230 NE 102 St (8)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Builc}ing Inspection Request
Date
Type Insp'n �( IJI i
Permit No. L10'4 — c J73& .
Name 14 e
Address (9' l J 1\-i ' t
Company SJ C °` C `C E e fe
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
.7
Type Insp'n
Inspection Date
Approved
Correction
Re- Insp'n Fee
Company 5
Phone # �G
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
ng Inspection Request
Bui1
Date f a
62 .
&I ClJ -(A)
Permit No. eI C I - �,
Name rayev-
Address .2-30 We 162_54
-54
- 2 /5
BUILDING NOV 2 4 04 Permit No. 0 O'1 ^ 330
PERMIT APPLICATION aster Permit No.
FBC 2001
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (3 s
RECEIV
Structural Plan Review. $
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) 0 14 �' 4 Wrd /4 ft/ y e 'hone # 3D6
-75 G 7 Z
Owner's Address 230 N G- /0Z 5 f
City Hie..-y44.; SAD Ve) State . Zip 3313e
Tenant/Lessee Name
Job Address (where the work is being done) 23D A/L' /0 2 f P.
City Miami Shores Village County Miami -Dade
Phone #
Zip 33/36
Is Building Historically Designated YES NO V
Contractor's Company Name J t y t o 1N% a4 . rie 4t'i c aJ if( ellyne # 3405% ij 9 Z - 694
Contractor's Address 7688 3 1 Wed, 3 l e twI .
h la - =2 3
City %A l L . State
City Zip 3 b / a
Qualifier NOG / /"fcJO
State Certificate or Registration No. e/Z )00O / Certificate of Competency No. e4 99 L'UG n 6 6W
Architect/Engineer's Name (if applicable) Phone #
0
$ Value of Work For this Permit 2, 2Dix u Square Footage Of Work:
;n..
Type of Work: ' ❑Addition ❑Alteration ❑New Kepair/F epiace E Demolition
Describe Work: .Se Y V . e rep cf.'" .
-1-75 �1 r v 1 * * * * * * * * * * * * * ** * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
0J
Submittal Fee $ 50 Permit Fee $ / CCF $ I 21 CO /CC
Notary $ a- 1 Training/Education Fee $ Cr., Technology Fee $ . ' "
Scanning $ 4, Radon $ --- — Zoning �` Bond 5
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done m 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 and a reinspection fee will be charged.
Signature
My Commission Exp
Chc 05/13/03
APPLICATION APPROVED BY:
Owner or Agent
The foregoing instrument was acknowledged before me this Z
day of AJD V , 20 ( by fa 70G / ti frl. y.E.✓
who is personally known to me or who has produced V. L. r
1440 GG Z 96& 2' iD As identification and who did take an oath.
NOTARY PUBLIC:
Sign: 1
Print: 6
. �( AN� z
d
Comm. 4 CC 9878
Signature
ontractor
The foregoing instrument was acknowledged before me this
day of A/O �/ , 20 DV,, by f�/pG/ j" /e /o ,
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expi
/ pp�� ����' 14)
t Plans Examiner D
omm. # CC 98783
Engineer
4
Zoning
TEWIDE ELECTRICAL SVCS, INC.
