54 NE 100 St (13)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address -- g / "/ Tax Folio
Legal Description Historically Designated: Yes No •
Owner/Lessee / Tenant /'� ''
�"t � / �� !/C//1/L( ik4-s Master Permit # vgs'age,
Owner's Address 5 V ' toe sr-
Contracting Co. fl j+' 6 .4'67. / lq a? • Jut'.
Qualifier ✓/G t 0 491714.1 SS# - ` /� Phone ,W: . /7f .- /O '
State # £Q O c / 44 7 7 Municipal # Competency # 1, ff 001906 e Ins. Co. 4rf. 6 T,e/ s-.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDIN t ELECTRIC LUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION ` t'44 Z, L e &o-- S-rte/ '//
3 . r �O D V Me7?-7
Square Ft. Estimated Cost (value) ` d
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.
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. Furthermore, I authorize the above -named contractor to do the work stated.
4 0E8E2
y Comm Exp. 2/8/2003
No. CC 807544
ty Known I 1 Otltr I.D.
FEES: PERMIT V ae RADON
APPROVED:
Zoning Building Electrical
Mechanical Plumbing
Phone 767 ' 7 d 7
Address q /0 ate. / 73 J"E . 1 194P# mop
C.C.F. la D NOTARY 0
BOND
TOTAL DUE K0,60
Structural Engineer
TEM '
ATH TUB
UNIT
FEE
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
IDET
LIGHT OUTLETS
CENTRAL HEATING
ISHWASHER
RECEPTACLES
A/C (WIN))
ISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
KINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
LOOR DRAIN
SERVICE REPAIR/1+ETER CHANGE
REFRIGERATION
REASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
NTERCEPTOR
RANGE TCP
UNDERGROUND TANKS
.WATORY
OVEN
ABOVE GROUND TANKS
AUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
LOTHES WASHER
MOTCRS 0- 1 HP
STEAM BOILERS
-0WER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
INK, POT /3 COMP.
MOTCRS OVER 3- 5 I-P
MECHANICAL VENTILATION
INK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
INK, SLOP
MOTCRS OVER 8- 10 HP
ELEVATORS/ESCALATORS
MPORARY WATER CLOSET
MOTCRS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
UNAL
MOTORS OVER 25-100 HP
COOLING TOWERS
;TER CLOSET
MOTORS OVER 100 1P
VIOLATION
DIRECT WASTES
A/C WINDOW
REINSPECTION
;TER 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
SWIMdING POOL
, OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
HER CONNECTIONS
SIGN TRANSFORMERS
ILITY -SEWER
SIGN TIME CLOCK
ILITY -WATER
'TIC
FIXTURES
TANK
ANTENNA -•
.AY
TELEVISION OUTLETS
■INFIELD, 4' TILE/RES.
VIOLATION
P & ABANDON SEPTIC TANK
REINSPECTION
XAGE PIT CU. FT.
CH BASIN
CHARGE WELL
ESTIC WELL
A GRAIN •
F INLET
AR WATER HEATER
-
E STANDPIPE
. PIPING
i SPRINKLER SYSTEM
RANGE .
:R SET (GAS)
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
ELECTRICAL
MECHANICAL
Permit No ° 6/
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTR ICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
E5.
My Commission Expires
4�L
No
(Signed)
(Signed)
No . 0
Date G
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. / ,y
Owner's Name and Address,.Q Q k � ..[.... /
Registered Architect and /or Engineer
Employing Electrician's Name.. V A..
5 y Street.. /V /0 ST
Street...4"
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed—No Street..' 1 c 71 C
7'
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
rical 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, o work to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public, State of Florida
ter Electrician.
STATE OF FLORIDA, l
COUNTY OF DADE. I
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.
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
LIONY
OUTLETS
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
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.8 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
•
•
^
g /�Y'�
I
/ ��[
l V426
CHECK
Permit No ° 6/
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTR ICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
E5.
