS
BRACKETS
MASTER ELECTRICIAN rN/
RECEPTACLES
ROUGH WIRING
FINAL No
CORRECTED
TEMPORARY DAYS.
DATE ISSUED
'1
DATE C 193
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 In-
spector.
SWITCHES
f i � � , 9 /
REMARKS •
/ ' 2 ;
APPLICATION
STOVES
WATER HEATERS
INSPECTION WANTED
SPACE BELOW FOR INSPECTOR'S USE ONLY
NO
SIDE
S IGNS
OCCUPANT
OCCUPIED As
WORK -- ADDITIONAL. NEW. ALTERATION OR REPAIR
SPECIFICATIONS
H. P. of EACH MOTOR VOLTS_ TOTAL AMPS PHASE
OTHER APPARATUS
KIND OF, INSTALLATION OPEN OR CONCEALED KNOB. RX.. BX.. MLDG.. CONDUIT. METALLIC TUBING
BY ADDRESS
RECEIVED BY INSPECTOR INSPECTED
PROGRESS
WILL INSPECT AGAIN
FEE REMITTED
INSPECTOR
FLOORS
FIXTURES ONLY
NUMBERS OF
TOTAL
OUTLETS
SI2E OF
SIZE SERVICE
CONDUIT
No.
CIRCUITS
LIGHTS
CEILING
BRACKETS
MAIN
BUDS
BRANCHES
BASEMENT
FIRST
SECOND
THIRD
FOURTH
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 Electric Code and the City Ordinance pointed out by Inspector.
LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION
WILL BE RETURNED
LOT
STREET
• OWNER
OCCUPIED As
BUILDING - -NEW OR OLD IUNDERLINE WHICH)
KIND OF•INSTALLATION OPEN OR CONCEALED
CONTRACTOR
BY
NUMBER ?A,, p, 4-7,1
CEILING
BRACKETS
PROGRESS
WILL INSPECT AGAIN
ROUGH WIRING
LOCK NUMBER
FINAL No.
CORRECTED
TEMPORARY DAYS.
DATE ISSUED
APPLICATION
ELECTRICAL DIVISION OF THE CITY OF MIAMI
AND ,NUMBER .4(r / /eel �r cy
SUBDIVISION
OCCUPANT
WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR
SPECIFICATIONS
H. P. OF EACH MOTON VOLTS TOTAL AMPS
DATE j/3 7i 198
No
c 74A-) 2 -6C-tsk-,
51 off l/1 - Q ?
PHASF
RECPTACLE5
SWITCHES
BTOJ/ES
WATER HEATERS
SIGNS
i
REMARKS
INSPECTION WANTED
c
SPACE BELOW FOR INSPECTOR'S USE ONLY
OTHER
S
KNOB, RX.. BX.. MLDG., CONDUIT, METALLIC TUBING
ADDRESS
RECEIVED BY INSPECTOR INSPECTED
REMARKS .2...- Ge(i..y4 P ,�
� J
4;e/ �,�! / L ,.-.)7.., ' ,,,/ / -7 ' — , /? ,' ,.. , i , ,I., !_
`f
Ale
', (
d
FEE REMITTED
INSPECTOR
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building
*tractor or Electrician
Outlets
Dated
Motors
Receptacles
Generators
Stoves
er z 4 1 e-
, 19
OFFICE OF ELECTRICAL DEPARTMENT
Shores Village, Fla.,
LOCATION!
cJA LiQi12L cShores91llage
F L O A ID A
DESCRIPTION OF WORK
Water Heaters
NUMBER OF
Signs
z«`7 %sjiL
Billboards
Other Apparatus
4P
N° 431
Permit Fee
7
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
ti f f enartment. z.
,,,,/-/ �'' 4 a , Electrical Inspec or.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules regations of the Electric Department of Miami
Shores Village.
(Seal)
NO.
STREET
PART OF LOT
LOT
BL'K
SUBDIVISION
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building
*tractor or Electrician
Outlets
Dated
Motors
Receptacles
Generators
Stoves
er z 4 1 e-
, 19
OFFICE OF ELECTRICAL DEPARTMENT
Shores Village, Fla.,
LOCATION!
cJA LiQi12L cShores91llage
F L O A ID A
DESCRIPTION OF WORK
Water Heaters
NUMBER OF
Signs
z«`7 %sjiL
Billboards
Other Apparatus
4P
N° 431
Permit Fee
7
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
ti f f enartment. z.
