ACDate
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
�" f'
Job Address I /�/ 5 /0/ Tax Folio
Legal Description /,, � Hist Pe lly Designated: Yes No
Owner/Lessee / Tenant Ja/1vs i YV a UI 24Ja /i L/ f lirmit #
Owner's Address /I21 Ng -101 Phone 1 0
Contracting Co. &%y1th/Q g//UR.Address N/'9� �
Qualifier 130/ f V� i hone 990 i2rn
State # %'�� //9 Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUH.,DINGG ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION k/.0// re b4 4 Jc /NM lot) f i
Square Ft. Estimated Cost (value) 3119 Q
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 cry . liance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the work ted.
It4)3o —5 - gO 3 - a
Si ature of owner and/or Condo President
ctliSr Co + % _ '. @l)(zrzoo3
1}es:
1 -83- NOTARY Fla. Notary Services & Bonding Co.
Notary as to
My Commissi
FEES: PERMIT ao'mO RADON
APPROVED:
SO /
n S at* or Owner- watt e
ARY Fla. Notary Services & Bonding Co.
‘
Signature of Contractor or i er- Builder Date
Notary as to
My Commiss
C.C.F.
0 ~ NOTARY BOND
Zoning Building Electrical
TOTAL DUE
Mechanical Plumbing Structural Engineer ✓"" '
Date
e(7e7`i° ev/
ITEM
3ATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
31DET
LIGHT OUTLETS
CENTRAL HEATING
)ISHWASHER
RECEPTACLES
A/C (WIND)
)IS?OSAL
SERVICE TEMPORARY
A/C (CENTRAL)
]KINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/h TER 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
:LOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTCRS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTCRS 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 CONDITIONER�S
•
A/C UNIT
STRIP HEATER ( �/ / Q j J
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
;EWER CONNECTIONS
SIGN TRANSFORMERS
1TILITY -SEWER
SIGN TIME CLOCK
)TILITY -WATER
_
FIXTLRES
;EPTIC TANK
ANTENNA '
iELAY
TELEVISION OUTLETS
)RAINFIELO, 4' TILE/RES.
VIOLATION
'UMP & ABANDON SEPTIC TANK
REINSPECTION
;OAKAGE PIT CU. FT.
:ATCH BASIN
)ISCHARGE WELL
)OMESTIC WELL
AREA DRAIN
100F INLET
;OLAR WATER HEATER
'IRE STANDPIPE
'001 PIPING
_
.AWN SPRINKLER SYSTEM
;AS RANGE _
ETER SET (GAS)
;AS PIPING
•
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
MECHANICAL
Miami Shores Village, Fla.
OWNER
ADDRESS / 9 5 / �V cf.)/ S 7
INSPECTION. / //AA
TIME READY
PERMIT NO. 4 3 3 3 C
CONTRACTOR 4l Qi7i�yjy�
TELEPHONE NO c (
3 ,
INSPECTOR
DATE l +/ - 'D
DATE a /)-,0 fr4
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date 7' - - / Z Job Address
Contracting Co. /1/ N G Eec'c 1 C A - L
Mortgagor
Permit Type(circle one): BUILDING
WORK DESCRIPTION
Signature
Date:
APPROVED:
or Condo President
Notary as y5 •" per = and /or Condo Presidents
My - CQmini 4 .xp i reMQTMM PUBLIC STATE (PUMA 1
Y catis91011 Ems. SfPT.17.i092
- KNOW MOUSIER& INS. URI.
** * * * * * * ._ * *
FEES: PERMIT INAO. RADON
/ oZ/ A.16" /0/ s/ Tax Folio /13 2 0 5 2 S/ - O 27 CJ U
Legal Description Kg- 02 ' ' ° 3 - A. S- fey, ,4, ) 2, g -
Owner / Lessee / Tenant � E 76 - J r 5�N
Owner's Address
RJ& / 0 / s 7 '
Address
Master Permit # 3 2.- 4, Z
Phone
State # 000 Pier) Municipal # Competency # /4 3 Ins.Co.
Architect /Engineer Address
Bonding Company Address
Address 3 IC / Gam•. (9.A //A eh /)
Qualifier f,9 - O C4LZ ,47j )e24 Phone .5 - AO 8 V
ELECTRICAL
PLUMBING MECHANICAL ROOFING PAVING FENCE SIGP
w
�
Square Ft. ° Estimated Cost (value) 6
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUF
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, any
on the attached addendum (if applicable). I certify that all work will be performed to meet th
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 wil:
be done in compliance with all applicable laws regulating construction and zoning. Furthermore,
authorize the above -named contractor to do the work stated.