FIED ELECTRICAL CO ► " • '�,� ° �E ' L • COMERCIAL • INDUSTRIAL
# 01 -CME- 1981 -R
GENERAL LIGHTING 1900 SQURE FEET X 3 VA
SMALL APPIANCE CIRCUIT 1500VA X 2
LAUNDRY CIRCUIT
DISHWASHER
WATER HEATER
DRYER
RANGE
TOTAL CONNECTED LOAD
FIRST 10000 VA @ 100%
REMAINDER @ 40 %
TOTAL DEMAND LOAD
AIR CONDITIONING COMPRESOR
230 VOLTS X 24 AMPS
HEAT STRIP
10000 X 65%
TOTAL DEMAND LOAD
24460 VA / 240 VOLTS
LOAD CALCULATION
PROJECT NAME: SERVICE UPGRADE
OWNER: JOHN MEYER
LOCATION: 230 NE 102 ST MIAMI SHORES FL 33183
QUALIFIER: NOEL ME
Signature
ER# 0014821
5700 VA
3000 VA
1500.VA
10200 VA
1200 VA
4500 VA
4000 VA
10000 VA
29900 VA
10000 VA
7960 VA
17960 VA
5320 VA
6500 VA
24460 VA
102 AMPS
rAlCARLOS A. FERNANDEZ
State MY Coo
Comm. # CC 98783 004
7588 West 33rd Lane • Hialeah, FL 33018 • Tel: 305 - 592 -6965 • Fax: 305 - 823 -181 7
CKT POLES WIRE COND DESCRIPTION CKT
3/4" RANGE 2
3/4" RANGE 4
1/2" WATER HEATER 6
1/2" WATER HEATER 8
1/2" DRYER
1/2" DRYER
1/2" RECEPT
1/2" GEN LIGHT
1/2" GEN LIGHT
1/2" BATH GFCI
1/2" DISHWASHER
1/2" RECEPT
1 2 50 # 6
32 50 #6
52 30 #10
72 30 #10
92 30 #10
11 2 30 #10
13 1 20 # 12
151 20 #12
171 20 #12
19 1 20 # 12
21 1 20 # 12
23 1 20 # 12
25
27
29
PANEL SCHEDULE
Signature
TEWIDE ELECTRICAL SVCS, INC.
FIED ELECTRICAL CONTRACTORS •RESIDENTIAL • COMERCIAL • INDUSTRIAL
ER# 0014821 • CC# 99E000055 • CC# 01 -CME- 1981 -R
PROJECT NAME:SERVICE UPGRADE
OWNER: JOHN MEYER
LOCATION: 230 NE 102 ST MIAMI SHORES FL 33183
QUALIFIER: NOEL MELO
POLES WIRE
2 50 #6
2 50 #6
2 30 #10
2 30 #10
10 1 20 # 12
12 1 20 # 12
14 1 20 # 12
16 1 20 # 12
181 20 #12
20 1 20 # 12
22 1 20
24 1 20
26
28
30
COND
3/4"
3/4"
1/2'
1/2"
1/2"
1/2"
1 /2"
1/2"
1/2"
1/2"
DESCRIPTION
AHU
AHU
CU
CU
SMALL APP
SMALL APP
WASHER MACH
RECEPT
RECEPT
GEN LIGHT
SPARE
SPARE
CARLOS A. FERNANDEZ
State of Florida
My Comm. Exp. Dec. 3, 2004
Comm. 4 CC 98783
7588 West 33rd Lane • Hialeah, FL 33018 • Tel: 305 - 592 -6965 • Fax: 305-823-1817
NEW LOAD CENTER
120/240 VOLTS
MCB 1 4, 200 AMPS
en 5PAr.Fc
TEWIDE ELECTRICALSVCSJNC.
IED ELECTRICAL CONTRACTORS •RESIDENTIAL • COMERCIAL •
ER# 0014821 • CC# 99E000055 • CC# O1 -CME- 1981 -R
IED ELECTRICAL CONTRACTORS •RESIDENTIAL • COMERCIAL • INDUSTRIAL
ER# 0014821 • CC# 99E000055 • CC# 01 -CME- 1981 -R
COLD WATER
PIPE
2" IMC
3# 2/0 AWG
THHN
25 /8x10FEET
GROUND ROD
6 FEET APPART
2' CONDUIT
3#2/OAWGTHHN
LOAD CENTER
SINGLE PHASE
NEMA 3R 200 AMPS
40 SPACES
RISER DIAGRAM N.T.S
PROJECT NAME: SERVICE UPGRADE.
OWNER: JONH MEYER
LOCATION: 230 NE 102 ST MIAMI SHORES FL 33183
QUALIFIER: NOEL MELO.
METER CAN
SIGLE PHASE
200 AMPS
7588 West 33rd Lane • Hialeah, FL 33018 • Tel: 305 - 592 -6965 • Fax: 305 - 823 -1817
� l
_NEW SERVICE
_100 Amps
_125 Amps
_150 Amps
_200 Amps
Amps
_Other
ANE03OAR
NEW PANEL
_Single Phase
_Three Phase
_Main Circuit Breaker
_Main Lugs Only
_Voltage
Amps
_Spaces
_Nema 1
_Nema 3R
_Other
NEW INSTALLATION
_2 x 4 Lay In Volts
_2 x 2 Lay In Volts
1 x 8 Industrial Volts
_1 x 4 Industrial Volts
Wall Pack
Hi Base Watts
Parking Lot Lights — Watts
.Spot Lights
RESIDENTIAL
0 SINGLE SERVICE
Others
e hereby to furnish material � and labor. Complete in accordance with specifications below, for the sum of:
A)�
, 7441;e uivit) OP-Eh Dollars $ 2300 cJl7
)scription: 7' eT Wl (yc_44v /6 Toec E-ocw r %06
til a /Iv Cz /2c
&/ itiK1 r 6
Pai C,
- c 2r
�.w 11Cf Du
nent to be made as follow:
% ($ �� )
($ -- Z - 2_0a ) .
