ELECTRICAL PERMIT11 r
. t
1 4 a
1 ,
FOR ELECTRICAL PERMIT
Date... el
Application is hereby made for the approval of the detailed statement of the p ans and specifications her.with submitted for the building or other
structure herein described This application is made in complia and conformity with the Building Ordinance of Miami Shores Village, Flo ida,
and all ro isions of the Laws of the State of Flor'.c a all ordinances o.' Miami Shores Village and all -ules and regulations of eh. Building Division
of Miami Shor .. Village shall be complied with, whe.her he ein spec red or not. A copy of approved plans and specifications must be kept at
building during ogress of wor
A t
Permit No.. ...
Owner's Name and Address.
Employing Electrician s Name.
STATE OF FLORIDA, }
COUNTY OF DADE.
ELECTRICAL INSPECTION DEPARTMENT
// 77
No . /41(
`�Y + No �4
Location and Legal Description 9 p / 714 7t.2I /ceBlock. . .
. Subdivision.iee/.,.a
Street and Number where work is to be performed —No _ t ®Q. 9 .Street. ....
State work to be performed and purpose of building (By Floors) fee-it q e
New Building. X Remodeling ... Addition . Repairs No. of Stories
Service Overhead Size Feeders .Co Adult. .... ...Main Sw
Underground °°
Type of Installation — Conduit. .
SS.
MIAMI SHORES VILLAGE
iflMOF ,Qc49K]
/e e. lei e e ..
T rbing.. .B.X L . . _ .....Metal Moulding.
Amount of Permit $ ...... J (Signed). /4)4. ..... y; • -
Amps..... _ .Main uses _ Amps
El- ctr :al Inspector.
The and rs'gned applicant for N'i• building permit doe: hereby certify that he understands and accepts s obligations as an employer of
iabo und• r the Flo.;da Workmen's Compensation Act being Section 5966, Compiled General Laws of F�'�'da Permanent Supplement, and
has ompl'.d ith the p•ovisions thereof- and will require similar compliance from all contractors or sob- ontractors employed by him in the
work to be p rformed under this permit; and will post o. cause to be posted for inspection on the site of the wo k suc public notice or notices
as are requir d b, the Act The undersigned agrees to iplo; only such sub contractors, on work to be rfor, ed under this permit, as are
'icensed by Miami Shores Village
e
3° (Signed) .
rel
j
ffr! I
l
Before me the undersigned authority, 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 h, carefully read the foregoin application, and that he did sign the same, and that all facts
therein by him stated are true.
.Street.... 1�� -ro • .
.Street.
,v... /7/ c,..
Master Electrician.
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 workma .ship.
SWITCH
O /� U +TLLLEETS
LIGH'
OUTLC b
PLJO
REC 'P•T'S
FIXTLRES
NO LAAAMM
/9
REFRIO.
OUTLET
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kR01P
O tlT t _ET
RANCE
OUTLET
g.---
41W1W E
GON1f�
WATER
HEATER
W -HLAT.
CONN7
SPACE
HEATER
STRIP
HEATEn
h be
TOTAL
CONTR.
LIST
9
/9
0,3
ff
CHECK
ENT.
S .
DIST.
'..
AB
SE. V rE
T MP.
SERV,CF J:
PERM ,
a
A
6!`D1
MOTORS
O T
S.'''.
MOTORS
1•S HP
^
N - '
TRAN -'.
vy R DIO
TOTAL
CONT
LI T
..••••".'
/
v
CHE K
11 r
. t
1 4 a
1 ,
FOR ELECTRICAL PERMIT
Date... el
Application is hereby made for the approval of the detailed statement of the p ans and specifications her.with submitted for the building or other
structure herein described This application is made in complia and conformity with the Building Ordinance of Miami Shores Village, Flo ida,
and all ro isions of the Laws of the State of Flor'.c a all ordinances o.' Miami Shores Village and all -ules and regulations of eh. Building Division
of Miami Shor .. Village shall be complied with, whe.her he ein spec red or not. A copy of approved plans and specifications must be kept at
building during ogress of wor
A t
Permit No.. ...
Owner's Name and Address.
Employing Electrician s Name.
STATE OF FLORIDA, }
COUNTY OF DADE.
ELECTRICAL INSPECTION DEPARTMENT
// 77
No . /41(
`�Y + No �4
Location and Legal Description 9 p / 714 7t.2I /ceBlock. . .
. Subdivision.iee/.,.a
Street and Number where work is to be performed —No _ t ®Q. 9 .Street. ....
State work to be performed and purpose of building (By Floors) fee-it q e
New Building. X Remodeling ... Addition . Repairs No. of Stories
Service Overhead Size Feeders .Co Adult. .... ...Main Sw
Underground °°
Type of Installation — Conduit. .
SS.
MIAMI SHORES VILLAGE
iflMOF ,Qc49K]
/e e. lei e e ..
T rbing.. .B.X L . . _ .....Metal Moulding.
Amount of Permit $ ...... J (Signed). /4)4. ..... y; • -
Amps..... _ .Main uses _ Amps
El- ctr :al Inspector.
The and rs'gned applicant for N'i• building permit doe: hereby certify that he understands and accepts s obligations as an employer of
iabo und• r the Flo.;da Workmen's Compensation Act being Section 5966, Compiled General Laws of F�'�'da Permanent Supplement, and
has ompl'.d ith the p•ovisions thereof- and will require similar compliance from all contractors or sob- ontractors employed by him in the
work to be p rformed under this permit; and will post o. cause to be posted for inspection on the site of the wo k suc public notice or notices
as are requir d b, the Act The undersigned agrees to iplo; only such sub contractors, on work to be rfor, ed under this permit, as are
'icensed by Miami Shores Village
e
3° (Signed) .
rel
j
ffr! I
l
Before me the undersigned authority, 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 h, carefully read the foregoin application, and that he did sign the same, and that all facts
therein by him stated are true.
