ELECTRICALDat 0/ %k ob Address (J /t/e. /Oc
Legal Description
Owner / Lessee / Tenant
Owner's Address S4'v Z2 (Add d
Contracting Co. ,g2Me ,) c (eehCC jr(.
Qualifier Q 1 POS4-( SS# /
Signature of owner and /or Condo President
Date:
** *
0 , I ' c CC36
7i. o
cp MY COMMISSION F
FEES: PERMIT
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
usweaciitnggb "Cohd. Presiden
Zoning
Mechanical
-
Phone
State # A . X - 000S42? Municipal # C) 300n7-5 Competency 4,t lUV 7f Ins .Co 6 . a•
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ,g- PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCR I PT ION��'G'�, ride - �e Ee�XiL� -AL. &�C,7& / n G� t- 34-6 ,1 U I'�
Square Ft. Estimated Cost(value) 0 o
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.
Notary as to Contra
My Commission Expir
Fire Other
Building Electrical
Plumbing
Tax Folio
Master Permit # .. ( 7 / r;),
Phone WV -- b I 23
/635 w (( os7•
Signature of Contractor or Owner- Builder
Date:
m'7v.7ioar SEAL
% BARBARA ANN FUGAZZI
jt * COMMISSION NUMBER
1:.. $ • Q CC360191
Q� MY COMMISSION EXP.
*OF RP * MAR* 291c3
RADON C.C.F. f$6 NOTARY 1 TOTAL DUE !'
Engineering
385
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date q I i 5 Time
Type Insp'n e tech I cal
l
Permit No. El
Name SuOrCZ
Address (6 NE 10 c� :J+
Company M rcd y
Phone # 30,5 -1 a
For Inspector: q 1 i co Name & Date
Approved ❑
Correction 73 /l'c'1�Pe' 3
Re- Insp'n Fee ❑
Type Insp'n
Date cl ,8 Time
Permit No. E ZC) J ^ 1 CS•
Name 5u(•1
Address G9 102A-
Company 1 coda Elec.
Phone #
For Inspector:el I I9 N. - Date
Approved
Correction
Re- Insp'n Fee
31 4
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
E l
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Type Insp'
Permit No.
Name
4 1-Address
Company
Phone #
For Inspector:
Approve
C• ection
Re- Insp'n Fee
(_e_
. ..q.0c)0 e c(-
Name & Date
o
Time
aaSE
2oak- 13S
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date *4 I 0 3 Time
Type Insp'n }- I fCaI EL •
Permit No. E( ZOOS - - (Q5
Name
Address (0 9 /45 / 0 a ST
Company M.—OO d y Electric
Phone # ) OS -152 - 2 c c 0
For Inspector: CL • —/ Name & Date
Approved 77 4 )6 / 1----
Correction ❑ ,...4 PP ®,
Re- Insp'n Fee ❑
PROPERTY OWNER
6iview 2
Name
Address n ,t / 2 Gj
7 a . .0440-/) , -4 / -
Home Telephone
Business Telephone ,e S 3 2,a Saga
Fax
CONTRACTOR
New Construction
Name
Enclosure
License No. /�a a'// 99
Alteration Exterior
Address 6 G 9 44) w 96 7—
Repair
Telephone e,S78aCz, Fax 5
7(/5/9%
J
Qualifier Namek ��� ,n/J00
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
As
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add'I Detachment
Other
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
Job Address:
State
Folio Number Description of Work ..112/ta/ ee-
Address
Tenant Information
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPG X
Roofing
Fence
Other
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
License No.
ARCHITECT
Name
N/h
Address
Telephone
Fax
Tax Assessed /Appraised Value
Flood Zone
4aD.
PERMIT APPLICATION
Master Permit No. E 1 a -0O3 - 040S .
Subsidiary Permit No.
Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done. a roofing application must be submit-
ted along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
Units Floors
k oo o-c4
Lot Block
Subdivision PB PG Zoning Linear Feet
Current Use of Property Square Feet OVA°
Proposed Use of Propert y � Value of Work al Bldg Value
Base Floor Elev.
ENGINEER
Name
License No.
/0/4
Address
Telephone
Fax
Zip
Page 2
IMPORTANT NOTICES
I. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street /sidewalk.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and /or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
Signature of
ature of N
ner
sy.
DA
AR'f PAT BRIGGS
Notary Public - State of Florida
.• • F. My Commission Expires May 11,2008
° Commission 0 DD 104873
p� Bonded By National Notary Assn.
n
Print Name
and subscribed before me this
IL
Sig
SEAL:
Personally known.