My Commission Expires
4�L
No
(Signed)
(Signed)
No . 0
Date G
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. / ,y
Owner's Name and Address,.Q Q k � ..[.... /
Registered Architect and /or Engineer
Employing Electrician's Name.. V A..
5 y Street.. /V /0 ST
Street...4"
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed—No Street..' 1 c 71 C
7'
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
rical 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, o work to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public, State of Florida
ter Electrician.
STATE OF FLORIDA, l
COUNTY OF DADE. I
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.
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
Architect
Contractor
or Builder
Legal Lot
Description
PERMIT
7
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
N° 5444
Work to be performed under this Permit '-1
0
P
Contractor's
License No. to ∎4) cT
DATE ; ' 'l
Subdi-
Bl vision
Address of „„ to ; /* , y Value of II Amount of
Building ..:j '- J J Project $ li 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.
Signed. 4' 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, drcrwings, statements or specifications submitted to the proper authorities of Micani Shores Village. In ac.
cepting this permit I assume responsibility for all work done by either, myself, my agent, servcmt or employee.
BY AUTHORITY
AS BOT
Owner's Name and Address
Registered Architect and /or Engi
Employing Electrician's Nam
Location and Legal Description Lot
Street and Number where work is to be performed— No._4
State work to be performed and purpose of building (By Floors)
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of wor
__Block
New Building Remodeling Addition Repairs t/ —___ No. of Stories
Service Overhead Size Feeders Conduit Main Sw —_ Amps.
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE. ss.
(Signed)
(Signe
Date
My Commission Expires Notary Public. State of Florida
Street___2620 —
o Street_
Main Fuses_______ Amps.
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 -c. 1 rs, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared — — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRI G.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
p
/ �'�4l/.,
,,,,
_
CHECK
Owner's Name and Address
Registered Architect and /or Engi
Employing Electrician's Nam
Location and Legal Description Lot
Street and Number where work is to be performed— No._4
State work to be performed and purpose of building (By Floors)
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of wor
__Block
New Building Remodeling Addition Repairs t/ —___ No. of Stories
Service Overhead Size Feeders Conduit Main Sw —_ Amps.
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE. ss.
(Signed)
(Signe
Date
My Commission Expires Notary Public. State of Florida
Street___2620 —
o Street_
Main Fuses_______ Amps.
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 -c. 1 rs, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared — — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submi d 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 __ e . __.1L
Registered Architect and /or Engineer
Employing Electrician's Name _� /T_-
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. ss'
Service Overhead Size Feeders Conduit._ Main Sw.
Underground
)/ %,Tn9`L1L
My Commission Expires
No 67— A
No
Location and Legal Description Lot_ ______
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling
Block
Addition
Type of Installation— Conduit___________ Tubing____________ B.X.L. Metal Moulding
(Signed)
(Signed) _____
Date
Street ,G__ O
Street ________ _____ _— ______—_—_—_____
Subdivision _— _____________________
Street
Repairs
Amps. Main Fuses _Amps.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public. State of Florida
No. of Stories
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
R ECE'P'T'S
FIXTURES
N O.LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
H EATER
TOTAL.
CONTR.
LIST
/
I`
Ern
2
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
M OTORS
1 -5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
CHECK
Permit No.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submi d 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 __ e . __.1L
Registered Architect and /or Engineer
Employing Electrician's Name _� /T_-
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. ss'
Service Overhead Size Feeders Conduit._ Main Sw.
