585 NE 102 St (8)Date 1 / l Job Address 3 N' & �t 1 � Tax Folio / /-5X.r.p -01 _ l vI Q
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant ( J U f) ( CC C) Master Permit # ' q LQ 7
Owner's Address Ns Iv . E. 1a9- 8 4 Phone 7 0-7
Contracting Co. 4 f IP eOflth3Mress 515 1 v. 5. / qg +
Qualifier F-Yr l La v/ () SS# Phone Q L/CCT - 17
State # Municipal # Competency # TCCO /' Ins. Co.
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDINCCELECTRICAIDPLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WO DESCRIPTION k /c. W/ �� C� ) 3 l Z Li'G sc/5k I w: 1- IOlI W hea)4:
A/c Wire (/) 040f) C GS(13 torY45aki h@
Square Ft. a D Estimated Cost (value) to Ov
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.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
ti tit),
Signature fowner an
Notary as to Owner an
My Commission Expires:
APPROVED:
Zoning
Mechanical
. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
do President
FEES: PERMIT 6 ' RADON
009
d97
C.C.F.
Address
Address
Building Electrical
Signature of Contractor or O*n:v "B, der
Notary as to Contractor or
My Commission Expires:
NOTARY
1
9 7
Dat
6h 7
Z2
:
TOTAL DUE 60 •
Plumbing Engineering
• ADDENDUM TO BUILDING PERMIT. APPLICATION
(AN APPLICATION FOR BUILDING EERl1IT RUST ACCOMFANT THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
1 198 OUTLETS
RECEPTACLES
SERVICE TEwORARY
SERVICE SIZE IN MPS
SERVICE REPAIR/1ETER CHIAtGE
APR INCE OUTLETS
RANGE TOP
OVEN
CENTRAL HEATING
A/C TIM
A/C (CENTRAL)
DUCT WEAK _
REFRIGERATION
PROCESS ANO PRESS PIPING
UOERGRODU TAWS
ABOVE GROUO TANKS
U .F. PRESSURE VESSELS
WATER HEATER
MOTORS 0- l If
IOTCRTS OVER 1- 3 HP
MOTORS OVER 3- 5 PP
I4310RS OVER 5- 8 IF
LOTUS OVER 8- 10 If
MJTORS OVER 10- 25 PP
SPECIAL PURPOSE
OUTLETS COAAERCIAL
SIGN TIRES
SIGN TRANSFO M:RS
SIGN T LIE CLOCK
TELEVISION OUTLETS
VIOLATION
RE INSPECT ION
STEAM BOILERS
NIT WATER 80 !LEAS
MECHANICAL VENTILATION
TAANSPORTIHG ASSE181. 1ES
ELEVATORS/ESCALATORS
F IRE SPR INKLER _ SYSTEMS
COOLING TOWERS
VIOLATION
IOTCAS OVER 25-100 HP
IUTORS OVER 100 HP
10E7
B ISNWASIER
SWIwINS POOL
UTILITY -WATER
SEPTIC TAN(
EER SET (US
As PIPING
UNIT FEE ITEM •
ST OUTLETS
UNIT FEE ITEM MIT FEE
ITEM
BATH 1113
OISPOSM.
DR INKING FOUNTAIN
FLOC CRAIN
LAVATORY
SINK, RESIDENCE
SINK. SLOP
TEMPORARY WATER CLOSET
LP IINAL
HATER CLOSET
HEATER - REPLACE
MTER SERVICE
SEVER CONNECTIONS •
Ur IL in-snot
RELAY
OAS RANGE
PLUMBING
TARN SPRIHRER -SELL
ORAIMIELD, 4' TILE/RES.
PUP & ABAtCON SEPTIC TAM(
SOAKAGE PIT CU. FT.
CATCH BASIN
0ISCHMNGE HELL
OCIESTIC MIL
AREA GRAIN
RODE INLET
SOLAR MATER WATER
FIRE SLUT IPE
POOL PIPING •
LAbtl SFR:PALER SYSTEM
03/07/95 15:24 MSV
ELECTRICAL
004
MECHANICAL
appeared
Permit No 13(c+ 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
STATE OF FLORIDA, l
COUNTY OF DADE. I
88.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
�•� - -... / i ,e. i /\. No S6?5 /V Street / 2 5/
Registered Architect and /or Engineer // fi /..7 Q
Employing Electrician's Name... X e.e7 /Q idi IA
0 . M No
Location and Legal Description Lot Block
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
Servi Size Feeders Conduit.. Main Sw Amps.
ndergroun•
Type o nsta anon — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ 3L 5 ' 2 (Signed).
(Signed) )c
15A t
Date /0.6— /
.C / /1! Street 1/ 5
Subdivision
Street
No. of Stories
Main Fuses
Master Electrician.
Amps
Ektrical 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 com pliance 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 pub ' ce or notices
as are required by the Act. The undersigned agrees to employ only such subcontractor work toe performed and ./tl per , as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary blic, duly authorized to administer oaths and take acknowledgments, personally
w w T
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the / 1��� /�..... E��C�,✓/�N
of the above described construction, and he has carefully read the foregoing application, and that he did sign the tame, nd �+'e all fads
therein byvviihimineffuesduaelrettZwitinrfaW13
UV COMMISSION EXPIRES n01.4. 7S7
lvly natiigt,b ,Eapires otary Public, Sta of Plori
NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice fo sped.' or aulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'8
FIXTURES
NO. LAMPS
REPRICE
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.8 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
�,.5o
/
CHECK
appeared
Permit No 13(c+ 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
STATE OF FLORIDA, l
COUNTY OF DADE. I
88.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
�•� - -... / i ,e. i /\. No S6?5 /V Street / 2 5/
Registered Architect and /or Engineer // fi /..7 Q
Employing Electrician's Name... X e.e7 /Q idi IA
0 . M No
Location and Legal Description Lot Block
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
Servi Size Feeders Conduit.. Main Sw Amps.
ndergroun•
Type o nsta anon — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ 3L 5 ' 2 (Signed).
