ELECTRICAL PERMITMIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No... M ..�
Application is hereby made for the approval of the detailed statement of the plans and specifications here ith su ted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance o 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....e...L' ' y.F .. No Street
Registered Architect and /or Engineer
Employing Electrician's Name. -
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. I j
55.
IA
I �r
C)
Service Und rground Size Feeders.s4 Conduit., ....Main Sw .�. �� Amps
Date
......Block ! 9
C. ....1......... Street
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 wor
licensed by Miami Shores Village.
7 .t: L
Ai
Street_ /.1X
Location and Legal Description Lot
Street and Number where work is to be performed —No.. �. pQ .
State work to be perforend purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Subd ivision... S._e(.i ..p _......
/ $ O Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
Electrical Inspector.
ccepts 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.
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
RECC
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CO NN.
SPACE
HEA :'ER
STRIP
HEATER
TOTAL
CONTR.
LIST
/ 6
a &
a
U// p
0
/
1 �
�
/
Q
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEE:P.
SERVICE
PERM.
MOTOrIr,
0.1 HP
t' 0TORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONYR.
LIST
%� o .�
4
/
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No... M ..�
Application is hereby made for the approval of the detailed statement of the plans and specifications here ith su ted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance o 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....e...L' ' y.F .. No Street
Registered Architect and /or Engineer
Employing Electrician's Name. -
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. I j
55.
IA
I �r
C)
Service Und rground Size Feeders.s4 Conduit., ....Main Sw .�. �� Amps
Date
......Block ! 9
C. ....1......... Street
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 wor
licensed by Miami Shores Village.
7 .t: L
Ai
Street_ /.1X
Location and Legal Description Lot
Street and Number where work is to be performed —No.. �. pQ .
State work to be perforend purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Subd ivision... S._e(.i ..p _......
/ $ O Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
Electrical Inspector.
ccepts 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.
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..... / 3
APPLICATION FOR ELECTRICAL PERMIT
Employing Electrician's Name_C.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
�.i
Date
G— r ,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 complianc 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 wo
Owner's Name and Address. X.1 I •
No Street
Registered Architect and /or Engineer
oo No�� Street.. . cc Lam• .1 .,
Location and Legal Description ,Lot 2 / Block 4 ¶ Subdivision / %/P / 1 ' opc 3
Street and Number where work is to be performed —No 2 / 1 4 7 ith 4 7.. ( ' 7 p- n Street
State work to be performed and purposeioff building (By Floors).... .. - �`-- Ei..^I�
New Building • Remodeling Addition Repairs
No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type ne Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $..../ 0
(Signed)
lectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o. ations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid. ermanent 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.
STATE OF FLORIDA, l
COUNTY OF DADE. I
ss.
My Commission Expires
(Signed)
Notary Public, State of Florida
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.
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
PLI'YI
•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
►
AG t
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TErP.
SERVICE
PERM.
MOYO.^..',
0.1 HP
r. : oTORS
1.3 HP
N EON
TRANS.
RADIO
TOTAL
CON': R.
LIST
CHECK
Permit No..... / 3
APPLICATION FOR ELECTRICAL PERMIT
Employing Electrician's Name_C.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
�.i
Date
G— r ,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 complianc 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 wo
Owner's Name and Address. X.1 I •
No Street
Registered Architect and /or Engineer
oo No�� Street.. . cc Lam• .1 .,
Location and Legal Description ,Lot 2 / Block 4 ¶ Subdivision / %/P / 1 ' opc 3
Street and Number where work is to be performed —No 2 / 1 4 7 ith 4 7.. ( ' 7 p- n Street
State work to be performed and purposeioff building (By Floors).... .. - �`-- Ei..^I�
New Building • Remodeling Addition Repairs
No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type ne Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $..../ 0
(Signed)
lectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o. ations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid. ermanent 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.
STATE OF FLORIDA, l
COUNTY OF DADE. I
ss.
My Commission Expires
(Signed)
Notary Public, State of Florida
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.
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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE / 19
PERMIT 7768 Contractor's
Architect
Contractor
or Builder
Legal Lot
Description
CONTRACTOR OR BUILDER
Work to be performed under this Permit
B1
License No.
f
Subdi-
vision
Address of , .�. Value of II Amount of 1
Building / Project $ II 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 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 assumes respon-
sibility for work done by his agents, servants or employees.
Signed. ,.� 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
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as
cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employed.
BY AUTHORITY