390 NE 102 St (14)Permit No / .�.;?`
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. ss '
MIAMI SHORES VILLAGE
• ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 5 r O i 7 7
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 . ' ° No 3 / v Ai* - Street -/ Z'
Registered Architect and /or Engineer L._ L
cc .41�f �
Lf%D!s 6k - 4k- • ? `o •'dux 4.93a. S'O' A
,
Employing Electrician's Name�lT No Street Al ;A 3 $ is 9 ....
Location and Legal Description Lot Block Subdivision
,� /
Street and Number where work is to be performed —No 3 5 D 6 ' Stre / 0 Z
State work to be performed and purpose of building (By Floors) W ' x•~0/1 kO-Q w
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground p p
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub •contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
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
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
H EATER
TOTAL
CONTR.
LIST
7
111
CHECK
lf /
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
J
L
'
CHECK
Permit No / .�.;?`
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. ss '
MIAMI SHORES VILLAGE
• ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 5 r O i 7 7
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 . ' ° No 3 / v Ai* - Street -/ Z'
Registered Architect and /or Engineer L._ L
cc .41�f �
Lf%D!s 6k - 4k- • ? `o •'dux 4.93a. S'O' A
,
Employing Electrician's Name�lT No Street Al ;A 3 $ is 9 ....
Location and Legal Description Lot Block Subdivision
,� /
Street and Number where work is to be performed —No 3 5 D 6 ' Stre / 0 Z
State work to be performed and purpose of building (By Floors) W ' x•~0/1 kO-Q w
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground p p
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub •contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
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.
—_�
•
CLOSETS
BATH
�
TuTulle
S NOW[Ra
LAVA.
TORIES
SINKS
SLOP
SINK[
LAUNDRY
Tua[
URINAL[
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
F IIITURZS
Comm.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
NEATER
Darr
WELL
8 .
SYSTEM
SWIM'G
POOL
CoNTR. •
LIST
5 O4.
‘.0.1='
le
�` ` ,
CHECK
Permit No
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date...__._.. 2 ..
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 " 7 0 .5 & 1/ � p O h L No. 3 90 Street.- - 4 / Pr
Registered Architect and /or Engineer 0 ' L L 1
Employing Plumber's Name 1) ( - Na.. 1 5 . .m.,, / ..,... itrtttt.�`'.L.� .... .,. � . � ,...
Location and Legal Description Lot BloA t e
Street and Number where work is to be performed —No Street-
State work to be performed and purpose of balding (By Floors)
New Building..__.__ _.._..........._.. Remodeling _.___.._ -__ __ Addition. __ --
Repairs.
Size Septic Tan_._ _Type of TanIr _._.___.__... _ - ....
Feet of Drain Tile Dist- Feet of Tank or Drain Field from Well.__-__.
Nature of Water Supply: City —WeIL Size of Soakage Pit.
(Signed) _ .__.._1i
No. of Stories. .....
Plumb Spector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli:ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, 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 undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Master Plumber.
STATE OF FLORIDA, l
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 din the same, and that all facts
therein by him stated are true.
M Commission Expo Notary Public, State of Florida
NOTE: A re inspection fee of $LAO will be made when snob misspend= fe snedaroaoaaary by improper notion for inspection, or faulty
materials and /cr workmanship.
�-'-� - 2-1 z - v
IAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Sp - dv
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.
APPLICATION FOR BUILDING PERMIT
Owner's Name and Address ...,05.6.0/ ^ 0 D 6L_
Registered Architect and /or Engineer II .it ... .1l3..1,.u.s ► Q
Name and address of licensed contractor... V.(. Z. ..4.......P00 INS. ...........(.. .L.Q..& 6 1. Q.. .._ i
Location and legal description of lot to be built on:
Lot .1 4- 7 — Block 3.. _
Street and Number where work is to be done 1..O L r� S L _
r
State work to be done and purpose of building (by floors)...__ .p . _.`� -... p..6r.1._ ....__ .. �.5..�.!..L.L.,,.._.._.._.._._
3.4.1..a.t �t l C c S O.II ° 5-- - .i 1 x 3 ` . —f/.... (./ /7, 3pv
and for no other purpose.
New Building ✓ Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
3 .3 - z . . ........ ................... ._....
Estimated Total cost of improvements $ b Do ° .— Amount of Permit $.
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot
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
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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed) f �.�. —.
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. 7 Permit No..__.._ /� O
_ 5.L T7 Date , 4 ` ) Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Date..
Date. — / (O r _._ . _. 19
Subdivision t-1 14.0.!-.21110... S.HO .. S. •
= 2 8 '
t�4i /o s. -2 S 3 3 -'s
`&® Q,
No 3 ? .... street._... NC / b 2: • sr
to me well known,
Notary Public, State of Florida
Building Inspector y Commission Expires
PLA INC BOARD DATE
Chairman Member
Member Member
Member ....... _..._...._._ Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application niter approval has been obtained from
the Planning Board.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.