(Signed) )c
15A t
Date /0.6— /
.C / /1! Street 1/ 5
Subdivision
Street
No. of Stories
Main Fuses
Master Electrician.
Amps
Ektrical 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 com pliance 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 pub ' ce or notices
as are required by the Act. The undersigned agrees to employ only such subcontractor work toe performed and ./tl per , as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary blic, duly authorized to administer oaths and take acknowledgments, personally
w w T
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the / 1��� /�..... E��C�,✓/�N
of the above described construction, and he has carefully read the foregoing application, and that he did sign the tame, nd �+'e all fads
therein byvviihimineffuesduaelrettZwitinrfaW13
UV COMMISSION EXPIRES n01.4. 7S7
lvly natiigt,b ,Eapires otary Public, Sta of Plori
NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice fo sped.' or aulty
materials and /or workmanship.
• MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
,APPLICATION FOR ELECTRICAL PERMIT
ermit No f // Date 6
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... G
No. _5 L Street ...��
Registered Architect and /or Engineer -�
Employing Electrician's Name/ 1) /I` 7 4A cr r Q.. No. .. 70 / Street 7/Z; ...1.:'.r _.:.a....
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
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 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, 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.
STATE OF FLORIDA, 1
COUNTY OF DADE. IT
65.
(Signed)
E p 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
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
'
•
r'
CH ECK
x
ENT./
SWL
DIST.
CAB.
SERyxt E
TEI! •
SERVICE MOTORS
/. PERM.
V 0.1 HP
M OTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
• MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
,APPLICATION FOR ELECTRICAL PERMIT
ermit No f // Date 6
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... G
No. _5 L Street ...��
Registered Architect and /or Engineer -�
Employing Electrician's Name/ 1) /I` 7 4A cr r Q.. No. .. 70 / Street 7/Z; ...1.:'.r _.:.a....
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
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 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, 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.
STATE OF FLORIDA, 1
COUNTY OF DADE. IT
65.
(Signed)
E p 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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
MIAMI SHORES VILLAGE, FLORIDA
❑ PERMIT N? 14378
Work to be
CONTRACTOR OR BUILDER
Subdi-
vision
DATE
performed under this Permit
Contractor's
License No
i .!
BY AUTHORITY
Legal Lot ll Bl.
Description
Address of _ Value of
Building Project $
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. _
Amt. of
Permit $
195
Signed: y BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to parform 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.
Permit No. y _
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, Street_______:
Registered Architect and /or Engineer _, .. — ___,:____ -'�
i
Employing Electrician's Name
Location and Legal Description Lot v Block _
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
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. as-
APPLICATION FOR ELECTRICAL PERMIT
My Commission Expires
��
MIAMI SHORES VI
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
(Signed)
Date
No. – —_ Street__ — ';
Street
Repairs
Service Overhead Size Feeders__ Conduit — Main Sw. Amps. Main Fuses_
Underground –
Type of Installationonduit
Tubing B.X.L. Metal Moulding
T
.,
��
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 - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public. State of Florida
366
No. of Stories
Master Electrican.
Amps.
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
FIXTUR BS
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
O -I HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No. y _
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, Street_______:
Registered Architect and /or Engineer _, .. — ___,:____ -'�
i
Employing Electrician's Name
Location and Legal Description Lot v Block _
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
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. as-
APPLICATION FOR ELECTRICAL PERMIT
My Commission Expires
��
MIAMI SHORES VI
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
(Signed)
Date
No. – —_ Street__ — ';
Street
Repairs
Service Overhead Size Feeders__ Conduit — Main Sw. Amps. Main Fuses_
Underground –
Type of Installationonduit
Tubing B.X.L. Metal Moulding
T
.,
��
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 - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public. State of Florida
366
No. of Stories
Master Electrican.
Amps.
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.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
'�LSPi O�
Architect
Contractor C®, 6.---
or Builder i' ''• "• ‘.."•o"./'
Legal t Lot Bl.
Description
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N2 5432
Work to be performed under this Permit detaa
Subdi-
vision
Address of .., 3. a;' Value of Amt. of ,�`
Building
Project Permit
o the contractor tlr!bRilder n me at to construct the building ?r to install the equipment or device described in the appli-
cation 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 re3ponsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans awing r the statements or specificatio at h sumes respon-
sibility for work done by his agents, servants or employees.
gn �trii By
Si ed INSPECTOR B
In consideration of the issuance to me of this permit I agree to perform the work covered Fereunder in compliance with all„ordinances and .j�ee lions
pertaining thereto and in strict conformity or mity with the plans, drawings, statements or specifications >ubmitted to the proper auth of Miami Sh6fer' i age. ;
In accept is permit I ass a ibility for all work done by either myself, my agent, servant or employee.
P
CONTRACTO F OR 4B UILDER 4 BY
Y. i
DATE
Contractor's /366
License No
AUTHORITY
1
19
Owner of Building
Architect and /or Engineer_
Col' tractor or Builder___
$
IiiIG
ECTRICAL PERMIT A N? 752
NAME
}NAME
NAME
Proposed Location
LOT i t ' BLOCK
A OUNT RECD. PAYMENT ACCT. DEPT.
