432 NE 100 St (11)Ins pection Num
Inspection Date: 1211412005
Inspector: Inspector, Default
Owner:
Job Address:
Project: <NONE>
SHOCKEY, DONALD
432 100 Street NE
Miami Shores Village, FL 33138-
Contractor: MOODY ELECTRIC INC
Building Department Comments
Thursday, January 26, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Pe: (305)795 -2204 Fax: (305)756 -8972
eFm
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Block:
05 -1223
Phone Number 305- 772 -8160
Parcel Number 1132060170370
Lot:
Phone: (305)758 -2000
Page 2 of 2
Passed
Inspector Com : /
/ ,% 7,
/'
A X /52-/e.
7',,A 7o A v.°,614.-
s a /tj/'‘ 27/a40°o,
G,t., 76. .�A cr
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Ins pection Num
Inspection Date: 1211412005
Inspector: Inspector, Default
Owner:
Job Address:
Project: <NONE>
SHOCKEY, DONALD
432 100 Street NE
Miami Shores Village, FL 33138-
Contractor: MOODY ELECTRIC INC
Building Department Comments
Thursday, January 26, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Pe: (305)795 -2204 Fax: (305)756 -8972
eFm
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Block:
05 -1223
Phone Number 305- 772 -8160
Parcel Number 1132060170370
Lot:
Phone: (305)758 -2000
Page 2 of 2
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
Building Electrical Plumbing
Owner's Name (Fee Simple Titleholder)
!^
Owner's Address L'2 p1 AJ 1DL�
City �j� l % oiei State
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
City
Qualifier
State Certificate or Registration No. LLOOD 1/99 Certificate of Competency No.
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
Type of Work: ❑Addition
Describe Work:
Total Fee Now Due $
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue Miami Shores Florida 33138
Tel:
Phone # (� � (� ,fo O — / 2 4))��, (( e5 )1-1Y.)0,5 1
1(I�IV�'4 �J �-
/ �
3 - 5( , 3 p'
Phone # q J kf . Sc t)
L
e /eG%2I .. Phone #
ea9 „Jai q05
z4 V ,t
Zip
93g /14 r-
County Miami-Dade
NO A-
State i
Zip ✓l
Phone #
Zip
Square Footage Of Work:
['Alteration ['New ir Repair/Replace
* * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Code Enforcement $ Structural Plan Review. $
Permit No. .1O 6T rZ
aster Permit No.
Mechanical Roofing
❑ Demolition
. r
Submittal Fee $ Permit Fee $ /ePO f (.1) CCF $ .1 - Z-n CO /CC
Notary $ Training/Education Fee $ b . 40 Technology Fee $ 2
Scanning $3. 00 Radon $ 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
/1
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 a asap ct n fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this \
day of r-sL.c , 20t�S by (&J2_ ; Sko( C9 ,
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
8 9 QJ
•
1 g ' : ,1. MY COMMISSION # DD 44171 II
My Comm s �i ues: EXPIRES: July 2, 2009
•
•'+gyp � Bonded Thru Nola ' Public Underwriters
Sign:
Print:
******************* * * * * * ** * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY
chc 05/13/03
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Contractor
The foregoing instrument was acknowledged before me this /
day of Q 2 .e . L 2055 , by
who is rsonally kno to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC
Sign: _ _ - .. . . e • �.
Print: r �l�i .y-
_.: ��+ :, MY COM ISSION # DD 441715
My Com r �' ' : j� ,. iresEXPIRES: July 2, 2009
Bonded T w Nolwy Public Underviten
***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Mans Examiner
Engineer
Zoning
EM
IN TU3
UNIT
FEE
ITEM
SNITCH CURETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
:ET
LIGHT CUTLETS
CENTRAL FEATING
SMASHER
RECEPTACLES
A/C (WINO)
S OSAL
SERVICE TEWFCRARY
A/C (CENTRAL)
INKING FOUNTAIN
SERVICE SIZE IN AMPS I c ;
0 /. ,'
DUCT WORK
CCR CRAIH
SERVICE REPAIR/WIER CHANGE
REFRIGERATION
EASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
TERCEPTCR
RA,'aGE TOP
UNDERGROUND TANKS
: VATCRY
OVEN
ABOVE GRCUNO TANKS
.UNDRY TRAY
WATER HEATER
U.F. PRESSLRE VESSELS
OTHES WASHER
MOTORS 0- 1 FP
STEAM BOILERS
OTHER
MOTCRS OVER 1- 3 FP
HOT WATER BOILERS
NK, POT /3 COMP.