)
❑
0_100 Amps
❑_125 Amps
❑ 150 Amps
O_200 Amps
O Amps
O Other
I
O REPLACE PANEL
❑_Single Phase
❑_Three Phase
0_Main Circuit & Breaker
O_Main Lugs Only
0_Voltage
❑_Amps
0_Spaces
O_Nema1
❑_Nema 3R
O Other
Watts Volts
Volts
Volts
upon signing contract:
upon completion of: W
upon completion of:
0 COMMERCIAL
0 MULTIPLE SERVICE
❑_REPAIR
❑__Meter Can
❑_Weather Head
❑ Riser
❑ Entrance
❑ Block
0_Grounding System
0_Main Disconnect
❑_Other
❑_REPAIR
❑__Replace Light Bulbs
O_F32_❑_F40_0
O_Metal Holide
❑_Mercury Vapor
❑_Replace Transformer
O_F32 _ Volts F40 _
❑ Metal Holide
❑_Mercury Vapor
O_Spot Lights
O _ Other
fk.. Goo `f o.
u ny
Amps Phase
Volts F96
Watts HPS
Watts
Watts
Volts
Watts
Lip voce
F96 O HPS Watts
Watts
Watts
•
0_REPAIR PANEL
O Trouble Shooting
❑_Replace Main CB Amps Volts
O_Replace Circuit Breaker Pole Amps
❑_Grounding Bar
❑_Neutral Bar
O Other
p-. x w•,c
Ap{ lic;ttt 'erstTnally .17 As Ai . tt or ed Reps o tat ve,� Contracts Statewido;
t
Electric Services Inc., For Services, Materials &:Suppires bescribedAbovo In
AnyAsss Fo nis y Signing Th s- rder,Applicant.Cknow{edge Having Read
U hderatood &A t, 4 , tr%er ttts` A ,i..-1-' r • . '4On ide x a 3
u ; a�' k - !
Prtrit Na me, ',
< r� �r , ,l
S ignature a :� ..„
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12/1/2004
Applicant: JOHN /PAMELA
Owner: MEYER
JOB ADDRESS: 230
Contractor
Local Phone: 305 - 592 -6965
Parcel # 1132060134750
NE 102
Signed: (INSPECTOR)
Signed: (Contractor or Builder)
Electrical Permit
Permit Number: EL2004 -336
MEYER
JOHN /PAMELA
ST
Contractor's Address: 7588 W 33 LANE
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 8 & 9
Permit Status: APPROVED Permit Expiration: 5/22/2005 Construction Value: $2,200.00
Work: SEVICE UPGRADE
BY:
Page 1 of 1
BLK 35 LOT SIZE 100.000
Fees:
FEE2004 -11991
FEE2004 -11992
FEE2004 -11993
FEE2004 -11994
FEE2004 -11995
FEE2004 -11996
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
Submittal Fee
Total Fees:
Amount
$150.00
$1.80
$0.60
$3.75
$18.00
($50.00)
$124.15
Total Fees: $124.15
Total Receipts: $0.00
- ) -- )6 , 1
DEC 0 2 PAID
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
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. / / 3 2
Owner's Name and Address .��/-..R w • 11 Q / CN/ // s ^! No
Registered Architect and /or Engineer
RA 6-oA/ dL .
Employing Electrician's Name Ays /A/1czA 9' 0/R..l. 6 No.._..../.T. Street
Location and Legal Description Lot Block Subdivision
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 .x No. of Stories
Over
Service Size Feeders. 0.k t1 k- Conduit .. I.. l k Main Sw Amps /SO Main Fuses Amps uedetweetui
Type of Installation— Conduit Tubing B.X.L Metal Moulding
R Q y / P E e T/ o47
Amount of Permit $
STATE OF FLORIDA, ,!