,,,,/-/ �'' 4 a , Electrical Inspec or.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules regations of the Electric Department of Miami
Shores Village.
(Seal)
N O.
Motors
Receptacles
Generators
STREET
PART LOT
g LO � T 0/ �
BL
SUBDIVISION
-
4#,,
'2„
r
ad;
�
i
` OF
k outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
e
Permit Fee
■
/
7 t_
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
•
/�
rs 7
Owner of Building
•ractor or Electriciaa�
th1epartment.
Dated
ft 1
,19.1
Miami cfliores9' llage
F L O H ID A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla ,
DESCRIPTION OF WORK
NUMBER OF
LOCATION
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
a
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree do the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
Shores Village.
(Seal)
N° 427
•
, Electrical InspeTr.
NO.
STREET
PART OF LOT
LOT
BL'K
SUBDIVISION
/4
AO 0 YoV
G • 62 Al
Itel//r
Permit Fee
'Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
/
Permit Fee
i
v
7r
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building
*tractor or Electrici /
Dated
, 19 ,
c71iarni cShores9llage
F L O R ID A
OFFICE OF ELECTRICAL DEPARTMENT
9
Miami Shores Village, Fla , /u i%
LO CATI 0 N
DESCR PTION OF WORK
NUM
■° _ 427
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
thepartment.
, Electrical Inspector.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree 1qdo the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Electrical .Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
Shores Village.
(Seal)
NO.
STREET ,
PART OF LOT
LOT
BL'K
SUBDIVISION
Signs
Billboards
Other Apparatus
Permit Fee
*
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building
Contractor or Electrician
c 41iami Aorenillage
F L O A ID A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla , 19
LOCATION
DESCRIPTION OF WORK
NUMBER OF
N° 431
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.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
3tate of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
;bores Village.
Dated ° s 19 (Seal)
NO.
STREET
PART OF LOT
LOT
BL'K
SUBDIVISION
r
fir' s
1
4 1
/ .
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
t
Permit Fee
p
•
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building
Dated
Contractor or Electrician
, 19
tiami Shores
F L O II I D A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla ,
LO CATI 0 N
DESCRIPTION OF WORK
19_
N° 427
1 his 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.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed const1 uction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the - Electrical Department of Miami
- Shores Village.
A � / e,
` t :;t ke-�
(Seal)
NO.
STREET
PART OF LOT
LOT
BL'K
SUBDIVISION
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Buildin !,
Contractor or Electrician
Outlets
Motors
Receptacles
Generators
Stoves
tiami Jhores9illage
F L O Y ID A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla , 19
LO CATI 0 N
DESCRIPTION OF WORK
Water Heaters
NUMBER OF
Signs
Billboards
Other Apparatus
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.
■° 367
Permit Fee
, Electrical Inspector.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
Shores Village.
Dated , 19
(Seal) •
■
NQ.
STREET
PART OF LOT
LOT
BL'K
r
SUBDIVISION
/f
Other Apparatus
h r
Permit Fee
,r
/
Outlets
.Motprs
Receptacles
Generators
Stoves
Water Heaters
Signs ..
Bilibcfairds
Other Apparatus
Permit Fee
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction
Owner of Building\
C .tractor or Electrician -.
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 S , 'ores Village. This Permit may be revoked at any time
upon the violation of any provisions of said laws, ordinances, or rules and regulatiol s upon' y ch4ng/e in the g rans and specifications unauthorized by
this Department.
•
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore;by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Electrical Ordinances and Codes of M„ mi Shores Village, and all rules aid re j tions of the Electrical Department of Miami
eL� - v;l lage. r
' k 3
, 19 ✓✓
.4
42
aiami cJhores9illage
F L O A 1 D A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla ,
19 r. <y
LO CATI O�hI
DESCRI OF WORK
NUMBER OF
er' . Jet,
N° _ 367
•
, Electrical Inspector.
(Seal)