SUB -DIVI
u mJ
ADDRESS � � � 1„J� NO
5 REM'
This permit is issued to ?c' d°- _ - -e ,,t' 'air,..;.-- --- ---- _------- - - - - -- To .1
the uilding above described, as er application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that 11 facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and ompliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regul Lions of the building department of Miami Shores Village. This permit may be revoked at any upon the , violation of any provisions of said
laws, ordin ngs or rules and regulations, or upon any change in the plans and specifications unauthor e ,byy`the i insp A .
1L `
ADDRESS
ADDRESS
MIAMI SHORES VILLAGE
BUILDING I PEC N DEPARTMENT
M
/ -y . 19 /
NO.
LICENSE NO.
INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
pl and specifications thereof heretofore by me submitted, and in compliance with all provisicns of all building laws of the State of Florida, all the
boil ng ordinances and zo laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village.
, 1 9.1'
Ks SEAL)
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after , 1provaj'fias been ofitained'fioin the P1 nning 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.
ELECTRICAL PERMIT A N° 974
Iii
Owner of Building
Architect and /or Engineer
J .
Contractor or Builder.__
Proposed Location
This permit is issued to To
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
an compliance with the building laws of the State of Florida and with the building ordina ces and zoning laws of Miami Shores Village, and rules and
regulatio of the building department.t5f Miami Shores Village. This permit may be revoke at any time upon the violation of any provisions of said
lales, or rules and regul e o ipon any change in the plans and specifications u authorized by the building Inspector.
MOUNT
Dated
LOT
5 3
NAME
NAME
NAME
BLOCK
1
SUB DIVISION
ADD S8
ADDR SS
+y .
ADDR SS
RECD. PAYMENT ACCT. DEPT. INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed c
plans an • ations thereof heretofore by me submitted, and in compliance with all provis
builidir)g ordinan and zoning laws of Miami Shores Villa a and all rules and regulations
NOTE; .d charge of $1.00 will be made for making corrections or changes to this applicati
A refit p ction fee of $1.00 will be made when such re- inspection is made necessary by imprope
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
tor
LICENSE NO.
LICENSE NO.
NO. STREET
J. '9
, 19
nstruction in strict conformity with the application and
ons of all building laws of the State of Florida, all the
the building dep #rtmenrf iami Shores Village.
(SEAL)
after royal has been obtained from the Planning Board.
notice for inspection or faulty materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
MIAMI SHORES VILLAGE,
PERMIT N? 1035
Work to be performed under this Permit
Architect
Contractor
or
Legal Lot r Bl. ✓ �.;
Description
f." r
Subdi-
vision
Value of
Project
Address of
Building
This permit is granted to the contractor or builder named above to construct the building
application herefor in strict compliance with all ordinances pertaining thereto and with the and
with any plans, drawings, statements or specifications that may have been submitted to and appr
be revoked at any time if the work is not done in compliance with such ordinances or if the pla
upon which this permit is granted is the understanding that the contractor or builder named ab
the ordinances and regulations pertaining to the work covered hereby whether shown on the pla
that he assumes responsibility for work done by his agents, servants or employees.
Signed•
In consideration of the issuance to me of this permit I agree to perform the work covered
' R tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifica
Village. In accepting this permit I assume responsibility for all work done by either mj elf, my
;4 I . 4^ - * e •
re
CONTRACTOR OR - BUILDER
FLORIDA
DATE 19
Contractor's -
License No.
or to install the equipment or device described in the
rstanding that the work will be performed in compliance
ved by the proper municipal authorities. This Permit may
s are changed without authorization. A further condition
ve assumes the responsibility for a thorough knowledge of
s or drawings or in the statements or specifications and
c y,
By
INSPEOTOR
ereunder in compliance with all ordinances and regula-
ions submitted to the proper authorities of Miami Shores
gent, servant or employee.
Amt. of
Permit
•
• (AUTHORITY
y-
L.ECTRICAL PERMIT A N? 841
Owner of Building____
1
Proposed Location_
1 This permit is issued to_
tbh building above described, as p
regulations of the building department o
la s, ordinances J pr ru_lrs and regulation
$
MOUNT
LOT
NAM
NAME ..rte
.40/
Architect and /or Engineer_ —
NAME .,« - ADDF ESS
F i rvr
Contractor ei�,I&..c _'_.�_'_ ` = }l� r 1 r .'_`__ _
RECD. PAY ACCT. CT.
ADDRES>�
BLOCK SUB-DIVISION �....y'"� /// NO.
Miami. Shores Village. This permit may
ayJpprs anyhangen
fepppans and spe
ADDRESS
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
revoked / at any time upb the violation of
tiotts ffiauthoriz . t l iuilding inspector.
r1'
LICENSE NO.
LICENSE NO.
y STREET f R
T o — '...- "it'
application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
$t all facts stated in the applic'ation are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws f the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
A provisions ; of said
INSPECTOR
In consideration of the issuance to me of this rmit I hereby agree to the proposed construction in strict conformity 4th the application
I and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all
uilding ordinances and zoning laws o Miami Shores Village an 11 rules and regulations of the building.departnient of Miami Shores Village.
1 . r
and
the
NOTE; A charge of $1.00 will be made for making corrections or changes to this application at r appr&(las been obtained 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.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building i
Architect
7
Contractor } 1
or Builder
f
1
Legal Lot e r Bl.