Signatu
Date:
Notary as t;
My Commiss
Owner- Builder
ractor or;•Owner- Builder
x iitrAW6BLIC STAR Q BLOIDA
MY COMMISSION DP. SEPT.17,192
8010ED TIM Wert SS. V. **
C.C.F. 0 NOTARY TOTAL DUE da-57)
Fire Other Zoning Building Electrical `' ,,/� 1' *
Mechanical Plumbing Engineering
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
2
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
2
CENTRAL HEATING
DISHWASHER
RECEPTACLES
2
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS /,57M-00
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 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEM3LIES
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
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4" TILE/RES.
VIOLATION
PUMP 8 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 APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
APPLICATION FOR ELECTRICAL PERMIT
Zd 9'61
Permit No ..s ..
Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building (lc other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and specifications must be kept at
building during progress of work. p
Ownei a Name and Address 1 • /0Q /5�.e -le ha .CL No ./ ' ?+ l Street / /4 6"7fe e'
Registered Architect and /or Engineer �
Employing Electriciat s Name CL/9c. 's%C..,�1c° 24/el ° ...� 9 9'63 e3s Kb ..Street....c ��.•4 e4 .1.. i
Location and Legal Description Lot Block Subdivision 1
/ Street and Number where work is to be performed— No..... /.. .lO /6i Street
/ State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition A d 4.
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L .Metal Moulding
Amount of Permit =...t.
.1.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
......... .
(Signed ). ....
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 subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) a/.
Repairs t�
Date z ' 4? .1 2 2 1.....7 9
No. of Stories
Electrical Inspector.
Muter Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE. I es'
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 rvinspection fee of 81.00 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. L
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
4
l.3
//�J
.A
,/
/ 0
s. CO
-- ^ p - - ,p . v
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS NEON
1.0 HP TRANS.
RADIO
TOTAL
CONTR.
/ - .4.0
• �x
so
a,..a a
CHECK
I n . s,,
APPLICATION FOR ELECTRICAL PERMIT
Zd 9'61
Permit No ..s ..
Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building (lc other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and specifications must be kept at
building during progress of work. p
Ownei a Name and Address 1 • /0Q /5�.e -le ha .CL No ./ ' ?+ l Street / /4 6"7fe e'
Registered Architect and /or Engineer �
Employing Electriciat s Name CL/9c. 's%C..,�1c° 24/el ° ...� 9 9'63 e3s Kb ..Street....c ��.•4 e4 .1.. i
Location and Legal Description Lot Block Subdivision 1
/ Street and Number where work is to be performed— No..... /.. .lO /6i Street
/ State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition A d 4.
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L .Metal Moulding
Amount of Permit =...t.
.1.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
......... .
(Signed ). ....
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 subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) a/.
Repairs t�
Date z ' 4? .1 2 2 1.....7 9
No. of Stories
Electrical Inspector.
Muter Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE. I es'
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 rvinspection fee of 81.00 will be made when such re inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No / it
Owner's Name and Address -- /e/#i✓sO^/
Q
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date - � - 72
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.
No / we Street 1 ° 1 Sr
Registered Architect and /or Engineer
Employing Electrician's Name Ewer✓£ ,Cc E /ec t;4 ,c' .7f No
Location and Legal Description Lot J Block Subdivision
Street and Number where work is to be performed —No Street N£ COI
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
%O.Qa;r 7 9r7
Street 4
Servi Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground P P
Type of Installation— Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ - OD / 17 / 111 . t ' E a - s 2 . ' , J
2:mar Cov.rsy
(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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. I sa.
(Signed)
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by the first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUO
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.11 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
L18T
CHECK
Permit No / it
Owner's Name and Address -- /e/#i✓sO^/
Q
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date - � - 72
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.
No / we Street 1 ° 1 Sr
Registered Architect and /or Engineer
Employing Electrician's Name Ewer✓£ ,Cc E /ec t;4 ,c' .7f No
Location and Legal Description Lot J Block Subdivision
Street and Number where work is to be performed —No Street N£ COI
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
%O.Qa;r 7 9r7
Street 4
Servi Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground P P
Type of Installation— Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ - OD / 17 / 111 . t ' E a - s 2 . ' , J
2:mar Cov.rsy
(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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. I sa.
(Signed)
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by the 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.
