ELECTRICAL PERMITSPermit No
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Remodeling Addition
Overhea
Service er Size Feeders
STATE OF FLORIDA,
COUNTY OP DADE.
68.
Before me, the undersigned authority, a
appeared
therein by flt PUBLIC, ated are true.
STATE of i. IG1 {r�
avco
�OFIOEp Y. irta A,- is _ - +A.
My l ammgi3RP 'ia ,vi
6 2.X
MIAMI SHORES VILLAGE
ELECTR ICAL INSPECTION DEPART ENT
APPLICATION FOR ELECTRJ(AL PERMIT
Application is hereby made fa f the approval of the detailed statement of the plans and specifications herewith submitted for the building of 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 D j 9 �� � i& 30-8 . w.97 No 5 Street C. / L —
Registered Architect and /or Engineer y ,re � .� ...... e /W1
Employing Electrician's Name... .. 6 � �� Jf /9 e
3
Repairs No. of Stories
Conduit��.. vtain Sw Ampa.. ; Main Fuses Amps
Type ofInstallation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ is _.Lca
(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 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 perform der this permit, as are
licensed by Miami Shores Village. 2
notary
(Signed)....
public, duly authorized o administer oaths
d.. v/
Block
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
Date /2 t
o
Stree? /. � .C���.. 27 }
Subdivision.. / 1AVe .l. // / (
and
did
NOTE: A re-inspection fee of $l.00 will be made when such re-inspection is made necessary by improper n
materials and /or workmanship.
Master Electrician.
take acknowledgments, personally
rte: 72//g, 9.
sign the same, and that all facts
Notary Public, State h
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.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIB,
/y.
'
� -
/
t
_ ---
.0", . -
G
l ,
Pr •
_
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.8 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
J�
/J
a �
�
`
CHECK
..
Permit No
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Remodeling Addition
Overhea
Service er Size Feeders
STATE OF FLORIDA,
COUNTY OP DADE.
68.
Before me, the undersigned authority, a
appeared
therein by flt PUBLIC, ated are true.
STATE of i. IG1 {r�
avco
�OFIOEp Y. irta A,- is _ - +A.
My l ammgi3RP 'ia ,vi
6 2.X
MIAMI SHORES VILLAGE
ELECTR ICAL INSPECTION DEPART ENT
APPLICATION FOR ELECTRJ(AL PERMIT
Application is hereby made fa f the approval of the detailed statement of the plans and specifications herewith submitted for the building of 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 D j 9 �� � i& 30-8 . w.97 No 5 Street C. / L —
Registered Architect and /or Engineer y ,re � .� ...... e /W1
Employing Electrician's Name... .. 6 � �� Jf /9 e
3
Repairs No. of Stories
Conduit��.. vtain Sw Ampa.. ; Main Fuses Amps
Type ofInstallation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ is _.Lca
(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 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 perform der this permit, as are
licensed by Miami Shores Village. 2
notary
(Signed)....
public, duly authorized o administer oaths
d.. v/
Block
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
Date /2 t
o
Stree? /. � .C���.. 27 }
Subdivision.. / 1AVe .l. // / (
and
did
NOTE: A re-inspection fee of $l.00 will be made when such re-inspection is made necessary by improper n
materials and /or workmanship.
Master Electrician.
take acknowledgments, personally
rte: 72//g, 9.
sign the same, and that all facts
Notary Public, State h