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ELECTRICAL PERMITBUILDING ELECTRICAL PLUMBING ROOFING Owner of Building G. ,r. «t ►.{ MIAMI SHORES VILLAGE, FLORIDA ❑ DATE + 19 61 '' PERMIT 0 ❑ Work to be performed under this Permi Architect Contractor or Builder l � ' Legal Description Address of Building Lot BL ti- - 4 " ' ^ � \ Value of T II Amount of s 4 �\ 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 applica- tion 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 statements or specifications and that he mes respon- sibility for work done by his agents, servants or employees. cONTRACrOR OR BUILDER N 7 N° 7234 L c. Contractor's f 3 License No. /01v Subdi- vision Signed. ECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance witty ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoritU6s o iami Shores Village. In ae cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. t! r c , r �. >ti,,,. / 2!. BY AUTHORITY ACIOT KUILDING t- LECTRICAL ' LUMBING =OOFING Dwner of �uildinq rtrchitect =ontractor r Builder 1/ j --ega1 Lot ?escription a ddress of 4) 3uildinq CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA ❑ p PERMIT N9 3331 Work to be performed under this Permit -- B1 Subdi- vision Value of Project $ BY DATF 3 - C: 195_(„_ Contractor's License No. Amount of Permit $ AUTHORITY 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 ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, Irawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime 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 .ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations :ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work one by his agents, servants or employees. 1 ' Signed. ; ; ) nc� BY INSPECTOR 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 - .enabling thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- -opting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Permit No 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 o• other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, F.o.ida, 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 Divieion 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. G oer d. 6 l9 1. 1 3 .1 / No F .. Street. .. Owner's Name and Addres �� Service Overhead Amount of Permit $ OS. (Signed). (Signed) r .r.:...,. Date./ 7 v Registered Architect and /or Engineer . Employing Electriciai4's Name 1. 0Z, /1 4-C...,0 . No..(? ..� E Street/#2/(. 6 4 - Location and Legal Description Lot Block Subdivision. Street and Number where work is to be performed —No `" p ...,.7 Street..1( X ... F State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Underground Size Peeders Conduit.. _.........Main Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing....... ...........B.X.L.. Metal Moulding Electrical Inspectcr. 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 Sunplemen'., 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. Master Electrician. STATE OF FLORIDA, } COUNTY OP DADE. 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 aI facts therein by him stated are true. My Commission Expires Notary Public, State of a'lorida NOTE: A re-inspection fee of $1.00 will be made churn 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 i2 EPR I0. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER 'TOTAL CONTR. LIST -17. TOTAL CHECK DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS y 1 / 1. ..8 HP '( �l 1� N EON /' TRANS. ; 1ADIO ... ENT. SW. C� LIST /,f ^ / �S� f' 31:, s .. CHkICR . Permit No 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 o• other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, F.o.ida, 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 Divieion 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. G oer d. 6 l9 1. 1 3 .1 / No F .. Street. .. Owner's Name and Addres �� Service Overhead Amount of Permit $ OS. (Signed). (Signed) r .r.:...,. Date./ 7 v Registered Architect and /or Engineer . Employing Electriciai4's Name 1. 0Z, /1 4-C...,0 . No..(? ..� E Street/#2/(. 6 4 - Location and Legal Description Lot Block Subdivision. Street and Number where work is to be performed —No `" p ...,.7 Street..1( X ... F State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Underground Size Peeders Conduit.. _.........Main Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing....... ...........B.X.L.. Metal Moulding Electrical Inspectcr. 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 Sunplemen'., 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. Master Electrician. STATE OF FLORIDA, } COUNTY OP DADE. 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 aI facts therein by him stated are true. My Commission Expires Notary Public, State of a'lorida NOTE: A re-inspection fee of $1.00 will be made churn 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 Application is hereby made fo,r the approval of the detailed statement of the plans and specifications here ith 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 :ules 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 gt building during progress of wo: k. Owner's Name and Address No / Street Registered Architect and /or Engi Employing Electrician's Name Amount of Permit $ STATE OF FLORIDA, j COUNTY OF DADE 17 ss. 6, (Signed) .Metal Moulding. Dite 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) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type if Installation — Conduit Tubing B.X.L.. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Suppler'ent, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors e,>iployed 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 i public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. � (Sig r Maste Ele n. 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, a,,d 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 P_UO RECIZ'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLEY IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HE ^. ER STRIP HEATEr: TOTAL CONTR . LIST / CHECK ENT. SW. DIsr. CAB. 3EF:VICE Tz ■'P. SERV ICF PERM. Ri O'iOZ'.; 0.1 HP . "..3TORS 1.3 HP N E!tN TRANC. RADIO TOTAL CON .n. LIST CHECK Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made fo,r the approval of the detailed statement of the plans and specifications here ith 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 :ules 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 gt building during progress of wo: k. Owner's Name and Address No / Street Registered Architect and /or Engi Employing Electrician's Name Amount of Permit $ STATE OF FLORIDA, j COUNTY OF DADE 17 ss. 6, (Signed) .Metal Moulding. Dite 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) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type if Installation — Conduit Tubing B.X.L.. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Suppler'ent, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors e,>iployed 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 i public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. � (Sig r Maste Ele n. 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, a,,d 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. Owner's Name and Address Street and Number where work ill to be performed —No Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. I 88. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 3 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. y....L 2/el Registered Architect and /or Engineer Employing Electrician's Name No d Street Location and Legal Description :Lot Block Subdivision No Ire Street Street State work to be performed and purpose of building (By Floors) ;r 'I F % e r' New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feederii Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) (Signed) 4;z Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts' is 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 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. Date 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 cif $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'VT'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. 7 •7141110WER W. HEAT. CONN. atomic HEATER STRIP HEATER f ' i TOTAL CONTR. L IST / 144 re • y d't ► f f P . CHECK ENT. SW. DIET. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Owner's Name and Address Street and Number where work ill to be performed —No Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. I 88. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 3 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. y....L 2/el Registered Architect and /or Engineer Employing Electrician's Name No d Street Location and Legal Description :Lot Block Subdivision No Ire Street Street State work to be performed and purpose of building (By Floors) ;r 'I F % e r' New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feederii Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) (Signed) 4;z Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts' is 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 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. Date 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 cif $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 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT MIAMI SHORES VILLAGE Owner's Name and Address 4 . .. �.._ 7 !4 '`No No Street Date 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. Block Subdivision r' - Street r .. Registered Architect and /or Engineer' Employing Electrician's Name ,. / Location and Legal Description Lot / 3 Street and Number where work is to be performed —No ..^ i Street State work to be performed and purpose of building (By Floors) ' iL'' 4.,f.. ;_.. s ?i!�. New Building Remodeling Addition Repairs No. of Stories Service Overhead Luutratiaund Size Feeders Conduit... / ° .Main Sw Amps Main Fuses Amps Type of Installation— Conduit. Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADS 3 (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 performed under this permit, as are licensed by Miami Shores Village. (Signed)._^... 