COUNTY OF DADE. I
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
ViAto
S S.
a .3.. Street....../ • / C7o2. S
(Signed) aP(
Date S/-
Street ...f/ E • / 6 S
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fl f da 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) e � �yt
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 I.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
1NCIZCf
/,SO
O
SC / O
/►i e_.
J
K IT�CiI•
FA//
re
/�L-
1�
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. / / 3 2
Owner's Name and Address .��/-..R w • 11 Q / CN/ // s ^! No
Registered Architect and /or Engineer
RA 6-oA/ dL .
Employing Electrician's Name Ays /A/1czA 9' 0/R..l. 6 No.._..../.T. Street
Location and Legal Description Lot Block Subdivision
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 .x No. of Stories
Over
Service Size Feeders. 0.k t1 k- Conduit .. I.. l k Main Sw Amps /SO Main Fuses Amps uedetweetui
Type of Installation— Conduit Tubing B.X.L Metal Moulding
R Q y / P E e T/ o47
Amount of Permit $
STATE OF FLORIDA, ,!
COUNTY OF DADE. I
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
ViAto
S S.
a .3.. Street....../ • / C7o2. S
(Signed) aP(
Date S/-
Street ...f/ E • / 6 S
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fl f da 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) e � �yt
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by 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.
,., ;
v.4
Permit No
Amount of Permit $
(1 3
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PPLICATION FOR ELECTRICAL PERMIT
Date —4
Application is hereby made for the approval y pproval 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,
a a l provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
ami Shores Village shall be complied with, whether herein specified or not. A copy of approved clans and specifications must be kept at
n g during progress of work.
Owner's Name and Address Dr. Wm. C. Hutchison No 230 StreetN E. 102 Street
Registered Architect and /or Engineer
Employing Electrician's Name Brother' Electric Corp. N 13339 Street N. W. 7 Avenue
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No �3 Street N. E. 102 Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling AdditionXX Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground on P
Type of Installation— Conduit Tubing B.X.L Metal Moulding
0 13.75
y�
58.
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and acce4( 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) y
ter 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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
q
15 KW
6.75
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
I.S HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
200A
(1) 3,1,--
7.00
CHECK
v.4
Permit No
Amount of Permit $
(1 3
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PPLICATION FOR ELECTRICAL PERMIT
Date —4
Application is hereby made for the approval y pproval 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,
a a l provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
ami Shores Village shall be complied with, whether herein specified or not. A copy of approved clans and specifications must be kept at
n g during progress of work.
Owner's Name and Address Dr. Wm. C. Hutchison No 230 StreetN E. 102 Street
Registered Architect and /or Engineer
Employing Electrician's Name Brother' Electric Corp. N 13339 Street N. W. 7 Avenue
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No �3 Street N. E. 102 Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling AdditionXX Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground on P
Type of Installation— Conduit Tubing B.X.L Metal Moulding
0 13.75
y�
58.
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and acce4( 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) y
ter 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.
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
PLUMBING
ELECTRICAL o PERMIT N° 8600
ROOFING ❑
Owner of
Building
Architect
or Builde L. ." ,/
or Builder ,.�
Legal Lot 11 Subdi-
Description 11 BI vision
Sq Ft
Address of Value of 1 Amount of
Building ! / 2 Project $ 11 Permit $
CONTRACTOR or BUILDER
BY
Date R 1941
L t n r s a e ct f: ~8" 0
Work to be performed under this Permit
za
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.
jtse
Signed • $ ° - (INSPECTOR) BY
consideration of the issuance to me of this permit agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, awings, 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.
Permit No /CZ
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
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.
Owner's Name and Address
S s.
(Sign
No
Registered Architect and /or Engine
Employing Electrician's Name
Location and Legal Description Lot 1 Block Subdiiv on
Street and Number where work is to be performed —No 7--=d -4) Street `� / 0 4
State work to be performed and purpose of building (By Floor
No Ta
compliance rom all c
•. for inspectio
subcontractor.