Underground
)/ %,Tn9`L1L
My Commission Expires
No 67— A
No
Location and Legal Description Lot_ ______
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling
Block
Addition
Type of Installation— Conduit___________ Tubing____________ B.X.L. Metal Moulding
(Signed)
(Signed) _____
Date
Street ,G__ O
Street ________ _____ _— ______—_—_—_____
Subdivision _— _____________________
Street
Repairs
Amps. Main Fuses _Amps.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public. State of Florida
No. of Stories
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
tLECTRICAL
PLUMBING
Owner of
Builain
Architect
Contractor
or Builder
Lot
Description
* Address of owl
Building
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 5227
ork to be performed under this Permi
�
CdNTRAG OR BUILDER
Subdi-
vision
Value of
Project
This permit is granted to the contractor r buildefnamed 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 Chang: . without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above as . , es the. espo isibili WI- a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or 1 . in 's, .: or specifications and tha h assumes respon-
sibility for work done by his agents, servants or employees. ��I �"
Signed
INS CTOR
A
In consideration of the issuance to me of this permit I agree to perform the work .vered ' - reunder in compliance wiordinances andreuntions'
pertaining thereto and stvict conformity with the plans, drawings, statements or spe ifications submitted to the proper au t s of Miami Short age:
In accepting this1ermt assume responsibility for a work done by either myself, my agent, servant or employee.
BY
DATE
Contractor's
License No.
Amt. of �
Permit 015 , 1 ,e
s .
By 4:
AUTHORITY
' 194
4
APPLICATION FOR ELECTRICAL PERMIT
Permit No A r^ Fw Date__
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village 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.
,� i •� ri d"
Owner's Name and Address ___.___ —:__. ______�__��_____- ___ _ =' _ -Z'c
`No Street_— _— __________��
Registered Architect and /or Engineer _______________— ___W�_
Employing Electrician's Name ' `___ =�' �.� x . ' � ` No
Location and Legal Description Lot___
Street and Number where work is to be performed —No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
�c>
Block
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Service Overhead Size Feeders____— Conduit._______ — Main Sw.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Street__
Street
No. of Stories
Amps. Main Fuses_ Amps.
My Commission Expires Notary Public. State of Florida
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. 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
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all fact
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 /
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WA
TER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
H EATER
TOTAL
CONTR.
LIST
•
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
APPLICATION FOR ELECTRICAL PERMIT
Permit No A r^ Fw Date__
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village 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.
,� i •� ri d"
Owner's Name and Address ___.___ —:__. ______�__��_____- ___ _ =' _ -Z'c
`No Street_— _— __________��
Registered Architect and /or Engineer _______________— ___W�_
Employing Electrician's Name ' `___ =�' �.� x . ' � ` No
Location and Legal Description Lot___
Street and Number where work is to be performed —No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
�c>
Block
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Service Overhead Size Feeders____— Conduit._______ — Main Sw.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Street__
Street
No. of Stories
Amps. Main Fuses_ Amps.
My Commission Expires Notary Public. State of Florida
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. 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
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all fact
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 /
materials and /or workmanship.
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date___9 So
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith suilttedzfor 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 ___t � .� *. '` e No
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE.
Location and Legal Description Lot' %
SS.
MIAMI SHORES VILLAGE
Registered Architect and /or Engineer
Employing Electrician's Name No No Street__
My Commission Expires
ELECTRICAL INSPECTION DEPARTMENT
Subdivision _
Street and Number where work is to be performed— No__________________�_____ Streets_ _
.,i
Block
(Signed)
State work to be performed and purpose of building (By Floors)
New Building ,____ Remodeling Addition Repairs
(Signed)
)
Street
Notary Public, State of Florida
No. of Stories. _____ __________
Service edrehr round Size Feeders Conduit r _ Main Sw Amps. _ Main Fuses Amps.
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
f ; . v
:
f
..
'
'
r
•'
..
CHECK
1
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date___9 So
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith suilttedzfor 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 ___t � .� *. '` e No
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE.
Location and Legal Description Lot' %
SS.
MIAMI SHORES VILLAGE
Registered Architect and /or Engineer
Employing Electrician's Name No No Street__
My Commission Expires
ELECTRICAL INSPECTION DEPARTMENT
Subdivision _
Street and Number where work is to be performed— No__________________�_____ Streets_ _
.,i
Block
(Signed)
State work to be performed and purpose of building (By Floors)
New Building ,____ Remodeling Addition Repairs
(Signed)
)
Street
Notary Public, State of Florida
No. of Stories. _____ __________
Service edrehr round Size Feeders Conduit r _ Main Sw Amps. _ Main Fuses Amps.
