ELECTRICAL PERMITPermit No
/1.//
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
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. his 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 / t
O.. (J- ..�...> 0 �h.4 No Street
Registered Architect and /or Engineer
Employing Electrician's Name '...' e / No Street
Location and Legal Description Lot �j 0 / Block Subdivision
Street and Number where work is to be performed —No 1 L... Street . q / -S I
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw
Underground
Amount of Permit $ (Signed)
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Date
The undersigned applicant for this building permit 'does hereby certify that he understan
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General ws
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 op Fork to
licensed by Miami Shores Village.
STATE OF FLORIDA, j
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths
88.
My Commission Expires
Amps Main Fuses Amps
Electrical Inspector.
d accepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
( Signed)
Master Electrician.
and take acknowledgments, personally
Notary Public, State of Florida
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.
OTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
ma rials and /or worlmanship.
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.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
•
M OTORS
0.1 HP
MOTORS
1•5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
4
S
CHECK
Permit No
/1.//
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
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. his 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 / t
O.. (J- ..�...> 0 �h.4 No Street
Registered Architect and /or Engineer
Employing Electrician's Name '...' e / No Street
Location and Legal Description Lot �j 0 / Block Subdivision
Street and Number where work is to be performed —No 1 L... Street . q / -S I
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw
Underground
Amount of Permit $ (Signed)
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Date
The undersigned applicant for this building permit 'does hereby certify that he understan
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General ws
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 op Fork to
licensed by Miami Shores Village.
STATE OF FLORIDA, j
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths
88.
My Commission Expires
Amps Main Fuses Amps
Electrical Inspector.
d accepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
( Signed)
Master Electrician.
and take acknowledgments, personally
Notary Public, State of Florida
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.
OTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
ma rials and /or worlmanship.
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.
1
Owner's Name and Address .O.(r'..;.. / d q L1 d ' I No Street
Registered Architect and /or Engineer �
Employing Electrician's Name 0 °1 1r CI P a .l_1 No Street
Location and Legal Description Lot
Street and Number where work is to be performed —No
STATE OF FLORIDA, 1
COUNTY OF DADE. I
APPLICATION FOR ELECTRICAL PERMIT
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Block
0
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders 4 i Conduit Z Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit ubi B.X.L .Metal Moulding
Amount of Permit $ V y l (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands a accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General ws 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.
(Signed) 9/6–AA-42\A-il
Date S^3
Subb si000n
Street / r V 9 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.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
/
CHECK
y .,
SERVICE
TEMP.
IC \'-'
SERVICE
PERM.
/00
7.3
MOTORS
0.1 HP
MOTORS
1•5 HP
N EON
TRANS.
RADIO
TOTAL
ENT.
SW.
DIST.
CAB.
CONTR.
LIST
/
/
CHECK
/t. O
/ l7 V
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.
1
Owner's Name and Address .O.(r'..;.. / d q L1 d ' I No Street
Registered Architect and /or Engineer �
Employing Electrician's Name 0 °1 1r CI P a .l_1 No Street
Location and Legal Description Lot
Street and Number where work is to be performed —No
STATE OF FLORIDA, 1
COUNTY OF DADE. I
APPLICATION FOR ELECTRICAL PERMIT
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Block
0
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders 4 i Conduit Z Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit ubi B.X.L .Metal Moulding
Amount of Permit $ V y l (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands a accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General ws 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.
(Signed) 9/6–AA-42\A-il
Date S^3
Subb si000n
Street / r V 9 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.
Architect
Contractor
or Builder
Legal
Description,
Address of
Building
Lot
BIDING
FLECTRICAL V PERMIT
PLUMBING r
ROOFING ] Work to be p caned under t
Owner of -A
R
Building g #g•�.l �
f
This permit is granted to the tontc os ode
berefor in strict compliance with all ordinal
drawings, statements or specifications that ma halve been s
time if the work is not done in compliance with such ordinanc
granted is the understanding ithat the contrbcor or builder named
pertaining to the work covered hereby whether show on the plans
done by his agents, servants or employees.
t TIS.I
n consideration of esaance to
ereto and in attics conformity
s permit I ass
CONTRACT'tJR•
MIAMI SHORES VILLAG
14129
gB
as
Subdi-
vision
Value of
Project
wcsrla nder fn all ances end regulations
s ctr spec catisa eub,nnr d to the proper a ithor ies of Miami Shores Village.
myself, my agent, servant or emplo
of
BY AUTHORITY
the building or to install the equipment dr devie dessxthed in the application
sranaing that the work will be perfoirmed compliance with
the proper municipal authorities. is Permit may
d without authorization. A furth oadition on is
smsis ihility for a thorough knowldp of the or
nts or specifications and that he or work