9050 NE 8 Ave (6)Permit No.___
Application is hereby made for the approval
structure herein described. This application is
and all provisions of the Laws of the State of
of Miami Shores Village shall be complied
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engiter
Employing Electrician's Name
f
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
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 $_
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
SS.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Date — — of the detailed statement of the plans and specifications herewith submitted for the building or other
made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
with, whether herein specified or not. A copy of approved plans and specifications must be kept at
1 - _ Street
— — — No.
Street l
(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 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 work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) - _J
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 he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
No. of Stories
Master Electrican,
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
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
CHECK
Permit No.___
Application is hereby made for the approval
structure herein described. This application is
and all provisions of the Laws of the State of
of Miami Shores Village shall be complied
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engiter
Employing Electrician's Name
f
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
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 $_
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
SS.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Date — — of the detailed statement of the plans and specifications herewith submitted for the building or other
made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
with, whether herein specified or not. A copy of approved plans and specifications must be kept at
1 - _ Street
— — — No.
Street l
(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 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 work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) - _J
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 he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
No. of Stories
Master Electrican,
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 Date —cc, •
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, ;?Iorida,
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 Divissen
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-.ft"/r4 °% a.. 1�ISr ....No..- ,77,Y, , Street
Registered Architect and /or Engineer
Employing Electrician's Name - -/U - -K7:�( �&-. -_. -� .....
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 7 -, - - -- ... ./ W. "‘" Street
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
SS.
0
MIAMI SHORES VILLAGE
ELECTRICAL. INSPECTION EPARTMENT
_Street - ............c .1/-L--.....::,:- .
6
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Overea
m ervice Und ergroun h d Size Feeders Conduit Main Sw Amps. 4
.iiitMain Fuses Amiss
Type of Installation — Conduit Tubing B.X.L etal Moulditvt.a
(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 St-pplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in th;:
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 notice
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as
licensed by Miami Shores Village.
6 - / d,
(Signed)... �- �..f.�l. -n. e✓�' �c�. � 1�,�..:.t
!� Master El et ician.
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
- t` " "
`6 U
'7'..;°4
"' •UTLET
RANGE
OUTLET
RIFFPLt
WATER
HEATER
W. HEAT-
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
-
%,-
• .,
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
p
b
_a___
MOTORS
0.1 HP
MOTORS
1•5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR. ST
LIST
CHECK
Permit No Date —cc, •
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, ;?Iorida,
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 Divissen
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-.ft"/r4 °% a.. 1�ISr ....No..- ,77,Y, , Street
Registered Architect and /or Engineer
Employing Electrician's Name - -/U - -K7:�( �&-. -_. -� .....
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 7 -, - - -- ... ./ W. "‘" Street
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
SS.
0
MIAMI SHORES VILLAGE
ELECTRICAL. INSPECTION EPARTMENT
_Street - ............c .1/-L--.....::,:- .
6
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Overea
m ervice Und ergroun h d Size Feeders Conduit Main Sw Amps. 4
.iiitMain Fuses Amiss
Type of Installation — Conduit Tubing B.X.L etal Moulditvt.a
(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 St-pplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in th;:
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 notice
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as
licensed by Miami Shores Village.
6 - / d,
(Signed)... �- �..f.�l. -n. e✓�' �c�. � 1�,�..:.t
!� Master El et ician.
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.
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters Signs
Billboards
Other Apparatus
Permit Fee
1
ELECTRICAL PERMIT Town of Miami Shores
N. B. —This Permit must be on display on the premises
during the construction.
Owner of Building
Contractor or Electrician PROPOSED LOCATION
NO.
STREET
Dated , 192
PRINTING CO., MIAMI, FLA.
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores, Florida, , 192
PART OF LOT
NUMBER OF
LOT
DESCRIPTION OF WORK
BL'K
N° 191
TOWN, ADDITION, OR SUBDIVISION
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of the Town of Miami Shores and the rules and regulations of the Electrical Department of the Town of Miami Shores. This Permit may be revoked at
any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unau-
thorized by this Department.
