ELECTRICAL PERMITPermit No 2-
MIAMI SHORES VILLAGE
ELECTR ICAL 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. 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
buildin during progress of work. E � Ce.;e S
::: Name and Address No Street /)/
Registered Architect and /or Engineer
Employing Electrician's Nam
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 Size Feeders
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ 2 . (Signed) "-
The undersigned applicant for this building permit does hereby certify that he understands and accep
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws o
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 sit
as are required by the Act. The undersigned agrees
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he
of the above described construction, and he has carefully read the foregoing application, and
therein by him stated are true.
58.
dersigped
Date
y`e - `No Street
nduit s tain Sw Amps Main Fuses Amps
to employ only
(Signed)
1 lectncel
is obligations as an em oyer of
rida Permanent Supplement, and
contractors employed by him in the
of the work such public notice or notices
such subcontractors, on work to be performed under this permit, as
ector.
are
to administer oaths and take acknowledgments, personally
is the
that he did sign the same, and that all facts
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
REPRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
H
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIET.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No 2-
MIAMI SHORES VILLAGE
ELECTR ICAL 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. 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
buildin during progress of work. E � Ce.;e S
::: Name and Address No Street /)/
Registered Architect and /or Engineer
Employing Electrician's Nam
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 Size Feeders
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ 2 . (Signed) "-
The undersigned applicant for this building permit does hereby certify that he understands and accep
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws o
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 sit
as are required by the Act. The undersigned agrees
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he
of the above described construction, and he has carefully read the foregoing application, and
therein by him stated are true.
58.
dersigped
Date
y`e - `No Street
nduit s tain Sw Amps Main Fuses Amps
to employ only
(Signed)
1 lectncel
is obligations as an em oyer of
rida Permanent Supplement, and
contractors employed by him in the
of the work such public notice or notices
such subcontractors, on work to be performed under this permit, as
ector.
are
to administer oaths and take acknowledgments, personally
is the
that he did sign the same, and that all facts
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
New Building Remodeling
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
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village,
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
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be
building during progress of work.
Owner's Name and Address tb�t
Registered Architect and /or Engineer
Employing Electrician's Name pp y No it.. �..I I 1 4 ..Street I.O E
Location and Legal Description Lot Block
Street and Number where work is to be performed —No 2
State work to be performed and purpose of building (By Floors)
Service Overhead Size Feeders Conduit
Underground
Type of Installation -- Conduit Tubing
MIAMI SHORES VILLAGE
Street
Addition Repairs No. of Stories
Amount of Permit $ (Signed)... 6-4
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 o
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
licensed by Miami Shores Village.
STATE OF FLORIDA, 1
COUNTY OF DADE. I
Before unde
appeared t
65.
My Commission Expires
Date " C
or other
Florida,
Division
kept at
Subdivision
G Street
Main Sw Amps Main Fuses Amps
B.X.L Metal Moulding
(Signed
Electrical Inspector.
pts 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 perfojnied-under this permit, as are
Notary Public, State of Florida
Mater Electrician.
3
ned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
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
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T's
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
SCACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
®Q
y C
z
M
t 6
I
%
i
I
1
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
h7 , C �LO
PERM. e
MOORS
MOTORS HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
yh
® E', i
3' O.,i
CHECK
A,��
Permit No
New Building Remodeling
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
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village,
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
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be
building during progress of work.
Owner's Name and Address tb�t
Registered Architect and /or Engineer
Employing Electrician's Name pp y No it.. �..I I 1 4 ..Street I.O E
Location and Legal Description Lot Block
Street and Number where work is to be performed —No 2
State work to be performed and purpose of building (By Floors)
Service Overhead Size Feeders Conduit
Underground
Type of Installation -- Conduit Tubing
MIAMI SHORES VILLAGE
Street
Addition Repairs No. of Stories
Amount of Permit $ (Signed)... 6-4
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 o
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
licensed by Miami Shores Village.
STATE OF FLORIDA, 1
COUNTY OF DADE. I
Before unde
appeared t
65.
My Commission Expires
Date " C
or other
Florida,
Division
kept at
Subdivision
G Street
Main Sw Amps Main Fuses Amps
B.X.L Metal Moulding
(Signed
Electrical Inspector.
pts 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 perfojnied-under this permit, as are
Notary Public, State of Florida
Mater Electrician.
3
ned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
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.
.
1,
6 &� ,
o 4/71
•