Description t ' l 3 .
MIAMI SHORES VILLAGE, FLORIDA,
DATE
PERMIT N9 1029
Work to be performed under this Permit
tc. at.4
,:e2t t a. \
Subdi-
vision
Value of
Project
Address of 5
Building ,f+ -•••''
This permit is granted to the contractor or builder named above to construct the building
application herefor in strict compliance with all ordinances pertaining thereto and with the and
with any plans, drawings, statements or specifications that may have been submitted to and appr
be revoked at any time if the work is not done in compliance with such ordinances or if the pla
upon which this permit is granted is the understanding that the contractor or builder named ab
the ordinances and regulations pertaining to the work covered hereby whether shown on the pl
that he assumes responsibility for work done by his agents, servants or employee / t ,t
Signed' a
In consideration of the issuance to me of this permit I agree to perform the work covere
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifi
Village. In accepting this /permit I assume esponsibility for all work done by either myself, m
co •
OR BUILDER
BY
•
J�
Contract l's
License No.
194 C
Amt. of C t
Permit ✓-
or to install the equipment or device described in the
rstanding that the work will be performed in compliance
ved by the proper municipal authorities. This Permit may
s are changed without authorization. A further condition
ve umes the responsibility for a thorough knowledge of
ns c
drawings or in the statements or specifications and
INSPECTOR
hereunderrn compliance with all ordinances and regula-
ations submitted to the proper authorities of Miami Shores
agent, servant or employee.
By
AUTHORITY
THIS C THAT the wiring and apparatus installed at
by , 'ttt,. . tkt.. �
( P/;. ' 1 1 �,
for
/ ` i- " a owner, and occupied as
has been inspected and current is authorized to be turned on, until otherwise notified, for:
Size of Service - �� / Number of Lighting Circuits G
---- watts. Water Heater � 1 watts
( s`
Range
Power: Connected load ��" -' H P. Space Heaters 1
Other Apparatus
MIAMI SHORES VILLAGE PERMIT
Office of Electrical Inspector No.
CERTIFICATE OF INSPECTION
C
Address dd
Ai Jr:
ELECTRICAL. INSPECTOR.
watts
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRIC L PERMIT
Permit No. `
Date `yC x` 'r)
Application is hereby made for the approval of the detailed statement of the plans and spec' ations herewith submitted - for the building or other
structure herein described. This application is made in compliance and conformity with the B ilding Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village a tall rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy o approved plans and specifications must be kept at
building during progress of work.
-
Owner's Name and Address s- 'P �' "� =FIB No ff _ ____. Street___
Registered Architect and /or Engineer 61 P
Employing Electrician's Name _ _._ _s = ,G z% No.___ _ ___ P � Pi C' Street__ ?_i
Location and Legal Description Lot q o 1 F ��
' ., � __ Block C j�__ 41 Subdivision__ trk e___
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
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. ss.
My Commission Expires
(Signed)
(Signed)
to adm
Street 1_ 04L
Service Overhead Size Feeders I 'Conduit___ Main Sw l{ D P � s 1 0
t.,�_ — p • - - _ -_�_ Main Fuses__ Amps.
Type of Installation— Conduit Tubing • B.X.L. Metal Moll .ing
The undersigned applicant for this building permit does hereby certify that he understa ds and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General La s of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors ' r 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 si e 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.
, 9 r J
1 �daster lectr can.
Before me, the undersigned authority, a notary public, duly authorized
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says th -t he is the
of the above described construction, that he has carefully read the foregoing applicatio and that he did sign the same, and that all facts
therein by him stated are true.
nister oaths and take acknowledgments, personally
Notary Public. State of Florida
No. of Stories._______
Electrical Inspector.
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'8
FIXTURES
NO. LAMPS
REF RIG .
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
.1
I, TER
K
WW
3=
W. HEAT.
CONN.
SPACE
H EATER
STRIP
HEATER
TOTAL
CONTR.
LIST
/ 0 V
e l.0
ei P
1
1
1
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
1
1
446
� �
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRIC L PERMIT
Permit No. `
Date `yC x` 'r)
Application is hereby made for the approval of the detailed statement of the plans and spec' ations herewith submitted - for the building or other
structure herein described. This application is made in compliance and conformity with the B ilding Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village a tall rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy o approved plans and specifications must be kept at
building during progress of work.
-
Owner's Name and Address s- 'P �' "� =FIB No ff _ ____. Street___
Registered Architect and /or Engineer 61 P
Employing Electrician's Name _ _._ _s = ,G z% No.___ _ ___ P � Pi C' Street__ ?_i
Location and Legal Description Lot q o 1 F ��
' ., � __ Block C j�__ 41 Subdivision__ trk e___
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
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. ss.
My Commission Expires
(Signed)
(Signed)
to adm
Street 1_ 04L
Service Overhead Size Feeders I 'Conduit___ Main Sw l{ D P � s 1 0
t.,�_ — p • - - _ -_�_ Main Fuses__ Amps.
Type of Installation— Conduit Tubing • B.X.L. Metal Moll .ing
The undersigned applicant for this building permit does hereby certify that he understa ds and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General La s of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors ' r 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 si e 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.
, 9 r J
1 �daster lectr can.
Before me, the undersigned authority, a notary public, duly authorized
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says th -t he is the
of the above described construction, that he has carefully read the foregoing applicatio and that he did sign the same, and that all facts
therein by him stated are true.
nister oaths and take acknowledgments, personally
Notary Public. State of Florida
No. of Stories._______
Electrical Inspector.