Street
Street 2 1 / 0Y 1
c,
New Building Remodeling Addition Repairs N6. of Stories
Service Overhe Size Feeders Conduit Main Sw Amps Main Fuses Amps
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, Comp i eneral Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compli . tractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be post e on the site of the work such pub 'c otice or notices
as are required by the Act. The undersigned agrees to employ only such on work to by perfo d undey' t his ermit, as are
licensed by Miami Shores Village. ..
a '
Master Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE: I j
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 fact
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0.1 HP
MOTORS
1.8 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
CHECK
,
Permit No /CZ
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
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.
Owner's Name and Address
S s.
(Sign
No
Registered Architect and /or Engine
Employing Electrician's Name
Location and Legal Description Lot 1 Block Subdiiv on
Street and Number where work is to be performed —No 7--=d -4) Street `� / 0 4
State work to be performed and purpose of building (By Floor
No Ta
compliance rom all c
•. for inspectio
subcontractor.
Street
Street 2 1 / 0Y 1
c,
New Building Remodeling Addition Repairs N6. of Stories
Service Overhe Size Feeders Conduit Main Sw Amps Main Fuses Amps
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, Comp i eneral Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compli . tractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be post e on the site of the work such pub 'c otice or notices
as are required by the Act. The undersigned agrees to employ only such on work to by perfo d undey' t his ermit, as are
licensed by Miami Shores Village. ..
a '
Master Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE: I j
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 fact
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.
BG1 G- MIAMI SHORES VILLAGE
ELECTRICAL PERMIT A N° 420 BUILDIN NSPECTION DEPARTMENT
-P1
caner of Building
71
Architect and /or Engineer '
$1_ 1
AMOUNT
Dated
Contractor or Builder__..
NAME
Proposed Location_�[_�
LOT BLOC/ / SUB -D V ON
This permit is issued to (_i tit—- ____ C't=
R CD. PAYMENT ACCT. DEPT.
19_
ADDRESS
ADDRESS
ADDRESS
NO.
the building above described, as per application. Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Shore V' lage. This permit may be revoked -t any time upon the violation of any provisions of said
odinat} or rules and regulations, or upon �ch, ge in the plans and specifics this u!:' thori e y the building inspector.
0 In consideration of the issuance to me of this permit I hereby agree to the proposed construc ion in strict
ns and '%specifications thereof heretofore by me submitted, and in compliance with all provisions of all building
building finances and zoningews of Miami Shores Village /nd all rules and regulations of the buildi
U ,
To sr R si
a
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has
A! re (inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection
"`
conformity with the application and
laws of the State of Florida, all the
ent of Miami Shores Village.
t , 19
LICENSE NO.
LICENSE N
INSPECTOR
— (SEAL)
been obtained from the Planning Board.
or faulty materials and /or workmanship.
Range 'Ai- ell f t
Power: Connected load X
Other Apparatus )
MIAMI SHORES VILLAGE
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
THIS CERTIFIES THAT the wiring and. apparatus installed at
by Address
for ' a owner, and occupied as
has been inspected and current is authorized to be turned on, until otherwise notified, for:
Size of Service / 1 44fiee. Number of Lighting Circuits /
watts.
Water Heater
PERMIT
No.
ELECTRICAL INSPECTOR.
watts
H P. Space Heater/ 3) watts
Amount of Permit $__
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERM!
My Commission Expires
(Signed)
Date
T r No.-- -�- ---
No. - 1-- - - L: LC'
+ D
Applicatio is hereby made for the approval of the detailed statement of the plans and specifications herewith su rnitted for the building or other
structure rein described. This application is made in compliance and conformity with the Building Ordinance 'Miami Shores Village, Florida,
and all p visions 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
Street__14 E f
Registered Architect and /or Engineer 4
Employing Electrician's Name
r
Location and Legal Description Lot ________ ___ _ _"_"'!' Block
Street and Number where work is to be performed—No .____ ___e ____
State work to be performed and purpose of buildin'g (By Floors)
New Building Remodeling Addition Repairs ____ No. of Stories..
-- - - -- --
,/ ,Ir
Street_ . • t1 4
Subdivision______t_'
Overhead {
Service Underground Size Feeders Conduit i�" y Main Sw Amps. Main Fuses_1 r✓ ..n Amps.
Type of Installation— Conduit �,>�it ____________ B.X.L. Metal Moulding
Elect rC Y 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. )d
(Signed --- -' -- = - f_f`� - + " �,� +
Master Electrican.
