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ELECTRICALOwner's Name and Address. Registered Architect and /or E eer Employing Electrician's Name Location and Legal Descriptio ot Amount of Permit $ STATE OP FLORIDA, COUNTY OF DADE I ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL RMIT Permit No Application is hereby made for the approval of the detailed statement of the plans and specification- ferewith mitted for the building or other structure herein described. This application is made in compliance and conformity with the Buildi •rdinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and les 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 w 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 Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) as are required by the Act. The undersigned agrees to employ only such subcontract licensed by Miami Shores Village. No Street Block "Z--- Subdivision. (Signed) No.,l. / /14.S < Street Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts s obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of rida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or su 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 to be p o ed under this permit, as are Notary Public, State of Florida 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. 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 OUT - •HT UTLETS PLUG RECE'P'T'S FIXTURES No LAMPS REFR . OUT ET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST , / CHECK sw. B ERV 1 T RVI . RM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Owner's Name and Address. Registered Architect and /or E eer Employing Electrician's Name Location and Legal Descriptio ot Amount of Permit $ STATE OP FLORIDA, COUNTY OF DADE I ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL RMIT Permit No Application is hereby made for the approval of the detailed statement of the plans and specification- ferewith mitted for the building or other structure herein described. This application is made in compliance and conformity with the Buildi •rdinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and les 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 w 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 Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) as are required by the Act. The undersigned agrees to employ only such subcontract licensed by Miami Shores Village. No Street Block "Z--- Subdivision. (Signed) No.,l. / /14.S < Street Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts s obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of rida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or su 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 to be p o ed under this permit, as are Notary Public, State of Florida 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. 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 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subm ted 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 "� � �- j^�- - '" �- No e 0 0 Registered Architect and /or Engin r c � Employing Electrician's Name )' t / ' WCOStreet .L.c.�����C �... #'.� :t:::.K...� � No.... . Location and Legal Description t Street and Number where work is to be performed—No le el r — 7/ State work to be performed and purpose of building (By Floors) New Building X Service Underground Size Feeders Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERKIT Remodeling Addition Repairs No. of Stories Block Conduit ' Main Sw.... XC ter Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding (Signed) STATE OF FLORIDA, COUNTY OF DADE. T ss. Before me, the undersigned authority, a notary public, duly authorized Date Street (Signed) °lL .!b'" to administer oaths Street & - Main Fuses Amps t�. Subdivision h /f -z et • c 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 �Plorida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or ,,6b contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspe on on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontract s, on work to lj performed under this permit, as are licensed by Miami Shores Village. . ,/' Master Electriciat 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 R!CE'P'T's FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. AC! HATER STRIP HEATER TOTAL C ONT R . •J /CI; c • 7 r y / / / f —I--- --Z-- CHECK ENT. SW. D1ST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / �+ )J ) .� , /�� . 7 , CHECK 'i/4 Yr• Pt) p ( Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subm ted 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 "� � �- j^�- - '" �- No e 0 0 Registered Architect and /or Engin r c � Employing Electrician's Name )' t / ' WCOStreet .L.c.�����C �... #'.� :t:::.K...� � No.... . Location and Legal Description t Street and Number where work is to be performed—No le el r — 7/ State work to be performed and purpose of building (By Floors) New Building X Service Underground Size Feeders Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERKIT Remodeling Addition Repairs No. of Stories Block Conduit ' Main Sw.... XC ter Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding (Signed) STATE OF FLORIDA, COUNTY OF DADE. T ss. Before me, the undersigned authority, a notary public, duly authorized Date Street (Signed) °lL .!b'" to administer oaths Street & - Main Fuses Amps t�. Subdivision h /f -z et • c 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 �Plorida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or ,,6b contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspe on on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontract s, on work to lj performed under this permit, as are licensed by Miami Shores Village. . ,/' Master Electriciat 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 Registered Architect and /or Engineer MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Employing Electrician's Name...k 't M.!.L_. - t $ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. I 55. (Signed) t3k 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 wo / _ o 1-1-7-04-4-- Owner's Name and Address Z/L- t GI . . _. No t L:o Street ' '� 1 Street. ...� Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street gl." State work to be performed and purpose of building (By Floors) (..st,..sznc=i IQ . �...R e( "r -dcz—. 