437 NE 102 St (10)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date \ a VD o b A d d r e s s - k r 1 - 1 N S ' S ' T - 2 $ T a x Folio 110(') t !'7 D ?O v
d_R
Legal Description - 1 S / Historically Designated: Yes
Owner/Lessee / Tenant �CIL...c3 ( � ,(\ Master Permit #
Owner's Address kk� S\ a S -PSz Phone
No
1 /87 1
s -� sic -S aaa
Contracting Co. kNIVc ,`(\ C Address ��oS
Qualifier c \b t ■cr■ o SS# - - Phone 26S —j (— (3"1-
State # ECG 1 Municipal # Competency # Ins. Co. � CA 1 ZUC c C\
Architect/Engineer
Bonding Company
Mortgagor
tA
Address
Address
Address
Permit Type (circle one): BUILDING ELECTRICAL LUMBING MECHANICAL ROOFING PAVING FENCE
e
WORK DESCRIPTION uJ \ Q0 .
t/Ld / c a7 /64.4a44.e.e,
Square Ft. Estimated Cost (value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructioryal►d zoning. F _ ermore, I authorize the above- namn Q the work stated.
Z
Signature of owner and/or Condo President `-Bates
Notary as to Owner and/or Condo P e ident
M Co
IL. IS .5
NOTARY SEAL
C 1P� v
P//, OFFICIAL
NICOLE L A BERGERT
Z ` n COMMISSION NUMBER
a .? '01' . Q CC661267
9 t " MY COMMISSION EXPIRES
O .,C J LY 2,2001
Date
C.C.F. D
Signature of Contractor or Owner- Builder
Notary as toCo� .:
OFFICIAL NOT SEA
My Comm s ° {% NICOLE A BEROERT
1 i�, t 0 COMMISSION NUMBER
ii 6.
- v ~ � MY COMMISSION EXPIRES 4C CC661267
`� OF FCC JULY 2,2001
NOTARY .- - 0 ...—. BOND / C
APPROVED:
Zoning Building
Mechanical Plumbing Structural Engineer
Electrical
/yyV�
Date
SIGN
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/IETER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE (MOUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 FP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTCRS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTCRS OVER 10- 25 HP
•
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIhMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
ORAINFIELO, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
/
!� � y
2 , f it /- t
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
75-41)
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
IDOL PIPING
_AWN SPRINKLER SYSTEM
l'AS RANGE
AFTER SET (GAS)
;AS PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
PLUMBING
ELECTRICAL
MECHANICAL
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
Permit No t 3'7 Sci
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
30 ////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. � L 'f p `
Owner's Name and Address
W��)) € b�bc No 'Y Street C • ji a
Registered Architect and /or Engineer / �)
Employing Electrician's Name.. .644W e' !$ / . p',; ,Ty 14 ) MO Street iz / !9 At
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Si'ii... e, e Street .. Afitinatikr4
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
65.
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 $ T! - -1Q (Si l,A.!
(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.
Master Electrician.
STATE OF FLORIDA, l
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REPRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
314.r/
Q
CHECK
Permit No t 3'7 Sci
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
30 ////7 /
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. � L 'f p `
Owner's Name and Address
W��)) € b�bc No 'Y Street C • ji a
Registered Architect and /or Engineer / �)
Employing Electrician's Name.. .644W e' !$ / . p',; ,Ty 14 ) MO Street iz / !9 At
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Si'ii... e, e Street .. Afitinatikr4
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
65.
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 $ T! - -1Q (Si l,A.!
(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.
Master Electrician.
STATE OF FLORIDA, l
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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.
o
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. //�� 11 / n /� C
Owner's Name and Address / (id e e r ' No '37 Street.N( / d,te 5h
Registered Architect and /or Engineer il
° Employing Electrician's Name__.. ae. ,._ No..../ if Street. (,N..1 951
Location and Legal Description Lot Block Subdivision
At and Number where work is to be performed —No � a/ Street ie .. si-
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition G/ Repairs No. of Stories
Amount of Permit $
STATE OF FLORIDA, l
COUNTY OF DADE. I
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date / 0-5_ / /�
/
a s.
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
(Signe
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli a ons as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P anent 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 inspectio, 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•contr .. ors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
er 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
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
/- Qd
4 ,,i-L?
TOTAL
TOTAL
CONTR.
LIST
7
/ /
4
RADIO
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
M OTORS
1.5 HP
N EON
TRANS.
CONTR.
LIST
/ -Jpool
CHECK
--
-
r
pNrrl
-"
o
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. //�� 11 / n /� C
Owner's Name and Address / (id e e r ' No '37 Street.N( / d,te 5h
Registered Architect and /or Engineer il
° Employing Electrician's Name__.. ae. ,._ No..../ if Street. (,N..1 951
Location and Legal Description Lot Block Subdivision
At and Number where work is to be performed —No � a/ Street ie .. si-
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition G/ Repairs No. of Stories
Amount of Permit $
STATE OF FLORIDA, l
COUNTY OF DADE. I
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date / 0-5_ / /�
/
a s.
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
(Signe
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli a ons as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P anent 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 inspectio, 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•contr .. ors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
er 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.
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.
Owner's Name and Address
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 7
Registered Architect and /or En ineer C .
Employing Electrician's Name. I .1..(21 - e e e , No 651
Location and Legal Description Lot Block Subdivision
Street 1 r" F. 1 o
Street and Number where work is to be performed —No
e No
New Building Remodeling Addition
State work to be performed and purpose of building (By Floors)
Repairs No. of Stories
Overhead
Service jadarimmi- Feeders' Conduit Main Sw Amps Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. I j
SS.