STATE OF FLORIDA, 1
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 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
r /
Street_ C. 4`•^ 1.+t
~
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
/
7 /
1
k.a
-
X in
/
j
" /
/
1 s
L
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
;. , �y
+ r f ,�
r/
MOTORS
O -I HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
'
TOTAL
CONTR.
LIST
CHECK
pp
/IV A
� 4 S
��
y/�
'
Amount of Permit $__
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERM!
My Commission Expires
(Signed)
Date
T r No.-- -�- ---
No. - 1-- - - L: LC'
+ D
Applicatio is hereby made for the approval of the detailed statement of the plans and specifications herewith su rnitted for the building or other
structure rein described. This application is made in compliance and conformity with the Building Ordinance 'Miami Shores Village, Florida,
and all p visions 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
Street__14 E f
Registered Architect and /or Engineer 4
Employing Electrician's Name
r
Location and Legal Description Lot ________ ___ _ _"_"'!' Block
Street and Number where work is to be performed—No .____ ___e ____
State work to be performed and purpose of buildin'g (By Floors)
New Building Remodeling Addition Repairs ____ No. of Stories..
-- - - -- --
,/ ,Ir
Street_ . • t1 4
Subdivision______t_'
Overhead {
Service Underground Size Feeders Conduit i�" y Main Sw Amps. Main Fuses_1 r✓ ..n Amps.
Type of Installation— Conduit �,>�it ____________ B.X.L. Metal Moulding
Elect rC Y 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. )d
(Signed --- -' -- = - f_f`� - + " �,� +
Master Electrican.
STATE OF FLORIDA, 1
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 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
r /
Street_ C. 4`•^ 1.+t
~
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.
/77;/'
•
Permit No.__
/w
!
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
L` APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s .. itted for the b ilding or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance . 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 lations 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 J�c �____ _�____ No. ___
Location and Legal Description Lot 7 �_______ ___Block 3
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 No. of Stories
Amount of Permit $_ — /i_
My Commission Expires
No.__
_(Signed)
(Signe
Date
Subdivision_
Street___ Y_ to_
Notary Public. State of Florida
Street__ ___ ____ / !1_
Street_ _A 3.r__ 4C-
Service Overhead Size Feeders Conduit ��' Main Sw. Amps. ____ Main Fuses_ s) Amps.
Underground
Type of Installation — Conduit 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 - contractor. —cam wok to be performed under this permit, as are
licensed by Miami Shores Village.
r
Master Electrican.
STATE OF FLORIDA, }
COUNTY OF DADE. as.
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
1
`/
A
■
/,
/.
•
3
d iot
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No.__
/w
!
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
L` APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s .. itted for the b ilding or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance . 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 lations 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 J�c �____ _�____ No. ___
Location and Legal Description Lot 7 �_______ ___Block 3
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 No. of Stories
Amount of Permit $_ — /i_
My Commission Expires
No.__
_(Signed)
(Signe
Date
Subdivision_
Street___ Y_ to_
Notary Public. State of Florida
Street__ ___ ____ / !1_
Street_ _A 3.r__ 4C-
Service Overhead Size Feeders Conduit ��' Main Sw. Amps. ____ Main Fuses_ s) Amps.
Underground
Type of Installation — Conduit 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 - contractor. —cam wok to be performed under this permit, as are
licensed by Miami Shores Village.
r
Master Electrican.
STATE OF FLORIDA, }
COUNTY OF DADE. as.
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.
..5141telfilS
ELECTRICAL PERMIT A N° 215
•ner of Building
NAME i ADDRESS
Architect and /or Engineer__
Contractor er-844 et_
Proposed Location
$ AMOU T
Dated
RECD. PAYMENT ACCT. DEPT.
, 19
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
42-/o- , 19s
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in
n s and specifications thereof heretofore by me submitted, and in compliance with all provisions of all
building ordinances and zoning laws of Miry Shores Village and all rules and regulations of t e bu'
LICENSE NO.
This permit is issued to
the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
in accordance
e, and rules and
rovisions of said
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, a
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores
regulations of the building department of Mi i Shores Village. This permit may be revoked at any time upon the violation of
laws, ordinances or rules and regulations, o p anyllchange in the plans and specifica un. u � orized b ,ihe buil
f
INSPECTOR
strict conformity with the application and
ildin: laws of the State of Florida, all the
of Miami Shores Village.
