620 NE 101 St (11)MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build
ing 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 the work.
,19.1
No.4..:. L L / _
Owners Name and Address .
Registered Architect and /or Engineer..... G.... „d:. /4 o�� F
Name and address of licensed c' /'V A`' f � ')
Location and legal description of lot to be built on:
Lot. 2' i/ f' f/ Block. ..1t e ' Subdivision.l :2
Street and Number where, work is to be done ....- . »��.'..c 4 e :t _ 11__
State work to be done and purpose of building (by floors)___ -2 . ..!! ......1.
and for no other purpose.
New Building t � Remodeling Addition Repairs No. of Stories /
r
f 4.: t 11- . ( �. �d / ( _ .._. Roof Covering._`.4. /..�..�.d .� � ” z No
To be constructed off`. Kin of foundation.. sass
Estimated Total cost of improvements $• e" Amount of Permit S.
Zone cubage required _Plan Cubage
Distance to next nearest building Size of Building Lot /l _
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
•
be sent to J .. > �.. .� .�r d O 6 6 I e ... . i'....
The undersigned applicant for this building pennit 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 subcontractors, on work to be performed under this
pennit, as are licensed by Miami Shores Village, �
Remarks (Signed) t ,% °T,
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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.
Permit No.._. L� Date t ii41..L!/ �/�
Read, Sworn to and Subscribed before me.
Disapproved sass sass Date
(Signed)
Notary Public, State of Florida
ui ding Inspector My Commission Expires
to me well known,
PLANNING BOARD DATE
Chairman Member ._....... _......... _..._
Member _ Member
Member sass.. _______._._._ . _ Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice for insperiion or faulty
materials and /or workmanship.
Permit No 4 °70
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 o1 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. s
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Owner's Name and Address ( W A u i " 1 f C _ k No ( � 2 0 Street a ' /0 1 •
Employing Electrician's Name -Y`i / : ( , - ; ..a‘k (' e " ^ No 6 4 % Street l -� -"/; , ,c / .r
Location and Legal Description Lot -94 '' `. 1 ` Block 1 b .3 Subdivision i J. u I'; nt.. 4'
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)... Cr.
.�'.
New Building Remodeling Addition
Overhead _ _
rviee Size Feeders ?I' Conduit / Main Sw
Street _ .
� � `
Repairs No. of Stories
Amps Main Fuses a Amps
4 lnderground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ t " ° (Signed)
Date / ® ::
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 subcontractors, oh work to be performed under this 'permit, as are
licensed by Miami Shores Village.
(Signed)....'r....1 • — 2t?llll Gr.. .li ` . ..k
Master" ectrician.
STATE OF FLORIDA, i
COUNTY OF DADE. j ss '
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
Raymond Englebright
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the e l e c t r i c a l contractor
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.
Miley Ferte, !fat 1 TIM 511
My- GemmissiorF- Enlres.hivch- 6,-1982 r..z.1,.c:-1,' ' e2.. ,1 ,..,4-.'
My Commission Ezpiree Notary Public, S o Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by impro notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'TS
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. HEAT.
CONN.
SPACE
HEATER
STRIP
H
TOTAL
CONTR.
LIST
4
e
/0
'2 a
A �
-M
66d��- �'
CHECK
ENT.
SW.
7.574
DIST.
CAB.
f; r er—
____L___
SERVICE
TEM•.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.1 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No 4 °70
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 o1 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. s
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Owner's Name and Address ( W A u i " 1 f C _ k No ( � 2 0 Street a ' /0 1 •
Employing Electrician's Name -Y`i / : ( , - ; ..a‘k (' e " ^ No 6 4 % Street l -� -"/; , ,c / .r
Location and Legal Description Lot -94 '' `. 1 ` Block 1 b .3 Subdivision i J. u I'; nt.. 4'
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)... Cr.
.�'.
New Building Remodeling Addition
Overhead _ _
rviee Size Feeders ?I' Conduit / Main Sw
Street _ .
� � `
Repairs No. of Stories
Amps Main Fuses a Amps
4 lnderground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ t " ° (Signed)
Date / ® ::
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 subcontractors, oh work to be performed under this 'permit, as are
licensed by Miami Shores Village.
(Signed)....'r....1 • — 2t?llll Gr.. .li ` . ..k
Master" ectrician.
STATE OF FLORIDA, i
COUNTY OF DADE. j ss '
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
Raymond Englebright
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the e l e c t r i c a l contractor
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.
Miley Ferte, !fat 1 TIM 511
My- GemmissiorF- Enlres.hivch- 6,-1982 r..z.1,.c:-1,' ' e2.. ,1 ,..,4-.'
My Commission Ezpiree Notary Public, S o Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by impro notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING -
Owner of
Building
Architect
Contractor y.
or Builder
Legal Lot
Description
MIAMI SHORES VILLAGE, FLORIDA
DATE e" 1941
Contractor's
(*::: '-
License No.
PERMIT N9 2859
Work to be performed under this Permit/ "
Address of t. y 0/ '." / .;"0
,.., , . Value of 4 ,..
,. „r
ot
Building . 0' ,. (....= . .. .,,
. 4
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 foryhorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the pjarti i.or *wings or in the-statine t ts..or s ecifications and
that he assumes responsibility for work done by his agents, servants or employees. ....-- ' / J
Signed / ‘
77--:,- ---„ ---- - — - I"
d _
INSPECTOR
- ,- ' $. ' ‘,,, ----
onsideration of t issuance to me 9f this permit I agree to perform.-the work covered hereunder in compliance with all ordinances and regula-
tion ini 'ihereto a iii,strict conf,prjy with the plans, drawings, sMtements or specifications submitted to the proper authorities of Miami Shores
Vill cepting t „r;erinit 1 a spon *bility for ad work done by either myself, my agent, servant or employee.
-.;
..
4
"
S C..3 1
Subdi-
vision
Amt. of
Permit
e
BY AUTHORITY
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
Date 19—
ELECTRICAL
PLUMBING ❑ PERMIT
Contractor's
ROOFING ❑ License No.
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description II Bl
Address of
Building
Subdi-
vision
Sq Ft
Value of 11 Amount of
Project $ 11 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 • (INSPECTOR) BY
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation.
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.
CONTRACTOR or BUILDER
BY AUTHORITY