.Street.... 1�� -ro • .
.Street.
,v... /7/ c,..
Master Electrician.
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 workma .ship.
, . / 2
1 2 5
1 7 5✓
1 7 5°
1 7 5
1 2 5'
3 5 Co'
1 2 5'
1 2 5-
1 2 5
3 5 0`
4 2 7 5
/2/
Permit No..... �- 1 �. . - - Date .iZ . - .f.7�.-�..9.
Application is hereby made for the approval of the detailed statement of the p ans and specif'cations her.with submittYd for the bolding or other
structure herein described This application is made in complia . and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all ro isions of the Laws of the State of Floret a all ordinances Miami Shores Village and all ules and regulations of i'h•> Building Division
of Miami Shor .. Village shall be complied with, whe.her he ein specs fed or not. A copy of approved plans and specifications must be kept at
building during , ogress of wor ` rne° Q
Owner's Name nd Address. .. Q. e/V/ No... /0'o . .Street.... 7e 1'.... - ed,y ",< . ......
Employing Electrician s Name. . o . -en.. /�'e >1�/!� . .o.... No ��.-:..
i Location and Legal Descriptioi . otRa . / p « . / / c" /R. . , . Block.. . N3'. .
Street and Number where work is to be performed —No . ....% .i -
s� i ,ems c
State work to be perfo.med and purpose of building (By Floors) ._ .. l �4!
P
New Building � ... Remodeling - ... Addition ........... ...Re airs No. of Stories
Service Overhead Size Feeders ..........Co idmt. .... Main Sw
Underground
Type of Installation— Conduit. . ..... ..T 16ing.. .B.X L Metal Moulding.
Amount of Permit $
STATE OF FLORIDA, l
COUNTY OF DADE. I
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
(Signed)
E1 ^ctri. al Inspector.
The and rs'gned applicant for t` i building permit doe hereby certify that he understands and ..ccepts his obligati - as an employer of
iabo und• r the Flo ;da Workmen's Compensation Act being Section 5966, Compiled General Laws of Florida Permanent Supplement and
has ompl'.d 1.1th the provisions thereof and will require similar compliance from all contractors or stab- contractors employed by him in the
work to be p rformed under this permit; and will post o cause to be posted for inspection on the site of the wo k suc public notice or notices
as are requir d b the Act The undersign' d agrees to ipso; only such sub contractors, on work to be rfor ed under this permit, as are
'icensed by Miami Shores Village
(Signed) . ..
.Street. /Va.
Subdivision - .cam, C.
.Street...����?....
Amps...... .Main uses Amps
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 construLtion, and he h. carefully read the foregoin 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 workma .ship.
SWITCH
OUTLETS
LIGH'
OUTLC. b
PL J O
REC 'P'T's
FIXT..RES
NO LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATE'Z
TOTAL
CONTR.
LIST
CHECK
ENT.
S%
Dls',.
:.An.
SE. V I - E
T - MP.
SERVIC7
_ PERM
MOTORS
O.1 HP
MOTORS
1 -5 HP
N -' N
TRAM
R DIO
TOTAL
CONT T
CHE K
/2/
Permit No..... �- 1 �. . - - Date .iZ . - .f.7�.-�..9.
Application is hereby made for the approval of the detailed statement of the p ans and specif'cations her.with submittYd for the bolding or other
structure herein described This application is made in complia . and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all ro isions of the Laws of the State of Floret a all ordinances Miami Shores Village and all ules and regulations of i'h•> Building Division
of Miami Shor .. Village shall be complied with, whe.her he ein specs fed or not. A copy of approved plans and specifications must be kept at
building during , ogress of wor ` rne° Q
Owner's Name nd Address. .. Q. e/V/ No... /0'o . .Street.... 7e 1'.... - ed,y ",< . ......
Employing Electrician s Name. . o . -en.. /�'e >1�/!� . .o.... No ��.-:..
i Location and Legal Descriptioi . otRa . / p « . / / c" /R. . , . Block.. . N3'. .
Street and Number where work is to be performed —No . ....% .i -
s� i ,ems c
State work to be perfo.med and purpose of building (By Floors) ._ .. l �4!
P
New Building � ... Remodeling - ... Addition ........... ...Re airs No. of Stories
Service Overhead Size Feeders ..........Co idmt. .... Main Sw
Underground
Type of Installation— Conduit. . ..... ..T 16ing.. .B.X L Metal Moulding.
Amount of Permit $
STATE OF FLORIDA, l
COUNTY OF DADE. I
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
(Signed)
E1 ^ctri. al Inspector.
The and rs'gned applicant for t` i building permit doe hereby certify that he understands and ..ccepts his obligati - as an employer of
iabo und• r the Flo ;da Workmen's Compensation Act being Section 5966, Compiled General Laws of Florida Permanent Supplement and
has ompl'.d 1.1th the provisions thereof and will require similar compliance from all contractors or stab- contractors employed by him in the
work to be p rformed under this permit; and will post o cause to be posted for inspection on the site of the wo k suc public notice or notices
as are requir d b the Act The undersign' d agrees to ipso; only such sub contractors, on work to be rfor ed under this permit, as are
'icensed by Miami Shores Village
(Signed) . ..
.Street. /Va.
Subdivision - .cam, C.
.Street...����?....
Amps...... .Main uses Amps
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 construLtion, and he h. carefully read the foregoin 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 workma .ship.