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
JOB: lr % �
AD: �
t
BUILDING
ELECTRICAL
PLUMBING
Inspector's Report:
WORK
• • DONE BY:
REQUESTED
• • •
• :
•
•
•
•
•
The following is ready for Inspection:
▪ •
: WILL BE READY
6 -.' . 2 j ‘ 6
BUILDING
PLUMBING
•
•
•
•
ELECTRICAL
••
•
•
•
WORK
DONE BY:
•
• •
• • •
•
•
The following is ready for Inspection:
Inspector's Report:
REQUESTED
• •
• •
• •
• • • 6' r& G •
•
•
• • • •
•
• • •
• • •
• • •
• • •
OND
: WILL. BE READY
•
r ;2
/
/
//,
THIS CERTIFIES THAT the wiring and apparatus installed at
by
for
has been inspected and current is authorized to be turned on, until otherwise notified, for:
Size of Service Number of Lighting Circuits
Range watts. Water Heater watts
Power: Connected load H. P. Space Heaters watts
Other Apparatus
•
MIAMI SHORES VILLAGE
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
-
Address
owner, and occupied as
PERMIT
No.
ELECTRICAL INSPECTOR.
Permit No.__
Service Overhead Size Feeders____ Conduit__
Underground
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address -_____ _ __ , = "'__�_
Registered Architect and /or Engineer
Employing Electrician's Name __ �� __ Y _ ___ __ - No.
Location and Legal Description Lot________________________
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.. Repairs
B
k
Date
________ Street
Street_________________
01 Street _� �_--- --- --__ --
No. of Stories
Main Sw
Amps. Main Fuses _ Amps.
Type of Installation— Conduit Tubing _ B.X.L Metal Moulding __________— _— __w_____w_______
7 *e•••-4Z
40 0
Amount of Permit $
Electrical Inipector.
The undersigned applicant for this building permit does hereby certify that be understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) ________________________________
My Commission Expires Notary Public. State of Florida
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE•P'T'S
FIXTURES
NO.LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WA
TER
W. H EAT.
CONN.
SPACE
H EATER
STRIP
H EATER
TOTAL
CONTR.
LIST
_
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0-1 HP
MOTORS
1 -5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No.__
Service Overhead Size Feeders____ Conduit__
Underground
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address -_____ _ __ , = "'__�_
Registered Architect and /or Engineer
Employing Electrician's Name __ �� __ Y _ ___ __ - No.
Location and Legal Description Lot________________________
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.. Repairs
B
k
Date
________ Street
Street_________________
01 Street _� �_--- --- --__ --
No. of Stories
Main Sw
Amps. Main Fuses _ Amps.
Type of Installation— Conduit Tubing _ B.X.L Metal Moulding __________— _— __w_____w_______
7 *e•••-4Z
40 0
Amount of Permit $
Electrical Inipector.
The undersigned applicant for this building permit does hereby certify that be understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) ________________________________
My Commission Expires Notary Public. State of Florida
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor,, .,,r
or Builder,.
Legal Lot
Description
Address of "I,/
, '`
Building - -
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 2603
Work to be performed under this le
r 'Y
BE
Subdi-
vision
Value of
Project
BY
DATE
/gm
Contractor's
License No +:..
c 1'''"'."
Amt. of
Permit
This permit is granted to the contractor or builder named above to construct the building or to install , equipment or device described in the
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding tha 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 or drawings. or in 'the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees..
Signed:
INSPECT.R
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
AUTHORITY
194
T
C.1
BUILDING
ELECTRICAL
PLUMBING
Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE 194—
Contractor's .r
License No
PERMIT N9 2360
Bl.
Subdi-
vision
Value of
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
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 • 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 regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores /
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. 1
CONTRACTOR OR BUILDER BY
Amt. of
Permit
AUTHORITY