(Signed) Z.ti/
Street
Street.. m n S!-r" f ri
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accept is 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
er 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
HEALER
STRIP
HEATER
TOTAL
CONTR.
LIST
/
f
/
/
, '
,,7,7
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0 -I HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
�y
. o-V
1 , m0
CON': R.
LIST
h
SV I
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.
Owner's Name and Address
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 7
Registered Architect and /or En ineer C .
Employing Electrician's Name. I .1..(21 - e e e , No 651
Location and Legal Description Lot Block Subdivision
Street 1 r" F. 1 o
Street and Number where work is to be performed —No
e No
New Building Remodeling Addition
State work to be performed and purpose of building (By Floors)
Repairs No. of Stories
Overhead
Service jadarimmi- Feeders' Conduit Main Sw Amps Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. I j
SS.
(Signed) Z.ti/
Street
Street.. m n S!-r" f ri
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accept is 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
er 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
ELECTRICAL
PLUMBING
ROOFING
„X PERMIT N? 12290
❑ Work to be performed under this Permit
Owner of ---
Building
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATF i — —I/ S I 195
Bl.
Subdi-
vision
Value of
Project $
Contractor's
License No
Amt. of
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 application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
r
Signed • , 7 \_ BY t. • I '
INVECTOR
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 responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building k_
MIAMI SHORES VILLAGE, FLORIDA
c2 PERMIT IN? 12161
DATE
Contractor's
License No
n
❑ Work to be performed under this Permit
- -:: 195
Architect �-"- ,
Contractor ✓ ,( _
or Builder
Legal Lot Bl.
Description.
Address of - Value of Amt. of
7 Project $ Permit $
Building / / , j r... t /
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
i _ _
CONTRACTOR OR BUILDER
Subdi-
vision
Signed • r ' t r` BY
INSPE
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 responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
) Permit No r
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether he in specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. .1`
Owner's Name and Address
Registered Architect and /or En ' eer ��
' !; H (2 -f * Noc (_ Street_!_1`' �
Location and Legal Description Lot I ' Block 9__ z
Employing Electrician's Nab
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
§ubdivision,
Street and Number where work is to be performed —No / / Street____ ___ c s tT _ a ��,
s _
State work to be performed and purpose of building (By Floors) _4-_
New Building Remodeling Addition . Repairs No. of Stories
ss.
1 allo
(Signed)
(Signed)
Date
Street_
Service On
U nderground Size Feeders Conduit Main Sw._— Amps
Type of Installation— Conduit Tubing B X L Metal Moulding
Main Fuses
Amps
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he unde 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 sub- contractors, on w rk 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 be 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. H EAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
..i
J' i
11)
/
i 0
O
®F
/
7 3-
f
^^ `
J Q
' - b
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
I -S HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
/ 'o,
1 . 4
,
) Permit No r
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether he in specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. .1`
Owner's Name and Address
Registered Architect and /or En ' eer ��
' !; H (2 -f * Noc (_ Street_!_1`' �
Location and Legal Description Lot I ' Block 9__ z
Employing Electrician's Nab
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
§ubdivision,
Street and Number where work is to be performed —No / / Street____ ___ c s tT _ a ��,
s _
State work to be performed and purpose of building (By Floors) _4-_
New Building Remodeling Addition . Repairs No. of Stories
ss.
1 allo
(Signed)
(Signed)
Date
Street_
Service On
U nderground Size Feeders Conduit Main Sw._— Amps
Type of Installation— Conduit Tubing B X L Metal Moulding
Main Fuses
Amps
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he unde 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 sub- contractors, on w rk 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 be 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.
Permit No._
Location and Legal Description Lot
Street and Number where work is to be performed —No
Amount of Permit $____
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved pla and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Enginee /
Employing Electrician's Name
0
Nf"
•
(
1
. /
/' r.
Date +.�_
' t S treet
Subdivision
Street : r' ' / `
d a ' -.
, + - 0 - 411.1 - --
1
e
C, - f . yL-
Street � f.
State work to be performed and purpose of building (By Floors)
New Building t Remodeling Addition Repairs No. of Stories
Service Overhead Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
( Signed)
Elect cal 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 sub - contractors, on work to be p formed under this permit, as are
licensed by Miami Shores Village.
(Signed) 4 r1 l f< .7,/' C.
Master Electrician.
STATE OF FLORIDA, l
COUNTY OF DADE. 1?
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
.
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0 -I HP
MOTORS
I.S HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
L
CHECK
Permit No._
Location and Legal Description Lot
Street and Number where work is to be performed —No
Amount of Permit $____
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved pla and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Enginee /
Employing Electrician's Name
0
Nf"
•
(
1
. /
/' r.
Date +.�_
' t S treet
Subdivision
Street : r' ' / `
d a ' -.
, + - 0 - 411.1 - --
1
e
C, - f . yL-
Street � f.
State work to be performed and purpose of building (By Floors)
New Building t Remodeling Addition Repairs No. of Stories
Service Overhead Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
( Signed)
Elect cal 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 sub - contractors, on work to be p formed under this permit, as are
licensed by Miami Shores Village.
(Signed) 4 r1 l f< .7,/' C.
Master Electrician.
STATE OF FLORIDA, l
COUNTY OF DADE. 1?
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.