860 NE 91 Terr (11)OUTLET
MOTORS
RECEPTACLES
GENERATORS
STOVES
WATER H'TERB
SIGNS
BILLBOARDS
OTHER APPARATUS
MAIN
•
BRANCH
Basement
First
FLOOR
NUMBER OF
SIZES OF
INSULATION
OPEN OR
CONCEAL'D
NUMBER OF
CIRCUITS
OUTLETS
MOTOR
GEN.
MAIN
SUB
BRANCH
Basement
First
Second
Third
Fourth
Other
Floors
.
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for issuance of permit for electrical installation as described below, and for
inspection of same after installation:
Date /7 193L. •
Owner / - Address 1J er )f eP/4 '�-� -
Building Contractor
Electrical Contractor
Location of proposed work: Lot
Details of proposed work:
Number of Motors H P Volts
Signature of Applicant
ddliami chores 9' llage
F L O A 1 D A
4'
''
Work begun Inspected
7 ,.
Block Subdivision
Building: Old or new Number of stories / Used as jr-e-tf
Amps.
(SPACE BELOW FOR INSPECTOR'S UBE ONLY)
Work finished Final inspection
Description of proposed work
Phase
Additional Information
Address (if other than owner or contractor)
,Inspector
BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE 19 '
I=1 PERMIT N9 4265 Contractor's \
License No.
0
❑ Work to be performed under this Permit
Owner of
Building r •
Architect
Contractor
or Builder
Legal Lot
Description
Address of ;.' r - r. Value of I Amount of
Building ' .- `. r • t 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 employees.
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 as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. ,,--
CONTRACTOR OR BUILDER
B1
f
Subdi-
vision
Signed.
INSPECTOR
BY AUTHORITY
P&YBOT
c,12;
MIAMI 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 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 IOC No 860
Registered Architect and /or Engineer
Employing Electrician's Name Sun State Electric,„ Inc. N 9709 N.W. 2 7 Vil
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
Service Overhead Site 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.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such pu. ' notice or notices
be perl . . . is permit, as are
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 on the site
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to
licensed by Miami Shores Village.
(Signed
Date CZ.:p
N.E. s?reetTerrace
Mastea/Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths
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.
55.
and take acknowledgments, personally
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.
SFACE
H ATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS NEON
1.5 HP TRANS.
RADIO
TOTAL
CONTR.
LIST
1.2HP A/C
CHECK
2.00
c,12;
MIAMI 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 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 IOC No 860
Registered Architect and /or Engineer
Employing Electrician's Name Sun State Electric,„ Inc. N 9709 N.W. 2 7 Vil
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
Service Overhead Site 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.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such pu. ' notice or notices
be perl . . . is permit, as are
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 on the site
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to
licensed by Miami Shores Village.
(Signed
Date CZ.:p
N.E. s?reetTerrace
Mastea/Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths
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.
55.
and take acknowledgments, personally
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.
Motors
Receptacles
STREET
Stoves
PART OF LOT
LOT
BL'K
SUBDIVISION
) // j
//
// l/
'('-/
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
g
,i
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building
Co actor or Electrician
, 19
dd 1 iami Jhores91llage
F L O A I D A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla , //
LO CATI 0 N
DESCRIPTION OF WORK
NUMBER OF
191! f
1ST° 293
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 Miami Shores Village and the rules and regulations of the Electrical 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 t plans and specifica 'ons unauthorized by
this Department.
, Electrical Inspector.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed con 'ruction 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 Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
Shores Village.
• Dated ` � �DI ` ' •
i
4 /1 /g/
(Seal)
NO.
STREET
PART OF LOT
LOT
BL'K
SUBDIVISION
Signs
Billboards
Other Apparatus
/ja
P)'rtt Fed
r-
16
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
/ja
P)'rtt Fed
r-
16
ELECTRICAL PERMIT
' N. B. —This Permit must be on display on the premises during
Owner of Building
Contractor or Electrician
the construction.
c
tfhores9' llage
F L O A D A
OFFICE OF ELECTRICAL DEPARTMENT
off'
Miami Shores Village, Fla ,
LO CATI 0 N
N° 293
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 Miami Shores Village and the rules and regulations of the Electrical 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 specifiOtigns unauthorized 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
tate of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
pores Village.
Dated 1 rl . / 19
° (Seal)
THIS CERTIFICATE MUST BE PRESENTED TO THE ELECTRIC COMPANY WHEN APPLYING FOR SERVICE.
TOWN OF MIAMI SHORES
Office of Electrical Inspector 1■19
CERTIFICATE OF INSPECTION
0
THIS CERTIFIES that the wiring and apparatus installed at
by
for
Address
owner, and occupied as
has been inspected and current is authorized to be turned on, until otherwise notified,. for:
Lights :• Number of lamps ' Id off:44C- itext, Watts
Heating: Stove watts. Water Heater watts
-
Power: Connected loadfildar- /' P. volts phase cycle
,.,
Other Apparatus
2
...
Electrical Inspector.
- - '