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ELECTRICALPermit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plane and specifications herewith' submitted for the building 01 other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu: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. ��JJ Owner's Name and Addresii�1,4 ', _ . Registered Architect and /or Engineer Employing Electriciafi'e Name. 6eft14/le c_. rq"Wt_1Qo No /4 42-/...../Y Date Street 14/Street 3 Location and Legal Description Lot Block Subdivision 3 Street and Number where work is to be performed—No .. ... /..b.....� State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Overhead f Service Size Feeders � ain Sw Type of stallation-- Conduit Tubing // B.X.L Metal Moulding i.. �.....VA.t Amount of Permit $ ("' Z (Signed) Am ps 40 . Main Fuses ...... Amps Street bRACoo 'S” No. of Stories 1 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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-contra . s 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 w•rk su• public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on w. k to be perf . r ed nder this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, l COUNTY OF DADE. I °°' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and ke 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'•'T'O FIXTURES NO LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE NEATER STRIP H TOTAL CONTR. LIST CHECK 1.00 ENT. SW. DIST. CAO. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.0 HP NEON TRANS. RADIO TOTAL CL IST LIST �/]�� CHECK Vo; IV • 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 plane and specifications herewith' submitted for the building 01 other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu: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. ��JJ Owner's Name and Addresii�1,4 ', _ . Registered Architect and /or Engineer Employing Electriciafi'e Name. 6eft14/le c_. rq"Wt_1Qo No /4 42-/...../Y Date Street 14/Street 3 Location and Legal Description Lot Block Subdivision 3 Street and Number where work is to be performed—No .. ... /..b.....� State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Overhead f Service Size Feeders � ain Sw Type of stallation-- Conduit Tubing // B.X.L Metal Moulding i.. �.....VA.t Amount of Permit $ ("' Z (Signed) Am ps 40 . Main Fuses ...... Amps Street bRACoo 'S” No. of Stories 1 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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-contra . s 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 w•rk su• public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on w. k to be perf . r ed nder this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, l COUNTY OF DADE. I °°' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and ke 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. BUILDING ELECTRICAL PLUMBING Owner of Building Lot it I assume PERMIT N° 4906 o performed under this Permit' Work Architect Contractor or Builder Legal Description Address of Building 1. This permit is granted to the contractor or builder named above construct the building or to install the equipment or device described in the appli- �133 OR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA_ � DATE 194 Bl. Signed. Subdi- vision Value of Project r all work done by either myself, my agent, servant or employee. �; 1v BY • Contractor's Lic ense No. Amt. o Permit` to mm work wffl b cation herefor in strict compliance with all ordinances ertag thereto and with the understanding that the be p erformed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved •y 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 perfnit is granted is the understanding that the contractor or builder named above regulations pertaining to the work covered hereby whether shown on the plans or dr sibility for work done by his agents, servants or employees. authorization. A further condition upon which this ity fgf'a thorough knowledge of the ordinances and enrjts.or specifications and that he assumes respon- By CTOR In consideration of the issuance to me of this permit I agree to perform the work covere4 ereund r in compliance with all ordinances and re . ations pertaining thereto and in strict conformity with the plans, drawings, statements or specificatiggs submitted to the proper autlitilllies of Miami Slot. -. \ llage. In accWCf �jn pe AUTHORITY PPLICATION FOR ELECTRICAL PERMIT Da Permit 6 It{ N __ __Q_ __ te ___ 4�- � `� 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 Burin ress of work. — _ g Owner's Name and Address ___;'� _____��Z_�'_� --"J• No. – – – – — – — — Street__ Registered Architect and /or Englq er Employing Electrician Namet'�! _v No ___ Street __ -- Location and Legal Description Lot_______ _VO.,..._— _______ —____ Block Subdivision Street and Number where work is to be performed —No I 8 I - ° Street � __ State work to be perfortx�ed "and purpose of building (By Floors) New Building Remodeling Addition.. Repairs ____ No. of Stories _______ – ______ Overhead / 9 Service Underground Size Feeders__._ Conduit. / c-, — Main Sw.___' Amps. Type of Installation— Conduit Tubing Amount of Permit $ (Signed) � DZ 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 com- plied 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. es. My Commission Expires MIAMI SHORES VILLAGE' ELECTRICAL INSPECTION DEPARTMENT B.X.L. _ Metal Moulding I =Main Fuses 'i Notary Public. State of Florida (Signed) – – -- – – –,– I 1 Master Electrican. STATE OF FLORIDA, COUNTY OF 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, that 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 FIXTURES NO. LAM REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CO WATER HEATER W. H EAT. CONN. SPACE H EATER STRIP HEATER TOTAL CONTR. LIST CHECK .. 1 ai 7. Z, is /A . 0 ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0-1 HP M OTORS 1 -5 HP N EON TRANS. RADIO TOTAL CONTR. LIST // CHECK PPLICATION FOR ELECTRICAL PERMIT Da Permit 6 It{ N __ __Q_ __ te ___ 4�- � `� 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 Burin ress of work. — _ g Owner's Name and Address ___;'� _____��Z_�'_� --"J• No. – – – – — – — — Street__ Registered Architect and /or Englq er Employing Electrician Namet'�! _v No ___ Street __ -- Location and Legal Description Lot_______ _VO.,..._— _______ —____ Block Subdivision Street and Number where work is to be performed —No I 8 I - ° Street � __ State work to be perfortx�ed "and purpose of building (By Floors) New Building Remodeling Addition.. Repairs ____ No. of Stories _______ – ______ Overhead / 9 Service Underground Size Feeders__._ Conduit. / c-, — Main Sw.___' Amps. Type of Installation— Conduit Tubing Amount of Permit $ (Signed) � DZ 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 com- plied 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. es. My Commission Expires MIAMI SHORES VILLAGE' ELECTRICAL INSPECTION DEPARTMENT B.X.L. _ Metal Moulding I =Main Fuses 'i Notary Public. State of Florida (Signed) – – -- – – –,– I 1 Master Electrican. STATE OF FLORIDA, COUNTY OF 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, that 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. H ', . 1 / 3 1 / I 3 1 / 0 `� r l` '' '? 3 ' ;UILDING LECTRICAL 'LUMBING )weer of luilding : ontractor Builder _.egal )escription i'. ' Work Xo be performed 'architect Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 4906 under this Permit Bl. Subdi- vision kddress of 0 kuilding This permit is granted to the contractor or - !ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any 31ans, drawings, statements or specifications that may have been submitted to and approved ( y the proper municipal authorities. This Permit may be revoked a it any time if the work is not done in compliance with such ordinances or if the plans, „c nged,Rt'ithour authorization. A further condition upon which this 3ermit is granted is the understanding that the contractor or builder named above assurires th r sespozsib' ity for a thorough knowledge of the ordinances and egulations pertaining to the work covered hereby whether shown on the plans or dr p .ki the s is ecifications and that he assumes respon- 4�t Signed. ;ibihty for work done by his agents, servants or. employees. Value of Amt. of Project Permit build named above to construct the building or to install the equipment or device described in the appli- rar '' In consideration of the issuance to me of this permit I agree to perform the work covered iereunder in compliance with all ordinances and re pertaining ,thereto and in strict conformity with the plans, drawings, statements or specificatiotdls submitted to the proper authorities of Miami Shor In accepting this pertnit I assume i,'esppnsibilitt for all work doe either myself, my agent, servant or employee. i f ,'CO RAC R OR BUILDER BY DATE Contractor's Lioense No. } J By /E AUTHORITY lations Village.