429 NE 102 St (2)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 0
Type Ins 'n r�/)( 4 A61-4, ( 4164?eli
Y' r
Permit No.
Name
Address
Company ` n
Phone # C S � —® rO co 9
// Yo)L
Inspection Date
Approved
Correction
Re- Insp'n Fee
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MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date yj e y
Type Insp'n P 7 l✓4L
�G-
Permit No. ' / — 7.0
Name /
Address 4 7 / Z- /`- ch i 5
Company
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
"r// ke ". Lod 2r—eouy
ems' y- Ar }1 'x-
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 su itted f r the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiurida,
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.
Permit No 1 i ` o
Employing Electrician's Name
STATE OF FLORIDA,
COUNTY OF DADE. } ss.
Owner's Name and Address ..!
Registered Architect and/or Engine
My Commission Expires
MIAMI SHORES VILLAGE
(Signed)
No............ 2..,l.J Street
Street
Notary Public, State of Florida
(V i- /0
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed— No. . ..... � �„ 9 Street �-
State work to be performed and purpose of building (By Floors) ��t –� -:.- -, a
New Building Remodeling Addition Repairs No. of Stories
Overhead
15 & � �
Service Underground Site Feeders Conduit Main Sw Amps........ M n Fuses Amp V
Type of Installation— Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ (Signed) CA ;€ &La-d
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, on work to be performed under this permit as are
licensed by Miami Shores Village.
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 fads
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.
WATER
H EATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
fj
0 I
]]
f
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
G
SERVICE
/)PERM.
G
�r
O
MOTORS
0.1 HP
MOTORS
t.s HP
N EON
TRANS.
RADIO
TOTAL
3,
CONTR.
LIST
CHECK
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 su itted f r the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiurida,
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.
Permit No 1 i ` o
Employing Electrician's Name
STATE OF FLORIDA,
COUNTY OF DADE. } ss.
Owner's Name and Address ..!
Registered Architect and/or Engine
My Commission Expires
MIAMI SHORES VILLAGE
(Signed)
No............ 2..,l.J Street
Street
Notary Public, State of Florida
(V i- /0
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed— No. . ..... � �„ 9 Street �-
State work to be performed and purpose of building (By Floors) ��t –� -:.- -, a
New Building Remodeling Addition Repairs No. of Stories
Overhead
15 & � �
Service Underground Site Feeders Conduit Main Sw Amps........ M n Fuses Amp V
Type of Installation— Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ (Signed) CA ;€ &La-d
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, on work to be performed under this permit as are
licensed by Miami Shores Village.
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 fads
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.
IILDING
LECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
L
MIAMI SHORES VILLAGE, FLORIDA
DATE ;,-•.2
Contractor's
License No
Work to be performed under this Permit
I/ PERMIT N? 10907
Bl.
Signed:
Subdi-
vision
Value of
Project $
, 4 .t 11 , C ii. / -
This permit is granted to the contractor or builder named abo 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 oc builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whet "et'Aittown on the plans or drawings or i the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.,
BY
Amt. of
Permit
INSPE
In consideration of the issuance to me of this permit I afire .erform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawin: , .tements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this perit I assume responsibility .for all work do sy either, myself, my agent, servant or employee.
CONTRACTOR "OR BUILDER A UTHORITl
Amount of Permit $
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
_2�
Permit No �; a./ Z
� ` -
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...—'
MIAMI SHORES VILLAGE
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot Block Subdivision
Street I / z> °
Street and Number where work is to be performed —No
(Signed)
.0, 7 No
No
Date
Street. At E. 0 , :.r.
—
Street I/,
q l (,'
-^ " t ..
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 Ste' Amps Main Fuses Amps
Underground
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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
• {_
17 1. 1 sal.,/
Master Electrician.
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, 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
!iP JG
"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'�
CHECK
`
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.4 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Amount of Permit $
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
_2�
Permit No �; a./ Z
� ` -
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...—'
MIAMI SHORES VILLAGE
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot Block Subdivision
Street I / z> °
Street and Number where work is to be performed —No
(Signed)
.0, 7 No
No
Date
Street. At E. 0 , :.r.
—
Street I/,
q l (,'
-^ " t ..
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 Ste' Amps Main Fuses Amps
Underground
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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
• {_
17 1. 1 sal.,/
Master Electrician.
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, 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.