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.— .— _ _____ —___—
MIAMI SHORES
ELECTRICAL INSPECTION D PARTMENT
APPLICATION FOR ELECT ICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans . nd specifications //���� her itted for the building or other
structure herein described. This application is made in compliance and conformity wi h the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores illage and all rules and regulations of the Building 'Division
of Miami Shores Village shall be complied with, whether herein specified or not. copy of approved plans and specifications must be kept at
building during progress of work. e2 ry
Owner's Name and Address , _ 47
_.__4' ` V' t �'" No 5 - e �� "�!!, ' Street 1 Q
Registered Architect and /or Engineer ____
Employing Electrician's Name , __ - -- __ -- _ _ _ 6i No._ -- -3 4_ Street__- __ — &L, c44,__ ✓� '
Location and Legal Description Lot____ _ _ _ =J 3 Subdivision___ A
�S _ �°_ _� �. Block _
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building k Remodeling Addition
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 app cation, and that he did sign the same, and that all facts
therein by him stated are true.
rr .�
My Commission Expires
I LLAG E
ewitl� ubm
Street
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.
Repairs —___ No. of Stories.. =a o
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
H EATER
STRIP
H EATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 H
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Service Overhead Size
Underground
Feeders Conduit
Main Sw. - Amps. Main Fuses Amps.
Type of Installation—
Conduit
Tubing B.X.L. .Meta Moulding
______--- _ ------------------ ------ --------------- - - - - -- ------- - - -- - -- --
--------------- --
-----------------
Amount of Permit $-- - - -- —�
`' (Si ne d)
s 7)
, 4.._,::________
----- —
_-- _ _
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he u derstands and accepts his obligations as at employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gen•ral 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 - contracto , on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) i_ __2 . = _O L -
Master Electrican.
STATE OF FLORIDA,
2` �,, z t - _ A
ss.
COUNTY OF DADS-
Permit No.— .— _ _____ —___—
MIAMI SHORES
ELECTRICAL INSPECTION D PARTMENT
APPLICATION FOR ELECT ICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans . nd specifications //���� her itted for the building or other
structure herein described. This application is made in compliance and conformity wi h the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores illage and all rules and regulations of the Building 'Division
of Miami Shores Village shall be complied with, whether herein specified or not. copy of approved plans and specifications must be kept at
building during progress of work. e2 ry
Owner's Name and Address , _ 47
_.__4' ` V' t �'" No 5 - e �� "�!!, ' Street 1 Q
Registered Architect and /or Engineer ____
Employing Electrician's Name , __ - -- __ -- _ _ _ 6i No._ -- -3 4_ Street__- __ — &L, c44,__ ✓� '
Location and Legal Description Lot____ _ _ _ =J 3 Subdivision___ A
�S _ �°_ _� �. Block _
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building k Remodeling Addition
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 app cation, and that he did sign the same, and that all facts
therein by him stated are true.
rr .�
My Commission Expires
I LLAG E
ewitl� ubm
Street
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.
Repairs —___ No. of Stories.. =a o
Owner's Name and Address
Amount of Permit $
_.k
ss.
appeared ------- __ - - --
to me well known, and who, being by me first duly sworn, upon oath
of the above described construction, that he has carefully read the
therein by him stated are true.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DE"ARTMENT
APPLICATION FOR ELECT
Permit No.L_
Application is hereby made for the approval of the detailed statement of the plans an
structure herein described. This application is made in compliance and conformity with
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores V
of Miami Shores Village shall be complied wit whether herein specified or not. A
building during progress of work. .0d)
— — No. v
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
State work to be performed and purpose of building (By Floors)
New Building ' Remodeling Addition
Service Overhead Size Feeders Conduit Main Sw.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal
(Signed)
The undersigned applicant for this building permit does hereby certify that he and
under the Florida Workmen's Compensation Act, being Section 5966, Compiled Genera
plied with the provisions thereof, and will require similar compliance from all contract
performed under this permit; and will post or cause to be posted for inspection on
required by the Act. The under signed agrees to employ only such sub- contractors,
licensed by Miami Shores Village.
(Signed)
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to
_f
Date ---- -- -- --
specifications herewi ubmitted for the building or other
the Building Ordinance of Miami Shores Village, Florida,
llage and all rules and regulations of the Building Division
opy of approved plans and specifications must be kept at
ICAL PERMIT
G' Street__
,St
Subdivision____ —
Street L __ _''
Repairs No. of Stories
Amps. Main Fuses Amps.
oulding
Electrical Inspector.
rstands and accepts his obligations as an employer of labor
Laws of Florida Permanent Supplement, and has com-
rs or sub - contractors employed by him in the work to be
e site of the work such public notice or notices as are
on work to be performed z pnder this permit, as are
Master Electrican.
dminister oaths and take acknowledgments, personally
deposes and says that he is the
foregoing applic tion, and that he did sign the same, and that all facts
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is m de 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
H - R
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 -3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Owner's Name and Address
Amount of Permit $
_.k
ss.
appeared ------- __ - - --
to me well known, and who, being by me first duly sworn, upon oath
of the above described construction, that he has carefully read the
therein by him stated are true.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DE"ARTMENT
APPLICATION FOR ELECT
Permit No.L_
Application is hereby made for the approval of the detailed statement of the plans an
structure herein described. This application is made in compliance and conformity with
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores V
of Miami Shores Village shall be complied wit whether herein specified or not. A
building during progress of work. .0d)
— — No. v
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
State work to be performed and purpose of building (By Floors)
New Building ' Remodeling Addition
Service Overhead Size Feeders Conduit Main Sw.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal
(Signed)
The undersigned applicant for this building permit does hereby certify that he and
under the Florida Workmen's Compensation Act, being Section 5966, Compiled Genera
plied with the provisions thereof, and will require similar compliance from all contract
performed under this permit; and will post or cause to be posted for inspection on
required by the Act. The under signed agrees to employ only such sub- contractors,
licensed by Miami Shores Village.