AMI -DADE
day of
a
Type of Identification Produced:
Signature of / Contractor / Qualifier
of
Print Name f
Sw''o] o d subscribed before me this ) day of
fT'^'
re . is - Star 4 . r
�;-
Notary � ry Pu State of Florida
• My Corrcn�On E res Maf 11, 2008
Commission t3 DD 104873
Bonded By National Notary Assn.
Signat
SEAL:
FLORIDA, C NTY OF MIA 1 -DADE
PERMIT APPLICATION
Personally known OR, Produced Identification
Type of Identification Produced:
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE
Dryer
QTY.
TYPE
Outlet, Appliance
QTY.
TYPE
Service Repair
QTY.
A/C Central 1 -3 Ton
Fan
Outlet, Wall
Service, Temporary
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
A/C Central 16 -20 Ton
Fixture Light
Parking Lot Lights
Spas /Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold /Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range /Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Teinp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
MECHANICAL
TYPE
Minimum Fee
QTY.
TYPE
Condensate Drain
QTY.
TYPE
Generator
QTY.
TYPE
Refrigeration, Tons
QTY.
A/C Central, Tons
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall /Win. Tons
Dryer Vents, Number of
Paint Booth
Ventilation, Cost
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Supply, AC Well
Bath Fan- Vented, #
Fireplaces, Number of
Pressure Vessel
Temporary Toilet
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
QTY.
TYPE
Soakage Pit
QTY.
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile /Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
RECEIVED AND REVIEWED BY:
DATE:
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
$ ,d 41
Metropolitan Dade County (C.C.F.) $ . O 0
Inspector State Educational Fund $
State DCA (Radon)
Code Enforcement Fine
Zoning Review
Notary
REVIEWED AND PREPARED B "
YE /.®' s
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
O IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
SECTION
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
BY
DATE
( x . f t. x/1000
(0.005 / sq.ft.)
$ (0.01 /sq.ft.)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
O CONTRACTOR REGISTRATION
(On File)
TOTAL $ $' / e o
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillagc.com
MOODY# ELECTRIC, INC.
www.moodyelectric.com
669 N.W. 90 Street • Miami, FL 33150 -2166
Tel: (305) 758 -2000 Fax (305) 754 -1333
/t a/t/®
9 .to /Dry S r
6hor2eo,
ax n/ 6
t95 a50
�LG7
k evoht
414 pno-urd.
Iva etmoud
3 c,/67
00 JOol2v
4O c�T
rn
Located 1
al"
P
,;o;;'. "y. MARY PAY BRIQGS
Notary Public - Stab of Florida
�• A }) 1; k;Ci.vritiaArnEcb1IMaY
1
• Commission 0 DD 104873
�
r`
Bon By National Notary Alan.
- cm60i/
122/01 cs
r
dA/244-5e
MOODY ELECTRIC, INC.
www.moodyelectric.com
669 N.W. 90 Street • Miami, FL 33150 - 2166
Tel: (305) 758 -2000 Fax (305) 754 -1333
9 / 4 ° . 0 -
J /ZED /
RESIDENTIAL DEMAND LOAD CALCULATIONS
W / SQ. FT
REFRIGERATOR
APPLIANCES
DISHWASHER
GARBAGE DISPOSAL
MICROWAVE
CLOTHES WASHER
DRYER
RANGE
WATER HEATER
OVEN
FREEZER
TRASH COMPACTOR
GARAGE DOOR MOTOR
JACUZZI
JACUZZI BOOSTER HTR.
IRONING BOARD
POOL EQUIPMENT
SPRINKLER PUMP
LANDSCAPE LIGHTS
STEAM SHOWER
A/C WALL UNIT
SPARE CAPACITY
SPARE CAPACITY
TOTAL CONNECTED LOAD 4 56K. W.
FIRST 10 K.W. °@ 100% y /SG
REST @ 40% / 7r eS),
A/C @ 65% / HEAT @ 100% /(3erie
TOTAL DEMAND LOAD
57. a K.W. / 240 VOLT = f �
5: 76 K.W.
K.W.
K.W.
/.5 K.W.
K.W.
K.W.
1.5 K.W.
5:O K.W.
K.W.
- K.W.
-=- K.W.
-- K.W.
�-- K.W.
g K.W.
!•5 K.W.
