ELECTRICAL PERMITMIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No �.X ®� Date — 9-6 /
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
Registered Architect and /or Engineer
Employing Electrician's Name.. No Street
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)
s�
No 60 StreetA E ? 1-4
New Building Remodeling Addition Repairs No. of Stories
6 0 _A r 00 ca '.-- — ,..,...cerL e
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 S ' (Signed) 0°9
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 subcontractors, on work to
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE I
ss.
(Signed)._
Electrical Inspector.
ccepts obligations as an employer of
of F. Ida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
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.
RACE
HEATER
STRIP
HEATER
TOTAL
1 C TR.
1ST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM
y
/eYA
MOTORS
0.1
MOTORS
1.5 HP
NEON
TRANS. TRANS.
el ,4...
RADIO
TOTAL
CONTR.
r=�L
/•✓(y'e
'/ 4 '
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No �.X ®� Date — 9-6 /
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
Registered Architect and /or Engineer
Employing Electrician's Name.. No Street
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)
s�
No 60 StreetA E ? 1-4
New Building Remodeling Addition Repairs No. of Stories
6 0 _A r 00 ca '.-- — ,..,...cerL e
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 S ' (Signed) 0°9
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 subcontractors, on work to
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE I
ss.
(Signed)._
Electrical Inspector.
ccepts obligations as an employer of
of F. Ida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
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.
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Owner's Name and Address.r.O.0 .J,- r. .■
Registered Architect and /or Engineer
Employing Electrician's NameLY. I ? ..4xc ' fl 1 1• C. No 14 / Street.
•
Date
p
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.
No `'e' Street l.") . 1 I S� c 4
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No A 0 Q, ) `'- . ci 1 — ~
Street
State work to be performed and purpose of building (By Floors) FL • F . 2 1 I t .7 ° t A ? p..y ,. e .
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
(Signed) IdL,K
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 performed under this permit, as are
licensed by Miami Shores Village.
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE. I j
Es.
(Signed) S
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.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
l 1 (t N 7
CHECK
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Owner's Name and Address.r.O.0 .J,- r. .■
Registered Architect and /or Engineer
Employing Electrician's NameLY. I ? ..4xc ' fl 1 1• C. No 14 / Street.
•
Date
p
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.
No `'e' Street l.") . 1 I S� c 4
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No A 0 Q, ) `'- . ci 1 — ~
Street
State work to be performed and purpose of building (By Floors) FL • F . 2 1 I t .7 ° t A ? p..y ,. e .
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
(Signed) IdL,K
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 performed under this permit, as are
licensed by Miami Shores Village.
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE. I j
Es.
(Signed) S
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.
Total
Ceiling
Bracket
Receptacle
Switch
Bell
Floods
Sub -Feeds
SERVICE
Outlets
Transformers
AMP.
AMP.
FORM 63 REV.
LEGAL DESCRIPTION:
Lot
Address 30 1 2. 9/ 5
Building Occupied as:
New Construction
ROUGH WIRING
Equipment & Special Outlets
Total Bulb or Tube Sockets
Total Sockets
Master
Electrician
Firm
Name
Stove
Wash.
Machine
Display
Case
Water
Heater
Drier
Streamer
(Festoon)
Date
Application Received
Final OK No.
OK for
RETURN ( )
Ceiling
Space
Heater
R efrigerator
Special
Outlet
/2jgm / $/yo /
ELECTRICAL INSPECTION DIVISION
MIAMI 3a, FLA.
I hereby make application for an electrical permit to install or change electrical wiring in or NO.
on the premises described below. I agree to comply with all the rules and regulations govern-
ing electrical installations in the City of Miami. DATE
Block Subdivision
RES/ L //'E
Bracket
Existing Structure
Other
Other
Sign
Main Switch
Owner or
Occupant
Address'!
INSPECTION REPORT
Inspector
Size Service
Wires
MOTORS — AIR CONDITIONERS
(List and Give H. P. of Each Motor)
Phone / P
Fee Paid
Inspection Will Not Be Made Without Permit !
Addition to Existing Building
Size Service
Conduit
Ready v
Will Call
Waiting to Cover
No. Circuit
lo
ROUGH WIRING
FINAL