ELECTRICALPermit No
41‘3 ?"
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of 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
b uilding during progress of ow w �/� NA` n A �✓
'owner's Name and Addresslt -�Wff K.lfit/1 / y No.. /� i Street. /. /..
Registered Architect and /or Engineer /)
/ ,E l j y y 1 El s 7a e. (✓�,( )?, No q Street �/�
L cation and / Legal eeccription Lot... �/ a Block ...P[. Subdivision. � `.
Street and Number where work is to be performed —No // .. 7..... .. 93 .5 7 Street
t/ltate work to be performed and purpose of building (By Floors). /✓ ../?...N..1."J.QN.. 4:44X0.11102
New Building Remodeling Addition. Repairs No. of Stories
service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing... ... B.X.L Metal Moulding
Amount of Permit
STATE OF FLORIDA,
COUNTY OP DADE. I U.
APPLICATION FOR ELECTRICAL PERMIT
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed
Date. / �v24��
l ow•/ Pons-title/ ° - 44aL41
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.
Muter Electrician.
Before me, the undersigned authonty, 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
0
LIGHT
OUTLETS
PLUG
REC[•PT's
FIXTURES
NO LAMPS
R[IRIO.
OUTLET
IRON
OUTLET
RANG[
OUTLET
RANG[
CONN.
WATER
NEATER
W. MEAT.
CONN.
SPACE
NEATER
STRIP
NEATER
A
/ ( T j1 L/
OTAL
CONTR.
LIST
CHICK
���i�
z( 6e
ENT.
SW.
DIET.
CAS.
SERVICE
TEMP.
SERVICE �//�
PERM. � G / I�/
/ qqq 0
MOTORS
0.1 HP
MOTORS
1.S HP
N [ON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
.
Permit No
41‘3 ?"
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of 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
b uilding during progress of ow w �/� NA` n A �✓
'owner's Name and Addresslt -�Wff K.lfit/1 / y No.. /� i Street. /. /..
Registered Architect and /or Engineer /)
/ ,E l j y y 1 El s 7a e. (✓�,( )?, No q Street �/�
L cation and / Legal eeccription Lot... �/ a Block ...P[. Subdivision. � `.
Street and Number where work is to be performed —No // .. 7..... .. 93 .5 7 Street
t/ltate work to be performed and purpose of building (By Floors). /✓ ../?...N..1."J.QN.. 4:44X0.11102
New Building Remodeling Addition. Repairs No. of Stories
service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing... ... B.X.L Metal Moulding
Amount of Permit
STATE OF FLORIDA,
COUNTY OP DADE. I U.
APPLICATION FOR ELECTRICAL PERMIT
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed
Date. / �v24��
l ow•/ Pons-title/ ° - 44aL41
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.
Muter Electrician.
Before me, the undersigned authonty, 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.