^ K.
s b K.
4 K.W.
K.W.
/.5 K.
K.
-- K.
/.5 K.
K . 1E,..i. �-
�Cvdo / /99
MARY PAY tiNI
Notary Public - State of Florida
.� tM Corn isslon Expires May 11.2008
Commission S DD 104873
,gr Bonded By National Notary Assn.
AMPS 5Gi�'7
58 ��
10.0 K.W.
V SAK. W . 6Q/1,4•`)%eP,
tez9aila
Permit No � Z Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engine r
Employing Electrician's Name (Cc � S E
Location and Legal Description Lot Block
Street and Number where work is to be performed —No.
Service Overhead Size Feeders
y„, Conduit
Underground
Type of Installation — Conduit Tubing
pig
Amount of Permit $
STATE OF FLORIDA, , l
COUNTY OF DADE. I j
ss.
p?,
MIAMI SHORES VILLAGE
APPLICATION FOR ELECTRICAL PERMIT
ELECTRICAL INSPECTION DEPARTMENT
,/4
(Signed)
(Signed)
No Street
No c d f7
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work , o
licensed by Miami Shores Village.
Street 6 � r /-
Subdivision
/ 24 -4
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Main Sw Amps /4 Main Fuses Amps
B.X.L Metal Moulding
lectrical Inspector.
ccepts his ob Nations as an employer of
of Florida ermanent Supplement, and
sub -cont ors employed by him in the
of the work such public notice or notices
be, perforrjted under this permit, as are
•
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
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0.1 HP
M OTORS
I.3 HP
N EON
TRANS.
RADIO
TOTAL.
CONTR.
LIST
/ i4
CHECK
Permit No � Z Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engine r
Employing Electrician's Name (Cc � S E
Location and Legal Description Lot Block
Street and Number where work is to be performed —No.
Service Overhead Size Feeders
y„, Conduit
Underground
Type of Installation — Conduit Tubing
pig
Amount of Permit $
STATE OF FLORIDA, , l
COUNTY OF DADE. I j
ss.
p?,
MIAMI SHORES VILLAGE
APPLICATION FOR ELECTRICAL PERMIT
ELECTRICAL INSPECTION DEPARTMENT
,/4
(Signed)
(Signed)
No Street
No c d f7
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work , o
licensed by Miami Shores Village.
Street 6 � r /-
Subdivision
/ 24 -4
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Main Sw Amps /4 Main Fuses Amps
B.X.L Metal Moulding
lectrical Inspector.
ccepts his ob Nations as an employer of
of Florida ermanent Supplement, and
sub -cont ors employed by him in the
of the work such public notice or notices
be, perforrjted under this permit, as are
•
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.
Permit No S
Owner's Name and Address
STATE OF FLORIDA, 1
COUNTY OF DADE. I
Registered Architect and /or Engineer...
Employing Electrician's Name
tic-LNI a. 05
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
SS.
No -/
A1, gyre- iff ,
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
No.i? ; :C Street
Al
Amount of Permit $ 2 1 0 (Signed) Ca? e e.
(Signed)
Street /3 . 1..O.. ... h'
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No b 2 LT
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
/ Cam ; ) nStreet
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Electrical Inspec or.
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.
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
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
o)
t ,
D ��
CHECK
Permit No S
Owner's Name and Address
STATE OF FLORIDA, 1
COUNTY OF DADE. I
Registered Architect and /or Engineer...
Employing Electrician's Name
tic-LNI a. 05
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
SS.
No -/
A1, gyre- iff ,
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
No.i? ; :C Street
Al
Amount of Permit $ 2 1 0 (Signed) Ca? e e.
(Signed)
Street /3 . 1..O.. ... h'
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No b 2 LT
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
/ Cam ; ) nStreet
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Electrical Inspec or.
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.
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.
MIAMI SHORES VILLAGE, FLA. N? 6232i
JOB )74cJQ-e-v
ADDRESS ` )4 - - ` 6 a a '
INSPECTION '` - a/
TIME READY //f 6 ✓Y4 , q - / -- C-
REMARKS •
BUILDING
ELECTRICAL
PLUMBING
ROOFING
0
Owner of
Building c - 1 ";
Contractor
or Builder
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
Architect
N9 5820
Work to be performed under this Permit
DATE 1 ` 19 !`
Contractor's h) ri q
License No. i
r1
0
Legal Lot Subdi_
Description II Bl vision
Address of - Value of I Amount of ?