MOTORS OVER 3- -5 FP
MECHANICAL VENTILATION
,NK, RESIDENCE
MOTCRS OVER 5- 8 FP
TRANSPORTING ASSEMBLIES
INK, SLOP
MOTORS OVER 8- 10 FP
ELEVATORS/ESCALATORS
-
:WORARY WATER CLOSET
MOTCRS OVER 10- 25 FP
FIRE SPRINKLER SYSTEMS
;IHAL
MOTORS OVER 25-100 FP
COOLING TOWERS
;TER CLOSET
MOTORS OVER 100 FP
VIOLATION
DIRECT WASTES
A/C WINDOW
REINS?ECTION
U
;TER SLPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRAISFCR.IERS
HEATER -NEW INST.
1
GENERATORS TRANSFCRI RS
HEATER - REPLACE
GENERATORS TRAMSFORWERS
LAWN SPRINKLER -WELL
SPECIAL PL'APOSE
SAIMCIING POOL
•
CUTLETS CGMERCIAL
WATER SERVICE
•
SIGN MBES
:WcR CONNECTIONS
SIGH TR.(1SFCR1ERS
"ILITY -SEWER
SIGN TIME CLOCK
"ILITY -WATER
FIXTLRES
:PTIC TAME(
ANTENNA
LAY
TELEVISION CURETS
?AIRFIELD, 4' TILE/RES.
VIOLATION
:MP & ABANDON SEPTIC TANK
REINSPECTION
)AKAGE PIT CU. FT.
kTCH BASIN
;SCHARGE WELL
WEST IC WELL
TEA CRAIN
)OF INLET
)LAR RATER HEATER
IRE STANDPIPE
xll P IP I IIG
1'WN SPRINKLER SYSTEM
S RANGE
:TER SET (GAS)
S PIPING
l t
�N APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A RASTER PERMIT H
•3TAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICAT
PLUMBING
ELECTRICAL
MECHANICAL
Issue Date: 12/16/2005
Owner's Name: DONALD SHOCKEY
Permit Type: Electrical - Residential
Work Classification: Addition /Alteration
Job Address: 432 100 Street NE
Comments:
REPAII 200 AMP SERVICE
Additional Information
Miami Shores Village, FL 33138-
Building Department File Copy
Applicant Signature
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 12/14/2006
Contractor(s)
MOODY ELECTRIC INC
Phone
(305)758 -2000
Primary Contractor
Yes
Type of Work: SERVICE REPAIR Additional Info:
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 responsibility for all work done by either myself, my agent, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work
stated.
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: EL -12 -05 -1223
Phone: 305- 772 -8160
1132060170370
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 1,500.00
Required Inspections
Alteration
Underground Rough
W W
Service Change
Meter Box
Fire Alarm
Relocation
Final
Fees Due
CCF
Education Surcharge
Permit Fee - Additions /Alterations
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$0.40
$100.00
$3.00
$2.50
$107.10
Invoice Number
EL - 12 - 05 - 23125
Total:
DEC 21 PAID
Amt Due
$107.10
G bL (" O(o Z.
Amt Paid
0
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
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.. )12/9-4 ..
Registered Architect and /or Engineer �,
Employing Electrician's Name 1 � �' No 6
/
Location and Legal Description Lot Block Subdivision
13
Street and Number where work is to be performed —No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
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 p p
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. es.
(Signed)
i9ctrical 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 sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village,
(Signed
No.....f �
street .4(4 76 °'
fri /V.5.7
Street
o f 7c 577
"Ze
aster Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared .
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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'7'B
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.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
I.3 HP
NEON
TRANS..
//Y/�11/4i'/7'',(L
/ ��/
RADIO
TOTAL
_&a
CONTR.
LIST
/ /
$
//' m
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.. )12/9-4 ..
Registered Architect and /or Engineer �,
Employing Electrician's Name 1 � �' No 6
/
Location and Legal Description Lot Block Subdivision
13
Street and Number where work is to be performed —No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
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 p p
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. es.
(Signed)
i9ctrical 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 sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village,
(Signed
No.....f �
street .4(4 76 °'
fri /V.5.7
Street
o f 7c 577
"Ze
aster Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared .
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date —Z3...-
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 ,l. ° No.. 3 L 4 e Street... / f
Registered Architect and /or Engineer
Employing Electrician's Name. ..S/. L'e
e,
Location and Legal Description Lot Block
Street and Number where work is to be performed —No —k?? .!e r.