(Signed)
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to
_f
Date ---- -- -- --
specifications herewi ubmitted for the building or other
the Building Ordinance of Miami Shores Village, Florida,
llage and all rules and regulations of the Building Division
opy of approved plans and specifications must be kept at
ICAL PERMIT
G' Street__
,St
Subdivision____ —
Street L __ _''
Repairs No. of Stories
Amps. Main Fuses Amps.
oulding
Electrical Inspector.
rstands and accepts his obligations as an employer of labor
Laws of Florida Permanent Supplement, and has com-
rs or sub - contractors employed by him in the work to be
e site of the work such public notice or notices as are
on work to be performed z pnder this permit, as are
Master Electrican.
dminister oaths and take acknowledgments, personally
deposes and says that he is the
foregoing applic tion, and that he did sign the same, and that all facts
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is m de necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No.___'✓
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION D PARTMENT
APPLICATION FOR ELECT ICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans a d specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity wit. the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the Sta of Florida, all ordinances of Miami Shores ' illage and all rules and regulations of the Building Division
of Miami Shores Village shall be co.��ied v#it,,,,wl� ether 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 _______ '''' "�-"_� '_ �'"T! _"! " 4- yy
Registered Architect and /or Engine` —___ --
Employing Electrician's Na
Amount of Permit $
SS.
My Commission Expires
4,
No.___ af Street A t1'r__'_ __:
Street__
Location and Legal Description Lot__ .21 ____ Bloc '"'^` 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
The undersigned applicant for this building permit does hereby certify, that
under the Florida Workmen's Compensation Act, being Section 5966, Compiled
plied with the provisions thereof, and will require similar compliance from all
performed under this permit; and will post or cause to be posted for inspectio
required by the Act. The under signed agrees to employ only such sub -cont
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to
(Signed) a r
he and
Genera
contrac
nont
ractors,
(Signed) ___
•
Date 111.4
Street
No. of Stories
E rrical Inspector.
Notary Public. State of Florida
A
rstands and accepts his obligation an employer of 1a171�c
Laws of Florida Permanent Supplement, and has com-
ors or sub - contractors employed by him in the work to be
e site of the work such public notice or notices as are
on work to be performed under this permit, as are
e
•
aster El t' ^^
..� 1 1
dminister 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 applic tion, 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 m de 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
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Service Overhead Size Feeders_____ Conduit ______ Main Sw.
Underground
Type of Installation— Conduit Tubing B.X.L. ___Metal
.,
_ Amps. Main Fuses Amps.
Moulding
Permit No.___'✓
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION D PARTMENT
APPLICATION FOR ELECT ICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans a d specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity wit. the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the Sta of Florida, all ordinances of Miami Shores ' illage and all rules and regulations of the Building Division
of Miami Shores Village shall be co.��ied v#it,,,,wl� ether 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 _______ '''' "�-"_� '_ �'"T! _"! " 4- yy
Registered Architect and /or Engine` —___ --
Employing Electrician's Na
Amount of Permit $
SS.
My Commission Expires
4,
No.___ af Street A t1'r__'_ __:
Street__
Location and Legal Description Lot__ .21 ____ Bloc '"'^` 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
The undersigned applicant for this building permit does hereby certify, that
under the Florida Workmen's Compensation Act, being Section 5966, Compiled
plied with the provisions thereof, and will require similar compliance from all
performed under this permit; and will post or cause to be posted for inspectio
required by the Act. The under signed agrees to employ only such sub -cont
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to
(Signed) a r
he and
Genera
contrac
nont
ractors,
(Signed) ___
•
Date 111.4
Street
No. of Stories
E rrical Inspector.
Notary Public. State of Florida
A
rstands and accepts his obligation an employer of 1a171�c
Laws of Florida Permanent Supplement, and has com-
ors or sub - contractors employed by him in the work to be
e site of the work such public notice or notices as are
on work to be performed under this permit, as are
e
•
aster El t' ^^
..� 1 1
dminister 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 applic tion, 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 m de necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit
Application is hereby made for the approval of the detailed statement of the plans a
structure herein described. This application is made in compliance and conformity wit
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores
of Miami Shores Village shall be complied with, whether herein specified or not. A
building during progress of work. An q
Owner's Name and Address G 1 ,__ MA T S N
Registered Architect and /or Engineer
Employing Electrician's Name S _� n%L M ���—S q No '� t � Street_ , Q"
Location and Legal Description Lot_ —V.A. 6'
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
APPLICATION FOR ELECT ICAL PERMIT
I �
Amount of Permit $ __s
• ss.
My Commission Expires
MIAMI SHORES ILLAGE
ELECTRICAL INSPECTION DE
Block q
(Signed)
No.