6- 2
Permit No
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. 1/
Owner's Name and Address S.k .14/4 •I,1'"/
Registered Architect and /or Engineer
Employing Electrician's Name � "4 97 ` to' c No
Location and Legal . Description Lot / Block 3
Street and Number where work is to be performed —No Yi"'•rs Q
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. Jj
85.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
A,L- ICATION FOR ELECTRICAL PERMIT �,��
' Z`F' — '�` 7 "
Date
(Signed)
(Signed)
No j7 2 — /i/E
d /O G ./
� � Street / 9 e
Street
Street
Subdivision
/0/ 5/
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories f
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Me • cal Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per anent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractor '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 ork 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 and take acknowledgments, personally
appeared
tome 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.
Notary Public, State of Florida
Muter 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
RECE•P'T's
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
/ J
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
6- 2
Permit No
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. 1/
Owner's Name and Address S.k .14/4 •I,1'"/
Registered Architect and /or Engineer
Employing Electrician's Name � "4 97 ` to' c No
Location and Legal . Description Lot / Block 3
Street and Number where work is to be performed —No Yi"'•rs Q
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. Jj
85.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
A,L- ICATION FOR ELECTRICAL PERMIT �,��
' Z`F' — '�` 7 "
Date
(Signed)
(Signed)
No j7 2 — /i/E
d /O G ./
� � Street / 9 e
Street
Street
Subdivision
/0/ 5/
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories f
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Me • cal Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per anent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractor '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 ork 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 and take acknowledgments, personally
appeared
tome 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.
Notary Public, State of Florida
Muter 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.
BUILDING
ELECTRICAL
• PLUMBING
ROOFING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
o PERMIT
Architect
Contractor
or Builder L� f ' * �" t.
Legal Lot
Description II Bl
CONTRACTOR OR BUILDER
N° 7875
Work to be performed under this Permit
P 4. 1 :t
DATE
Contractor's
License No.
s
BY AUTHORITY
) 1
Subdi-
vision
Address of Value of 1 Amount of
Building - 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. rj
Signed `" . '" INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance wit all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoritie of Miami Shores Village. In as
cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building ••�'
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES
PERMIT N?
B1
VILLAGE. FLORIDA
DATF I''
2353
Value of
Project $
Contractor's
License No.
Work to be performed under this Permit
195
Subdi-
vision
Amount of
Permit $
This permit is granted to the contractor or builder named above to construc 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 assume s the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed. BY
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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY 643
Permit No
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
353
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 co •lied 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 f �J
Registered Architect and /or Enginee� �'�?�
Employing Electrician's Name
Location and Legal Description Lot ) ')
Street and Number where work is to be performed —No 1
State work to be perfor d and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $
ground Size Feeders
Type of Installation — Conduit Tubing B.X.L Metal Moulding
1
MIAMI SHORES VILLAGE
Conduit... /.., ......Main Sw
)
(Signed)
/ y2-/
Date
Street
Ar J b I
J Street
/V E
Block '" Subdivision
Street '- / e 1)
Amps / 4L-0 Main Fuses...,l!...0 0 Amps
(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 subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. Jt
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, 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 MOO will be made when such re• inspection is made necessary by improper notice for inspection, or faulty
materials and /or wor ship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P•T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
q RANGE
!.OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HATER
STRIP .�
HEATER
•
TOTAL
CONTR.
LIST
g
� '
/
CHECK
4S
1 / O
/ SERVICE
fl14/h)
11„
-5
7,
/OS
ENT.
SW.
DIET.
CAB.
`
SERVICE
TEMP.
�
PERM. / /,'-f�
T 1
MOTORS
0.1 HP
MOTORS
1•5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
0
'/((
1
CHECK
, �
� �
/ F," '
/ WO
As ......0
Permit No
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
353
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 co •lied 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 f �J
Registered Architect and /or Enginee� �'�?�
Employing Electrician's Name
Location and Legal Description Lot ) ')
Street and Number where work is to be performed —No 1
State work to be perfor d and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $
ground Size Feeders
Type of Installation — Conduit Tubing B.X.L Metal Moulding
1
MIAMI SHORES VILLAGE
Conduit... /.., ......Main Sw
)
(Signed)
/ y2-/
Date
Street
Ar J b I
J Street
/V E
Block '" Subdivision
Street '- / e 1)
Amps / 4L-0 Main Fuses...,l!...0 0 Amps
(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 subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. Jt
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, 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 MOO will be made when such re• inspection is made necessary by improper notice for inspection, or faulty
materials and /or wor ship.