• State work to be performed and purpose of building (By Floors)
No.1 !z�
6�t /6rr
AJfA�./'Sk�/ )//
Subdivision j
New , Building Remodeling Addition a Repairs No. of Stories
Service Und eground Size Feeders Conduit Main Sw Amps Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
STATE OP FLORIDA, 1
COUNTY OF DADE. Il
Ss.
(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.
•
(Signed)...'v�_.gd .4
Ma er Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. H EAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
.
-
CHECK
•
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
�r
4'o /ei�C
/7 "
f
#.114/ OAL
t
$
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
-.
CHECK
1 . �J
' .1°
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date —Z3...-
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 ,l. ° No.. 3 L 4 e Street... / f
Registered Architect and /or Engineer
Employing Electrician's Name. ..S/. L'e
e,
Location and Legal Description Lot Block
Street and Number where work is to be performed —No —k?? .!e r.
• State work to be performed and purpose of building (By Floors)
No.1 !z�
6�t /6rr
AJfA�./'Sk�/ )//
Subdivision j
New , Building Remodeling Addition a Repairs No. of Stories
Service Und eground Size Feeders Conduit Main Sw Amps Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
STATE OP FLORIDA, 1
COUNTY OF DADE. Il
Ss.
(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.
•
(Signed)...'v�_.gd .4
Ma er Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No 5/°22�.
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 e4 i 4'
Registered Architect and /or Engine
Employing Electrician's Name
Street and Number where work is to be performed —No
Amount of Permit $_-
STATE OF FLORIDA,
COUNTY OF DADE.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
My Commission Expires
MIAMI SHORES VILLAGE
No.
Location and Legal Description Lot______�_____�_ —� _ �_�___Block
State work to be performed and purpose of building (By Floors)
_ (Signed)
Date_
Street__
g,9
Street_
'
Street_W_ __
�.t
Subdivisipn__ —_,_
Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses_
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Notary Public. State of Florida
New Building Remodeling Addition.. Repairs ____ No. of
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, op work to b performed under this permit. as are
licensed by Miami Shores Village.
Master Etirican.
Amps.
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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re'- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE•P'T'S
FIXTURES
NO.LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
R.
WATER
H EATER
W. H EAT.
CONN. •
SPACE
H EATER
STRIP
H EATER
TOTAL
CONTR.
LIST
IST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O -I HP
MOTORS
1-5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No 5/°22�.
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 e4 i 4'
Registered Architect and /or Engine
Employing Electrician's Name
Street and Number where work is to be performed —No
Amount of Permit $_-
STATE OF FLORIDA,
COUNTY OF DADE.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
My Commission Expires
MIAMI SHORES VILLAGE
No.
Location and Legal Description Lot______�_____�_ —� _ �_�___Block
State work to be performed and purpose of building (By Floors)
_ (Signed)
Date_
Street__
g,9
Street_
'
Street_W_ __
�.t
Subdivisipn__ —_,_
Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses_
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Notary Public. State of Florida
New Building Remodeling Addition.. Repairs ____ No. of
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, op work to b performed under this permit. as are
licensed by Miami Shores Village.
Master Etirican.
Amps.
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 be 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.
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor
,,br Builder
Legal
Description
Lot 74g
CONTZd CTOR OR BUILDER
MIAMI S,1 -I0RES VILLAGE, FLORIDA c .
DATE ll -/a 194
PERMIT N? 5577 Contractor' s /r4s
Work to be performed under this Permit
Owner of ak t;� / I "��9�'�'�* i''r
Eg e., 4 G
B.. � 9
Address of Value of Amt. of ig
Permit / i �JM
Building Project
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 appli-
cation 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 o � ing j s or i the statements or specificatio .. + that he mes respon-
sibility for work done by his agents, servants or employees.
fit'
Signed.
---
t • i By • � �
INSPECT
In consideration of the issuance to me of this permit I agree to perform the work covered hereuri er in compliance with,,A,, ordinances And.regillationsl
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autho'rrffes of Miami hdresA7gPage.3
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
4 (
Subdi- s 1 T
vision /
BY
- AUTHORITY
Permit No
MIAMI SHORES VI LLAGE
ELECTRICAL INSPECTION DEPARTMENT
V 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. �,/ / 1
Owner's Name and Address .,/ f L/ ' _1 � e C7 sS No.____¢ c� ___LY_. _ Street____Z..O
Registered Architect and /or Engineer
Employing Electrician's Name / 1? /? / !? .11Fl g Z_
Location and Legal Description
work is to be performed —No . 4
State work to be performed and purpose of building (By Floors)
New Building
Street and Number where
Lot – r f -
Remodeling Addition.. Repairs
Service Overhead6. Size Feeders_31t____ Conduit.__ "," Main Sw.___ &z Amps. Main Fuses�O d Amps.