Service Overhead Size Feeders. Conduit_____________ Main Sw
Underground
Type of Installation— Conduit Tubing B.X.L Metal
(Signed)
The undersigned applicant for this building permit does hereby certify that he and
under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gener
plied with the provisions thereof, and will require similar compliance from all contrac
performed under this permit; and will post or cause to be posted for inspection on t
required by the Act. The under signed agrees to employ only such sub - contractors,
licensed by Miami Shores Village.
Date — �- t - L - - . - - -J
specifications herewith submitted for the building or other
the Building Ordinance of Miami Shores Village, Florida,
illage and all rules and regulations of the Building Division
copy of approved plans and specifications must be kept at
_ [Y ,E,1'
, ___ Street __I 0 2 4
Notary Public. State of Florida
Subdivision !;_i)_,5
Street 1- -- - —
Repairs ____ No. of Stories
Amps. Main Fuses Amps.
oulding
Electrical Inspector.
rstands and accepts his obligations as an employer of labor
Laws of Florida Permanent Supplement, and has com-
ors or sub - contractors employed by him in the work to be
e site of the work such public notice or notices as are
on work to be performed under this permit, as are
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized
appeared -- — - - - -- -
to me well known, and who, being by me first duly sworn, upon oath deposes and say that he is the
of the above described construction, that he has carefully read the foregoing applic tion, and that he did sign the same, and that all facts
therein by him stated are true.
to . dminister oaths and take acknowledgments, personally
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is m -de 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
H EATER
TOTAL
CONTR.
LIST
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
Application is hereby made for the approval of the detailed statement of the plans a
structure herein described. This application is made in compliance and conformity wit
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores
of Miami Shores Village shall be complied with, whether herein specified or not. A
building during progress of work. An q
Owner's Name and Address G 1 ,__ MA T S N
Registered Architect and /or Engineer
Employing Electrician's Name S _� n%L M ���—S q No '� t � Street_ , Q"
Location and Legal Description Lot_ —V.A. 6'
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
APPLICATION FOR ELECT ICAL PERMIT
I �
Amount of Permit $ __s
• ss.
My Commission Expires
MIAMI SHORES ILLAGE
ELECTRICAL INSPECTION DE
Block q
(Signed)
No.
Service Overhead Size Feeders. Conduit_____________ Main Sw
Underground
Type of Installation— Conduit Tubing B.X.L Metal
(Signed)
The undersigned applicant for this building permit does hereby certify that he and
under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gener
plied with the provisions thereof, and will require similar compliance from all contrac
performed under this permit; and will post or cause to be posted for inspection on t
required by the Act. The under signed agrees to employ only such sub - contractors,
licensed by Miami Shores Village.
Date — �- t - L - - . - - -J
specifications herewith submitted for the building or other
the Building Ordinance of Miami Shores Village, Florida,
illage and all rules and regulations of the Building Division
copy of approved plans and specifications must be kept at
_ [Y ,E,1'
, ___ Street __I 0 2 4
Notary Public. State of Florida
Subdivision !;_i)_,5
Street 1- -- - —
Repairs ____ No. of Stories
Amps. Main Fuses Amps.
oulding
Electrical Inspector.
rstands and accepts his obligations as an employer of labor
Laws of Florida Permanent Supplement, and has com-
ors or sub - contractors employed by him in the work to be
e site of the work such public notice or notices as are
on work to be performed under this permit, as are
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized
appeared -- — - - - -- -
to me well known, and who, being by me first duly sworn, upon oath deposes and say that he is the
of the above described construction, that he has carefully read the foregoing applic tion, and that he did sign the same, and that all facts
therein by him stated are true.
to . dminister oaths and take acknowledgments, personally
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is m -de necessary by improper notice for inspection, or faulty
materials and /or workmanship.
a y
JOB: AD:
B'
: WORK
ELECTRICAL :
: DONE BY:
•
; REQUESTED
The following is ready for Inspection:
Inspoctorts Report: —
READY
JOB:
ELECTRICAL :
Inspector Ts Report:
: WORK
: DONE BY:
: REQUESTED
•
•
•
AD:
-
READY
The following is ready for Inspection: 4 �-
Permit No._ / 4:1
Application is hereby made for the approval of the detailed statement of the plans and
structure herein described. This application is made in compliance and conformity with t
and all provisions of the Laws of the Stat of Florida, all ordinances of Miami Shores Vill
of Miami Shores Village shall be co s ied wi ..ether herein specified or not. A co
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engi i
Employing Electrician's Nan4e i
//
Location and Legal Description
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
Service Overhead Size Feeders Conduit Main Sw
Underground
Type of Installation — Conduit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
ELECTRICAL INSPECTION DEP RTMENT
APPLICATION FOR ELECTRICAL PERMIT
;
SS.
My Commission Expires
MIAMI SHORES VI LAGE
Tubing B.X.L.___M,etal M
__Block
s..-
Before me, the undersigned authority, a notary public, duly
appeared — — -- to me well known, and who, being by me first duly sworn, upon oath
of the above described construction, that he has carefully read the
therein by him stated are true.
(Signed)
The undersigned applicant for this building permit does hereby certify that he unders
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General
plied with the provisions thereof, and will require similar compliance from all contractor
performed under this permit; and will post or cause to be posted for inspection on the
required by the Act. The under signed agrees to employ only such sub - contractors, o
licensed by Miami Shores Village.
