334 NE 100 St (3)Inspection Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
> J" 0 7 - i/ °- k ate
Date
Type Insp'n 1)( Vfkrk
Permit No. CL 1/
Name y�
Address 3. / V & /0/ T
Compan Tleo
Phone # (3o' g1 `°O & �
S -
Inspection Number: INSP -24362
�L
Permit Number: EL2005 -118
Inspection Date: 08/10/2006
Inspector: Devaney, Michael
Owner: BROWN, DALLAS
Job Address: 334 101 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: IRO ELECTRIC INC
ildin De Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204. Fax: (305)756 -8972
AO 1 4 la
Block:
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: <NONE>
Phone Number (305)762 -6265
Parcel Number 1132060135300
Lot:
Phone: 305/207-0766
Wednesday, August 9, 2006
Page 2 of 2
Passed Li /
Inspector Comments �,
, - , .-
/
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP -24362
�L
Permit Number: EL2005 -118
Inspection Date: 08/10/2006
Inspector: Devaney, Michael
Owner: BROWN, DALLAS
Job Address: 334 101 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: IRO ELECTRIC INC
ildin De Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204. Fax: (305)756 -8972
AO 1 4 la
Block:
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: <NONE>
Phone Number (305)762 -6265
Parcel Number 1132060135300
Lot:
Phone: 305/207-0766
Wednesday, August 9, 2006
Page 2 of 2
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 4/15/2005
Applicant: DALLAS BROWN
Owner: BROWN DALLAS
JOB ADDRESS: 334 NE 101 ST
Contractor IRO ELECTRIC INC
Local Phone: 305/207 - 0766
Parcel # 1132060135300
Permit Status: APPLIED Permit Expiration: 10/8/2005 Construction Value: $800.00
Work: REPAIR & UPGRADE EXISTING SERVICE TO 150 AMP
Signed: (INSPECTOR)
Electrical Permit
Permit Number: EL2005 -118
Page 1 of 1
Contractor's Address: 525 NW 27 AVE 101
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 8 & W1/2 OF LOT 7 BLK 39 LOT SIZE
Fees: Description Amount
FEE2005 -4913 Building Fee $150.00
FEE2005 -4914 CCF $0.60
FEE2005 -4915 Training and Education Fee $0.20
FEE2005 -4916 Technology Fee $3.75
FEE2005 -4917 Scanning Fee $3.00
Total Fees: $157.55
Total Fees: $157.55
Total Receipts: $157.55
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
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Job Address (where the work is being done)
Is Building Historically Designated YES
Contractor's Address
City
Qualifie
Type of Work:
Describe Work:
Submittal Fee $�
Notary $
Scanning $
Total Fee Now Due $
(Continued on opposite side)
['Addition ['Alteration
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Owner's Name (Fee Simple Titleholder)AVZZ5 ,8� L�//� Phone t 3 .a& 02/7
Owner's Address 33 ' ' 4 /0/,5
City/ 1//j17 Si(/ogrS State (L Zip
Tenant/Lessee Nanie Phone #
.jT3 / d /e/ 5 /
City Miami Shores Villa County Miami -Dade Zip
State
10 35 rte-- /f g &7
Contractor's Company Nanie //d,Q CL Sri nG //t/
$ Value of Work For this Perm' Y
Training /Education Fee $
Radon $
NO )
['New
Code Enforcement $ Structural Plan Review. $
Permit No.
Master Permit No.
Plumbing Mechanical Roofing
Phone # 30.5 — do 7 —o7
Zip 6 .31 ,e,z
+, ,, ,;��
M1
U Vi
gra
State Certificate or Registration Nok 0 0 03 598 Certificate of Competency No. /0400 0v g
Architect /Engineer's Name (if applicable) Phone #
Square Footage Of Work:
Repair /Replace
❑ Demolition
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Fee $ / - 5 - 0 m!/ CCF $ r " CO /CC
Technology Fee $ ,, 7
Zoning Bond $
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
COMM ENCEM ENT."
