ELECTRICAL PERMITBUILDING
F.i.FCTRICAL
PLUMBING
ROOFING
Owner of
Building
Lot
n
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
Architect
Contractor
or Builder _
Legal
Description
Bl.
Address of Value of I Amount of
Building Project $ " Penult $
N9 7719
Work to be performed under this 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 be assumes resnon-
sibility for work done by his agents, servants or employees.
Signed:__ ,� "__tektiSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances cold 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.
DATE. — 19
Contractor's
Subdi-
vision
License No.
CONTRACTOR OR BUILDER BY AUTHORITY
Permit No 77/7
Application is hereby made for the approval of the detailed statement of the plans and specifications rewit ..witted 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
Registered Architect and /or Engine
Employing Electrician's Nam(..
Location and Legal Description Lot
Service Overd Size Feeders
Type .,f Installation — Conduit
Amount of Permit
STATE OF FLORIDA, O
COUNTY OF DADE. y
s s.
PFLICATION FOR ELECTRIC
rQ
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEP IRTME
T
L FERMCT
Date
No Street
s
- ... t _a..No.S` 0 Na W o l� I gStreet
Block if ..9 Subdivision.' ° .... `�
Street and Number where work is to be performed —No :7/Q., In Street
State work to be perfor al and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Conduit. d0 Main Sw._1/.._CO
Tubing B.X.L Metal Moulding
Amps Main Fuses Amps
(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, • wo to be performed under this permit, as are
licensed by Miami Shores Village.
(Sign ° • ?. 'j'�i� V7 7.. . Ly�
' 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
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HE.- ER
STRIP
HEATER
--„,
'
TOTAL
CONTR
LIST
i g
��
O
�.
O
/
f
o
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TG' P.
SERVICE
PERM.
R7OTOP3
0.1 HP
^:OTORS
1.5 HP
N ErN
TRANS.
RADIO
s
TOTAL
CON IST
LIST
CHECK
Permit No 77/7
Application is hereby made for the approval of the detailed statement of the plans and specifications rewit ..witted 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
Registered Architect and /or Engine
Employing Electrician's Nam(..
Location and Legal Description Lot
Service Overd Size Feeders
Type .,f Installation — Conduit
Amount of Permit
STATE OF FLORIDA, O
COUNTY OF DADE. y
s s.
PFLICATION FOR ELECTRIC
rQ
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEP IRTME
T
L FERMCT
Date
No Street
s
- ... t _a..No.S` 0 Na W o l� I gStreet
Block if ..9 Subdivision.' ° .... `�
Street and Number where work is to be performed —No :7/Q., In Street
State work to be perfor al and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Conduit. d0 Main Sw._1/.._CO
Tubing B.X.L Metal Moulding
Amps Main Fuses Amps
(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, • wo to be performed under this permit, as are
licensed by Miami Shores Village.
(Sign ° • ?. 'j'�i� V7 7.. . Ly�
' 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.