ELECTRICAL PERMITBUILDING
ELECTRICAL
PLUMBING
ROOFING
D
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N° 7372
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description Bl vision
Address of Value of l F Amount of
Building r • Project $ 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 application
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 ptatements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed
Work to be performed under this Permit
t (: .47
INSPECTOR
DATE 195 '
Contractor's
License No.
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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
6 :
CONTRACTOR OR Ethth R
Location and Legal Description Lot
Street and Number where work is to be performed —No.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No /° /.7 � Lr Date l D - 1
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./ ___ t '
Registered Architect and /or En ' r
Employing Electrician's Name___.1__ _ _ Orr —e___ 2s2 • No.4. 5
No Sheet-
State work to be performed and purpose of building (By Floors)
New Building Remode�Jig__, A�l dition �
Street-
// r
Block Subdivis n � A l
Street
Repairs No. of Stories
7C -5
Service Overhead Size Feeders Conduit_ Sw Amps
Underground
Type of Installation — Conduit_ Tubing B.X.L. Metal Moulding
Amount of Permit $ / �___� _ =_ (Signed)
STATE OF FLORIDA, 1
COUNTY OF DADE. I
ss.
The undersigned applicant for this building permit does hereby certify that understands and accepts
labor under the Florida Workmen's Compensation Act, being Section 5966, iled General Laws of Fl
has complied with the provisions thereof, and will require similar compliance om all contractors or
work to be performed under this permit; and will post or cause to be p osted 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) ._ 2 .' , F .
Main Fuses Amps
Electrical Inspector.
ligation as an employer of
Permanent Supplement, and
sub - contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
Master Electricigh 'r
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 s;gn 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 $L00 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
R ECE'P'T'S
FIXTURES
N O. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
H EATER
TOTAL
CLISTT
I /
r'
I �l
/
/
/
/
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
1 ��
SERVICE
PERM.
/
M OTORS
0.1 HP
M OTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
i
CHECK
Location and Legal Description Lot
Street and Number where work is to be performed —No.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No /° /.7 � Lr Date l D - 1
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./ ___ t '
Registered Architect and /or En ' r
Employing Electrician's Name___.1__ _ _ Orr —e___ 2s2 • No.4. 5
No Sheet-
State work to be performed and purpose of building (By Floors)
New Building Remode�Jig__, A�l dition �
Street-
// r
Block Subdivis n � A l
Street
Repairs No. of Stories
7C -5
Service Overhead Size Feeders Conduit_ Sw Amps
Underground
Type of Installation — Conduit_ Tubing B.X.L. Metal Moulding
Amount of Permit $ / �___� _ =_ (Signed)
STATE OF FLORIDA, 1
COUNTY OF DADE. I
ss.
The undersigned applicant for this building permit does hereby certify that understands and accepts
labor under the Florida Workmen's Compensation Act, being Section 5966, iled General Laws of Fl
has complied with the provisions thereof, and will require similar compliance om all contractors or
work to be performed under this permit; and will post or cause to be p osted 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) ._ 2 .' , F .
Main Fuses Amps
Electrical Inspector.
ligation as an employer of
Permanent Supplement, and
sub - contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
Master Electricigh 'r
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 s;gn 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 $L00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.