585 NE 92 St (2)BUILDING p MIAMI SHORES VILLAGE, FLORIDA
PLUMBING ELECTRICAL o PERMIT N °• 8559
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder II—
Legal
Description
Address of
Building
r r"
CONTRACTOR or BUILDER
Work to be performed under this Permit_
Lot
BI
Csr't e.
Date —1 - - Z Cr 19 4)
Contractor's
License No.
O
Subdi-
vision
Sq Ft. 1 0
Value of Amount of
Project $ I Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 emploYes.
t ` I �
Signed: R /`" ` t"'_ { `�: t r ' �� 1.--- BY
In consideration of the issuance to me of this permit I agree to ' perform the work covered hereunder in compliance with all ordinances and regulation,
pertaining thereto and in strict conformity with the plans, drawing statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done y either, myself, my agent, servant or employee.
/
BY AUTHORITY
o`. C
Permit No ((
Application is hereby made for the approval of the detailed statement of the plans and specifications hereh submitted for the building or other
structure herein described. This application is made in compliarc : 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 :•ules 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 worlc.
Owner's Name and Address (7 it
, , , „ z . /1" , ,.., ;:, No Street./ ..fir.:'..._....
Registered Architect and /or Engineer _
A�� /, �5
Employing Electrician's Names f� /We1
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition..
STATE OF FLORIDA, l
COUNTY OF DADE. I
S S.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
No.c.�J -.- V.. „e c .. .Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed— No..;:- Street
Repairs .. No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type vt Installation — Conduit Tubing .._ ....... _.B.X.L .. . ... .Metal Moulding. ....... ... ..... .......................
...
5 . 0' (Signed) � , H
Amount of Permit $
(Signed L - f..._ .... - ,:. ....... E
Elrc rical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and Lccepts his obligati nsf as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Peri$ Suppler , ent. and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ployed 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 ale
licensed by Miami Shores Village.
(Signed)
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. ..
of the above described construction, a.,d 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
RECL'P•T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLZ '
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEAT:R
W. H , - ar.
CONN.
SPACE:
HE ER
STRIP
HEATEr1
TOTAL
CONTR
LIST
f
6666����
/1
CHECK
ENT.
SW.
DIS,T.
CAB.
IERVICE
TG P.
SERVICE
PERM.
$icreo.•.:
0.1 HP
^ .^.TORS
1.5 HP
N - : N
TRAM:^..
RADIO
TOTAL
CON R.
LICIT
CHECK
o`. C
Permit No ((
Application is hereby made for the approval of the detailed statement of the plans and specifications hereh submitted for the building or other
structure herein described. This application is made in compliarc : 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 :•ules 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 worlc.
Owner's Name and Address (7 it
, , , „ z . /1" , ,.., ;:, No Street./ ..fir.:'..._....
Registered Architect and /or Engineer _
A�� /, �5
Employing Electrician's Names f� /We1
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition..
STATE OF FLORIDA, l
COUNTY OF DADE. I
S S.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
No.c.�J -.- V.. „e c .. .Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed— No..;:- Street
Repairs .. No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type vt Installation — Conduit Tubing .._ ....... _.B.X.L .. . ... .Metal Moulding. ....... ... ..... .......................
...
5 . 0' (Signed) � , H
Amount of Permit $
(Signed L - f..._ .... - ,:. ....... E
Elrc rical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and Lccepts his obligati nsf as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Peri$ Suppler , ent. and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ployed 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 ale
licensed by Miami Shores Village.
(Signed)
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. ..
of the above described construction, a.,d 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.