, Electrical Inspector.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
-he Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
state of Florida, all the Electrical Ordinances and Codes of the Town of Miami Shores, and all rules and regulations of the Electrical Department of the
'own of Miami Shores.
(Seal)
.
STREET
PART OF LOT
LOT
BL'K
TOWN, ADDITION, OR SUBDIVISION
Billboards
Other Apparatus I
Permit Fee
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters Signs
Billboards
Other Apparatus I
Permit Fee
r
i , 4 .
ELECTRICAL PERMIT Town of Miami Shores
N. B. —This Permit must be on display on the premises
during the construction. ,
Owner of Building
Contractor or Electrician.:_
OFFICE OF ELECTRICAL DEPARTMENT
,. �
Miami Shores, Florida,...::: r , 192
PROPOSED LOCATION
N° 191
DESCRIPTION OF WORK
NUMBER OF
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of the Town of Miami Shores and the rules and regulations of the Electrical Department of the Town of Miami Shores. This Permit may be revoked at
any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unau-
thorized by this Department.
Dated_ .1
STRANGE PRINTING CO., MIAMI, FLA.
, 192
_, Electrical Inspector.
�In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Electrical Ordinances and Codes of the Town of Miami Shores, and all rules and regulations of the Electrical Department of the
Town of Miami Shores.
(Seal)
Permit No.
Service Overhead Size Feeders Conduit__.
Underground
Type of Installation— Conduit Tubing
Amount of Permit $_—
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
r
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 No
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Block
Street and Number where work is to be performed— No. ______ 'f
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
B.X.L
(Signed)
No
Main Sw. Amps
Metal Moulding
(Signed)
Date _' _ .rr ,
Street
Subdivision
Street
Street
Main Fuses
My Commission Expires Notary Public, State of Florida
No. of Stories
Master Electrican.
Amps.
•'/ Electrical Lector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligacions 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 work to be performed under this permit, as are
licensed by Miami Shores Village.
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 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
OUTLETS
LIGHT
OUTLETS
PLUG
RECEIP'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
CHECK
Permit No.
Service Overhead Size Feeders Conduit__.
Underground
Type of Installation— Conduit Tubing
Amount of Permit $_—
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
r
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 No
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Block
Street and Number where work is to be performed— No. ______ 'f
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
B.X.L
(Signed)
No
Main Sw. Amps
Metal Moulding
(Signed)
Date _' _ .rr ,
Street
Subdivision
Street
Street
Main Fuses
My Commission Expires Notary Public, State of Florida
No. of Stories
Master Electrican.
Amps.
•'/ Electrical Lector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligacions 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 work to be performed under this permit, as are
licensed by Miami Shores Village.
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 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.
Bk�iiRe=
ELECTRICAL PERMIT A N° 940
PidiagaitiC
Owner of Building
Architect and /or Engineer
Contractor or-Prtti}tter_____
Proposed Location
LOT
NAME
NAME
NAME
BLOCK
ADDRESS
ADDRESS
ADDRESS
SUB - DIVISION NO.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPART ENT,
. 19
LICENSE NO.
LICENSE NO.
STREET
This permit is issued to To
the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon' the express kondition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in alccordancg
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said
laws, ordinances or rules and regulations, or ..upon any change in the plans and specifications unauthorized by the building inspector.
AMOUNT RECD. PAYMENT ACCT. DEPT. INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building ordinances and zoning laws of Miami Shores Village aiid all rules and regulations of the building department of Miami Shores Village
Dated , 19 1
(SEAL)
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planni g Board.
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
ROOFING
MIAMI SHORES VILLAGE, FLORIDA
0
°❑ PERMIT x° 6103
Owner of
Building j l
Architect
Contractor
or Builder
Legal Lot
Description Bl.
CONTRACTOR OR BUILDER
Work to be performed under this Permit__
DATE _ _ 19
Subdi-
vision
Contractor's
License No.
Address of Value of 1 Amount of
Building Project $ 1' 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 be assumes respon-
sibility for work done by his agents, servants or employees.
