ELECTRICALMIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No ------ -...._._..._._.--•----__—
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Snores 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 L _--------- No.---� Lf-------- Street �/ ' ', t
Registered Architect and/or Enginee---------............--------
Employing Electrician's Name -G`� Street
Location and Legal Description ot.— _________— r f __ » _ .. —.__ Subdivisi n-_ -- - -
Street and Number where work is to be performed —No _I_ _ - Street___L - --
State work to be performed and purpose of building (By Floors)
New Building---------------------------------- Remodeling ---------------------------- Addition -------------------------- Repairs ------------- --------- ____ No. of Stories.. ----
SWITCH
LIGHT
PLUG
FIXTURES
REFRI0.
IRON
RANGE
RANGE
WATER
W. HEAT.
SPACE
STRIP
TOTAL
OUTLETS
OUTLETS
RECE'P'T'S
NO.LAMPS
OUTLET
OUTLET
OUTLET
CONN.
HEATER
CONN.
HEATER
HEATER
CONTR.`
LIST
Jj
CHECK
J.
1
% b
`
�} J
r.�
C'
. ir✓
'YG[f (r
"r J
ENT_
SW.
DI9T�
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1-5 HP
NEON
TRANS.
r
�J,
�rAL
CONTR.
I
LIST
CHECK
! ,f
Service Overhead
round Size Feeders-�------- Conduit] _/�___ Main Sw.1_.D _ — Amps. — --- ------ Main Fuses__L � __L ____._'Amps.
UndergType of Ins tallation—Conduit---------------- Tubing -------------- - B.X.L----------------- Metal Moulding ....--._.--------- ____ ---- _..
Amount of Permit $ -- ---------- - ------ — ----- - -- --- (Sigaed) .-....... — - - - ...__...__.—_.------
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 ork to be perfo med under this permit, as are
licensed by Miami Shores Village. �v �� -
t)- . (Signed) - -I. -- -
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. �� Y
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 be 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: -inspection fee of $1.00 will be made when such re -inspection is made necessary by improper notice for inspection, or faulty
materials and/ workmanship. r� t-
4
`li 1
0
I'sL)
MIAMI SHORES VILLAGE
� d O
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PE
Permit No..J. r.`... "..».... ............... ?
Date ... .....�f�
G.�
Application is hereby made for the a p P
PP Y approval of the detailed statement of the lane 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 ropy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address.._... &!!
Registered Architect and/or Engi�eer.Li.f<!rP�... l!�rJF�ss o
........................_..................._................._..........._.......
Employing Electrician's Name._. CJ. i �7/ 1 ._...r ��'. + /G ........ ...... N........ C3/lJ...............Street.. �fzCf /"- e-
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---.................
SWITCH
LIGHT
PLUG
FIXTURES
REFRIG.
IRON
RANGE
RANGE
WATER
W. HEAT.
SPACE
STRIP
OUTLETS
OUTLETS
RECE'P'T'S
NO. LAMPS
OUTLET
OUTLET
OUTLET
CONN.
HEATER
CONN.
HEATER
HEATER
TOTAL
LIST
CHECK
ENT.
DIST.
SERVICE
SERVICE
MOTORS
MOTORS
NEON
SW.
CAB.
TEMP.
PERM.
0.1 HP
1-3 HP
TRANS.
RADIO
TOTAL
CONTR.
)�A
LIST
Z/
CHECK
Service Overhead Size Feeders....................Conduit__............_.Main Sw.---- ..__Amps........_.. --..............Main Fuses ........................... Amps
Underground
Type of Installation —Conduit ..... ...............Tubing... ........ ......... B.X.L............. ........... Metal Moulding----- -------.........................................................
........ .... ........ ...,............................... ............ .
QQ11 %
Amount of Permit $ A7r_._.:...................... ..........:..... .......... (Signed) ....... _..........fir._ ..:.............
BA�ptricixl Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig ions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P:Zaisent 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 s11 public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on wont to be •.pe 061mn ndo this permit, as are
licensed by Miami Shores Village:
(Signe ......... ..... .. ..........