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 10 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.
Signature 418.0.4.)
day of
Owner or Agent
Contractor
I he foregoing instrument was acknowledged before me this The foregoing instrument w s acknowledged before me this - 7
day of /9 L, 2065 by
who is personally known to me or who has produced
As identietron-.nd ho did take an oath. as identification and who did take an oath.
, ,by
who is personally known to me or who has produced
NO'IYARY,('UB
Print:
My Commission Expi
* * * * * * * * * * * * * * * * * * * * ** **
*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
APPLICATION APPROVE[) BY:
Chi 05/13/03
Signature
NOTARY PUBLIC:
Sign:
Print:
My Commiss
* * * * * * * * * * * * * * * * * * * * * * * **
_MARIIZACONSTANZO
' '�,.,�'�• = MY COMMISSION # DD 286462
lr EXPIRES; AAay'29, 2008
AR, * * ^ Mary Public UndPWMsta
l
_? EI Y ( i / $ Plans Examiner
Engineer
Zoning
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER E
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAJNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MCTCRS 0— 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1— 3 FP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3— 5 hP
MECHANICAL VENTILATION
SINK RESIDENCE
MOTORS OVER 5— 8 If
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8— 10 If
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10— 25 HP
FIRE SPRINKLER SYSTEMG
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
(
MOTORS OVER 100 If
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
1
GENERATORS TRANSFORMERS
'HEATER —NEW INST.
GENERATORS TRANSFORMERS
HEATER — REPLACE
1
GENERATORS TRANSFORMERS
LAWN SPRINKLER —WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COM4dERC I AL
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
i
DOMESTIC WELL
1
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
(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.)
ELECTRICAL
MECHANICAL
i 11//1 ri17717i1,11(1
- .6 -
iSERVICETIRTGERTIDTA4gANCALIE5
4
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,/////,/,‘‘,../ (ft 11///ifillie
..:01■‘.1.1.:17,1i1.
JOB I
ADDRL.'SS
4 6 OVNER NFORM:al
INFC:RMATION
33444 a-to s'r
1MS. ALLAS 13ROWNJ I 60Ck.6 E SOARe.
1.41P,A1 -6RORE
JOB DITS=. rION:
d - 101 61. MI h M1 1, F1101m , NO.
1035SW-11 acr MiAtil I
4
meA) -is° A-SERvkCE kuktm-l)pkoe couoTy! 3 o5 ac 1-0 ‘
SZAL, DATE. An
$
L 1 ( - ‘'101 2.40V- 3
Owner's Name and Address
86.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
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.
(Signed)
No
Y
Registered Architect and /or Engineer. ( � f
Employing Electrician's Name -- No..� ,,0 Z f &it
Type of Installation =– Conduit Tubing B.X.L Metal Moulding
Date 2 t
Street ...��
7
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps
Underground
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•con actors 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 t / work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on ork to be erformed under this permit, as are
licensed by Miami Shores Village.
MSster Electrician.
STATE OF FLORIDA, j
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized
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.
to administer oaths and take acknowledgments,
personally
My Commission Expires Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'8
FIXTURES
NO. LAMPS
REPRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
-RACE
NEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
n
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS MOTORS
0.1 HP 1 -3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
,a'((:-7
��
Z ,=.
CHECK
Owner's Name and Address
86.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
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.
(Signed)
No
Y
Registered Architect and /or Engineer. ( � f
Employing Electrician's Name -- No..� ,,0 Z f &it
Type of Installation =– Conduit Tubing B.X.L Metal Moulding
Date 2 t
Street ...��
7
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps
Underground
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•con actors 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 t / work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on ork to be erformed under this permit, as are
licensed by Miami Shores Village.
MSster Electrician.
STATE OF FLORIDA, j
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized
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.
to administer oaths and take acknowledgments,
personally
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.