`
Building (-5 ` t',- -) / Project $ I Permit $ '.J
This permit is granted tote contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. # r
Signed. : - -" ; '
� ` - � INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complianc��e' "with all ordinances acid regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper auttforities of Miami Shores Village. In as
cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee.
c.
AUTHORITY
ABBOT
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit — — Date. — —— Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address.__ � _ _e—.g _a _ t h_ '_'..7C' .;4_ • No._________________ _____________________ _Street
- __
Registered Architect and /or Engineer_'
Employing Electrician's Name-__ e_F'!__!1 L i — / 7 __F_!__!!r_4 ,Er __ __No.
Location and Legal Description Lot___________— ________ ____._ —___ ___ ____ Block Subdivision
Street and Number where work is to be performed —No 4_- - -__4/. „, • alt__ ..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__
Underground
Type of Installation — Conduit_ _- Tubing____— _ B.X.L.____ Metal Moulding-
Amount of Permit $_- — (Signed) - --' L__.. ��: - -,� -- _� - - -_ �_ ----- - - - - -.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he' understands and accepts his obligation mt 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 p osted 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.
STATE OF FLORIDA,
COUNTY OF DADE.
}
ss.
./
it
ri r 1-
it aster lectrician.
_Amps
Before me, the undersigned authority, a notary publio, duly a uthorized 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
0-1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
1
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit — — Date. — —— Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address.__ � _ _e—.g _a _ t h_ '_'..7C' .;4_ • No._________________ _____________________ _Street
- __
Registered Architect and /or Engineer_'
Employing Electrician's Name-__ e_F'!__!1 L i — / 7 __F_!__!!r_4 ,Er __ __No.
Location and Legal Description Lot___________— ________ ____._ —___ ___ ____ Block Subdivision
Street and Number where work is to be performed —No 4_- - -__4/. „, • alt__ ..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__
Underground
Type of Installation — Conduit_ _- Tubing____— _ B.X.L.____ Metal Moulding-
Amount of Permit $_- — (Signed) - --' L__.. ��: - -,� -- _� - - -_ �_ ----- - - - - -.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he' understands and accepts his obligation mt 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 p osted 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.
STATE OF FLORIDA,
COUNTY OF DADE.
}
ss.
./
it
ri r 1-
it aster lectrician.
_Amps
Before me, the undersigned authority, a notary publio, duly a uthorized 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.__79. 1
Registered Architect and /or Engineer
Employing Electrician's Name_
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date._— —
Application is hereby made for the approval of the detailed statement o f 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 M iami 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
No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street J
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service U nderground Size Feeders Conduit_. - _Main Sw , ' 4 ti Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
( Signed)
( Signed ) .
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he derstands and accepts obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Comp(!#d 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.
Master Electrician.
STATE OF FLORIDA, 1
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.
s s.
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
/ /
/
l /
yil 1....
.-- /-...
-
1 -
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.__79. 1
Registered Architect and /or Engineer
Employing Electrician's Name_
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date._— —
Application is hereby made for the approval of the detailed statement o f 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 M iami 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
No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street J
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service U nderground Size Feeders Conduit_. - _Main Sw , ' 4 ti Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
( Signed)
( Signed ) .
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he derstands and accepts obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Comp(!#d 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.
Master Electrician.
STATE OF FLORIDA, 1
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.
s s.
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
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
tot
1.
v
MIAMI SHORES VILLAGE, FLORIDA
DATE 194L.2...
PERMIT N° 8823
Work to be performed under this Permit
r t,
4
Bl.
Subdi-
vision
Contractor's
License No
Address of
Building
This permit is granted to ie contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinance) 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 s ibbmitted 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 stateme is or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed R INSPECT O R B y
In consideration of the issuance to me of this permit I agree to perform the wwrk 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.
Value of
Project
Amt. of
Permit
CONTRACTOR OR BUILDER BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Contractor
or Builder ` —
v
Architect
Legal 'Lot / Bl.
Description
Address of /.
/
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA r/
DATE }. •
PERMIT N9 8957
Work to be performed under this Permit
,» ... c k.
, •
Signed•
Subdi-
vision
Value of
Project
INSPECTOR
Contractor's
License No
! i
Amt. of
Permit t '``
By •
194!
7 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 appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be perfonned 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 daawin or in the sta�Cinents or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
r ,�
In consideration of the issuance to me of this permit I agree to perform the .vork 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
sr