Signed: 0 - _ — -- -- — - - _– -_- -- INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder n compliance with all ordinances asd'regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac•
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
AY BOT .."
Permit No
(�rc, 3
Amount of Permit $
STATE OF FLORIDA, }
d /
COUNTY OF
DADE.
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION
PPLUUAT➢ON FOR ELECT OCTAL PER OT
D,te _ — ‘ ) �.
Application is hereby made for the approval of the detailed statement of the pi:.ns and specifications herewith submitted for the building or other
structure herein described. This application is made in complia:,c and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida all ordinances :r 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.
1 ri a rc e �i No 1 = C ; z?�
Owner's Name and Address � � .d..' �� � � � ,. � �,�' Street_... 1 °- ' 1�'`
Registered Architect and /or Engineer _ h p f
Employing Electrician's Name. or.
`�'`� ' l 1 t�l, C u Q �o ►c -•No Street__ L
t•3
(Signed)
C PCB tTNII
(Signed)......Y_
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed— No.._.2 .... Lf ? ; Street
State work to be performed and purpose of building (By Floors) h F'4 ,F� g 'fl. E --= , - �'Gi 4
New Building Remodeling Addition 7' Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main ?uses Amps
Undergroand
Type Installation— Conduit. .. _TA lg.. . ......B.X.L.. . . . . Meta /Moulding. .. . - . .. . .._........ .. .
11 2-14 s c ?, 7 , ,e .�. e . i4s - ? - t d 0 = . ... re. - -�:.zu �/r/1:. -
Elr.cer cal Inspector.
The undersigned applicant or this building permit does hereby certify that he understands and :.ccepts obligations as an employer of
labor under the :lorida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fi ida Permanent Suppler,ent 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 subcontractors, on work to be performed under this permit, as a e
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 t h e
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 $1.00 will be made when such reinspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGH?
OUTLETS
PLUG
RECE'P•T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTL.::'
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WAY ^.R
HEAT 2R
V . Hr u!.
CONN.
SPAC..
HE ER
STRIP
HEATE:'
TOTAL
CONTR
LIST
CHECK
ENT.
SW.
DIET.
CAB.
1E11V ICE
T. P.
SERVIC°
PERM.
:ci0 CO. '.:
0.1 HP
. ;TORS
1•$ HP
iV ? ^N
TRAM'.
RADIO
TOTAL
CON :
LILT
CH EC12
Permit No
(�rc, 3
Amount of Permit $
STATE OF FLORIDA, }
d /
COUNTY OF
DADE.
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION
PPLUUAT➢ON FOR ELECT OCTAL PER OT
D,te _ — ‘ ) �.
Application is hereby made for the approval of the detailed statement of the pi:.ns and specifications herewith submitted for the building or other
structure herein described. This application is made in complia:,c and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida all ordinances :r 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.
1 ri a rc e �i No 1 = C ; z?�
Owner's Name and Address � � .d..' �� � � � ,. � �,�' Street_... 1 °- ' 1�'`
Registered Architect and /or Engineer _ h p f
Employing Electrician's Name. or.
`�'`� ' l 1 t�l, C u Q �o ►c -•No Street__ L
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(Signed)
C PCB tTNII
(Signed)......Y_
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed— No.._.2 .... Lf ? ; Street
State work to be performed and purpose of building (By Floors) h F'4 ,F� g 'fl. E --= , - �'Gi 4
New Building Remodeling Addition 7' Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main ?uses Amps
Undergroand
Type Installation— Conduit. .. _TA lg.. . ......B.X.L.. . . . . Meta /Moulding. .. . - . .. . .._........ .. .
11 2-14 s c ?, 7 , ,e .�. e . i4s - ? - t d 0 = . ... re. - -�:.zu �/r/1:. -
Elr.cer cal Inspector.
The undersigned applicant or this building permit does hereby certify that he understands and :.ccepts obligations as an employer of
labor under the :lorida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fi ida Permanent Suppler,ent 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 subcontractors, on work to be performed under this permit, as a e
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 t h e
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 reinspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.