03527
MIAMI SHORES VILL
ELECTRICAL INSPECT. DEPT
AMOUNT $ 30.25
CUSTOMER GRIFFIN 100 STREET
02 -10 -1987
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT '
Permit No 1t5
Date.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oc 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 plans and specifications must be kept at
building during progreu of work.
Owner's Name and Address. N\ 'ik‘WVK No 3 -5 A. Street IN‘ \zz 4 SAAWir
Registered Architect and/or Engineer
Subdivision.M
/
exati and Legal 6;criition Lot. 74/ . S • e44) S'
Block fa.a 11
/1 Employigg Street
ea
Servi rh Size Feeders
er round
STATE OF FLORIDA, }
IS.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
(Signed)
267,
Street and Number where work is to be performed—No Set nE, Street I=a V.r1 S. '
State work to be performed and purpose of building(By Floors) Sv.:14.115 k. )XicAki- 4 New Building Building Remodeling .Addition Repairs.. No. of Stories.
Conduit _Main Sw .Amps.' Nt-Vct• 4ai Fuses..
Type of Installation—Conduit Tubing \ B.X L -Metal Moulding
Amount of Permit 3 3q,5 % a (Signed) p.-
( DI
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 Workrnen'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 ok to be performed under this permit, as are
licensed by Miami Shores Vlllage.
Before me, he 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, Saxe ef Plorsda
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
RECIVP'T 1
( '
PISTURCS
No. LAMPS
REPRICE
OUTLET
1110/4
OUTLET
RANGE
OUTLET
R
COMM
WATER
HEAT an
,
W. MCAT.
CORM
1
,
SPACE
MEATS*
1
1
HEATER
,
I
......—.—.....,...
i
..
.9
,TOT I AL
.
•
CONTR.
LIST
CHSCR
1
t
I
I
ENT.
Sw.
DIST.
CAS.
SERVICE
Tamp..
Samoa
PERM.
MOTORS
0.t 11 1
14 0 '
1.11 HP '
• Naomi
TRANS.
1 •
• 1
, R A010
•
...
1
■
TOTA L
co.y..
LIST
i
cm.e.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT '
Permit No 1t5
Date.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oc 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 plans and specifications must be kept at
building during progreu of work.
Owner's Name and Address. N\ 'ik‘WVK No 3 -5 A. Street IN‘ \zz 4 SAAWir
Registered Architect and/or Engineer
Subdivision.M
/
exati and Legal 6;criition Lot. 74/ . S • e44) S'
Block fa.a 11
/1 Employigg Street
ea
Servi rh Size Feeders
er round
STATE OF FLORIDA, }
IS.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
(Signed)
267,
Street and Number where work is to be performed—No Set nE, Street I=a V.r1 S. '
State work to be performed and purpose of building(By Floors) Sv.:14.115 k. )XicAki- 4 New Building Building Remodeling .Addition Repairs.. No. of Stories.
Conduit _Main Sw .Amps.' Nt-Vct• 4ai Fuses..
Type of Installation—Conduit Tubing \ B.X L -Metal Moulding
Amount of Permit 3 3q,5 % a (Signed) p.-
( DI
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 Workrnen'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 ok to be performed under this permit, as are
licensed by Miami Shores Vlllage.
Before me, he 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, Saxe ef Plorsda
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
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 nr
Registered Architect and /or Engineer e �
Employing Electrician's Name 1TCz -2--t.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
New Building Remodeling Addition VV'
No
-1 L
Date
Street
No 1 6 -' Street. �..,
Location and Legal Description Lot Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Subdivision
Street
��-
44
t / Ctl
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)
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.
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
(Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR. E r
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
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.
Owner's Name and Address nr
Registered Architect and /or Engineer e �
Employing Electrician's Name 1TCz -2--t.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
New Building Remodeling Addition VV'
No
-1 L
Date
Street
No 1 6 -' Street. �..,
Location and Legal Description Lot Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Subdivision
Street
��-
44
t / Ctl
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)
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.