STATE OF FLORIDA, Master Electrician.
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared... ........ .... ..... ........ ...... ......... _.... .......
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ...........................................
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re -inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and/or workmanship.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
F I
PermitNo......... p.q. Date ......................._......... �......._... i......... .....
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....... ..... _.._Na.5tIre et..f .
Registered Architect and/or Engineer .......-•-----------------•`--'--------••----------L----..L.....�.'...�........N...o.............................:.......q...................................------•---.....--,-
.............................--•-----•--•.
...........EmployingElectrician's Name._:�� ........ 3.......E..... ..... e..Location and Legal Description Lot................................................................... Block ........... ....... :... .................. Subdivision.. ................................. _.......
:...
Street and Numbcr where work is to be performed—Nv....... .......... ».......... ._...._...... ... .Street yf..i .__. S.T.•............_. .............
State work to be performed and purpose of building (By Floors)...........
New Building ..................... ......- ---Remodeling-•----------............••--•-..Addition.------•--•--------......•...Repairs......._.........---•-•......--••--...No. of Stories --------------------
SWITCH
LIGHT
PLUG
FIXTURES
REFRIG.
IRON
RANGE
RANGE
WATER
W. HEAT_
SPACE
STRIP
]
TOTAL
OUTLETS
OUTLETS
RECE'P'T'S
NO. LAMPS
OUTLET
OUTLET
OUTLET
CONN.
HEATER
CONN.
HEATER
HEATER
Y
CONTR.
LIST
CHECK
ENT.
DIST.
SERVICE
SERVICE
MOTORS
MOTORS
NEON
RADIO
TOTAL
SW.
CAB.
TEMP.
PERM.
0.1 HP
1•5 HP
TRANS.
CONTR.
LIST
CHECK
Service Overhead -
Service Amps
Type of Installation —Conduit....- .........»..Tubing .... ...... ........... B.X.L....».,,,...... ........ Metal Moulding.... ..,.................. ......._.............. ..... ........ :»...
... ................. ................_......._................................., ........_.................... ......... ............................. ................. ..
Amount of Permit $.��/!((!�...`�e (Signed)..., »..
......:.......
Q_
Eleetri—cal Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts is obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub, contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. -�
(Signed) ....._.....r.. .. .. ..... r--� _
Master Electrician
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared... _...... .... ...............,..... ................... ................................
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.. ............................ .......................... I ........... .
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.
7
3
El MID ❑ a
J
t9UZZ
Z
JU�0
LU �J.=JO
m W a. ce
,I
1
Pi
•
�
4
O GG
�
Cg
tim��ma
G
aGi d 'P O c7
o y.�
.d •� CL � � W
n
O D L7
0,1
m
a°
W•'7 CYW V
w
U
•�.., a,
� 4 a u .� P
'L7 14 W i,
F
G
sDa
m i'n u y O
v E u •.
Y D:. vC
P u.
,
C
C DA O
•
pap � w
�
ti .Yy •�:: X.. U Oz
kj
�
A
u •• D F7 � u en
N]
m
41
r
W
W
J
w
Q �
w
CL
t
�•Y i� u .w.
I'
fY}
a
u
06
. A
G
v
ay ��
1
❑ a
V
iP
ro;?� V u o
Y
a 4O wc�env�A
t7 u L� i, n n .
p' .�4 m0.m��
Ua ca
!
Q« rya d
J�2
11- pro°
A.
� •i.
w � T{ �
w
j
V 9
v
4N*F
g�"
L
v o
�•C•❑
❑ M O V Aro~ a�
/'�
i ' " - v•� bA d y
\ Aft u q 4 q
❑lf2
0
° � m
I___I
a�i •� o Q
.�
�
1
p•W n C�J.
10 V
c9UZC9q�
N a
Z
Z
Pj
4 ae
U�� W G
CO
a..
V a
W
�
••�
4r
a .�7"%
•
CO
W
a
w