(SEAL)
NOTE: A charge of $1.00 will be made for making corrections or changes to this application itifter approval has been obt ned from the Planning Board.
A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.
MIAMI SHORES VILLAGE
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
THIS CERTIFIES THAT the wiring and apparatus installed at fj= �' �"�'• /�� �'`
_ .�
r 1
by i •-- ;1 •
tx
for ,A;;;- + I ! < <! �C
Power: Connecte
Other Appar
Address
owner, ccupied
on rftil e
PERMIT
No. / )
ELECTRICAL INSPECTOR.
t.�
has been inspected and current is authorize to' b tined i cith wise notified, for:
v ff.
Size of Service r ' 4, m b f "Lighting Circuits
Range
aters watts
watts
ELECTRICAL INSPECTION DEPARTMENT
,,,,,APPLICATION FOR ELECTRICAL PERMIT
Permit No.____ .y / +
D ate �j`' ;G_� __a.e! _
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 wo . ,,,,t0.
Owner's Name and Address __rE'`M!!� I i a/� _ !i Street ,#� 4, __
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot___
Street and Number where work is to be performed —No
State work to be perfornnd purpose of building (By Floors)
New Building
STATE OF FLORIDA, 1
COUNTY OF DADE.
SS.
My Commission Expires
vet
MIAMI SHORES VILLAGE
Bk __
0
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
---- ----- - - - - -- --- -- - - - - -- - - - --
Amount of Permit $___— ________ —_____ (Signed)
lectrical pector.
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 th to of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub- contracto e .erformed under this permit, as are
licensed by Miami Shores Village.
(Signed
No
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.
Street
Street__
Subdivision_
Notary Public, State of Florida
Master Electrican.
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
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOT• —
0-1 P
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
ELECTRICAL INSPECTION DEPARTMENT
,,,,,APPLICATION FOR ELECTRICAL PERMIT
Permit No.____ .y / +
D ate �j`' ;G_� __a.e! _
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 wo . ,,,,t0.
Owner's Name and Address __rE'`M!!� I i a/� _ !i Street ,#� 4, __
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot___
Street and Number where work is to be performed —No
State work to be perfornnd purpose of building (By Floors)
New Building
STATE OF FLORIDA, 1
COUNTY OF DADE.
SS.
My Commission Expires
vet
MIAMI SHORES VILLAGE
Bk __
0
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
---- ----- - - - - -- --- -- - - - - -- - - - --
Amount of Permit $___— ________ —_____ (Signed)
lectrical pector.
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 th to of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub- contracto e .erformed under this permit, as are
licensed by Miami Shores Village.
(Signed
No
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.
Street
Street__
Subdivision_
Notary Public, State of Florida
Master Electrican.
• • r.) •
Date /i "7/2_ :..t
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 w
Owner's Name and Address __
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot____ '"' _Block
Street and Number where work is to be performed— No..____ _Q__
State work to be perfor and purpose of building (By Floors)
Amount of
STATE OF FLORIDA,
COUNTY OF DADE.
ELECTRICAL INSPECTION DEPARTMENT
„APPLICATION FOR ELECTRICAL PERMIT
88.
MIAMI SHORES VILLAGE
My Commission Expires
C•
(Signed)
(Signed
Street__
Street_ t !. e-
Subdivision_ _ ____ / ____________
Street
- ------- - - - - --
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
lectrical ' pector.
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 th ite of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contracto ,on o o /le performed under this permit, as are
licensed by Miami Shores Village.
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
REFRIG.
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.
MOT• -
0-1 P
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
,
CHECK
Date /i "7/2_ :..t
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 w
Owner's Name and Address __
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot____ '"' _Block
Street and Number where work is to be performed— No..____ _Q__
State work to be perfor and purpose of building (By Floors)
Amount of
STATE OF FLORIDA,
COUNTY OF DADE.
ELECTRICAL INSPECTION DEPARTMENT
„APPLICATION FOR ELECTRICAL PERMIT
88.
MIAMI SHORES VILLAGE
My Commission Expires
C•
(Signed)
(Signed
Street__
Street_ t !. e-
Subdivision_ _ ____ / ____________
Street
- ------- - - - - --
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
lectrical ' pector.
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 th ite of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contracto ,on o o /le performed under this permit, as are
licensed by Miami Shores Village.
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.