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
(Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE, FLORIDA
TILDING ❑ DATE 2' 5 - S 195
LFCTRICAL ,e'' PERMIT N° 14259 Contractor's
NLUMBING ❑ License No
ROOFING ❑ Workto be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Lot
11 Bf.
Description.
Address of (TN t
Building 'A' j a (3 t
Value of
Project $
CONTRACTOR OR BUILDER
Subdi-
vision
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.
Signed • } �L ,y ` BY .: 4 J, :3
INSP E
In consideration of the issuance to me of this permit I agree to pe?fdrm 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 responsibility for all work done by either, myself, my agent, servant or employee.
BY
Amt. of
Permit $
f
AUTHORITY
NO.
Motors
Receptacles
Generators
STREET
Water Heaters
PART OF LOT
LOT
BL'K
SUBDIVISION
..r'
�/
frc
/ EJ `
.
s
,
r
74
i f 4, :fi a a s./
1:le+" <''` f
- f
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 Buildin
•
y
•
.r
Contractor or E ectrician„
Shores Village. _
Dated 19
4l iami cShores9llage
F L 0 E 1 D A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla , y 19
LO CATI 0 N
DESCRIPTION OF WORK
NUMBER OF
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 ad 'specifications unauthorized by
this Department.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the pr posed 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
1
N? 687
, Electrical Inspector.
(Seal)
NO.
Motors
STREET
Generators
PART OF LOT
LOT
BL'K
Billboards •
SUB
•ION
Permit Fee
t - �+.�...._
4 "
�� 1
f
'
f 5
//
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards •
Other Apparatus
its i .., tta
Permit Fee
t - �+.�...._
fib
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Buildin
Contractor or
Dated , 19
dd Lami cJhores9llage
F L O R ID A
OFFICE OF ELECTRICAL DEPARTMENT
i Shores Village, Fla , [�' 19
tn
LO CATI 0 N
DESCRIPTION OF WORK
NUMBER OF
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 Permi 'fay be revoked at any time
upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any c ge in $ e plans a .<f specifications unauthorized by
this Department.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the p . posed 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.
N° 687
•
, Electrical Inspector.
(Seal)
i
•
THIS CERTIFIES THAT the wiring , 7d apparatus installed at
for ; r . , owner, and occupied as i
has been inspected and current is authorized to be turned on, until otherwise notified, for:
Size of Service .• Number of Lighting Circuits
by -
Range : f 0 - ;
Power: Connected load /
Other Apparatus k
MIAMI SHORES VILLAGE
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
1
Address
e
PERMIT
No. /
watts. Water Heater - watts
H P. Space Heaters i- watts
ELECTRICAL INSPECTOR.
OUTLETS
MOTORS
RECEPTACLES
GENERATORS
STOVES
WATER H'TERB
SIGNS
BILLBOARDS
OTHER APPARATUS
MAIN
SUB
BRANCH
r
First
Oy
FLOOR
NUMBER OF
SIZES OF
INSULATION
OPEN OR
CONCEAL'D
NUMBER OF
CIRCUITS
OUTLETS
MOTOR
GEN.
MAIN
SUB
BRANCH
Basement
First
Oy
Second
Third
Fourth
Other
Floors
aiami cJhores 9' llage
F L O A I D A
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for issuance of permit for electrical installation as described below, and for
inspection of same after installation:
Owner Address
Building Contractor
Electrical Contractor
Details of proposed work:
Number of Motors
Additional I ormatio
-"Ail
ft
Date 193—
Location of proposed work: Lot Block Subdivision
Building: Old or new Number of stories Used as
Description of proposed work
H P Volts Amps Phase
Signature of Applicant
Address (if other than owner or contractor)
(SPACE BELOW FOR INSPECTOR'S USE ONLY)
j
Work begun Inspected / f <,
Work finished Final i sitctir4 ►
PP �( ,Inspector