1 ti.... ..;� 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 ggskmanship. 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 (' / F .-� /� .; / //' n 7 C /1 / E.. '. •. CHECK ._... ya . ,. :... — .: ENT. SW. DIST. CAB. SEP VICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP N EON TRANS. RADIO TOTAL. CONTR. LIST / � l� d e CHECK mod- " ._ . •. o :(M - Permit No ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT MIAMI SHORES VILLAGE Owner's Name and Address 4 . .. �.._ 7 !4 '`No No Street Date 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. Block Subdivision r' - Street r .. Registered Architect and /or Engineer' Employing Electrician's Name ,. / Location and Legal Description Lot / 3 Street and Number where work is to be performed —No ..^ i Street State work to be performed and purpose of building (By Floors) ' iL'' 4.,f.. ;_.. s ?i!�. New Building Remodeling Addition Repairs No. of Stories Service Overhead Luutratiaund Size Feeders Conduit... / ° .Main Sw Amps Main Fuses Amps Type of Installation— Conduit. Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADS 3 (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 performed under this permit, as are licensed by Miami Shores Village. (Signed)._^... 1 ti.... ..;� 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 ggskmanship. Permit No Amount of Permit $ 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 o1 other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fia:ida, 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. Y-1- 71,9g/ Owners Name and Address.. ° /1 /f, / / No / Street. Registered Architect and /or Enp;ineer /� y r Em loying ecttriicia6's Name �� ! �i�/ (� �G��/li fc'c ' CP No , =" Street. ���r ! ll r tion �/ 1.,.:_,:7--e9 >fnd 4 ,f Description Ibc L – / . ', / /47'14.1 �" Black �.:� Subdiviaion....�>r. �� < Street and Number where work is to be performed— No...j 1 ./.‘ Street. State work to be performed and purpose of building (By Floor ' 'Zi ..,e- .lest fGg &.. '�j • New Building Remodeling ... .. .Repairs.. ..........No. of Stories. (Signed) Pl Imo oy (Signed) 2 /» Servi Over / n erground Site Feeders.! .....Conduit t .Main Sw..... X2 ,A .Main F, uses ........... _....... Amps Type of Installatio � .Tubing B.X.L .Metal Moulding Electrical Inspector. The undersigned applicant for this budding 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 3966, Compiled General Laws 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 inspectioygn the site of the work such public notice or notices u are required by the Act. The undersigned agrees to employ only such sub•contracto on work to be performed under this permit, u are licensed by Miami Shores Village. Assam Electrician. STATE OF FLORIDA, COUNTY OF DADE. I "' Before me, the undersigned authority, a notary public. duly authorised 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 Empires • **- Noeary Public, State of Florida NOTE: A re-inspection fee of 31.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS Li GMT 0 PLUG RcCe'P'T'S FI *TURts NO LAMPS RE /R1 O UTLET IRON OUTLET OUTLET RAMSS CONN. WATER H (ATVR W. 14 EAT. CONN. /PACE H4Tq STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. Dist. CAS. SERVICII TEMP. SERVICE PERM. 4 7/C42 / j., f,/‘)// / / Mamas 0.1 H MOTORS 1.5 MP Num TRANS. RADIO v TOTAL CONTI,. LIST /J :AVVA- f CS r /' CHICK Y r. G am- —Y' .� Permit No Amount of Permit $ 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 o1 other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fia:ida, 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. Y-1- 71,9g/ Owners Name and Address.. ° /1 /f, / / No / Street. Registered Architect and /or Enp;ineer /� y r Em loying ecttriicia6's Name �� ! �i�/ (� �G��/li fc'c ' CP No , =" Street. ���r ! ll r tion �/ 1.,.:_,:7--e9 >fnd 4 ,f Description Ibc L – / . ', / /47'14.1 �" Black �.:� Subdiviaion....�>r. �� < Street and Number where work is to be performed— No...j 1 ./.‘ Street. State work to be performed and purpose of building (By Floor ' 'Zi ..,e- .lest fGg &.. '�j • New Building Remodeling ... .. .Repairs.. ..........No. of Stories. (Signed) Pl Imo oy (Signed) 2 /» Servi Over / n erground Site Feeders.! .....Conduit t .Main Sw..... X2 ,A .Main F, uses ........... _....... Amps Type of Installatio � .Tubing B.X.L .Metal Moulding Electrical Inspector. The undersigned applicant for this budding 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 3966, Compiled General Laws 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 inspectioygn the site of the work such public notice or notices u are required by the Act. The undersigned agrees to employ only such sub•contracto on work to be performed under this permit, u are licensed by Miami Shores Village. Assam Electrician. STATE OF FLORIDA, COUNTY OF DADE. I "' Before me, the undersigned authority, a notary public. duly authorised 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 Empires • **- Noeary Public, State of Florida NOTE: A re-inspection fee of 31.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.