27249Amount of Permit $
STATE OF FLORIDA.
COUNTY OF DADE. I ss '
l a
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
gt-D( Perm; —,? APPLICATION FOR ELECTRICAL PERMIT
Permit No - ». - ....... Date.... /.: v7 3 - 8 t
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, Fiu:ida,
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.
Owners Name and Address. g n2 2 ti (N, r/
Registered Architect and/or Engineer 68
ctr ,a� sr; r ALE c- Co2P
/ p g dr x!%90 air C �
Location and Legal Description LotrW/l
Street and Number where work is to be performed—No / /30
State work to be performed and purpose of building (By Floors) UN f Ea S /7y
Gam �O - /9-tiG/-1
(Signed)
(Signed)
No //
New Building >< Remodeling .Addition
C J/i?.2 / FIPi
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 o the site
as are required by the Act. The undersigned agrees to employ only such sub contractors, o work to
licensed by Miami Shores Village.
Street / & Z /hi&
45So . - EA/6.
No /07333 Street 5w a/ AV& 33/ 8$
1665 4 - 1 O . Block Subdivision.. X' ® -- *
street / Z 44/
e4'55 ZOO s
Repairs. No. of Stories. 1
S Ca C.13 Sei
Service Site Feeders.. L�.. »..,.Conduit .( G � Main Sao Amps... .Main
Type of Installation — Conduit Tubing r B.X.L .Metal Moulding
Electriu1 Inspector.
ccepts his obligations u an employer of
of Florida Permanent Supplement, and
sub - contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
>` 4
Notary Public, State of Florida
00/0830
Electridan.
Before at, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
apcared H W. N10%.L.AZ.IC ......_..............
to -rat wr31 known, And who, being by me first duly sworn, upon oath deposes and says that he is the alth.L.1 ( f F
of t'Se ii ove drvribcd construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
t..trein 1 1y him sated iie true.
iliil; tb'r_ STATE OFFLORWDA
My Commission Expires
NOTE: A re•iispection 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
LIGUT
0
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
A.G.GV
TOTAL
�: *'
1 1
63
37
1 16 r y�as
O'�1 J t /6/
/ 6304J
`37 O
'&6s
wi
CHECK
9k,g
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM
JO A'
X FMR
/ SJb
/4r
M
O.1 HP
MOTORS
r{// 1..1 HP
' _ _l
i" Q4
06
NEON
TRANS.
r
/_
( PEC
RADIO
TOTAL
CONTR. LSTR•
J amO
le
oi A
CHECK
CHECK
/ `I/°
✓
B
v3,Io
Amount of Permit $
STATE OF FLORIDA.
COUNTY OF DADE. I ss '
l a
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
gt-D( Perm; —,? APPLICATION FOR ELECTRICAL PERMIT
Permit No - ». - ....... Date.... /.: v7 3 - 8 t
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, Fiu:ida,
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.
Owners Name and Address. g n2 2 ti (N, r/
Registered Architect and/or Engineer 68
ctr ,a� sr; r ALE c- Co2P
/ p g dr x!%90 air C �
Location and Legal Description LotrW/l
Street and Number where work is to be performed—No / /30
State work to be performed and purpose of building (By Floors) UN f Ea S /7y
Gam �O - /9-tiG/-1
(Signed)
(Signed)
No //
New Building >< Remodeling .Addition
C J/i?.2 / FIPi
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 o the site
as are required by the Act. The undersigned agrees to employ only such sub contractors, o work to
licensed by Miami Shores Village.
Street / & Z /hi&
45So . - EA/6.
No /07333 Street 5w a/ AV& 33/ 8$
1665 4 - 1 O . Block Subdivision.. X' ® -- *
street / Z 44/
e4'55 ZOO s
Repairs. No. of Stories. 1
S Ca C.13 Sei
Service Site Feeders.. L�.. »..,.Conduit .( G � Main Sao Amps... .Main
Type of Installation — Conduit Tubing r B.X.L .Metal Moulding
Electriu1 Inspector.
ccepts his obligations u an employer of
of Florida Permanent Supplement, and
sub - contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
>` 4
Notary Public, State of Florida
00/0830
Electridan.
Before at, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
apcared H W. N10%.L.AZ.IC ......_..............
to -rat wr31 known, And who, being by me first duly sworn, upon oath deposes and says that he is the alth.L.1 ( f F
of t'Se ii ove drvribcd construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
t..trein 1 1y him sated iie true.
iliil; tb'r_ STATE OFFLORWDA
My Commission Expires
NOTE: A re•iispection 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.