Underground � //
Type of Installation— Conduit Tubing Y B.X.L. Metal Moulding
STATE OF FLORIDA,
COUNTY OF DADE.
Before me,
Amount of Permit $ i_
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.
as.
the undersigned authority, a notary public, duly
My Commission Expires
(Signed)
(Signed)
Date _Y �1.. /
No._ r .!_t/ Street_ __¢ /
f�
_4. .//U O — Street__ - - -- 0/Z•
Notary Public. State of Florida
No. of Stories
aster Electrican.
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 be 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
/ !l
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
R
C L ST
/ f�
1 •
1 O
/ i
/
_z__
/
/
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/ 1 f i
CHECK
Permit No
MIAMI SHORES VI LLAGE
ELECTRICAL INSPECTION DEPARTMENT
V 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. �,/ / 1
Owner's Name and Address .,/ f L/ ' _1 � e C7 sS No.____¢ c� ___LY_. _ Street____Z..O
Registered Architect and /or Engineer
Employing Electrician's Name / 1? /? / !? .11Fl g Z_
Location and Legal Description
work is to be performed —No . 4
State work to be performed and purpose of building (By Floors)
New Building
Street and Number where
Lot – r f -
Remodeling Addition.. Repairs
Service Overhead6. Size Feeders_31t____ Conduit.__ "," Main Sw.___ &z Amps. Main Fuses�O d Amps.
Underground � //
Type of Installation— Conduit Tubing Y B.X.L. Metal Moulding
STATE OF FLORIDA,
COUNTY OF DADE.
Before me,
Amount of Permit $ i_
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.
as.
the undersigned authority, a notary public, duly
My Commission Expires
(Signed)
(Signed)
Date _Y �1.. /
No._ r .!_t/ Street_ __¢ /
f�
_4. .//U O — Street__ - - -- 0/Z•
Notary Public. State of Florida
No. of Stories
aster Electrican.
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 be 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.
Ate
A/L
5a
Pm,
/
lyv,
b , O/ee -
■��1■■I,FrW2. /
4 An/
; l �) l .� •I - /
/
/�T P/ / r / ,
„Eii, -
' • - • cr3
_ ig.. N . 2
if Ade /
1,74 iii
/0,9 / I
V\ IA04
Ar - r
_ �� � , �
*,2_t/, AV h
i
c o N A;
.4 ,,
/ �I
Joael MIMI
imitEmo
; /
1
i
I
1e 9 x109,
BUILDING
ELECTRICAL
PLUMBING
Owner of `L'�<* A
Architect
Contractor . / , % fr
or Builder
Legal Lot Bl.
Description
t ' ' . - eTh�
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE - "- : •
Contracto s
License No.
PERMIT N? 8128
Work to be performed under this Permit
Subdi-
vision
.74-2)
/ 1 "
AUTHORITY
Address of . e ' _ Value of Amt. of -
Building F, Project 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 appli-
cation 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. r--- / ,-y
1
1947-
Signed • '_: ' • 4, By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform thetw * k covered hereunder in compliance with all ordinances and rr,eegulafipnq:D
pertaining thereto and in strict conformity with the plans, drawings, statements'or specifications submitted to the proper author igs of Miami Shosls• era.-
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
:UILDING
LECTRICAL
•LUMBING
)caner of �f�
: uilding /Ui
.rchitect
: ontractor
r Builder
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 5577
Work to be performed under this Permit
- 'i,rl' i r/ **"%' - ' ...b•' -'��° I ' i
CONTR 2TOR OR BUILDER
Bl.
,,.•
I "
, ,....doi,
Subdi- `' C
vision =' !' .
DATE
Contractor's
License No
.ega1 Lot
)escription
.d dress of 43 �. � I '� Project of Perm it
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 appli-
ation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any
lans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
t 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
ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
-:gulations pertaining to the work covered hereby whether shown on the plans or awings or in the statements or specifications an,SLthaat he astiiInes respon-
bility for work done by his agents, servants or employees. `-- "' .r '� f '
Signed: <', . ='t.. . e -e to y + ..t = / By �-/ r
INSPECTO1 /
In consideration of the issuance to me of this permit I agree to perform the work covered hereundfr in compliance with all ordinances and regulations
ertaining thereto and in strict conformity with the Mans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
x accepting this permit I assume responsibility for a work done by either myself, my agent, servant or employee.
BY
194
AUTHORITY