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 Electrical 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 F da Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub ntractors 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)7 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIFT J CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP N EON TRANS. RADIO TOTAL CONTR. LIBT CHECK Permit No Registered Architect and /or Engineer MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Employing Electrician's Name...k 't M.!.L_. - t $ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. I 55. (Signed) t3k 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 wo / _ o 1-1-7-04-4-- Owner's Name and Address Z/L- t GI . . _. No t L:o Street ' '� 1 Street. ...� Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street gl." State work to be performed and purpose of building (By Floors) (..st,..sznc=i IQ . �...R e( "r -dcz—. 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 Electrical 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 F da Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub ntractors 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)7 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. No. Item No. Item No. Item Request Inspections Made / Switch Outlets Range Outlets - Motors, 0 -1 H. P. ' Receptacles Appliance Outlets Motors, 1 -5 H. P. Light Outlets Fan Outlets I Motors, 5 -10 H. P. FIXTURES Centers of Distribution Motors, 10 -25 H. P. Refrigerator Outlets Service— Temporary Motors, Over 25 H. P. Iron Outlets Service — Equipment Radio Outlets Approved by Space Heaters (Bath) Meter Change Radio Antenna Space Heaters (Other) Neon Transformers Violations Connected 19 Water Heater Outlets Sig Outlets Reinspection ELEC TRICAL,,.- 4RMIT APPLICATION dive full and accurate information,4 /f 7/ -/ Date /a "p70 19 ELECTRICAL DEPARTMENT of the CITY of MIt BEACH, Application is herewith made for an electrical permit covering an plicant hereby agrees to make such installation in accordance with co • Name • Add /6de p Electrical Contractor Master's Signature M. B. T. 3M 10/60 l5 ( 'Ai++e•4d W1...a -:La.J C..(�A :A:If electric installation in or on the premises stated below. The ap- the requirement of the Oity of Miami 'Beach, Florida, electrical Lot Block Sub - Division Permit Number APPLICATION FOR ELECTRICAL PERMIT Permit No Z S ` Date ` e 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 7" // .8, .. ..��'.���... � No..,! d © O Street ��–� ......f,f / // - Registered Architect and /or Engineer Employing Electrician's Name New Building Remodeling Addition MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No f d G O Street.... ,4 State work to be performed and purpose of building (By Floors) 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) 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 Law 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 to licensed by Miami Shores Village. STATE OF FLORIDA, • l COUNTY OF DADE. J j 58. (- No + co o Street .. h /� J1 Repairs No. of Stories Electrical is his obligations as an employer 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 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. £� A CE HEA TER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST r /I CHECK APPLICATION FOR ELECTRICAL PERMIT Permit No Z S ` Date ` e 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 7" // .8, .. ..��'.���... � No..,! d © O Street ��–� ......f,f / // - Registered Architect and /or Engineer Employing Electrician's Name New Building Remodeling Addition MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No f d G O Street.... ,4 State work to be performed and purpose of building (By Floors) 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) 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 Law 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 to licensed by Miami Shores Village. STATE OF FLORIDA, • l COUNTY OF DADE. J j 58. (- No + co o Street .. h /� J1 Repairs No. of Stories Electrical is his obligations as an employer 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 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. s MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 0.../4/( . 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 Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building d f k ui Ing unng progress o work. • e 4: Owner's Name and Address Q Registered Architect and /or E / j✓ Employing Electrician's Name_.! i - 4 , ' L ? Q No 34 Street._ 2 ,a Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No / Street Akre f 9/ 54°1 F.. SS. New Building Remodeling Addition Repairs (Signed State work to be performed and purpose of building (By Floors) 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 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. STATE OF FLORIDA, } COUNTY OF DADE. 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. ACE HATER STRIP HEATER TOTAL COLINTR. ST / / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK ' s MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 0.../4/( . 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 Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building d f k ui Ing unng progress o work. • e 4: Owner's Name and Address Q Registered Architect and /or E / j✓ Employing Electrician's Name_.! i - 4 , ' L ? Q No 34 Street._ 2 ,a Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No / Street Akre f 9/ 54°1 F.. SS. New Building Remodeling Addition Repairs (Signed State work to be performed and purpose of building (By Floors) 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 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. STATE OF FLORIDA, } COUNTY OF DADE. 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. FLORIDA BUILDING ❑ ELECTRICAL Q DATE 195 E R M I T N? 8 9 9 3 Contractor's ,. t PLUMBING ❑ �' License No 2 7 .+ ✓ ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building 1 Architect Contractor or Builder Legal Description Address of Building Lot A • CONTRACTOR OR BUILDERS'' Bl. 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. Subdi- vision c'" Sq. Ft Value of Project $ Amt. of Permit $ Signed: �.. INSPECTOR In consideration of the issuance to me of this permit I agree to perform 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 / 4 assume respond9ility for all work done by either, myself, my agent, servant or employee. BY AUTHORI'T'Y 7 MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ DATE Ir° "' t 195 f ELECTRICAL ® PERMIT T N? 9191 Contractor's 1 y PLUMBING El l License No ? ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot ��. 61 4 c! (, i ` 1t • .r NTRACTOR OR BUILDER Tiffs .i pL Bl Subdi- vision Sq. Ft Value of 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. A. . - Signed• BY EC ifte Amt. of Permit N BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered 1ereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications 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. AUTHORITY