(Signed)
authorized to ad
deposes and says t
foregoing applicati
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is mad
materials and /or workmanship.
ecifications herewith submitted for the building or other
e Building Ordinance of Miami Shores Village, Florida,
ge and all rules and regulations of the Building Division
y of approved plans and specifications must be kept at
No. 1 _ZYJ
Street
Date___ __ _
Street__
Subdivision_
Fr
Notary Public, State of Florida
•
No. of Stories
Amps. Main Fuses Amps.
ulding
E ctricai Inspector.
ands and accepts his obligation 'an employer of la
aws of Florida Permanent Supplement, and has com-
or sub - contractors employed by him in the work to be
site of the work such public notice or notices as are
work to be performed under this permit, as are
_
/ I
t2;_ o
_�
„,,....Master Elgdricaa
O
@;., Zvi'- j �� , . .-9�
inister oaths and take acknowledgments, personally
at he is the---- --- -- - - - -- — — -- --------- --- - -- — - - - ---
n, and that he did sign the same, and that all facts
necessary by improper notice for inspection, or faulty
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
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
•
Permit No._ / 4:1
Application is hereby made for the approval of the detailed statement of the plans and
structure herein described. This application is made in compliance and conformity with t
and all provisions of the Laws of the Stat of Florida, all ordinances of Miami Shores Vill
of Miami Shores Village shall be co s ied wi ..ether herein specified or not. A co
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engi i
Employing Electrician's Nan4e i
//
Location and Legal Description
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
Service Overhead Size Feeders Conduit Main Sw
Underground
Type of Installation — Conduit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
ELECTRICAL INSPECTION DEP RTMENT
APPLICATION FOR ELECTRICAL PERMIT
;
SS.
My Commission Expires
MIAMI SHORES VI LAGE
Tubing B.X.L.___M,etal M
__Block
s..-
Before me, the undersigned authority, a notary public, duly
appeared — — -- to me well known, and who, being by me first duly sworn, upon oath
of the above described construction, that he has carefully read the
therein by him stated are true.
(Signed)
The undersigned applicant for this building permit does hereby certify that he unders
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General
plied with the provisions thereof, and will require similar compliance from all contractor
performed under this permit; and will post or cause to be posted for inspection on the
required by the Act. The under signed agrees to employ only such sub - contractors, o
licensed by Miami Shores Village.
(Signed)
authorized to ad
deposes and says t
foregoing applicati
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is mad
materials and /or workmanship.
ecifications herewith submitted for the building or other
e Building Ordinance of Miami Shores Village, Florida,
ge and all rules and regulations of the Building Division
y of approved plans and specifications must be kept at
No. 1 _ZYJ
Street
Date___ __ _
Street__
Subdivision_
Fr
Notary Public, State of Florida
•
No. of Stories
Amps. Main Fuses Amps.
ulding
E ctricai Inspector.
ands and accepts his obligation 'an employer of la
aws of Florida Permanent Supplement, and has com-
or sub - contractors employed by him in the work to be
site of the work such public notice or notices as are
work to be performed under this permit, as are
_
/ I
t2;_ o
_�
„,,....Master Elgdricaa
O
@;., Zvi'- j �� , . .-9�
inister oaths and take acknowledgments, personally
at he is the---- --- -- - - - -- — — -- --------- --- - -- — - - - ---
n, and that he did sign the same, and that all facts
necessary by improper notice for inspection, or faulty
Size of Service
Range
Power: Connected loa
Other Apparatus
MIAMI SHORES V
Office of Electrical Ins
CERTIFICATE OF INS
THIS CEFfIFIES THAT the wiring an parat installed a
b
for //( .. /2 . „„laa triit 40
/ /f,lt.
'
has been inspected and current is authorized t9 be:tdmed on4in
Addr
and oc
LLAGE
ector
ECTION
Ligheng Circuits
herwise notified, for:
PERMIT
/ 414.'
IV lb
Permit No. A,
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date__ -` 1 1. i l t
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,
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 Cr_ LL MA Il T 1N
Registered Architect and /or Engineer
Employing Electrician's Name * No
Location and Legal Description Lot___: '* 6 " _ _ _Block
Street and Number where work is to be performed —No i
q r
No. -_ �! _, °___ -. Street__ "'
Street , `V, E : T•_
Subdivision__ 4" h
Street
State work to be erformed and purpose of building �__ ^ - 12_f.�* 11�°`____�_�
p p p g (By Floors) ____
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw.
Underground Amps. Main Fuses Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
I
Amount of Permit $ _
appeared
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority,
My Commission Expires
a notary public, duly
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understnds 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, oni work to be performed under this permit, as are
licensed by Miami Shores Village.
•
Notary Public. State of Florida
(Signed)
Master Electrican.
authorized to administer oaths and take acknowledgments, personally
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.
I,
MOTORS
0-1 HP
MOTORS•
1 1 -5 HP
'
I
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
IV lb
Permit No. A,
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date__ -` 1 1. i l t
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,
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 Cr_ LL MA Il T 1N
Registered Architect and /or Engineer
Employing Electrician's Name * No
Location and Legal Description Lot___: '* 6 " _ _ _Block
Street and Number where work is to be performed —No i
q r
No. -_ �! _, °___ -. Street__ "'
Street , `V, E : T•_
Subdivision__ 4" h
Street
State work to be erformed and purpose of building �__ ^ - 12_f.�* 11�°`____�_�
p p p g (By Floors) ____
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw.
Underground Amps. Main Fuses Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
I
Amount of Permit $ _
appeared
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority,
My Commission Expires
a notary public, duly
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understnds 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, oni work to be performed under this permit, as are
licensed by Miami Shores Village.
•
Notary Public. State of Florida
(Signed)
Master Electrican.
authorized to administer oaths and take acknowledgments, personally
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.